Maternal mortality rates in Indonesia continue to be high and decreasing too slowly for MDG 5 to be achieved by 2015. Achieving universal coverage with key health interventions and health insurance is slow, despite efforts such as Jamkesmas, Jampersal, and others. Decentralization has affected functions of central and peripheral levels of government, and financial flows to finance health are fragmented, regulations are complex and sometimes conflicting between central and local levels and, as a result, resources are not spent efficiently. Providing quality care to the population, especially in remote and poor areas, is a major challenge.
The push for a formal strategy to accelerate MDG achievement, while ensuring synergy among ministries and between central and local governments, has been enhanced by the Presidential Decree No. 3/2010. The Government of Indonesia has recently put in place a Roadmap to Accelerate Achievement of the MDGs, including the challenge of curbing maternal mortality. In addition, all provinces, in collaboration with districts/municipalities, are developing Provincial Action Plans (RAD) for the MDGs based on a decree of Minister of Planning/Bappenas.