The development of maternal and child health in Indonesia is guided by national targets in the National Medium Term Development Plan (RPJMN) and the global Millennium Development Goals (MDGs) agreement. Even though there has been a decline in the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) from 2004 to 2007, this achievement is still far from the RPJMN and MDGs targets. Indonesia also lags behind other ASEAN countries in terms of maternal and child health, despite its significant economic progress. To achieve these targets, one important step was the launch of the Maternity Guarantee (Jampersal) program in early 2011, which aims to overcome financing problems which are one of the main causes of maternal death.
However, the implementation of Jampersal in the first year faced various obstacles, including low absorption of funds in many regions. In East Nusa Tenggara (NTT) Province, only 38% of Jampersal funds were absorbed in the first year. The causes include insufficient capacity of service providers, inadequate data, unclear implementation mechanisms, and lack of program outreach to target groups. This research aims to summarize data and information about Jampersal in general as well as maternal and child health issues in NTT Province, especially in Kupang Regency and Kupang City in the first year of implementation.
The main sources of information for this research are secondary data from the Ministry of Health, research results from related institutions, and information from the media. It is hoped that this research will provide a comprehensive overview of the implementation of Jampersal and the challenges faced in achieving maternal and child health targets in Indonesia.