In August 2019, survey results confirmed that SIZE has supported 76 percent of field health officers to improve their coordination and communication to address 58 percent of reported zoonotic diseases using a One Health approach in four pilot areas. Field health officers effectively responded to zoonoses cases, within short response windows (on average less than 48 hours) and in real-time.

Since 2016, FAO has engaged with the Ministry of Agriculture (MoA), Ministry of Health (MoH), and Ministry of Environment and Forestry (MoEF) to share information through a single platform for the early detection, reporting and response to zoonoses and EID. FAO introduced the One Health approach and trained government officers in four pilot areas (Bengkalis-Riau, Boyolali-Central Java, Ketapang-West Kalimantan, and Minahasa-North Sulawesi).

The Government confirmed that One Health is an appropriate approach to respond to zoonotic diseases in the field, which needs a dedicated One Health platform to coordinate and share information across the three sectors. Before 2016, field officers shared zoonotic disease data and information informally and manually (via WhatsApp Groups and logbooks), using individual ministry databases (iSIKHNAS-MoA; EWARS-MoH and SehatSatli-MoEF). These disconnected systems did not support effective collaboration and rapid response to control zoonotic diseases. At that time, in the four One Health pilot areas, field health officers reported and responded to less than 10 percent of rabies cases and over a more protracted response period (on average more than 72 hours).

In 2017, the three technical ministries and the Coordinating Ministry for Human Development and Cultural Affairs (CM-HDCA) confirmed the need for a new online platform to share data and information on wildlife, animal health and public health.

In 2018, FAO supported the three technical ministries, CM-HDCA, and the Agency for the Assessment and Application of Technology (BPPT) to develop an integrated One Health information-sharing platform, called SIZE “Sistem Informasi Zoonoses dan EID”. SIZE is an online platform to support technical ministries and related stakeholders to analyse data and produce information rapidly and accurately for making decisions to prevent and control targeted zoonoses and EID. Coordination and communication between the three sectors and integration of their separate information systems effectively supports One Health implementation at field level. FAO improved the capacity of 24 national Master Trainers and 219 field officers from the 3 sectors by conducting serial training on SIZE application and a field trial in four pilot areas.

In 2019, CM-HDCA confirmed adopting SIZE version 2.0 and coordinated with related Ministries to use SIZE for data and information sharing at the national, provincial and district levels. BPPT agreed to continue to enhance SIZE 2.0 as part of its priority programme using national budget. Local/operational/field officers at district level share data and information to immediately report zoonotic diseases, and take immediate response and prevention action to control these zoonotic cases. Because of this cross-sectoral collaboration, the number of rabies cases in the four pilot areas decreased from eight human cases in 2016 to two human cases in 2019. CM-HDCAand BPPT confirmed SIZE 2.0 as one their priority programmes scheduled for completion in 2020.