Every six hours, the death of a womanfrom the complications of pregnancy serves as the mostvexing reminder of Indonesia’s challenges with maternalhealth (MH). This is incommensurate with Indonesia’s strongeconomic development and stature compared with regionalpeers, especially as MH is a marker of overall health systemperformance and affects economic opportunities especiallyfor the poor. The maternal mortality ratio (MMR) is high andprogress on improving MH outcomes has been slow, such thatthe MH Millennium Development Goal (MDG) has already beenmissed. This policy paper analyzes new data on the ‘missinglink’ of primary MH service provision, i.e., privateproviders, which is critical given that 54 percent of alldeliveries in Indonesia occurred in the private sector,compared with 22 percent in the public sector, althoughoverall rates of institutional deliveries remain belowtarget. Key findings from the analysis elucidate thepotential value of the private sector in expanding access toMH services covered by the financial purchasing andstrategic purchasing umbrella of JKN, the effectiveness ofthese private MH services, and patient satisfaction. Theremainder of the policy paper is structured as follows: Thenext section provides some background on Indonesia,including general health-related outcomes and an overview ofthe country’s health system and financing. Section IIIfocuses on MH outcomes and context, including comparisonswith global peers, and provides an overview of provision,utilization, and financing of MH services in the country,underscoring the importance of private providers. Section IVsummarizes the distributional context and service readinessof private MH providers across the 64 high-prioritydistricts, including a comparison with public providers forcontext. Section V concludes with a summary of key findingsand their policy implications.
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