ESSENTIAL INTRAPARTUM

AND NEWBORN CARE

NELGIE M.PADILLA, RN, MAN cand.
EINC TRAINED
2
Maternal, Newborn,
Child Health and
Nutrition Strategy
Essential
Intrapartum and
Newborn Care
3
Maternal, Newborn,
Child Health and
Nutrition Strategy
(MNCHN)
4
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 rates
faster 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
5
MNCHN Strategy
Every pregnancy is
wanted, planned and
supported
Every pregnancy is
adequately managed
Every delivery is
facility-based and
managed by skilled
health professional
Every mother and newborn pair
secures proper postpartum and
postnatal care with smooth transitions
to the womens health care package
for the mother and child survival
package for the newborn.
Intermediate
Goals
6
Integrated MNCHN Service
Package
Pre-Pregnancy Services Antenatal care
Postpartum
and Postnatal Care
Care during Delivery
Financing
Health Facilities and Service Packages
Human Resource, Health information**
Health Products and Pharmaceuticals
Other Support Systems
Life Events
Pre-union
Premarital
counseling
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
STOP
7/2/2014
19
Essential Intrapartum
and Newborn Care
Guideline
Development
Dissemination
Implementation
& Monitoring
21
Appraised evidence
GRADE methodology
Evidence-based draft
developed
Develop Guidelines Disseminate Implement & Monitor
Convened Technical
Committee
Identified problems incl.
observational studies
Review by individual and en
banc panel stakeholder and
experts
Finalize
PROTOCOL
Essential Newborn Care Protocol Launch
& Signing of DOH Administrative Order
December 7, 2009
Hotel Sofitel Manila
Scale-Up
Project
22
The EINC Campaign
Hospital
Reform
Agenda
Network of
Centers of
Excellence
Curriculum
Changes
Social
Marketing
Campaign
23
The EINC Campaign
Hospital
Reform
Agenda
Network of
Centers of
Excellence
Curriculum
Changes
Social
Marketing
Campaign
24
The EINC Campaign
Hospital
Reform
Agenda
Network of
Centers of
Excellence
Curriculum
Changes
Social
Marketing
Campaign
25
The EINC Campaign
BEFORE
NSD 6,800
CS
NOW
NSD
8,000*
CS
19,000
*Use partograph
NSD Package

Cesarean Section
Hospital
Reform
Agenda
Network of
Centers of
Excellence
Curriculum
Changes
Social
Marketing
Campaign
26
The EINC Campaign
Hospital
Reform
Agenda
Network of
Centers of
Excellence
Curriculum
Changes
Social
Marketing
Campaign
27
The EINC Campaign
Before
Php 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
Hospital
Reform
Agenda
Network of
Centers of
Excellence
Curriculum
Changes
Social
Marketing
Campaign
28
The EINC Campaign

Now
Php 1,750
UNBUNDLED
Php 1000
PhP 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
Hospital
Reform
Agenda
Network of
Centers of
Excellence
Curriculum
Changes
Social
Marketing
Campaign
29
The EINC Campaign
Hospital
Reform
Agenda
Network of
Centers of
Excellence
Curriculum
Changes
Social
Marketing
Campaign
30
The EINC Campaign
Hospital
Reform
Agenda
Network of
Centers of
Excellence
Curriculum
Changes
Social
Marketing
Campaign
Network of
Centers of
Excellence
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 Rodriguez
Project
Sites
31
Local Government Units (LGU)
General Santos City
Cotabato City
Quezon City
Paraaque City
Pagsanjan
Provincial Health Offices (PHO)
Bulacan Rizal
Aurora Sorsogon
Capiz
Cavite
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 Center
Cardinal 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 Center
Provincial Sites:
Tagaytay Medical Center
New Sinai MDI Hospital
Our Lady of the Pillar Med Center
Lorma Medical Center
Castro Maternity & Gen Hospital
De La Salle University Med Ctr



Spontaneous Scale-Up
32
The EINC Campaign
Hospital
Reform
Agenda
Network of
Centers of
Excellence
Curriculum
Changes
Social
Marketing
Campaign
Curriculum
Changes
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
33
The EINC Campaign
Hospital
Reform
Agenda
Network of
Centers of
Excellence
Curriculum
Changes
Social
Marketing
Campaign
34
The EINC Campaign
Social
Marketing
Campaign
1
st
MNCHN EINC
Advocacy Partners Forum
July 13 15, 2011, Century Park Hotel, Manila
Hospital
Reform
Agenda
Network of
Centers of
Excellence
Curriculum
Changes
Social
Marketing
Campaign
35
The EINC Campaign
eincbulletin.blogspot.com
Hospital
Reform
Agenda
Network of
Centers of
Excellence
Curriculum
Changes
Social
Marketing
Campaign