<![CDATA[Background. Most maternal deaths occur during the postpartum period, making postpartum visits (PPV) a critical opportunity to detect complications. However, PPV coverage in Indonesia varies depending on the data source and region. Objectives. To describe the coverage of the first postpartum visit (KF1) and complete postpartum visits by province; to analyze their association with antenatal care, delivery services, and the maternal mortality rate (MMR); and to compare routine reporting data with survey data. Methods. A cross-sectional ecological study across 33 provinces using data from the 2020 Indonesia Health Profile, the 2020 Population Census (SP2020) Long Form on MMR, and national figures from the 2023 Indonesia Health Survey (SKI). Analyses employed the Mann–Whitney test and Spearman’s correlation with a 95% confidence interval, accompanied by sensitivity analyses. Results. National coverage of complete antenatal care (ANC) in the 2020 routine reports was 88.3%, with an interprovincial median of 83.3% (IQR 77.5–91.1); 12 provinces were below 80%, with the lowest rate in West Papua (30.7%). Complete postpartum care was strongly correlated with K4 (rho = 0.89) and delivery at a health facility (rho = 0.94), and was negatively correlated with maternal mortality (rho = −0.76; p < 0.001; n = 20). The 2023 SKI reported a complete postpartum care rate of only 26.8%, postpartum complications at 9.1%, and knowledge of postpartum danger signs at 47.8%. Hemorrhage (28.6%) and hypertension during pregnancy (23.9%) were the leading causes of maternal mortality in 2020. Conclusion. Postpartum care is the weakest link in the maternal health care continuum, particularly in eastern Indonesia. Strengthening postpartum visits by midwives, counseling on danger signs, and routine data validation are necessary to reduce maternal mortality.]]>
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