Sample of Feasibility Study

GROUP 7
9/29/2020 Establishing Maternity
Waiting Homes in remote
areas of Iligan City: A
Feasibility Study
VACALARES, PORTIA IRMA

TOLENTINO, ARIANNA MARI
TANGGO, SITTIE ASLEA DIANA
TOMAMBILING, JEHANI
TUMAMAO, JEHANI
1. Introduction:
The City of Iligan, is a 1st class highly urbanized city in Northern Mindanao, Philippines.
According to the 2015 census, it has a population of 342,618 people. It is geographically within
the province of Lanao del Norte but administered independently from the province. But no
matter how urbanized this city is, it still one of the cities with the highest Maternal Mortality
Rate (MMR). This means that the number of women who died while pregnant or giving birth
increased for the city. Cagayan de Oro holds the 2nd place in the region’s maternal deaths.
Whereas, Iligan City followed Cagayan de Oro in the ranking with 10 maternal deaths in 2014
and then with a total of 11 in 2015.
According to Popcom-Northern Mindanao regional director Jeremias Gupit, there are a number
reasons for the maternal deaths, all of which need to be given focused attention by the local
government. Moreover, one of the leading reasons why so many mothers die is the delay in
seeking medical attention due to personal and societal reasons.
Many consider maternity waiting homes to be a key element of a strategy to "bridge the
geographical gap" in obstetric care between rural areas, with poor access to equipped facilities,
and urban areas where the services are available (WHO, 1996). Maternity waiting homes are
residential facilities, located near a qualified medical facility, where women defined as "high
risk" can await their delivery and be transferred to a nearby medical facility shortly before
delivery, or earlier should complications arise (WHO, 1996). Furthermore, it has been suggested
that waiting homes can play essential role in reducing maternal and perinatal mortality.
Therefore, this study intends to evaluate the use of Maternity Waiting Homes and assess the
intentions to use MWHs among pregnant women in the rural areas of Iligan City and finally to
establish maternity homes in collaboration with the LGU’s for a continuing obsteric care to
women in the remote areas of Iligan City.
2. Background of the Study:
There has been meaningful reduction in global maternal mortality in recent decades, with an
estimated Maternal Mortality Ratio (MMR) of 216 deaths per 100,000 live births in 2015,
decreased from 385 deaths per 100,000 live births in 1990. Developing a comprehensive package
of services for maternal and newborn care has the potential to improve the availability,
accessibility and acceptability of care for mothers and newborns in low-resource settings.
Increased encounters with the healthcare system at multiple levels have the potential to improve
maternal and newborn outcomes. Maternity waiting homes are residential facilities, located near
a qualified medical facility, where women defined as "high risk" can await their delivery and be
transferred to a nearby medical facility shortly before delivery, or earlier should complications
arise. Many consider maternity waiting homes to be a key element of a strategy to "bridge the
geographical gap" in obstetric care between rural areas, with poor access to equipped facilities,
and urban areas where the services are available. As one component of a comprehensive package
of essential obstetric services, maternity waiting homes may offer a low-cost way to bring
women closer to needed obstetric care.
Maternity waiting homes are temporary shelters for pregnant women near a hospital or health
center where women can rest and be monitored until giving birth with a skilled attendant.
Maternity waiting homes have been endorsed by WHO as one component of a comprehensive
package to reduce maternal mortality and morbidity..

MWHs should be made available to pregnant women from rural areas or those at high risk for
obstetric complications to help surmount the barriers of distance and time to health center.
Systematic reviews prove that maternity waiting home is effective based on the findings:
Increased proportion of facility based deliveries; Improved maternal health; A lower risk of
perinatal deaths, Decreases incidence of obstructed labor; Improved access to essential and
emergency obstetric care; Good access to healthcare; and Potential to decrease rates of stillbirths.
A. Advantages of Establishing Maternal Waiting Homes
a. Religious considerations (Transcultural)
b. Convenient
c. Comfortable and Ambient
d. Respite/Relief Program
e. Safe Environment/Nurtures patients
B. Remote areas in Iligan City.
(Proposed area where Maternity Homes will be established).
1. Dikilaan, Iligan City
2. Mandulog, Iligan City
3. Rongongon, Iligan City
3. Budget:
DIKILAAN
WIDTH 11.60m Length 10.80m

SIZE (PER ROOMS) 4m x 3m
NO. OF ROOMS 8
WINDOW (PER ROOMS) 1
BED (PER ROOMS) 1
MATERIALS
### Piece(s) Price(s) Total
CEMENT 100 bags 200.00 20,000.00
METAL STEEL (BIG) 50 pcs 230.00 11,500.00
HOLLOW BLOCK 600 pcs 9.50.00 5,700.00
WOOD 150 pcs 180.00 27,000.00
SAND 2 dump trucks 9 cubic 2000.00 4,000.00
METAL STEEL (SMALL) 50 pcs 130.00 6,500.00
JALOUSIE 8 pcs 2000.00 16,000.00
DOOR 8 pcs 3000.00 24,000.00
ROOF 20 pcs 240.00 4,800.00
BED 8 pcs 5000.00 40,000.00
BONBONON PINTAL (BIG 5 pcs 3000.00 15,000.00
BUCKET)
TOTAL: 159,500.00
A. Dikilaan – is the first place where our team wants to build the maternal health building. The
place needs establishment for the health improvement and thus presents you with detailed measurements
and materials to be used in building the maternal spot.
Stated at the table above is the breakdown for materials needed in our first establishment to be built at
Dikilaan, Iligan City. The total cost for the building is 159,500.00 The said building will be finished at
expected date.
MANDULOG

NO. OF ROOMS 3
BED (PER ROOMS) 1
MATERIALS
CEMENT 25 bags 200.00 5,000.00
HOLLOW BLOCK 200 pcs 9.50.00 1,900.00
WOOD 50 pcs 200.00 10,000.00
SAND 1 dump truck 9 cubic 2000.00 2,000.00
JALOUSIE 3 pcs 2000.00 6,000.00
DOOR 3 pcs 3000.00 9,000.00
ROOF 15 pcs 240.00 3,600.00
BED 3 pcs 3000.00 9,000.00
BUCKET)
TOTAL: 59,750.00
B. Mandulog – we have chosen this as a second building site for the people around it to be easily
cared and deliver the community a top notch and safe maternal spot. The breakdown for materials is listed
below.
Stated at the table above is the breakdown for materials needed in our second establishment to be built at
Mandulog, Iligan City. The total cost for the building is 59,750.00 The said building will be finished at
expected date.
DIKILAAN

NO. OF ROOMS 8
BED (PER ROOMS) 1
MATERIALS
CEMENT 100 bags 200.00 20,000.00
HOLLOW BLOCK 600 pcs 9.50.00 5,700.00
WOOD 150 pcs 180.00 27,000.00
SAND 2 dump trucks 9 cubic 2000.00 4,000.00
JALOUSIE 8 pcs 2000.00 16,000.00
DOOR 8 pcs 3000.00 24,000.00
ROOF 20 pcs 240.00 4,800.00
BED 8 pcs 5000.00 40,000.00
BUCKET)
TOTAL: 159,500.00
C. Rongongon – our team choses the third location to be at this area also to deliver and ease most
of the pregnant women in this society. We also breakdown the materials needed for the construction. The
construction team thinks that by the same materials needed in Dikilaan, we can also deliver the same care
for the community.
Stated at the table above is the breakdown for materials needed in our third establishment to be built at
Rongongon, Iligan City. The total cost for the building is 159,500.00 The said building will be finished at
expected date.
4. Methodology:
A data collection to be done by the survey team comprising of the respective city health offices
and members of this research team.
Quantitative data will be collected through individual interviews of pregnant women admitted in
the city hospitals. This will made up of survey questionnaires which are focused on women’s
perception of the need of MWHs, their willingness to use them, and their knowledge about
MWHs. Before each interview, the objectives of the study will be clarified and verbal consent to
be obtained from the interviewees.
As for the qualitative data, the research team plans to create a focus group discussion (FGD) in
selected health institutions of Iligan City. The FGD to be conducted will focus on understanding
the issues related to pregnancy and birth, the need for MWHs and views of the interviewees on
how to create demand for MWHs.
5. Timeline and Schedule:
The schedule for each building will take place after the bidding happens and when the materials
are ready. The team also finds workmen for every building to be built, and they are payed every
day after work. The construction team for all three (3) building will be consisted of:
No. of Workers
Engineer 1
Mason 2
Skilled Mason 2
Labors 10
Total Man Power: 15
DIKILAAN – First Building
ID Outline No. Name Dur. Start Finish
1 1 Site Work 7d Tue 9/1/20 Wed 9/9/20

2 1.1 - Clear Lot 3d Tue 9/1/20 Thu 9/3/20
3 1.2 - Strip Topsoil & Stockpile 1d Fri 9/4/20 Fri 9/4/20
4 1.3 - Stake Lot for Excavation 1d Mon 9/7/20 Mon 9/7/20
5 1.4 - Rough Grade Lot 1d Tue 9/8/20 Tue 9/8/20
6 1.5 - Excavate for Excavation 1d Wed 9/9/20 Wed 9/9/20
7 2 Foundation 24 d Thu 9/10/20 Mon 10/5/20
8 2.1 - Layout Footings 1d Fri 9/10/20 Fri 9/10/20
9 2.2 - Dig Footings 1d Mon 9/13/20 Mon 9/13/20
10 2.3 - Footing Inspection 0d Tue 9/14/20 Tue 9/14/20
11 2.4 - Pour Footings 1d Wed 9/15/20 Wed 9/15/20
12 2.5 - Pin Footings 1d Thu 9/16/20 Thu 9/16/20
13 2.6 - Stock Block, Mortar and Sand 1d Fri 9/17/20 Fri 9/17/20
14 2.7 - Build Block Foundation 15 d Mon 9/20/20 Fri 10/2/20
15 3 Rough Carpentry 20 d Tue 10/6/20 Wed 11/3/20
16 3.1 - Set Steel 1d Tue 10/6/20 Tue 10/6/20
17 3.2 - 1st Floor Deck Framing 4d Wed 10/7/20 Tue 10/13/20
18 3.3 - 1st Floor Wall Framing 4d Wed 10/14/20 Tue 10/20/20
19 3.4 - Set Roof Trusses 2d Wed 10/21/20 Thu 10/22/20
20 3.5 - Frame Roof 7d Fri 10/23/20 Mon 11/1/20
21 3.6 - Install Windows and Doors 2d Tue 11/2/20 Wed 11/3/20
22 4 Final Punch-out 9d Thu 11/4/20 Tue 11/16/20
23 4.1 - Punch Out and Walk-thru List 4d Thu 11/4/20 Tue 11/9/20
24 4.2 - Trim and Adjust Doors 2d Wed 11/10/20 Thu 11/11/20
25 4.3 - Over All Adjustments 3d Fri 11/12/20 Tue 11/16/20
26 5 Cleaning 2d Wed 11/17/20 Thu 11/18/20
27 5.1 - Rough Clean 1d Wed 11/17/20 Wed 11/17/20
28 5.2 - Final Clean 1d Thu 11/18/20 Thu 11/18/20
29 6 Final Walk-through 0d Fri 11/19/20 Fri 11/19/20
30 7 Move-In 0d Mon 11/22/20 Mon 11/22/20
MANDULOG – Second Building

30 7 Move-In 0d Mon 11/22/20 Mon 11/22/20
RONGONGON – Third Building

30 7 Move-In 0d Mon 11/22/20 Mon 11/22/20
The three buildings; Dikilaan, Mandulog, Rongongon are hereby established and will be done by the third
week of November 2020. This project will run for eighty-two (82) calendar days starting from September
1, 2020 which is Monday, and will end on November 22, 2020 also Monday. The team will finish the
buildings and automatically moves in when the construction finishes.
6. Conclusion:
Most maternal deaths could be avoided only if there was improved access to skilld care and
facilities that are able to handle obsteric emergencies. Iligan City is third in line among the most
number of maternal deaths in Region 10 due to the lack of facilities like Maternal Waiting
Homes in the rural areas. MWHs are a potential solution to the distance problem and should be
considered as one of the most effective intervention in helping the pregnant women access the
facility deliveries in Iligan City. Our study, once established, will likely provide evidence
suggesting that MWHs are a feasible option to increasing access to facility-based delivery in the
city. It is imperative that changes be made in order to utilize the obsteric care delivery to the
pregnant women in Iligan City to improve health outcomes for both the mothers and their babies
hence the researchers urge the local government and the community to work hand in hand in the
construction and implementation of MWHs throughout Iligan City.
7. References:
1. Viguella, A. (2017, August 15). Cagayan de Oro 2nd in region's maternal deaths. Retrieved from
https://www.sunstar.com.ph/article/158790/Business/Cagayan-de-Oro-2nd-in-regions-maternal-deaths
2. Lonkhuijzen, L. V., Stegeman, M., Nyiron1512go, R., & Roosmalen, J. V. (2003). Use of
Maternity Waiting Home in Rural Zambia. African Journal of Reproductive Health, 7(1), 32.
doi:10.2307/3583343
3. Endayehu, M., Yitayal, M., & Debie, A. (2020). Intentions to use maternity waiting homes
and associated factors in Northwest Ethiopia. BMC Pregnancy and Childbirth, 20(1).
doi:10.1186/s12884-020-02982-0
4. Gurara, M. K., Geertruyden, J. V., Gutema, B. T., Draulans, V., & Jacquemyn, Y. (2020).
Maternity waiting homes as component of birth preparedness and complication readiness for
rural women in hard-to-reach areas in Ethiopia. doi:10.21203/rs.3.rs-58903/v1

5. Maternity waiting homes: A review of experiences. (2014, November 28). Retrieved from
https://www.who.int/reproductivehealth/publications/maternal_perinatal_health/MSM_96_21/en/
?fbclid=IwAR0kV7LcpmRRh6hYuCSPRrTMoUHzqA5xwnLOcT4Huz6O9-eaUc2KVE-OvFA
6. Lori, J. R., Munro, M. L., Rominski, S., Williams, G., Dahn, B. T., Boyd, C. J., . . .
Gwenegale, W. (2013, August 14). Maternity waiting homes and traditional midwives in rural
Liberia. Retrieved from https://www.sciencedirect.com/science/article/pii/S0020729213003883
7 .Lori, J. R., Williams, G., Munro, M. L., Diallo, N., & Boyd, C. J. (2015, January 28). It takes a
village: A comparative study of maternity waiting homes in rural Liberia. Retrieved from
https://www.sciencedirect.com/science/article/pii/S2214109X15700331

Sample of Feasibility Study

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Sample of Feasibility Study

Uploaded by

Copyright:

Available Formats

GROUP 7

9/29/2020 Establishing Maternity

Waiting Homes in remote

areas of Iligan City: A

VACALARES, PORTIA IRMA

and then with a total of 11 in 2015.

seeking medical attention due to personal and societal reasons.

women in the remote areas of Iligan City.

2. Background of the Study:

women closer to needed obstetric care.

package to reduce maternal mortality and morbidity..

A. Advantages of Establishing Maternal Waiting Homes

a. Religious considerations (Transcultural)

c. Comfortable and Ambient

e. Safe Environment/Nurtures patients

B. Remote areas in Iligan City.

(Proposed area where Maternity Homes will be established).

1. Dikilaan, Iligan City

2. Mandulog, Iligan City

3. Rongongon, Iligan City

WIDTH 11.60m Length 10.80m

and materials to be used in building the maternal spot.

WIDTH 5.60m Length 6.80m

WIDTH 11.60m Length 10.80m

for the community.

and members of this research team.

be obtained from the interviewees.

how to create demand for MWHs.

5. Timeline and Schedule:

DIKILAAN – First Building

ID Outline No. Name Dur. Start Finish

1 1 Site Work 7d Tue 9/1/20 Wed 9/9/20

MANDULOG – Second Building

ID Outline No. Name Dur. Start Finish

1 1 Site Work 7d Tue 9/1/20 Wed 9/9/20

RONGONGON – Third Building

ID Outline No. Name Dur. Start Finish

1 1 Site Work 7d Tue 9/1/20 Wed 9/9/20

buildings and automatically moves in when the construction finishes.

construction and implementation of MWHs throughout Iligan City.

Maternity Waiting Home in Rural Zambia. African Journal of Reproductive Health, 7(1), 32.

and associated factors in Northwest Ethiopia. BMC Pregnancy and Childbirth, 20(1).

rural women in hard-to-reach areas in Ethiopia. doi:10.21203/rs.3.rs-58903/v1

Liberia. Retrieved from https://www.sciencedirect.com/science/article/pii/S0020729213003883

You might also like