Skilled birth attendance and facility-based deliveries. Skilled birth attendance19 and facility-based delivery were reported to be at 93 percent and 91 percent, respectively in 2019. Figure 12: Maternal Care Services, 2018 and 2019 Source: DOH FHSIS 2018 and 2019 Table 7: Maternal Care Service Utilization Rates per Region, 2018 and 2019 Area Philippines NCR CAR I II III IVA IVB V VI VII VIII IX X XI XII CARAGA BARMM Four ANC Visits 2018 53 66 50 60 51 53 39 48 47 43 51 44 59 66 52 65 53 58 2019 58 82 55 65 62 59 48 53 43 60 69 55 44 75 60 60 52 54 Skilled Birth Attendance 2018 94 98 98 100 98 98 95 86 95 95 97 * 91 * 93 92 94 76 2019 93 100 98 97 97 93 95 79 93 90 97 94 88 92 95 92 96 * *No report in FHSIS Source: DOH FHSIS 2018 and partial data from DOH FHSIS, 2019 during the first trimester of pregnancy. However, field reports showed that women usually seek prenatal care only when quickening 18 is felt, usually at 20 weeks of gestation or during the second trimester of pregnancy. Facility-based Delivery 2018 92 97 96 98 96 91 93 95 94 94 96 * 91 * 93 92 92 68 2019 91 * 96 99 97 93 94 68 96 94 96 97 153 90 88 86 92 * In most regions of the country, more than 90 percent of pregnant women delivered in health facilities and were attended by skilled health personnel. The National Capital Region and Region IX ensured that 100 percent of pregnant women were attended by skilled birth Post-Partum personnel and Visit delivered in 2018 2019 health facilities, 57 62 respectively. 67 83 Meanwhile, Region IVB or 51 62 MIMAROPA 56 59 fell below 80 57 66 percent in both 55 51 indicators. 45 57 59 49 59 44 59 66 52 65 58 53 57 60 47 62 72 45 37 74 73 65 57 55 Post-partum visits. Postpartum visits (PPV or postnatal check-ups) improved by five percentage points in 2019, bringing it to 62 percent from 57 percent in 2018. Reports coming from the LGUs attribute the low post-partum visits to the inability of mothers to seek care as they are most likely occupied with child care. Postpartum visits are essential as most maternal and newborn deaths occur during or immediately after delivery. Further, early post-partum care is critical 18 Quickening is the perception of fetal movement beginning at 19 Also termed as Skilled Health Professional (SHP) 16 to 20 weeks (Cunningham, G. et al.,Williams Obstetrics, 22nd edition, 2005) 43 2019 Annual Report Responsible Parenthood and Reproductive Health Act of 2012