Maternal and Child Health refers to antenatal care including iron supplementation and tetanus toxoid vaccination; delivery care and services; post natal care and indicatorsí on childrenís health like immunization and prevalence of childhood diseases. Findings on these areas can assist in identifying women and children who have less access to maternal and child health services, for whom health planners can formulate plans and programs aimed to improve their services.
- Infant mortality in Bicol has declined in the past 10 years from 40 percent in 1993 to 28 percent in 2003, while the same trend was observed in the national level with 38.4 percent in 1993 to 30 percent in 2003 In 1993, Bicol at 40% is higher than the national result but in 1998 and 2003, Bicol is lower than the Philippines record.
- Bicol Region has an infant mortality rate of 28 percent, slightly lower than the national level of 30 percent. This shows that about 3 out of 10 live births in Bicol Region die before age 1. Only two regions recorded above 40%, these are RIV-b and ARMM while CAR shows the lowest at 14%.
- The recorded Infant Mortality in the Philippines which is 29 deaths per 1000 live births is lower than in many Asian countries, but higher than the levels of neighboring countries like Thailand, Malaysia, Vietnam, Brunei and Singapore. About 3 out of 100 live births die before 1 year of age. Cambodia , the highest, has 95 deaths per 1000 live births while Singapore, the lowest, 3 deaths for every 1000 births.
- Similar to other regions except ARMM, women in Bicol are most likely to consult a health professional for antenatal care. With 85.6 percent, this is slightly lower than the national level at 87.6% Only one region is lower than 50% -ARMM.
- While over 80 percent of women in Bicol received Antenatal Care from a health professional (who maybe a doctor, a nurse or a midwife), 6 out of 10 of these women who had Antenatal Care are not informed of possible pregnancy complications (like vaginal bleeding, headache, dizziness, blurred vision, swollen face, swollen hands and anemia).R8 had the highest number of women while CARAGA the lowest number of women.
- In the past 10 years, the percentage of women in Bicol with antenatal care by health professionals rose from 73.1 percent in 1993 to 85.6 percent in 2003. This is lower than the national level of 83.1 percent to 87.6 percent in the same period. In 2003, close to 9 in 10 women in this region see a health professional for antenatal care almost the same as in the national level.
- In Bicol, only 2 in 10 births occur in a health facility. The national average is less than 4 in every 10 births, which is also very low by World Health Organization Standards. Only one region is higher than 50%.- the NCR, almost 7 in 10 births occur in a health facility.
- Bicol is among the regions wherein birth delivery at home is common. More than 7 in 10 births in Bicol occur at home, which is higher than that recorded for the Philippines. Birth delivery in a health facility is only 2 in 10 births in Bicol much lower than the national level which is 4 in every 10 births.
- In Bicol, about 5 in 10 births delivered with assistance from health professionals, lower than the number recorded in the national level. This indicates that more than half of the women who have seen a health professional for ANC delivered with assistance from health professionals.
- MIMAROPA, together with ARMM, is behind other regions in terms of birth delivery assistance by health professionals despite the fact that over 80 percent of its women see a health professional for ANC.
- Delivery assistance by a Hilot in Bicol is more common while by a health professional at the national level. Five out of 10 births in the region are delivered by hilots while about six out of 10 births are delivered by health professionals in the national level. The trend for both national and Bicol results declined from 1993 to 2003.
- The Philippines, 6 out of 10 birth deliveries, fares better than India, Cambodia, Nepal and Bangladesh, in terms of birth delivery assistance from a health professional, but lags behind Indonesia and Vietnam, at 65% ad 85 %, respectively.
- While over 90 percent of children born in the past 5 years in Bicol were ever breastfed, only about one-third was breastfed within 1 hr of birth and more than 72% within 1 day of birth. The national average is more than 50 percent.
- In Bicol, close to three out of 10 women who gave birth outside a health facility did not receive postnatal check up not far from the nationalís 3 out of 10. On the other hand, five out of 10 women who gave birth outside a health facility received postnatal check up within 2 days of delivery higher than the nationalís 3 out of 10.
- Complete Immunization Among Children means that they have received at any time all basic vaccines such as one dose of Bacillus Calmette-Guerin (BCG) at birth; three doses each of Diphtheria, pertussis, tetanus (DPT) at monthly intervals starting at 6 weeks of age; and one dose of anti-measles vaccine between 9 months and 12 months of age.
- In Bicol, only 6 in 10 children 12-23 months receive all basic vaccines, slightly lower than the national level of about 7 in 10 children 12-23 months. Almost all regions record more than 5 in 10 children except ARMM with only 4 in 10 births.
- Vaccination coverage in Bicol has declined since 1993, from 70.3% to 64.7% A similar trend was noted at the national level, from 71.5 % to 69.8%.
- Treatment of children with diarrhea by ORS is commonly practiced in Bicol. Three out of 10 children who had diarrhea in 2 weeks prior to survey received oral rehydration salts while four out of 10 children on the national level. Increased intake of fluids is not practiced.
- Coverage of Vitamin A supplementation among children 6-59 months in Bicol is lower than that recorded for the Philippines as a whole.
- Seven out of 10 children in Bicol receive Vitamin A supplements in 6 months prior to survey while about eight in 10 children for the national level.
- Tetanus toxoid immunization during pregnancy protects mothers and their newborn babies from neonatal tetanus. However, in all regions, less than half of women receive 2 or more Tetanus Toxoid injections during pregnancy.
- About three in 10 women in Bicol receive 2 or more Tetanus toxoid injection during pregnancy of youngest child. The national average is almost 4 in every 10 women.