The first minutes are very important for newborns in terms of making a healthy transition to the postnatal life. Achievement of this is possible with accurate and timely performance of the delivery room application steps for both healthy babies and babies who carry risk and require resuscitation. This guideline, which includes treatments to be performed in newborns requiring resuscitation together with assessment and routine care of newborns after delivery, was prepared in light of recent literature considering the conditions of our country; it is an abridged form of the original guideline.

1. DELIVERY ROOM
TECHNIQUES.

2. OVERVIEW
OF
MNCHN & EINC

3. MATERNAL, NEWBORN,
CHILD HEALTH AND
NUTRITION STRATEGY
(MNCHN)

4. POLICY OBJECTIVE
• Implementing Health Reforms for Rapid
Reduction of Maternal and Newborn Mortality
(MNCHN Strategy)
Administrative Order
0029
• Adopting Policies and Guidelines on Essential
Newborn Care (ENC)
Administrative Order
0025
• However, we need to understand features and
characteristics of maternal and newborn deaths
to focus our interventions.
To reduce maternal and
neonatal mortality rates
faster from 2007 to 2015 to
meet MDG targets

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
transitions to the women’s health care
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

7. MNCHN SERVICE DELIVERY
NETWORK
A. Third Tier: CEmONC Capable Health
Facilities
B. Second Tier: BEmONC Capable Health
Facilities
C. First Tier: Community Level Service
Providers with Community Health Teams

8. LIFE EVENTS
Pre-union
Premarital
counseling
Conception
Pregnancy
Birth and
Delivery
Under 5
years
BEmONC
Healthy Lifestyle
Micronutrient Supplementation
NBS, EPI, IMCI, IYCF
Family Planning, Adolescent
Health
MBFHI
EIN
C
CEmONC

9. MBFHI
EINC
NBS, EPI, IMCI, IYCF
THINGS TO CONSIDER IN CURRICULUM INTEGRATION FOR
MNCHN-RELATED PROGRAMS
• Essential intrapartum and newborn care
• Rooming-in and breastfeeding
• Breastfeeding and infant and young child feeding (IYCF)
• Breastfeeding during emergencies and disasters
• Newborn screening and newborn hearing screening
• Postpartum care and postnatal care
• Birth spacing, family planning
• Health lifestyle
• Oral health
Pre-union
Premarital
counseling
Conception
Pregnancy
Birth and
Delivery
Under 5
years

10. ESSENTIAL
INTRAPARTUM
AND NEWBORN
CARE

11. • Appraised evidence
• GRADE methodology
• Evidence-based draft
developed
Develop
Guidelines
Disseminat
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

12. THE EINC CAMPAIGN
Hospital
Reform
Agenda
Network of
Centers of
Excellence
Curriculum
Changes
Social
Marketing
Campaign

13. THE EINC CAMPAIGN
Hospital
Reform
Agenda
Network of
Centers of
Excellence
Curriculum
Changes
Social
Marketing
Campaign

14. THE EINC CAMPAIGN
Hospital
Reform
Agenda
Network of
Centers of
Excellence
Curriculum
Changes
Social
Marketing
Campaign

15. The EINC Campaign
Hospital
Reform
Agenda
Network of
Centers of
Excellence
Curriculum
Changes
Social
Marketing
Campaign

16. 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

17. Local Government Units (LGU)
General Santos City
Cotabato City
Quezon City
Parañaque City
Pagsanjan
Provincial Health Offices (PHO)
Bulacan Rizal
Aurora Sorsogon
Capiz Sarangani Province
Cavite
Centers for Health Development (CHD)
Region IV-A (CALABARZON)
Region XI (Davao)
Region VIII (Eastern Visayas)
Region II (Cagayan Valley)
Region III (Central Luzon)
Government Hospitals
Bataan General Hospital
Pasay City General Hospital
Zamboanga City Medical
Center
Ospital ng Muntinlupa
Private Institutions
NCR:
The Medical City
St. Luke’s - 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
Parañaque Doctors’ Hospital
Manila Doctors Hospital
Las Piñas City Medical Center
Our Lady of Lourdes Hospital
Medical Center Parañaque
Makati Medical Center
Manila Central University Hospital
Provincial Sites:
Tagaytay Medical Center
New Sinai MDI Hospital
Our Lady of the Pillar Med Ctr
Lorma Medical Center
Castro Maternity & Gen Hospital
De La Salle University Med Center
Spontaneous Scale-Up

18. 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

19. THE EINC CAMPAIGN
Hospital
Reform
Agenda
Network of
Centers of
Excellence
Curriculum
Changes
Social
Marketing
Campaign

20. THE EINC CAMPAIGN
Social
Marketing
Campaign
1st 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

21. SELF-INSTRUCTIONAL
MODULE (SIM)

24. http://www.wpro.who.int/philippines/publications/self_instructional_module_einc_video/en/index.html