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Monitoring Maternal,

Newborn and Child Health

By: Joan M. Venida


Introduction
In the Philippines, 3.4 million pregnancies occur every year, half are
unintended, one-third of which end in abortions. An estimated 11
mothers die of pregnancy-related causes every day, most of these deaths
could have been avoided in a properly functioning health care delivery
system. Maternal health conditions are the leading causes of burden of
disease among women.
Leading direct causes of maternal deaths
• Post-partum hemorrhage
• Hypertensive disorders of pregnancy
• Abortion related complications
• Obstructed labor
Due to these reasons, monitoring and evaluation (M&E) system in health
programs play a crucial role in addressing the issue of maternal, newborn
and child health and nutrition (MNCHN) for the Philippines to achieve
Millennium Development Goals (Reduce child mortality) and (Improve
maternal health).
Maternal, Newborn, and Child Health and Nutrition in the Philippines
The quality of care that both mother and newborn receive during pregnancy,
at delivery, and in the early postnatal period is essential to ensuring
women remain healthy and that children get a strong start.
Facts on maternal; and neonatal health in the Philippines:
 160 women for every 100,000 births die.
 Roughly over 11 women die every day.
 7 out of 10 deaths occur at child birth or within a day after delivery.
 4 out of 10 deaths are due to complications and widespread infections
 For every death, 40 more women get sick.
 8 out of 10 births in rural areas are delivered outside a health facility.

International Conference on Population and Development


Three evidence based approaches to maternal and neonatal mortality
reduction have been recommended by UN agencies (i.e. WHO, UNICEF
and the UNFPA) to address or avoid the delays in service delivery:
1. All women must have access to reproductive health services, including
contraception to determine the number and spacing of their children.
2. Antenatal care, all deliveries, and post partum care must be attended by
skilled birth attendant with timely access to quality emergency obstetric
and newborn care, when needed.
3. All mothers and newborns must benefit postpartum visits.

National laws and issuances that support maternal and child health
interventions and services in particular, and public health affecting
maternal and child health in general.
 Newborn Screening Law (RA 9288);
 An Act Increasing Maternity Benefits in Favor of Women Workers in the
Private Sector (RA 7322);
 Magna Carta of Public Health Workers (RA 7305);
 Barangay Health Workers’ Benefits and Incentives Act of 1995 (RA 7883);
 The Paternity Leave Act of 1995 (RA 8187);
 Philippine Midwifery Act of 1992 (RA 7392).
Promotion of Breastfeeding program / Mother and Baby Friendly Hospital
Initiative
Realizing optimal maternal and child health nutrition is the ultimate concern
of the Promotion of Breastfeeding Program. Thus, exclusive breastfeeding
in the first four to six months after birth is encouraged as well as
enforcement of legal mandates.
Maternal Monitoring Book
Baby Monitoring Book
Conclusion
The health of women and their newborns and children are inextricably
entwined. Neonatal deaths are frequently the result of poor maternal
health, inadequate care during pregnancy, inappropriate management of
complications during pregnancy and delivery, poor hygiene during delivery
and the first critical hours after birth, and lack of newborn care. Several
factors such as women’s status in society, their nutritional status at the
time of conception, early childbearing, frequent and closely spaced
pregnancies, and harmful practices are deeply rooted in the cultural fabric
of societies and interact in ways that are not always clearly understood.
Government must be committed to support health programs of health-
system administration at the national and local levels.

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