About the Services and Delivery Network (SDN)

The functions of the Maternal Neonatal Child Health and Nutrition, Family Planning Service Delivery Network include the following:

 
Delivery of a Core Package of Services for each life stage: pre-pregnancy, pregnancy, delivery, post-partum and neonatal periods. These consist of the following:
 
1. Pre-pregnancy
  • Provision of iron and folate supplementation, advice on family planning and healthy lifestyle, provision of family planning services, prevention and management of infection and lifestyle-related diseases.
2. Pregnancy
  • First prenatal visit at first trimester, at least 4 prenatal visits throughout the course of pregnancy to detect and manage danger signs and complications of pregnancy, provision of iron and folate supplementation for 3 months, iodine supplementation and 2 tetanus toxoid immunization, counseling on healthy lifestyle and breastfeeding, prevention and management of infection.
3. Delivery
  • Skilled health professional-assisted delivery and facility-based deliveries including the use of partograph, proper management of pregnancy and delivery complications and newborn complications, and access to BEmONC or CEmONC.
  • A Comprehensive Emergency Obstetric and Newborn Care (CEmONC) - Capable Facility (or Network of Facilities) and providers consist of health facility/ies and providers that can perform the six signal obstetric functions for BEmONC, as well as provide caesarean delivery services, blood banking and transfusion services, and other highly specialized obstetric interventions. It is also capable of providing neonatal emergency interventions, which include at the minimum, the following: (1) newborn resuscitation; (2) treatment of neonatal sepsis/infection; (3) oxygen support for neonates; (4) management of low birth weight or preterm newborn; and (5) other specialized newborn services. These facilities can also serve as high volume providers for IUD and VSC services, especially tubal ligations. It should also provide an itinerant team that will conduct outreach services to remote communities. The itinerant team is typically composed of 1 physician (surgeon), 1 nurse and 1 midwife.
  • A Basic Emergency Obstetric and Newborn Care (BEmONC) - Capable Facility (or Network of Facilities and Providers consist of health facilities and providers that can perform the following six signal obstetric functions: (1) parenteral administration of oxytocin in the third stage of labor; (2) parenteral administration of loading dose of anti-convulsants; (3) parenteral administration of initial dose of antibiotics; (4) performance of assisted deliveries (Imminent Breech Delivery); (5) removal of retained products of conception; and (6) manual removal of retained placenta. These facilities are also able to provide emergency newborn interventions, which include the minimum: (1) newborn resuscitation; (2) treatment of neonatal sepsis/infection; and (3) oxygen support. It shall also be capable of providing blood transfusion services on top of its standard functions.
4. Post-Partum
  • Visit within 72 hours and on the 7th day postpartum to check for conditions such as bleeding or infections, Vitamin A supplements to the mother, and counseling on family planning and available services.
  • Newborn Care until the First Week of Life. Interventions within the first 90 minutes such as immediate drying, skin to skin contact between mother and newborn, cord clamping after 1 to 3 minutes, non-separation of baby from the mother, early initiation of breastfeeding, as well as essential newborn care after 90 minutes to 6 hours, newborn care prior to discharge, after discharge as well as additional care thereafter as provided for in the “Clinical Practice Pocket Guide, Newborn Care Until the First Week of Life.”
  • Child Care Immunization, micronutrient supplementation (Vitamin A, iron); exclusive breastfeeding up to 6 months, sustained breastfeeding up to 24 months with complementary feeding, integrated management of childhood illnesses, injury prevention and insecticide-treated nets for mothers and children in malaria endemic areas.
 
Referral System: Participate in a multi-level, multi-facility and multi-provider referral system within and among the designated CEMONC/s, BEMONC/s and Community Health Providers
 
Service Delivery:  Participate in determining the scope and coverage of MWRAs and neonates, mechanism of access, and types and coverage of capacity building activities for service providers within the SDN;
 
Financing: Assist in appropriate financing terms within the SDN, and the network of facilities and providers, including standard fees and charges and their disposition; subsidies; individual facility development plans including investment requirements; financing sources and uses; sharing arrangements for joint costs; and Philhealth enrolment targets, licensing and accreditation investments, claims facilitation and sharing of revenues from claims, capitation, grants and other revenues
 
Regulation and Compliance to Standards: Participate in the adoption of MNCHN / FP practices and standards including the conduct of compliance monitoring activities and provision of incentives to quality care
 
Outreach Services: Provision of services for Long-Acting and Permanent Methods (LA/PM) of family planning under a regime of Informed Consent and Voluntarism (ICV) to remote population groups and geographically isolated and depressed areas (GIDAs)
 
Technical Assistance: Act as the principal source of technical expertise in building the capacity of community level providers and the Community Health Teams (CHTs) in Quezon City, including its barangays and sitios
 
Mapping of Existing Resources: Lead the conduct of resource mapping within the SDN, especially with regard to the type and level of care of each of the health facilities, organization and structure, health human resources, logistics and finance systems, strategic and action plans, transportation and communication resources, and funding to support their use
 
Policy Advocacy: Conceptualization, development, and advocacy of enabling policies, including budget support, among all local government units (LGUs), national government unit counterparts in the locality, and across all levels of care within the SDN
 
Capacity Building: Continuous improvement of the capacities of the SDN, including the CEmONC- and BEmONC-capable facility/ies and providers, as well as the other community-level facilities and providers and the Community Health Teams (CHTs), in terms of staffing, training, construction and/or renovation, equipment upgrading and logistics and supplies procurement within and among the SDNs; such will include the integration of young people’s MNCHN / FP concerns, and the provision of gender-sensitive and gender-appropriate interventions and quality assurance measures.
 
Private Sector Involvement: The private sector is deemed to be a vital partner in the coordination, implementation and delivery of services, maintenance of quality-assured products & services, as well as in resource mobilization, monitoring, evaluation and pursuance of sustainability of the MNCHN/FP SDN. As such a public – private partnerships shall be organized consisting of the following: a) the City Government, other LGUs, and their relevant offices; b) officials of national government agencies (NGAs) such as the DOH, PHIC, and DSWD; c) managers and representatives of public / private sector health facilities; d) medical associations; e) pharmaceutical companies, drug stores, logistics & distribution companies, transportation & communication companies & related workplaces; f) representatives of midwives/nurses associations, birthing homes and independent midwives; g) CHT representatives; and h) civil society organizations representatives.
 
 
The following are designated to become part of the MNCHN/FP SDNs within Quezon City
CEmONC Level Facilities and Providers
  • DOH-Retained Hospitals
  • East Avenue Medical Center
  • National Children’s Hospital
  • Quirino Memorial Medical Center
  • Philippine Children’s Medical Center
  • LGU Hospitals
  • Quezon City General Hospital
  • Private Hospitals
  • Bernardino General Hospital
  • Far Eastern University Hospital
  • Novaliches General Hospital
  • Commonwealth Medical Center
  • Villarosa Hospital
  • Nodado Hospital
  • Sta. Teresita Hospital
  • Montano Ramos Hospital
  • JP Sioson General Hospital
  • St. Agnes General Hospital
  • Jose Delgado Hospital
  • St. Luke’s Hospital
  • Capitol Medical Center
  • Univ. of the East Ramon Magsaysay Memorial Med Center
  • Delos Santos Medical Center
  • World Citi Hospital
  • Hope General Hospital
  • Pacific Global Medical Center
  • Metro North Medical Center
  • Providence Hospital
  • Veterans Hospital
  • V.Luna Hospital
BEmONC Level Facilities and Providers
  • Public Facilities
    • QC Health Department Lying In Clinics
  • San Francisco Lying In Clinic
  • Batasan Lying In Clinic
  • Betty Go Belmonte Lying In Clinic
  • NGC Lying In Clinic
  • Murphy Lying In Clinic
  • Kamuning Lying In Clinic
  • Arsenia J. Maximo Lying In Clinic
  • Sta. Lucia Lying In Clinic
    • LGU Hospital
  • Novaliches District Hospital
Compliant Private Birthing Homes with the following:
  • License to Operate
  • DOH Accredited
  • PhilHealth Accredited
  • Sanitary Permit
  • Business Permit
Community Level Facilities and Providers
  • Health Centers under the QC Health Department