THE PROBLEM AND ITS SCOPE Chapter 1

 

CHAPTER I

 

THE PROBLEM AND ITS SCOPE

 

Background of the Study

The United Nations Millennium Development Goals (MDGs) seek to reduce the under-5 child mortality by two thirds and maternal mortality by three-quarters between 1990 and 2015, these goals known as MDG 4 and MDG 5 respectively (UN,2011).  These goals become critical targets for Developing countries which prioritized interventions and national healthspending.Yet meeting MDGs 4 and 5 was remains to be challenging: mortality rates aredecreasing, but not rapidly enough to meet the MDGs in most countries (Hogan et al.,2010; Rajaratman et al.,2010).

In many low-income settings with high burden of maternal deaths, few women use facilities for birth, often choosing a higher risk birth athome, often without professional medical assistance.WHO (2010) stated it was globally recognized that one of the main challenges to achieving the Millennium Development Goal (MDG) of a global reduction of maternal death to 75 % by 2015.

Past studies have identified several reasons why women or families opted to choose home-delivery due to number ofaccess barriers in using birthing facilities. Deliveries in health facilities can ensure that women are attended by skilled personnel and link women to the referral system in case of any complications. Increasing the proportion of women who delivers in a health facility can be an important means in reducing maternal mortality

            Globally, an estimated 287,000 maternal deaths occurred in 2010 with Sub Saharan Asia accounting for nearly 85% of the global burden. Evidence base clinical


and preventative interventions aimed at reducing maternal Africa and South and neonatal morbidity and mortalityare well documented. One such intervention is increasing skilled attendance at facility-based deliveries. In the Philippines the MMR is higher than in most other Southeast Asian Countries, and home delivery is a major factor contributing it (WHO, 2010).

            Presently, the Department of Health(DOH) Administrative Order 2008-0029 known as “No Home Birthing Policy”advocates facility-based delivery and women can get timely and correct diagnosis,early intervention, and access to emergency obstetric careunder the supervision of a licensed practitioner in a health facility. It was considered to be a crucial factor in reducing MMR. In 2011, the DOH updated the adopted the policy; called The Maternal, Newborn, Child Health and Nutrition(MNCHN) strategy. Under the devolved health system, which was implemented in 1991, the delivery of health services was transferred from the central agency to local government units (Santos, 2013).

            It was noted that there was no studies conducted on this program particularly in the Municipality of Ipil, thus, the researcher came up with this study. The aimed of this study was to determine the factors affecting compliance and non-compliance to facility-based delivery among mothers, particularly in Barangay Magdaup, Ipil, Zamboanga Sibugay. The findings of this investigation served as basis for developing an intervention and promote compliance to facility-based delivery and ultimately reduced maternal mortality.

THESIS ON FACTORS AFFECTING COMPLIANCE FACILITY-BASED DELIVERY

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