BACKGROUND:
Perinatal mental health (PMH) care is a critical yet under-addressed public health issue in Indonesia, affecting maternal well-being and child development. Indonesia’s healthcare system lacks standardized screening protocols, comprehensive training for healthcare providers, and accessible mental health services, particularly in rural areas. These challenges are further compounded by fragmented policy implementation and insufficient prioritization of maternal mental health within national healthcare frameworks.

OBJECTIVES:
This study aims to identify key barriers and opportunities for reforming the perinatal mental health care policy in Indonesia and to understand how issues are prioritized within policymaking processes

METHODS:
A policy analysis was conducted using Kingdon’s Multiple Streams Framework, which examines the convergence of the problem stream, policy stream, political stream, and window of opportunity of the PMHcare

RESULTS:
Problem Stream: PMHcare is increasingly recognized in Indonesia as a public health concern. Policy Stream: Although current maternal health programs mention PMH, they lack specific actions. Political Stream: The Ministry of Health, NGOs, and medical groups are key players in PMH policy. However, stigma, cultural beliefs, and competing health priorities often limit political support and funding. Policy Window: Reform is possible when the right timing, political support, and advocacy come together. Aligning PMH care with national goals like JKN and the SDGs could help boost policy attention

CONCLUSIONS:
The evidence-based policy recommendations include mandatory PMH screening in routine antenatal and postnatal care, enhanced training for healthcare professionals, expansion of community-based mental health programs, increased funding for PMH services under universal health coverage (JKN), and targeted public awareness campaigns to reduce stigma

KEY MESSAGE:
By aligning PMH initiatives with national health priorities, Indonesia can improve access to perinatal mental healthcare and enhance outcomes for mothers and infants. There is an urgent need for coordinated policy action to integrate PMH care into maternal healthcare, ensuring equitable access to mental health support for all Indonesian women. Mental health - data