Mortality among healthcare workers in Indonesia during 18 months of COVID-19

PI: Lenny Ekawati
Collaborators: LaporCOVID-19, Indonesian Doctor Association, National Institute of Health Research and Development, Indonesia National Nurses Association, Indonesian Midwives Association, Association of Indonesian Medical Laboratory Technologist
Study location: Jakarta, Indonesia

Background

The pandemic resulting from nearly 430 million confirmed SC2 infections (COVID-19) has caused nearly 6 million deaths globally. Healthcare workers (HCWs) serving these patients are at high risk of becoming infected.
For health and care workers (HCWs) around the world the pandemic caused a heightened risk of occupational exposure to a new fast spreading disease. Concerns over the broader impact of the pandemic on HCWs and their crucial role at the forefront of the response were recognized.
HCWs serving these patients are at high risk of becoming infected. The pandemic resulted in many deaths among HCWs and their households. The healthcare sector is one of the most severely hit by the pandemic. HCWs have been documented to have a higher risk of infection with SARS-CoV-2 than the general population.

Objectives
The study aims to examine HCW mortality occurring during between March 2020 and July 2021 (the first 18 months) of the COVID-19 health crisis. We compared the death rate of HCWs and general population.

Methods
The research team downloaded HCW standardized mortality data from a web-based digital funeral database dedicated to HCW. Those volunteers searched daily obituaries on online news, social media (Twitter, Facebook, Instagram) and queried the following professional medical and health associations: Association of Indonesian Medical Doctors (Ikatan Dokter Indonesia; IDI); National Association of Nurses (Persatuan Perawat Nasional Indonesia, PPNI); Association of Midwives (Ikatan Bidan Indonesia, IBI); and Association of Medical Laboratory Technologists (Persatuan Ahli Teknologi Laboratorium Kesehatan Indonesia, PATELKI). Volunteers curated essential variables from those sources and solicited testimonials from family and colleagues. Data were entered into a standardized Excel database. Mortality frequency was cross-tabulated by employment type, administrative location (province, district/city), and social demographics to present heterogeneity over time. Relative Ratio of death rate of HCWs and general population and its 95% confidence were calculated.

The COVID-19 pandemic affected severely a national healthcare resilience system. Urgent need for better health systems and preparedness is required to protect life and provide essential services to healthcare front liners during any emerging pandemic threats.

Outputs to date
Manuscript has been been prepared.