NCM 34: Care of Mother and Child AT Risk (Chronic “Implementing Health Reforms for the Rapid Reduction
or Acute) of Maternal and Neonatal Mortality”
Maternal Health Program MNCHN – Maternal, Newborn, and Child Health and
Nutrition
Maternal and Child Health refer to mother and child
relationship to one another and consideration of entire The strategy aims to achieve the ff intermediate results:
family as well as the culture and socio-economic
environment as framework of the patient 1. Every pregnancy is wanted, planned and
supported
It involves the acre of the woman and family throughout - Reference: The MNCHN Manual of Operations
preganancy and childbirth and the health promotion and 2011
illness care for the children and families 2. Every pregnancy is adequately managed
throughout its course;
Objective:
3. Every delivery is facility-based and managed by
- To improve the survival, health well being of skilled birth attendants/ skilled health
mothers and unborn child through a package of professionals; and
services for the pre-pregnancy, prenatal, natal 4. Every mother and newborn pair secures proper
and post natal stages post-partum and newborn care with smooth
transitions to the women’s health care package
Maternal Health Situation for the mother and child survival package for the
newborn
Philippines Maternal Mortality Ratio
MNCHN Core Package of Services
121.0 (deaths per 100,000 live births) in 2017
a. Pre-pregnancy: provision of iron and folate
Philippine maternal mortality ratio was at level of 121
supplementation, advice on family planning
deaths per 100,000 live birth in 2017, down from 124
and healthy lifestyle, provision of family
deaths per 100,000 live births previous year, this a
planning services, prevention and
change of 2.42%
management of infection and lifestyle-related
INSERT PIC diseases
b. Pregnancy: first prenatal visit at first trimester,
Infant Mortality Ratio at least 4 prenatal visits throughout the course
of pregnancy to detect and manage danger
Philippine Infant Mortality Ratio
signs and complications of pregnancy,
The statistics shows the infant mortality rate in the provision of iron and folate supplementation for
Philippines from 2007 to 2017, the infant mortality rate in 3 months, iodine supplementation and 2
the pHilippines was at about 22.2 deaths per 1000 live tetanus toxoid immunization, counselling on
births healthy lifestyle and breastfeeding, prevention
and management of infection, as well as oral
Philippine scorecard on MDGS 4…. health services
c. Delivery: skilled birth attendance/ skilled
Infant Mortality Graph
health professional-assisted delivery and
Millennium Development Goal (MDG) # 4 facility-based deliveries including the use of
partograph, proper management of pregnancy
- MDG-4 – reduction of child mortality by two- and delivery complications and newborn
thirds between 1990 and 2015 complications and access to BEmONC or
CEmONC services.
Millennium Developmental Goal (MDG) # 5
3. DELIVERY
Improve Maternal Health Care
Basic Emergency Obstetric and Newborn Care
- The MDG- 5 target is to reach 52 maternal
(BEmONC)
deaths per 100,000 live births by 2015
- Despite the decrease in MMR, the reduction of - Capable network of facilities and providers that
maternal deaths due to pregnancy related cab perform the ff six signal obstetric functions:
complication remains a challenge
Six signal obstetric functions
To ensure rapid reduction of maternal and child
mortality, the Department of Health (DOH) issued Basic Emergency Obstetric and Newborn Care
Administrative Order 2008-0029 entitled (BEmONC)
1. Parenteral administration of oxytocin in the third
stage of labor;
2. Parenteral administration of loading dose of anti-
convulsants;
3. Parenteral administration of initial dose of
antibiotics;
4. Perform of assisted deliveries (Imminent Breech
Delivery);
5. Removal of retained products of Conception;
and
6. Manual removal of retained placenta
Basic Emergency Obstetric and Newborn Care
(BEmONC)
- These facilities are also able to provide
emergency newborn interventions, which include
the minimum:
1. Newborn resuscitation
2. Treatment of neonatal sepsis/infection;
and
3. Oxygen support
4. Management of low birth weight or
preterm newborn
5. Other specialized newborn services.
These facilities can also serve as high
volume providers or IUD and VSC
services, especially tubal ligations. It
should also provide an itinerant team
that will conduct out-reach services to
remote communities. The itinerant team
is typically composed of 1 physician
(surgeon), 1 nurse, 1 midwife.
- It shall also be capable of providing blood
transfusion services on top of its standard
functions.
Comprehensive Emergency Obstetric and Newborn
Care (CEmONC)
- Capable facility or network of facilities that can
perform the six signal obstetric functions for
