Basic Emergency Obstetric and Newborn Care
(BEmONC) as well as hospitals for Comprehensive
Emergency Obstetric Care and Newborn Care
(CEmONC).
In addition, the National Health Insurance
Program (NHIP) covers health expenditures
during the antenatal period, delivery, and postnatal care through the Maternity Care and
Newborn Care Packages. The improvement in the
health facilities have resulted to the significant
increase in facility-based delivery from 86 percent
in 2015 to 91 percent in 2019. Data also shows
that 73 percent of births were delivered in public
health facilities while 21 percent were done in
private health facilities. Despite the high facilitybased delivery, there is still a proportion of women
who: 1) intentionally deliver at home; and 2)
accidentally deliver at home while in transit to a
health facility.
Attendance by skilled health personnel during
delivery is important to ensure the safety of both
the mother and baby. In 2019, 93 percent of births
were attended by professionals – 64 percent of
births were delivered by physician, 34 percent
by midwives, and the remaining 2 percent were
delivered by nurses.
CSOs contributed through prenatal checkups, which included ultrasound services and
vaccinations, as well as postnatal check-ups,
including provision of family planning services
were provided to women in CSO lying-in facilities.
Live births were delivered in PhilHealth MCPaccredited CSO facilities and were filed for
reimbursements. Some reimbursements are yet to
be claimed with PhilHealth.
Infant, Child Health and Nutrition Services
The overall goal of the Expanded Program on
Immunization is to reduce morbidity and mortality
among infants and children against most common
vaccine preventable diseases. It specifically aims
to immunize all infants/ children against common
vaccine-preventable diseases.
The controversies related to the Dengue Vaccine
had considerable effects to the fully immunized
children (FIC) coverage. From 67 percent in 2017,
FIC went down to 53 percent in 2018. However,
significant improvements were noted in 2019 with
FIC coverage going up to 69.08 percent [Figure
14].
The increase can be attributed to the more
intensified implementation of the EPI
communication campaigns following the passage
of Kalusugan at Nutrisyon ng Mag-nanay Act.
Strengthening the advocacy for immunization is
still imperative to avoid the outbreaks of vaccinepreventable diseases.
The DOH recommends at least two post-natal
visits (post-partum visits) for mothers and
newborns at the first 48 to 72 hours of life and
on the seventh day. Subsequent visits follow the
immunization schedule. The purpose of these
postnatal checks is
Figure 14: Fully Immunized Child, 2019
for early detection
and management
of infections, birth
complications, or
other life-threatening
conditions. Newborn
postnatal checks also
offer opportunities
to give advice to the
mother on proper
care for the newborn,
such as hygiene and
breastfeeding. In the
current reporting year,
Source: DOH FHSIS 2019
62 percent of pregnant
women had post-partum
visits.
45 2019 Annual Report Responsible Parenthood and Reproductive Health Act of 2012
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