improving antenatal care

making childbirths safer 88.6 - 100 % 43.1 - 54.5 % skilled attendants at birth by country Percent of births attended by skilled health personnel, 2005-2011 77.2 - 88.6 % 31.8 - 43.1 % Ensuring the best possible health outcome for women and their newborns By: Vincent Schubert Malbas | UNIVERSITY OF THE PHILIPPINES MANILA 65.9 - 77.2 % 20.4 - 31.8 % 54.5 - 65.9 % 9.0 - 20.4 % to promote about glving blrth of a why do we need health taclity with a skllled attendant ? to provide infants with free vaccines thru the EXPANDED IMMUNIZATION PROGRAM VACCINE BCG & 1st dose of hepB vaccine within the first few hours subsequent vaccines for polio, DPT, rotavirus, HiB, MMR within the next 12 months PHILIPPINES to detect inborn errors and disorders by 62.2 % NEWBORN SCREENING Access to healthcare during childbirth is lowest in Africa and Southeast Asia, whereas 99% of births in upper middle-income and high- at least six genetic conditions and inborn disorders of metabolism undetected G6PD deficiency --> organ damage untreated congenital hypothyroidism --> mental retardation undetected congenital adrenal hyperplasia --> death income countries have skilled attendants. Many complications during labor and delivery can be managed professionally if a woman about.to give birth is seen by a doctor, nurse, or to improve mother & child health in line with U.N. MILLENNIUM DEV'T GOALS #4 and #5 midwife. Sources: Millennium Development Goals Indicators. 2013. WHO World Health Statistics 2012. reduce infant & maternal mortality rates give better antenatal care coverage skilled attendants at birth by region association between skiled d home aftondants at delivory and birthe at Percent of births attended by skilled health personnel, 2008 % BIRTHS WITH SKILLED ATTENDANTS % BIRTHS AT HOME Philippine average of births at home: 55.4% NCR 100 r Birth can take place at an appropriate hospital, clinic, or at home. CAR Region 1 Region 1 83.5 - 91. 8% WHO does not recommend any particular setting, provided that there is a skilled professional attending. NCR Region 2 The WHO defines a skilled birth 76.7 - 83.5% Region 3 Region 2 attendant as a doctor, nurse, or 80 Region 4-A 57.0 - 76.7% midwife. A traditional birth Region 4-A Percentage of births with skilled Philippine average of births with skilled personnel: 74% Regon 4-B attendant or hilot is excluded 50.5 - 57.0% from this category. Region 5 attendants Region 6 NCR Region 7 Less home births is associated with more 90.6 % 60 skilled health personnel at delivery. Factors include geographic distance, costs, availability, and socio-cultural attitudes. Region 8 Region 11 A skilled personnel must be trained to manage normal pregnancies, as well as to detect and refer complications to a higher level of care. Region 9 ARMM Region 10 These factors have several implications in improving health services and guiding policy directions. Region 11 Region 12 40 20 60 40 80 100 Region 13 Percentage of births at home ARMM Philippines 100 80 60 40 20 20 40 60 80 100 Sources: REFERENCES: ARMM Livebirths by Attendance. 2008. Department of Health, Philippines. Livebirths by Type and Place. 2008. Department of Health, Philippines. Preventive Pediatric Health Care Handbook 6th Ed. 2012. Philippine Pediatric Society. FAQS. 2013. Newborn Screening Reference Center. http://www.newbornscreening.ph/ United Nations Millenium Development Goals. 2013. http://www.un.org/millenniumgoals/ Millennium Development Goals Indicators. 2013. http://mdgs.un.org/unsd/mdg/ WHO, World Health Statistics 2012. http://www.who.int/gho/publications/world_health_statistics/2012/en/index.html Livebirths by Attendance. 2008. Department of Health, Philippines. http://www.doh.gov.ph/statistics.html Livebirths by Type and Place. 2008. Department of Health, Philippines. http://www.doh.gov.ph/statistics.html 51.3 % Source: Livebirths by Attendance. 2008. Department of Health, Philippines. making childbirths safer 88.6 - 100 % 43.1 - 54.5 % skilled attendants at birth by country Percent of births attended by skilled health personnel, 2005-2011 77.2 - 88.6 % 31.8 - 43.1 % Ensuring the best possible health outcome for women and their newborns By: Vincent Schubert Malbas | UNIVERSITY OF THE PHILIPPINES MANILA 65.9 - 77.2 % 20.4 - 31.8 % 54.5 - 65.9 % 9.0 - 20.4 % to promote about glving blrth of a why do we need health taclity with a skllled attendant ? to provide infants with free vaccines thru the EXPANDED IMMUNIZATION PROGRAM VACCINE BCG & 1st dose of hepB vaccine within the first few hours subsequent vaccines for polio, DPT, rotavirus, HiB, MMR within the next 12 months PHILIPPINES to detect inborn errors and disorders by 62.2 % NEWBORN SCREENING Access to healthcare during childbirth is lowest in Africa and Southeast Asia, whereas 99% of births in upper middle-income and high- at least six genetic conditions and inborn disorders of metabolism undetected G6PD deficiency --> organ damage untreated congenital hypothyroidism --> mental retardation undetected congenital adrenal hyperplasia --> death income countries have skilled attendants. Many complications during labor and delivery can be managed professionally if a woman about.to give birth is seen by a doctor, nurse, or to improve mother & child health in line with U.N. MILLENNIUM DEV'T GOALS #4 and #5 midwife. Sources: Millennium Development Goals Indicators. 2013. WHO World Health Statistics 2012. reduce infant & maternal mortality rates give better antenatal care coverage skilled attendants at birth by region association between skiled d home aftondants at delivory and birthe at Percent of births attended by skilled health personnel, 2008 % BIRTHS WITH SKILLED ATTENDANTS % BIRTHS AT HOME Philippine average of births at home: 55.4% NCR 100 r Birth can take place at an appropriate hospital, clinic, or at home. CAR Region 1 Region 1 83.5 - 91. 8% WHO does not recommend any particular setting, provided that there is a skilled professional attending. NCR Region 2 The WHO defines a skilled birth 76.7 - 83.5% Region 3 Region 2 attendant as a doctor, nurse, or 80 Region 4-A 57.0 - 76.7% midwife. A traditional birth Region 4-A Percentage of births with skilled Philippine average of births with skilled personnel: 74% Regon 4-B attendant or hilot is excluded 50.5 - 57.0% from this category. Region 5 attendants Region 6 NCR Region 7 Less home births is associated with more 90.6 % 60 skilled health personnel at delivery. Factors include geographic distance, costs, availability, and socio-cultural attitudes. Region 8 Region 11 A skilled personnel must be trained to manage normal pregnancies, as well as to detect and refer complications to a higher level of care. Region 9 ARMM Region 10 These factors have several implications in improving health services and guiding policy directions. Region 11 Region 12 40 20 60 40 80 100 Region 13 Percentage of births at home ARMM Philippines 100 80 60 40 20 20 40 60 80 100 Sources: REFERENCES: ARMM Livebirths by Attendance. 2008. Department of Health, Philippines. Livebirths by Type and Place. 2008. Department of Health, Philippines. Preventive Pediatric Health Care Handbook 6th Ed. 2012. Philippine Pediatric Society. FAQS. 2013. Newborn Screening Reference Center. http://www.newbornscreening.ph/ United Nations Millenium Development Goals. 2013. http://www.un.org/millenniumgoals/ Millennium Development Goals Indicators. 2013. http://mdgs.un.org/unsd/mdg/ WHO, World Health Statistics 2012. http://www.who.int/gho/publications/world_health_statistics/2012/en/index.html Livebirths by Attendance. 2008. Department of Health, Philippines. http://www.doh.gov.ph/statistics.html Livebirths by Type and Place. 2008. Department of Health, Philippines. http://www.doh.gov.ph/statistics.html 51.3 % Source: Livebirths by Attendance. 2008. Department of Health, Philippines.