In addition, the lack of clear, direct goals lead to discouragement among actors.  These difficulties, though, are not surmountable, and the long-term strengthening benefits of health-systems wide approaches make this preferable to programmatic interventions. In defining next steps in improving neonatal and maternal healthcare in Indonesia, one must discuss the ability of the government to make changes that will improve services and service utilization.  Of particular concern is the fact that the current system is largely decentralized and underfunded, with the vast majority of Indonesian citizens lacking insurance, almost 74%.