Maternal Healthcare Delivery System

Question 1

Sum total of all orgs, inst., and resources whose primary purpose is to improve health

Answer 1

Healthcare System

Question 2

Needs of the Healthcare System

Answer 2

staff, funds, information, supplies, transport, communications, management/overall guidance and direction

Question 3

Formula for Maternal Mortality Ratio (MMR)

Answer 3

Maternal Deaths/100, 000 LIVE births

Question 4

Within how many days of termination of pregnancy (due to complications within the pregnancy and its management itself and NOT due to accidents or incidental causes)

Answer 4

42 days

Question 5

MDG target per 100, 000 live births

Answer 5

55 by 2015

Question 6

Common complications resulting to maternal mortality in the Philippines

Answer 6

hemorrhage, sepsis, obstructed labor, hypertensive disorders in pregnancy, unsafe abortion

Question 7

MMR as of 2005

Answer 7

230/100K

Question 8

Expected MMR by 2015

Answer 8

140-160/100K

Question 9

What kind of delivery is encouraged?

Answer 9

facility-based (in healthcare institutions, with competent personnel and equipment)

Question 10

Components of Maternal Health Care System

Answer 10

Insurance, Providers (Doctors, Midwives, Birth Attendance), Employers, Gov’t, Patients

Question 11

3 Levels of Care in the MNCHN Service Delivery Network

Answer 11

1) Community level service providers, 2) Basic emergency obstetrics and newborn care (BEmONC), 3) Comprehensive Emergency Obstetrics and Newborn Care (CEmONC)

Question 12

6 Signal OB functions in BEmONC Facilities

Answer 12

Administer Oxytocin (3rd Stage)
Administer anticonvulsants
Initial dose of antibiotics
Assisted deliveries
Removal of retained products of conceptions
Manual removal of placenta

Question 13

6 Signal OB functions in CEmONC Facilities

Answer 13

CS
Blood transfusion
Neonatal interventions
Resuscitations
Neonatal sepsis/infection
Oxygen support
Mx of low birth weight or premature newborn

Question 14

A case rate form of payment common in the Philippines

Answer 14

PhilHealth

Question 15

For HMO carriers, which subsidies will be deducted from the original fee?

Answer 15

HMO and PhilHealth

Question 16

Corresponding Rate for Surgical Case: Maternity Care Package

Answer 16

8K

Question 17

Corresponding Rate for Surgical Case: NSD Package in Level 1 Hospitals

Answer 17

8K

Question 18

Corresponding Rate for Surgical Case: NSD Package in Level 2 to 4 Hospitals

Answer 18

6500

Question 19

Corresponding Rate for Surgical Case: Cesarean Section

Answer 19

19K

Question 20

Levels of Hospitals (formal names)

Answer 20

Emergency Hospital (1st Level)
Non-departmentalized Hospital (2nd Level)
Departmentalized Hospital (3rd Level)
Teaching and Training Hospital (4th Level)

Question 21

Level of Hospital wherein nursing care for patients requiring minimal supervised care can be found

Answer 21

Level 1

Question 22

Level of Hospital wherein nursing care for patients requiring total and intensive supervised care can be found

Answer 22

Level 3

Question 23

Level of Hospital wherein nursing care for patients requiring immediate supervised care can be found

Answer 23

Level 2

Question 24

True or False: 2nd Level Radiology can be found in a Level 2 Hospital

Answer 24

False. 1st Level. 2nd Level is found in Level 3 Hospital

Question 25

Where can Level 2 Hospitals be found?

Answer 25

Rural areas (provinces)

Question 26

Difference between a Level 3 and a Level 4 Hospital

Answer 26

Level 4 is a TEACHING institution. Even if it is a mental hospital, as long as it has rounds and practicuum, etc., it is considered a Level 4 Hospital though it is not departmentalized.

Question 27

What kind of radiology can be found in a Level 4 Hospital?

Answer 27

3rd level

Question 28

What kind of nursing care can be found in a Level 4 Hospital?

Answer 28

Nursing care for patients requiring continuous and specialized critica supervised care can be found

Question 29

What issue is addressed by the prioritization of ensuring the delivery of services to the disadvantaged sector especially the economically and socially-deprived?

Answer 29

Equity

Question 30

To address Equity, who must be considered in registration?

Answer 30

Those below poverty level, members of ethnic and minority groups, homeless

Question 31

An important consideration in ensuring access to maternal health services

Answer 31

geographic location and appropriate time

Question 32

Refers to the manner and result of delivery of maternal health service, resulting to optimum reproductive health

Answer 32

Quality

Question 33

Components of Optimum reproductive health

Answer 33

Functional and emotional status Medical outcomes Patient satisfaction

Question 34

Components of training for health workers

Answer 34

Interpersonal communication skills Information dissemination Education and motivation activities for the general public