ESSENTIAL INTRAPARTUM

AND NEWBORN CARE

Essential Intrapartum and Newborn Care

ORIENTATION WORKSHOP
8:00 8:30
8:30 8:45
8:45 9:00
9:00 9:15

Registration
Opening Remarks
Program & Team Introduction
Understanding Relative Risk and
Confidence Intervals
9:15 9:30
Metacards Session
9:30 - 10:45 Newborn Evidence to Practice Lecture
10:45 12:00 Intrapartum Evidence to Practice Lecture
12:00 1:00
Lunch Break
1:00 1:30
Metacards Synthesis
1:30 2:00
Step-by-Step Guide to Implementation
with Video Showing
2:00 3:30 Breakout Session:
Demo with Return Demo
2

Maternal, Newborn,
Child Health and
Nutrition Strategy

Essential
Intrapartum and
Newborn Care

Maternal, Newborn,
Child Health and
Nutrition Strategy
(MNCHN)

Policy Objective
Administrative Order 2008-0029
Implementing Health Reforms for Rapid
Reduction of Maternal and Newborn Mortality
(MNCHN Strategy)

Administrative Order 2009-0025

Adopting Policies and Guidelines on Essential
Newborn Care (ENC)
To reduce maternal and neonatal mortality rates
faster from 2007 to 2015 to meet MDG targets
However, we need to understand features and characteristics
of maternal and newborn deaths to focus our interventions.

MNCHN Strategy
Every pregnancy is
wanted, planned and
supported

Every pregnancy is
adequately managed

Intermediate
Goals

Every delivery is
facility-based and
managed by skilled
health professional

Every mother and newborn pair

secures proper postpartum and
postnatal care with smooth transitions
to the womens health care package
for the mother and child survival
package for the newborn.

Integrated MNCHN Service Package

Pre-Pregnancy Services

Antenatal care

Financing
Health Facilities and Service Packages

Human Resource, Health information**

Health Products and Pharmaceuticals

Other Support Systems

Postpartum
and Postnatal Care

Care during Delivery

MNCHN Service Delivery Network

A. Third Tier: CEmONC Capable Health Facilities
B. Second Tier: BEmONC Capable Health
Facilities

C. First Tier: Community Level Service Providers

with Community Health Teams

Community Health Teams (CHTs)

Under the universal health care,
P-Noys (Aquino) Health Agenda (DOH
Administrative Order 2010-0036)
Cabinet collaboration
DOH, PhilHealth, DSWD, DepEd, DILG, etc.

CCT areas
Door-to-door campaign
Health messages, identification of health
facilities, PhilHealth membership and enrollment

Community Health Teams (CHTs)

With the support of barangay leaders,
CHTs known before as womens health teams
Led by the public health midwife (CHT Team
Leader)
Members:

RN HEALS
Barangay nutrition scholars
Barangay health workers
Barangay service point officers
Womens groups
TBAs as trackers in some CHTs

Life Events
Pre-union
Premarital
counseling

Conception
Pregnancy

Birth and
Delivery

Under 5
years

MBFHI
BEmONC with POGS MDG

EINC
NBS, EPI, IMCI, IYCF
Family Planning, Adolescent Health
Healthy Lifestyle
Micronutrient Supplementation

Things to Consider in Curriculum Integration for

MNCHN-related programs
Pre-union
Premarital
counseling

Conception
Pregnancy

Birth and
Delivery

Under 5
years

MBFHI

EINC
NBS, EPI, IMCI, IYCF

Essential intrapartum and newborn care

Rooming-in and breastfeeding
Breastfeeding and infant and young child feeding (IYCF)
Breastfeeding during emergencies and disasters
Newborn screening and newborn hearing screening
Postpartum care and postnatal care
Birth spacing, family planning
Health lifestyle
Oral health

Essential Intrapartum
and Newborn Care

Guideline
Development

Dissemination

Implementation
& Monitoring

Develop
Guidelines

Disseminate

Implement &
Monitor

Convened Technical
Committee

Identified problems incl.

observational studies

Review by individual and en

banc panel stakeholder and
experts

Appraised evidence
GRADE methodology
Evidence-based draft
developed

Scale-Up
Project

Essential Newborn Care Protocol Launch

& Signing of DOH Administrative Order
December 7, 2009
Finalize PROTOCOL
Hotel Sofitel Manila

The EINC Campaign

Hospital
Reform
Agenda

Network of
Centers of
Excellence

Curriculum
Changes

Social
Marketing
Campaign

Hospital
Reform
Agenda

Network of
Centers of
Excellence

Curriculum
Changes

Social
Marketing
Campaign

The EINC Campaign

Hospital
Reform
Agenda

Network of
Centers of
Excellence

Curriculum
Changes

Social
Marketing
Campaign

The EINC Campaign

Hospital
Reform
Agenda

Network of
Centers of
Excellence

Curriculum
Changes

Social
Marketing
Campaign

NSD Package
Cesarean Section

The EINC Campaign

BEFORE

NOW

NSD 6,800

NSD
8,000*

CS

CS
19,000
*Use partograph

Hospital
Reform
Agenda

Network of
Centers of
Excellence

Curriculum
Changes

Social
Marketing
Campaign

The EINC Campaign

Hospital
Reform
Agenda

Network of
Centers of
Excellence

The EINC Campaign

Curriculum
Changes

Social
Marketing
Campaign

Before
Php 1,000
Php 250

Newborn Care
Package

(eye prophylaxis,
umbilical cord care,
vit. K, thermal care,
BCG vaccine,
resuscitation of the NB)

Php 250
(Hep B vaccine)

Php 500
(NB screening)

Hospital
Reform
Agenda

Network of
Centers of
Excellence

Curriculum
Changes

Social
Marketing
Campaign

The EINC Campaign

Now
Php 1,750
UNBUNDLED
Php 1000

Newborn Care
Package

PhP 500 for caregiver plus:

PE of NB, breastfeeding support,
4 EINC core steps, eye prophylaxis,
vit. K,BCG vaccine, Hep B vaccine

PhP 200
(Hearing Screen)

PhP 550
(Newborn Screening)

Hospital
Reform
Agenda

Network of
Centers of
Excellence

Curriculum
Changes

Social
Marketing
Campaign

The EINC Campaign

Hospital
Reform
Agenda

Curriculum
Changes

Network of
Centers of
Excellence

The EINC Campaign

Social
Marketing
Campaign

Project
Sites
MINDANAO (2):
GSCH (General Santos)
CRMC (Cotabato City)

LUZONQuirino
(8):
Memorial
QMMC , PGH,
Fabella,
Jose Reyes, Medical
East Ave,
Center
Tondo Medical,
San Lorenzo Ruiz,
Jose Rodriguez
St. Lukes
VISAYAS
(1):
Medical
EVRMC
Center
(Tacloban)

Local Government Units (LGU)

General Santos City
Cotabato City
Quezon City
Paraaque City
Pagsanjan

Private Institutions

Spontaneous Scale-UpNCR:

Provincial Health Offices (PHO)

Bulacan
Rizal
Aurora
Sorsogon
Capiz
Cavite
Centers for Health Development (CHD)
Region IV-A (CALABARZON)
Region XI (Davao)
Region VIII (Eastern Visayas)
Government Hospitals
Bataan General Hospital
Pasay City General Hospital
Zamboanga City Medical Center
Ospital ng Muntinlupa

The Medical City

St. Lukes - Global City
Perpetual Help Las Pinas
VRP Medical Center
Cardinal Santos Med Center
Medical Center Muntinlupa
Jesus Delgado Memorial
World Citi Medical Center
UST Hospital
Chinese General Hospital
Asian Hospital & Medical Center
Paraaque Doctors Hospital
Manila Doctors Hospital
Las Pias City Medical Center
Our Lady of Lourdes Hospital
Medical Center Paraaque
Makati Medical Center
Provincial Sites:
Tagaytay Medical Center
New Sinai MDI Hospital
Our Lady of the Pillar Med Center
Lorma Medical Center
Castro Maternity & Gen Hospital
De La Salle University Med Ctr

Hospital
Reform
Agenda

Network of
Centers of
Excellence

Curriculum
Changes

Social
Marketing
Campaign

The EINC Campaign

Medicine
Nursing
Midwifery

Association of Phil. Medical Colleges Foundation

Philippines Nurses Association

Association of Deans of Phil. Colleges of Nursing
Association of Philippine Schools of Midwifery

Hospital
Reform
Agenda

Network of
Centers of
Excellence

Curriculum
Changes

Social
Marketing
Campaign

The EINC Campaign

Hospital
Reform
Agenda

Network of
Centers of
Excellence

Curriculum
Changes

Social
Marketing
Campaign

The EINC Campaign

1st MNCHN EINC
Advocacy Partners Forum

July 13 15, 2011, Century Park Hotel, Manila

Hospital
Reform
Agenda

Network of
Centers of
Excellence

Curriculum
Changes

Social
Marketing
Campaign

The EINC Campaign

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