Universal Maternal Health Coverage? Assessing the Readiness of Public Health Facilities to Provide Maternal Health Care in Indonesia
Over 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 pr...
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| Language: | English en_US |
| Published: |
World Bank, Jakarta
2014
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| Online Access: | http://documents.worldbank.org/curated/en/2014/07/20266223/universal-maternal-health-coverage-assessing-readiness-public-health-facilities-provide-maternal-health-care-indonesia http://hdl.handle.net/10986/20404 |
| Summary: | Over 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. |
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