How do we keep our mothers from dying?
Reducing maternal mortality was one of the millennium
development goals (MDG) which the Philippines was not able to meet, despite all the
government funds allotted for programs and intervention. In our own local professional society, more
than 90% of maternal deaths occur in the overcrowded congested government
hospital. Many of the patients present too late to prevent death. Hypertensive complications and hemorrhage is the most common causes of death.
In response to the MDGs, the Department of Health (DOH) issued Administrative Order 2008-0029 “Implementing Health
Reforms for Rapid Reduction of Maternal and Neonatal Mortality” which provides for several interventions in the
Maternal, Newborn, Child Health and Nutrition (MNCHN) program including the Essential
Intrapartum and Newborn Care (EINC, also known as Unang Yakap or First Embrace),
Lactation Management trainings (LMET), Basic Emergency Obstetric and Neonatal
Care (BEmONC) among other programs. We
wonder if any of these efforts are making a dent in improving maternal
care. Health policy groups have studied
ten years of Philippine health service delivery and have shown very minimal
change in health statistics across all programs.
During a regional conference on research and
innovation, we came across the RxBox which contains a blood pressure apparatus,
a fetal monitor, maternal tocometer and other functions all rolled into
one. This is expected to empower
healthcare workers in hard to reach place with the diagnostic abilities of
higher levels of care. How has this been
employed in our communities?
In this era of research, innovation, information
communication technology and social media, what other technologies are
available which we have not yet maximized to reduce maternal deaths and
improve maternal health in your area?
What
are the challenges to maternal health in your area?
What
technologies are available to improve maternal health?
What
is the role of social media in improving maternal health?
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