Learning Activity 1

LEARNING ACTIVITY 1: Critical Thinking Essay
If you were the Secretary of Health, choose 3 from among the strategies you think you would
adopt for implementation. Justify your choice. esWrite your assignment in an 8.5”x13” bond
paper to be submitted in our LMS platform.
For Filipino women of reproductive age, pregnancy and childbirth continue to carry the
greatest risk with a 1:120 lifetime probability of dying from maternal causes. The likelihood of
maternal and neonatal deaths is further increased by the critical accumulation of four risks,
including (1) an untimely, unplanned, unwanted, and unsupported pregnancy; (2) inadequate
prenatal care; (3) childbirth without the assistance of trained medical professionals (such as
midwives, nurses, and doctors); and (4) inadequate postpartum and newborn care. Given the
magnitude of these problems, alternative policies and programs should be made clear, as well
as locating affordable health-related program interventions that are likely to lower mother and
neonatal morbidity and mortality such as like these key strategies that reflect this continuum:
 Ensuring universal access to and utilization of an MNCHN Core Package of
services and interventions directed not only to individual women of reproductive age
and newborns at different stages of the life cycle, but also to the community.
- These Core Package of Services consists of interventions that will be
delivered for each life stage such as in pre-pregnancy, pregnancy, delivery,
the post-partum, and newborn periods. Some of these services would need
additional training and perhaps modest facility improvements, but the majority
of them are low-cost and can be provided by health professionals as part of
their regular duties. Moreover, these interventions have been found effective
in preventing deaths as well as in improving the health of mothers and
children. Therefore, adopting this strategy for implementation will ultimately
alleviate the problems and issues concerning Maternal, Newborn, and Child
Health and Nutrition Situation in the Country (MNCHN).
 Establishment of a Service Delivery Network (SDN) at all levels of care to provide

the package of services and interventions.
- These Service Delivery Network can be a province-wide or city-wide network
of public and private healthcare facilities and providers that can offer MNCHN
services, which includes fundamental and comprehensive emergency
obstetric care as well as in essential newborn care. Also, these has three
levels of care: community level service providers, a network of facilities and
providers capable of basic emergency obstetrics and newborn care
(BEmONC), and a facility or network of facilities capable of comprehensive
emergency obstetrics and new-born care (CEmONC). Considering that no
single facility or unit can offer and provide the whole MNCHN Core Package
of Services, it is critical that various healthcare providers in the area are
integrated into a well-coordinated MNCHN service delivery network to
address the various needs of populations and guarantee the continuum of
care.
 Organized use of instruments for health systems development to bring all localities
to create and sustain their service delivery networks, which are crucial for the provision
of health services to all.
- These Health System Instrument includes the technical, organizational,
human resource, regulatory, monitoring and reporting, financing, and
governance mechanisms which are crucial for successfully putting into action
and maintaining the MNCHN strategy. These tools have been created to
assist communities in establishing and maintaining the provision of the basic
MNCHN services through the network of local service providers. Furthermore,
these encompasses coordination mechanisms between LGUs and health
providers, logistical management, human resource management, and
regulations affecting service provision and use.
 Overall, the integrated MNCHN Strategy hopes to achieve the goal of having the least
developed and most vulnerable places advance more quickly and catch up to the rest of
the localities in the nation. It is crucial that as the Secretary of Health to be constantly
informed of this fact, as well as for the localities to comprehend that the strategy, course
of action, and speed taken to achieve the goal varies depending on the local
circumstances.

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LEARNING ACTIVITY 1: Critical Thinking Essay

 Establishment of a Service Delivery Network (SDN) at all levels of care to provide

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