Maternal and Child Health-Family Health Survey for 2011

7/23/2019 Maternal and Child Health-Family Health Survey for 2011

1/25

BREASTFEEDING

unmet need

Women of Reproductive HealthWomen of Reproductive HealthWomen of Reproductive HealthWomen of Reproductive Health

15-49 years oldHouseholdEDUCATION

Wealth IndexRespondents

occupationoccupationoccupationoccupationFERTILITY

High-risk fertility

FAMILY PLANNINGFAMILY PLANNINGFAMILY PLANNINGFAMILY PLANNING

condoms

pills

Delivery assistance Reasons for Not Using FP MethodMARITAL STATUS

INFANT AND CHILD MORTALITY

MATERNAL MORTALITY

ANTENATAL CARE

Post-natal careBirth delivery

sterilization vaccinationDIARRHEADIARRHEADIARRHEADIARRHEA

HILOT


2/25

Key Findings on Maternal Health

Antenatal care | Assistance at delivery |Postnatal care


3/25

Antenatal Care Coverage (2003-2011)

70.4%

77.8% 78.0%

2003 NDHS 2008 NDHS 2011 FHS

%o

fpregnant

womenwithatleast4ANC


4/25

Number of ANC visits

Percent distribution of women age 15-49 who had a live

birth in the five years preceding the survey by number of

antenatal care (ANC) visits for the most recent live

birth, according to residence, Philippines 2011

ResidenceNumber of ANC

visits Urban Rural Total

None 0 0 0

1 2.2 3.9 3.1

2-3 11.8 18.6 15.3

4+ 83.7 72.8 78.1


5/25

Antenatal care provider

Among women 15-49 with live births in the five years

preceding the survey, the percentage who received

antenatal care (ANC) during pregnancy for the most

recent birth from a doctor, midwife, or hilot, according

to Socio-Economic Indicator, Philippines 2011

Socio-Economic

Indicator Doctor Midwife HilotPoor 13.5 73.5 4.6

Non-poor 49.5 45.7 1.1

Philippines 37.2 55.2 2.3


6/25

Timing of First Antenatal Care Visit, by

Gestation Months

FHS 2011: NSO, DOH, USAID

58%29%

8%

1% 4%< 4 months

4-5 months

6-7 months>8 month

Not sure

vs. 54% (NDHS 2008)


7/25

Assistance at Delivery: Skilled Birth

Attendants, Traditional Birth Attendantsand Others

41%

29% 27%

3%1% 0.3% 0.1%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

Doctor Midwife Hilot Nurse Relative/

Friend

Other No one

%oflivebirths



8/25

63.9

42.4

62.2

44.2

72.2

55.2

Attended by a professional Delivered at a health facility

2006 FPS 2008 NDHS 2011 FHS

Attendant at birth and place of

delivery, Philippines 2006, 2008 and

2011


9/25

Percentage of live births in the five years prior to the survey thatwere delivered by a health professional, by region,

Philippines 2011

9

72.2

91.5

79.586.1

71.1

90.682.6

50.6

59.9

70.2

77.5

60.3

48.4

60.3 60.6

52.9

61.5

31.9

Philippines

NCR

CAR

Region1

Region2

Region3

Reg

ion4A

Region4B

Region5

Region6

Region7

Region8

Region9

Region10

Region11

Region12

C

araga

A

RMM

Birth delivery assistance


10/25

Percentage of live births in the five years prior to the surveythat were delivered in a health facility, by

region, Philippines 2011

10

55.2

77.4

67.5

55.4

44.7

65.260.6

36.243.3

57.363.0

46.136.6

46.7

53.3

39.5

50.5

19.2

Philippines

NCR

CAR

R

egion1

R

egion2

R

egion3

Reg

ion4A

Region4B

R

egion5

R

egion6

R

egion7

R

egion8

R

egion9

Region10

Region11

Region12

Caraga

A

RMM

Place of delivery


11/25

Assistance by Skilled Birth Attendants

at Home Deliveries,by Region

73%

69%

63%

56%

48%

40%38%

38%

31%

30%

26%26%

23%

23%

23%

19%

16%

16%

Central Luzon

Ilocos

National Capital Region

CALABARZON

Cagayan Valley

Central Visayas

PHILIPPINES

Cordillera Admin. Region

Western Visayas

Bicol

Northern Mindanao

Eastern Visayas

MIMAROPA

SOCCSKSARGEN

Caraga

Zamboanga Pen.

Davao

ARMM



12/25

Frequency of Postnatal Care

Received byMotherswithinFirst Week of Delivery

26%

21%20%

17%

15%

1%

1 check up 4+ check ups 2 check ups 3 check ups No postnatal

care

Not sure



13/25

26%23%

20%

17%

13%

1%

1 check up 4+ checkups

2 checkups

3 checkups

Nopostnatal

care

Not sure

Frequency of Postnatal Care

Received byNewbornswithinFirst Week of Delivery



14/25

Key Findings on Child Health

Breastfeeding | Child Vaccination | Infant & Child Mortality


15/25

Skin-to-Skin Contact at Birth

in Health Care Facilities,by Region

46%48%

50%58%59%6060%

63%66%66%66%67%67%

71%74%74%75%

80%

ARMM

Cagayan Valley

SOCCSKSARGEN

Central Luzon

MIMAROPA

IlocosCordillera Admin. Region

Zamboanga Pen.

PHILIPPINES

Davao

CALABARZON

CaragaEastern Visayas

Central Visayas

Northern Mindanao

Bicol

National Capital Region

Western Visayas



16/25

Breastfeeding and

Exclusive Breastfeeding

92% 96% 89%

27%34%

24%

Philippines Poor Non poor

Ever breastfed Exclusively breastfed



17/25

Exclusive Breastfeeding

27.323.9

49.2

29.1

40.8

20.7 18.8

36.7

26.2 26.523.3 25.1

27.725.2

39.5 40.3

26.6

38.9

Philippines

NCR

CAR

Region1

Region2

Region3

R

egion4A

R

egion4B

Region5

Region6

Region7

Region8

Region9

R

egion10

R

egion11

R

egion12

Caraga

ARMM

Percentage of youngest children 6-35 months who wereexclusively breastfed until age 6 months, by

region, Philippines 2011


18/25

Children Vaccination Coverage:

NDHS 2008 vs. FHS 2011


85%79.5%

5.4%5.6%

FHS 2011NDHS 2008

Basic Vaccination No Vaccination

*Basic vaccination includesBCG, measles, three doses of DPT and polio.


19/25

Infant and Under-five Mortality,

by Place of Residence

22 21

24

3027

34

0

5

10

15

20

25

30

35

40

Philippines Urban RuralNumberofdeathsper1000livebirths

Infant Mortality Under-five MortalityFHS 2011: NSO, DOH, USAID


20/25

Infant and Under-five Mortality

(2003 2011)

29

25 22

40

3430

0

5

10

15

20

25

30

35

40

45

NDHS 2003 NDHS 2008 FHS 2011

Numberofdeathsper1

000livebirths

Infant Mortality Under-five MortalityFHS 2011: NSO, DOH, USAID

MDG Targetsfor 2015

(26.7 and 19)are

ACHIEVABLE


21/25

Infant Mortality,by Length of Birth Interval

33

16 16 17

0

5

10

15

20

25

30

35

< 2 years 2 years 3 years 4+ years

Numbe

rofdeathsper

1000live

births

Length of birth intervals


Recent systematicreview showed a 37%

increased risk of late

neonatal mortality and

a 23% increased risk ofunder-five mortality at

short

intervals, compared to

longer intervals of 36-

59 months. Based on these

findings, researchers

recommend birth

interval to be at least

three years.


22/25

Maternal Mortality Ratio(1993 2011)

209172 162

221

0

50

100

150

200

250

300

1993 NDS 1998 NDHS 2006 FPS 2011 FHS

Numberofdeathper100,0

00livebirths


260

182

224

120

196

128


23/25

Summary Findings: Maternal Health

78% of pregnant women have at least 4 ANC visits.

More women (58%) receive first ANC during first trimester ofpregnancy compared to 2008 (54%).

More births were delivered by Skilled Birth Attendants (73%)compared to 2008 (62%). Reliance on Traditional BirthAttendants (hilots) is decreasing.

Assistance from Skilled Birth Attendants during home birthvaries from 73% in Central Luzon to 16% in ARMM andDavao.

Maternal mortality remains high.



24/25

Summary Findings: Child Health

Vast majority of women and newborns received postnatal careduring first week after delivery.

Only 27% of all mothers practice exclusive breastfeeding.

Children vaccination coverage increased from 80% (NDHS2008) to 85% with vast majority of children receiving basicvaccination.

Both infant and under-five mortality data demonstrate steadydecrease compared with previous years. MDG targets for 2015are feasible to achieve.



25/25

www.census.gov.ph

National Statistics Office

Documents

Maternal and Child Health-Family Health Survey for 2011