Despite significant strides in recent decades, Indonesia continues to face one of Southeast Asia's higher maternal mortality rates. A recent study published by Syaraji and colleagues (2024) found that for every 100,000 live births, approximately 249 women die from pregnancy-related causes.

In Jakarta and other major cities, expectant mothers often access modern facilities staffed by trained professionals. But travel just hours outside these urban hubs, particularly to eastern provinces or remote islands, and the picture changes dramatically. There, a shortage of qualified healthcare workers, limited emergency obstetric services, and challenging geography create significant barriers to care.

The Indonesian government has implemented several initiatives to address these issues, including the deployment of community midwives to rural areas and the expansion of universal health coverage through the Jaminan Kesehatan Nasional program. But implementation gaps remain, with many women still facing obstacles, particularly in terms of medical staff shortages and lack of resources, that discourage them from seeking standard medical care during, and following, their pregnancies.

Joining us is Dr. Sarah Shair-Rosenfield, Professor at the University of York, whose research has looked at healthcare policy implementation and regional disparities in Southeast Asia. Today, Dr. Shair-Rosenfield will help us explore these complexities in Indonesia, drawing on her research across the Indonesian archipelago and across different levels of government to examine what's working, what isn't, and what policy solutions might bridge the gap between urban privilege and rural vulnerability in maternal care.

Dr Shair-Rosenfield's work has been published in a number of prominent journals and by Michigan and Oxford University Presses. She is the editor in chief of the Journal Political Studies and also a founding member of the Women in Southeast Asia Social Sciences network, affectionately known as Wiseass.