MAKITA NA NINYO?

WOMEN'S HEALTH AND SAFE

MOTHERHOOD PROJECT
PRESENTEDBY:ALFEELCHARRISEMAEC.PEREZ BSN2-E
 VISION
For Filipino women to have full access to health services towards
making their pregnancy and delivery safer

MISSION
Guided by the Department of Health FOURmula One
Plus thrust and the Universal Health Care Frame, the
National Safe Motherhood Program is committed to
provide rational and responsive policy direction to its
local government partners in the delivery of quality
maternal and newborn health services with integrity
and accountability using proven and innovative
approaches
 OBJECTIVES
The Program contributes to the national goal of improving
women’s health and well-being by:

• Collaborating with Local Government Units in

establishing sustainable, cost-effective approach
of delivering health services that ensure access of
disadvantaged women to acceptable and high
quality maternal and newborn health services and
enable them to safely give birth in health
facilities near their homes
• Establishing core knowledge base and support
systems that facilitate the delivery of quality
maternal and newborn health services in the
country.
 PROGRAM
COMPONENTS:
Component A: Local
Delivery of the
Maternal–Newborn
Service Package
This component supports LGUs in establishing and
mobilizing the service delivery network of public and
private providers to enable them to deliver the
integrated maternal-newborn service package. In each
province and city, the following shall continue to be
undertaken:
1.Establishment of critical capacities to provide
quality maternal-newborn services through the
organization and operation of a network of Service
Delivery Teams consisting of:

a. Barangay Health Workers

b. BEmONC Teams composed of Doctors, Nurses

and Midwives
2.In collaboration with the Centers for health
D e v e l o p m e n t a n d r e l e v a n t n a t i o n a l o ff i c e s : E s t a b l i s h m e n t
of Reliable Sustainable Support Systems for Maternal-
Newborn Service Delivery through such initiatives as:

a. Establishment of Safe Blood Supply Network with

s u p p o r t f r o m t h e N a t i o n a l Vo l u n t a r y B l o o d P r o g r a m

b. Behavior Change Interventions in collaboration with

the Health Promotion and Communication Service

c. Sustainable financing of maternal - newborn services

and commodities through locally initiated revenue
generation and retention activities including PhilHealth
accreditation and enrolment.
 Component B:
National Capacity to
Sustain Maternal-
Newborn Services
1.Operational and Regulatory Guidelines

a. Identification and profiling of current FP users and

identification of potential FP clients and those with unmet
need for FP (permanent or temporary methods)

b. Mainstreaming FP in the regions with high unmet need

for FP

c. Development and dissemination of Information,

d.Education Communication materials

Advocacy and social mobilization for FP
2.Network of Training Providers

a. 31 Training Centers that provide BEmONC Skills Training

3. Monitoring, Evaluation, Research, and Dissemination with

support from the Epidemiology Bureau and Health Policy
Development and Planning Bureau

a. Monitoring and Supervision of Private Midwife Clinics in

cooperation with PRC Board of Midwifery and Professional
Midwifery Organizations

b. Maternal Death Reporting and Review System in

collaboration with Provincial and City Review Teams

c. Annual Program Implementation Reviews with Provincial

Health Officers and Regional Coordinators
PARTNER INSTITUTIONS
• Local Government Units
• Development Partners
Policies and Laws
Republic Act No. 10354:
Responsible Parenthood and
Reproductive Health Law
(RPRH Act of 2012)
1.Administrative Order 2008-0029: Implementing Health
Reforms to Rapidly Reduce Maternal and Neonatal Mortality

2. Department Order 2009-0084: Guidelines Governing the

Payment of Training Fees relative to the Attendance of
Health Workers to Basic Emergency Obstetric and Newborn
Care Skills Training Course at Duly Designated Training
Centers

3. Administrative Order 2011-0011: Establishment of Basic

Emergency Obstetric and Newborn Care Training Centers in
Regional Hospitals and Medical Centers
Administrative Order 2015-0020: Guidelines in the
Administration of Life Saving Drugs During Maternal Care
Emergencies by Nurses and Midwives in Birthing Centers
4. Administrative Order 2015-0020: Guidelines in the Administration of
Life Saving Drugs During Maternal Care Emergencies by Nurses and
Midwives in Birthing Centers

5. Administrative Order 2016-0035: Guidelines on the Provision of

Quality Antenatal Care in All Birthing Centers and Health Facilities
Providing Maternity Care Services

6. Administrative Order 2018-0003: National Policy on the Prevention

of Illegal and Unsafe Abortion and Management of Post-Abortion
Complications
 PROGRAM
ACCOMPLISHMENT/
STATUS
The Department of Health through the National Safe Motherhood Program shall continue
to update its strategies to address critical reproductive health concerns including control
of sexually transmitted infections and mother to child transmission of HIV while
confronting both demand and supply side obstacles to access for disadvantaged women
including indigenous women of reproductive age. Among the changes, the following have
been systematically mainstreamed into the safe motherhood service delivery network
(BEmONC-CEmONC network):
A. STRATEGIC CHANGE
IN THE DESIGN OF SAFE
MOTHERHOOD
SERVICES
These changes involve (1) a shift in emphasis from the
risk approach that identifies high-risk pregnancies during
the prenatal period to an approach that prepares all
pregnant for the complications at childbirth – this change
brought about the establishment the BEmONC –
CEmONC network within the bigger Service Delivery
Network (SDN), (2) improved quality of FP counseling
and expanded service availability of post-partum family
planning in hospitals and primary birthing centers and (3)
the integration of cervical cancer, syphilis, hepatitis B
and HIV screening among others into the antenatal care
protocols.
Action Point and Timelines:
Continuous advocacy on:
• Importance of ANC and Facility Delivery is on-going at
LGU level;
• National and regional advocacy every 2nd week of May,
the safe Motherhood week with support from the Health
Promotion and Communication Service
Continuous implementation of policies passed at LGU Health
Systems
Implementation of AO 2016-0035 on the Provision of Quality
Antenatal Care
• On-going
• Distribution of ANC Tarpaulin within the last quarter of
2018
• Distribution of ANC Policy Implementation Manual by
2019
 B. An Integrated Package of
Women’s Health and Safe
Motherhood Services
The above changes in service delivery also involved a shift from centrally
controlled national programs operating separately and governed independently at
various levels of the health system to an LGU governed system that delivers an
integrated women’s health and safe motherhood service package. This service
delivery strategy is focused on maximizing synergies among key services that
influence maternal and newborn health and on ensuring a continuum of care
across levels of the referral system. At the ground level, this implies that a
woman, whatever her age and specially if she is disadvantaged, who seeks care
from a public health provider for reproductive health concerns, could expect to
be given a comprehensive array of services that addresses her most critical
reproductive health needs.
Action Points and Timelines

• Culture and gender sensitive service delivery

provision by LGU Health Systems is on-going

• Updated AO 2008-0029 (MNCHN Policy) draft by

last quarter of 2018. The update involves the
expansion of MNCHN to RMNCAHN
(Reproductive Maternal Newborn Child Adolescent
Health and Nutrition)
 C. Reliable Sustainable
Support Systems
Support systems for Maternal-Newborn service delivery is anchored on
Philhealth accreditation of birthing centers and individual membership or
enrolment into the Sponsored Program. This mechanism ensures sustainable
financing of quality maternal-newborn services efficiently eliminating out-of-
pocket expenditures for antenatal, facility delivery and postnatal care. The
system likewise includes systems for safe blood supply and stakeholder
behavior change, through a combination of advocacy and interpersonal
communication during clinic visits.
Action Points and Timelines

• Continuous application and renewal of

PhilHealth accreditation by Birthing
Centers

• Continuous enrolment of poor families to

PhilHealth Sponsored Program by LGUs

• Establishment of Safe Blood Supply

Network in collaboration with the National
Voluntary Blood Services Program is on-
going
D. Stronger Stewardship and
Guidance from the DOH
Program Manager and
Regional Coordinators
DOH provides stewardship and guidance through (1)
evidence-based guidelines and protocols on maternal -
newborn services; (2) a system for recognizing
providers of emergency obstetrics and newborn care
(BEmONC) training program; and (3) monitoring,
evaluation and research on the new maternal-newborn
strategies.
Action Points and Timelines
• Conduct of Maternal Death Surveillance and Response is
on-going at Provincial and City Health Systems is on-
going
• Conduct of National MDSR Forum every 2 years. The
second national forum shall be conducted in 2019 (the
first was conducted in 2017)
• Conduct of 4 Regional Maternal Death Surveillance and
Response (MDSR) Fora every 2 years (2018, 2020, etc)
• Drafting and passage of relevant policies with MDSR
results as basis: National Policy on the Provision of
Birthing Assistance of Primigravid and Multigravid
Women is targeted to commence implementation by
2019.
• Establishment of Safe Motherhood Program Monitoring
and Evaluation System in collaboration with
Epidemiology Bureau and Health Policy Development
and Planning Bureau by 2019
 Program
Accomplishments/Stat
us
The Program shall continue to monitor
the implementation of its policies and
evaluate effectiveness in improving
maternal outcomes and consequently
translate these to maternal and newborn
mortality reductions. LGUs shall be
continuously encouraged to address local
health system’s gaps identified during
maternal death reviews.
Relevant policies that responds to maternal needs have
been passed that include among others for 2018, the
policy of prevention of illegal and unsafe abortions and
management of post – abortion complication.
Implementation of this policy is expected to reduce
maternal death by at least 21%. The Program shall
continue to pass policies based on death review results.

To date, 95% of Birthing Centers have teams trained on

basic emergency obstetric and newborn care.
 Calendar of Activities
• Conduct of BEmONC Training by Training Centers – on-
going
• Conduct of Maternal Death Surveillance and Response –
on-going
• Safe Motherhood Week Celebration at Regional level every
2nd week of May
• Enhancement of Positive Birthing Experience Protocol:
First Quarter of 2019
• MHO Forum: BEmONC Updates tentatively May 2019
• Maternal Sepsis Elimination Campaign: May 2019
• Program Implementation Reviews: third quarter and 4th
quarter of 2019
THANK YOU FOR LISTENING