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Mother Father

The National Safe Motherhood Program aims to improve access to high quality maternal and newborn health services for Filipino women. It works with local governments to establish sustainable delivery of integrated health services. The program focuses on: (1) increasing access to services near people's homes; and (2) building national capacity and support systems. It promotes delivery of maternal-newborn services, family planning, and women's health through local health networks and reliable financing like PhilHealth.

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0% found this document useful (0 votes)
209 views10 pages

Mother Father

The National Safe Motherhood Program aims to improve access to high quality maternal and newborn health services for Filipino women. It works with local governments to establish sustainable delivery of integrated health services. The program focuses on: (1) increasing access to services near people's homes; and (2) building national capacity and support systems. It promotes delivery of maternal-newborn services, family planning, and women's health through local health networks and reliable financing like PhilHealth.

Uploaded by

AnonymousTarget
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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MOTHER/FATHER

NATIONAL SAFE MOTHERHOOD PROGRAM

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:

1. 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
2. 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 Development and relevant national
offices: Establishment of Reliable Sustainable Support Systems for Maternal-
Newborn Service Delivery through such initiatives as:
a. Establishment of Safe Blood Supply Network with support from the
National Voluntary Blood Program
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, Education
Communication materials
d. 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

o Local Government Units


o 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
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 Accomplishments/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.

o Action Point and Timelines:


o Continuous advocacy on:
o Importance of ANC and Facility Delivery is on-going
at LGU level;
o National and regional advocacy every 2nd week of
May, the safe Motherhood week with support from the
Health Promotion and Communication Service
o Continuous implementation of policies passed at LGU Health
Systems
o Implementation of AO 2016-0035 on the Provision of Quality
Antenatal Care
o On-going
o Distribution of ANC Tarpaulin within the last quarter
of 2018
o 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.

o Action Points and Timelines


o Culture and gender sensitive service delivery provision by LGU
Health Systems is on-going
o Updated AO 2008-0029 (MNCHN Policy) draft by last quarter of
2018
o 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.

o Action Points and Timelines


o Continuous application and renewal of PhilHealth accreditation
by Birthing Centers
o Continuous enrolment of poor families to PhilHealth Sponsored
Program by LGUs
o Establishment of Safe Blood Supply Network in collaboration
with the National Voluntary Blood Services Program is on-going
C. 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.

o Action Points and Timelines


o Conduct of Maternal Death Surveillance and Response is on-
going at Provincial and City Health Systems is on-going
o Conduct of National MDSR Forum every 2 years.
The second national forum shall be conducted in 2019 (the
first was conducted in 2017)
o Conduct of 4 Regional Maternal Death Surveillance
and Response (MDSR) Fora every 2 years (2018, 2020,
etc)
o Drafting and passage of relevant policies with
MDSR results as basis:
o National Policy on the Provision of
Birthing Assistance of Primigravid and Multigravid
Women is targeted to commence implementation
by 2019.
o 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/Status

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

o Conduct of BEmONC Training by Training Centers – on-going


o Conduct of Maternal Death Surveillance and Response – on-going
o Safe Motherhood Week Celebration at Regional level every 2nd week of May
o Enhancement of Positive Birthing Experience Protocol: First Quarter of 2019
o MHO Forum: BEmONC Updates tentatively May 2019
o Maternal Sepsis Elimination Campaign: May 2019
o Program Implementation Reviews: third quarter and 4th quarter of 2019

Statistics

  Targets Accomplishments
2013 2014 2015 2016 2017 2013 2014 2015 2016 2017
Indicators
4 Antenatal
75% 80% 85% 90-% 95% 73% 78% 74% 79% 87%
Care Visits
% Facility
75% 80% 85% 90% 95% 78% 80% 81% 88% 78%
Delivery
% Skilled
Health
Professional 75% 80% 85% 90% 95% 87% 86% 85% 90% 84%
Assisted
Delivery
2 Postnatal 75% 80% 85% 90 95 78% 76% 81% 81% 86%
check-ups
Please Note: Accomplishments from 2013-2016 are based on Program Reports; while 2017
accomplishments are based on NDHS 2017 results.

NATIONAL FAMILY PLANNING PROGRAM


DESCRIPTION
A national mandated priority public health program to attain the country's national health
development: a health intervention program and an important tool for the improvement of
the health and welfare of mothers, children and other members of the family. It also
provides information and services for the couples of reproductive age to plan their family
according to their beliefs and circumstances through legally and medically acceptable
family planning methods.
The program is anchored on the following basic principles.
 Responsible Parenthood which means that each family has the right and duty
to determine the desired number of children they might have and when they
might have them. And beyond responsible parenthood is Responsible Parenting
which is the proper ubringing and education of chidren so that they grow up to be
upright, productive and civic-minded citizens.
 Respect for Life. The 1987 Constitution states that the government protects the
sanctity of life. Abortion is NOT a FP method:
 Birth Spacing refers to interval between pregnancies (which is ideally 3 years).
It enables women to recover their health improves women's potential to be more
productive and to realize their personal aspirations and allows more time to care
for children and spouse/husband, and;
 Informed Choice that is upholding and ensuring the rights of couples to
determin the number and spacing of their children according to their life's
aspirations and reminding couples that planning size of their families have a
direct bearing on the quality of their children's and their own lives.

Vision

For Filipino women and men achieve their desired family size and fulfill the reproductive
health and rights for all through universal access to quality family planning information
and services.

Mission

In line with the Department of Health FOURmula One Plus strategy and Universal Health
Care framework, the National Family Planning Program is committed to provide
responsive policy direction and ensure access of Filipinos to medically safe, legal, non-
abortifacient, effective, and culturally acceptable modern family planning (FP) methods.

Objectives

1. To increase modern Contraceptive Prevalence Rate (mCPR) among all


women from 24.9% in 2017 to 30% by 2022
2. To reduce the unmet need for modern family planning from 10.8% in 2017
to 8% by 2022

Program Components

Component A: Provision of free FP Commodities that are medically safe, legal, non-
abortifacient, effective and culturally acceptable to all in need of the FP service:

o Forecasting of FP commodity requirements for the country


o Procurement of FP commodities and its ancillary supplies
o Strengthening of the supply chain management in FP and ensuring
of adequate FP supply at the service delivery points

Component B: Demand Generation through Community-based Management


Information System:

o Identification and profiling of current FP users and identification of


potential FP clients and those with unmet need for FP (permanent or
temporary methods)
o Mainstreaming FP in the regions with high unmet need for FP
o Development and dissemination of Information, Education
Communication materials
o Advocacy and social mobilization for FP

Component C: Family Planning in Hospitals and other Health Facilities

o Establishment of FP service package in hospitals


o Organization of FP Itinerant team for outreach missions
o Delivery of FP services by hospitals to the poor communities
especially Geographically Isolated and Disadvantaged Areas
(GIDAs):
o Provision of budget support to operations by the itinerant teams
including logistics and medical supplies needed for voluntary
surgical sterilization services
o FP services as part of medical and surgical missions of the hospital
o Partnership with LGU hospitals for the FP outreach missions

Component D: Financial Security in FP

o Strengthening PhilHealth benefit packages for F


o Expansion of PhilHealth coverage to include health centers
providing No Scalpel Vasectomy and FP Itinerant Teams
o Expansion of Philhealth benefit package to include pills, injectables
and IUD
o Social Marketing of contraceptives and FP services by the partner
NGOs
o National Funding/Subsidy
Strategies, Action Points and Timeline

Apart from the routine means of FP service delivery, the National Family Planning
Program also employs the following main strategies to ensure universal access to FP:

o FP Outreach Mission – this maximizes opportunities where clients are and FP


services are delivered down to the community level.
o FP in hospitals – this address missed opportunities where women especially
those who recently gave birth are offered with appropriate FP services.  
o Intensive Demand generation through house-to-house visits by the community
health volunteers, Family Development Sessions, Usapan sessions, among
others

TYPES OF FAMILY PLANNING:

NATURAL ARTIFICIAL PERMANENT


- Standard days method - Condoms - Vasectomy
- Lactational Amenorrhea - Injectables - Bilateral Tubal Ligation
method - Oral contraceptive pills
- Basal Body Temperature - Intrauterine device
- Billings ovulation/Cervical
Mucus method
- Symptothermal

NATURAL:
You can only use the Standard Days Method if:
o Your menstrual cycle is really regular (your periods always come at the same
time).
o Your cycle is never shorter than 26 days.
o Your cycle is never longer than 32 days.
o You’re okay with either not having vaginal sex or using birth control from day 8
through day 19 of each cycle.
To use the Standard Days method, you simply don’t have vaginal sex or use another
method of birth control on days 8-19 of your cycle.

Most people using the Standard Days method use an app or have a special string of
beads, called CycleBeads, that helps them keep track of their cycles. CycleBeads have
33 colored beads and a black rubber ring that moves from bead to bead.

Lactational Amenorrhea Method is a temporary postpartum method of postponing


pregnancy based on the physiological infertility experienced by breastfeeding mothers.
Mothers may ovulate but not menstruate while breastfeeding.

Basal Body Temperature is used to identify the fertile and infertile period of a woman’s
cycle by daily taking and recording the rise and fall in body temperature during and after
ovulation. Woman’s BBT falls about half a degree before day of ovulation and BBT rises
a full degree at time of ovulation.
The Billings ovulation method is a method in which women use their vaginal mucous
to determine their fertility. It does not rely on the presence of ovulation, rather it identifies
patterns of potential fertility and obvious infertility within the cycle, whatever its length.
Effectiveness, however, is not very clear.

Symptothermal is a combination of BBT and Billings method.

ARTIFICAL:
Condom is a thin sheath of latex rubber made to fit on a man’s erected penis, it
prevents the passage of sperm into the internal vagina.
Injectables contain synthetic hormone, progestin which suppresses ovulation; thickens
cervical mucus thus making it difficult for sperm to pass through
Oral Contraceptive Pills contain hormones: estrogen and progesterone, taken daily to
prevent conception. It also reduces gynaecological symptoms like painful menstruation
and reduce the risk of ovarian and endometrial cancers
Intrauterine Device is a long term birth control that is a small, T-shaped plastic device
that is wrapped in coppe or contains hormones. A plastic string is ties of the IUD hangs
down through cervix into vagina. It can last up to 10 years.
PERMANENT:
Vasectomy prevents passage of sperm because the vas deferens is blocked or cut
Bilateral Tubal Ligation involves cutting or blocking of the 2 fallopian tubes.

Family planning provides many benefits to mother, children, father, and the family.

Mother

 Enables her to regain her health after delivery.


 Gives enough time and opportunity to love and provide attention to her
husband and children.
 Gives more time for her family and own personal advancement.
 When suffering from an illness, gives enough time for treatment and
recovery.

Children

 Healthy mothers produce healthy children.


 Will get all the attention, security, love, and care they deserve.

Father

 Lightens the burden and responsibility in supporting his family.


 Enables him to give his children their basic needs (food, shelter, education,
and better future).
 Gives him time for his family and own personal advancement.
 When suffering from an illness, gives enough time for treatment and
recovery.
Roles of a Nurse on Family Planning Program

 Provide counselling among the clients will help increase FP acceptors and avoid
defaulters
o To inform, educate and convince mothers on the use of family planning
methods
o To inform and discuss the importance and benefits/advantages
/disadvantages of family planning
o To inform its side effects, complications and what to do if problems
develop
o to inform the effectiveness of FP methods
 Provide packages of health services among reproductive age group in all health
facilities
o Family planning
o MCHN
o Management of reproductive tract infections including STIs/HIV/AIDS
o Violence against women
o Management of breast and other reproductive cancers
 Ensure the availability of FP supplies and logistics for the client.

Retrieved from:
https://www.doh.gov.ph/national-safe-motherhood-program
https://www.doh.gov.ph/family-planning
Cuevas et al (2007). The Family planning program. Public Health Nursing in the
Philippines. p133

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