1_introduction to mnchn einc_14june2012

5/23/2018 1_Introduction to MNCHN EINC_14June2012

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ESSENTIAL INTRAPARTUMAND NEWBORN CARE

NELGIE M.PADILLA, RN, MAN cand.

EINC TRAINED


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Maternal, Newborn,Child Health and

Nutrition Strategy

EssentialIntrapartum andNewborn Care


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Maternal, Newborn,

Child Health andNutrition Strategy

(MNCHN)


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Administrative Order 2008-0029

Implementing Health Reforms for Rapid

Reduction of Maternal and Newborn Mortality

(MNCHN Strategy)

Administrative Order 2009-0025

Adopting Policies and Guidelines on Essential

Newborn Care (ENC)

To reduce maternal and neonatal mortality ratesfaster from 2007 to 2015 to meet MDG targets

However, we need to understand features and characteristics

of maternal and newborn deaths to focus our interventions.

Policy Objective


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MNCHN Strategy

Every pregnancy iswanted, planned and

supported

Every pregnancy isadequately managed

Every delivery isfacility-based and

managed by skilledhealth professional

Every mother and newborn pairsecures proper postpartum andpostnatal care with smooth transitionsto the womens health care package

for the mother and child survivalpackagefor the newborn.

IntermediateGoals


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Integrated MNCHN Service

Package

Pre-Pregnancy Services Antenatal care

Postpartum

and Postnatal CareCare during Delivery

FinancingHealth Facilities and Service Packages

Human Resource, Health information**

Health Products and Pharmaceuticals

Other Support Systems


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Life Events

Pre-union

Premaritalcounseling

Conception

Pregnancy Birth and Delivery Under 5 years

BEmONC with POGS MDG

Healthy Lifestyle

Micronutrient Supplementation

NBS, EPI, IMCI, IYCF

Family Planning, Adolescent Health

MBFHI

EINC


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STOP

7/2/2014


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Essential Intrapartumand Newborn Care


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GuidelineDevelopment

Dissemination

Implementation& Monitoring


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Appraised evidence

GRADE methodology Evidence-based draft

developed

Develop Guidelines Disseminate Implement & Monitor

Convened TechnicalCommittee

Identified problems incl.observational studies

Review by individual and en

banc panel stakeholder andexperts

Finalize

PROTOCOL

Essential Newborn Care Protocol Launch

& Signing of DOH Administrative Order

December 7, 2009

Hotel Sofitel Manila

Scale-Up

Project


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The EINC Campaign

HospitalReformAgenda

Network ofCenters ofExcellence

CurriculumChanges

SocialMarketingCampaign


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The EINC CampaignHospitalReformAgenda


CurriculumChanges



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CurriculumChanges



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The EINC Campaign

BEFORE

NSD 6,800

CS

NOW

NSD8,000*

CS19,000

*Use partograph

NSD Package

Cesarean Section



CurriculumChanges



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CurriculumChanges



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The EINC Campaign

BeforePhp 1,000

Php 250(eye prophylaxis,

umbilical cord care,

vit. K, thermal care,

BCG vaccine,

resuscitation of the NB)

Php 250(Hep B vaccine)

Php 500(NB screening)

Newborn Care

Package



CurriculumChanges



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The EINC Campaign

NowPhp 1,750UNBUNDLED

Php 1000PhP 500 for caregiver plus:

PE of NB, breastfeeding support,4 EINC core steps, eye prophylaxis,vit. K,BCG vaccine, Hep B vaccine

PhP 200(Hearing Screen)

PhP 550(Newborn Screening)

Newborn Care

Package



CurriculumChanges



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CurriculumChanges



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CurriculumChanges



Quirino

Memorial

Medical

Center

St. Lukes

Medical

Center

VISAYAS (1):

EVRMC(Tacloban)MINDANAO (2):GSCH (General

Santos)

CRMC (Cotabato

City)

LUZON (8):

QMMC , PGH,Fabella,

Jose Reyes, East

Ave,

Tondo Medical,

San Lorenzo Ruiz,Jose RodriguezProject

Sites


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Local Government Units (LGU)

General Santos City

Cotabato City

Quezon City

Paraaque City

Pagsanjan

Provincial Health Offices (PHO)

Bulacan Rizal

Aurora Sorsogon

CapizCavite

Centers for Health Development (CHD)

Region IV-A (CALABARZON)

Region XI (Davao)Region VIII (Eastern Visayas)

Government Hospitals

Bataan General Hospital

Pasay City General Hospital

Zamboanga City Medical Center

Ospital ng Muntinlupa

Private Institutions

NCR:

The Medical City

St. Lukes - Global City

Perpetual Help Las Pinas

VRP Medical CenterCardinal Santos Med Center

Medical Center Muntinlupa

Jesus Delgado Memorial

World Citi Medical Center

UST Hospital

Chinese General Hospital

Asian Hospital & Medical Center

Paraaque Doctors Hospital

Manila Doctors Hospital

Las Pias City Medical Center

Our Lady of Lourdes Hospital

Medical Center Paraaque

Makati Medical CenterProvincial Sites:

Tagaytay Medical Center

New Sinai MDI Hospital

Our Lady of the Pillar Med Center

Lorma Medical Center

Castro Maternity & Gen HospitalDe La Salle University Med Ctr

Spontaneous Scale-Up


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CurriculumChanges


CurriculumChanges

Medicine

Nursing

Midwifery

Association of Deans of Phil. Colleges of Nursing

Association of Philippine Schools of Midwifery

Association of Phil. Medical Colleges Foundation

Philippines Nurses Association


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CurriculumChanges



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The EINC Campaign


1stMNCHN EINC

Advocacy Partners Forum

July 1315, 2011, Century Park Hotel, Manila



CurriculumChanges



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The EINC Campaign

eincbulletin.blogspot.com



CurriculumChanges


1_introduction to mnchn einc_14june2012

Documents

mnchn einc

einc trained5232018

einc campaignbeforensd

mnchn strategyevery

newborn deaths

health care packagefor

health information

health products