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VOL. 1, ISSUE 1 (2025)
The role of policy implementation and governance in addressing disparities in maternal mortality in Indonesia
Authors
Suci Khairani
Abstract
Maternal mortality remains a critical public health
challenge in Indonesia, characterized by significant and persistent disparities
between its provinces. This analysis investigates the key determinants driving
these inequities. While the national MMR has seen a decline, provinces in
Eastern Indonesia (such as Papua, West Papua, and NTT) consistently report
rates two to three times higher than the national average and significantly
higher than provinces in Java and Bali. The primary determinants are
multifaceted and interconnected, spanning the three delays model: the delay in
deciding to seek care, the delay in reaching a facility, and the delay in
receiving adequate care. Key factors include inequitable access to and
utilization of quality maternal healthcare services, influenced by geographical
barriers, infrastructure limitations, and socioeconomic constraints.
Furthermore, disparities in health system resources—including the uneven
distribution of skilled health personnel, functional health facilities, and
emergency obstetric care—are fundamental drivers. Underpinning these are
broader socioeconomic determinants, such as educational attainment, economic
status, and cultural practices. Addressing these provincial disparities
requires targeted, context-specific interventions that go beyond national
averages to tackle the root causes of inequality in the most vulnerable
regions.
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Pages:18-22
How to cite this article:
Suci Khairani "The role of policy implementation and governance in addressing disparities in maternal mortality in Indonesia". World Journal of Medical and Health, Vol 1, Issue 1, 2025, Pages 18-22
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