UN DP- DAP B ohol E cotow n He alth S e ctor Page |5 Maternal and Child health indices It will be important Skilled Birth Attendance- BOHOL 2010-2014 to note that maternal and child health indicators of skilled birth attendants, facility 98% 96% 94% 92% 90% 88% 86% 84% 82% Skilled Birth Attendance 95% 97% 97% % % 91% 88% % based delivery and % 2010 % 2011 2012 2013 2014 ante natal follow ups are a mark of the readiness of the public health system to respond to the basic health needs of our mothers and children considered one of the most affected segments of the populations as to the potential health impacts of climate change. The Skilled birth attendants (97%) and the facility based Facilty-based Deliveries-BOHOL 2010-2014 150% deliveries (gives us a picture Facilty-based Deliveries of the competency level and 100% availability of service 50% providers who should be 0% % 2010 % 2011 % % 2012 % 2013 2014 able to deliver at properly equipped facilities). This will be an indirect metric of the availability of public health equipment to give the basic community social and health services. The indicator on four antenatal visits (as required by DOH) shows us an indirect metric of the level of quality of service where it becomes important that a mother is screened four times in the duration of her pregnancy in order to ensure her safe delivery. These MCH indicators give us a general picture of the readiness of the public health system as of the 4 or More pre-natal visits (ANC)-BOHOL 2010-2014 4 or More pre-natal visits… 60% 50% 40% moment and the potential for them to respond to the potential climate change health impacts on top of 30% 20% 10% 0% % 2010 % 2011 % 2012 % 2013 % 2014 the public health need. The table below shows the mothers and children who have died due to pregnancy related diseases, again a proxy indicator of the delivery of basic health services. MDGs 4 and 5 says that we should be at 52/100 maternal deaths and 23/1000 infant deaths.