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Field Health Services Information

System (FHSIS) Indicators ver. 2018


Family Health Care and Services

Chapter 4.2

Maternal Care and


Services
Family Health Care and Services

B. Maternal Care and Services


Prenatal Care
● At least 4 prenatal check-ups
● Nutritional status by measurement of body mass index
● Immunization against Tetanus diphtheria
● Micronutrient supplementation of iron with folic acid, calcium carbonate, iodine capsule
● One dose of deworming tablet
● STI Testing: Syphilis, Hepatitis B and HIV
● Laboratory Testing: complete blood count or hemoglobin & hematocrit count, gestational
diabetes
Family Health Care and Services
B. Maternal Care and Services

Intrapartum Care and Delivery Outcome


● Livebirths by birth weight,
● Deliveries attended by skilled health professionals
● Deliveries in health facilities
● Deliveries by type: vaginal, cesarean section
● Pregnancy outcome: full-term, pre-term, fetal death, abortion/miscarriage
Family Health Care and Services
B. Maternal Care and Services

Postpartum Care
● Given with at least 2 postpartum check-ups together with their newborns within
7 days after delivery
● Micronutrient supplementation of iron with folic acid for 3 months
● Provision of 1 dose of Vitamin A supplementation within 1 month after delivery
Amendment
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Pre-natal
1. Number of Refers to the number of women who gave birth with at least Numerators:
women who gave 4 prenatal check-ups (availed as follows among the total No. of women who gave
birth with at least 4 deliveries during the year): birth with at least 4 prenatal
prenatal check-   check-ups
ups 1st tri = up to 12 weeks and 6 days AOG (at least 1 check- 1. 10-14 y/o
  up) 2. 15-19 y/o
Disaggregation: 2 tri = 13-27 weeks and 6 days AOG (at least 1 check-up)
nd
3. 20-49 y/o
• By age group 3rd tri = 28 weeks AOG and more (at least 2 check-ups)  
• 10-14 yo   Denominator 1,2,3:
• 15-19 yo
• 20-49 yo Include clients given care by private facilities with the Total Deliveries during the
following conditions: year
∙ Existing reporting system  
∙ Intervention provided to private facilities Multiplier 1,2,3: 100
∙ Reporting forms submitted to public facilities
Target: 95%
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Pre-natal
2. Proportion of pregnant women Refers to the proportion of pregnant Numerator 1:
according to their nutritional women seen during the first Number of pregnant women seen in
status trimester whose body mass index the first trimester who had normal
were measured and classified as BMI
normal or nutritionally-at-risk based • 10-14 years old
Disaggregation: on BMI. • 15-19 years old
• By age group
  • 20-49 years old 
• 10-14 years old
Normal BMI cutoff: between 18.5-
• 15-19 years old
22.9 kg/m2  
• 20-49 years old    Denominator 1:
Nutritionally-at-risk – are those Under 1 Population
with low and high BMI:  
  Multiplier : 100
Low: BMI less than 18.5 kg/m2
High: BMI 23.0 and above kg/m2 Target: Less than 30%
(overweight/obese) (Asia Pacific
Standard)
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Computation of BMI: Numerator 2:
Number of pregnant women seen in
BMI = weight in kg/ the first trimester who have low BMI
(height in m)2 • 10-14 years old
• 15-19 years old
• 20-49 years old 

Denominator 2:
Under 1 Population

Target: Less than 5%


Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Numerator 3:
Number of pregnant women seen in
the first trimester who have high
BMI
• 10-14 years old
• 15-19 years old
• 20-49 years old  

Denominator 3:
Under 1 Population

Target: Less than 5%

Multiplier: 1,2,3: 100


Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
3. Proportion of women pregnant for Refers to the number of pregnant Numerator 1:
the first time given 2 doses of women given 2 doses of Tetanus Number of 10-14 years old pregnant
Tetanus diphtheria (Td) vaccination diphtheria (Td) vaccination on their first women for the first time given 2 doses
  pregnancy among the total estimated of Td vaccination
  number of pregnant women in the
population. Numerator 2:
  Number of 15-19 years old pregnant
Disaggregation: Note: Include pregnant women given women for the first time given 2 doses
• By age group complete routine dose of DPT-HiB- of Td vaccination
• 10-14 years old HepB 1,2,3 or DPT 1,2,3 OR given
• 15-19 years old booster dose of Td1 and Td2 in the Numerator 3:
• 20-49 years old  numerator. Number of 20-49 years old pregnant
women for the first time given 2 doses
In the event that the pregnant woman of Td vaccination
could not ascertain doses received,
the pregnant woman should still Denominator 3:
receive at least 2 doses of Td. Under 1 Population

Target: 95%
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Pre-natal
4. Proportion of women Refers to the proportion of pregnant women Numerators:
pregnant for the 2nd or more who had at least 2 doses of Tetanus Number of pregnant women for
times given at least 3 doses diphtheria (Td) on their first pregnancy and the 2nd or more times given at
of Td vaccination (Td2 Plus) given one dose more of Td vaccination on least 3 doses of Td vaccination
  their succeeding pregnancies among the total (Td2 Plus):
estimated number of pregnant women in the
population 1. 10-14 y/o
Disaggregation:   2. 15-19 y/o
• By age group Note: include 3rd dose Td immunization 3. 20-49 y/o
• 10-14 years old
following the standard interval   
• 15-19 years old OR Denominator 1,2,3:
• 20-49 years old  1 Td immunization every pregnancy after the Under 1 Population
first pregnancy provided that the pregnant
woman received 2 doses of Td immunization  
during the first pregnancy Multiplier 1,2,3: 100

Target: 95%
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
5. Proportion of Refers to the number of pregnant women who have taken Numerators:
Pregnant women who complete iron tablet with folic acid supplementation among Number of pregnant
completed the dose of the total estimated number of pregnant women in the women who completed
iron with folic acid population. the dose of iron with
supplementation   folic acid
  Complete iron tablet with folic acid supplementation supplementation:
  refers to 60 mg of elemental iron with 400 mcg Folic acid,
  once a day for 6 months or 180 tablets for the entire 1. 10-14 y/o
 Disaggregation: pregnancy period. 2. 15-19 y/o
• By age group ∙ Regardless of where the supplement was sourced from. 3. 20-49 y/o
• 10-14 years old ∙ Iron tablet should be taken as soon as pregnancy is  
• 15-19 years old confirmed Denominator 1,2,3:
• 20-49 years old  ∙ If the pregnant woman did not take full course of 180 Under 1 Population
tablets, she is not counted  
∙ Include in the report pregnant women who bought their Multiplier 1,2,3: 100
own iron with folic acid supplements but need to validate
and dosage should meet DOH’s standard. Target: 95%
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
6. Proportion of pregnant Refers to the proportion of pregnant women who Numerators:
women who completed have taken complete doses of calcium carbonate No. of pregnant women who
doses of calcium carbonate starting at 20th week until delivery among the total have completed doses of
supplementation estimated number of pregnant women in the calcium carbonate
  population supplementation:
 
Disaggregation: Dosage: 1.25g tablet with 500 mg elemental 1. 10-14 y/o
By age group calcium, 1 tab 3x times a day starting at 20 th week 2. 15-19 y/o
• 10-14 years old until delivery 3. 20-49 y/o
• 15-19 years old    
Source: Include whether DOH-supplied, LGU Denominator 1,2,3:
• 20-49 years old 
procured or out of pocket Under 1 Population

Note: To be given starting 2nd trimester. If pregnant  


women failed to visit the health facility at 2nd Multiplier 1,2,3: 100
trimester, calcium carbonate may still be given in
the third trimester Target: 30%

Source: TCL for maternal


care and services
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Pre-natal
7. Proportion of pregnant women Refers to the number of pregnant Numerator:
given iodine capsules women given iodine capsules No. of pregnant women given iodine
  among the total number of capsules supplementation
  estimated pregnant women in the 1. 10-14 y/o
  population 2. 15-19 y/o
   3. 20-49 y/o
Disaggregation: Dosage: Iodized oil fluid oral 500  
• By age group mg equivalent to 200mg elemental Denominator 1,2,3:
• 10-14 years old iodine, 2 capsules, single dose Under 1 Population
• 15-19 years old (preferably given during the 1 st
• 20-49 years old  trimester)  
Multiplier 1,2,3: 100

Target: 95%
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Pre-natal
8. Proportion of pregnant women Refers to the number of pregnant Numerators:
given one dose of deworming women given one dose of deworming Number of pregnant women given one
tablet tablet preferably during the 2nd or 3rd dose of deworming tablet:
  trimester among the total number of 1. 10-14 y/o
estimated pregnant women in the 2. 15-19 y/o
population. 3. 20-49 y/o
Disaggregation:  
• By age group Dosage: 1 deworming tablet Denominator 1,2,3:
• 10-14 years old Under 1 Population
• 15-19 years old
 
• 20-49 years old 
Multiplier 1,2,3: 100

Target: 95%

Source: TCL for maternal care and


services
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Pre-natal
9. Proportion of pregnant women Refers to the number of pregnant Numerators:
screened for syphilis women screened for syphilis among Number of pregnant women
  the total number of estimated screened for syphilis
pregnant women in the population. 1. 10-14 y/o
2. 15-19 y/o
3. 20-49 y/o
Disaggregation:  
• By age group Denominator 1,2,3:
• 10-14 years old Under 1 Population
• 15-19 years old
• 20-49 years old   
Multiplier 1,2,3: 100

Target: 95%
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Pre-natal
10. Proportion of pregnant women Refers to the proportion of pregnant Numerators:
tested positive for syphilis women found positive with syphilis Number of pregnant women found
  among the total number of pregnant positive with syphilis
women screened 1. 10-14 y/o
2. 15-19 y/o
3. 20-49 y/o
 
Disaggregation: Denominator 1,2,3:
• By age group
Total Number of pregnant women
• 10-14 years old
screened for syphilis
• 15-19 years old
 
• 20-49 years old  Multiplier 1,2,3: 100

No Target
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Pre-natal
11. Proportion of pregnant women Refers to the number of pregnant Numerator:
screened for Hepatitis B screened for Hepatitis B surface Number of pregnant women
  antigen among the total number of screened for Hepatitis B
estimated pregnant women in the 1. 10-14 y/o
population 2. 15-19 y/o
3. 20-49 y/o
Disaggregation:  
• By age group Denominator 1,2,3:
• 10-14 years old Under 1 Population
• 15-19 years old
• 20-49 years old   
Multiplier 1,2,3: 100

Target: 95%
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Pre-natal
12. Proportion of pregnant women Refers to the number of pregnant Numerator:
tested positive for Hepatitis B women found positive with Hepatitis Number of pregnant women tested
  B among the total number of positive for Hepatitis B
pregnant women screened for 1. 10-14 y/o
Hepatitis B 2. 15-19 y/o
3. 20-49 y/o
 
Disaggregation: Denominator 1,2,3:
• By age group Total Number of pregnant women
• 10-14 years old screened for Hepatitis B
• 15-19 years old  
• 20-49 years old  Multiplier 1,2,3: 100

No Target
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Pre-natal
13. Proportion of pregnant Refers to the number of pregnant Numerators:
women screened for HIV women screened for HIV among Number of pregnant women
  total number of pregnant women in screened for HIV
  the population 1. 10-14 y/o
2. 15-19 y/o
3. 20-49 y/o
Disaggregation:  
• By age group Denominator 1,2,3:
• 10-14 years old Under 1 Population
• 15-19 years old
• 20-49 years old   
Multiplier 1,2,3: 100

Target: 95%
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Pre-natal
14. Proportion of pregnant women Refers to the number of pregnant Numerators:
tested for complete blood count women tested for CBC or Hgb &Hct Number of pregnant women tested
(CBC) or Hemoglobin (Hgb) & count preferably done/administered for CBC or Hgb & Hct count
Hematocrit (Hct) count during the first trimester among the 1. 10-14 y/o
  estimated total number of pregnant 2. 15-19 y/o
women in the population 3. 20-49 y/o
 
Disaggregation: Denominator 1,2,3:
• By age group Under 1 Population
• 10-14 years old  
• 15-19 years old Multiplier 1,2,3: 100
• 20-49 years old 
Target: 95%
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Pre-natal
15. Proportion of pregnant Refers to the proportion of pregnant
Numerators:
women tested for complete women diagnosed with anemia Number of pregnant women
blood count or Hgb & Hct count among those pregnant women diagnosed with anemia
diagnosed with anemia tested for complete blood count or 1. 10-14 y/o
  Hgb&Hct count. 2. 15-19 y/o
3. 20-49 y/o
Disaggregation: ∙ Diagnosis should be done by a  
• By age group physician Denominator 1,2,3:
• 10-14 years old ∙ Management and treatment after Number of pregnant women tested
• 15-19 years old diagnosis (referral logbook in for CBC or Hgb&Hct count
• 20-49 years old  and out)  
∙ Include clinical Multiplier 1,2,3: 100
reference/treatment card,
BEmONC manual) No Target
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Pre-natal
16. Proportion of pregnant women Refers to the number of pregnant Numerators:
screened for gestational women screened for gestational Number of pregnant women
diabetes diabetes using any of the following screened for gestational diabetes
  among the estimated total number 1. 10-14 y/o
  of pregnant women in the 2. 15-19 y/o
population: 3. 20-49 y/o
Disaggregation: ∙ GCT (minimum)  
• By age group ∙ Oral Glucose Tolerance Test Denominator 1,2,3:
• 10-14 years old (OGTT) (2x) Under 1 Population
• 15-19 years old Screened for gestational diabetes  
• 20-49 years old  means any screening method for Multiplier 1,2,3: 100
gestational diabetes prescribed by
physician Target: 95%
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula

Pre-natal

17. Proportion of pregnant Refers to the number of pregnant women tested positive for Numerators:
women tested positive for gestational diabetes among pregnant women screened for Number of pregnant women tested
gestational diabetes gestational diabetes positive for gestational diabetes
    1. 10-14 y/o
Diagnosis should be done by a physician 2. 15-19 y/o
  3. 20-49 y/o
Disaggregation: Diagnosis of GDM:  
• By age group -2hrs (postprandial) Oral Glucose Tolerance Test ≥ 200mg/dl Denominator 1,2,3:
• 10-14 years old (11.1mmol/L) Number of pregnant women
screened for gestational diabetes
• 15-19 years old  
• 20-49 years old  Multiplier 1,2,3: 100
Threshold for diagnosis of GDM
75g OGTT (mg/dl)
No Target
FBS 92 Any one value
meeting threshold
1 hour 180 is considered GDM
2 hours 153
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Intra-Partum and Delivery Outcome
18. Total Number of deliveries Refers to the total number of women who Sum of all deliveries based on actual
  delivered a live baby or stillbirth/fetal count
death at a given period.
 
Note:
Complete delivery refers to the delivery of
Disaggregation: the newborn/fetus (whether dead or alive)
up to the complete expulsion of the
• By age group placenta from the mother’s womb 
• 10-14 years old ∙ Multiple births by a woman is counted
• 15-19 years old as 1 delivery
• 20-49 years old  ∙ Deliveries by caesarian section and Source: TCL
assisted vaginal delivery are included in
this count.
∙ Abortion/miscarriage is not included in
the counts of deliveries.
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Intra-Partum and Delivery Outcome
19. Proportion of Livebirths by Refers to the number of babies born alive (newborns) who Numerators:
Birthweight weigh 2500 grams and greater, less than 2500 grams and with No. of livebirths with:
  unknown weight among total live births. 1. normal birth weight (>
Disaggregation:   2500 grams)
∙ Low birth weight Birthweight is the first weight of the infant obtained after 2. low birth weight (< 2500
∙ Normal birth weight birth. For livebirths, birth weight should preferably be grams)
∙ Unknown birthweight measured before significant postnatal weight loss has 3. unknown birth weight
  occurred.  
  Denominator 1, 2 and 3:
Low Birth Weight: livebirths with weights less than 2500 Total No. of Livebirths
Disaggregation: grams  
• By age group   Multiplier 1,2,3: 100
• 10-14 years old Normal Birth Weight:  
• 15-19 years old livebirths with weights equal to or greater than 2500 grams.
 
• 20-49 years old  Unknown Birth Weight: livebirths whose weights at birth are
not known.
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Intra-Partum and Delivery Outcome
20. Proportion of Refers to the number of deliveries attended by skilled health Numerators:
deliveries attended by professionals among the total number of deliveries Number of deliveries of
skilled health   women attended by skilled
professionals Skilled health professionals: Sometimes referred to as skilled health professionals
  attendants. These are licensed midwives, doctors or nurses who 1. 10-14 years old
have been educated and trained to proficiency in the skills needed 2. 15-19 years old
Disaggregation: to manage normal and complicated pregnancies, childbirth and the 3. 20-49 years old
• By Skilled Health immediate postnatal period, and in the identification, management
Professional and referral of complications in women and newborns. Denominator 1,2,3:
• physicians   Total no. of deliveries
• nurses This definition excludes traditional birth attendants whether  
• midwives  trained or not. Multiplier 1,2,3: 100
• By age group  
• 10-14 years old
• 15-19 years old
• 20-49 years old 
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Intra-Partum and Delivery Outcome
21. Proportion of facility-based Refers to the number of deliveries in health facilities Numerators:
deliveries among the total number of deliveries Number of deliveries in
    public/private health facility among
  Facility-Based Delivery: refers to deliveries in clinics, 1. 10-14 years old women
Disaggregated by: BHS, RHUs, lying-ins, birthing clinics, hospitals, DOH- 2. 15-19 years old women
By ownership of facility licensed ambulance (AO 2010-0003 & AO 2016-0029) 3. 20-49 years old women
∙ Public Health Facility  
∙ Private Health Facility Note: birth in the emergency transport (e.g. jeepney, Denominator 1,2,3:
tricycle, taxis, vehicles labelled as ambulance but is ill- Total no. of deliveries
Agegroup equipped, no emergency drugs and no trained staff) is  
∙ 10-14 years old not considered a facility based delivery  Multiplier 1,2,3: 100
∙ 15-19 years old
∙ 20-49 years old Target: 90%
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Intra-Partum and Delivery Outcome
22. Proportion of deliveries by type Refers to the number of deliveries by type Numerator 1:
(vaginal or cesarean section) (vaginal and caesarian section) among No. of vaginal deliveries among women
  total number of deliveries. a. 10-14 years old
    b. 15-19 years old
  Vaginal: refers to deliveries by normal c. 20-49 years old
spontaneous delivery (NSD) and assisted  
Disaggregation: vaginal deliveries such as vacuum and Numerator 2:
• forceps No. of deliveries via caesarian section
Type   among women
• Vaginal Cesarean Section: refers to deliveries by a. 10-14 years old
• Cesarean caesarian section b. 15-19 years old
  c. 20-49 years old
 
• By age group Denominator 1,2:
• 10-14 years old Total number of Deliveries
 
• 15-19 years old Multiplier 1,2: 100
• 20-49 years old 
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Intra-Partum and Delivery Outcome
23. Proportion of Refers to the number of pregnancy by outcome among the Numerator 1:
Pregnancy by Outcome total number of deliveries Number of full-term births
    among women
Full Term Birth. The complete expulsion or extraction of a live a. 10-14 years old
fetus from the mother’s womb, with 37-42 weeks age of b. 15-19 years old
Disaggregation: gestation and shows evidence of life such as voluntary c. 20-49 years old
• By age group movement, heartbeat, pulsation of the umbilical cord, for  
• 10-14 years old however brief a time and whether or not the umbilical cord or Numerator 2:
• 15-19 years old placenta is intact. Number of pre-term birth
• 20-49 years old 
  among women
Pre Term Birth. The complete expulsion or extraction of a live a. 10-14 years old
fetus from the mother’s womb, with 22-36 weeks age of b. 15-19 years old
gestation and shows evidence of life such as voluntary c. 20-49 years old
movement, heartbeat, pulsation  
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
  of the umbilical cord, for however brief a time and whether or not Numerator 3:
the umbilical cord or placenta is intact. Number of fetal deaths
  among women
Fetal Death. Also known as “stillbirth,” is the death of a fetus in a. 10-14 years old
utero that has reached a birth weight of 500 grams, or if birth weight b. 15-19 years old
is unavailable, gestational age of 22 weeks and above or crown-to- c. 20-49 years old
heel length of 25 centimeters. The death is evidenced by the  
absence of any sign of life upon extraction from the mother’s womb. Numerator 4:
  Number of abortions
Abortion/Miscarriage. Termination of pregnancy before the fetus among women
becomes viable. (before the 20th week of pregnancy). a. 10-14 years old
Also includes abortus whose weight is < 500 grams regardless of b. 15-19 years old
AOG. c. 20-49 years old
   
Multiplier 1,2,3: 100

Denominator 1,2,3: Total number


of deliveries
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Post-Partum Care
24. Proportion of post-partum women Refers to the number of post-partum Numerators:
together with their newborn who women together with their newborn Number of post-
completed at least 2 postpartum who completed at least 2 check-ups partum women together with their
check-ups. among the estimated total number of newborn who completed at least 2
  PP women in the population post-partum check-ups
1. 10-14 years old
2 Post-partum check-ups refers to 2. 15-19 years old
Disaggregation: check-ups provided by the
3. 20-49 years old
• By age group midwife/nurse/MHO to the mother
together with their newborn within 1
• 10-14 years old week after delivery Denominator 1,2,3:
• 15-19 years old   Total deliveries
• 20-49 years old  Note:  
Postpartum women who had stillbirth Multiplier 1,2,3: 100
should also have 2 postpartum check-
ups
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Post-Partum Care
First check-up should be within 24 Target: 95%
hours after delivery or before the
mother is discharged from the birthing
facility. Delivery in the health facility
considered as first check-up.
 
Second check-up is provided by the
midwife/nurse/MHO to the mother
together with their newborn within 7
days after delivery
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Post-Partum Care
25. Proportion of post-partum women Refers to the number of post-partum Numerators:
who completed iron with folic acid women who completed iron with folic Number of post-partum women who
supplementation acid supplementation among the completed iron with folic acid
  estimated total number of PP women in supplementation
the population 1. 10-14 years old
  2. 15-19 years old
Complete Iron with Folic Acid 3. 20-49 years old
Disaggregation: Supplementation refers to 60 mg of  
• By age group Iron with 400 mcg Folic acid, once a day Denominator 1,2,3:
• 10-14 years old for 3 months or a total of 90 tablets. If Under 1 Population
• 15-19 years old postpartum mother did not take full  
• 20-49 years old  course of 90 tablets, she will not be Multiplier 1,2,3: 100
reported.
  Target: 95%
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Post-Partum Care
Note: Numerators:
∙ Regardless of where the Number of post-partum women who
supplement was sourced from. completed iron with folic acid
∙ If the postpartum woman did not supplementation
take full course of 90 tablets, she is 1. 10-14 years old
not counted 2. 15-19 years old
∙ Include in the report postpartum 3. 20-49 years old
women who bought their own iron  
with folic acid supplements but Denominator 1,2,3:
need to validate and dosage should Under 1 Population
meet DOH’s standard.  
Multiplier 1,2,3: 100
Family Health Care and Services

B. Maternal Care and Services


Indicator Definition Formula
Post-Partum Care
26. Proportion of post-partum women Refers to the number of post-partum Numerators:
with Vitamin A supplementation women with Vitamin A Number of PP women with Vitamin A
  supplementation among the estimated supplementation
total number of PP women in the 1. 10-14 years old
population 2. 15-19 years old
Disaggregation:   3. 20-49 years old
Vitamin A supplementation Refers to  
• By age group 200,000 I.U. of Vitamin A capsule given Denominator 1,2,3:
• 10-14 years old to PP women within 1 month after Under 1 Population
• 15-19 years old delivery
• 20-49 years old   
Multiplier 1,2,3: 100
Master Listing of Pregnant and Postpartum
Women in the Pregnancy Tracking Form
MNC Form I Side A

Provision of
Prenatal and
Postpartum Care
Using the Maternal
Client Record for
Prenatal,
Postpartum and
Newborn Care
Side B
Birth and
Emergency Plan
MNC Form 2 Side A
MNC Form 2 Side B
1 2 3 4 7 8
9
5 6
10 11 14

13
12
15 19

21
17
18

16 20
22 24

25

23
Summary Table for Maternal Care and Services
Monthly Consolidation Table for
Maternal Care and Services
Reconciliation of Live births in LCR and TCL
Additional Guides in Recording and
Reporting Maternal Services
Maternal health care and services provided by the
private health facilities can be included in the numerator
as long as there is an established partnership between
the DOH/LGU and the private health facilities. This
assumes that the private health facilities use the same
definitions and formulas of the indicator used by the
public health facilities.
Additional Guides in Recording and
Reporting Maternal Services
I.1 Proportion of Pregnant Women with At least 4 ANC Check-ups

1. If a pregnant woman received all her prenatal check-ups in a private facility following
the standard definition of 4ANC set by the DOH upon validation by the local health staff
based on the mother’s record and/or check-up at the private health facility, this can be
included in the count.

2. In high-end areas (e.g. private subdivisions, etc.) where most pregnant women had
prenatal check-ups with their private physicians, they cannot be included in the report.
However, if the public health facility conducted home or follow-up check-up to the
pregnant women with proof of prenatal check-up from the private facility (presence of
mother and child book/card) then the pregnant woman can be reported in the 4ANC.
Additional Guides in Recording and
Reporting Maternal Services
I.2 Intrapartum (Classifying deliveries)

1. Birth in an ambulance is considered facility-based delivery provided that this is DOH-


licensed and complies with the national policy on ambulance use and services (AO 2010-0003
& AO 2016-0029)
2. Birth in an emergency transport is not considered a facility based delivery unless the
completion of the birthing process happened in the health facility (expulsion of the placenta).
3. If delivery happens in transit with the full expulsion of the placenta, it is considered as non-
health facility based delivery.
4. Regardless of the number of children delivered (in the case of multiple births), the number
of deliveries should only be counted as one. This should be counted where the placenta was
completely expelled.
Additional Guides in Recording and
Reporting Maternal Services
I.3 Proportion of Postpartum Women with At least 2 PP Check-ups

1. Consider a woman who delivered in a health facility and


discharged only after 24 hours to have received the first
postpartum check-up.

2. Postpartum check-up can be provided in a health facility or at


home.
Additional Guides in Recording and
Reporting Maternal Services
I.4 Proportion of women less than 10 years old and more than 50 years old
provided with Maternal Care and Services

1. Record any woman less than 10 years old and more than 50 years old provided
with Maternal Care (Prenatal, Intrapartum, Postpartum) in the TCL for Maternal
Care under the columns for 10-14 years old and 20-49 years old respectively.

2. Include the above women in the total counts when preparing MCT, ST, M1 and
Q1 for Maternal Care. Include ≤ 9 years old in 10-14 years old age group and ≥ 50
years old in the 20-49 years old age group then indicate their age in the Remarks
Column
Thank you.

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