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Feasibility Study On Birthing Clinic
Feasibility Study On Birthing Clinic
INTRODUCTION
Our country today faces serious problem specifically on health sector and
giving birth at home is one of the problems that should be given importance by
the Philippine government since giving birth at home meets several complication
the causes of maternal deaths, and partum hemorrhage 15 percent - the second
and third leading causes of maternal death. Others are sepsis, obstructed labor
and complications around unsafe abortion and giving births at home - most of
Under Philippine law, licensed midwives are authorized to carry out the
more pregnant mother to deliver children at home due to unsafe and risk
establish a safe and sustainable birth center and increase woman with access to
healthcare
provider and health care facility at lower cost and access to Philhealth is
available.
all pregnant woman can access to hospital at the same time, hospital addresses
different cases of health problems while birthing center only focus on parturient
Generally, this study will be of great help to achieve the vision of the Sto.
maintaining quality of care to our clients through excellent birthing center service
To the Researchers
The result of this study will be very significant to the researcher. This is
because it can give them better idea about starting a business about birthing
center.
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To the Client
The positive result of the study will provide them a birthing clinic with
utmost consideration on the safety and security of pregnant woman and newborn
babies.
To the School
added to the College Library and Research Department for the useful reference
To the Government
The government will surely support the study because of the situation of
health in our country today. If the study will be materialized it will be a big help to
Management Feasibility
Form of Business
The business will be registered and recognized under the name: Sto. Nino
the law is a juridical person separate and distinct from each of the partner. The
Regina D. Francisco.
specified duties and responsibilities to the business activities (as presented in the
organizational chart). Other positions left require hiring of workers to work for the
company.
All partners finished from the two-year Diploma in Midwifery, passed the
Board of Midwifery Licensure Examination and will finish their degree in Bachelor
of Science in Midwifery. Thus, they have enough knowledge and skills to run the
business.
Organizational Structure
The proponents agreed that they will join force in managing their business
considering that the company has limited resources. However, once the birthing
center will expand, they will hire additional staff to assist the business operation.
involves.
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Angelica H.Leonardo
PRINCIPAL-MIDWIFE
Elvira M. Medina
MIDWIFE
Jeanette M. Cerbito
MIDWIFE
Miraflor A. Capucion
WACTHMAN STUDENT
INTERN
Note: Additional staff will be hired once the business is already established.
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proponents are in line with birthing management which will be a big factor in the
these can give them that much needed self-confidence to enable them to carry
born care
Support groups:
Women’s League
SAIT -school
Shift rotations:
Recruitment Program
The recruitment will be simple. In case the clinic is under staff, the center
will hire on-call midwife to facilitate under staff while hiring is undertaking. Hiring
scheme will be post in the internet and applicants will submit their application,
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applicants will undergo a written and practical examination to gauge their mental
capacity and know if they had the skills to carry out the work. Once they will
pass, the principal midwife will conduct character reference of the person. Lastly,
there will be a final interview to choose the best applicant for the position.
Training Program
Virtually, every employee in the company will undergo some degree of training
Fringe Benefits
Below are the fringe benefits offered by the company will be as follows:
- Annual vacation leave and sick leave for 15 days with pay
- Retirement Package
- Commission
Facilities
Seven pt. in ward with curtain and dividers to provide patient privacy for
each room
Oxygen tank and supply available in the delivery room, must be secured
to solid object
covering
Sufficient ventilation
the birthing center will fully operate after the completion of pre-operating
activities.
MARKETING FEASIBILITY
study for the extent of the data and information gathering because the
succeeding aspects depend largely on it. This serves as the basis of the
demand and supply gap analysis, marketing program and the projected number
where proponents would like to serve North Caloocan where Camarin is located.
The said area has no available birthing center and far from the hospitals and
section between Quezon City and San Jose Del Monte Bulacan with a bigger
population.
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Assumptions:
It is expected that 8.4% of the total female population gave birth in a year
Major Clients
Quezon City, San Jose Del Monte Bulacan. In addition, clients served are those
who cannot afford to give birth in the hospitals and can only afford the birthing
center rates.
Age 19-45
No significant co-morbidities
Have pre-natal during 1st trimester, 2nd trimester and twice in 3rd trimester
Has had all the necessary blood tests and investigations e.g. full blood
Quality of Service
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The proponents will ensure that the proposed birthing center will provide
the best quality service. Price offered is affordable compared to hospitals. (note:
specific services are put into detail in the technical feasibility study section)
Terms of Payment
For Phil health patient, the client’s full payment will be charged from their
For Non-Phil health patient, the clients may pay partial down payment
during admittance or full payment will be made before patient will be discharged.
Emergency Vehicle
Collaboration for transfer, partner with nearby hospitals: Dr. Jose N. Rodriguez
Memorial Hospital..
are the following: leafleting in the nearby Barangay for the information about the
mother’s choice birthing center, referral fee of Php 500.00 per referral and social
Particulars Amount
Leafleting P 1,000.00
Social Media Advertisement 4,000.00
Referral Fee per month 2,000.00
Total Amount P 7,000.00
The opening of the Sto. Nino Birthing Home in Camarin, Caloocan City will
provide birthing facility in the Nothern part of Caloocan City and will provide more
convenience and basic health services needed by pregnant woman who needs
more attentive care during the nine months of pregnancy as well as the
woman and new born child from mortality rate and additional tax for the operation
The immediate community will be given full health access for pregnant
TECHNICAL FEASIBILITY
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This aspect determines to what extent the project meets the technical
The project will be named as Sto. Nino Birthing Home under the
24 hour supply of clean and hot water and electricity supply (including
emergency lighting)
Seven pt. in ward with curtain and dividers to provide patient privacy for
each room
Oxygen tank and supply to the delivery room, must be secured to solid
object
covering
Sufficient ventilation
Cleaning of individual patient areas after every use e.g. wiping down beds
Individual disposal bins for sharp equipment, clinical waste and household
discard
Hand washing sinks and alcohol gel to be located near clinical workstation
Thorough hand washing with water and soap before and after each and
every patient contact including before and after each patient intervention
birthing home.
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security and privacy measures for each patient. All patient reports, documents,
lab values, and information will be kept confidential by the staff of Sto. Nino
Birthing Home. Prior to the release of any information, the patient will first be
members not associated with the patient’s care are not allowed to review
records. All records will be kept for the duration of the patient’s life, after which
time the records will be destroyed to protect confidentiality. All records will be
Antenatal Care
Sto. Nino Birthing Home or in the hospital. They should be educated that if
something goes wrong during their labor, outcomes for the woman and baby may
Antenatal Guidelines
_ Birth plan
– Hemoglobin
– Hepatitis B
– Blood glucose
– Folic Acid 400 mcg per day until the 12th week of pregnancy: this helps
hemoglobin <11g/100mL
– Multivitamins
Follow up with first visit and make sure patient has completed required
tests.
weight, fundal height, and any problems or concern the expecting mother
may have.
– Hemoglobin
– Urine: proteinurea
– Blood glucose
_ Ultrasound
Continue record observations, vital signs, weight, fundal height, and fetal
presentation.
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be done by ultrasound.
to two weeks for a repeat ultrasound to check fetal position. If at that time the
fetus is still malpositioned the woman should be referred to the nearest hospital
and told she may not give birth at the clinic; however all post natal care from the
– Hemoglobin:
Normal: >10.
If hemoglobin <10, the woman should be referred to hospital for her birth, as low
Hb signifies a greater probability of bleeding during birth and the possible need
Discuss upcoming delivery with the woman and go over any concerns or
Discuss the possibility that they may not be able to give birth at the clinic,
Other Visits:
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Reasons for extra visits include, but are not limited to: high blood
Other visits should be at the discretion of the patient and the SBA
Intrapartum Care
Definitions:
when: there are painful contractions and some cervical change, including
Assessment
Assessment of pain
contraction
IV Fluid access
on admission
Assessment
established
for at least one minute, every fifteen minutes, and the rate should be
Definitions:
Passive second stage of labor: The finding of full dilatation of the cervix
Onset of the active second stage of labor: The baby is visible with
expulsive contractions.
imminent.
imminent.
Observations
needs.
of pushing and fetal wellbeing, taking into account fetal position and
station at the onset of the second stage. These factors will assist in
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deciding the timing of further vaginal examination and the need for
obstetric review.
for at least one minute, at least every five minutes. The maternal pulse
Either the ‘hands on’ (guarding the perineum and flexing the baby’s head)
or the ‘hands poised’ (with hands off the perineum and baby’s head but in
Lidocaine spray should not be used to reduce pain in the second stage of
labor.
birth.
Definitions:
Third stage of labor: the time from the birth of the baby to the expulsion of
Observations
Recommendation
followed by early clamping and cutting of the cord and controlled cord
traction.
reduces the risk of maternal hemorrhage and shortens the third stage.
Pulling the cord or palpating the uterus should only be carried out after
When the child the cord pulses and is fat and blue, do not cut at this time.
After a while, feel the cord if the pulsation stops then cut.
per minute, greater than 160 bpm, any decelerations after a contraction; or
minutes apart
suturing
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of labor
Care of baby
resuscitation.
abnormality
Care of Woman
delivery
Ensure patient has been known the antenatal period, has attended all the
investigations
If not, then immediately send mother and baby to nearest hospital via
emergency transportation
If vital signs and observations within normal limits, mother and baby may
nearest hospital
Maternal systolic blood pressure greater than 140, less than 90, or
Postpartum hemorrhage, with blood loss greater than 500 ml. See
Maternal collapse
Retained placenta
Abnormality of baby
Postnatal Care
Breastfeeding:
Perineal Care
odor or dyspareunia.
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frequent hand washing, and daily bathing to keep the perineum clean.
General Advice
hospital of choice
Prior to Discharge
Provide mother with chance to ask any questions she may have before
Provide mother with documentation and help if necessary to fill out the
baby.
Postnatal Follow Up
give patient a gentle laxative, encourage increased dietary fiber and fluid
consumption in both cases, and encourage cold packs and paracetamol for pain
management
hemoglobin.
Discuss plans for contraception following birth and encourage the mother
color, regular urination and stooling, general appetite and breast milk
Assess for jaundice, pale stools and dark urine. If present assess severity,
Complete Physical Assessment of the Baby and assess social smiling and
Ask about any concerns the mother has had about her child since the last
appointment
Ask about any concerns the mother has had since the previous
appointment
Ask about any concerns the mother has had about the child since the last
appointment
Area Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Total
M 11 11 11 11 11 11 11 11 11 11 11 11 132
Q 12 12 12 12 12 12 12 12 12 12 12 12 144
D 8 8 8 8 8 8 8 8 8 8 8 8 96
Total 31 31 31 31 31 31 31 31 31 31 31 31 372
Assumptions:
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The effect of layout on work flow will be smooth, convenient, thus resulting
During the five years initial operations, partners agreed to focus more on
relationship toward the clients to address and respond immediately to their need
and demand. Provision for expansion will be planned as business will grow and
become stable.
Structure
Waste Disposal
(Sharps and Biohazard Disposal) will be disposed as follows: All sharps including
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needles, finger sticks, glass, ampules, IV supplies, and specimen containers will
container when full will be disposed of in a 3 meter deep hole, at least 20 meters
above.
FINANCIAL FEASIBILITY
proposed project. This includes: financial statements and financial ratios that
project and the proponents ability to pay its financial obligations. It will give
= 98,000/31
= 3,161.29
Mark-up = 253%
Table 8. Equipment
Table 9. Supply
Note:
Supply 13,440.00
Medicine 20,280.00
Total Expenses 1,449,790.0
0
Net Income 2,332,210.0
0
Less: Income Tax (30%) 699,663.0
0
Net Income after Tax 1,632,547.00
Table 15. Projected Cash Flow Statement of Sto. Nino Birthing Home
Particulars Pre-operating Period Year 1
Cash Inflow
Owner’s Capital 523,810.00
Gross Profit 3,782,000.00
Total Cash Inflow 4,305,810.00
Less: Cash Outflow
Salaries and Wages 1,291,200.00
Advertising 7,000.00
Rental Expense 48,000.00
Amortization Expense 24,000.00
Ultrasound Rental 24,000.00
Equipment 21,870.00
Supply 13,440.00
Medicine 20,280.00
Income Tax 699,663.00
Total Cash Outflow 2,149,453.00
Cash Balance Ending 2,156,357.00
For 1 –year
Liabilities 480,000.00
Add: Capital 43,810.00
Add: Net Income 1,632,547.00
Total Liabilities and Capital 2,156,357.00
Profit Margin
= Net Income
Sales
= 1,632,547.00
3,782,000.00
= 0.4317 or 43.17%
The profit margin shows that for every 1.00 sales, there is a net profit
margin of .43 centavo. This means that during the first year of operation the
birthing center will be able to earn 43% net profit considering also that various
Return on Investment
= Net Income
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Investment
= 1,632,547.00
523,810.00
= 3.11
It is expected that for every 1.00 peso invested by the proponents, the
birthing home can return 3.11 pesos during the first year of operation.
Payback Period
= Investment
Annual Cash Returns
= 523,810.00
3,782,000.00
= 0.138 or 13.8%
It reflects that the company can repay its invested capital during the first
Conclusions:
made:
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Recommendation: