DETERMINANTS OF THE EXTENT OF UTILIZATION OF MATERNAL
HEALTH SERVICES IN BARANGAY MANGARIN,
SAN JOSE, OCCIDENTAL MINDORO
MARCIEL S. BAUTISTA, R.N., R.M*
“I will greatly increase your pains in childbearing; with pain you will give birth to children…”Genesis 3:16 ABSTRACT
The study aims to assess the extent of the utilization of Maternal and Child Health (MCH) Care Services for pregnant mothers given by the Department of Health (DOH) by describing their socio-demographic status, categorizing their high risk health condition, recognizing the health status, identifying MCH care services received, determining the percentage who utilized the birthing home facilities, showing the various strategies used in the implementation of MCH care as outreach activities and enumerating the extension activities conducted by the Midwifery department relative to MCH program in Barangay Mangarin, San Jose, Occidental Mindoro. Descriptive method of research was used. The researcher also used complete enumeration in choosing respondents in Post Partum Mothers who delivered at Basic Emergency Obstetric and Newborn Care (BEmONC) or Lying-In, hospital and home. The respondents were selected purposively used in determining the infant feeding practices and in terms of Immunization status, the researcher used simple random sampling method.
The findings on socio-demographic characteristics revealed that most of the respondents reached elementary level on their educational attainment and most of them were unemployed and generated average family income ranging from Php 1001.00 to Php 6,999.00. The common problem encountered was insufficient money to give birth at Lying-In / BeMONC and hospital. To address this problem, provide an emergency and birthing plan activity is employed. Open-forum with the key informant and other health care providers is also applied to reduce giving birth at home.
For the health status of pregnant women and children, there were fifty-three (53) pregnant mothers out of seventy-three (73) or 72.6% who are at high risk condition. Furthermore, the high risk factor of pregnant mother confirmed belongs to the age group, below 18 years and 35 years and above and could be alarmed to the health care providers. They oftentimes visit to the Barangay Health Center for pre-natal check-ups, injection of immunization for the mothers and babies, receiving Iron with folic acid supplementation.
For the utilization of birthing home facility and birth attendant, this study found out that most post partum mothers delivered at home and attended by “Hilot”, probably due to financial constraint.
Seminars and several health education programs were offered to among pregnant mothers to reduce the teenage pregnancy cases and increase delivery at Lying-In or BeMONC and hospitals.
This study highlights the utilizations of MCH care services and facilities in achieving MDG 4 and 5.Provision of more information dissemination regarding the updates, trends and issues of Maternal and Child Health Care services should be given emphasis to this program.
Maternal and Child Health (MCH) Care is the health service provided to mothers (women in their child bearing age) and children. The targets for MCH are all women in their reproductive age groups, i.e., 15 - 49 years of age, children, school age population and adolescents. It also refers to the relationship of mother and child to one another and consideration of the entire family as well as the culture and socio-economic environment, as framework of the clients. (Adisse,2003) Based on the Philippine Commitment to the Millennium Development Goals, to reach these targets, each country needs to ensure that the MDGs are prioritized. There is an increasing focus and interest in MCH care all over the world, especially in the developing countries like the Philippines. After the World Millennium Summit for children, 1991,...
References: Untalan, Aaron. Concepts and Guidelines in COPAR. Revised Edition. 2007. Giuani Print House. Malabon, Philippines.
WHO Recommended Interventions for Improving Maternal and Newborn Health. 2007.
Municipal Health Office Record, 2012
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