MATERNAL, NEWBORN, CHILD

HEALTH AND NUTRITION

(MNCHN)
DOH PROGRAM FOR MATERNAL AND CHILD
HEALTH:

1. MATERNAL, NEWBORN, CHILD HEALTH AND

NUTRITION (MNCHN)

2. UNANG YAKAP
MATERNAL, NEWBORN, CHILD HEALTH
AND NUTRITION (MNCHN)
 This policy issuance provides the strategy
for rapidly reducing maternal and
neonatal deaths through the provision of a
package of maternal, newborn, child
health and nutrition (MNCHN) services.
The goal of rapidly reducing maternal and
neonatal mortality shall be achieved
through effective population-wide
provision and use of integrated MNCHN
services as appropriate to any locality in
the country.
THE STRATEGY AIMS TO ACHIEVE THE
FOLLOWING INTERMEDIATE RESULTS:
1. Every pregnancy is wanted, planned and supported;

2. Every pregnancy is adequately managed throughout its

course;

3. Every delivery is facility-based and managed by skilled

birth attendants/skilled health professionals; and

4. Every mother and newborn pair secures proper post-

partum and newborn care with smooth transitions to the
women’s health care package for the mother and child
survival package for the newborn.

(Manual of Operations (MOP) is an updated version ofthe

MOP issued through Department Memorandum 2009-0110
dated May 10, 2009 )
DEPARTMENT MEMORANDUM 2009-0110 DATED MAY 10,
2009 “IMPLEMENTING HEALTH REFORMS TOWARDS RAPID
REDUCTION IN MATERNAL AND NEONATAL MORTALITY”
 This is also in accordance with Administrative Order
2009- 0025 known as Adopting New Policies and
Protocol on Essential Newborn Care,
 Administrative Order 2010-0001 known as Policies
and Guidelines for the Philippine National Blood
Services (PNBS)
 Administrative Order 2010-0010 Philippine Blood
Services Network (PBSN),
 Administrative Order 2010-0014 known as
Administration of Life Saving Drugs and Medicines
by Midwives to Rapidly Reduce Maternal and
Neonatal Morbidity and Mortality.

(It aims to guide LGUs as well as national agencies in the

implementation of AO 2008-0029 also known as the
MNCHN Strategy.)
ADDITIONAL POLICIES
 Administrative Order 2016-0035: Guidelines on
the Provision of Quality Antenatal Care in All
Birthing Centers and Health Facilities Providing
Maternity Care Services

 Administrative Order 2018-0003: National Policy

on the Prevention of Illegal and Unsafe Abortion
and Management of Post-Abortion Complications
MAJORITY OF MATERNAL DEATHS
 directly result from pregnancy complications
occurring during labor, delivery and the post-
partum period. These complications include
hypertension, post-partum hemorrhage, severe
infections, and other medical problems arising
from poor birth spacing, maternal malnutrition,
unsafe abortions and presence of concurrent
infections like TB, malaria and sexually
transmitted infections as well as lifestyle
diseases like diabetes and hypertension.
MATERNAL AND NEONATAL DEATHS IS FURTHER
MAGNIFIED WITH THE CRITICAL ACCUMULATION
OF FOUR RISKS SUCH AS:

(1) mistimed, unplanned, unwanted and unsupported

pregnancy;

(2) not securing adequate care during the course of

pregnancy;

(3) delivering without being attended to by skilled

health professionals (i.e. midwives, nurses and
doctors) and lack of access to emergency obstetric and
newborn services;

(4) not securing proper postpartum and newborn care

for the mother and her newborn, respectively.
THE FOLLOWING KEY STRATEGIES EMPLOYED
REFLECT THIS CONTINUUMOF MNCHN

 Ensuring universal access to and utilization of an

MNCHN Core Package of services and
interventions directed not only to individual
women of reproductive age and newborns at
different stages of the life cycle , but also to the
community.

 Establishment of a Service Delivery Network at

all levels of care to provide the package of
services and interventions.
 Organized use of instruments for health systems
development to bring all localities to create and
sustain their service delivery networks, which
are crucial for the provision of health services to
all.
 Rapid build-up of institutional capacities of DOH
and PhilHealth, being the lead national agencies
that will provide support to local planning and
development through appropriate standards,
capacity build-up of implementers, and financing
mechanisms.
MNCHN CORE PACKAGE OF SERVICES

The intervention in the MNCHN core

package of services that were found effective in
preventing deaths and in improving the health of
mothers and children include the following:

1. Pre-pregnancy: provision of iron and folate

supplementation, advice on family planning and
healthy lifestyle, provision of family planning
services, prevention and management of infection
and lifestyle-related diseases.
2. Pregnancy: first prenatal visit at first trimester,
at least 4 prenatal visits throughout the course of
pregnancy to detect and manage danger signs
and complications of pregnancy, provision of iron
and folate supplementation for 3 months, iodine
supplementation and 2 tetanus toxoid
immunization, counselling on healthy lifestyle
and breastfeeding, prevention and management
of infection, as well as oral health services.
3. Delivery: skilled birth attendance/skilled health
professional-assisted delivery and facility-based
deliveries including the use of partograph, proper
management of pregnancy and delivery
complications and newborn complications, and
access to BEmONC or CEmONC services.

The recent emphasis on the importance of

access to emergency obstetrics and newborn care
(EmONC) services is due to the shift from the risk
approach to pregnancy management to that which
considers all pregnancies to be at risk.
4. Post-Partum: visit within 72 hours and on the
7th day postpartum to check for conditions
such as bleeding or infections, Vitamin A
supplements to the mother, and counselling
on family planning and available services. It
also includes maternal nutrition and lactation
counseling and postnatal visit of the newborn
together with her visit.
5. Newborn care until the first week of life:
Interventions within the first 90 minutes such as
immediate drying, skin to skin contact between
mother and newborn, cord clamping after 1 to 3
minutes, non-separation of baby from the mother,
early initiation of breastfeeding, as well as
essential newborn care after 90 minutes to 6
hours, newborn care prior to discharge
6. Child Care: immunization, micronutrient
supplementation (Vitamin A, iron); exclusive
breastfeeding up to 6 months, sustained
breastfeeding up to 24 months with
complementary feeding, integrated management
of childhood illnesses, injury prevention, oral
health and insecticide-treated nets for mothers
and children in malaria endemic areas
THERE ARE THREE LEVELS OF CARE IN THE .
MNCHN SERVICE DELIVERY NETWORK
(SDN):
(1) Community level service providers;
Community level providers give primary health
care services. These may include outpatient clinics
such as Rural Health Units (RHUs), Barangay Health
Stations (BHS), and private clinics as well as their
health staff (i.e., doctor, nurse and midwife) and
volunteer health workers (i.e., barangay health
workers, traditional birth attendants).

(2) Basic Emergency Obstetrics and Newborn Care

(BEmONC)- capable network of facilities and
providers; and

(3) Comprehensive Emergency Obstetrics and Newborn

Care (CEmONC) - capable facility or network of
facilities.
TYPICAL CEMONC-CAPABLE FACILITY
HEALTH HUMAN RESOURCE COMPLEMENT:

 3 doctors preferably obstetrician/surgeon or

General Practitioner (GP) trained in CEmONC
(1 per shift),
 at least 1 anaesthesiologist or GP trained in
CEmONC (on call),
 at least 1 pediatrician (on call),

 3 Operating Room nurses (1 per shift),

 maternity ward nurses (2 per shift),

 1 medical technologist per shift.

THE LGU : ADDRESSING MNCHN GAPS
AND ISSUES
 1. MNCHN gaps and problems vary from one area to
another, from one municipality to another municipality,
from one barangay to another barangay. There is a need to
customize interventions according to the peculiarities and
needs of the different communities or areas;

 2. Not all the gaps and issues can be addressed all at the
same time given limited resources. Interventions should be
guided by the results of the assessment of the health
situation of mothers and children. Evidence should guide
the LGU in identifying gaps that need to be prioritized,
population areas that would merit focused attention and
interventions that are most appropriate to the situation;

 3. Reforms in service delivery, governance, regulation, and

financing are needed for the sustained improvement of the
health status of mothers and children.
KNOW THE MNCHN SITUATION IN THE
LGU
 MNCHN Health Indicators Health indicators are used to monitor the
health status of a population. These health indicators either

(1) reflect impact or outcomes or

(2) coverage or utilization of services. For MNCHN, health outcome

indicators are Maternal Mortality Ratio (MMR), Newborn Mortality
Rate (NMR), Infant Mortality Rate (IMR), Under-five Mortality Rate
(UFMR) and proportion of underweight 6 to 59-month old children
while Service Coverage indicators are Contraceptive Prevalence Rate
(CPR), Antenatal Care (ANC), Facility-based Deliveries (FBD), Fully
Immunized Children (FIC), Early initiation of breastfeeding,
Exclusive breastfeeding from birth up to six (with sustained
breastfeeding and complementary feeding). and early initiation of
breastfeeding.

Since health outcome indicators are consolidated yearly, it might be

difficult to get an accurate picture of the situation especially if data is
collected midyear. Service coverage indicators are used to determine
the reach of health services in a given population.
OVERALL COMPOSITION OF MNCHN SDN:

1. At the barangay level, a Community Health

Team (CHT) led by the midwife carries out the
task of providing information and basic health
services to households. The team maybe
composed of Barangay Health Workers (BHWs),
Traditional Birth Attendants (TBAs), and other
volunteer workers including barangay officials
and representatives from people’s organizations
or non-government organizations (NGOs).
2. At the clinic, BHS or RHU level,
the doctor acts as head of the health facility …..

….supported by a team composed of nurses,

medical technologists, midwives, sanitary
officers and other types of health staff.

While provision of services usually occurs in the

fixed facility (e.g. clinics, RHUs, BHS) and during
regular office hours, these providers also do outreach
services especially in remote areas where a number of
indigent families do not have access to health care.
BEMONCS PURPOSES IN THE MNCHN
STRATEGY:
 1. Provide maternal services including
management of specific emergencies that do not
necessarily require CEmONC referral, such as:
(a) active management of the third stage of labor
(oxytocin); (b) use of the anticonvulsants; (c) use
of initial dose of antibiotics in prolonged labor,
premature rupture of membranes; (d)
Magnesium Sulfate for prevention and
management of eclampsia; (e) assisted breech
vaginal delivery; (f) management of retained
placenta and uterine atony; and (g) antenatal
steroids in preterm labor
2. Provide emergency newborn services, which
include at the minimum: (1) newborn
resuscitation; (2) treatment of neonatal
sepsis/infection; and (3) oxygen support. It shall
also be capable of providing blood transfusion
services on top of its standard functions;

3. Act as bridge facilities that allow immediate

clinical interventions and stabilization of
maternal and newborn emergency cases for
referral to CEmONC-capable facilities; and
4. Provide screening/diagnostic services for mothers
and newborns and referral to CEmONC
providers of cases needing higher level of care.

5. Provide population based maternal and child

health services to priority populations.
STEPS TO DESIGNATE THE BEMONC-CAPABLE
NETWORK OF FACILITIES AND PROVIDERS

1. Identify priority areas for the establishment or

designation of BEmONCs. Based on the results
of the assessment done on the access to
CEmONC services by the priority population
groups, classify the population groups that have
high, good or poor access to CEmONC services.

 High Access to CEmONC: populations with access

to the designated CEmONC facility in less than an hour;
 Good Access to CEmONC: populations with access
to the designated CEmONC facility within 1-2 hours with
dedicated transportation and communication systems for
emergencies;
 Poor Access to CEmONC: populations with
access to the designated CEmONC facility within
1-2 hours or more but without ready transport
and communication system. Match the Type of
Health Facility as BEmONC Provider and Access
to CEmONC Services. The following types of
BEmONC are recommended to be
designated depending on their distance
from a CEmONC:

ü If CEmONC is more than 2 hours away, designate a

hospital-based BEmONC with blood services;
ü If CEmONC is 1-2 hours away, designate stand-alone
BEmONC-capable facility or BEmONC with network
arrangements; and
ü If CEmONC is less than 1 hour away, designate at least
a BEmONC with network arrangements or if a
CEmONC is closer, refer directly to CEmONC.
2. IDENTIFY AND SELECT FACILITIES TO
PROVIDE BEMONC SERVICES.
 List all the hospitals identified in designating a
CEmONC as well possible BEmONC facilities to
constitute the pool for potential BEmONC-capable
facilities;

 Confirm the distances of each health facility from the

identified population groups;  Categorize these
health facilities according to type of BEmONC;

 Complete their characteristics and features such as

addresses, licensing and accreditation status,
ownership, modes of transportation, client volume, etc.
Refer to list in shortlisting CEmONC-capable
facilities.
 3. Assess Suitability of Potential Health
Facilities as BEmONC Providers. Among the pool
of potential facilities as BEmONC service
providers, assess their suitability in terms of
using core BEmONC capacities as basis.
Consider the recommended type of BEmONC
facility that can be established based on the
priority level for BEmONC services.
4. Designate Health Facility As BEmONC Provider.
Designate BEmONC facilities from among those
that are considered BEmONC capable. Take note
of the following in designating BEmONC:

(a) level of priority according to the priority

populations’ access to the designated BEmONC
facility;
(b) recommended type of BEmONC facility for
the particular population group; and
(c) if there is more than 1 BEmONC-capable
facility, consider these steps in selecting one:
  If there is a public owned BEmONC facility with
blood services, designate the facility; OR
 If the public owned facility is not capable of
providing BEmONC plus blood services, but a private
facility can, designate the private facility; OR
 If there is a public owned fixed facility BEmONC,
designate the facility; OR
 If the public owned facility cannot provide all
BEmONC services, but a private facility can, designate the
private facility; OR
 If the public owned facility can provide BEmONC
services through a network arrangement, designate the
facility; OR
 If the public owned facility cannot provide
BEmONC services even in a network arrangement, but a
private facility can, designate the private facility.
NATIONAL SAFE MOTHERHOOD
PROGRAM VISION:

 For Filipino women to have full access to health

services towards making their pregnancy and
delivery safer
NATIONAL SAFE MOTHERHOOD PROGRAM
MISSION

 Guided by the Department of Health FOURmula

One Plus thrust and the Universal Health Care
Frame, the National Safe Motherhood Program is
committed to provide rational and responsive policy
direction to its local government partners in the
delivery of quality maternal and newborn health
services with integrity and accountability using
proven and innovative approaches

NATIONAL SAFE MOTHERHOOD PROGRAM
OBJECTIVES

 The Program contributes to the national goal of

improving women's health and well-being by:

1. Collaborating with Local Government Units in

establishing sustainable, cost-effective approach of
delivering health services that ensure access of
disadvantaged women to acceptable and high quality
maternal and newborn health services and enable them
to safely give birth in health facilities near their homes

2. Establishing core knowledge base and support

systems that facilitate the delivery of quality maternal
and newborn health services in the country.
 Program Components:
Component A of National
Safe Motherhood Program:
COMPONENT A: LOCAL DELIVERY OF THE
MATERNAL-NEWBORN SERVICE PACKAGE

This component supports LGUs in establishing and
mobilizing the service delivery network of public and
private providers to enable them to deliver the
integrated maternal-newborn service package. In
each province and city, the following shall continue to
be undertaken:

1. Establishment of critical capacities to provide
quality maternal-newborn services through the
organization and operation of a network of Service
Delivery Teams consisting of:
a. Barangay Health Workers
b. BEmONC Teams composed of Doctors, Nurses and
Midwives
COMPONENT A: LOCAL DELIVERY OF THE
MATERNAL-NEWBORN SERVICE PACKAGE
 2. In collaboration with the Centers for health Development
and
relevant national offices: Establishment of Reliable
Sustainable
Support Systems for Maternal-Newborn Service Delivery
through
such initiatives as:
a. Establishment of Safe Blood Supply Network with support
from the National Voluntary Blood Program
b. Behavior Change Interventions in collaboration with the
Health Promotion and Communication Service
c. Sustainable financing of maternal - newborn services and
commodities through locally initiated revenue generation and
retention activities including PhilHealth accreditation and
enrolment.
COMPONENT B: NATIONAL CAPACITY TO
SUSTAIN MATERNAL-NEWBORN SERVICES

1. Operational and Regulatory Guidelines

a. Identification and profiling of current FP users and

identification of potential FP clients and those with
unmet need for FP (permanent or temporary methods)

b. Mainstreaming FP in the regions with high unmet

need for FP

c. Development and dissemination of Information,

Education Communication materials

d. Advocacy and social mobilization for FP

2. Network of Training Providers

a. 31 Training Centers that provide BEmONC Skills Training

3. Monitoring, Evaluation, Research, and Dissemination with

support
from the Epidemiology Bureau and Health Policy
Development and Planning Bureau

a. Monitoring and Supervision of Private Midwife Clinics in

cooperation with PRC Board of Midwifery and Professional
Midwifery Organizations

b. Maternal Death Reporting and Review System in

collaboration with Provincial and City Review Teams

c. Annual Program Implementation Reviews with Provincial

Health Officers and Regional Coordinators
POLICIES AND LAWS


Republic Act No. 10354:

Responsible Parenthood and Reproductive Health

Law (RPRH Act of 2012)
PRENATAL CARE GUIDELINES:
● At least 4 prenatal visits
● Ideally, prenatal check-ups are done once a week,
but due to the pandemic:
● 1-6 months → once a month
● 7-9 months → refer for them to have a record at the
hospital
● Provision of vitamins (FeSO4 + Folic Acid, Calcium
Carbonate, Multivitamins)
● 2 doses of Tetanus Toxoid (0.5 ml) to prevent Acute
Flaccid Paralysis
● Laboratory requests every month (UA, CBC)
● Collaboration with Rural Health Physician, Public
Health Nurse, Medical
Technologist
● Test for Syphilis and HIV
DURING PREGNANCY
● EMERGENCY SIGNS
○ severe vaginal bleeding.
○ convulsions/fits.
○ severe headaches with blurred vision.
○ fever and too weak to get out of bed.
○ severe abdominal pain.
○ fast or difficult breathing.
○ ruptured bag of water.
FERROUS SULFATE + FOLIC ACID
ADMINISTRATION GUIDELINES:

■ 1 TAB/DAY
■ OD, HS
■ S/E: DIZZINESS
■ is recommended for pregnant women to prevent
maternal anaemia, puerperal sepsis, low birth
weight, and preterm birth.
CALCIUM CARBONATE ADMINISTRATION
GUIDELINES:
■ 1 tab/OD
■ for 5 months and above

■ There is clear evidence to show that daily

supplementation with 1.5 grams to 2 grams of elemental
calcium is beneficial to reduce the risks of gestational
hypertension, preeclampsia, and preterm birth.

■ (1000-1300mg RDA) The use of calcium carbonate in

more than the recommended amount can lead to lower fetal
weight and has been associated with milk-alkali syndrome.

■ Note: Inadequate calcium consumption by pregnant

women can lead to adverse effects in both the mother and
the fetus and produce osteopenia, tremor, paraesthesia,
muscle cramping, tetanus, delayed fetal growth, low birth
weight, and poor fetal mineralization.
○
POSTPARTUM CARE GUIDELINES:

 
● At least 2 visits from the CHN
● Vitamin A and FeSO4 supplementation
● Breastfeeding
● Family planning
 Neonatal deaths within the first week of life are
often due to asphyxia, prematurity, severe
infections, congenital anomalies, newborn
tetanus, and other causes.
BABY-FRIENDLY HOSPITAL INITIATIVE
(BFHI)
The implementation guidance for BFHI
emphasizes strategies to scale up to
universal coverage and ensure
sustainability over time. The guidance
focuses on integrating the programme more
fully in the health-care system, to ensure
that all facilities in a country implement
the Ten Steps. Countries are called upon to
fulfill nine key responsibilities through a
national BFHI programme:
BABY-FRIENDLY HOSPITAL INITIATIVE
(BFHI)
WHO and UNICEF launched the Baby-friendly
Hospital Initiative (BFHI) to help motivate
facilities providing maternity and newborn
services worldwide to implement the Ten Steps to
Successful Breastfeeding. The Ten Steps
summarize a package of policies and procedures
that facilities providing maternity and newborn
services should implement to support
breastfeeding. WHO has called upon all
facilities providing maternity and newborn
services worldwide to implement the Ten
Steps.
1a. Comply fully with the International Code of Marketing
of Breast-milk
Substitutes and relevant World Health Assembly
resolutions.
1b. Have a written infant feeding policy that is routinely
communicated to staff and parents.
1c. Establish ongoing monitoring and data-management
systems.

2. Ensure that staff have sufficient knowledge, competence

and skills to support breastfeeding.

3. Discuss the importance and management of

breastfeeding with pregnant women and their families.

4. Facilitate immediate and uninterrupted skin-to-skin

contact and support mothers to initiate breastfeeding as
soon as possible after birth.
5. Support mothers to initiate and maintain breastfeeding
and manage common difficulties.

6. Do not provide breastfed newborns any food or fluids

other than breast milk, unless medically indicated.

7. Enable mothers and their infants to remain together and

to practise rooming-in 24 hours a day.

8. Support mothers to recognize and respond to their

infants' cues for feeding.

9. Counsel mothers on the use and risks of feeding bottles,

teats and pacifiers.

10. Coordinate discharge so that parents and their infants

have timely access to ongoing support and care.
INFANT FEEDING FOR THE PREVENTION
OF MOTHER-TO-CHILD TRANSMISSION OF
HIV
WHO RECOMMENDATIONS
 Mothers known to be HIV-infected should be
provided with lifelong antiretroviral therapy or
antiretroviral prophylaxis interventions to reduce
HIV transmission through breastfeeding.

 National or sub-national health authorities

should decide whether health services will
principally counsel mothers known to be HIV-
infected to either breastfeed and take
antiretrovirals, or, avoid all breastfeeding.
 In settings where national health authorities are
recommending breastfeeding for HIV-infected
mothers: Mothers known to be HIV-infected (and
whose infants are HIV uninfected or of unknown
HIV status) should exclusively breastfeed their
infants for the first 6 months of life, introducing
appropriate complementary foods thereafter, and
continue breastfeeding.

 Mothers living with HIV should breastfeed for at

least 12 months and may continue breastfeeding for
up to 24 months or longer (similar to the general
population) while being fully supported for ART
adherence (see the WHO Consolidated guidelines on
the use of antiretroviral drugs for treating and
preventing HIV infection for interventions to optimize
adherence).

In settings where health services provide and
support lifelong ART, including adherence
counselling, and promote and support
breastfeeding among women living with HIV, the
duration of breastfeeding should not be restricted.

Breastfeeding should then only stop once a

nutritionally adequate and safe diet without
breast milk can be provided.

National and local health authorities should

actively coordinate and implement services in
health facilities and activities in workplaces,
communities and homes to protect, promote and
support breastfeeding among women living with
HIV.
NATIONAL FAMILY PLANNING
PROGRAM MISSION
 For Filipino women and men achieve their desired
family size and fulfill the reproductive health and
rights for all through universal access to quality
family planning information and services.
 National Family Planning Program Vision
 In line with the Department of Health FOURmula
One Plus strategy and Universal Health Care
framework, the National Family Planning Program is
committed to provide responsive policy direction and
ensure access of Filipinos to medically safe, legal,
non-abortifacient, effective, and culturally acceptable
modern family planning (FP)
methods.
NATIONAL FAMILY PLANNING
PROGRAM OBJECTIVES
 
1. To increase modern Contraceptive Prevalence
Rate (mCPR) among all women from 24.9% in
2017 to 30% by 2022

2. To reduce the unmet need for modern family

planning from 10.8% in 2017 to 8% by 2022
NATIONAL FAMILY PLANNING PROGRAM
COMPONENTS: COMPONENT A
Component A: Provision of free FP
Commodities that are medically safe, legal,
non-abortifacient, effective and culturally
acceptable to all in need of the FP service:

● Forecasting of FP commodity requirements for

the country
● Procurement of FP commodities and its
ancillary supplies
● Strengthening of the supply chain management
in FP and ensuring of adequate FP supply at the
service delivery points
NATIONAL FAMILY PLANNING PROGRAM
COMPONENTS: COMPONENT B:
Component B: Demand Generation through
Community-based Management
Information System:

● Identification and profiling of current FP users

and identification of
potential FP clients and those with unmet need
for FP (permanent or
temporary methods)
● Mainstreaming FP in the regions with high
unmet need for FP
● Development and dissemination of Information,
Education Communication materials
● Advocacy and social mobilization for FP
NATIONAL FAMILY PLANNING PROGRAM
COMPONENTS: COMPONENT C:
Component C: Family Planning in Hospitals and
other Health Facilities

● Establishment of FP service package in hospitals

● Organization of FP Itinerant team for outreach
missions
● Delivery of FP services by hospitals to the poor
communities especially Geographically Isolated and
Disadvantaged Areas (GIDAs):
● Provision of budget support to operations by the
itinerant teams including logistics and medical
supplies needed for voluntary surgical sterilization
services
● FP services as part of medical and surgical missions
of the hospital
● Partnership with LGU hospitals for the FP
outreach missions
NATIONAL FAMILY PLANNING PROGRAM
COMPONENTS: COMPONENT D:
Component D: Financial Security in FP

● Strengthening PhilHealth benefit packages for

FP
● Expansion of PhilHealth coverage to include
health centers providing No Scalpel Vasectomy
and FP Itinerant Teams
● Expansion of Philhealth benefit package to
include pills, injectables and IUD
● Social Marketing of contraceptives and FP
services by the partner NGOs
● National Funding/Subsidy
NATIONAL FAMILY PLANNING
PROGRAM STRATEGIES:

1. FP Outreach Mission

2. FP in hospitals

3. Intensive Demand generation through house-

to-house visits by the community health
volunteers, Family Development Sessions,
Usapan sessions, among others
FP OUTREACH MISSION


National Family Planning Program
STRATEGIES:

- this maximizes opportunities where clients are

and FP services are delivered down to the
community level. (USAPAN SESSIONS)
FP IN HOSPITALS


National Family Planning Program
STRATEGIES:

- this address missed opportunities where

women especially those who recently gave birth
are offered with appropriate FP services.
USAPAN SESSIONS:
1. USAPANG KUNTENTO NA - BIRTH
LIMITING

2. USAPANG PWEDE PA - BIRTH SPACING

3. USAPANG BUNTIS - FP USE AFTER

DELIVERY

4. USAPANG MAGINOO - MEN