TITLE

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

AUTHOR(S)
Corpuz, Alma M.; Garcia, Rosalina C.; Ladia, Maria Agnes P.; Facun, Remedios D.; Nool, Nelvin R.
PUB. DATE
February 2012
SOURCE
International Proceedings of Economics Development & Research;2012, Vol. 30, p312
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
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.
ACCESSION #
74389293

 

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