Assessment of the Implementation of Maternal and Child Health Services of Local Health Units in Tarlac City: Towards Development of an Action Plan

Corpuz, Alma M.; Garcia, Rosalina C.; Ladia, Maria Agnes P.; Facun, Remedios D.; Nool, Nelvin R.
February 2012
International Proceedings of Economics Development & Research;2012, Vol. 30, p312
Academic Journal
This study assessed the Maternal and Child Health (MCH) services delivered by local health units or rural health units (RHUs) in Tarlac City and developed an action plan involving educational institutions in health promotion. Specifically, it aimed to (1) identify the MCH services available at the local city health units; (2) assess the implementation of the services based on the adequacy of budget and supplies, the competence of the health personnel in implementing the services; adequacy of the number of health personnel in implementing the services and their availability; adequacy of programs to ensure mother and child health; (3) identify the problems of the health personnel in delivering the health services and the obstacles of the mothers in availing of the health services; and (4) propose an action plan to actively involve educational institutions in the implementation of MCH services. This study involved 178 RHU personnel comprising of doctors, nurses, midwives and barangay health workers and 487 mothers as respondents who availed of the MCH services from January 2010 to August 2011. Findings revealed that for mothers, among the top services are prenatal health management through tetanus toxoid administration, weight and vital signs monitoring, health education and giving of vitamins. For child health services, these are on immunization, giving of vitamins, deworming, supplemental feeding among undernourished, medical and dental consultations. As to the assessment of the implementation of these services, most services are adequately funded and supported except vitamin A supply, supplemental feeding, home visits, dental services and number of personnel. These were rated moderately adequate. The personnel were assessed to be competent but their number is moderately adequate especially in doing home visitations. The MHC services were generally assessed adequate to ensure the health of the mother and child except for those which were said to be moderately funded and supplied. The problems encountered by the personnel include insufficiency of budget and supplies, lack of health personnel, clients coming in only during emergency cases or when they are about to give birth, and their failure to strictly follow health management prescriptions. For the mothers, lack of free medicines, vitamins and supplies; long lines in the health units; and lack of time and budget to visit the RHUs. The action plan developed includes four programs, namely: strengthening of school clinic programs; enrichment of curricular and extra-curricular programs of the schools by integrating health promotion activities; partnership of schools and local health units; and integration of community announcements in the school information system. The researchers recommend that Tarlac City must consider increasing the number of midwives, nurses, doctors and dentists to be able to attend to all target clients. The city government may tap private national and international organizations to augment supplies. We also recommend that mothers' club must be organized in each barangay to serve as a channel of health information, dissemination and health promotion. Educational institutions could use the action plan proposed in this study as basis of developing their curricular, co-curricular and extension programs to help the health sector deliver health services to the mothers and children. Among the strategies include aligning schools' health programs with some of the City health programs, integrating health bulletins in the information system of the schools and integrating literacy and health education programs in their extension projects.


Related Articles

  • It's the Vision Thing: Mobilizing the Grace Abbots of the Twenty-First Century. Hess, Catherine A. // Maternal & Child Health Journal;Sep2004, Vol. 8 Issue 3, p111 

    Comments on the concept and challenges in Maternal and Child Health (MCH) programs. Concerns on the primary focus of MCH; Need for MCH program to connect multiple systems in public health, health care delivery and education; Roles of MCH programs in reformed health systems.

  • Free healthcare in Sierra Leone. Johnson, Kimberly S. // BMJ: British Medical Journal (Overseas & Retired Doctors Edition;1/1/2011, Vol. 342 Issue 7787, p25 

    The article describes the free services offered to children below five years and pregnant or breastfeeding women at Kroo Bay Health Centre in Freetown, Sierra Leone. Kroo Bay Health is one of the health centers supported by the government and the Save the Children organization, designed to...

  • The Origin and Development of Maternal and Child Health Programs in the United States. Lesser, Arthur J. // American Journal of Public Health;Jun85, Vol. 75 Issue 6, p590 

    The article emphasizes the major policy issues which were met in the development and administration of the maternal and child health programs in the U.S. The legislative history of the Maternity and Infancy Act pf 1920-1929 made it clear that it was the intent of the Congress that the findings...

  • The Use of Central Place Theory for the Location of Maternal and Infant Care Projects. Fox, Richard T.; Fox, Dorothy H. // American Journal of Public Health;Sep1974, Vol. 64 Issue 9, p898 

    The concept of central place theory is examined and a method is described for determining the optimal locations for Maternal and Infant Care Projects so that health services are accessible to and utilized by the greatest number of eligible persons.

  • Giving Birth, Contesting Stigma: Cuban Women Living With HIV. Castro, Arachu; Khawja, Yasmin; González-Núñez, Ida // NACLA Report on the Americas;Jul/Aug2008, Vol. 41 Issue 4, p25 

    The article deals with a program in Cuba that is aimed at preventing mother-to-child transmission of HIV. Based on the article, the incidence of HIV in Cuba has continued to increase, but the number of deaths from AIDS and the incidence of opportunistic reflections related to HIV have dropped....

  • Cuba's system of maternal health and early childhood development: lessons for Canada. Keon, Wilbert J. // CMAJ: Canadian Medical Association Journal;2/3/2009, Vol. 180 Issue 3, p314 

    The article presents the medical lessons learned by Canada on Cuba's early childhood and maternal health management. It mentions that the Canadian Senate Subcommittee on Population Health examines the medical care models used by Cuba. The observation of Canada aims to cut down the health...

  • AHA NOVA-award winning program helps young mothers make sure that 'Every Child Succeeds.'. DAVIS, PETE // AHA News;2/7/2011, Vol. 47 Issue 3, p4 

    This article features a healthcare program called Every Child Succeeds sponsored by Cincinnati Children's Hospital Medical Center in Ohio. Started in 1999, the program offers services to help mothers during their children's development from pre-natal through age three. The program focuses on...

  • Hospital finds Every Child Succeeds when troubled young moms get help.  // AHA News;7/24/2006, Vol. 42 Issue 15, p7 

    This article deals with the leading role played by Cincinnati Children's Hospital Medical Center in Every Child Succeeds, a program designed to improve maternal and infant health. Information is presented on the number of families served by the program. The effectiveness of the program in...

  • Putting children first.  // British Medical Journal;9/15/1979, Vol. 2 Issue 6191, p623 

    Focuses on the response of health professionals concerning the development of child health services. Precautions in interpreting perinatal statistics; Emphasis on the accessible family planning and genetic counselling services; Considerations on the safety of the mother and the baby.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics