Project 1 Milestone 2.docx - Running Head SUMMARY OF THE...

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Running Head: SUMMARY OF THE ISSUES 1 Philippines: Summary of the Issues Rachael Sinclair-Hall, RDH Southern New Hampshire University
SUMMARY OF THE ISSUES 2 Maternal mortality rate Significance The Maternal Mortality Rate (MMR) was part of the United Nations’ Millennium Development Goals (MDGs) and was the goal that was furthest from being met in the Philippines. The current MMR is 204 deaths per 100,000 births. The MDG was to reduce the MMR to 52 deaths per 100,000 births by 2015. The current goal for the MMR in the Philippines is 70 deaths per 100,000 births. The MMR also affects the Infant Mortality Rate (IMR) which was just shy of meeting the MDG of 19 deaths per 1,000 births. A component of the IMR is the neonatal mortality rate; this rate did not go down due to the MMR that was not reduced (Cabral, 2016). Populations Impacted/Economic Factors The population impacted consists of all women in the Philippines that are able to bear children. Women considered to be low socioeconomic standing (LSS) and live in less developed regions of the country are at greater risk. Women in LSS are more likely to deliver outside of a health facility with only 13% delivering within a health facility; compared to nearly 84% of women in a high socioeconomic standing (HSS). Those who delivered with the help of a doctor, nurse or midwife in LSC are 25% compared to 94% of women in a HSS (David et. al., 2011). Social and Cultural Factors The Philippines have many different ethnicities that form a unique blended society. A majority of the population (79%) are Roman Catholic ( Borlaza & Hernandez, 2019). The Catholic Church has fought the Philippine government for providing free birth control to LSS women. President Duterte stated that natural family planning does not work and issued an order
SUMMARY OF THE ISSUES 3 that would mandate two million women in a LSS to have free access to family planning needs (Jessen, 2017). Current Actions, Interventions and Influences The government has focused on making progress of antenatal care, facility-based delivery’s and delivery’s to be done by skilled birth attendants. Family planning goods and services to those in a LSS has also been a priority. The Filipino Supreme Court upheld the Reproductive Health and Responsible Parenthood law (RHRP); allowing family planning needs to the LSS population (Cabral, 2016). The decentralized setting of the health care system has been a contributing factor of the MMR. The Philippine Department of Health (DOH) serves for policy making only. The local government units (LGUs) are responsible for providing primary needs such as maternal and child care (David et. al., 2011). The DOH has started to do more with

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