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
The
NEWBORN
state specifically
CARE
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
POLIC
IES
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,
thematernal mortalityratio.
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
Self-Appraisal 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
Recommendation
s for the
Prevention of
Postpartum
Hemorrhage,
2006
 1. Active management of the 3 rd 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-the-point, user-friendly,
globally accepted evidence-based
protocol to essential newborn care
focusing on the first week of life
which can fit in ones 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