EASTERN VISAYAS MEDICAL CENTER

Brgy. 93 Bagacay, Tacloban City, Philippines 6500

LEARNING DESIGN

TITLE 20-HOUR LACTATION MANAGEMENT EDUCATION TRAINING

Eastern Visayas Medical Center has been designated as Mother Baby Friendly Hospital since 1992 and regarded as the Laboratory Center for
breastfeeding and lactation management region wide. It is the collaborating Center for trainings on the promotion protection and in
supporting breastfeeding of the WHO guidelines on the 10 steps to Successful breastfeeding and the strict prohibitions on the use of breast
milk substitutes. (EO 51, 2006).

In compliance to Administrative Order No. 2007-0026 –the Revitalization of the MBFHI in Health Facilities with Maternity and Newborn
Services , AO N0. 2009-0025- Adopting New Policies and Protocol on Essential Newborn Care , AO 2005-0014- the National policies on Infant
RATIONALE and Young Child Feeding which aims to ensure the provisions of globally accepted evidenced-based Integrated Essential Maternal Newborn
Care focusing on the first week of life and to ensure exclusive breastfeeding from birth to six months and start safe appropriate, timely
complementary feeding at six months of life ,and continue to breastfeed up to two years or beyond for as long as there is milk (IYCF) for
newborn infants growth and development.

Hence, it is important to train health workers to develop necessary skills towards a more sustainable actions to support, promote and
protect breastfeeding through Integrated Approach on Essential Maternal Newborn Care and Lactation Management practices that will
somehow meet the DOH thrust on improving maternal and newborn’s health outcomes.

COMPETENCY(S) Care Management – Intermediate Level

Ability to employ a team-based, patient-centered and collaborative approach designed to assist patients and their support systems in
managing medical conditions more effectively to achieve the goals of cost savings, improved quality and enhanced patient experience
through:
GOAL(S)
 Facilitates care coordination of pregnant and pot-partum mothers thru proper communication in breastfeeding counselling and discus
the importance and correlation between health facilities, legal mandates by adhering to Executive Order No. 51 and roles and
responsibilities as well by family and community towards proper birth and breastfeeding practices for healthier mother and child.

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Brgy. 93 Bagacay, Tacloban City, Philippines 6500
LEARNING DESIGN

COMPETENCY(S) Effective Communication - Intermediate Level

Ability to receive and convey ideas, instructions, and information by using appropriate language, method and manner to ensure the
audience understands the message and takes necessary action through:

 Counsels mother using verbal and non-verbal communication to build mother’s confidence and support to breastfeed successfully
specially primigravidas and mothers who use previously bottle feeding.
GOAL(S)
 Discuss how to give on-ongoing support for lactating mother thru proper communication and reads body language and other non-
verbal cues accurately and uses that understanding to structure and give appropriate responses that plays an important role in giving
proper help and assessment.

COMPETENCY(S) Health Promotion and Health Education- Intermediate Level

Ability to work in partnership with other health care providers, clients, families and the community in preventing illness, promoting and
protecting the health of the individual and the society through:

GOAL(S)  Identifies unsafe behaviors during breastfeeding that warrants interventions thru proper health education.
 Formulates appropriate health educations programs for clients, families and communities and communicate it effectively starting with
prenatal, labor and delivery and during early post-partum weeks to manage early breastfeeding problems.

COMPETENCY(S) Maternal and Newborn Care – Intermediate Level

Ability to exhibit knowledge and skills from obstetrics, neonatology, the social sciences, public health and ethics that form the basis of high
quality, culturally relevant, appropriate care for women, newborns, and child bearing families through:

GOAL(S)  Identifies and apply the proper skills necessary in implementing the Ten Steps to Successful Breastfeeding.
 Identify and explain the anatomy and physiology of the breast, milk production, and demonstrate the proper breastfeeding position
and manage problems during breastfeeding.

LEARNING OBJECTIVES, OUTCOME, AND CONTENT

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Brgy. 93 Bagacay, Tacloban City, Philippines 6500
LEARNING DESIGN

TYPE OF
TIME ALLOTED
TOPIC TO BE DISCUSSED LEARNING OUTCOME PER EVALUATION
LEARNING OBJECTIVE(S) FOR EACH METHOD AND AIDS
(RESOURCE PERSON) TOPIC (LEVEL 2
TOPIC
EVALUATION)

To ensure the provision of At the end of this training the METHOD Level 1 –
globally accepted participants will be able to:  Virtual Reaction
evidenced based maternal Platform Evaluation
 Session 1: MBFHI: A Part of Global Strategy 1. State the aim of the 30 Minutes  Online
and newborn care practices (Activity
(Dolores Y. Casio, PhD, RN, MAN, CHA, CNM) WHO/UNICEF Global Strategy (Didactics)
through Lactation for Infant and Young Child Feedback)
Management Education  Face-to-face
Feeding and Baby-Friendly (Practicum)
Training. Hospital Initiative (BFHI). Level 2 –
AID
Learning
 Video
2. Identify and demonstrate 1 Hour Evaluation
 Session 2: Communication Skills appropriate use of Presentation
(Pretest and Post
(Dr. Clara Rosa Brit) communication skills when  Demo-
Test)
discussing with lactating and Return-Demo
pregnant women.  Lecture
Discussion
 Session 3: Promoting Breastfeeding during 3. Outline the information that
1 Hour
Pregnancy needs to be discussed with
(Dr. Clara Rosa Brit) pregnant women.

4. Demonstrate properly in filling-

 Orientation of Breastfeeding Tool Aid 30 Minutes Antenatal Health
out Breastfeeding Tool Aid
Checklist Prenatal Forms, and Checklist, Prenatal Forms and Education
Standard Forms. standard forms.
(Dr. Clara Rosa Brit)

5. Summarize and value the 30 Minutes

 Session 4: Protecting Breastfeeding salient points of the Philippine Antenatal Checklist

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LEARNING DESIGN

(Dr. Ma. Gemma F. Ramos) Code of Marketing of Breast-

Milk Substitute (E.O. 51).

6. Identify the process and gain 30 Minutes

 Human Milk Banking insights of how human milk Executive Order No. 51
(Dr. Ma. Gemma F. Ramos) bank operates.

 Session 5: Birth Practices and Breastfeeding 7. Identify the best practices that 1 Hour
(Dr. Georgette Estanislao) would help initiate EINC Checklist
breastfeeding soon after birth.

 Session 6: How Milk Gets form the Breast to 8. Explain the anatomy and
Baby 30 Minutes
physiology of the breast.
(Dr. Jenny Lind S. Lesiguez)

 Session 7:Helping with a Breastfeed Step 4 9. Demonstrate the proper

30 Minutes
breastfeeding position and
(Dr. Jenny Lind S. Lesiguez)
manage problems during
breastfeeding.
 Session 8: Practices that Assists
Breastfeeding Step 6,7,8 & 9 1 Hour Breastfeeding Tool Aid
10. Recognize practices that
(Lea P. Demetria, RN, MAN) sustains early breastfeeding Checklist
and the importance of
rooming-in.
 Session 9: Milk Supply
(Dr. Georgette Estanislao) 11. Describe how to improve milk 1 Hour
intake/ transfer and milk
production.
 Session 10: Special Infant Situation
(Dr. Angelica Joyce G. Evardone) 12. Identify interventions how to 1 Hour
support breastfeeding on

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LEARNING DESIGN

infants with special needs.

 Session 11: If Baby Cannot Feed at the

13. Identify and apply alternative
Breast
ways if the baby cannot be 1 Hour
(Dr. Angelica Joyce G. Evardone) breastfed at the breast.

 Kangaroo Mother Care (KMC) Algorithm 14. Identify basic concepts about KMC Adaptation Form
(Lea P. Demetria, RN, MAN) Kangaroo Mother Care (KMC) 1 Hour
and how it supports
breastfeeding.
 Human Milk Composition
15. Identify and describe the
(Dr. Mitzchel P. Merin) 45 Minutes
Human Milk Composition

 Session 12: Breast and Nipple Concerns 16. Describe the causes,
(Dr. Rufina Lynor Barrot-Gler) prevention and management
45 Minutes
for engorgement, mastitis and
sore nipple.
 Session 13: Maternal and Health Problem
(Dr. Rufina Lynor Barrot-Gler) 17. Correlate maternal health
outcomes to a successful 45 Minutes
breastfeeding.
 Session 14: Ongoing Support for Mothers 18. Discuss to a breastfeeding
(Ms. Lorna G. Belizar, RN, MAN) mother the importance of 45 Minutes
follow-up checkup and how
support group can help after
discharge to sustain
breastfeeding.

 The Ten Steps to Successful Breastfeeding 19. Identify and describe the Ten
(DOLORES Y. CASIO, PhD, RN,MAN,CHA, CNM) Steps to successful 30 Minutes
breastfeeding.

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Brgy. 93 Bagacay, Tacloban City, Philippines 6500
LEARNING DESIGN

20. Explain and discuss how Baby

 Making Hospital Mother-Baby Friendly: Friendly Hospital Initiative
(BFHI) contributes to exclusive 1 Hour
EVMC Roadmap Towards MBFHI
breastfeeding and Mother Baby
Accreditation /Assessment Parameters/
Friendly Healthcare Facility
Clinical Practicum Initiative (MBFHCFI) and
(DOLORES Y. CASIO, PhD, RN,MAN,CHA, CNM) Mother-Baby Friendly (MBF)
Workplace Assessment
Accreditation.

OPERATIONAL DETAILS
CATEGORY OF NUMBER OF NUMBER OF JOB TOTAL
VENUE
PARTICIPANTS PLANTILLA ORDER PARTICIPANTS
RESERVED VENUE ONLINE DETAILS Medical 5 0 5
https://us02web.zoom.us/j/ Nursing 45 0 45
VIRTUAL PLATFORM (ZOOM) & RHNC 85123729087? 0
LOBBY pwd=KzBDN0tZVXQxalFqK3NkbH Allied 0 0
ZCaGorZz09
DATE AND TIME HOPSS 0 0 0
Finance 0 0 0
OCTOBER 26, 27, 28 2022 (08:00 am – 04:00 pm)
MCC 0 0 0
IN-HOUSE LEARNING PROVIDER EXTERNAL LEARNING SERVICE PROVIDER
SPEAKER(S) FACILITATORS(S) SUPPORT STAFF(S) NAME OF COMPANY SPEAKER(S)
DOLORES Y. CASIO, PhD, RN,MAN,CHA, CNM
MBFHI-IYCF Committee Chair/ National Trainor/ Assessor
JUDITA B. DARANG, RN, MAN N/A N/A N/A
DR. RUFINA LYNOR BARROT-GLER MIKE ARTHUR N. CALIPAYAN ,RN, MAN
DR. JENNY LIND S. LESIGUEZ MR. MARK ALLEN C. IBAÑEZ, RN, MAN
DR. CLARA ROSA BRIT MS. KAIROLYN N. SALEM, RN

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Brgy. 93 Bagacay, Tacloban City, Philippines 6500
LEARNING DESIGN

DR. GEORGETTE G. ESTANISLAO MS. DIVINA AMOR CATINDOY

DR. ANGELICA JOYCE G. EVARDONE
DR. MITZCHEL P. MERIN
DR. GEMMA F. RAMOS
MS. LEA P. DEMETRIA,RN, MAN
MS. LORNA G. BELIZAR, RN, MAN

PROPOSED BUDGET
HOTEL
MEALS VENUE TRAINING PACKAGE PLANE TICKET GRAND TOTAL
ACCOMODATION
VIRTUAL PLATFORM (ZOOM) & RHNC
QUANTITY 61 PAX N/A N/A N/A
LOBBY
UNIT
TOTAL
FUND SOURCE TRAINING FUND
PROGRAM
DATE/TIME TOPIC/ACTIVITY PERSON RESPONSIBLE
DAY 1 (OCTOBER 26, 2022)
 Registration of Participants
Facilitators
 Pre-test
07:00 am - 08:00 am  Invocation
Facilitators
 Philippine National Anthem
 Words of Welcome Dr. Susana Sylvana S. Merida
 Introduction of Participants Mike Arthur N. Calipayan, RN, MAN
08:0 0 am – 8:30 am  Session 1: MBFHI: A Part of Global Strategy Dolores Y. Casio, PhD, RN, MAN, CHA, CNM
8:30 am – 10:30 pm  Session 2: Dr. Clara Rosa Brit

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LEARNING DESIGN

Communication Skills
 Session 3:
Promoting Breastfeeding during Pregnancy
10:30 am – 11:00 am  Orientation of Breastfeeding Tool Aid Checklist,
Prenatal Forms, and Standard Forms. Dr. Clara Rosa Brit

 Session 4: Protecting Breastfeeding

11:00 am – 12:00 pm Dr. Gemma F. Ramos
 Human Milk Banking
LUNCH BREAK
Session 5: Dr. Georgette Estanislao
01:00 pm – 02:00 pm
Birth Practices and Breastfeeding
 Session 6:
How Milk Gets form the Breast to Baby
02:00 pm – 03:00 pm Dr. Jenny Lind S. Lesiguez
 Session 7:
Helping with a Breastfeed Step 4
 Session 8:
03:00 pm – 4:00 pm  Practices that Assists Breastfeeding Step 6,7,8 Lea P. Demetria, RN, MAN
&9
DAY 2 (OCTOBER 27, 2022)
08:00 am – 09:00 am  Session 9: Milk Supply Dr. Georgette Estanislao
 Session 10: Special Infant Situation
09:00 am – 11:00 am Dr. Angelica Joyce G. Evardone
 Session 11: If Baby Cannot Feed at the Breast
11:00 am – 12:00 pm  Kangaroo Mother Care Algorithm Lea P. Demetria, RN, MAN

LUNCH BREAK
01:00 pm – 01:45 pm  Human Milk Composition Dr. Mitzchel P. Merin

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LEARNING DESIGN

 Session 12: Breast and Nipple Concerns

01:45 pm – 03:15 pm Dr. Rufina Lynor Barrot-Gler
 Session 13: Maternal and Health Problems

03:15 pm – 04:00 pm  Session 14: Ongoing Support for Mothers Ms. Lorna G. Belizar, RN, MAN
DAY 3 (OCTOBER 28, 2022)
08:00 am – 09:00 am  The Ten Steps to Successful Breastfeeding DOLORES Y. CASIO ,PhD, RN,MAN,CHA,
CNM
 Orientation/Reorientation on MBFHI DOLORES Y. CASIO ,PhD, RN,MAN,CHA,
09:00 am – 10:00 am Monitoring Tool / Assessment Parameters / CNM
Clinical Practicum

CLINICAL PRACTICUM
Indicators Tools Used Venue Responsible Persons
Antenatal Survey
OPD Family
 Pre-Natal Form; Breastfeeding Facilitators
Planning Clinic
Counselling
Breastfeeding Tool
Aid Checklist; Correct OB Maternity
 Early Post-Partum Weeks Facilitators
Positioning and Ward
Attachment
Manual Breastmilk NICU; Human Facilitators
10:00 am – 12:00 pm  Maternal Infant Separation Expression ; Cup Milk Bank
Feeding
01:00 pm – 03:00 pm
Mother Adaptation 4th Floor OB Facilitators
 Kangaroo Mother Care Checklist; KMC Form Maternity Ward;
KMC Ward
 Observing/ Assessing a
Breastfeed Facilitators
 Correct Positioning and
Attachment
 Proper Milk NICU Facilitators

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LEARNING DESIGN

Expression/Storage /Utilization
NICU and Human Milk Bank
 Cup Feeding at KMC Ward Facilitators
 Presentation of Action Plan Facilitators
03:00 pm - 04:00 pm  Post Test & Training Evaluation
Facilitators
 Awarding of Certificates
04:00 pm – 04:15 pm  Closing Remarks Dr. Susana Sylvana S. Merida
PREPARED BY: DATE NOTED BY: DATE

MIKE ARTHUR N. CALIPAYAN, RN, MAN DOLORES Y. CASIO,PHD, MAN,RN,CNM,CHA

NURSE III CHIEF NURSE III/ MBFHI IYCF Committee
Chair/National Trainor/ Assessor
REVIEWED BY: DATE APPROVED BY: DATE

GERALD REY O. COQUIA,RN SUSANA SYLVANA S. MERIDA,MD,FPOGS

TRAINING SPECIALIST IV CHIEF TRAINING OFFICER
LEARNING AND DEVELOPMENT INTERVENTION DOCUMENTARY REQUIREMENTS CHECKLIST (FOR PETRO STAFF ONLY)
Letter of Request addressed to MCC thru CTO and Division Chief(s) *required (with template) List of Participants *if applicable
Approved Project Procurement Management Plan, if applicable *required if LDI requires Level 2 Evaluation *if applicable
budgetary expense
Approved Work Financial Plan, *required if LDI requires budgetary expense Resume of Subject-Matter Expert or Resource Person *required (with
template)

REVIEWED FOR COMPLETENESS BY: DATE *Only complete LDI documentary requirements will be recommended
to MCC for his approval & HTO issuance.

PETRO STAFF

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