Direct causes of maternal deaths in Indonesia, 80% of them were due to obstetric complications and 20% by other causes. While the indirect causes are "3 Too Late" and "4 Too". Three factors referred late is late in making decisions, being late to the place of reference, and late in getting services at health facilities. The four too is giving birth too young, too old to give birth, too many children, and too close of a distance delivery.

To overcome this, it needed delivery assisted effort by health personnel and the involvement of civil society, including professional organizations in reducing the MMR (MMR) in Indonesia.

It was announced by Minister of Health, dr. Endang Rahayu Sedyaningsih, MPH. Dr. PH when opening the National Interactive Dialogue "Shared Responsibility Reduce Maternal Mortality and Underfive", date May 10, 2010 in Jakarta which was attended by 425 participants, comprising 84 women's organizations.

In the event that was also present, the Ministry of Women Empowerment and Child Protection, Linda Amalia Sari, S. IP. The event was organized as a recommendation of the 23RD Indonesian Women's Congress (KOWANI) in December 2009. One result is lower MMR and IMR as a target in achieving the MDGs (Millennium Development Goals).

Furthermore Menkes asserted, according RPJMN year 2010-2014, Health Development Goals, namely; declining MMR at 118 per 100 thousand, KH (Live births), increasing life expectancy rate (72 years), declining infant mortality rate (IMR) of 24 per 1000 live birth, and decrease in prevalence of underweight children under five to 15%.


Child health in Indonesia, said Minister of Health continued to increase over time as a result of the improvement of health services. For example, the Indonesian Demographic and Health Survey (IDHS), 2007, shows the IMR (34 per 1000 KH) and child mortality / Red Sea (44 per 1000 KH), and MMR (228 per 100 thousand KH). Target achievement of targets in the year 2015, IMR 23 per 1000 KH and AKBA 32 per 1000 live births.

According to Minister of Health, to ensure quality health effort is needed healthcare reform. First, the implementation of the revitalization of Health center as the primary health care development center serves as the extension area of health, health empowerment centers, primary health care centers, and individual primary care centers. Second, improve distribution, quality and the realization of the health worker needs to evenly across Indonesia, including the distribution to Underdeveloped Areas, and Border Islands (DTPK). Third, the use of generic drugs and the production of pharmaceutical raw materials themselves maximally, one with sciencetification of herbal medicine. Fourth, ensure health for everyone especially the poor according to the Act-National Social Security System through public health insurance (JAMKESMAS) by extending the scope of membership. Fifth, to overcome the problem of health services in a Troubled Region Health (PDBK). Sixth, implement systems to avoid the occurrence of Bureaucratic Reform of administrative irregularities, such as transparency of data bases and procedures for administrative services and the procurement of goods and services that have been through the process of e-procurement. Seventh, striving for health services with international standards for the people of Indonesia through the World Class Health Care, said Minister.

Whereas State Minister for PP and PA, Linda Amalia Sari, S. IP, states in 2010-2014 and Presidential Decree No. RPJMN. 5 years old in 2010, there are three things that must be mainstreamed, among others, sustainable development and gender mainstreaming. Mainstreaming gender equality reflects the role of women and men in national development, one of which is Gender Responsive Budgeting, which serves to accommodate and embody the interests of women and men in every execution of the program, including efforts to accelerate decline in maternal mortality.

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