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Building on health security capacities in Indonesia: Lessons learned from the COVID-19 pandemic responses and challenges

Aisyah, Dewi Nur; Mayadewi, Chyntia Aryanti; Budiharsana, Meiwita; Solikha, Dewi Amila; Ali, Pungkas Bahjuri; Igusti, Gayatri; Kozlakidis, Zisis; (2022) Building on health security capacities in Indonesia: Lessons learned from the COVID-19 pandemic responses and challenges. Zoonoses and Public Health 10.1111/zph.12976. (In press). Green open access

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Abstract

As an active member country of the WHO's International Health Regulation and Global Health Security Agenda, Indonesia, the world's fourth-most populous and largest archipelagic country has recorded the second-highest COVID-19 cases in Asia with over 1.8 million cases in early June 2021. This geographically and socially diverse country has a dynamic national and sub-national government coordination with decentralized authorities that can complicate a pandemic response which often requires nationally harmonized policies, adaptability to sub-national contexts and global interconnectedness. This paper analyses and reviews COVID-19 public data, regulations, guidance documents, statements and other related official documents to present a narrative that summarizes the government's COVID-19 response strategies. It further analyses the challenges and achievements of the country's zoonotic diseases preparedness and responses and lastly provides relevant recommendations. Findings are presented in four sections according to the Global Health Security Agenda capacities, namely epidemiological surveillance (detect capacity); laboratory diagnostic testing (respond capacity); data management and analysis (enable capacity); and the role of sub-national governments. The COVID-19 pandemic has been a catalyst for the rapid transformation of existing surveillance systems, inter-related stakeholder coordination and agile development from the pre-pandemic health security capacities. This paper offers several recommendations on surveillance, laboratory capacity and data management, which might be useful for Indonesia and other countries with similar characteristics beyond the COVID-19 response, such as achieving long-term health security, zoonoses and pandemic prevention, as well as a digital transformation of their governmental capacities.

Type: Article
Title: Building on health security capacities in Indonesia: Lessons learned from the COVID-19 pandemic responses and challenges
Location: Germany
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/zph.12976
Publisher version: https://doi.org/10.1111/zph.12976
Language: English
Additional information: © 2022 The Authors. Zoonoses and Public Health published by Wiley-VCH GmbH. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10152252
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