In this presentation the De La Salle University team working as part of the Open Data in Developing Countries research network share an update on their research, focussing on open data in the context of maternal healthcare. Further case study details for "Open Government in the Philippines: exploring the role of open government data and the use of new technologies in the delivery of public services" can be found at http://www.opendataresearch.org/project/2013/dls

1. “Exploring Open Data Boundaries in
Maternal Health & Child Care practices”
July 16, 2013
Center for ICT for Development (CITe4D)
College of Computer Studies

2. It’s more fun in the
Philippines

3. FACTS
Maternal Health Care
• 11-15 mothers die per day due to
pregnancy-related causes
• Mortality rate for Filipino mothers
has increased to 221 per 100,000 live
births in 2011 from 162 per 100,000
live births in 2009 (DOH, 2012)
• 53 in every 1000 women aged 15 to
19: Highest in 6-ASEAN countries;
70% increase in the past decade
(UNFP, 2010?)
• Philippine Abortion rate: 25 per 1000
women (?)

4. How? Dissecting a Social
Phenomenon
Community-
based
practices in
MHCC
LGU
Practices
Community-
level
Practices
Relevant
Concepts &
Models
La Sallian
Mission
“How do local communities participate in MHCC? What are the participation
practices that be supported/enhanced by open data techniques?”
Open data in social
services
Transparency and
Participation practices
Community
Informatics
“Bridging Faith through
Scholarship”

5. Dissecting MHCC Practices in Local
Communities
MHCC
Practices in
Local
Communities
Activities and
Processes
Data Types
& Formats
Data
Sources
Role of ICT
Stakeholder
Roles

6. Main Stakeholders in MHCC
Brgy Health
Workers
Patients
and
their
families
Brgy Officials
LGU
Health
Officers
Midwife, RNs,
BHWs, and BNS
(Health Service
Providers)
Sectoral
assignments
(Governance)
Doctors and
Nutritionists
(Health
Management)
Mothers, fath
ers, children,
and in-laws
(constituents)

7. MHCC: Community-based Health Assessment (CHA)
Framework
LGU
Functions
Service
Channels
BARANGAY
Lying-in Clinics
Barangay Health
Centers
Hospitals
Health Service
Providers
Governance
Functions
Capacity Building
Functions
Health Care
Management
Functions Demand Driven
through Feedback
Purok
Households
Pregnant Women &
Children

8. Community& LGU-level MHCC
Service
Evaluation
Targeting &
Service Delivery
Monitoring MHCC Cases
Spot mapping &
surveys
Brgy-level
monitoring and
reporting
MHO level
reporting
Brgy-level
dispensation &
availment of
services
Types of brgy-
level MHCC
services

9. Community-level MHCC: Monitoring
Community-
level MHCC
monitoring
Catchment
area visitation
(house to
house)
Information
Gathering
through social
networks
Creation of
case record
“Highlight: Person to
person communication;
social relations”

10. Community-level MHCC: Targeting and
Service Delivery
•Decision support for rapid assessment of MHCC
situation
•Survey of geographic area
•Monitoring of Pregnancy (HR and teenaged cases)
and Malnutrition-related incidences
Spot
Mapping
•Case monitoring: BP, OPT, Pre-natal check-ups
•Vaccination and vitamin supplementation
•Advocacy and capacity building: Nutrition,
cleanliness, breast feeding, family planning
•Community support: communal garden, breast
feeding room, day-care center
Service
Delivery

11. Brgy and LGU-level MHCC: Service
Evaluation
Coordination
Weekly Meeting
Spot visits
Special Programs (e.g.
Feeding, Medical
Missions)
Validation
Random Coverage
Assessment
Target Client list
Consolidation
Health center reports
Supply Inventory

12. Gaps in Participation:
On Beliefs & Folklore
• Belief in the existence of the supernatural
– “aswang” and “tik-tik” (MH)
– “ang barko ni Maria” (DM)
• Preference on “alternative” sources of
healthcare
– hilots, albularyo, etc.
• Subscription to traditions
– Lack of paternal participation in birthing
(e.g. washing of birthing clothes)
– Lack of maternal adaptation
(e.g. hair pulling to stop bleeding)
• Avail of non-traditional avenues
– Eat Bulaga for mangrove planting
– Wish ko Lang for alternative income for hilots
EDUCATIONAL
GAP

13. Brgy and LGU MHCC: Challenges
• Question of data accuracy upon capture from source
• Physical storage of information presents integrity and
consolidation problems
Monitoring of
MHCC Cases
• Physical cases records presents difficulty in data aggregation
hence may affect accuracy of targeting
• Lack of resources (supply and HR)
• Financial limitations of citizens
• Citizens treated as mere recipients
Targeting and
Service Delivery
• Capture all brgy-level reports (formal-DOH proforma and
informal data-brgy assessment)
• Targeting difficulties
• Determine efficacy of programs
Service
Evaluation

14. Tip of the Iceberg?
Transactional Needs
Participation-level
Open Data: Empowerment
& Advocacy (?)

15. Next Steps
• Project-related Activities(July-Sept, 2013)
• Identification of Open Data avenues in MHCC and validation
activities
• Start Data Gathering for MSME practices
• Networking with LGUs and other schools
• Allied activities
• Participation in the on-going ODI of the Dept. of Budget &
Management (DBM)
• E-Government Master Plan: Open Government as a direction
for the Philippines
• Possible participation in the task force on Open Government
(Office of the President, Republic of the Philippines)

16. Barangay Health Center, Brgy Punta
Taytay, Bacolod City, Negros Oriental

17. Pabasa para sa Nutrisyon play kit

18. Pabasa para sa Nutrisyon play kit

21. Dr. Ona with BHWs & BNSs of brgy Dona
Consuelo, Ozamis City, Misamis Occidental

22. Nutrition Office, City Government of
Ozamis, Misamis Oriental