Administrative Order

No.2007-0026
dated: July 10.2007

Revitalization of the Mother-Baby

Friendly Hospital Initiative in Health
Facilities with Maternity and
Newborn Care Services

Historical Background
1992
Rooming-In and Breastfeeding Act
(RA 7600) Ten Steps to Successful
Breastfeeding, UNICEF/WHO Global Criteria
1999
The Golden Era of Breastfeeding: DOH
certified 1,427 or 83% of targeted
hospitals and lying-in clinics

LEGAL MANDATES
1)

2)

3)

Executive Order No 51 (Oct. 20, 1986);

National Code of Marketing of Breastmilk
Substitutes, Breastmilk Supplements and
Related Products
Article 24 of the 1989 United Nations
Convention on the Rights of the Child
RA 7600 Rooming-In and Breastfeeding
Act of 1992

LEGAL MANDATES

Philippine Infant and Young Child

Feeding (IYCF) policy as adopted
from the WHO/UNICEF 2002
Global
Strategy on IYCF
4)

5)

6)

PHIC Circular No. 26 s. 2005

Administrative Order No. 2005-0023
of the DOH, Formula One for Health

Breastfeeding Situationer
WHO estimates:

19% of under-five year old deaths can be

traced to inappropriate feeding practices
including formula feeding

In the first 2 months of life, non breastfed

25x more likely to die from diarrhea
4x more likely to die from
pneumonia

Breastfeeding Situationer

National Demographic Health Survey,

2003

Infant deliveries attended by

health professionals or those
delivered in health facilities are
less likely to be breastfed

 3,500 childrens lives could be saved

UNICEF
each day if all infants
are estimates:
exclusively
breastfed up to six months
breastfeeding prevents 13% of deaths
among children under five
6% deaths among children could be
averted by adequate, timely and
appropriate complementary feeding

University of the Philippines

Retrospective Study,
2006: Philippine MBFHI experience
in 15 regions covering 98 government
and private hospitals

92% sustained accreditation but policies were

communicated thru

orientations (59.1% )

meetings (42%)
52% with Lactation Coordinators
63% BF initiated w/in 1 hour
52% postpartum assisted
62% allowed provisions of formula
43% of personnel did not allow food or drinks
26% of HF foster establishment of BF support
groups

Retrospective study:

Result : Babies were provided non-breastmilk

for the following reasons:

1. Mother
incapable of
breastfeeding or
is sick (35.7%)

2. Baby is
sick
( 21.4% )

Retrospective Study

Reasons for not BF:

3.

4.

Mother refused to
breastfeed (5.9%)

6.

Cleft Palate
(2.1%)
7.

5.

Doctors order
(1.7%)

Mothers
delivered by
caesarian
section (1.7 % )
Hospital routine
to give sugar
and water
( 1.3%)

New Guidelines:

AO 2007-0026
Dated July 10, 2007

Objectives:
1. transform all health institutions with
maternity and newborn services
government & private health
facilities.
2. build the critical capacity and
commitment of health care staff
3. staff establish linkage

Whats new in the AO?

> Mother-Friendly Indicators
> Hospital as a Workplace
> Milk Code
> Process of Accreditation

Steps to a Mother-Friendly /
Safe Motherhood Initiative

1.

1/4

Hospital shall incorporate motherfriendly labor and birthing practices

Clean birthing technique

Delayed cord clamping

Placenta removal & disposal
Collaboration/ Referral

Steps to a Mother-Friendly Care

2.

3.

Train staff on essential and

emergency obstetric and newborn
care and non-drug methods of pain
relief
Motivate and refer pregnant
women for STD / HIV/AIDS
screening and voluntary
counseling and treatment

Steps to a Mother-Friendly Care

3. Birthing mothers may be offered access

to a birth companion
4. Birthing mothers may be allowed the
freedom to walk and move about
5. Assume positions not limited to the
lithotomy position

Steps to a Mother-Friendly Care

6.

7.

avoid unnecessary instrumentation

that may inhibit breastfeeding
Babies born by C/S are less likely to
have early skin to skin contact
more likely to have nursery care
increasing the risk of cross infection
restricting breastfeeding

Steps to a Mother-Friendly Care

8.

9.

Linking the mother and baby to

appropriate community breastfeeding
support group
Encourage mothers to take care of
their premies, NB with defects

Baby- Friendly Institution.

2/
4

The TEN STEPS

to Successful Breastfeeding

Will be discussed in
detail

Milk Code Enforcement

3/
4

Refrain from accepting or availing of any

contribution (fellowship/tours/conventions/
researches/ gifts of any sort)

Never pass samples / gifts to clients that

would undermine breastfeeding

Ensure that the health facility is not used

for dissemination/ display /distribution

Hospital as a Workplace:
4/4

Milk Code enforcement

Breastfeeding breaks
Breastmilk storage facilities
Breastfeeding Room
Breastfeeding Support Group

Roles and
Responsibilities
National Management Committee of DOH

Overall management of the IYCF

program duly supported by the National
TWG
Provide technical assistance
Conduct performance audit

Roles and Responsibilities

CHD Assessors Team

Regional Coordinators:
Coordinators
Technical assistance
Conduct assessment / re-ssessment
Facilitate accreditation process
Build the critical capacity of the
government and private health
facilities

Roles and Responsibilities

Dr. Jose Fabella Memorial Hospital

National Lactation Management Center
Provide continuing program of training
Supervise core of trainers
Spearhead efforts to promote KMC

Capacity Building

coaching and mentoring services as

a follow-up activity (shall be
conducted by CHD Coordinators
/Assessors)

continuing education/ orientation

for the staff of government and
private health facilities providing
maternity and newborn care

MBFHI Accreditation Process

Self Assessment of the health facility
CHD Validation of submitted self-assessment form
Issuance of a Certificate of Commitment valid for two
years
Re-Assessment by the CHD MBFHI Assessors Team after 2
years
Issuance of Plaque of Accreditation for sustained
implementation
indicators

and integration of the mother-friendly

Annual MBFHI Implementation Report submitted by the