Women’s Resilience and Vulnerability in Facing COVID-19 in DKI Jakarta and East Java


Ashilly Achidsti(1), Oktafia Kusuma Sari(2), Desy Putri Ratnasari(3), Nourmalita Safitri Ningsih(4), Aulia Reski Widyaningrum(5), Jaler Sekar Maji(6), Muhammad Uwais Sidhi Weiss(7), Sahal Sabilil Muttaqin(8*)

(1) LP3M Universitas Nahdlatul Ulama, Yogyakarta
(2) Department of Politics and Government, Faculty of Social and Political Sciences, Universitas Gadjah Mada, Yogyakarta.
(3) Department of Bioethics, Graduate School, Universitas Gadjah Mada, Yogyakarta.
(4) Garden Petshop and Clinic, Jakarta.
(5) Molecular Biology Laboratory, Universitas Indonesia Hospital, Depok.
(6) PT. Widya Informasi Nusantara, Yogyakarta.
(7) Department of Communication Studies, Faculty of Social and Political Sciences, Universitas Gadjah Mada, Yogyakarta.
(8) Faculty of Biology, Universitas Gadjah Mada, Yogyakarta.
(*) Corresponding Author


Indonesia ranks 23rd as the most COVID-19 confirmed cases in the world. DKI Jakarta and East Java provinces have the highest cases in Indonesia. However, data on the transmission of COVID-19 in both provinces were not further analyzed regarding vulnerability between genders. This research attempted to compare the differences in the gender distribution of COVID-19 cases by analyzing data from COVID-19 DKI Jakarta and East Java Task Force Information Center and various biological, medical, and socio-cultural studies to understand risk of women being exposed to COVID-19. The results of this research revealed that both provinces had a higher number of confirmed patients under surveillance (PDP), people under surveillance (ODP), and death cases in men than that of women. In DKI Jakarta, the number of recovered cases in men was higher than that of women, but in East Java it was not significantly different. Based on literature reviews, women were more resilience in manifestations of COVID-19 severity than that of men due to differences in ACE2 gene distribution and expression, hormones regulations, immune responses, comorbidities, and ages. However, data from socio-cultural literature reviews in both provinces showed women were vulnerable to be exposed to COVID-19 since many women performed as health workers, office workers, market traders, public transportation users, and did religious activities. Besides, women were vulnerable due to mental health condition, such as depression, anxiety, and special medical condition (e.g. being exposed to or infected with COVID-19 during pregnancy).


corona virus; Indonesia; gender

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Anmella, G., Fico, G., Roca, A., Romiro, M,G., Vazquez, M., Murru, A., Pacciarotti, I.,Verdolini, N., and Vieta, E.2020. Untravelling potential severe psyciatric repercussions on healthcare professionals during the COVID-19 Crisis. J.Aff. Dis, 273, 422-424. Ballachandar, V., Mahalaxmi, I., Subramaniam, M., Kaavya J., Kumar, N, S., Laldinmawii, G., Narayanasamy, A., Reddy, P, J, K., Sivaprakash, P., Kanchana, S., Vivenandhan, G., Cho, S,G. 2020. Follow-up Studies in COVID-19 recovered patients –is it mandatory. J. Sci.Tot. Environ, 729, 1-8. Barlovskala, J., and Margaf, J. 2020. Predicting adaptive and maladaptive responses to the corona virus COVID-19 outbreak: A prospective. Longitudinal study International Journal of Clinical and Health Psychology. https://doi. org/10.1016/j.ichp.2020.06.002. Bukowska, A., Spiller, L., Wolke, C., Lendeckel, U., Weinert, S., Hoffmann, J., Bornfleth, P., Kutschka, I., Gardemann, A., Isermann, B., Goette, A. 2017. Protective regulation of the ACE2/ACE gene expression by estrogen in human atrial tissue from elderly men. Exp. Biol. Med, 242, 1412-23. Casagrande, M., Favien, F., Tambell, R., Forte, G. 2020. The enemy who sealed the world Effect Quarantine due to the COVID-19 on sleep quality, anxiety, and psychological distress in the Italian population. Sleep Medicine, 1-22. Central Bureau of Statistics. 2017. Indonesian Statistics 2017. Cetin, B., Rakici, S., Gusumay, O. 2020. Can You Draw The Picture of Happiness Treatment of a Young Woman with Cancer During the COVID-19 pandemic. Asian J. of Phychiatry, 52, 1-2. Channappanavar, R., Fett, C., Mack, M., Eyck, P.P.T., Meyerholz, D.K., Perlman S. 2017. Sex-based differences in susceptibility to SARS-CoV infection. J. Immunol, 198 (10), 4046-53. Chen, L., Li, X., Chen, M., Feng, Y., Xiong, C. 2020. The AcE2 expression in human heart indicates new potential mechanism of heart injury among patients infected with SARS-CoV-2. Cardiovasc. Res, 116, 1097-1100. CNN Indonesia. 2016. Sixth Most Indonesian Career Women in the World. https://www.cnnindonesia.com/gaya- hidup/20160308121332-277-116053/ wanita-karier-indonesia-terbanyak- keenam-di-dunia?. Accessed on 28 June, 2020. Detik.com. 2020. “This is the Map of the Spread of COVID-19 in the East Java Industrial Estate”.https://news.detik. com/berita-jawa-timur/d-5040722/ ini-peta-penyebaran-COVID-19-di- kawasan-industri-jatim. Accessed on 04 June, 2020. DKI Jakarta COVID-19 Task Force. 2020. “COVID-19 Monitoring Data”. https://corona.jakarta.go.id/id/data- pemantauan. Accessed on 23 June- August 10, 2020. East Java Central Bureau of Statistics. 2020. East Java Province in 2020 Figures, Provision of Data for Development Planning. East Java COVID-19 Task Force. 2020. “COVID-19 Monitoring Data”. http:// infocovid19.jatimprov.go.id/index.php/ data. Accessed on 23 June-August 10, 2020. East Java Provincial Health Office. 2018. East Java Health Profile Book. Gemmati, D., Bramanti, B., Serino, M.L., Secchiero, P., Zauli, G., Tisato, V. 2020. COVID-19 and Individual Genetic Suscpetibility/Receptivity: Role of ACE1/ACE2 Genes, Immunity, Inflammation and Coagulation, Might the Double X-Chromosome in Females Be Protective against SARS-CoV-2 Compared to the Single X-Chromosome in Males? Int. J. Mol. Sci, 21, 3474. Gheblawi, M., Wang, K., Viveiros, A., Nguyen, Q., Zhang, J.C., Turner, A.J., Raizada, M.K., Grant, M.B., Oudit, G.Y. 2020. Angiotensin-Converting Enzyme 2: SARS-CoV-2 Receptor and Regulator of the Renin-Angiotensin System. Circ. Res, 126, 1456-74. Hayutama, Desti. 2013. Characteristics of Female Workers in the Production Section of the Cigarette Factory of PT Bentoel Prima Malang. Online Journal of the State University of Malang, 1-10. Hoffmann, M., Kleine-Weber, H., Schroeder, S., Krüger, N., Herrler, T., Erichsen, S., Schiergens, T.S., Herrler, G., Wu, N.H., Nitsche, A., Müller, M.A., Drosten, C., Pöhlmann, S. 2020. SARS-CoV-2 Cell Entry Depends on ACE2 and TMPRSS2 and Is Blocked by a Clinically Proven Protease Inhibitor. Cell , 181 : 271-280. Jakarta Central Bureau of Statistics. 2019. “Number of Civil Servants by Position and Gender in DKI Jakarta Province”. https://jakarta.bps.go.id/ dynamictable/2019/09/10/54/jumlah- pegawai-negeri-sipil-menurut-jabatan- dan-jenis-kelamin-di-provinsi-dki- jakarta-2017-dan-2018.html. Accessed on 29 July, 2020 Jakarta Open Data. 2019. “Total Population Data by Age Group Per Kelurahan in 2019”. https://data.jakarta.go.id/dataset/ data-jumlah-penduduk-provinsi-dki- jakarta-berdasarkan-kelompok-usia- per-kelurahan/resource/b385c22d- 9620-4f86-8d79-0314dc90abc4. Accessed on 28 July, 2020. Jakarta Provincial Health Office. 2017. DKI Jakarta Health Profile Book. Jin, J., Bai, P., He, W., Wu, F., Liu X.F., Han, D.M., Liu, S. 2020. Gender differences in patients with COVID-19: Focus on severity and mortality. Medrxiv https:// doi.org/10.1101/2020.02.23.20026864. JPNN. 2020. “The Government Should Not Forget, 90 Percent of Tobacco Industry Workers Are Women”. https://www.jpnn. com/news/pemerintah-tidak-boleh-lupa- 90-persen-pekerja-industri-tembakau- adalah-perempuan. Accessed on 27 June, 2020. Kabar24. 2020. “1,251 Cases Corona Positive Market Traders, DKI Jakarta”. https://kabar24.bisnis.com/ read/20200726/15/1271193/sebanyak- 1.251-pedagang-pasar-positif-corona- dki-jakarta-paling-tinggi. Accessed on 31 July, 2020. Kayem, G., Lecarpentier, E., Deruelle, P., Bretelle, F., Azria, E., Blanc, J. Bohec, C., Bornes, M., Ceccaldi, P. F., Charlet, Y., Chauleur, C.,Cordier, A.G., Desbiere, R., Doret, M., Dreyfus, M., Driessen, M., Fermaut, M., Gallot, D., Garabedian, C., Huissoud, C., Luton, D., Morel, O., Perrotin, F., Picone, O., Rozenberg, P., Sentiles, L., Sroussi, J., Vayssiere, C., Verspyck, E., Vivanti, A. J., Winer, N., Alessandrini, V., Schimitz, H., 2020. A Snapshot of the COVID-19 pandemic among pregnant women in France. J. Gyn. Obs. Hum. Reprod, xxx, 1-5. Kompas. 2020a. “UPDATE: 161 Medical Workers in DKI Positive COVID-19, 2 People Died”. https://megapolitan.kompas.com/ read/2020/04/10/19365291/update- 161-tenaga-medis-di-dki-positif-COVID- 19-2-orang-meninggal. Accessed 27 June, 2020. Kompas. 2020b. “Suppress COVID-19 Transmission in Offices, Workers are Urged to Don’t Chat Too Much and Never be Too Late at the Office”. https://megapolitan.kompas.com/ read/2020/07/29/07100601/tekan- penularan-COVID-19-di-perkantoran- pekerja-diimbau-jangan-banyak. Accessed on 29 July, 2020. Kompas. 2020c. “ KRL Areas Vulnerable to COVID-19 Transmission, DKI Provincial Government and PT KCI Work Same Arrange Passengers “. https://megapolitan.kompas.com/ read/2020/07/01/16174521/krl-area- rentan-penularan-COVID-19-pemprov- dki-dan-pt-kci-kerja-sama-atur. Accessed on 01 July, 2020. Kruijthof, C.J., Van Leeuwen, C. D., Ventevogel, P., Van Der Horst, H. E., Van Staveren, G. 1992. Career perspectives of women and men medical students. Medical Education, 26, 21-26. Kumparan. 2020a. “Unair FKM Persakmi & IKA Survey: East Java Needs Public Health Police”. https://kumparan.com/ persakmi/survei-persakmi-and-ika-fkm- unair-jawa-timur-need-police-public- health. Accessed on August 10, 2020. Kumparan. 2020b. “List of 20 Office Clusters in East Java”. https://kumparan.com/ kumparannews/daftar-20-klaster- perkantoran-di-jatim-1toAlBDdAfI/full. Accessed on 31 July, 2020. Lin, B., Ferguson, C., White, J.T., Wang, S., Vessella, R., True, L.D., Hood, L., Nelson, P.S. 1999. Prostate-localized and Androgen-regulated Expression of the Membrane-bounded Serine Protease TMPRSS2. Cancer Res, 59, 4180-4. Ling, M., Xie, W., Li, D., Shi, L., Mao, Y., Xiong, Y., Zhang, Y., Zhing, M. 2020. Effect of SARS-CoV-2 infection upon male gonadal function: A single center- based study. MedRxiv. Liputan6. 2020. “Update COVID-19 Kediri Regency as of 3 June Recorded 35 New Cases”. https://surabaya.liputan6. com/read/4270184/update-COVID-19- kabupaten-kediri-per-3-juni-tercatat- 35-kasus-baru. Accessed on 27 June, 2020. Liu, J., Ji, H., Zheng, W., Wu, X., Zhu, J.J., Arnold, A.P., Sandberg, K. 2010. Sex differences in renal angiotensin converting enzyme 2 (ACE2) activity are 17β-oestradiol-dependent and sex chromosome-independent. Biol. Sex. Differ, 1, 6. Liu, X., Zhou, H., Wu, X., Zhao, Y., Lu, Y., Tan, W., Yuan, M., Ding, X., Zou, J., Li, R., Liu, H., Ewing, R. M., Hu, Y., Nie, H., Wang, Y. 2020. Temporal Radiograph Changes in COVID-19 Patiens: Relationship to disease severity and viral clearance. Scientific Report Nature Research, (10), 1-9 Lucas, J.M., Heinlein C., Kim, T., Hernandez, S.A., Malik, M.S., True, L.D., Morrissey, C., Corey, E., Montgomery, B., Mostaghel, E., Clegg, N., Coleman, I., Brown, C.M., Scneider, E.L, Craik, C., Simon, J., Bedalov, T., Nelson, P.S. 2014. The Androgen-Regulated Protease TMPRSS2 Activates aProteolytic Cascade Involving Components of the Tumor Microenvironment and Promotes Prostate Cancer Metastasis. Cancer Discov, 4 (11), 1310-25. Lukassen, S., Chua, R.L., Trefzer, T., Kahn, N.C., Schneider, M.A., Muley, T., Winter, H., Meister, M., Veith, C., Boots, A.W., Hennig, B.P., Kreuter, M., Conrad, C., Eils, R. 2020. SARS-CoV-2 receptor ACE2 and TMPRSS2 are primarily expressed in bronchial transient secretory cells. The EMBO Journal, 39, e105114. Ministry of Health. 2020. “Information on Emerging Infection Ministry of Health RI”. https://infeksimerging.kemkes. go.id/. Accessed on August 10, 2020. Ministry of Women’s Empowerment and Child Protection. 2019. Profile of Women’s Empowerment in 2019. Ministry of Women’s Empowerment and Child Protection. National Commission on Violence Against Women. 2020. “Attitude Statement of Komnas Perempuan, The Urgency of Human Rights Perspective with Special Attention to Women’s Vulnerability in Handling the COVID-19 Pandemic”. https://www.komnasperempuan.go.id/read-news-pernyataan-sikap-komnas- perempuan-urgensi-perspektif-ham- dengan-perhatian-khusus-pada- kerentanan-perempuan-dalam- penanganan-pandemi-COVID-19. Accessed on June 27, 2020. National COVID-19 Task Force. 2020. “Indonesia COVID-19 Data”. https:// covid19.go.id/. Accessed on 23 June- August 10. 2020. National COVID-19 Task Force. 2020. “New Cluster Appears, DKI Jakarta Is Active to Conduct Surveillance”. https://covid19. go.id/p/berita/muncul-cluster-baru- dki-jakarta-giat-lakukan-surveilans. Accessed on 31 July, 2020. Nazwirman and Hulmansyah. 2017. Passenger Characteristics of KRL Commuter Line Users Jabodetabek. Journal of Economics and Business Aseanomics (JEBA), 2(1). Patel, S.K., Velkoska, E., Burrell, L.M. 2013. Emerging markers in cardiovascular disease: Where does angiotensin converting enzyme 2 fit in? Clin. Exp. Pharmacol. Physiol, 40, 551-9. Patel, V.B., Zhang, J.C., Grant, M.B., Oudit, G.Y. 2016. Role of the ACE2/Angiotensin 1-7 axis of the Renin-Angiotensin System in Heart Failure. Circ. Res, 118 (8), 1313-26. Polleti, P., Tirani, M., Careda, D., Trenitini, F., Guzetta, G., Sabatino, G., Marziano, V., Castrovino, A., Grosso, F., Castillo, G. D., Piccaretta, R., Force, A.L.C.T., Andreassi, A., Malegaro, A., Gramegna, M., Azeli, M., Merler, S., 2020. Probability of Syntoms and Critical disease After Sars Cov 2 Infections. Arxiv 2006.08471, 1-10. Roberts, M.A., Velkoska, E., Ierino, F.L., Burrell, L.M. 2013. Angiotensin- converting enzyme 2 activity in patients with chronic kidney disease. Nephrol. Dial. Transplant, 28, 2287-94. Samia C., Akhter-Khan, Wai, K.M., 2020. Can COVID-19 Move Myanmar in the Right direction? Prespectives on Older People, Mental Health, and Local Organizations. Am J. Ger. Psych, 1-3. Setlur, S.R., Mertz, K.D., Hoshida, Y., Demichelis, F., Lupien, M., Perner, S., Sboner, A., Pawitan, Y., Andrén, O., Johnson, L.A., Tang, J., Adami, H.O., Calza, S., Chinnaiyan, A.M., Rhodes, D., Tomlins, S., Fall, K., Mucci, L.A., Kantoff, P.W., Stampfer, M.J., Andersson, S.O., Varenhorst, E., Johansson, J.E., Brown, M., Golub, T.R., Rubin, M.A. 2008. Estrogen-Dependent Signaling in a Molecularly Distinct Subclass of Aggressive Prostate Cancer. J. Natl. Cancer. Inst, 100, 815-25. Shannon, G., Minckas, N., Tan, D., Haghparast-Bidgoli, H., Batura, N., and Mannell, J. 2019. Feminisation of the health workforce and wage conditions of health professions: an exploratory analysis. Human Resources for Health, 1, 16. Shashtri, A., Wheat, J., Agrawal, S., Chaterjee, N., Pradhan, K., Goldfinger, M., Kornblum, N., Steid, U., Verma, A., Shastri, J. 2020. Delayed clearance of SARS-CoV-2 in male compares to female patietnts: High ACE2 expression in testes suggests possible existence of gender-specific viral reservoirs. MedRxiv Sindonews. 2020. “Many Workers in Jakarta Choose to Use KRL Commuter Line”. https://metro. sindonews.com/read/87502/171/ tak-ada-pilihan-banyak-pekerja-di- jakarta-pilih-gunakan-krl-commuter-line 1593605255?utm_source=LINE%20 TODAY&utm_medium=referral. Accessed, 01 July 2020. Soler, M.J., Riera, M., Crespo, M., Mir, M., Márquez, E., Pascual, M.J., Puig, J.M., Pascual, J. 2012. Circulating Angiotensin-Converting Enzyme 2 Activity in Kidney Transplantation: A Longitudinal Pilot Study. Nephron. Clin. Pract, 121, 144-50. Takahashi, T., Wong, P., Ellingson, M.K., Lucas, C., Klein, J., Israelow, B., Silva, J., Oh, J.E., Mao, T., Tokuyama, M., Lu, P., Venkataraman, A., Park, A., Liu, F., Meir, A., Sun, J., Wang, E.Y., Wyllie, A.E., Vogels, C.B.F., Earnest, R., Lapidus, S., Ott, I.M. Moore, A.J., Casanovas-Massana, A., Cruz, C.D., Fournier, J.B., Odio, C.D., Farhadian, S., Grubaugh, N.D., Schulz, W.L., Ko, A.I., Ring, A.M., Omer, S.B., Iwasaki, A., and the Yale IMPACT research team. 2020. Sex differences in immune responses to SARS-CoV-2 that underlie disease outcomes. MedRxiv. Tempo. 2020a. “Jokowi Orders Priority COVID-19 Handling in 8 Provinces”. https://en.tempo.co/read/1369639/ jokowi-orders-priority-COVID-19- handling-in-8-provinces. Accessed on August 10, 2020. Tempo. 2020b. “PT KCI Records the Highest Number of KRL Passengers since the Transition PSBB”. https://metro.tempo. co/read/1362177/pt-kci-catat-jumlah- penumpang-krl-terbanyak-sejak-psbb- transisi/full&view=ok. Accessed on 7 July, 2020. Tempo Newspaper. 2020. “Accumulation of Patients Burdens Health Workers in East Java”. https://koran.tempo.co/ read/nasional/455075/penumpukan- pasien-bebani-tenaga-kesehatan-di- jawa-timur. Accessed on 8 June, 2020. Tien, F., Li, H., Fian, S., Yang, J., Shao, J., and Tian, C. 2020. Psychological symptoms of ordinary Chinese citizen based on SCL 90 during the level 1 emergency response to COVID-19. Psychiatry Research, 288, 1-9. Tribunews. 2020a. “East Java Task Force: No New Cluster”. https://surabaya. tribunnews.com/2020/05/20/jumlah- pasien-COVID-19-di-jawa-timur-terus- bertambah-gugus-tugas-jatim-tidak- ada-klaster-baru. Accessed on 20 May, 2020. Populasi Volume 28 Nomor 2 2020 Tribunnews, 2020b. “Add 5 Positive Patients, PT Tanjung Odi Sumenep Becomes the New Cluster for the Spread of COVID-19”. https://madura.tribunnews. com/2020/06/21/breaking-news- tambah-5-pasien-positif-pt-tanjung-odi- sumenep-jadi-klaster-baru-penyebaran- COVID-19?page=3. Accessed on 20 June, 2020. Tukiainen, T., Villani, A.C., Yen, A., Rivas, M.A., Marshall, J.L., Satija, R., Aguirre, M., Gauthier, L., Fleharty, M., Kirby, A., Cummings, B.B., Castel, S.E., Karczewski, K.J., Aguet, F., Byrnes, A. GTEx Consortium, Lappalainen, T., Regev, A., Ardlie, K.G., Hacohen, N., MacArthur, D.G. 2017. Landscape of X chromosome inactivation across human tissues. Nature, 550, 244-8. WHO. 2019. National Health Workers Accounts for 91 countries for physician data and countries for nursing data. WHO Indonesia. 2020. Coronavirus Disease 2019 (COVID-19) Situation Report – 18. https://www.who.int/indonesia. Accessed on 29 July, 2020. Worldometers. 2020. “Coronavirus”. https:// www.worldometers.info/coronavirus/. Accessed on August 10, 2020. Zeng, F., Dai, C., Cai, P., Wang, J., Xu, L., Li, J., Hu, G., Wang, Z., Zheng, F., Wang, L. 2020. A comparison study of SARS- CoV-2 IgG antibody between male and female COVID-19 patients: A possible reason underlying different outcome between sex. J Med Virol, 1–5. Zhu, Z., Xu, S., Wang, H., Liu, Z., Wu, J., Li, G., Miao, J., Zhang, C., Yang, Y., Sun, W., Zhu, S., Fan, Y., Chen, Y., Hu, J., Liu, J., Wang, W. 2020. COVID-19 in Wuhan: Sociodemographic characteristics and hospital support measures associated with the immediate psychological impact on healthcare workers. E.Clin.Med, 10(41), 1-11.

DOI: https://doi.org/10.22146/jp.63388

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