World BankIndonesia National Institute of Research and Development2014-10-092014-10-092014-07https://hdl.handle.net/10986/20404Over the period 2011-2013, Indonesia had universal maternal health coverage for its population. Facility-based deliveries, however, remain relatively low: only about 63 percent of all deliveries occurred at a health facility in Indonesia. Recent progress notwithstanding, and despite the relatively high utilization rates for most key maternal health services, the level of maternal mortality remains high in Indonesia, especially in provinces such as West Papua, North Maluku, Papua, Gorontalo, West Sulawesi, Maluku, and South Kalimantan. This policy paper assesses the supply-side readiness of Indonesia s public health facilities in providing key maternal health services such as antenatal care (ANC) as well as basic and comprehensive emergency obstetric care. The focus in the paper is on assessing to what extent Indonesia's universal maternal health coverage is real. Ensuring the supply-side readiness of Indonesia's health system, incorporating lessons from the past experiences of implementing universal maternal health coverage under the different social health insurance programs, will be one key factor in ensuring that implementation of universal health coverage (UHC) results in improvements in health outcomes, including for maternal health. The policy paper is structured as follows: the section maternal health in Indonesia provides background on maternal health in Indonesia and on intended reforms to attain UHC by 2019. Assessing universal maternal health coverage in Indonesia provides information on maternal health benefits under existing social health insurance programs. Public facility supply-side service readiness for maternal health outlines the supply-side implications of maternal health coverage using national guidelines as well as the World Health Organization's (WHO's) service availability and readiness assessment (SARA) framework, focusing specifically on ANC as well as basic and emergency obstetric care services and presents an assessment of service readiness using facility-level data. The report concludes with policy implications in the final section, policy implications and conclusions.en-USCC BY 3.0 IGOABORTIONACCESS TO FAMILY PLANNINGACCESS TO FAMILY PLANNING SERVICESADOLESCENTADOLESCENT PREGNANCIESADOLESCENT WOMENANEMIAANTENATAL CAREANTIBIOTICSBIRTH ATTENDANTBIRTH ATTENDANTSBLEEDINGBLOOD TESTSBLOOD TRANSFUSIONBODY WEIGHTBULLETINCAESAREAN SECTIONSCHILDBEARINGCHILDBIRTHCIRCULATORY SYSTEMCITIESCLINICSCOLD CHAINCOMMUNICABLE DISEASESCOMPETENCIESCOMPLICATIONSCOMPLICATIONS DURING PREGNANCYCONTRACEPTIONDELIVERY CAREDIABETESDIABETES MELLITUSDIAGNOSISDIAGNOSTIC TESTSDIAGNOSTICSDISABILITYDISASTERSDISEASEDOCTORSDRUGSEARLY CHILDBEARINGEARLY DETECTIONECLAMPSIAECONOMIC STATUSEMERGENCY OBSTETRIC CAREEMERGENCY OBSTETRIC SERVICESESSENTIAL DRUGSESSENTIAL HEALTH SERVICESESSENTIAL MEDICINESFAMILY MEMBERSFAMILY PLANNINGFAMILY PLANNING SERVICESFERTILITYFERTILITY RATESFIRST CHILDFOLIC ACIDGLUCOSEGOVERNMENT HEALTH SERVICESGOVERNMENT INITIATIVESHEALTH CAREHEALTH CARE PROVIDERSHEALTH CARE SERVICESHEALTH CENTERSHEALTH COSTSHEALTH EXPENDITUREHEALTH FACILITIESHEALTH FACILITYHEALTH INDICATORSHEALTH INTERVENTIONSHEALTH OUTCOMESHEALTH POSTSHEALTH PROVIDERSHEALTH RESEARCHHEALTH SERVICEHEALTH SERVICE UTILIZATIONHEALTH SERVICESHEALTH SYSTEMHEALTH SYSTEM STRENGTHENINGHEALTH SYSTEMSHEALTH WORKERSHEALTH WORKFORCEHEMORRHAGEHIGH BLOOD PRESSUREHIGH FERTILITYHIGH-RISKHIGH-RISK PREGNANCIESHOSPITALHOSPITAL BEDSHOSPITALSHUMAN RESOURCESHYPERTENSIVE DISORDERSIMMUNIZATIONSIMPLANTSINCOMEINFECTIONINFECTIONSINPATIENT CAREINSTITUTIONALIZATIONINSURANCE SCHEMESINTERNATIONAL COOPERATIONIRONIUDLEGAL STATUSLIVE BIRTHLIVE BIRTHSLOCAL GOVERNMENTSLOW BIRTH WEIGHTMALARIAMANAGEMENT OF PREGNANCYMATERNAL DEATHMATERNAL DEATHSMATERNAL HEALTHMATERNAL HEALTH CAREMATERNAL HEALTH INTERVENTIONSMATERNAL HEALTH OUTCOMESMATERNAL HEALTH SERVICESMATERNAL MORTALITYMATERNAL MORTALITY RATEMATERNAL MORTALITY RATESMATERNAL MORTALITY RATIOMATERNAL MORTALITY RATIOSMATERNITY CAREMEDICAL DOCTORMEDICAL EQUIPMENTMEDICINEMEDICINESMIDWIFEMIDWIFERYMIDWIVESMILLENNIUM DEVELOPMENT GOALMINISTRY OF HEALTHMISCARRIAGEMORTALITYMOTHERMULTIPLE PREGNANCIESMUSCLESNATIONAL HEALTHNATIONAL HEALTH INSURANCENATIONAL POLICYNATIONAL PRIORITIESNATIONAL PRIORITYNCDNEONATAL CARENEONATAL TETANUSNEWBORNNEWBORN HEALTHNORMAL DELIVERIESNURSENURSESNUTRITIONOBSTETRIC CAREOBSTETRIC COMPLICATIONSOBSTETRIC EMERGENCIESOXYGENPATIENTSPOLICY IMPLICATIONSPOOR HEALTHPOPULATION SIZEPOSTNATAL CAREPREGNANCYPREGNANT WOMANPREGNANT WOMENPRESIDENTIAL DECREEPRIMARY CAREPRIMARY EDUCATIONPRIVATE CLINICSPRIVATE PROVIDERSPROGRESSPROVIDER PAYMENTPROVISION OF CAREPROVISION OF MATERNAL HEALTH SERVICESPUBLIC HEALTHPUBLIC HEALTH INTERVENTIONSPUBLIC HOSPITALSPUERPERAL SEPSISQUALITY OF HEALTHQUALITY OF HEALTH CAREREDUCING MATERNAL MORTALITYREFERRAL SYSTEMREFERRAL SYSTEMSRESPIRATORY DISEASESRESPIRATORY SYSTEMRIGHT TO HEALTH CARERISK FACTORSRISK OF COMPLICATIONSROOMSRURAL AREASRURAL RESIDENCESANITATIONSANITATION FACILITIESSCREENINGSERVICE DELIVERYSERVICE PROVISIONSERVICE UTILIZATIONSKILLED ATTENDANCESKILLED ATTENDANTSKILLED ATTENDANTSSKILLED BIRTH ATTENDANCESKILLED BIRTH ATTENDANTSSOCIAL HEALTH INSURANCESOCIAL INSTITUTIONSSOCIAL SERVICESSOCIALIZATIONSTERILIZATIONTETANUSTRADITIONAL BIRTH ATTENDANTSTRANSPORTATIONTRAUMATREATMENTTUBERCULOSISUNFPAUNIVERSAL AVAILABILITYUNIVERSAL RIGHTURBAN AREASURBAN CENTERSURINE SAMPLEURINE TESTUSER FEESVACCINATIONVACCINEVACCINESVAGINAL DELIVERYVICTIMSWOMANWORKERSWORKFORCEWORLD HEALTH ORGANIZATIONhttps://doi.org/10.1596/20404