mch lecture part 2

7/27/2019 MCH Lecture Part 2

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Higher fertility rates prevailing in the past isevident in the mean number of children everborn. On the average, women have given birthto almost 2 children by their late 20s, almostfour children by their late 30s, and almost fiveby their late 40s. The difference between themean number of children ever born to women45-49 years (4.7) and the total fertility rate (3.7)

is one child, indicative of the moderatelydeclining fertility which the Philippines hasexperienced in the past two decades.


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Trends in fertility in the Philippines since theearly 1970s can be examined with data fromprior surveys. During the period, fertility hasdeclined from 6.0 in 1970 to 3.7 in 1995-1997.The pace of fertility decline had been rathersteady. The total fertility rate has declined by10 percent over the past five years, from 4.1 forthe period 1990-1991 to 3.7 for the period 1995-

1997. Looking at rates by age, it is apparentthat the fertility decline has occurred amongwomen of all ages, but is steeper among olderwomen .


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AgeAge Specific

Fertility Rates

Mean Number of

Children Ever Born

Number

of Women

15-19

20-24

25-29

30-34

35-39

40-44

45-49

Total 15-49

46

177

210

156

11140

7

3.73

0.07

0.68

1.75

2.86

3.754.16

4.74

2.16

2,924

2,299

2,209

2,059

1,8421,480

1,170

13,983


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IntentionPercent

Intends to use 39.8

Unsure 4.9

Does not intend to use 55.0


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Modern Method 1998 2003Female Sterilization 10.3 10.5

Male Sterilization

0.1 0.1Pill 9.9 13.2

Lactational Amenorrhea

Method0.0 0.3

IUD

3.7 4.1Injectable 2.4 3.1

Male Condom 1.6 1.9

Mucus/Billings/Ovulation

0.2 0.1


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Survey Year CPR

1998 46.5

2003 48.9

2008 50.7


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Method2003

2008

Any method 48.9 50.7

Any modern method 33.4 34.0

Female sterilization 10.5 9.2

Male sterilization 0.1 *

Pill 13.2 15.7

IUD 4.1 3.7

Injectables 3.1 2.6

Male condom 1.9 2.3

Mucus/Billings/Ovulation 0.1 0.1

Standard days method - *LAM 0.3 0.4

Other modern methods - *

Any traditional method 15.5 16.7

Calendar/rhythm/periodic

abstinence6.7 6.4

Withdrawal 8.2 9.8

Other traditional method 0.6 0.4

Not currentl usin 51.1 49.3


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INFANT MORTALITYUNDER-FIVEMORTALITY

SurveyYear

Approximatecalendar

period

Rate

1993 1988-1992 33.6

1998 1993-1997 35.1

2003 1998-2002 28.7

2008 2003-2007 24.9

Rate

54.2

48.4

39.9

33.5


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Indicators 2003

2008

Percentage of women age 15-49 with one or more livebirths in the 5 years before the survey who receivedantenatal care for the youngest child from a healthprofessional1

87.6 91.0

Percentage delivered by a health professional among

all births in the 5 years before the survey 59.8 61.8

Percentage delivered in a health facility among allbirths in the 5 years before the survey

37.9 43.8


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Vaccinations2003 2008

BCG 90.8 93.9

DPT 1 89.9 92.5DPT 2 85.9 89.6DPT 3 78.9 85.5Polio 1 91.3 92.4

Polio 2 87.3 90.0Polio 3 79.8 85.2Measles 79.7 84.4All 69.8 79.5No vaccinations 7.3 5.6


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DomainSource

MaternalMortality

Rate

No. OfWomen

Interviewed

Phil. (FPS 2006) 162 45,252

Phil. (NDHS 1998) 172 13,983

Phil. (NDS 1993) 209 15,029


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Among Filipino women, the lifetimerisk of dying from maternal causes is

one in 100. Maternal deaths made up less than

one percent of the total deaths in the

country. Contribute 14 percent of all deaths in

women aged 15-49 years.


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Regions with lowest MMR (PHS, 2000)

1. NCR- 50 per 100,000 live births

2. Central Luzon- 60 per 100,000 live births

3. CAR- 70 per 100,000 live births

Regions with highest MMR

Bicol & Eastern Visayas- 160 per 100,000

live births


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Hypertension- 20 per 100,000 lb

Postpartum hemorrhage- 20 per 100,000 lb

Complications from abortions- 10 per100,000 lb


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Cause Number Rate Percent

TOTAL 1,732 1.0 100.0

1. Complications related to pregnancyoccuring in the course of labor, deliveryand puerperium

819 0.5 47.3

2. Hypertension complicating pregnancy,childbirth and puerperium

510 0.3 29.4

3. Postpartum hemorrhage 263 0.2 15.2

4. Pregnancy with abortive outcome 138 0.1 8.0

5. Hemorrhage in early pregnancy 2 0.0 0.1


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Cause Number Rate Percent

1. Bacterial sepsis of newborn 3,161 1.9 14.6

2. Respiratory distress of newborn 2,298 1.4 10.6

3. Pneumonia 2,013 1.2 9.3

4. Disorders related to short gestation and low birthweight, not elsewhere classified

1,610 1.0 7.4

5. Congenital Pneumonia 1,510 0.9 7.0

6. Congenital malformation of the heart 1,444 0.9 6.7

7. Neonatal aspiration syndrome 1,146 0.7 5.38. Other congenital malformation 1,012 0.6 4.7

9. Intrauterine hypoxia and birth asphyxia 971 0.6 4.5

10.Diarrhea and gastro-enteritis of presumedinfectious origin

900 0.5 4.2


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mch lecture part 2

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