A nation cannot claim progress while pregnancy, childbirth, and the weeks after delivery remain a passage through avoidable danger. “Save Indonesian Women” must therefore be more than a campaign slogan. It must become a standard by which health systems, professional organizations, governments, hospitals, communities, and families are judged. The experience of East Java shows that maternal survival can improve when data are converted into coordinated action. It also delivers a sobering warning: declining mortality is not the same as a completed mission. Between 2023 and 2025, the maternal mortality ratio in East Java fell from 93.34 to 82.56 and then to 68.70 per 100,000 live births. The recorded number of maternal deaths declined from 499 in 2023 to 484 in 2024 and 399 in 2025. These figures represent progress. Yet the deeper message lies within the audit findings. Among maternal deaths reviewed in 2024, 66% were classified as preventable; in 2025, the proportion rose to 69%. Improvement in the headline number, therefore, coexisted with a persistent burden of deaths that the system itself considered avoidable.
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