<![CDATA[Sustainable development through the Sustainable Development Goals (SDGs), particularly Goal 3, targets a reduction in the Maternal Mortality Rate (MMR) to fewer than 70 deaths per 100,000 live births and the elimination of preventable deaths among infants and children under five by 2030, with a Neonatal Mortality Rate (NMR) of at most 12 per 1,000 live births and an Infant Mortality Rate (IMR) of at most 25 per 1,000 live births. However, in Padang City between 2014 and 2018, there was an increase in maternal deaths from 16 to 17 cases, while IMR rose from 89 to 92, and NMR increased from 52 to 70 cases. This study uses a prospective observational design to monitor policy implementation and applies descriptive analysis to evaluate the achievement of MMR and IMR-related indicators within the jurisdiction of the Padang City Health Office. Findings from 24 community health centers (Puskesmas) indicate that while some maternal and child health (MCH) programs have met their targets, others have not. Therefore, it is crucial to strengthen the role of Puskesmas as gatekeepers in MCH services and enhance coordination among Puskesmas, the Health Office, cross-sectoral stakeholders, and community support systems]]>
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