BIRTHING HOMES AND COMMUNITY CLINICS
In the Philippines, according to UNICEF, 13 mothers die every day from pregnancy-related complications. An estimated 5,000 maternal deaths occur annually – and may be on the increase. The most recent health survey indicated that the maternal mortality ratio had increased; from 162 per 100,000 live births in 2006 to 221 in 2011 (the Millennium Development Goal target ratio is 52 deaths). Post-partum hemorrhage is the major cause of maternal mortality (at 41 per cent). Often maternal deaths are not reported.
National Statistics Office (NSO) Research on Factors Affecting Maternal Health Utilization in the Philippines by Rogan and Olveña in 2004 showed that the quality of health care remains wanting in many areas in the Philippines. Some health facilities have deteriorated, poor quality of services, low quality drugs and medicines are present in the market. These have been partly attributed to the weak enforcement of health regulations.
In this regard, a quality improvement program for all health facilities and services at all levels of the health care system must be pursued. Regulatory capabilities, systems and procedures must be upgraded and strengthened. The support of all stakeholders in the initiatives to attain quality care should also be strengthened and sustained. Government and non-governmental agencies must expand services, improve their quality and tailor them to meet the needs of women and communities by ensuring that health facilities are accessible with adequate trained staff, continuous supply of drugs and equipment and are linked to hospitals by an emergency transport and referral system. Also, enforcing standards and protocols for service delivery, management and supervision, and using them to monitor and evaluate the quality of services, along with feedback from clients and health providers. Moreover, by providing free or affordable maternal and infant health services that manage any complications as well as offer routine care, and integrate education to communities, especially women, about the importance of mass empowerment, maternal health and appropriate services.
COMMITMENT TO CARE. COMPASSION TO SERVE. COURAGE TO LEAD.