<![CDATA[Maternal and child health (MCH) is a critical indicator of national health development aligned with SDGs targets. DKI Jakarta, as a densely populated capital city, faces unique challenges in providing equitable MCH services. This study aims to analyze the situational status of MCH problems in DKI Jakarta Province in 2024 and to determine health priorities using the PAHO-adopted Hanlon method. A descriptive study using quantitative and qualitative approaches was conducted at the DKI Jakarta Provincial Health Office from October 2024 to January 2025. Primary data were collected through structured interviews, while secondary data were sourced from reports of the Nutrition and MCH Section and reports of the DKI Jakarta Provincial Health Office. Four major MCH problems were identified: Infant Mortality Rate (IMR), Nutritional Status, Under-Five Mortality Rate (U5MR), and Maternal Mortality Rate (MMR). Based on PAHO-adopted Hanlon scoring, IMR was the top priority with the highest score of 29.02, followed by Nutritional Status (28.96), MMR (26.11), and U5MR (24.50). During January to October 2024, IMR reached 1.49 per 1,000 live births, still above the Strategic Plan target of 1.31. Root causes of IMR include limited trained MCH personnel, suboptimal referral systems, budget constraints, and inadequate readiness of private health facilities. IMR is the priority MCH problem in DKI Jakarta, requiring strengthening of healthcare personnel capacity, optimization of maternal-neonatal referral systems, and improved cross-sectoral coordination.]]>
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