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HD 201 E2 > Maternal Healthcare Delivery System > Flashcards

Maternal Healthcare Delivery System Flashcards

1
Q

Sum total of all orgs, inst., and resources whose primary purpose is to improve health

A

Healthcare System

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2
Q

Needs of the Healthcare System

A

staff, funds, information, supplies, transport, communications, management/overall guidance and direction

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3
Q

Formula for Maternal Mortality Ratio (MMR)

A

Maternal Deaths/100, 000 LIVE births

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4
Q

Within how many days of termination of pregnancy (due to complications within the pregnancy and its management itself and NOT due to accidents or incidental causes)

A

42 days

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5
Q

MDG target per 100, 000 live births

A

55 by 2015

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6
Q

Common complications resulting to maternal mortality in the Philippines

A

hemorrhage, sepsis, obstructed labor, hypertensive disorders in pregnancy, unsafe abortion

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7
Q

MMR as of 2005

A

230/100K

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8
Q

Expected MMR by 2015

A

140-160/100K

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9
Q

What kind of delivery is encouraged?

A

facility-based (in healthcare institutions, with competent personnel and equipment)

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10
Q

Components of Maternal Health Care System

A

Insurance, Providers (Doctors, Midwives, Birth Attendance), Employers, Gov’t, Patients

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11
Q

3 Levels of Care in the MNCHN Service Delivery Network

A

1) Community level service providers, 2) Basic emergency obstetrics and newborn care (BEmONC), 3) Comprehensive Emergency Obstetrics and Newborn Care (CEmONC)

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12
Q

6 Signal OB functions in BEmONC Facilities

A 
Administer Oxytocin (3rd Stage)
Administer anticonvulsants
Initial dose of antibiotics
Assisted deliveries
Removal of retained products of conceptions
Manual removal of placenta
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13
Q

6 Signal OB functions in CEmONC Facilities

A 
CS
Blood transfusion
Neonatal interventions
Resuscitations
Neonatal sepsis/infection
Oxygen support
Mx of low birth weight or premature newborn
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14
Q

A case rate form of payment common in the Philippines

A

PhilHealth

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15
Q

For HMO carriers, which subsidies will be deducted from the original fee?

A

HMO and PhilHealth

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16
Q

Corresponding Rate for Surgical Case: Maternity Care Package

A

8K

17
Q

Corresponding Rate for Surgical Case: NSD Package in Level 1 Hospitals

A

8K

18
Q

Corresponding Rate for Surgical Case: NSD Package in Level 2 to 4 Hospitals

A

6500

19
Q

Corresponding Rate for Surgical Case: Cesarean Section

A

19K

20
Q

Levels of Hospitals (formal names)

A

Emergency Hospital (1st Level)
Non-departmentalized Hospital (2nd Level)
Departmentalized Hospital (3rd Level)
Teaching and Training Hospital (4th Level)

21
Q

Level of Hospital wherein nursing care for patients requiring minimal supervised care can be found

A

Level 1

22
Q

Level of Hospital wherein nursing care for patients requiring total and intensive supervised care can be found

A

Level 3

23
Q

Level of Hospital wherein nursing care for patients requiring immediate supervised care can be found

A

Level 2

24
Q

True or False: 2nd Level Radiology can be found in a Level 2 Hospital

A

False. 1st Level. 2nd Level is found in Level 3 Hospital

25
Q

Where can Level 2 Hospitals be found?

A

Rural areas (provinces)

26
Q

Difference between a Level 3 and a Level 4 Hospital

A

Level 4 is a TEACHING institution. Even if it is a mental hospital, as long as it has rounds and practicuum, etc., it is considered a Level 4 Hospital though it is not departmentalized.

27
Q

What kind of radiology can be found in a Level 4 Hospital?

A

3rd level

28
Q

What kind of nursing care can be found in a Level 4 Hospital?

A

Nursing care for patients requiring continuous and specialized critica supervised care can be found

29
Q

What issue is addressed by the prioritization of ensuring the delivery of services to the disadvantaged sector especially the economically and socially-deprived?

A

Equity

30
Q

To address Equity, who must be considered in registration?

A

Those below poverty level, members of ethnic and minority groups, homeless

31
Q

An important consideration in ensuring access to maternal health services

A

geographic location and appropriate time

32
Q

Refers to the manner and result of delivery of maternal health service, resulting to optimum reproductive health

A

Quality

33
Q

Components of Optimum reproductive health

A

Functional and emotional status
Medical outcomes
Patient satisfaction

34
Q

Components of training for health workers

A

Interpersonal communication skills
Information dissemination
Education and motivation activities for the general public

HD 201 E2 (5 decks)

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