Measles in Indonesia: Vaccination Coverage and Identified Challenges

Authors

  • Erni J Nelwan Division of Tropical Medicine and Infectious Diseases, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Jakarta, Indonesia

Keywords:

Measles, Measles resurgence, Immunization coverage, Indonesia, Vaccine hesitancy, Public health systems

Abstract

Measles has re-emerged as a significant public health threat in Indonesia, signaling gaps in immunization coverage and systemic health inequities. Following the disruptions caused by the COVID-19 pandemic, the country has seen a troubling resurgence in cases. This editorial examines the current epidemiological situation, structural barriers to vaccination, and necessary strategies for elimination. In 2025, Indonesia recorded over 63,000 suspected cases, with the trend continuing into 2026. Current vaccination coverage for children aged 12–23 months stands at 73.46%, which is significantly below the 95% threshold required for herd immunity. Key barriers identified include maternal education levels, archipelagic geography, and sociocultural factors such as religious permissibility and safety concerns. Addressing the measles resurgence requires a multi-faceted approach: strengthening routine and catch-up immunization services, addressing social determinants of health, and rebuilding public trust through community engagement. Achieving high coverage is essential to prevent severe clinical complications and protect vulnerable populations.

References

Indonesian Ministry of Health (2026)

Indonesian Pediatric Society (IDAI) outbreak data (2025–2026)

Guerra F, Bolotin S, Lim G, et al. The basic reproduction number (R0) of measles: a systematic review. The Lancet Infectious Disease. 2017;17(12):E420-28.

Fu H, Abbas K, Klepac P, et al. Effect of evidence updates on key determinants of measles vaccination impact: a DynaMICE modelling study in ten high-burden countries BMC Medicine. 2021;19:281.

Hermawan A, Irawan IR, Widiyanti M, et al. Association of socio-demographic factors with measles vaccination coverage among Indonesian children aged 12-23 months: a nationwide study. Turkish Journal of Pediatrics. 2025;67(3):304–16.

Chu H, Rammohan A. Childhood immunization and age-appropriate vaccinations in Indonesia. BMC Public Health. 2023;22.

Salleh H, Avoi R, Karim HA. Community-based intervention to improve measles vaccination completion in marginalised community settlements in Kota Kinabalu, Sabah: a cluster randomised control trial. BMC Infectious Diseases. 2025:25:514.

Murphy AA, Indah R, Wagner AL, Understanding the influence of religious and safety concerns on childhood measles and pertussis vaccination: a study conducted in Aceh, Indonesia. BMC Infectious Diseases. 2025;25.

Yitbarek K, Mahimbo A, Bobo FT, et al. Impact of measles vaccination strategies on vaccination rates in LMICs: A systematic review and meta-analysis. BMJ Global Health. 2025;10(2):e016647.

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Published

2026-04-09

How to Cite

Nelwan, E. J. (2026). Measles in Indonesia: Vaccination Coverage and Identified Challenges. Acta Medica Indonesiana, 58(1), 3. Retrieved from https://www.actamedindones.org/index.php/ijim/article/view/3393

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