Chikungunya clinical management guidance: insights from a health system stakeholder study in Indonesia

Chikungunya virus poses a significant public health challenge in Indonesia. Robust surveillance and diagnostics are lacking, and clinical management guidelines (CMGs) are absent.This practice article draws on insights from a qualitative health system stakeholder study conducted in Jakarta and Bali, Indonesia. The study examined barriers to the development and implementation of chikungunya CMGs.Findings reveal critical gaps in knowledge, diagnostic tools and prioritisation, exacerbated by systemic decentralisation and resource limitations. Robust, locally adapted CMGs could address these gaps, enhance clinical care and improve outbreak preparedness. This study underscores the importance of stakeholder engagement and capacity building in developing CMGs, offering lessons for low-resource settings managing emerging diseases.

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Publication Details

Journal
BMJ Global Health
Published
2026-02-01
DOI
https://doi.org/10.1136/bmjgh-2025-019419
Primary Topic
Viral Infections and Outbreaks Research
Type
article
Field-Weighted Citation Impact
0.00

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article

Chikungunya clinical management guidance: insights from a health system stakeholder study in Indonesia

Hendry Luis, Evi Sukmaningrum, Pande Putu Januraga, Komang Ayu Kartika Sari et al.
BMJ Global Health
Viral Infections and Outbreaks Research
article

Chikungunya clinical management guidance: insights from a health system stakeholder study in Indonesia

Hendry Luis, Evi Sukmaningrum, Pande Putu Januraga, Komang Ayu Kartika Sari, Theresia Puspoarum Kusumoputri, Eric Sindunata, Keerti Gedela, Ni Luh Putu Ariastuti, Kevin Kristian, Peter W Horby
article en

Abstract

Chikungunya virus poses a significant public health challenge in Indonesia. Robust surveillance and diagnostics are lacking, and clinical management guidelines (CMGs) are absent.This practice article draws on insights from a qualitative health system stakeholder study conducted in Jakarta and Bali, Indonesia. The study examined barriers to the development and implementation of chikungunya CMGs.Findings reveal critical gaps in knowledge, diagnostic tools and prioritisation, exacerbated by systemic decentralisation and resource limitations. Robust, locally adapted CMGs could address these gaps, enhance clinical care and improve outbreak preparedness. This study underscores the importance of stakeholder engagement and capacity building in developing CMGs, offering lessons for low-resource settings managing emerging diseases.

BMJ Global HealthVol. 11(2)
Udayana University (ID), Atma Jaya Catholic University of Indonesia (ID), The George Institute for Global Health (GB), Oxford Policy Management (GB), Chelsea and Westminster Hospital NHS Foundation Trust (GB), Nuffield Orthopaedic Centre (GB), Oxford Research Group (GB), Universitas Balikpapan (ID)
Bill and Melinda Gates Foundation, Wellcome Trust, University of Oxford, Foreign, Commonwealth and Development Office
Partnerships for the goals
Openalex Percentile: Top 50%
Viral Infections and Outbreaks Research
DOIOpen Access PDFOpenAlex
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