Phi l ippines

COUNTRY PROFI L E

List of indica tors

Proportion of births occurring in urban and rural areas Perinatal mortality rate by subregion
Contiuum of care Perinatal mortality rate by wealth quintile
Antenatal care Neonatal and post neonatal mortality rate
Number of antenatal care visits Nutrition
Access to the contents of care Anaemia in pregnancy
Skilled Birth Attendant at delivery Low Birth Weight
Utilization of services Low Birth Weight
Utilization of services by subregion Malaria in pregnancy
Utilization of services by subregion (map) Use of ITN
Utilization of services by wealth quintile HIV in pregnancy
Place of delivery HIV counselling for pregnant women in ANC visits
Place of delivery Fertility
Institutional delivery by wealth quintile Total fertility rate
Problems in accessing to health facilities Teenage pregnancy
C-section Teenage pregnancy
Utilization of services Teenage pregnancy by age
Utilization of services by subregion Teenage pregnancy by subregion
Utilization of services by subregion (map) Family planning
Utilization of services by wealth quintile Contraceptive use
Postnatal care visits and type of provider Contraceptive use by age
Perinatal mortality rate Contraceptive use by subregion
Total perinatal mortality rate

A N A L YSIS OF D E M OGR APH IC A ND H E A LT H SURV E YS

For data from the Demographic and Health Surveys, years refer to the years surveys were conducted. Estimates are based on
data referring to five years preceding the surveys
Coverage of interventions (DHS Philippines, 1993 - 2008)

Propor t ion of bir t hs occur ring in urban and rur a l a reas

(2008)
Among women who were interviewed,
approximately half of births occurred in rural
areas.
Estimated total number of births (in thousands) :
2245(2008)

Rural Urban
United Nations, Department of Economic
51% 49% and Social Affairs, Population Division, World
Population Prospects: The 2008 Revision, New
York, 2009 (advanced Excel tables).
 Cont inuum of ca re
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Number of antena ta l ca re (A NC) visi ts

The survey in 2008 showed that approximately
96% of women who gave at least a live birth
100 received ANC, and 91% did so from a skilled
0.9 0.4
% of women who gave birth

0.8 1.1 87.6 91.1 provider.

83.1 85.7
80
NB: Gap to 100% refers to the proportion of
52.1 women who did not received ANC.
o e

60 70.4 61.3
77.8
%o

40

20 32.6
24.8
18.6 15
0 4.5 5.3 6.5 3
1993 1998 2003 2008

ANC 1 visit ANC 2-3 visits ANC 4+ visits

DK/missing ANC by skilled provider

Access to t he contents of A NC
Informed signs of pregnancy Contents of ANC can be an important indicator for
complication accessing the quality of ANC services.
100
Quality of ANC was likely to be related to mother’s
80 wealth quintile. According to the survey in 2008,
weight and blood pressure measurement are
60 most commonly performed in ANC visits. Among
all the services, blood and urine samples were
40
Blood sample taken Weighed approximately 4 times less likely to have been
20 taken among poorest women as compared to the
richest counterparts.
0

Urine sample taken Blood pressure measured

Richest Poorest

Phi l ippines C OU N T RY PROF I L E 2

 Ski l l ed Bir t h At tendant (SB A) a t de l ivery
U t i l iza t ion of services

Three quarters of all maternal deaths occur during

 

 
delivery and the immediate post-partum period.
 
One of the most critical interventions for safe
SSBAA
e by SB

 
 
motherhood is to ensure skilled care provided

 
 
by skilled professionals during pregnancy and


of birthss assisted

 
childbirth.
 
 

In Philippines, the latest survey indicated that

61% of childbirths were assisted by a skilled birth
% of

attendant (SBA).

 












U t i l iza t ion of services by subregion

At subregional
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in 2008, the coverage ranged from a high of 87%
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U t i l iza t ion of services by wea l t h quint i l e (2003)

Women’s wealth status is one of the


determinants of receiving skilled care.


% of births assisted by SBA



In 2008, at national level, 61% of births



received skilled assistance however births
to women in the poorest quintile had

approximately 2.5 times less access to skilled

care compared to their richest counterparts.
Coverage gap in accessing to skilled care by


the poorest and the richest remained wide.


 

 

 
  




Phi l ippines C OU N T RY PROF I L E 3

 P l ace of de l ivery
The latest data in 2008 showed approximately

44% of births in the five years preceding the



survey occurred in health facilities.


% of births






















 







De l ivery in hea l t h faci l i t ies by wea l t h quint i l e


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Approximately 44% of births in Philippines
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occurred at health facility. Proportion of home
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delivery was likely to be related to women’s

socioeconomic status. 84% of births to poorest
% of births

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women occurred at home as compared to 16%

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of birth to their richest counterparts. Use of
private health facility increased as women’s
 
socioeconomic status increased.
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Prob l ems in accessing to hea l t h faci l i t ies





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Many factors can prevent women from


getting medical advice or treatment for
 


 
themselves when they are sick. Information
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on such factors is particularly important in
understanding and addressing the barriers
 




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women may face in seeking care during

pregnancy and at the time of delivery.
Women in Philippines reported that the major
 


 
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problem they face in accessing health care for
themselves was getting money for treatment




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(55%), concern that no drugs are available
(47%) followed by concern no provider
available (37%).





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% of women

Phi l ippines C OU N T RY PROF I L E 4

 Caesa rean sec t ion (C-sec t ion)
U t i l iza t ion of services

 
Caesarean section is one of the life

saving emergency obstetric care when
complications occur during childbirth.
e by C-section
o

According to the survey in 2008, 10% of

 
 

 
births were delivered by C-section in total.
C

 
C-section rate was higher in urban areas

 

delivered
% of birthss delivered

than in rural areas by approximately

 
 
3-fold.
 

 
 

 

 












U t i l iza t ion of services by subregion

At subregional level, according to the survey in
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% of births delivered by C-section

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U t i l iza t ion of services by wea l t h quint i l e (2003)


By wealth quintile, large gap in accessing

Caesarean section was reported. Women in the
poorest socioeconomic group had 21 times
% of births delivered by C-section


less access to caesarean section than their

richest counterparts.














 

 

 
  




Phi l ippines C OU N T RY PROF I L E 5

 Postna ta l ca re visi ts
A large proportion of maternal and neonatal
deaths occur during the first 48 hours after

delivery. Thus, postnatal care is important for
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both the mother and the child to treat possible
% of mothers


complications arising from the delivery, as

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well as to provide the mother with important

information on how to care for herself and her
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According to the latest survey in 2008, 41% of
mothers were seen for the first check up within
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4h, 15% within 4-23h, 21% within 1-2 days,
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14% within 3-41 days after the delivery. More
than half of women had received postnatal care
in health facility. 84% of women in the richest
group received postnatal care within two days

 









of delivery, compared with 69% of women in
the poorest group.

 








Postna ta l ca re visi ts by t ype of provider

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In total, 60% of mothers received postnatal
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% of mothers

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Differentials for type of postnatal care

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provider were similar to those for postnatal
care coverage in general. Mothers in rural
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Perina ta l mor ta l i t y r a te
35
32 Perinatal mortality rate consists of
30 stillbirth rate and early neonatal mortality
Per 1000 pregnancies

28 rate.
25 15 In total, the perinatal mortality rate was
23
20 13 reported to be 24 per 1000 pregnancies.
Between urban and rural areas, a 1.4
11 fold difference was observed in both the
15
stillbirth rate and the post neonatal death
10 rate.
14 17
5 12

0
Total Urban Rural
SBR ENMR PMR

Phi l ippines C OU N T RY PROF I L E 6

 At subregional level, the rate varied from 11 per
Perina ta l mor ta l i t y r a te by subregion (2003) 1000 pregnancies in Central Visayas to 43 per
1000 pregnancies
p g in Western Visayas.
45
40
Per 1000 pregnancies

35 6

30
26 14 14
25 10
23 15
20
33 14
15 10
21 21 11
10 21
15 14 10
5 9 9 10
6
3
0
Autonomous Region in

Cordillera Administ.
Western Visayas

Cagayan Valley

Metropolitan Manila

Central Visayas
Bicol

Northern Mindanao

Central Luzon

Ilocos
Eastern Visayas
Muslim Mindanao

SBR ENMR

Neona ta l (NN) and post-neona ta l (PNN) mor ta l i t y

20
18 18 T survey in 2008 reported that the
The
17 nneonatal mortality rate was 16, and the post
16 16 nneonatal mortality was 9 per 1000 live births.
per 1000 live births

14 14
13
12
10
9
8
6
4
2
0
1994-1998 1999-2003 2004-2008

NN PNN

Low Bir t h Weigh t

% of babies weighing less than 2.5kg

 

 
The survey in 2008 indicated that, of those
 

who were weighed, 20% were reported to
weigh less than 2.5 kg at birth.

 

 
 
 

 
 

 


 












Phi l ippines C OU N T RY PROF I L E 7

 Fer t i l i t y
Tota l fer t i l i t y r a te
5
Total fertility rate consists of wanted total fertility
4
rate and unwanted total fertility rate. The average
women in Philippines would have approximately
woman
al fertilityy rate pper woman
m

1.2 3 children by the end of her reproductive age.

1.0
3 1.0 Of those, according to the survey in 2008,
0.9
approximately 2.4 were reported to be wanted
fertility.
2
2.9 2.7 2.5 2.4
Total
Tota

0
1993 1998 2003 2008

Wanted total fertility rate Unwanted total fertility rate

Teenage pregnancy
Teenage pregnancy

At national level, approximately 3.4% of women

with their first child

aged 15–19 were reported to be currently

pregnant with their first child.
 

 

g 15-19 pregnant

 

 
 

p g

 
 
 

 
 
 

 

% of women aged

 












Teenage pregnancy by age

% of women aged 15-19 pregnant with their first child

By age, a higher and increasing rate of teenage






pregnancy was observed among women aged 18.
pr











































Phi l ippines C OU N T RY PROF I L E 8

 Teenage pregnancy by subregion
By ssubregion,
u re
ub regi
gion
on,, ac
acc
according
cording to the latest survey in
t ir first child

2008,
2008
20 08,, the
08 the rate
rate of
of teenage
teenage pregnancy ranged from
a low
low of 2.7%
2.7 % inn Central
.7% C Luzon and Eastern
E Visayas
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to a high
hhig
igh of 4.5%
of 44.5 % in Western Visayas.
.5% Visayas
an with their
the

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Fami ly p l anning
Modern cont r acept ive use
contraceptives
% of currently married women using modern contrace

At national level, the latest survey showed that

 

 
 
 
 
34% of currently married women were reported to
 
use modern contraceptive methods. The utilization
 
 

 

stayed at the same level between urban and rural
 
areas.

 














Modern cont r acept ive use by age

% of currentlyy married women usingg modern contraceptives


The three surveys indicated that the prevalence

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increased with age and peaked at the 35–39 age

group.



















































 








Phi l ippines C OU N T RY PROF I L E 9

 Modern cont r acept ive use by subregion
At ssub
subregional
ubreegi gioonal llevel,
eveel, the survey in 2008 indicated
ev
% of currently married women using modern contraceptives

that
thatt tthee uuse
s ooff mo
se modern
mod dern contraceptives ranged from
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a high
h gh ooff 46
hi 46% % ini Cagayan
Cagayan Valley to a low of 24%
Bicol.
in BBic
icol
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Re ferences
National Statistics Office (NSO) [Philippines], and ICF Macro. 2009. National Demographic and Health Survey 2008. Calverton, Maryland:
National Statistics Office and ICF Macro.
National Statistics Office (NSO) [Philippines], and ORC Macro. 2004. National Demographic and Health Survey 2003. Calverton, Maryland:
NSO and ORC Macro.
National Statistics Office (NSO)], Department of Health (DOH) [Philippines] and Macro International Inc. (MI). 1999. National Demographic
and Health Survey 1998. Manila: NSO and MI. ISSN 0119-
National Statistics Office (NSO) [Philippines] and Macro International Inc. (MI). 1994. National Demographic Survey 1993. Calverton,
Maryland: NSO and MI. CONTENTS

Phi l ippines C OU N T RY PROF I L E 10