© RECE BINED, “SN

Republic of the Dintappines

House of Representatives, *

Batasan Hilts. Quezon Cin
Nineteenth Congress

Hirst Ri

novse sit so 3143

stiar Session

Introduced by Representative Florencio G

ried Bem” G. Noel and Represen
we “Jaye” Laeson-Noel

ive Josephine
Veron

EXPLANATORY NOTE,

One of the unquestionable facts in this universe is that every human
if must didTieult experiences a worn
woman € onths of preparation. financial burden. and physic:
‘cluding the pain of the actual child birth, in ord

beauties and should therefore be a

3s womb, Childbirh is one of

perienees 1

life, This natural course is one of

rity tor the state.

However. in the Philippines. there is a high rate of matemal deaths which may e attributed

to inadequate access to integrated reproductive health services by women. inchidi
adolescents and men. Many Filipino women fack aecess to quality reproductive health services
The inadequacy of the state wo provide pregnant women, especially underp

women, should

poor

islieged pregnant

ty throughout a woman's nine ‘91 men

hould be given utmost pri

of pregnancy as well as the few montis aller labor. itis therefore imperative

shilabirth should be something that the si

This bili seeks to Improve maternal and newborn care by estab!
well as the training of traditional birth atte

of the sormai health sy tem. This

BHT sek:
underpriv i
delivery systems.

the development of focal health ds services shat can provide

J women with comprehensive

ate

ert

in view of the fon

wing. the passage of this bill is earnestly sought

FLORENCIO GABRIEL "BEM" NODL

Rppresemanivg

i Ww

JOSEPHINE \rRosied Yves LACSON-NOEL.
Represemative

Malabon

we District


public of the Hhippenes

House of Representatives

8

Batasan Hills. Quezon City
Nineteenth Congress,
First Rey

worse any so 3143

Session

Iotraduced hy Representative Florencia Gabriel “Bem” G. Noel and Repr
Veroniqu

ative dovephine

AN ACT PROVIDING FOR THE IMPROVEMENT OF MATERNAL AND
CHILDBIRTH SERVICES BY ESTABLISHING BIRTHING CENTERS ANU
TRAINING TRADITIONAL BIRTH ATTENDANTS, AND APPROPRIATING FUNDS:
THEREFOR

Be it enacted by the Senate and the House of Representatives of the Philippines in Con
assembled:

SUCHON |, Declaration of Policy
and the lite of the unborn from coneepti
quality hls i priate facilities as well as ser fees shat shall address maiernal
and neomatai mortalities a ‘efficient strategies wo lessen the risk thei

during pregnancy and childbirth, especially of the underprivileged,

is the duty of the State to protect the life of the mother
Towards this end. the State shal

endeavor to provide

entions and apy

ens

comtinucusly occur

SEC. 2, Objective. Vo emphasize the government's commitment to improve matcinal une Me horn

health interventions. this Act shall undertake the following objectives:

a) Ensure that all women and newborns have skilled care du wghaney. childbirth and
the immediate postnatal period:
by Prey

c) Improve the capacity of the focal government units (LGUs) : deliver the basic health

we prenata! health edt

ution ang saie birthing practices:

service delivers from antenatal to post-partum care:

d) Upgrade heaith facilities, both in terms of additional human resource and infrastructure

facilities suitably equipped to acilress basic and emergency services. when

esa

) Introduce focal strategies to improve mechanisms far demand to access or seek care and.

health interventions in health clinies

caditional birth attendants. to deliver quality obstetric and

1) Train health workers, inch

nowbor care servi

g) Develop incentives to entice and promote antenatal care ina Barangay {lealtb Su
{BHS), Rural Health Unit RHC) and the District and Community Hospitals:
hy Establi

and newhor e:

an effective referral and monitoring system in barangays to monitor maternal

and



iy Depioy birthin:

cilities equipped wit trained ubstettie and newborn care providers fn

ants where health tavilities are unavailable.

SEC. 3, Seupe and Coverage. ~ This Act ai
establishing birthin
part eft

to improve maternal and newborn care by
ilies as well as the teaining of the traditional birth attendants to become
Forma health system, Itsecks the improvement of local health facilities wowards sere lees
thai can provide comprehensive care in order to encourage underserved or underprivil
ery systems.

maternal and newborn care dh

SEC. 4. Definition of Terms. - As used in this Act, the following shall mean:

a) Hithing Center sheath facility that provides maternity service on prenatal and postnatal
‘aire, spontanecatts
by Neonatal Mortality - number of deaths ws hin the

ina given period

very and cary af new bom babies.

frst 28 days of lile per [000 five births

¢) Maternal Mortality - number of women who die trom any cause related to or aggravated
thy pregnancy oF jis management during pregnaney and
rmination el pr

d) Traditional Binh Auendants (1BAS) + independent, non-formatiy trained community
based providers of care during pregnancy. childbirth, and postpartum period i
conventional methods

©) Newborn « a child from the time of eomplate delivery to 30 days old,

{) Heath Care Practitioner ~ refers to a physician, nurse, midwile, nursing aide and
{radisiona! bith attendant

2) Coniffeation = 2 process and procedure of external assessment of examination by whieh
fan individual or facility is determined to possess a minimally acceptable body oF
Ynowiedve andor skills o the capacity to provide the standard of eare with adequate
resourees.

fh) Local Health Board - its ereation and composition are mandated under R.A. Tho or the
Lagat Government Code of 199}

1) Ge
marg

sraphivally olated and Disadvantaged “\reas (GIDA) - refer 10 communiti
sinalized population physic
instream society and characterized by physical factors (distance, weather conditic
iransportation difficulties) and socio-economic factors (iz d

ly and socio-economically separated trom the

h poverty i

recovering front situation of crisis or armed eortlien)
toms

= Annex 2. DOH

1) Deparment of Health Physivat tacifty requirement for Bithin
Administrative Order No, 2012-40012.

SEC. S, Role of the Local Government Cnit - the Lv
municipality. ina

tealtt Board of every province, eit
their mandate, shali make an inventers of
and ensure that health clinies shall be compliant with DOH standards in terms of
intrastructare inpovwer. These fitcilitiey 1
seomen, It must upgrade existing infrastructares to accommodate improvements in facilities and

cordance Wit lities

exist
rat
be constructed in locations most accessible te

equipment. With the support of the Depertin
in the continuous tr'ni
Ss for an integrated system
childbirth mortality. in terms of capability of

nt of Health, it shati provide technical assistance and
of health workers oF to com! ut skilled health

xd with matemal and

rat

fat addresses the risks identit

galth service providers,

SHC 6 Role uf the Department of Health, ~ fhe DOH shall ensure that the LGC Rua Health
Units. Barangay Health Stations. Distriet Hospitals. Birthing Centers

the DO!

compliant

amenities and inirustructure requirements set



whhin wo
attendants with the modern me
provide care during pregeaney. childbirth
stations. The conduct of th j be made every two (2) years h
the training of new ones upon the retirement of the other TBAs. A certification b
compliance with this requirement shall give
practitioners of the 1. GU,

yours aller the effectivity of this Act 1
= w properly equip then with the skill te
al periods in heaith clinies

he tradistonal

and posin

bint

trainings shy

er to facilita
the DOH of
As the authority to work alongside |

heare

SEC. 7. Birthing Centers. - There shali be establishe
eand delivery in Geo: nd Di
1! twat health facility unsafe and poses greater risk and di
tie mother and her unborn child. These bird
hours for sever days (2

tracking.

hicaliy. Isofated

and transportation makes irav li

tacititios shall be required to
cor ay needed basis. dependi

7) of on an ona

‘hese centers shall be compliant with the Physical Facility requirements of the DOH
regards to the General Adminisirative and Clinical services. ‘The facility shall tikewise be
supported by competent health care practitioners including DOM-irained inaditional birth
attendants.

Clinival services to be rendered in th
normal spontaneous delivers: f
od health care

se centers shall include prenatai and p

natal care,
J other similarly

low-risk pregnant women, care of newborn a

here shall he barangay heal workers formed into teams whe shal! r cheek on
pregnant wonten in the community. ‘They shall continuously advocate quality health care by
accessing the maternal care delivery system established by the government and dissem
educations tools 0 facilitate the shifl trom basic societal dy
childbirth in these centers equipped with facilities and shifted personnel

Lar

mies of home-deliveries w

Tine

aanie-natal check-ups mu:

mtify at-risk pregnancies oF a

in detiveries. which should directly be referred to elinies or tertiary hospitals with well
facilities to handie emer

zencies.

SEC. 8. Lay-tinay Program, ~ in onder to make these biethin
mothers shall. de

centets suisiviiable, expectan
x prenatal visits, pay in partions the cost for her delivery. The screme shall
celrieiiy and waster Bills, as well ay payment for atending
The cost shail he minimal and implemeniahl tn socialized user tees.

cover expanses tor

Nothing in this Section shall however prevent the city, municipality or bat
capacity to provide Tull subsidies 10 its constituemts to forego user fees. ur seek for private
partnerships, aid or donations to cut costs or subsidize the expenses for the deliveries in t

centers,

thin

SEC, 98, Home-Births, ~ Pursuant wo the objectives of this Act, home birth sl
Where health elinies and birthing centers are present in the community. and where there js absence
of the risk contemplated unger Section 7 paragraph 1. In cases where greater risk and danger
the life of the mother and the unborn is imminent if transport to a health facitity is made. midwives
and trait birth attendants st
safety

sdtraditiv id to the childbirth 10 ensure maternal and neonatal



SEC. 10 Incentives 10 Barangays. - the commit

sai wo reduce maternal

nerate the coordina

must Hort of the com

unity. hence. the local heaith bowed shit assess
and recamiend economic incentives 10 promote the initiative and make zero maternal and
neonatal death possible.

SEC. U1. Appropriations.

The primary source of finding far the operation, maintenance and
improvement of the health facilities shall he the LGU. It shall fikewise cover the salaries
nettis of the focal human resource including the incentives for the barangay healt
other community volunteer workers.

nd other

fh workers and

The eapital outlay for the birt
ilities in terms of equips
the traditional birth atiendanty shail be included in
the effectivity of this Act.

eonters. additional health clinies. improvements oF
and the amount to be expended far the trainitne oF
the budget of the DOH

exist

he year followin

SEC. 12. Implementing Ruies and Regulations. - Within ninety (90) days trom the approval of
this Act and the Secretary of the Interior and Local Government shal!
promulgate the necessary implementing roles and regulations URR1 tor
impicmentation of this Act. The IRR shall cover the implementation of periomance based
incentive of rural communities toward achieving zero maternal and neonatal mortality and the
proyram of training for the traditional birth attendants. The DOH shall provide the manual fo
minimom requirements in terms of facilities and human resource for an efficient health
birthing center.

teal

Secretary of

w etleetive

SUC. 13. Separability Clause. - 1! any. section or provision of this Act Is held ineonstiftitiona:
invalid, the remaining sections or provisions not affected shall remain in full force and ette

SUC. 14, Repeating Clause
regulations, oF parts thereof, inconsistent with the provisions af this
fied accordingly

= Ail laws, presidential decrees. executive orders and rules and

are hereby reps:

led or

SEC. 15, Effectivity. - This Act shali take fleet f

1en (15) day’ from the date of its compiae

publication in at least eral circulation.

wort ners!

pers of

Approved,