COUNTRY PROFILE

ANA LYSIS OF DE M OGRAPHIC AND H E A LTH SURVEYSFor data from the Demographic and Health Surveys, years refer to the years surveys were conducted. Estimates are based on

data referring to five years preceding the surveys Coverage of interventions (DHS Philippines, 1993 - 2008)

Phi l ippines

L ist of indica torsProportion of births occurring in urban and rural areas

Contiuum of care

Antenatal care Number of antenatal care visits

Access to the contents of care

Skilled Birth Attendant at deliveryUtilization of services Utilization of services by subregionUtilization of services by subregion (map)Utilization of services by wealth quintile

Place of deliveryPlace of delivery Institutional delivery by wealth quintile

Problems in accessing to health facilitiesC-section

Utilization of servicesUtilization of services by subregionUtilization of services by subregion (map)Utilization of services by wealth quintile

Postnatal care visits and type of providerPerinatal mortality rate

Total perinatal mortality rate

Perinatal mortality rate by subregion

Perinatal mortality rate by wealth quintile

Neonatal and post neonatal mortality rate

Nutrition Anaemia in pregnancy

Low Birth WeightLow Birth Weight

Malaria in pregnancyUse of ITN

HIV in pregnancyHIV counselling for pregnant women in ANC visits

FertilityTotal fertility rate

Teenage pregnancy Teenage pregnancy Teenage pregnancy by ageTeenage pregnancy by subregion

Family planningContraceptive useContraceptive use by ageContraceptive use by subregion

Propor t ion of bir ths occur r ing in urban and rura l a reas

Among women who were interviewed, approximately half of births occurred in rural areas.

Estimated total number of births (in thousands) : 2245(2008)

United Nations, Department of Economic and Social Affairs, Population Division, World Population Prospects: The 2008 Revision, New York, 2009 (advanced Excel tables).

(2008)

Urban 49%

Rural 51%

2COU N TRY PROF I L EPhi l ippines

Number of antena ta l ca re (ANC) visi tsThe survey in 2008 showed that approximately 96% of women who gave at least a live birth received ANC, and 91% did so from a skilled provider.

NB: Gap to 100% refers to the proportion of women who did not received ANC.

% o

f wom

en w

ho g

ave

birt

h

Access to the contents of ANCContents of ANC can be an important indicator for accessing the quality of ANC services.

Quality of ANC was likely to be related to mother’s wealth quintile. According to the survey in 2008, weight and blood pressure measurement are most commonly performed in ANC visits. Among all the services, blood and urine samples were approximately 4 times less likely to have been taken among poorest women as compared to the richest counterparts.

Cont inuum of ca re

0

20

40

60

80

100

Informed signs of pregnancy complication

Weighed

Blood pressure measured Urine sample taken

Blood sample taken

Richest Poorest

4.5 5.3 6.5 3

18.6 24.8 32.6

15

70.4 61.3 52.1 77.8

0.9 0.8 1.1 0.4

83.1 85.7 87.6 91.1

0

20

40

60

80

100

1993 1998 2003 2008

%o

oe

ANC 1 visit ANC 2-3 visits ANC 4+ visits DK/missing ANC by skilled provider

Cont inuum of ca re

3COU N TRY PROF I L EPhi l ippines

Ski l l ed B ir th At tendant (SBA) a t de l iveryUt i l iza t ion of services

Three quarters of all maternal deaths occur during delivery and the immediate post-partum period. One of the most critical interventions for safe motherhood is to ensure skilled care provided by skilled professionals during pregnancy and childbirth.

In Philippines, the latest survey indicated that 61% of childbirths were assisted by a skilled birth attendant (SBA).

Ut i l iza t ion of services by subregion At subregional level, according to the latest survey in 2008, the coverage ranged from a high of 87% in Metropolitan Manila to a low of 43% in Eastern Visayas.

% o

f birt

hs a

ssist

ed b

y SB

A%

of b

irths

ass

isted

by

SBA

% oo

f birt

hs sas

siste

de b

y SBS

A

g , g yin 2008, the coverage ranged from a high of 87%in Metropolitan Manila to a low of 43% in Eastern Visayas.

y

Ut i l iza t ion of services by wea l th quint i l e (2003)

% o

f birt

hs a

ssist

ed b

y SB

A%

of b

irths

ass

isted

by

SBA

Women’s wealth status is one of the determinants of receiving skilled care.

In 2008, at national level, 61% of births received skilled assistance however births to women in the poorest quintile had approximately 2.5 times less access to skilled care compared to their richest counterparts. Coverage gap in accessing to skilled care by the poorest and the richest remained wide.

4COU N TRY PROF I L EPhi l ippines

P l ace of de l ivery

The latest data in 2008 showed approximately 44% of births in the five years preceding the survey occurred in health facilities.

% o

f birt

hs

De l ivery in hea l th faci l i t ies by wea l th quint i l e

Approximately 44% of births in Philippines occurred at health facility. Proportion of home delivery was likely to be related to women’s socioeconomic status. 84% of births to poorest women occurred at home as compared to 16% of birth to their richest counterparts. Use of private health facility increased as women’s socioeconomic status increased.

% o

f birt

hs

Prob l ems in accessing to hea l th faci l i t ies

Many factors can prevent women from getting medical advice or treatment for themselves when they are sick. Information on such factors is particularly important in understanding and addressing the barriers women may face in seeking care during pregnancy and at the time of delivery.

Women in Philippines reported that the major problem they face in accessing health care for themselves was getting money for treatment (55%), concern that no drugs are available (47%) followed by concern no provider available (37%).

% of women

5COU N TRY PROF I L EPhi l ippines

Ut i l iza t ion of services by subregion

At subregional level, according to the survey in 2008, C-section rate ranged from a high of low of 3% in Autonomous Region in Muslim Mindanao to a high of 15% in Central Luzon.

% o

f birt

hs d

elive

red

by C

-sec

tion

At subregional level, according to the survey in 2008, C-section rate ranged from a high of low of 3% in Autonomous Region in Muslim Mindanao to a high of 15% in Central Luzon.

Ut i l iza t ion of services by wea l th quint i l e (2003)

By wealth quintile, large gap in accessing Caesarean section was reported. Women in the poorest socioeconomic group had 21 times less access to caesarean section than their richest counterparts.

% o

f birt

hs d

elive

red

by C

-sec

tion

% o

f birt

hs d

elive

red

by C

-sec

tion

Caesa rean sec t ion (C-sec t ion) Ut i l iza t ion of services

Caesarean section is one of the life saving emergency obstetric care when complications occur during childbirth. According to the survey in 2008, 10% of births were delivered by C-section in total. C-section rate was higher in urban areas than in rural areas by approximately 3-fold.

% o

f birt

hs d

elive

red

by C

-sec

tion

% o

f birt

hss d

elive

ered

byC C-s

ectio

no

6COU N TRY PROF I L EPhi l ippines

Per ina ta l mor ta l i t y r a te

Perinatal mortality rate consists of stillbirth rate and early neonatal mortality rate.

In total, the perinatal mortality rate was reported to be 24 per 1000 pregnancies. Between urban and rural areas, a 1.4 fold difference was observed in both the stillbirth rate and the post neonatal death rate.

Postna ta l ca re visi ts by t ype of provider

In total, 60% of mothers received postnatal care from a health professionals.

Differentials for type of postnatal care provider were similar to those for postnatal care coverage in general. Mothers in rural areas and from a poorest group were less likely to receive care from a health professional.

% o

f mot

hers

14 12 17

13 11

15 28

23

32

0

5

10

15

20

25

30

35

Total Urban Rural

SBR ENMR PMR

Postna ta l ca re visi ts

A large proportion of maternal and neonatal deaths occur during the first 48 hours after delivery. Thus, postnatal care is important for both the mother and the child to treat possible complications arising from the delivery, as well as to provide the mother with important information on how to care for herself and her child.

According to the latest survey in 2008, 41% of mothers were seen for the first check up within 4h, 15% within 4-23h, 21% within 1-2 days, 14% within 3-41 days after the delivery. More than half of women had received postnatal care in health facility. 84% of women in the richest group received postnatal care within two days of delivery, compared with 69% of women in the poorest group.

% o

f mot

hers

Per 1

000

preg

nanc

ies

7COU N TRY PROF I L EPhi l ippines

The survey in 2008 reported that the neonatal mortality rate was 16, and the post neonatal mortality was 9 per 1000 live births.

Low B ir th Weight

The survey in 2008 indicated that, of those who were weighed, 20% were reported to weigh less than 2.5 kg at birth.

% o

f bab

ies w

eighi

ng le

ss th

an 2

.5kg

Tnn

18 17

16

14 13

9

0

2

4

6

8

10

12

14

16

18

20

1994-1998 1999-2003 2004-2008

per 1

000

live

birth

s

NN PNN

Neona ta l (NN) and post -neona ta l (PNN) mor ta l i t y

Per ina ta l mor ta l i t y r a te by subregion (2003) At subregional level, the rate varied from 11 per 1000 pregnancies in Central Visayas to 43 per 1000 pregnancies in Western Visayas. p g

15

33

21 21

9

21 14

9 10 6 3

26

6

14 14

23 10

15

14 10

11 10

0

5

10

15

20

25

30

35

40

45

West

ern

Vis

aya

s

Au

ton

om

ou

s R

eg

ion

in

Musl

im M

indanao

Bic

ol

No

rth

ern

Min

da

na

o

Ca

ga

yan

Va

lley

Ea

ste

rn V

isa

yas

Me

tro

po

lita

n M

an

ila

Ce

ntr

al L

uzo

n

Co

rdill

era

Ad

min

ist.

Ce

ntr

al V

isa

yas

Ilo

cos

SBR ENMR

P

% o

f bab

ies w

eighi

ng le

ss th

an 2

.5kg

Per 1

000

preg

nanc

ies

8COU N TRY PROF I L EPhi l ippines

Fer t i l i t yTota l fer t i l i t y r a te

Total fertility rate consists of wanted total fertility rate and unwanted total fertility rate. The average women in Philippines would have approximately 3 children by the end of her reproductive age. Of those, according to the survey in 2008, approximately 2.4 were reported to be wanted fertility.

Teenage pregnancy by age

Teenage pregnancy Teenage pregnancy

At national level, approximately 3.4% of women aged 15–19 were reported to be currently pregnant with their first child.

By age, a higher and increasing rate of teenage pregnancy was observed among women aged 18.

Tota

l fer

tility

rate

per

wom

an%

of w

omen

age

d 15

-19

preg

nant

with

their

firs

t chi

ld

% o

f wom

en a

ged

15-1

9 pr

egna

nt w

ith th

eir fi

rst c

hild

To

taal f

ertili

ty yra

tep per

wmom

an

2.9 2.7 2.5 2.4

1.2 1.0

1.0 0.9

0

1

2

3

4

5

1993 1998 2003 2008

Wanted total fertility rate Unwanted total fertility rate

gp

g

Bypr

% o

f wom

en a

ged

15-1

9 pr

egna

nt w

ith th

eir fi

rst c

hild

9COU N TRY PROF I L EPhi l ippines

Teenage pregnancy by subregion

By subregion, according to the latest survey in 2008, the rate of teenage pregnancy ranged from a low of 2.7% in Central Luzon and Eastern Visayas to a high of 4.5% in Western Visayas.

Modern cont r acep t ive use by age

Fami ly p l anningModern cont r acep t ive use

At national level, the latest survey showed that 34% of currently married women were reported to use modern contraceptive methods. The utilization stayed at the same level between urban and rural areas.

The three surveys indicated that the prevalence increased with age and peaked at the 35–39 age group.

% o

f wom

en a

ged

15-1

9 pr

egna

nt w

ith th

eir fi

rst c

hild

%

of c

urre

ntly

mar

ried

wom

en u

sing

mod

ern

cont

race

ptive

s%

of c

urre

ntly

mar

ried

wom

en u

sing

mod

ern

cont

race

ptive

s

ByBy ssubu reregigionon, , acacccoording to the latest2020202008080808,, , thththeee rararatetete o off tteenage pregnancya a lolow w ofof 2 22.7.7%% inn C Central Luzon and Etoto a a h higigh oofof 4 4.5.5%% in Western Visayas

% o

f womm

en a

dge

d 15

19pr

egna

ntan w

ith th

et

ir fir

st c

hild

% o

f cur

rent

ly m

arrie

d wo

men

usin

g m

oder

n co

ntra

ce%

yg

p

10COU N TRY PROF I L EPhi l ippines

Modern cont r acep t ive use by subregionAt subregional level, the survey in 2008 indicated that the use of modern contraceptives ranged from a high of 46% in Cagayan Valley to a low of 24% in Bicol.

National Statistics Office (NSO) [Philippines], and ICF Macro. 2009. National Demographic and Health Survey 2008. Calverton, Maryland: National Statistics Office and ICF Macro.

National Statistics Office (NSO) [Philippines], and ORC Macro. 2004. National Demographic and Health Survey 2003. Calverton, Maryland: NSO and ORC Macro.

National Statistics Office (NSO)], Department of Health (DOH) [Philippines] and Macro International Inc. (MI). 1999. National Demographic and Health Survey 1998. Manila: NSO and MI. ISSN 0119-

National Statistics Office (NSO) [Philippines] and Macro International Inc. (MI). 1994. National Demographic Survey 1993. Calverton, Maryland: NSO and MI. CONTENTS

Re ferences

% o

f cur

rent

ly m

arrie

d wo

men

usin

g m

oder

n co

ntra

cept

ives

AtAt s sububreegigioonnalal lleveveel, the survey in 2008 indicated ththatatt t thee u useses o of f momoddern contraceptives ranged fromaaa a hihihih ghghghgh oo oof ff 464646%% % inini CCagayan Valley to a low of 24%inin B Bicicolol.