MATERNAL

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MATERNAL CHILD HEALTH(supported by JAPAN
INTERNATIONAL COOPERATION AGENCY)
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Investment Opportunities

• ECO-TOURISM

• white sand beaches
• waterfalls cascades
• natural formations

• HANDICRAFTS

• AGRI-TOURISM

• mangrove reforestation boardwalk
• aquasilvi culture fish sanctuaries
• organic vegetable production
• high value fruit trees
• palay, abaca and coconut

• SKILLED MANPOWER

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Satellite Photo of Biliran Island
SAMAR SEA
MARIPIPI
VISAYAN SEA
KAWAYAN
CULABA
ALMERIA
Province of Biliran
NAVAL
CAIBIRAN
CALUBIAN
Province of Leyte
BILIRAN
CABUCGAYAN
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Profile of Municipalities
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Health Facilities
1 Hospital (Biliran Provincial Hospital) 4
Emergency Clinic 8 Rural Health Unit 35
Barangay Health Station

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Health Sector Profile
Biliran Provincial Hospital (BPH) The heart of
the island provinces health care services. (A
Brief Overview)
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Biliran Provincial Hospital

• Classification Secondary Category Hospital
  (Primary Care
  Hospital)
• Authorized Bed Capacity 25 beds
• Implementing Bed Cap 100 beds
• Occupancy Rate 311
• Bed Popn Ratio 15,611
• Average Length of Stay 5 days
• Net Death Rate gt48 Hrs 1.4

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Health Sector Profile BPH

• Brief History

• Included in the devolution were the community
  hospitals of Maripipi, Culaba and Caibiran which
  were operating under the Medicare program.
• Sometime in 1996, most of the equipment and
  personnel from these hospitals were transferred
  to the BPH, reducing their status as referral
  units.
• During the reorganization of 1998, the decrease
  of medical personnel aggravated the inability of
  the provincial health facilities to provide the
  necessary services.

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MANPOWER (Public Health) Devolved to LGUs
NO. RATIO STANDARD RATIO Rural
Health M.D. 9 1 16,686 120,000 P H N
11 1 3,652 120,000 Dentist 2 1
75,086 130,000 R H M 46 1 3,265
15,000 R S I 8 1 18,772 120,000 B H
W 161,078 1 139 120 HH T B A 176 1
856 - Source DOH-CHD 8 2004
FHSIS Report
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(No Transcript)
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PhilHealth Sponsored Programs in the Province of
Biliran 2001-2006 (number of families)
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HEALTH INDICATOR 2005
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Leading Causes Of Infant Mortality

• 1. Pneumonia
• 2. Prematurity
• 3. Congenital Anomaly
• 4. Neonatal Sepsis

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Leading Causes of Maternal Mortality (2006)

• Post partum Hemorrhage
• Retained Placenta
• Eclampsia
• Placenta Previa
• Systemic Lupus Erythematosus
• Seizure Disorder
• Pregnancy Induced Hypertension

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Addressing Maternal Child Health Issue

• Program supported by
• Japan International Cooperation Agency

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Maternal Child Health Project

• Project Goal
• Maternal Mortality Ratio and Infant Mortality
  Rate are reduced within the framework of the
  National Goal of Improving Women and Child Health
• Project Purpose
• Safe Motherhood and newborn care services to
  women of reproductive age and newborns are
  strengthened through the approaches taken and
  lessons learned in the project which will
  contribute to implementation of above framework

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Maternal Child Health Project Strategies

• Strengthening Basic Emergency Obstetric Care
  service delivery through
• Training for Doctors, Nurses and Rural Health
  Midwives
• Enhancing MCH Service Delivery
• Improving capacity of Public Health Workers as
  trainor
• Improving community-managed maternal and newborn
  care
• Fulfill the requirements for the PhilHealth
  Maternity Care Package (MCP)
• Improving management to support the Skilled Birth
  Attendants
• Implement monitoring and supportive supervision
  for Skilled Birth Attendants
• Review complicated pregnancy and delivery cases
  among groups of Skilled Birth Attendants
• Enhancing System for supporting pregnant women
  and newborns at the community level
• Advocate community-based supporting system for
  emergency
• Organize and train Womens Health Team towards
  strengthening health care at community level
• Mobilizing community leaders and civil society as
  team support
• Feedbacking on lessons learned from the project
  for policy implementation
• Conduct regular Inter-local Health Zone Board
  meeting
• Conduct regular Technical Management Committee
  meeting
• Participate in the discussion and implementation
  of policies related to Maternal and Child Health
• Disseminate the MCH lessons learnt with other
  stakeholders for support

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Maternal Child HealthAccomplishments(August
2006-March 2007)

• Program supported by
• Japan International Cooperation Agency

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Strengthening Basic Emergency Obstetric Care
service delivery
Training for Skilled Birth Attendants
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Enhancing MCH Service Delivery

• Accreditation with PhilHealth for Maternity Care
  Package (MCP)
• 4 RHUs Accredited (August 2006-March 2007)
• RHU Almeria
• RHU Biliran
• RHU Cabucgayan
• RHU Kawayan
• On-process for PhilHealth Approval before 3rd
  Quarter of 2007
• RHU Culaba
• RHU Caibiran
• RHU Naval
• RHU Maripipi
• Regulated practices of Trained Birth attendants
  and Home deliveries via Provincial Resolution
  166 approved last August 2, 2006
• All RHUs are 24/7 operation effective October 1,
  2006
• Biliran Provincial Hospital and all RHUs are
  providing Newborn Screening Services
• Completed the required equipments for maternity
  and newborn care services at Rural Health Units
  and selected Barangay Health Stations
• Regular promotion on Safe pregnancy, safe
  delivery and post-partum care at the community
  level
• Buddy-buddy system to pregnant woman and
  Community-based health volunteers

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The Mandate Provincial Resolution 166
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Enhancing System for supporting pregnant women
and newborns at the community level

• Mobilizes and trained 700 community-based health
  volunteers as Womens Health Team
• All pregnant women have received Mother and Child
  Book

Feedbacking on lessons learned from the project
for policy implementation

• Regular monthly conduct of Technical Management
  Committee Meeting
• Regular quarterly meeting with Inter-local Health
  Zone Board
• Conduct of dissemination forum on Maternal and
  Child Health Baseline Study
• Presentation of Biliran Strategy for MCH to
  Regional Stakeholders Meeting

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Integrating Maternal and Child Health Care
Program in the rural-based womens group

• The 6,000-strong members Women for Rural
  Development (WORD-KALIPI) founded in the province
  are introduced to the knowledge and values based
  on their specific needs in the areas of self-care
  including personal hygiene, breast examination,
  breast feeding and weaning, care of children and
  other members of the family
• All members as well as disadvantaged women and
  mothers are given acu-pressure training and
  herbal medicines preparation as alternative to
  expensive pharmaceuticals in coordination with
  St. Pauls Hospital, Macapawa and the Phil.
  Institute for Traditional Alternative Health
  Care.

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Results(August 2006-December 2006)

• Program supported by
• Japan International Cooperation Agency

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Births Attended by Trained Personnel

• Period covered January December
• Facility-based implementation from October
  December 2006

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Births Attended by Facility

• Period covered January December
• Facility-based implementation from October
  December 2006

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Mortality

• Period covered January December
• Facility-based implementation from October
  December 2006

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Next Steps(January 2007 March 2010

• Program supported by
• Japan International Cooperation Agency

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Next Steps

• Continuing training for Skilled Birth Attendants
• Scaling-up of all rural health units as BEmOC
  facilities
• Addressing socio-economic barriers and the low
  status of women
• Addressing cultural and traditional barriers on
  maternal and child health practices at the
  community-level
• Scaling-up of finances from Local Government
  Units
• Scaling-up to all Barangay Health Station as
  Birthing Facility

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Daghang Salamat!!!