Maternal health insurance in Indonesia: assessment of a policy design

Background The main purposes of the Indonesian national insurance for maternal and delivery services were to: (1) increase antenatal and skilled birth attendance coverage, (2) increase neonatal and postnatal care, and postnatal family planning coverage, and (3) ensure effective and accountable health financing for MNCH. However, there has been a growing concern on the implementation of the policy. Increased accessibility does not always translate to better health services and improved equity in health. The programme has also put dismaying burden on the health system, particularly for health providers. To ensure better programme implementation that could better achieve the original purposes, Jampersal health insurance should be scrutinised from the policy analysis perspective. This study aimed to analyse the design of the Jampersal policy in Indonesia and to provide suggestions for improvement for future implementation.