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IndonesiaIndonesia: a continued effort to put commitments into actionImproving women’s and children’s health remains a high priority in Indonesia, particularly in thecontext of achieving the MDGs by 2015. Maternal and child health is improving across the country, butthe rate of progress needs to be accelerated to achieve the targets of MDGs 4 and 5. The challenges aredaunting, but the Government has put in place a wide range of necessary policies and strategies todeal with these problems.It is heartening that many MDGs stakeholders across the country are increasingly aware of women’sand children’s health as central to the overall MDGs achievement. Women’s and children’s health isnow 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 andexpanded. Chief among them is the national flagship programme for reducing maternal and childmortality rates through Universal Delivery Care (nationally known as Jampersal). Since roll-out in2011 this nationwide programme has increasingly benefited poor communities where access to safedelivery services is a problem. In 2012 it aimed to provide free delivery services for 2.5 million lessprivilegedmothers.At the sub-national level, commitments to reducematernal and child mortality have led to actionstailored to local needs in the provinces anddistricts, where maternal and child health is stilla concern. Sub-nationally, the main prioritiesinclude: capacity building, provision ofappropriate facilities, distribution of skilled birthattendants, health financing and good governance.Women’s and children’s health isnow recognized as an essentialpre-condition and foundation forachievement of various MDGs targets.The private sector and civil society are increasingly committed to improving women’s and children’shealth, 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 modelprogramme (Pencerah Nusantara) in seven community health centres (Puskesmas) across six differentregions. This pilot programme addresses health problems typically encountered at the primary healthcare level, and increases the resilience and independence of communities. It employs information andcommunication technology, collection of individuals’ health data and monitoring and evaluation toensure a sustainable improvement in community health. The seven Puskesmas use United NationsLife-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 toaccelerate 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 maternalmortality rate.The various efforts across different levels of government, at national and regional level, are aimedtoward the implementation of Universal Health Coverage, planned to commence in 2014. Our overallstrengthening 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 YudhoyonoPresident of Indonesia18Accelerating progress in saving the lives of Women and ChildrenTo Contents