Improving women’s and children’s health remains a high priority in Indonesia, particularly in the context of achieving the MDGs by 2015. Maternal and child health is improving across the country, but the rate of progress needs to be accelerated to achieve the targets of MDGs 4 and 5. The challenges are daunting, but the Government has put in place a wide range of necessary policies and strategies to deal with these problems.
It is heartening that many MDGs stakeholders across the country are increasingly aware of women’s and children’s health as central to the overall MDGs achievement. Women’s and children’s health is now recognized as an essential pre-condition and foundation for achievement of various MDGs targets.
The Government’s commitments to improve maternal and child health continue to be realized and expanded. Chief among them is the national flagship programme for reducing maternal and child mortality rates through Universal Delivery Care (nationally known as Jampersal). Since roll-out in 2011 this nationwide programme has increasingly benefited poor communities where access to safe delivery services is a problem. In 2012 it aimed to provide free delivery services for 2.5 million lessprivileged mothers.
At the sub-national level, commitments to reduce maternal and child mortality have led to actions tailored to local needs in the provinces and districts, where maternal and child health is still a concern. Sub-nationally, the main priorities include: capacity building, provision of appropriate facilities, distribution of skilled birth attendants, health financing and good governance.
The private sector and civil society are increasingly committed to improving women’s and children’s health, and substantial partnerships have been forged between non-state actors and the Government. Through the Office of the Special Envoy on MDGs, the Government has initiated an integrated model programme (Pencerah Nusantara) in seven community health centres (Puskesmas) across six different regions. This pilot programme addresses health problems typically encountered at the primary health care level, and increases the resilience and independence of communities. It employs information and
communication technology, collection of individuals’ health data and monitoring and evaluation to ensure a sustainable improvement in community health. The seven Puskesmas use United Nations Life-Saving Commodities as a basic reference for inventory of required commodities.
Another milestone in 2012 was the launch of the EMAS (Expanding Maternal and Neonatal Survival) programme – a four-year collaboration between Indonesia’s Ministry of Health and USAID. It aims to accelerate the reduction of maternal and neonatal mortality rates at the secondary health care level (regional hospitals) in six selected provinces, which account for roughly 50% of the country’s maternal mortality rate.
The various efforts across different levels of government, at national and regional level, are aimed toward the implementation of Universal Health Coverage, planned to commence in 2014. Our overall strengthening of the national health system, across a wide spectrum of health-care deliveries (including health infrastructure, capacity building of health-care professionals and health financing) is being undertaken to achieve health equity in Indonesia.
Susilo Bambang Yudhoyono
President of Indonesia
Dikutip dari halaman 18 : The Global Campaign for the Health Millennium Development Goals – Report 2013