Bridging the maternal care incentive program (MCIP) gaps towards a sustainable maternal health program in Catarman, Northern Samar / Blessie Dana C. Norona.
Description: xiii, 90 leaves : color illustrations and photosSubject(s): Dissertation note: Graduate School of Public and Development Management Health Systems and Development Batch 5 Thesis (MPM-HSD)--Development Academy of the Philippines. Summary: This study aims to determine the effect of the implementation of the Maternity Care Incentive Program (MCIP) on the health seeking behavior of pregnant mothers and identify strategies to improve the impact of MCIP on the maternal health indicators of the Municipality of Catarman, Northern Samar. This study made use of focused group discussions in determining the KAP if postpartum mothers, and individual interviews to determine the gaps in the implementation of MCIP. Document review of quarterly reports was done to allow for comparison of maternal health indicators throughout the study period. The Maternal Care Incentive Program (MCIP) of the Municipality of Catarman is a conditional cash transfer (CCT) incentive scheme wherein pregnant mothers are given cash with the condition that they undergo at least 4 prenatal checkup, facility based delivery, and postpartum checkup. The results of the study showed that almost six (6) months into the implementation of the program there is an observable increase in facility based deliveries and skilled birth attendance and no reported maternal death during the first half of the implementation period. Conditional cash transfers are known for its capacity to induce learning among target clients which can contribute to a behavioural change. In determining knowledge, attitude and practices of mothers during the implementation of MCIP it was found thats several topics still need to be included and emphasized in information education campaign including prenatal checkup, dangers signs of pregnancy, birth planning, postpartum care, breastfeeding and immunization, dangers signs of newborn and children, and family planning methods. In addition, there are gaps identified in the implementation of MCIP, which included poor information dissemination about the program related to the negative perception of health workers on incentivizing mothers, the inadequate compensation for health workers, problems on financial sustainability, and the absence of external factors that support the implementation of the program such as legislation prohibiting home deliveries, transportation from far flung barangays, and absence of organized barangay health boards. In addressing the gaps identified, important stakeholders were identified and subsequently engaged. Three levels of stakeholders were found to be important in addressing the existing gaps, that is, the Local Health Board, the Municipal Health Office and the Barangay Health Board. A dialogue done initially focused on the existing problem of maternal deaths in the community, existing interventions including MCIP as a strategy to improve maternal outcomes and the gaps identified in its implementation. The next steps include identification of the different roles of stakeholders, and arriving at interventions to address the gaps in the implementation of MCIP.Item type | Current library | Call number | Status | Barcode | |
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THESIS | MAIN | RG 950 N67 2015 (Browse shelf(Opens below)) | Available | TD00122 |
Norona, B. D. C. (2015). Bridging the maternal care incentive program (MCIP) gaps towards a sustainable maternal health program in Catarman, Northern Samar (Unpublished master's thesis). Graduate School of Public and Development Management, Development Academy of the Philippines.
Graduate School of Public and Development Management Health Systems and Development Batch 5 Thesis (MPM-HSD)--Development Academy of the Philippines.
This study aims to determine the effect of the implementation of the Maternity Care Incentive Program (MCIP) on the health seeking behavior of pregnant mothers and identify strategies to improve the impact of MCIP on the maternal health indicators of the Municipality of Catarman, Northern Samar. This study made use of focused group discussions in determining the KAP if postpartum mothers, and individual interviews to determine the gaps in the implementation of MCIP. Document review of quarterly reports was done to allow for comparison of maternal health indicators throughout the study period. The Maternal Care Incentive Program (MCIP) of the Municipality of Catarman is a conditional cash transfer (CCT) incentive scheme wherein pregnant mothers are given cash with the condition that they undergo at least 4 prenatal checkup, facility based delivery, and postpartum checkup. The results of the study showed that almost six (6) months into the implementation of the program there is an observable increase in facility based deliveries and skilled birth attendance and no reported maternal death during the first half of the implementation period. Conditional cash transfers are known for its capacity to induce learning among target clients which can contribute to a behavioural change. In determining knowledge, attitude and practices of mothers during the implementation of MCIP it was found thats several topics still need to be included and emphasized in information education campaign including prenatal checkup, dangers signs of pregnancy, birth planning, postpartum care, breastfeeding and immunization, dangers signs of newborn and children, and family planning methods. In addition, there are gaps identified in the implementation of MCIP, which included poor information dissemination about the program related to the negative perception of health workers on incentivizing mothers, the inadequate compensation for health workers, problems on financial sustainability, and the absence of external factors that support the implementation of the program such as legislation prohibiting home deliveries, transportation from far flung barangays, and absence of organized barangay health boards. In addressing the gaps identified, important stakeholders were identified and subsequently engaged. Three levels of stakeholders were found to be important in addressing the existing gaps, that is, the Local Health Board, the Municipal Health Office and the Barangay Health Board. A dialogue done initially focused on the existing problem of maternal deaths in the community, existing interventions including MCIP as a strategy to improve maternal outcomes and the gaps identified in its implementation. The next steps include identification of the different roles of stakeholders, and arriving at interventions to address the gaps in the implementation of MCIP.
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