<![CDATA[Background: Integrated Antenatal Care (ANC) is an important public health intervention to reduce maternal and infant mortality rate. In Indonesia, integrated ANC implementation requires a comprehensive policy analysis to identify gaps between policy design and the implementation. Method: This study uses a descriptive analytical narrative review approach using the Policy Triangle Framework. The analysis was conducted on integrated ANC policies using secondary data obtained from national regulations, technical guidelines, monitoring and evaluation reports, and relevant scientific evidence published since 2020. Policy documents and supporting literature were analysed thematically across four domains: actors, content, context, and processes. Results: The findings show that, in terms of policy content, integrated ANC in Indonesia has developed comprehensively, characterized by an increase in the minimum number of visits from four to six (K6) and the integration of 10T service standards. However, significant challenges still remain in the realm of actors, especially the uneven distribution of health workers, workload and the shortage of general practitioners trained in obstetric ultrasound, especially in Papua. From a contextual perspective, geographical barriers and sociocultural factors remain the main determinants of the sharp differences between provinces in K6 coverage, ranging from 4.77% to 95%. Conclusion: Integrated ANC policies have strong content but are hampered by uneven distribution of actors and geographic access. Policy innovations are needed in the form of task shifting, strengthening telemedicine, equitable distribution of doctors and midwives and strengthening family support systems to overcome sociocultural barriers in remote areas and a more comprehensive antenatal class.]]>
