How can healthcare services be better in protecting pregnant women from HIV, syphilis, and hepatitis B? This critical question was at the heart of the Coordination Meetings on Continuous Quality Improvement (CQI) for Triple Elimination, held in Bogor on November 5 and Bandung on November 7. These meetings brought together key stakeholders to share progress, discuss challenges, and strengthen interventions aimed at ensuring safer pregnancies.and reducing congenital infection.

This meeting was designed to evaluate the progress of each Puskesmas in implementing their interventions focused on screening pregnant mothers and protecting their children from HIV, syphilis, and hepatitis B infection. Attended by district level CQI coaches and puskesmas level, CQI  advocates, researchers, regional health officials, and representatives of Puskesmas involved in the CQI interventions, the meeting’s main goal is to assess the progress of ongoing interventions and provide a platform for each Puskesmas to exchange experiences and best approach.

During this meeting, each Puskesmas presented their findings, outlining both successes and obstacles encountered in implementing the intervention approach. Common challenges are related to incomplete recording and reporting due to pregnant women tend to not bring their own NIK (National ID) when accessing services in private sectors, and identifying pregnant women in the early stages of pregnancy to encourage them to have tests. These discussions were enriched by input from city health officials, who proposed tailored solutions to address the diverse issues faced by different facilities.

The dynamic of the meetings was reflected in the lively discussions and Q&A sessions. In Bogor, participants learned from the presence of Prof. Ari Probandari, Principal Investigator of MENJAGA Study, who facilitated dialogues in person. In Bandung, Prof. Ari joined online, ensuring consistent guidance across both venues. Each Puskesmas sought practical strategies to enhance their interventions, reflecting the shared commitment to improving maternal health outcomes.

Looking ahead, the participating Puskesmas plan to continue their CQI interventions, which have already proven effective in improving screening and care services for triple elimination. These meetings not only reinforced the importance of collaboration and knowledge-sharing but also set the stage for sustained efforts to combat these preventable health risks. By maintaining momentum, the initiative aims to foster a health system that ensures safer pregnancies and healthier futures for mothers and their children.