the national health plan (the 8 millennium goal)

8/3/2019 The National Health Plan (the 8 Millennium Goal)

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Improve Maternal HealthTarget a: Reduce by 3 quarters the

maternal mortality ratio

Target b: Achieve by 2015, universalaccess to reproductive health

Millennium Goal #5


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Maternal Care Program Strategies:

A. Provision of Regular and QualityMaternal Care Services regular and quality pre-natal care

- PE: weight, height, BP-taking- Perform head-to-toe assessment;abdominal exam & fundic heightmeasurement- Tetanus Toxoid Immunization


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Prenatal Visits (schedule)DOH Sentrong Sigla

Period of Pregnancy

1st visit 4 to 16 wks As early in pregnancy as possible before

four months or during the first trimester

2nd visit 17 to 28 wks During the 2nd trimester

3rd visit

29 to 36 wks During the 3rd trimester

4th visit 37 to 40 wks After 8th month of pregnancy till delivery


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Vaccine MinimumAge/Interval

PercentProtected

Duration of Protection

TT1As early as

possible during

pregnancy

Note: usually given 5-6 months of

pregnancy

TT2At least 4 weeks

later 80% Infants born to mother will be protected from neonatal

tetanus

Gives 3 years protection for the mother

TT3At least 6 months

later 95% Infants born to mother will be protected from NT


TT4At least 1 year

later 99% Infant born is protected from NT


TT5

At least 1 year

later 99%

Gives lifetime protection for the mother

All infants born to the mother will protected


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Maternal Care Program Iron supplementationgiven from 5th mo. of pregnancy to 2mos

postpartum (100-120 mg orally/day for 210 days)

Vitamin A10,000 IU twice a week starting on the 4th

month of pregnancy.

Do not give before 4th month, it may cause

congenital problems in the baby.Laboratory exam: Heat-acetic acid test & Benedicts test

Oral/Dental exam


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Benedicts test: (to test sugar if mother is diabetic or not) Collect urine specimen before meals.

Put 5 ml. of Benedicts solution in to the test tube.

Heat the Benedicts solution; there should be no color change.(if the color of the solution is altered upon heating, it is

considered contaminated)

Add 8-10 drops of urine.

Heat the Benedicts solution w/ urine (do not boil)

Interpretation of Results:

Blue (-)Green +

Yellow ++

Orange +++

Red ++++


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Heat & Acetic acid Test: (to test protein in urine) Collect urine before meals.

Imaginary divide the test tube into three parts.

Put 2/3 parts of urine into the test tube.

Heat the test tube w/ urine; note the colorchange (this may be due to amorphous urates)

Add 1/3 part of acetic acid or just a few drops,

do not heat the solution. Acetic acid tends toexplode when heated.

Cloudiness indicates Albuminuria


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Pre-natal counseling Provision of safe delivery care

- all birth attendants shall ensure clean and safedeliveries at home or at the facilities (Rural

Health Units (RHU)/hospitals)

- at-risk pregnancies and mothers must beimmediately referred to the nearest institution

- untrained Hilots who actively practice must beidentified, trained and supervised by a personnelof the nearest Barangay Health Service/RHUtrained on maternal care.


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Provision of quality postpartum care

Proper schedule of follow-up must befollowed:

- 1st postpartum visit for home deliveriesmust be done within 24 hours afterdelivery

- 2nd, done at least 1 week after delivery

- 3rd, done 2-4 weeks after 2nd visit


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Attendants must be aware of the early signs,symptoms and complications. They shouldfollow the 3 CLEANS:

CLEAN Hands

CLEAN Surface

CLEAN Cord

B. Improvement of the health personnels

capabilities on newborn care, midwifery thrutrainings. Trainings for hilots must also beconducted.


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C. Improvement on the quality of care at the First

Referral Level

D. Prevention of unwanted pregnancies through

family planning services

E. Prevention and management of SexuallyTransmitted Infection


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F. Promotion of Appropriate health practices

G. Upgrade reporting services

H. Mobilize political commitment and communityinvolvement to provide support to basic healthcare delivery

Family Planning Program:Artificial MethodsNatural Methods


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ESSENTIAL HEALTH CARE PACKAGE IN PREGNANCY CARE1. Antenatal registration

2. Tetanus toxoid immunization

3. Macronutrient & micronutrient supplement

4. Treatment of diseases & other conditions5. Early detection & management of complications

6. Clean & safe delivery

7. Support of breastfeeding

8. Family planning counselling9. STD/HIV/AIDS prevention & management

10. Oral or Dental care


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DOH Effort : National Family Planning Program in 23 in 93 EO 119 gave a legal mandate to the program from

United Nation Declaration of Human Rights, whichconsiders Family Planning as a basic human right.

Goal: Universal access to family planning info & services

Policies:

- to improve family welfare with main focus on:

i. womans health

ii. safe motherhoodiii. child survival

- to promote family solidarity and responsibleparenthood


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In Health for more in 94 DOH effort: Buwan ng Masayang Pamilya

National Focus: Alay sa Pamilya II

- an activity that promotes the NationalFamily Planning Program


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3 FACTORS CONTRIBUTING TO PREGNANCY

RELATED ILLNESS AND DEATH AMONG MOTHERSAND INFANTS:

1. too early pregnancy from previouspregnancy

2. pregnancy before age 20 or after age 35

3. pregnancy after the 4th baby


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the national health plan (the 8 millennium goal)

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