Determination of public and private primary birthing centers service delivery network functionality in Albay, Philippines
https://doi.org/10.47895/amp.v56i16.5821
- Author:
Maria Stephanie Fay S. Cagayan
1
;
Rita Mae Ang-Bon
2
Author Information
1. Department of Pharmacology and Toxicology, College of Medicine, University of the Philippines Manila
2. Department of Social Development Services, College of Human Ecology, University of the Philippines Los Banos
- Publication Type:Journal Article
- Keywords:
Service Deliver Network;
Maternal and mortality;
Monitoring and evaluation
- MeSH:
Birthing Centers
- From:
Acta Medica Philippina
2022;56(16):78-88
- CountryPhilippines
- Language:English
-
Abstract:
Background:One of the strategies adopted by the Department of Health (DOH) to improve maternal outcomes is the systems approach which means understanding extensively how the system operates to determine factors affecting the delivery of services. In 2014, Albay province responded by adapting and implementing the Maternal, Newborn and Child Health, and Nutrition (MNCHN) Service Delivery Network Guidelines. However, no external monitoring and evaluation have been done to assess the compliance of birthing facilities to these guidelines.
Objectives:To determine Legazpi city’s obstetric service delivery network functionality and to compare government and private primary level birthing facilities in terms of 1) governance; 2) human resources; 3) protocols; 4) transportation and communication; and 5) emergency drugs and equipment.
Materials and Methods:A cross-sectional study using the referral system assessment (RSA) questionnaire translated into a scorecard with a review of secondary data on high-risk pregnancies, referral rates, and maternal mortalities was done on eight facilities in Legazpi City.
Results:Overall, none of the health facilities assessed were fully-functional. Privately owned facilities scored highest in emergency drugs and equipment (83.3%) and lowest in human resources (38.9%). Government facilities scored highest in emergency drugs and equipment (88.9%) but lowest in transportation and communication (44.4%). Statistically significant differences were observed for human resources (p-value=0.0180), wherein public facilities garnered higher scores, and in transportation and communication (p-value=0.0294), private facilities showed better scores. Only one maternal death in 418 referrals was reported.
Conclusion:Overall, the health facilities varied in the level of functionality in terms of SDN guidelines.
- Full text:5821-Article Text-79633-1-10-20220915.pdf
