Each year, Indonesia loses more than 15,000 mothers and 75,000 newborns to preventable death. Using evidence and best practices, the United States and Indonesia improve maternal and newborn health outcomes, helping communities thrive.
All women and children deserve the same chance for a healthy life, regardless of where they live. Maternal and newborn deaths in Indonesia remain high, despite decades of investment, with regional disparities in access to and quality of care contributing to the ongoing crisis. Serious breakthroughs are needed for the Government of Indonesia to achieve its national goals for healthier moms and babies.
MOMENTUM
MOMENTUM is a suite of projects that aims to accelerate reductions in maternal, newborn, and child mortality and morbidity. There are two MOMENTUM projects in Indonesia including MOMENTUM Country and Global Leadership (MCGL) and MOMENTUM Private Healthcare Delivery (MPHD). MCGL focuses on strengthening the MNH system at the district level while MPHD focuses on enhancing the engagement and effectiveness of the private health sector as a sustainable partner to provide quality maternal and newborn services.
Through MOMENTUM (MCGL & MPHD), USAID partners with Indonesia’s Ministry of Health (MOH) to scale up proven approaches to improving maternal and newborn health outcomes and strengthening Indonesia’s health system. The program aims to reduce preventable deaths among mothers and babies at public and private health care facilities by improving the access and quality of health services in six provinces where maternal and newborn death rates are high: North Sumatra, Banten, DKI Jakarta, East Java, South Sulawesi, and East Nusa Tenggara. Active across 47 districts in six provinces, the program supports over 130 hospitals and 600 primary health centers.
MOMENTUM supports the MOH strategy to reduce maternal and newborn mortality by:
- Enhancing provider capacity and team readiness to deliver and continually improve routine and emergency maternal and newborn care services;
- Improving health data and increasing its use in decision-making and adaptive management beyond data collecting and reporting;
- Improving referral networks that deliver timely services;
- Increasing community engagement in maternal and newborn care and working with local civil society organizations;
- Engaging the public and private sectors, and integrating both systems to increase service continuity and efficiencies;
- Strengthening government capacity to effectively oversee public and private health care facilities; and
- Developing a sustainable, replicable, and scalable model for reducing preventable maternal and newborn deaths nationally through better care.
Through MOMENTUM, USAID aims to reduce preventable maternal and newborn deaths by at least 20 percent at public and private health facilities within the program’s working areas. Aiming to develop a scalable and sustainable model for the reduction of preventable maternal and neonatal deaths over the life of the project, MOMENTUM achieved the following among other milestones in its first year of implementation:
- Supported all 22 districts governments in NTT province to strengthen planning and budgeting to improve maternal and newborn health;
- Rolled out the quality improvement program in 30 health facilities including hospitals and primary health care facilities in five provinces; and
- Facilitated an agreement between public and private health facilities in 13 districts to establish a referral network consisting of hospitals and primary health facilities so that mothers and newborns get the life saving care they need, when they need it.
Sigit Sulistyo, USAID at ssulistyo@usaid.gov
Wahdini Hakim, USAID at whakim@usaid.gov
Djoko H. Sutikno, Jhpiego/MCGL at djoko.sutikno@jhpiego.org
Dwirani Amelia, Jhpiego/MPHD at dwirani.amelia@jhpiego.org
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