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Maternal and child health network: multi-partners engagement in improving health planning process in Papua, Indonesia


Maternal and child mortality rates in Indonesia have stagnated and even tend to increase for infant mortality, especially in areas with geographical barriers such as eastern Indonesia. Integrated approach in health planning process needs to be established to improve the planning capacity and to maximise potential collaboration between health-related stakeholders. This study aimed to identify the potential role of maternal and child health (MCH) network forum in improving health-planning process at sub-national level.

Materials and methods

This study used qualitative approach. First assessment of the previous MCH planning process was conducted by in-depth interviews with district health-planning team. We identified the potential MCH-related offices based on the first assessment. Multi-partners workshop was conducted to identify barriers and possible mutual solutions (using bottleneck analysis framework). Final assessment was conducted by evaluating the 2013 planning documents and identifying innovative strategies for maternal and child health programmes resulting from the multi-partners workshop.


The MCH network forum is a potential mechanism to integrate health-related stakeholders in health planning process. The bottleneck analysis conducted through this forum had identified the main obstacles in the delivery of health services, including: limited number of midwives in remote areas, limited accessibility to health facilities, low quality of data recording and reporting, and lack of health workers able to handle emergency situations. Some of these barriers can be addressed through DHO planning, but other barriers should be addressed through crosscutting funding scheme. Through this forum, health-related stakeholders have managed to include some strategies in their planning documents. For instance, the social service office developed health-related plans including building maternity waiting home to improve health care accessibility for remote population.


MCH network forum could improve health-planning coordination, health funding utilisation efficiency and ensure that MCH problems are being addressed by wider stakeholders at sub-national level.

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Correspondence to Digna Niken Purwaningrum.

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This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.

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Purwaningrum, D.N. Maternal and child health network: multi-partners engagement in improving health planning process in Papua, Indonesia. BMC Public Health 14 (Suppl 1), O13 (2014).

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  • Planning Capacity
  • Improve Health Care
  • Planning Document
  • Care Accessibility
  • Potential Collaboration