turning disaster into an opportunity for improving … disaster into an opportunity for improving...
TRANSCRIPT
Turning disaster into an opportunity for improving
maternal and newborn care services in the Philippines
Mariella Sugue Castillo, MD, MSc
Health Specialist UNICEF Philippines
Super typhoon Haiyan (“Yolanda”) Strongest typhoon on record to make landfall (as of 2013)
Super typhoon Haiyan (“Yolanda”)
Super typhoon Haiyan (“Yolanda”)
Balangiga, Albino M Duran Memorial Hospital
Guiuan, the Felipe J. Abrigo Memorial Hospital
Marabut, BHS with birthing services
Methodology
Rapid Assessments
EINC Training of Trainers
EINC QI Workshops
1-month and 3-month post
training visits
EINC = Essential Intrapartum & Newborn Care QI = Quality Improvement
Super typhoon Haiyan (“Yolanda”)
Leyte Provincial Hospital
Tanuan RHU
Tabon-‐tabon RHU
Mayorga RHU
Service availability indicators, Region 8, Philippines
75
36
75
31
31
36
58
84
76
89
39
76
74
68
94
97
97
97
97
97
97
0 20 40 60 80 100
24/7 Skilled Birth A5endance
Parenteral an:bio:cs
Parenteral oxytocin
Parenteral magnesium sulfate
Neonatal resuscita:on
Antenatal steroids
Kangaroo mother care
Eastern Visayas (Leyte, Eastern and Western Samar)
3-‐months post-‐training evalua:on (36 weeks post-‐landfall)
One-‐month post-‐training evalua:on (28 weeks post-‐landfall)
Baseline (16 weeks post-‐landfall)
Equipment & supply indicators, Region 8, Philippines
0
69
5
0
33
64
39
5
92
18
66
0
0
63
89
66
0
56
81
81
3
0
56
97
62
16
97
0 20 40 60 80 100
Newborn bag & mask
Soap or hand disinfectant
Towels for drying
PMTCT drugs
Cor:costeroids
Injectable uterotonic
Magnesium sulfate
IMPAC guidelines
Up-‐to-‐date delivery register
Eastern Visayas (Leyte, Eastern and Western Samar)
3-‐months post-‐training evalua:on (36 weeks post-‐landfall)
One-‐month post-‐training evalua:on (28 weeks post-‐landfall)
Baseline (16 weeks post-‐landfall)
Service standards indicators, Region 8, Philippines
72
0
64
72
53
75
17
89
89
71
89
0
89
45
94
94
97
94
0
91
41
0 10 20 30 40 50 60 70 80 90 100
Companion of choice
AMTSL
Partograph filled out correctly
Non-‐separa:on and ini:a:on of breas]eeding
BCG birth dose
Hepa::s B birth dose
Room thermometer in delivery area
Eastern Visayas (Leyte, Eastern and Western Samar)
3-‐months post-‐training evalua:on (36 weeks post-‐landfall)
One-‐month post-‐training evalua:on (28 weeks post-‐landfall)
Baseline (16 weeks post-‐landfall)
Acknowledgements Willibald Zeck (Health and Nutrition Section Head, UNICEF Philippines), Maria Asuncion Silvestre (President, Kalusugan ng Mag-Ina*, Inc.), Marie Ann Camara Corsino (Kalusugan ng Mag-Ina, Inc.), Ma Bella Ponferrada (Health Specialist, UNICEF Philippines Tacloban Field Office)
*Kalusugan ng Mag-Ina, is Filipino for “Health of Mother and Child”
For more information, please contact Mariella S. Castillo, M.D., M.Sc. Health Specialist [email protected] United Nations Children’s Fund Philippine Country Office 31/F Yuchengco Tower, RCBC Plaza 6819 Ayala Avenue, 1200, Makati City, Philippines Phone (+632) 9010151, Mobile (+63)917-8589468 www.unicef.org © United Nations Children’s Fund October 2015 Cover photo © UNICEF Philippines/Thomas Nybo 2014 Slides 4-6 photo © UNICEF Philippines 2013,2014