Indonesia launched Jampersal in 2011, anationwide program to accelerate the reduction of maternaland newborn deaths. The program was financed by centralgovernment revenues and provided free and comprehensivematernal and neonatal care with an emphasis on promotinginstitutional deliveries. Jampersal providers were publicand enlisted private facilities at the primary and secondarylevels. In 2013, the World Bank and the Center for FamilyWelfare, University of Indonesia conducted a qualitative andquantitative study to assess the implementation and impactof the program in Garut District and Depok Municipality inWest Java Province. The study found that Jampersalutilization was highest among women who were least educated,poor, and resided in rural areas. Utilization was also highamong women with delivery complications. The study showedJampersal only had an impact where institutional deliverycoverage was still low such as in Garut District. In thisdistrict, women were 2.4 times more likely to haveinstitutional deliveries after Jampersal. The findingsuggests implementation of Jampersal policy may have to beadjusted according to the utilization pattern for efficiencyand effectiveness. The government discontinued Jampersalwith the launching of the National Health Insurance Program(JKN) on January 1, 2014. The study s findings indicate themerit in reevaluating the policy to terminate the program,given that Jampersal helped increase institutionaldeliveries while voluntary participation in JKN remains low.
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