ESSENTIAL INTRAPARTUMAND NEWBORN CARE NELGIE M.PADILLA, RN, MAN cand. EINC TRAINED 2 Maternal, Newborn, Child Health and Nutrition Strategy Essential Intrapartum and Newborn Care 3 Maternal, Newborn, Child Health and Nutrition Strategy (MNCHN) 4 • Administrative Order 2008-0029 – Implementing Health Reforms for Rapid Reduction of Maternal and Newborn Mortality (MNCHN Strategy) • Administrative Order 2009-0025 – Adopting Policies and Guidelines on Essential Newborn Care (ENC) • To reduce maternal and neonatal mortality rates faster from 2007 to 2015 to meet MDG targets However, we need to understand features and characteristics of maternal and newborn deaths to focus our interventions. Policy Objective 5 MNCHN Strategy Every pregnancy is wanted, planned and supported Every pregnancy is adequately managed Every delivery is facility-based and managed by skilled health professional Every mother and newborn pair secures proper postpartum and postnatal care with smooth transitions to the women’s health care package for the mother and child survival package for the newborn. Intermediate Goals 6 Integrated MNCHN Service Package Pre-Pregnancy Services Antenatal care Postpartum and Postnatal Care Care during Delivery Financing Health Facilities and Service Packages Human Resource, Health information** Health Products and Pharmaceuticals Other Support Systems Life Events Pre-union Premarital counseling Conception Pregnancy Birth and Delivery Under 5 years BEmONC with POGS MDG Healthy Lifestyle Micronutrient Supplementation NBS, EPI, IMCI, IYCF Family Planning, Adolescent Health MBFHI EINC STOP 7/2/2014 19 Essential Intrapartum and Newborn Care Guideline Development Dissemination Implementation & Monitoring 21 • Appraised evidence • GRADE methodology • Evidence-based draft developed Develop Guidelines Disseminate Implement & Monitor Convened Technical Committee Identified problems incl. observational studies Review by individual and en banc panel stakeholder and experts Finalize PROTOCOL Essential Newborn Care Protocol Launch & Signing of DOH Administrative Order December 7, 2009 Hotel Sofitel Manila Scale-Up Project 22 The EINC Campaign Hospital Reform Agenda Network of Centers of Excellence Curriculum Changes Social Marketing Campaign 23 The EINC Campaign Hospital Reform Agenda Network of Centers of Excellence Curriculum Changes Social Marketing Campaign 24 The EINC Campaign Hospital Reform Agenda Network of Centers of Excellence Curriculum Changes Social Marketing Campaign 25 The EINC Campaign BEFORE NSD 6,800 CS NOW NSD 8,000* CS 19,000 *Use partograph NSD Package Cesarean Section Hospital Reform Agenda Network of Centers of Excellence Curriculum Changes Social Marketing Campaign 26 The EINC Campaign Hospital Reform Agenda Network of Centers of Excellence Curriculum Changes Social Marketing Campaign 27 The EINC Campaign Before Php 1,000 Php 250 (eye prophylaxis, umbilical cord care, vit. K, thermal care, BCG vaccine, resuscitation of the NB) Php 250 (Hep B vaccine) Php 500 (NB screening) Newborn Care Package Hospital Reform Agenda Network of Centers of Excellence Curriculum Changes Social Marketing Campaign 28 The EINC Campaign Now Php 1,750 UNBUNDLED Php 1000 PhP 500 for caregiver plus: PE of NB, breastfeeding support, 4 EINC core steps, eye prophylaxis, vit. K,BCG vaccine, Hep B vaccine PhP 200 (Hearing Screen) PhP 550 (Newborn Screening) Newborn Care Package Hospital Reform Agenda Network of Centers of Excellence Curriculum Changes Social Marketing Campaign 29 The EINC Campaign Hospital Reform Agenda Network of Centers of Excellence Curriculum Changes Social Marketing Campaign 30 The EINC Campaign Hospital Reform Agenda Network of Centers of Excellence Curriculum Changes Social Marketing Campaign Network of Centers of Excellence Quirino Memorial Medical Center St. Lukes Medical Center VISAYAS (1): EVRMC (Tacloban) MINDANAO (2): GSCH (General Santos) CRMC (Cotabato City) LUZON (8): QMMC , PGH, Fabella, Jose Reyes, East Ave, Tondo Medical, San Lorenzo Ruiz, Jose Rodriguez Project Sites 31 Local Government Units (LGU) General Santos City Cotabato City Quezon City Parañaque City Pagsanjan Provincial Health Offices (PHO) Bulacan Rizal Aurora Sorsogon Capiz Cavite Centers for Health Development (CHD) Region IV-A (CALABARZON) Region XI (Davao) Region VIII (Eastern Visayas) Government Hospitals Bataan General Hospital Pasay City General Hospital Zamboanga City Medical Center Ospital ng Muntinlupa Private Institutions NCR: The Medical City St. Luke’s - Global City Perpetual Help Las Pinas VRP Medical Center Cardinal Santos Med Center Medical Center Muntinlupa Jesus Delgado Memorial World Citi Medical Center UST Hospital Chinese General Hospital Asian Hospital & Medical Center Parañaque Doctors’ Hospital Manila Doctors Hospital Las Piñas City Medical Center Our Lady of Lourdes Hospital Medical Center Parañaque Makati Medical Center Provincial Sites: Tagaytay Medical Center New Sinai MDI Hospital Our Lady of the Pillar Med Center Lorma Medical Center Castro Maternity & Gen Hospital De La Salle University Med Ctr Spontaneous Scale-Up 32 The EINC Campaign Hospital Reform Agenda Network of Centers of Excellence Curriculum Changes Social Marketing Campaign Curriculum Changes • Medicine • Nursing • Midwifery Association of Deans of Phil. Colleges of Nursing Association of Philippine Schools of Midwifery Association of Phil. Medical Colleges Foundation Philippines Nurses Association 33 The EINC Campaign Hospital Reform Agenda Network of Centers of Excellence Curriculum Changes Social Marketing Campaign 34 The EINC Campaign Social Marketing Campaign 1 st MNCHN EINC Advocacy Partners Forum July 13 – 15, 2011, Century Park Hotel, Manila Hospital Reform Agenda Network of Centers of Excellence Curriculum Changes Social Marketing Campaign 35 The EINC Campaign eincbulletin.blogspot.com Hospital Reform Agenda Network of Centers of Excellence Curriculum Changes Social Marketing Campaign