TY - JOUR
T1 - The First Intra-Action Review of Indonesia's Response to the COVID-19 Pandemic, August 2020
AU - Wulandari, Endang Widuri
AU - Hastuti, Endang Budi
AU - Setiawaty, Vivi
AU - Sitohang, Vensya
AU - Ronoatmodjo, Sudarto
N1 - Funding Information:
To conduct the IAR, the MOH established a core management team of officials from the MOH and the National Agency for Disaster Management. The management team established the objectives, scope, and methodology of the IAR; identified relevant stakeholders to be involved; and engaged lead facilitators, report writers, and notetakers. Before the IAR, the MOH conducted a desk review to analyze the COVID-19 operational response plan and other relevant policy documents and data and then convened a meeting to present the desk review findings to stakeholders and used the results of the desk review and meeting to inform issues to address during the IAR. The MOH also organized an IAR orientation for key stakeholders and a facilitators’ training, which were supported by WHO headquarters, the WHO Regional Office for South-East Asia, and the WHO Indonesia country office.
Publisher Copyright:
© Copyright 2021, Mary Ann Liebert, Inc., publishers 2021.
PY - 2021/10/1
Y1 - 2021/10/1
N2 - The COVID-19 pandemic has had an unprecedented impact on health, society, and the economy globally and in Indonesia. The World Health Organization (WHO) recommended the use of intra-action reviews (IARs) to identify best practices, gaps, and lessons learned to make real-time improvements to the COVID-19 response. The Emergency Committee of the International Health Regulations (2005) has recommended that countries share COVID-19 best practices and lessons learned with peer countries through IARs. Using WHO-established methodology, we conducted the first IAR of Indonesia's COVID-19 response from January through August 2020. The review covered 10 thematic areas (pillars): (1) command and coordination; (2) operational support and logistics; (3) surveillance, rapid response teams, risk assessment, and field investigation; (4) laboratories; (5) case management; (6) infection prevention and control; (7) risk communication and community empowerment; (8) points of entry, international travel, and transportation; (9) large-scale social restrictions; and (10) maintaining essential health services and systems. We held focus group discussions with a variety of stakeholders from a range of government departments, provincial health offices, and nongovernmental organizations. We used the results of the focus group discussions and other key findings from the IAR to formulate recommendations. The IAR identified key areas for improvement at national and subnational levels across all 10 pillars. Priority recommendations included improving multisectoral coordination and monitoring of COVID-19 response plan indicators; strengthening implementation of public health response measures, including case detection, isolation, infection prevention and control, contact tracing, and quarantine; and improving data collection, analysis, and reporting to inform public health risk assessment and response. The IAR is a useful tool for reviewing progress and identifying areas to improve the COVID-19 response in real time and provides a means to share information on areas of need with COVID-19 response partners and contributes to International Health Regulations (2005) core capacity development.
AB - The COVID-19 pandemic has had an unprecedented impact on health, society, and the economy globally and in Indonesia. The World Health Organization (WHO) recommended the use of intra-action reviews (IARs) to identify best practices, gaps, and lessons learned to make real-time improvements to the COVID-19 response. The Emergency Committee of the International Health Regulations (2005) has recommended that countries share COVID-19 best practices and lessons learned with peer countries through IARs. Using WHO-established methodology, we conducted the first IAR of Indonesia's COVID-19 response from January through August 2020. The review covered 10 thematic areas (pillars): (1) command and coordination; (2) operational support and logistics; (3) surveillance, rapid response teams, risk assessment, and field investigation; (4) laboratories; (5) case management; (6) infection prevention and control; (7) risk communication and community empowerment; (8) points of entry, international travel, and transportation; (9) large-scale social restrictions; and (10) maintaining essential health services and systems. We held focus group discussions with a variety of stakeholders from a range of government departments, provincial health offices, and nongovernmental organizations. We used the results of the focus group discussions and other key findings from the IAR to formulate recommendations. The IAR identified key areas for improvement at national and subnational levels across all 10 pillars. Priority recommendations included improving multisectoral coordination and monitoring of COVID-19 response plan indicators; strengthening implementation of public health response measures, including case detection, isolation, infection prevention and control, contact tracing, and quarantine; and improving data collection, analysis, and reporting to inform public health risk assessment and response. The IAR is a useful tool for reviewing progress and identifying areas to improve the COVID-19 response in real time and provides a means to share information on areas of need with COVID-19 response partners and contributes to International Health Regulations (2005) core capacity development.
KW - COVID-19
KW - Epidemic management/response
KW - Intra-action review
KW - Public health emergency of international concern
KW - Public health preparedness/response
UR - http://www.scopus.com/inward/record.url?scp=85117493493&partnerID=8YFLogxK
U2 - 10.1089/hs.2021.0071
DO - 10.1089/hs.2021.0071
M3 - Article
AN - SCOPUS:85117493493
SN - 2326-5094
VL - 19
SP - 521
EP - 531
JO - Health Security
JF - Health Security
IS - 5
ER -
