Transcript ESSENTIAL NEWBORN CARE

Policies for
einc*
care
• 3.4 million pregnancies occur every year
• 11 mothers die of pregnancy - related causes
everyday
• Leading cause of maternal deaths:
– PPH
– HPN d/o
– Abortion related complications
– Obstructed labor
• 40, 000 newborns die each year from causes
that are most preventable such as
complications of:
– Prematurity (41%)
– Birth asphyxia (15%)
– Severe infection (16%)
NATIONAL POLICIES FOR MATERNAL AND
NEWBORN CARE
The Philippine government, along with the
international community, has made legislative
efforts to ensure that care of a certain standard
is accessible to all mothers and babies.
NATIONAL POLICIES FOR MATERNAL AND
NEWBORN CARE
The state specifically recognizes the vulnerability of
mother and child and demands that measures be
enacted to ensure access to care for all mothers
and children that is the most current and of the
highest standard such that in providing care, the
dignity of every mother and child is respected and
maintained, and when receiving care, all women
and children, regardless of social or economic
status, are treated equally.
HEALTH POLICIES FOR ESSENTIAL INTRAPATUM AND
NEWBORN CARE (EINC)
The Department of Health has issued
directives to ensure the highest quality of care
for mothers and their newborns. DOH policies
describe methods for providing standard
maternal and newborn care to the general
population and demand that monitoring and
evaluation systems be put in place for these
strategies.
HEALTH POLICIES FOR ESSENTIAL INTRAPATUM AND
NEWBORN CARE (EINC)
Similarly, the Philippine Health Insurance
Corporation (Philhealth), insists on the
importance of safety and quality care that is
patient-centered in its hospital accreditation
process.
DOH
POLICIES
DOH POLICIES
A. Revitalization of the
Mother-Baby Friendly
Hospital Initiative in
Health Facilities with
Maternity and
Newborn Care Services
Administrative Order
No. 2007-0026
• Main objective is to transform all health
institutions with maternity and newborn
services into facilities that fully PROTECT,
PROMOTE AND SUPPORT rooming – in,
breastfeeding and mother-baby friendly
practices.
DOH POLICIES
B. Implementing Health
Reforms for the Rapid
Reduction of Maternal
and Neonatal Mortality
Administrative Order
No. 2008-0029
• Issued on September 9, 2008.
• End GOAL is to rapidly reduce maternal and
neonatal death.
• 3 major pillars in reducing MMM:
– Emergency obstetric care
– Skilled birth attendants
– Family planning
DOH POLICIES
C. Adopting New Policies
and Protocol on
Essential Newborn Care
Administrative Order
No. 2009-0025
• Issued on December 7, 2009
• Outlines specific policies & principles to follow
for all health care providers involved in
newborn health care.
• 4 steps to save newborn lives:
– Immediate and thorough drying of the newborn
– Early skin-to-skin contact b/n mother & newborn
– Properly timed cord clamping and cutting
– Non-separation of newborn and mother for early
breastfeeding.
DOH POLICIES
D. The Aquino Health
Agenda: Achieving
Universal Health Care
for All Filipinos
Administrative Order
No. 2010-0036
• Millennium Development Goal – 8
international development goals that all 193
United Nation Member have agreed to
achieve by the year 2015.
Millennium Development 4 & 5
• MDG 4 – to reduce child mortality by 2/3
between 1990 and 2015 the under five
mortality rate
MDG 5 - Target 5A: Reduce by three quarters,
between 1990 and 2015, the maternal
mortality ratio.
• Target 5B: Achieve, by 2015, universal access
to reproductive health
WORLD HEALTH ORGANIZATION (WHO) GUIDELINES
A. Baby Friendly Hospital
Initiative: Revised,
Updated and Expanded
for Integrated Care
Section 4: Hospital SelfAppraisal and
Monitoring, January
2006
• Launched by WHO and UNICEF in 1991.
• Promotes practices that PROTECT, PROMOTE
and SUPPORT breastfeeding.
WORLD HEALTH ORGANIZATION (WHO) GUIDELINES
B. Pregnancy, Childbirth,
Postpartum and
Newborn Care: A Guide
for Essential Practice
Integrated
Management of
Pregnancy and
Childbirth, 2006
• Aims to provide evidence-based
recommendations to guide health care
professionals in giving high-quality care during
pregnancy, delivery and in the postpartun
period, thereby making pregnancy and
childbirth SAFER.
WORLD HEALTH ORGANIZATION (WHO) GUIDELINES
C. WHO
Recommendations for
the Prevention of
Postpartum
Hemorrhage, 2006
• 1. Active management of the 3rd stage of labor
should be offered by skilled attendants;
• 2. Use of oxytocin for prevention of PPH;
• 3. Cord should not be clamped earlier than is
necessary
• 4. Delivery of placenta by controlled traction.
WORLD HEALTH ORGANIZATION (WHO) GUIDELINES
D. Newborn Care until the
First Week of Life
Clinical Practice Pocket
Guide, 2009
• This pocket guide is intended to provide
health professionals with a simple, to-thepoint, user-friendly, globally accepted
evidence-based protocol to essential newborn
care focusing on the first week of life which
can fit in one’s pocket.
PHILHEALTH CIRCULARS AND BENCHBOOK GUIDELINES
A. Philhealth Benchbook
B. New Philhealth Case
Rates for Selected
Medical Cases and
Surgical Procedures
and the No Balance
Billing Policy
Philhealth Circular No.
011-2011