Demographics: Maternal and Newborn Health

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Philippines
DEMOGRAPHICS
Total population (000)

93,261

(2010)

Total under-ve population (000)

11,254

(2010)

Births (000)

2,344

(2010)

Birth registration (%)


Total under-ve deaths (000)

83
66

(2000)
(2010)

Neonatal deaths: % of all under-5 deaths

48

(2010)

Neonatal mortality rate (per 1000 live births)


Infant mortality rate (per 1000 live births)

14
23

(2010)

Stillbirth rate (per 1000 total births)

16

(2009)

Total maternal deaths

(2010)

2,300

(2010)

Lifetime risk of maternal death (1 in N)

300

(2010)

Total fertility rate (per woman)

3.1

(2010)

53

(2006)

Adolescent birth rate (per 1000 women)

Under-ve mortality rate

Maternal mortality ratio

Deaths per 1,000 live births

Deaths per 100,000 live births

200

70
59
60
50
40
30
20
10
0
1990

170
150

20

2000

2005

2010

0
1990

2015

Source: IGME 2011

43

50

MDG Target

1995

99

100

29

MDG Target

1995

2000

2005

2010

2015

Source: MMEIG 2012


Note: MDG target calculated by Countdown to 2015

MATERNAL AND NEWBORN HEALTH


Skilled attendant at delivery

Coverage along the continuum of care

Prevention of mother-to-child
transmission of HIV

Percent live births attended by skilled health personnel

78

Birth

77

Exclusive
breastfeeding

34

80

Pregnancy

62

*Postnatal care

Neonatal period

Infancy

Measles

Source: DHS, MICS, Other NS

60

58

56

53

10

46

40

6
4
2

20 40 60 80 100

1993
DHS

Percent

1998
DHS

83 (2010)

Percent HIV+ pregnant women receiving ARVs for PMTCT


Uncertainty range around the estimate

62

60

20

88
0

Eligible HIV+ pregnant women receiving ART for


their own health (%, of total ARVs)

100

Pre-pregnancy

Percent

60

Percent

Demand for family


planning satised
Antenatal care
(4+ visits)
Skilled attendant
at delivery

1999
MICS

2000
MICS

2003
DHS

2008
DHS

2008

2009

Source: UNICEF/UNAIDS/WHO

2010

* See Annex/website for indicator denition

EQUITY

CHILD HEALTH

Socioeconomic inequities in coverage


Household wealth quintile:

Poorest 20%

Immunization

Demand for family


planning satised

Percent children <5 years with suspected pneumonia taken


to appropriate health provider
Percent children <5 years with suspected pneumonia
receiving antibiotics

100

Antenatal care
1+ visit

88
87

80

Skilled birth
attendant

60

100
80
Percent

Percent

Antenatal care
4+ visits

40

60
40

44

55

58

50
42

36

0
1990

ITN use among


children <5 yrs

51

20

20

Early initiation of
breastfeeding

1995

2000

2005

1993
DHS

2010

Source: WHO/UNICEF

1998
DHS

2003
DHS

2008
DHS

NUTRITION

Measles

Wasting prevalence (moderate and severe, %)


Low birthweight incidence (moderate and severe, %)

Vitamin A
(past 6 months)

(2008)

Early initiation of breastfeeding (within 1 hr of birth, %)

54

(2008)

21

(2008)

Introduction of solid, semi-solid/soft foods (%)

90

(2008)

Vitamin A supplementation (two dose coverage, %)

91

(2009)

Exclusive breastfeeding

Underweight and stunting prevalence

ORT & continued


feeding

Percent infants <6 months exclusively breastfed

Percent children <5 years who are underweight


Percent children <5 years who are stunted

Careseeking
for pneumonia
0 10 20 30 40 50 60 70 80 90 100
Percent

Percent

Coverage levels are shown for the poorest 20% (red circles) and the richest
20% (orange circles). The longer the line between the two groups, the
greater the inequality. These estimates may dier from other charts due to
dierences in data sources.

100

100

80

80

60
40

45
29

43
30

38

39
26

20

28

34
21

32

Percent

DTP3

DHS 2008

Pneumonia treatment

Percent of children immunized against measles


Percent of children immunized with 3 doses DTP
Percent of children immunized with 3 doses Hib

Richest 20%

60
40

37

34

34

1998
DHS

2003
DHS

2008
DHS

26

21
20
0

0
1987 1989-1990 1993
1998
2003
2008
Other NS Other NS Other NS Other NS Other NS Other NS

1993
DHS

Note: Based on 2006 WHO reference population

Building a Future for Women and Children The 2012 Report

Philippines
POLICIES

DEMOGRAPHICS
Causes of maternal deaths, 1997-2007

Causes of under-ve deaths, 2010


Pneumonia
2%

14%

Preterm 19%

Neonatal
death: 48%

Other 22%

Globally more
than one third of
child deaths are
attributable to
undernutrition

Unsafe
abortion 9%

HIV/AIDS 0%

Haemorrhage
32%

Sepsis** 6%

Malaria 0%

Injuries 8%
Meningitis 3%
Measles 0%

Other 1%
Congenital 7%
6%
0%
Diarrhoea
Source: WHO/CHERG 2012

Indirect 22%
Hypertension
17%

MATERNAL AND NEWBORN HEALTH


Antenatal care

Demand for family planning satised (%)

60

(2008)

Percent of women aged 15-49 years attended at least once by a


skilled health provider during pregnancy

Antenatal care (4 or more visits, %)

78

(2008)

86

86

83

91

88

Percent

Malaria during pregnancy - intermittent


preventive treatment (%)

10, 14, 5

Neonatal tetanus vaccine (%)

40

Postnatal visit for baby

75

(2010)

77

(2008)

(within 2 days for all births, %)

20

Postnatal visit for mother

(within 2 days for all births, %)

1993
DHS

1998
DHS

2000
MICS

2003
DHS

2008
DHS

Women with low body mass index


(<18.5

kg/m2,

Percent

Children <5 years with diarrhoea treated with ORS

Percent of children receiving rst line treatment among


those receiving any antimalarial
Percent of children <5 years sleeping under ITNs

76
60
42

43

27

1998
DHS

2003
DHS

Sub-national risk of malaria transmission

47

2008
DHS

WATER AND SANITATION


Improved drinking water coverage

Percent of population by type of drinking water source, 1990-2010


Piped on premises
Other improved
Unimproved
Surface water
1
6

7
32

80
Percent

49

60

7 1

Percent of population by type of sanitation facility, 1990-2010


Improved facilities
Shared facilities
Open defecation
Unimproved facilities

100
16

21

80

53

67

61
68

40

Improved sanitation coverage

Percent

1
7

2
13

40

25

24

0
1990

2010
Total

Source: WHO/UNICEF JMP 2012

Urban

17

12
3
16

23
22
10

40
20

74
57

79

69

69
45

2010 1990

1990

3
1

8
8
15

60 12

61
43

20

15

8
2
16

2010
Rural

1990

2010
Total

1990

2010
Urban

Source: WHO/UNICEF JMP 2012

Building a Future for Women and Children The 2012 Report

Community treatment of pneumonia with


antibiotics

No

Low osmolarity ORS and zinc for


management of diarrhoea

Yes

Rotavirus vaccine

Yes
-

SYSTEMS AND FINANCING


No

Costed national implementation


plan(s) for maternal, newborn
and child health available
71.5

(2004)

121

(2010)

General government expenditure


on health as % of total government
expenditure (%)

(2010)

Out-of-pocket expenditure as % of
total expenditure on health (%)

54

(2010)

Ocial development assistance


to child health per child (US$)

(2009)

Ocial development assistance


to maternal and neonatal health
per live birth (US$)

(2009)

Density of doctors,
nurses and midwives

(% of recommended minimum)

Malaria prevention and treatment

Percent of children <5 years with diarrhoea receiving oral


rehydration therapy/increased uids with continued feeding

100

Yes

National availability of emergency


obstetric care services

Diarrhoeal disease treatment

1993
DHS

International Code of Marketing of


Breastmilk Substitutes

(per 10,000 population)

%)

CHILD HEALTH

100
80
60
40
20
0

No

(2008)

(Minimum target is 5% and maximum target is 15%)

60

Midwifery personnel authorized to


administer core set of life saving
interventions

Pneumococcal vaccine

C-section rate (total, urban, rural; %)

80

Partial

Postnatal home visits in rst week of life

Source: WHO 2010

*Intrapartum-related events **Sepsis/meningitis/tetanus

100

No

Specic notication of maternal deaths

Other direct
10%

Asphyxia* 12%

Maternity protection in accordance with


Convention 183

Regional estimates
for Southeast Asia

Sepsis 8% Embolism 2%

1990

2010
Rural

Per capita total expenditure on


health (Int$)

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