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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