“Exploring Open Data Boundaries in Maternal Health & Child Care practices”

July 16, 2013

Center for ICT for Development (CITe4D) College of Computer Studies

It’s more fun in the Philippines

FACTS

Maternal Health Care

• 11-15 mothers die per day due to pregnancy-related causes

• Mortality rate for Filipino mothers has increased to 221 per 100,000 live births in 2011 from 162 per 100,000 live births in 2009 (DOH, 2012)

• 53 in every 1000 women aged 15 to 19: Highest in 6-ASEAN countries; 70% increase in the past decade (UNFP, 2010?)

• Philippine Abortion rate: 25 per 1000 women (?)

How? Dissecting a Social Phenomenon

Community-based

practices in MHCC

LGUPractices

Community-level

Practices

Relevant Concepts &

Models

La Sallian Mission

“How do local communities participate in MHCC? What are the participation practices that be supported/enhanced by open data techniques?”

Open data in social servicesTransparency and Participation practicesCommunity Informatics

“Bridging Faith through Scholarship”

Dissecting MHCC Practices in Local Communities

MHCC Practices in

Local Communities

Activities and Processes

Data Types & Formats

Data SourcesRole of ICT

Stakeholder Roles

Main Stakeholders in MHCC

Brgy Health Workers

Patients and their

families

Brgy Officials

LGU Health Officers

Midwife, RNs, BHWs, and BNS (Health Service

Providers)

Sectoral assignments

(Governance)

Doctors and Nutritionists

(Health Management)

Mothers, fathers,

children, and in-laws

(constituents)

MHCC: Community-based Health Assessment (CHA) Framework

LGUFunctions

ServiceChannels

B A

R A

N G

A Y

Lying-in Clinics

Barangay Health Centers

Hospitals

Health Service Providers

Governance Functions

Capacity Building Functions

Health Care Management

Functions Demand Driventhrough Feedback

Purok

Households

Pregnant Women & Children

Community& LGU-level MHCC

Service Evaluation

Targeting & Service Delivery

Monitoring MHCC Cases

Spot mapping & surveys

Brgy-level monitoring and

reporting

MHO level reporting

Brgy-level dispensation &

availment of services

Types of brgy-level MHCC

services

Community-level MHCC: Monitoring

Community-level MHCC monitoring

Catchment area visitation

(house to house)

Information Gathering

through social networks

Creation of case record

“Highlight: Person to person communication;

social relations”

Community-level MHCC: Targeting and Service Delivery

• Decision support for rapid assessment of MHCC situation

• Survey of geographic area• Monitoring of Pregnancy (HR and teenaged

cases) and Malnutrition-related incidences

Spot Mapping

• Case monitoring: BP, OPT, Pre-natal check-ups• Vaccination and vitamin supplementation• Advocacy and capacity building: Nutrition,

cleanliness, breast feeding, family planning• Community support: communal garden, breast

feeding room, day-care center

Service Delivery

Brgy and LGU-level MHCC: Service Evaluation

Coordination

Weekly Meeting

Spot visits

Special Programs (e.g. Feeding, Medical

Missions)

Validation

Random Coverage Assessment

Target Client list

Consolidation

Health center reports

Supply Inventory

Gaps in Participation:On Beliefs & Folklore

• Belief in the existence of the supernatural– “aswang” and “tik-tik” (MH)– “ang barko ni Maria” (DM)

• Preference on “alternative” sources of healthcare– hilots, albularyo, etc.

• Subscription to traditions– Lack of paternal participation in birthing

(e.g. washing of birthing clothes)– Lack of maternal adaptation

(e.g. hair pulling to stop bleeding)• Avail of non-traditional avenues

– Eat Bulaga for mangrove planting– Wish ko Lang for alternative income for hilots

EDUCATIONAL GAP

Brgy and LGU MHCC: Challenges

• Question of data accuracy upon capture from source• Physical storage of information presents integrity and

consolidation problems

Monitoring of MHCC Cases

• Physical cases records presents difficulty in data aggregation hence may affect accuracy of targeting

• Lack of resources (supply and HR)• Financial limitations of citizens• Citizens treated as mere recipients

Targeting and Service Delivery

• Capture all brgy-level reports (formal-DOH proforma and informal data-brgy assessment)

• Targeting difficulties• Determine efficacy of programs

Service Evaluation

Tip of the Iceberg?

Transactional Needs

Participation-level

Open Data: Empowerment & Advocacy (?)

Next Steps

• Project-related Activities(July-Sept, 2013)• Identification of Open Data avenues in MHCC and validation

activities• Start Data Gathering for MSME practices• Networking with LGUs and other schools

• Allied activities• Participation in the on-going ODI of the Dept. of Budget &

Management (DBM)• E-Government Master Plan: Open Government as a

direction for the Philippines• Possible participation in the task force on Open Government

(Office of the President, Republic of the Philippines)

Barangay Health Center, Brgy Punta Taytay, Bacolod City, Negros Oriental

Pabasa para sa Nutrisyon play kit

Pabasa para sa Nutrisyon play kit

Dr. Ona with BHWs & BNSs of brgy Dona Consuelo, Ozamis City, Misamis Occidental

Nutrition Office, City Government of Ozamis, Misamis Oriental