The Implementation of the Maternal, Neonatal, Child Health, and Nutrition Strategy: An Impact Study

The study determined the impact of the implementation of the Maternal, Neonatal, Child Health, and Nutrition (MNCHN) Strategy in Ilocos Sur. It focused on the three  health status indicators of the MNCHN Strategy such as the Contraceptive Prevalence Rate(CPR), Maternal Mortality Rate (MMR) , and Infant Mortality Rate( IMR)  at the same time with the  level of satisfaction of the mother-respondents on the MNCHN Strategy regarding maternal and child care. It also looked into the relationship between the impact of the MNCHN Strategy and its  extent of implementation.The “Very High” extent of implementation of the  MNCHN Strategy is not significantly related to the high  CPR which is 50.27 % per 1,000 population, to the “ Very Low”  MMR which  is 0.43 per 1, 000 live birth, and to the “ Very Low” IMR which  is 2.18 per 1000 live births. Significant differences occurred in the implementation of the MNCHN Strategy among the 14 pairs of municipalities on the CPR, while there were four pairs of municipalities on the MMR. The mother- respondents felt that they are “Very Much Satisfied” with the implementation of the MNCHN Strategy. Finally, no significant relationship existed between the implementation of the MNCHN Strategy and the outcomes regarding the different health status indicators such as CPR, MMR, and IMR; and the level of satisfaction of the mothers  on the implementation of the MNCHN Strategy along maternal and child care. It is recommended therefore that the Local Government Units (LGUs) must sustain their commitment to continuously support their respective Municipal Health Office (MHO) workers to  sustain the “Very High” implementation of the MNCHN Strategy. The MHO personnel should intensify information dissemination on the health services that could be availed of by the community residents for the people to remain empowered and to be active always in the participation of their health care.

Keywords: contraceptive prevalence rate, infant mortality rate, maternal mortality rate, MNCHN, and satisfaction