{"id":1717,"date":"2022-04-29T15:40:00","date_gmt":"2022-04-29T15:40:00","guid":{"rendered":"https:\/\/perkumpulanidea.org\/?p=1717"},"modified":"2024-10-13T16:08:18","modified_gmt":"2024-10-13T16:08:18","slug":"advokasi-vaksinasi-untuk-kelompok-rentan","status":"publish","type":"post","link":"https:\/\/perkumpulanidea.org\/en\/2022\/04\/29\/advokasi-vaksinasi-untuk-kelompok-rentan\/","title":{"rendered":"Vaccination Advocacy for Vulnerable Groups"},"content":{"rendered":"

The status of the Community Activity Movement Restrictions (PPKM) in the Special Region of Yogyakarta Province has been raised again as of February 7, 2022, to level 3. Previously, for more than three months, starting from October 19, 2021 to February 6, 2022, the status in the Special Region of Yogyakarta Province had dropped to level 2. The PPKM level 3 status indicates a re-increase in the number of infections and the spread of the COVID-19 virus. <\/p>\n\n\n\n

If we look at the number of daily confirmed cases in the last 60 days in the Province of DIY, the additional cases in DIY have indeed started to increase again since February 6, when there were 280 confirmed positive COVID-19 patients, cases then increased significantly until they peaked on February 24, reaching 2,866 confirmed positive COVID-19 patients. In fact, previously with the high vaccination achievement in DIY as of February 2, which reached 103% for dose 1 and 94% for dose 2, the number of COVID cases could be suppressed well. This is in accordance with the data on the relatively small average number of confirmed positive cases in 1 month, which is 15 on average confirmations as of December 31, 2021 - January 31, 2022. In fact, as of January 1, the confirmed positive case in the Province of DIY was only 1 person. This shows that accelerating the vaccination program is very important to form herd immunity in the community.<\/p>\n\n\n\n

The increase in the number of positive confirmations in DIY is indeed caused by many variables, such as the mutation of the SARS virus from delta to omicron, to the possibility of a decrease in the efficacy of the COVID-19 vaccine. Therefore, a vaccination booster to increase community immunity against the COVID-19 virus mutation needs to be carried out. Referring to data from the DIY health service, the third dose of vaccination (booster) for residents in DIY is still very low. <\/p>\n\n\n\n

As of March 1, 2022, the achievement of the third dose of vaccination in DIY has only reached 10%, with the number of vaccine recipients being 292,373. Meanwhile, DIY itself has a vaccination target of 2,879,699. This means that there are still a lot of targets that need to be intervened with the 3rd dose of the vaccine, especially vulnerable groups such as the elderly and children.<\/p>\n\n\n\n

Based on the target, the number of third dose vaccines in DIY has only targeted health workers, public servants, the elderly and the general public. Meanwhile, for adolescents, it has not been done at all. For health workers, the number of achievements has reached 130%, which is quite understandable considering that health workers are the front line and at the same time the most vulnerable group in health care, especially COVID-19 patients. For public services, the number of achievements is 1.7% or only 5,909 have been vaccinated out of 658,80 targets. For the elderly, the number of booster vaccine achievements is also still very low, which is 13.7% or only 65,096 have been vaccinated out of 472,852 targets.<\/p>\n\n\n\n

Meanwhile, for the general public, the number of achievements is 10%, or only 177,257 have been vaccinated out of 1,726,698 targets. Meanwhile, for teenagers and children, as previously explained, it is still 0% or has not been done at all. One of the reasons is because the distance between the second dose of the vaccine has not reached the requirements for a booster.<\/p>\n\n\n\n

From the data above, at least it is clear that there are still many gaps that must be intervened so that residents have more protection from the potential emergence of new variants of the SARS Covid-19 virus mutation. The target of booster vaccination certainly also needs to be done by mapping the priority of vulnerable groups, especially groups with disabilities whose data is not yet adequate.<\/p>\n\n\n\n

Based on the policy paper submitted by FPRB DIY to the DIY provincial government, disaggregated data showing people with disabilities exposed to Covid-19 is not available on the corona.jogjaprov.co.id website. Meanwhile, disaggregated data will be a reference in the preparation of policies and implementation in handling Covid-19 that is inclusive of people with disabilities. <\/p>\n\n\n\n

DIY has made progress in terms of protecting and fulfilling the rights of the disabled, including the existence of DIY Regional Regulation Number 4 of 2012 (which is currently being amended), the existence of the DIY Disability Committee which plays a role in ensuring the implementation of protection and fulfillment of the rights of the disabled, a special health insurance policy (jamkesus) to guarantee the fulfillment of assistive devices, and currently the Province of DIY is preparing itself to become an Inclusive Province. However, protection of the disabled is still not reflected in the program<\/p>\n\n\n\n

handling Covid-19 consistently and comprehensively. The situation is confirmed by the following facts: <\/p>\n\n\n\n

    \n
  1. The lack of adequate information regarding Covid-19 provided by the government that can be accessed by people with disabilities, especially the blind and deaf.\u00a0\u00a0<\/li>\n\n\n\n
  2. The lack of adequate information regarding Covid-19 provided by the government that can be accessed by people with disabilities, especially the blind and deaf.<\/li>\n\n\n\n
  3. The lack of accessible shelters for the disabled, especially the visually impaired and physically disabled who use wheelchairs, has resulted in the rejection of the visually impaired in one of the shelters managed by the government and the disabled being asked to self-isolate at home.\u00a0<\/li>\n\n\n\n
  4. The implementation of vaccines for people with disabilities by the government which is separated from the general public with a quota system, centralized and limited in implementation time makes it difficult for people with disabilities to access.\u00a0<\/li>\n\n\n\n
  5. The lack of vaccine education prepared by the government to reach people with disabilities and their families has resulted in some families of people with disabilities refusing to accept the vaccine.\u00a0\u00a0<\/li>\n\n\n\n
  6. There has been no opportunity for disabled people to participate in efforts to mitigate and handle Covid-19.<\/li>\n<\/ol>\n\n\n\n

    The Role of Civil Society in Collaborating to Accelerate Vaccination<\/strong><\/p>\n\n\n\n

    During the pandemic situation, IDEA together with Yappika Action-Aid, FPRB-DIY and several civil society groups and individuals in DIY participated in accelerating vaccination for vulnerable groups in DIY. In the first stage with a two-dose vaccination package, the vulnerable groups targeted were more than 2500 residents living in the province of DIY. The vaccination target was increased in the second stage with a two-dose vaccine package targeting all groups in villages through the jimpitan vaccination scheme. This scheme was collaborated by IDEA and FPRB DIY with the Sambatan Jogja (Sonjo) forum. The target was quite fantastic, namely 38,955 residents from districts with low vaccination rates, namely Gunungkidul, Bantul and Kulon Progo.  <\/p>\n\n\n\n

    In Kulon Progo Regency, overall vaccination was held in 10 villages. The number of targets in the 10 villages was 10,129 people. Of that number, based on vaccination implementation data, the targets who attended were<\/p>\n\n\n\n

    8,118 people. Of the attendance, the target who were successfully vaccinated was 5,831 people, each with 3,448 doses of vaccine 1 and 4,577 doses of vaccine 2. Meanwhile, the target who were not vaccinated was 92 people.<\/p>\n\n\n\n

    Then in Gunungkidul Regency, vaccination was held in 5 villages with a target of 5,399 residents. Of that number, 4,846 residents were successfully vaccinated. Based on these results, it indicates that the vaccination achievement in the five regions has reached 88%. Only 13% of residents from the total target have not been successfully vaccinated. Residents who have not received the vaccine number 689 people, with details of 89 people postponed and 600 people absent.<\/p>\n\n\n\n

    Meanwhile, in Bantul district, the number of Jimpitan vaccination targets in Bantul Regency was 23,291, which was summarized from 16 villages. Of that number, 16,263 people were present. Of the 16,263 targets who were present, 15,713 people were successfully vaccinated, while 710 others were postponed due to several medical considerations.<\/p>\n\n\n\n

    The experience above illustrates the good practice of the role of civil society in collaborating to accelerate vaccination in the Province of DIY. The impact is quite significant considering that DIY is the province with the second highest number of vaccination achievements nationally, even exceeding the national target.<\/p>","protected":false},"excerpt":{"rendered":"

    Status Pembatasan Pergerakan Kegiatan Masyarakat (PPKM) di Provinsi DIY kembali naik per 7 Februari 2022 menjadi level 3. Padahal, sebelumnya, selama tiga bulan lebih, terhitung per 19 Oktober 2021 hingga 6 februari 2022, status di Provinsi DIY turun menjadi level 2. Status PPKM level 3 menunjukkan kembali naiknnya angka infeksi dan penyebaran virus covid-19.  Jika melihat angka kasus konfirmasi harian dalam 60 hari terakhir di Provinsi DIY, kasus penambahan di DIY memang mulai meningkat kembali sejak tanggal 6 Februari, saat itu tercatat ada 280 pasien konfirmasi positif covid-19, kasus kemudian meningkat siginifikan hingga mencapai puncaknya pada 24 Februari yang mencapai 2.866 pasien konfirmasi positif covid-19. Padahal, sebelumnya dengan tingginya capaian vaksinasi di DIY per 2 Februari yang mencapai hingga 103% untuk dosis 1 dan 94% untuk dosis dua, angka covid dapat ditekan dengan baik. Hal tersebut sesuai dengan data rata-rata kasus konfirmasi positif yang relatif kecil dalam 1 bulan, yaitu 15 rata-rata konfirmasi per tanggal 31 Desember 2021 \u2013 31 Januari 2022. Bahkan, pada per tanggal 1 Januari kasus konfirmasi positif di Provinsi DIY hanya 1 orang. Ini menunjukkan bahwa percepatan program vaksinasi menjadi sangat penting untuk membentuk herd imunity di tengah-tengah masyarakat. Naiknya angka konfirmasi positif di DIY memang disebabkan oleh banyak variable, seperti mutasi virus sars dari delta ke omicron, hingga kemungkinan turunnya eifikasi vaksin covid-19. Oleh karena itu, booster vaksinasi untuk meningkatkan imunitas masyrakat terhadap mutasi virus covid-19 perlu dilakukan. Jika merujuk data dinas kesehatan DIY, vaksinasi dosis ketiga (booster) untuk warga di DIY masih sangat rendah.  Per 1 maret 2022, capaian vaksinasi dosis ketiga di DIY baru mencapai 10%, dengan jumlah penerima vaksin sebanyak 292.373. Sedangkan DIY sendiri memiliki target sasaran vaksinasi sebanyak 2.879.699. Artinya masih sangat banyak dari jumlah sasaran tersebut yang perlu diintervensi vaksin dosis 3, terutama kelompok-kelompok rentan seperti lansia dan anak-anak. Berdasarkan sasaran, jumlah vaksin dosis ketiga di DIY baru menyasar tenaga kesehatan, pelayan publik, lansia dan umum. Sedangkan untuk remaja belum dilakukan sama sekali. Untuk tenaga kesehatan, jumlah capaiannya sudah mencapai 130%, hal tersebut cukup dapat dimaklumi mengingat tenaga kesehatan merupakan garda terdepan dan sekaligus menjadi kelompok paling rentan dalam penanganan kesehatan, khususnya pasien covid-19. Untuk pelayanan publik, jumlah capaiannya ialah 1,7% atau baru tervaksin 5.909 dari 658.80 sasaran. Untuk lansia, jumlah capaian booster vaksin juga masih sangat rendah, yaitu 13,7% atau baru tervaksin 65.096 dari 472.852 sasaran. Sedangkan untuk umum, jumlah capaiannya sebesar 10%, atau baru tervaksin 177.257 dari 1.726.698 sasaran. Sementara untuk usia remaja dan anak-anak, seperti dijelaskan sebelumnya masih 0% atau belum dilakukan sama sekali. Salah satu penyebabnya ialah, karena jarak vaksin dosis kedua yang belum mencapai ketentuan untuk diberikan booster. Dari data di atas, setidaknya tergambar bahwa masih ada banyak gap yang harus diintervensi agar warga memiliki perlindungan yang lebih dari potensi munculnya varian baru dari mutasi virus sars covid-19. Sasaran vaksinasi booster tentu juga perlu dilakukan dengan memetakan prioritas kelompok rentan, terutama kelompok difabel yang secara data pilah belum cukup memadai. Berdasarkan kertas kebijakan yang disampaikan FPRB DIY ke pemerintah provinsi DIY, data pilah yang menunjukkan difabel terpapar Covid-19 tidak tersedia di laman website corona.jogjaprov.co.id.  Sementara data pilah akan menjadi rujukan dalam peyusunan kebijakan serta implementasi dalam penanganan Covid-19 yang inklusif difabilitas.  DIY telah memiliki kemajuan dalam hal perlindungan dan pemenuhan hak-hak difabel, diantaranya adalah adanya Peraturan Daerah DIY Nomor 4 tahun 2012 (yang saat ini sedang di amandement), adanya Komite Disabilitas DIY yang berperan dalam memastikan implementasi perlindungan dan pemenuhan hak difabel, kebijakan jaminan kesehatan khusus (jamkesus) untuk jaminan pemenuhan alat bantu, serta saat ini Provinsi DIY sedang menyiapkan diri untuk menjadi Provinsi yang Inklusif.  Namun demikian perlindungan difabel masih belum tercermin dalam program penanganan Covid -19 secara konsisten dan komprehensif.  Situasi tersebut terkonfirmasi dari fakta berikut:  Peran Masyarakat Sipil dalam Kolaborasi Percepatan Vaksinasi Selama situasi pandemi, IDEA bersama dengan Yappika Action-Aid, FPRB-DIY serta beberapa kelompok masyarakat sipil dan individu di DIY turut berpartisipasi dalam melakukan akselerasi vaksinasi untuk kelompok rentan di DIY. Pada tahap pertama dengan paket vaksinasi dua dosis, kelompok rentan yang menjadi sasaran lebih dari 2500 penduduk yang tinggal di provinsi DIY. Sasaran vaksinasi ditingkatkan pada tahap kedua dengan paket vaksin dua dosis yang menyasar seluruh kelompok di desa-desa melalui skema vaksinasi jimpitan. Skema ini dikolaborasikan IDEA dan FPRB DIY dengan forum Sambatan Jogja (Sonjo). Sasarannya cukup fantastis, yaitu sebanyak 38.955 warga yang berasal dari kabupaten dengan tingkat vaksinasi rendah, yaitu Gunungkidul, Bantul dan Kulon Progo.   Di Kabupaten Kulon Progo, secara keseluruhan vaksinasi diselenggarakan di 10 kalurahan (desa). Jumlah sasaran di 10 kalurahan tersebut sebanyak 10.129 orang. Dari jumlah tersebut, berdasarkan data pelaksanaan vaksinasi, sasaran yang hadir sebanyak 8.118 orang. Dari jumlah kehadiran tersebut, sasaran yang berhasil tervaksinasi sebanyak 5.831 orang, masing-masing 3.448 vaksin dosis 1 dan 4.577 dosis 2. Sementara, sasaran yang tidak tervaksinasi sebanyak 92 orang. Kemudian di Kabupaten Gunungkidul, vaksinasi diselenggarakan di 5 kalurahan dengan jumlah sasaran sebanyak 5.399 warga. Dari jumlah tersebut, warga yang berhasil divaksinsi sebanyak 4.846 warga. Berdasarkan hasil tersebut menandakan capaian vaksin di lima wilayah menyentuh angka 88%. Hanya 13% warga dari total sasaran yang belum berhasil divaksin. Warga yang belum menerima vaksin berjumlah 689 orang, dengan rincian 89 orang tunda dan 600 orang tidak hadir. Sementara di kabupaten Bantul, jumlah sasaran vaksinasi Jimpitan di Kabupaten Bantul sebanyak 23.291 yang terangkum dari 16 kalurahan. Dari jumlah tersebut, sasaran yang hadir sebanyak 16.263 orang. Dari 16.263 sasaran yang hadir, ada 15.713 orang yang berhasil divaksin, sementara 710 orang lainnya ditunda dengan beberapa pertimbangan medis. Pengalaman diatas menggambarkan praktik baik peran masyarakat sipil dalam berkolaborasi untuk percepatan vaksinasi di Provinsi DIY. Dampaknya cukup signifikan mengingat DIY menjadi provinsi dengan jumlah capaian vaksinasi kedua secara nasional, bahkan melampaui target capaian nasional.<\/p>","protected":false},"author":1,"featured_media":1718,"comment_status":"open","ping_status":"open","sticky":false,"template":"elementor_theme","format":"standard","meta":{"footnotes":""},"categories":[65],"tags":[131,118],"class_list":["post-1717","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artikel","tag-inklusi","tag-kelompok-rentan"],"amp_enabled":false,"_links":{"self":[{"href":"https:\/\/perkumpulanidea.org\/en\/wp-json\/wp\/v2\/posts\/1717","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/perkumpulanidea.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/perkumpulanidea.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/perkumpulanidea.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/perkumpulanidea.org\/en\/wp-json\/wp\/v2\/comments?post=1717"}],"version-history":[{"count":1,"href":"https:\/\/perkumpulanidea.org\/en\/wp-json\/wp\/v2\/posts\/1717\/revisions"}],"predecessor-version":[{"id":1719,"href":"https:\/\/perkumpulanidea.org\/en\/wp-json\/wp\/v2\/posts\/1717\/revisions\/1719"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/perkumpulanidea.org\/en\/wp-json\/wp\/v2\/media\/1718"}],"wp:attachment":[{"href":"https:\/\/perkumpulanidea.org\/en\/wp-json\/wp\/v2\/media?parent=1717"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/perkumpulanidea.org\/en\/wp-json\/wp\/v2\/categories?post=1717"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/perkumpulanidea.org\/en\/wp-json\/wp\/v2\/tags?post=1717"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}