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MATERNAL HEALTH


Tetanus Toxoid Coverage

  • Tetanus toxoid injections are given during pregnancy in order to prevent neonatal tetanus, a frequent cause of infant deaths when sterile procedures are not observed in cutting the umbilical cord following delivery.  Table MH1 shows that, for 69 percent of  births in the five-year period before the survey, the mother received at least one tetanus toxoid injection during pregnancy.  This represents a slight increase from the 64 percent level in 1993 (NSO and MI, 1994:94).  Tetanus toxoid coverage is lower for births in ARMM region and those to women with no education.

Table MH1. Reproductive Health Care Indicators 
  
For All Births in the Five Years Preceding the Survey, the Percentage Whose Mothers Had at Least One Tetanus Toxoid Injection, Prenatal Care from a Doctor or Trained Nurse/Midwife, and Assistance at Delivery from a Doctor or Trained Nurse/Midwife, According to Selected Background Characteristics, Philippines, 1998

 

Background Characteristic

Tetanus Toxoid

Prenatal Care

Assistance at Delivery

Number of Births

From Doctor

From Nurse-Midwife

From Doctor

From Nurse-Midwife

Age
  <20
  20-34
  35-49
 
Residence
  Urban
  Rural
 
Region
  Ilocos
  Cagayan Valley
  Central Luzon
  Southern Tagalog
  Bicol
  Western Visayas
  Central Visayas
  Eastern Visayas
  Western Mindanao
  Northern Mindanao
  Southern Mindanao
  Central Mindanao
  NCR
  CAR
  ARMM
  CARAGA
 
Education
  No education
  Elementary
  Secondary
  Post-secondary/college
 
Birth order
  1
  2-3
  4-5
  6+
 
Total

 
67.9
70.4
62.8
 
 
69.2
69.0
 
 
68.4
68.2
69.7
67.0
69.2
78.7
77.2
68.8
66.9
71.1
73.3
75.1
64.6
67.1
39.4
73.5
 
 
24.8
65.6
76.0
67.0
 
 
70.7
72.2
71.0
58.9
 
69.1

 
28.9
40.4
35.0
 
 
56.7
23.3
 
 
43.2
31.2
54.0
43.7
20.0
38.1
24.3
20.0
21.9
21.3
31.7
20.9
75.3
40.4
11.6
26.3
 
 
4.5
15.7
37.6
74.1
 
 
51.4
43.7
33.7
18.5
 
38.6

 
53.5
46.8
46.0
 
 
35.9
56.8
 
 
42.9
41.6
38.9
42.5
60.8
54.7
69.3
57.6
52.0
61.8
57.6
62.0
19.7
44.4
30.7
63.0
 
 
22.7
59.9
53.7
22.2
 
 
40.6
45.0
51.5
54.7
 
47.2

 
26.1
31.9
28.6
 
 
47.7
16.8
 
 
25.4
18.6
45.8
33.1
14.3
28.7
23.7
16.1
16.0
20.0
27.6
20.4
64.1
28.6
3.4
21.3
 
 
4.5
10.7
29.2
63.5
 
 
46.1
32.9
26.6
13.3
 
30.9

 
25.1
26.6
19.2
 
 
30.8
20.7
 
 
41.0
23.6
38.7
26.7
29.6
19.4
31.1
11.6
23.6
14.6
19.0
22.6
27.4
18.2
12.1
17.9
 
 
4.9
19.4
34.0
21.9
 
 
25.2
28.6
24.7
20.0
 
25.4

 
642
5751
1165
 
 
3462
4096
 
 
344
241
709
1078
530
585
584
446
303
331
489
263
1048
148
263
197
 
 
169
2580
2913
1897
 
 
1762
2768
1581
1449
 
7559

Source: NSO and MI, 1998 NDHS

Prenatal Care

  • Prenatal care from a trained provider is important to monitor the pregnancy and reduce the risks for the mother and child during pregnancy and at delivery. To be most effective, there should be regular prenatal care throughout a pregnancy.
  • Overall, the 1998 NDHS found that prenatal care was received from a doctor or a nurse or midwife for 86 percent of the births during the five-year period before the survey (Table MH1). Pregnant women are more likely to see a nurse or midwife than a doctor for prenatal care; 47 percent saw a nurse/midwife and 39 percent saw a doctor. Prenatal care coverage has increased only slightly recently; the 1993 NDS indicated that women received prenatal care for 83 percent of births (NSO and MI, 1994: 92).
  • As expected, urban women are more likely to receive prenatal care--especially from doctors--than are rural women. This urban advantage is evidenced in the high prenatal care coverage in NCR, where 95 percent of births benefit from prenatal care from medically trained staff. The lowest level of coverage occurs in the ARMM region where medical prenatal care is received for only 42 percent of births. Antenatal care from doctors and nurses is received least often for births to mothers who had no education.

Assistance at Delivery

  • A doctor or trained nurse/midwife assisted at the delivery of 56 percent of births in the five-year period before the NDHS. Medically assisted deliveries are more common for urban births and births to highly educated mothers, as well as births to women in NCR Region. The proportion of births with medical assistance during delivery increased slightly since 1993 (from 53 percent to 56 percent).

 

 

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