Maternal & Child Health Services

Name of Office: MUNICIPAL HEALTH OFFICE
Frontline Services Offered: MATERNAL AND CHILD HEALTH SERVICES

STEPS CLIENTS OFFICE ACTIVITY EMPLOYEE RESPONSIBLE REQUIRED SUPPORTING DOCUMENTS REQUIRED FEES REQUIRED TIME
1 Go to the Health Center for consultation * Secure Family Folder Utility Worker/BHW Family folder Family Folder P10.00 5 mins
* Take personal data, previous and present obstetrical history BHW Out Patient Record (OPR) and Home Based Maternal Record (HBMR) 10-15 mins
* Take vital signs Nurse
* BP and weight taking Midwife/Nurse
*Do assessment and Leopold’s Maneuver Midwife/Nurse
Administer TT immunization Midwife/Nurse
* Give health teachings Midwife/Nurse
2 Go to MTO and pay Laboratory Fee * Refer for routine laboratory exam Midwife/Nurse Laboratory request and Laboratory Fee 30 mins
3 Go to Laboratory Room * Perform laboratory exam Me. Tech. CBC-P40.00 1-2 hrs
Urine Analysis – P40.00
Stool Exam – P40.00
4 Return to Midwife’s room * Refer laboratory results Midwife/Nurse CPR and HBMR
5 Go to Doctor’s room * Manage Health problems MHO Laboratory results 15 mins
5 mins
* Schedule for revisit Midwife/Nurse HBMR
B. Natal Care
1 Go to the Health Facility (Birthing Unit) for delivery * Retrieve Outpatient record Utility Worker OPR
* Ask for HBMR of H.E. Card Midwife/Nurse HBMR
* Admit pregnant mother in labor Midwife/Nurse OPR, HBMR
2 Lie down on the delivery table * Assess pregnant mother* Refer high risk and unmanageable cases Midwife/Nurse OPR, HBMR
C. Post Partum Care
1 Inform Health Worker/Midwife/Nurse when vaginal pink show is noted *Attend to normal delivery only Midwife/Nurse OPR, Maternal Record 2,500.00 6-24 hrs
* Watch progress of labor Midwife/Nurse OPR, Maternal Record
*Handle delivery of baby and of placenta Midwife/Nurse

OPR, Maternal Record 1 hr.
* Administer parenteral injection Midwife/Nurse OPR, Maternal Record 10 mins
2 * Manage delivery complications: MHO OPR
a. Repair of vaginal laceration OPR 30 mins-1 hr
b. IVF insertion in case of post-partum bleeding MHO/Nurse OPR 15 mins
* Keep patient comfortable Midwife/Nurse OPR
3 Cooperate on how to do “latching on” and breastfeeding * Teach and assist in “latching on” process and breastfeeding Midwife/Nurse OPR 30 mins
* Encourage breastfeeding
* Motivate parents on Birth Registration 10 mins
* Discuss on Responsible Parenthood and Family Planning 15-20 mins

Name of Office: MUNICIPAL HEALTH OFFICE
Frontline Services Offered: MATERNAL AND CHILD HEALTH SERVICES

STEPS CLIENTS OFFICE ACTIVITY EMPLOYEE RESPONSIBLE REQUIRED SUPPORTING DOCUMENTS REQUIRED FEES REQUIRED TIME
D. New Born Care
1   * Gentle suction of secretions Midwife/Nurse     5-10 mins
* Do oil bath     10-15 mins
* Cord care aseptically OPR   15 mins
* Anthropometric measurements Under Five
Growth
Monitoring Chart
  15 mins
* Wt. and temp. taking rectally
* Administer parenteral injections: OPR   15 mins
a. Vitamin K Under Five
Growth
Monitoring Chart
  30 mins
b. Hepa B at birth
c. BCG
* Crede’s Prophylaxis     10 mins
* Initiation of breastfeeding Refer to MCR    
* Birth registration Birth Registration Form   10 mins
* Schedule return visit for EPI Immunization      
2 Mothers bring children to Health Center * Secure Family Folder Utility Worker/ BHW OPR   3 mins
* Ask for Under Five Growth Monitoring Chart Utility Worker/BHW Under Five Growth 2 mins
* Register child in target list of Under Five Children Midwife/Nurse Monitoring Chart 5 mins
* Wt. and Temp. taking Midwife/Nurse TCL 5 mins

Name of Office: MUNICIPAL HEALTH OFFICE
Frontline Services Offered: MATERNAL AND CHILD HEALTH SERVICES

STEPS CLIENTS OFFICE ACTIVITY EMPLOYEE RESPONSIBLE REQUIRED SUPPORTING DOCUMENTS REQUIRED FEES REQUIRED TIME
1 Mothers bring children to Health Center * Actual Immunization Utility Worker/BHW Under Five Growth Monitoring Chart 30 mins
a. BCG Midwife/Nurse
b. OPT Midwife/Nurse
c. OPV
d. Hepa
e. Measles