DIALOGUE re: BUNTIS PATROL

PUNTA AMELITA GARDEN RESORT

CORDON, ISABELA
MARCH 17, 2017
 Rationale of the Activity:
 the increasing number of mothers who die in giving life
 big challenge not only to those working in the health sector but
the general public as a whole
 maternal mortality ratio reflects women’s basic health status
- access to health care, quality of care that has been provided
 Most of the causes or complications related to pregnancy and child
birth:
- hemorrhage, eclampsia/pre-eclampsia and uterine atony
OBJECTIVES:
 dialogue regarding Buntis Patrol primarily aims to strengthen the existing
strategy/approach of pregnancy tracking
 to create awareness or increase the involvement of the community in
pregnancy tracking specially those who are teenagers
 Reiterate how & when to take appropriate actions to address problems
related to pregnancy until 42 days after childbirth
 commitment and support of the government/local/barangay officials, health
workers and community is necessary to help reduce maternal and newborn
mortalities and make pregnancy safer thru regular conduct of “BUNTIS
PATROL.”
 Expected Output:
 Identify possible solution/s to address issues and concerns contributing
to maternal death/s
 To establish or strengthen conduct of BUNTIS PATROL among all
pregnant women in your own respective barangays
 Come up with agreements/ plan of action to strengthen referral system
and pregnancy tracking (regular Buntis Patrolling) within the
municipality
 To elicit commitment of LGU Officials including the Barangay Officials
and Health workers thru creation of policies, ordinances or resolutions
MATERNAL DEATHS
 Death of a woman while pregnant or within 42 days of termination
of pregnancy, irrespective of the duration and the site of the
pregnancy, from any cause related to or aggravated by the
pregnancy or its management, but not from accidental or
incidental causes.
THE 3 DELAYS (common contributory factors)
Delay in seeking appropriate care

Delay in reaching a health facility

Delay in the management of complications

Other factors that contribute to maternal deaths
include:
closely spaced births,
frequent pregnancies,
poor detection and management of high-risk pregnancies,
poor access to health facilities brought about by geographic distance and
cost of transportation, and
health care and health staff who lack competence in handling obstetrical
emergencies.
 The likelihood of maternal and neonatal deaths is further magnified with these four
risks:

1. Mistimed, unplanned, unwanted and unsupported pregnancy

2. Not securing adequate care during the course of pregnancy
3. Delivery not attended by skilled health professionals (midwives, nurses
and doctors)and lack of access to emergency obstetrics and newborn
services; and
4. Not securing proper postpartum and newborn care
 Reduce Maternal
and neonatal
mortality

Every mother and newborn

MNCHN Strategy pair secures proper

postpartum and postnatal
care

Every delivery is facility-

based and managed by
skilled health professional

Every pregnancy is
adequately managed

Every pregnancy is
wanted, planned and
supported A.O. 2008-0029 Implementing Health Reforms for Rapid
Reduction of Maternal and Newborn Mortality
 Pre- pregnancy
 provision of iron and folate supplementation
 Provision/ advice of family planning services, prevention and
management of infections and lifestyle- related diseases
 Pregnancy
In normal, uncomplicated pregnancies, at least 4 antenatal
visits with a skilled health professional:
1st visit: within 3 months
2nd visit: 6 months
3rd visit: 8 months
4th visit: 9 months- return if undelivered within 2
weeks after the EDC
 Pregnancy
•Provision of iron and folate supplementation (180 tablets)
•Iodine supplementation and 2 tetanus toxoid immunization (TT)
•Counseling on healthy lifestyle and breastfeeding and family
planning
•Prevention and management of infection and oral health services
 EMERGENCY/DANGER SIGNS:
Unconscious/ convulsions
Vaginal bleeding
Severe abdominal pain
Severe headache with visual disturbance
Severe difficulty in breathing
High grade fever
Severe vomiting
Decreased fetal movement
 POST-Pregnancy
• Post natal check-up
- Within 24-72 hours
- within 1 week

• Provision of iron supplementation (3mos)

• Tetanus Toxoid Immunization 3rd dose (after 6 mos post delivery, 2 remaining doses yearly)

• Counselling on Family Planning, healthy lifestyle, nutrition, exclusive

breastfeeding, newborn screening, supplemental/immunizations
 DOH initiated activities:
o Continuous conduct of BEmONC Training (Team & Midwives) to capacitate health
workers
o Procurement and distribution of drugs and medicines as well as medical supplies:
- Magnesium Sulphate
- Oxytocin
- Terramycin Ointment (ophthalmic Ointment)
- Vitamin K injection
o Provision of IEC Materials:
- Mother Baby Book
- Partograph Form
- Buntis Kit
o Conduct of Buntis Summit
oHiring of NDP, RHMPP
BUNTIS PATROL
o concept of pregnancy tracking
o close monitoring/ patrolling of all pregnant women
o conduct of health education/information dissemination to all pregnant
women in respective barangays (check birth plans or mother baby book)
o registry/list of all pregnant women
o regular updating of status specially those who are at high risk
o utilization of available resources to address problems in 3 delays
 ROLES and FUNCTIONS
Barangay Officials
• Create policies supporting maternal and
child health/ Issue local ordinances and
resolutions that integrate MCH in the
delivery of health care;
• Provide assistance needed
Health Workers
• ALL health workers, doctors, midwives,
nurses, BHWs et. al carry the obligation
to inform the patient/family/parents
and the people concerned about
maternal and child health
• Assist in pregnancy tracking, referral
• Assist in promoting health programs in
the community
 BUNTIS PATROL ACTION PLAN
OBJECTIVE ACTIVITIES TIMELINE/ RESOURCE LOCUS OF EXPECTED
TIME FRAME RQMTS/BUDGET RESPONSIBILITY OUTPUT

Signed by:
Barangay Captains(Name/Area):
Municipal health Officer:
SB on Health:
Municipal Vice-Mayor:
Municipal Mayor
 BUNTIS PATROL BOARD
BARANGAY NAME OF EXPECTED DATE OF STATUS or UPDATE on RECOMMENDATION
PREGNANT WOMEN DELIVERY the CLIENT
TOGETHER,
WE CAN MAKE IT HAPPEN.

Thank You!