Implementation of perinatal mental health policy in Indonesia: a systematic review
General Medicine, 2025, 27(6), 65-70.
R. Wasir¹, F. A. Rahma¹, Apriningsih¹, R. W. Basrowi2,3,4*, H. Saputra5, M. Zaid6
1Faculty of Health Sciences, Universitas Pembangunan Nasional Veteran Jakarta – Jakarta, Indonesia
2Indonesia Health Development Center – Jakarta, Indonesia
3Department of Community Medicine, Faculty of Medicine, Universitas Indonesia – Jakarta, Indonesia
4Mental Health Care Community Caucus – Jakarta Indonesia
5Faculty of Public Health, Universitas Muhammadiyah Prof. Dr. Hamka (UHAMKA) –Jakarta, Indonesia
6STKIP Andi Mattappa – Pangkep, Indonesia
Abstract. Perinatal mental health disorders are a global health concern with serious consequences for maternal and child well-being. In Indonesia, the prevalence of mental health problems among women of reproductive age reaches 20%, yet policy implementation supporting early detection and treatment remains limited, particularly within primary healthcare services. This study aims to systematically review the implementation of perinatal mental health policies in Indonesia and identify supporting factors, barriers, and improvement strategies. A systematic review was conducted using thematic analysis, drawing on 21 eligible articles retrieved from five databases (PubMed, Scopus, ScienceDirect, Google Scholar, and Portal Garuda) covering 2015 to 2024. The results indicate that while national regulations exist, implementation is hindered by limited trained personnel, inadequate infrastructure, and social stigma. Supporting factors include the role of midwives and community health workers, institutional support, and digital technology use. Recommended strategies include routine mental health screening during antenatal care, capacity building for providers, and public education campaigns. Strengthening technical guidelines, enhancing human resources, and promoting cross-sectoral collaboration are essential to ensure sustainable integration of perinatal mental health services in Indonesia’s primary healthcare system.
Key words: perinatal mental health; policy implementation; maternal health services; primary healthcare; Indonesia
Address for correspondece: Ray Wagiu Basrowi, e-mail: ray.basrowi@gmail.com