Professional Documents
Culture Documents
NSM Presentation
September 7, 2006
Pryce Hotel, Cagayan de Oro City Dr. Honorata L. Catibog Family Health Office - NCDPC
Life expectancy
IMR Underfive Mortality MMR Population growth
81
3 5 8 0.3
75
5 5 20 0.8
73
8 8 41 2.2
70
24 28 44 1.4
70
29 40 172 2.1
57 49 35 29 19
1995
1998
2003
2015
14 24 25 25 27 27 28 28 28 29 30 35 36 38 38 39 41 44
Number of infant deaths per 1000 live births Number of infant deaths per 1000 live births
Underfive Mortality
80 70 60 50 40 30 20 10 0 1990
Source: NDHS,2003
80 67 48 40 27
1995
1998
2003
2015
Regions
Source: NDHS,2003
180
172
52
1995
1998
2015
Assistance at Delivery
ARMM
22 29 31 36 37 41 43 47 48 48 53 60 60 68 74 75 86 88
Percent distribution of live births assisted by a doctor, nurse or midwife
MIMAROPA
Zamboanga
Eastern Visayas
Eastern Visayas
Northern Mindanao
Caraga
Western Visayas
Davao
Bicol
Cagayan Valley
Central Visayas
Ilocos
CALABARZON
Central Luzon
lowest
second middle
fourth
highest
27.4 22.0
19.2 12.7
13.6 8.4
10.7 7.5
8.6 6.8
87.1
59.1 57.1
80.1
33.8 32.5
73.0
22.2 20.3
62.9
18.7 17.4
45.6
13.6 12.0
44.0 31.5
93.5
28.8 20.9
87.1
25.2 18.0
80.8
25.5 18.5
73.6
22.0 17.2
59.7
Percent
90 80 70 60 50 40 30 20 10 0 2002
84 77
84
80
45.2 38.5
45.6
FIC HepB3
2003
2004
2005
Year
50 45 40 35 30 25 20 15 10 5 0
34 32 30.4 27.6
6 0.4 1998
Year
Source: NNS 2003
Percent
50 40 30 20 10 0 33
41 26 8
37
13
2001
Source: NNS 2003
2003
Year
67.5
62.7
56.1
57.8
Population Groups
77 61 54 46 38 22
Philippines
Urban
Rural
Assistance at Delivery
37
Percent distribution of live births in the 5 years preceding the survey
34 25
2
Hilot Doctor Midwife Relative/ Friend/ Other
1
Nurse
1
No one/ missing
Delivery Assistance
60% of deliveries assisted by health professionals (2003 NDHS) : 34% deliveries assisted by doctors 25% by midwives 1% by nurses Increased from 56% (1998) but still low vis a vis the 80% target in 2004
Essential Health and Nutrition Services for Newborns and Infants (0 11 months)
Resuscitation Routine eye prophylaxis Prevention and management of hypothermia Newborn screening/congenital defects Immediate and exclusive breastfeeding Complementary feeding at six months Prevention and management of infection Birth registration Birth weight and growth monitoring and promotion Full immunization Micronutrient supplementation Oral care Development milestone screening Advice on psychosocial stimulation
Essential Health and Nutrition Services for Early Childhood (1- 5 years)
Growth monitoring and promotion Nutritional screening Micronutrient supplementation Developmental milestone screening Disability detection Integrated management of childhood illness Oral Care Counseling on accident prevention and use of safe toys and psychological stimulation First Aid
Counseling on substance abuse, sexuality and reproductive tract infections Nutrition and diet counseling Mental Health and coping mechanisms Fertility awareness and responsible sexual behavior Injury prevention Regular medical and dental check-up Tetanus Toxoid immunization (females) Iron/folate supplementation (females)
messages
communication issues effective message, approaches, target groups, quality service delivery increasing access, improving quality & increasing utilization community involvement & support
Financing Regulation
Goals By 2015,
Reduction of Underfive Mortality by 2/3 Reduction of Maternal Mortality by 3/4 Reduction of Underweight Children by 1/2
Proximate Outcomes
Increased in proportion of facility-based deliveries Increased proportion of births attended by health professionals (MDs, RHs, MWs) Increased early initiation of breastfeeding within one hour Increased exclusive breastfeeding up to 6 months Increased proportion of infants receiving appropriate complementary foods at 6 months while continuing breastfeeding Increased proportion of fully immunized children
Proximate Outcomes
Increased proportion of sick children underfive yrs old receiving integrated management of illness Increased care seeking Increased proportion of children receiving vitamin A supplements
Service delivery
Improving quality and efficiency
Upgrading facilities for specialized services and as training units,e.g. Emergency Obstetric care (EmOC) Instituting standard Clinical Practice Guide (CPGs) for FP, SM, etc. Improving human resource capabilities Link health facilities with the community Strengthen public health interventions in hospitals Intensify disease prevention and control Provision of essential MCH drugs and commodities
Service Delivery
Improving accessibility and availability of basic / essential / specialized services
available service delivery points, e.g. adolescents, Developing special approaches/package of services for: Indigenous People (IPs), displaced children and mothers, emergency situations Tracking system and case holding, follow up dropouts/defaulters Systematic outreach services
Service Delivery
Engaging and empowering families and communities
Community-based interventions, i.e health and nutrition posts, Botika Sa Barangay (BSBs) Communication for behavioral and social change Creating an educated demand for services
Regulation
Assuring access to quality and affordable health products and services
Harmonizing Sentrong Sigla standards with Philhealth accreditation Strict enforcement of laws. i.e. Milk Code, ASIN Law, Food Fortification Law, Newborn Screening Law Harmonizing and streamlining licensing, certification and accreditation, e.g. MBFHI, NBS Assure low priced commodities and drugs Seal of approval system, e.g. Sangkap Pinoy. Diamond Seal
Financing
Ensuring health care financing support for children with bias to the poor
Multiyear planning and budgeting for priority program, e.g. EPI Enrolment in Philhealth/ indigency program Expand private sector participation Explore other financing mechanisms, user fees, voucher system Maternal and child survival should be made part of poverty reduction strategies, socioeconomic development plans, sector-wide approaches
Investments for Maternal, Child & Adolescent Health for 5 years: (2006-2010)
I. Maternal Health :
GOP TBI WORLD BANK UNFPA LGU
P 17,166,959,750.00
649,811,700.00 509,420,000.00 802,367,300.00 20,000,000.00 15,185,360,750.00
Investments for Maternal, Child & Adolescent Health for 5 years: (2006-2010)
II. Child Health : P2,772,763,327.00
Investments for Maternal, Child & Adolescent Health for 5 years: (2006-2010)
III. Adolescent Health : P 13,768,000.00
TOTAL :
P19,953,491,077.00