Community Health Nursing

BEMONC & CEMONC with the skills to handle severe

Basic Emergency Obstetric and Newborn Care complications.
(BEmONC) and Comprehensive 4. Increase Availability of Services: Make
Emergency Obstetric and Newborn Care CEmONC available in regions with high
maternal and neonatal mortality.
(CEmONC)
5. Monitor Quality of Care: Ensure
Introduction
adherence to clinical guidelines and
• BEmONC: Focuses on basic emergency
standards.
obstetric and newborn care, addressing
common complications with seven key
Key Components:
signal functions.
• CEmONC: Builds on BEmONC, adding
BEmONC:
• Seven essential signal functions:
more advanced services, including surgical
interventions and blood transfusions. 1. Parenteral Antibiotics: Treat
• Both frameworks aim to improve maternal
severe infections in mothers.
and neonatal health outcomes, 2. Parenteral Uterotonics: Control
particularly in low- and middle-income postpartum hemorrhage.
countries. 3. Parenteral Anticonvulsants:
Prevent seizures in eclampsia.
Objectives: 4. Manual Removal of Placenta:
Prevent bleeding from retained
BEmONC:
placenta.
1. Reduce Maternal and Neonatal
5. Removal of Retained Products
Mortality: Provide timely and effective
(Manual Vacuum Aspiration):
emergency care for common childbirth
Reduce infection and further
complications.
2. Enhance Accessibility: Make emergency bleeding.
obstetric care accessible, especially in 6. Assisted Vaginal Delivery: Use of
rural and underserved areas. instruments to aid delivery in
3. Provide Essential Services: Deliver seven stalled labor.
critical signal functions for obstetric 7. Neonatal Resuscitation: Revive
emergencies. newborns not breathing at birth.
4. Strengthen Health Systems: Improve
healthcare providers' capacity through CEmONC:
• Includes all BEmONC functions plus:
training, resources, and infrastructure.
1. Cesarean Section: Surgical
5. Promote Safe Deliveries: Encourage
intervention for complicated
facility-based deliveries to reduce
deliveries.
complications associated with home
2. Blood Transfusion: Address
births.
severe blood loss during childbirth.
CEmONC:
1. Comprehensive Management of Comparison
Complications: Offer more advanced
services, including surgical procedures and
blood transfusions.
2. Improve Referral Systems: Ensure timely
transfer of patients needing advanced
care.
3. Enhance Training for Healthcare
Providers: Equip healthcare professionals
 Community Health Nursing
Benefits and Importance:
1. Range of Interventions: • Reduction in Maternal Mortality: Timely
o BEmONC: Basic interventions for
interventions decrease maternal mortality
common obstetric emergencies. rates.
o CEmONC: Advanced procedures,
• Improved Newborn Outcomes: Reduces
including surgery and blood neonatal morbidity and mortality through
transfusions. effective management.
• Strengthening Health Systems:
2. Facility Requirements: Enhances overall capacity of health
o BEmONC: Offered in rural health
systems to respond to emergencies.
centers or community clinics. • Cost-Effectiveness: BEmONC is more
o CEmONC: Requires advanced
cost-effective, addressing complications
facilities like hospitals. at lower-level facilities.
3. Type of Care Provided: Challenges in Implementation:
o BEmONC: Immediate, basic • Resource Limitations: Lack of
emergency care. equipment, supplies, or trained personnel.
o CEmONC: Comprehensive, life-
• Geographic Barriers: Remote areas face
saving treatment. challenges accessing facilities with
BEmONC or CEmONC capabilities.
4. Personnel Needs: • Staffing Shortages: Insufficient skilled
o BEmONC: Managed by trained
healthcare providers, especially in rural
midwives or general healthcare areas.
providers. • Cultural Constraints: Cultural beliefs limit
o CEmONC: Requires specialized
access to emergency care and delay
medical staff, including surgeons seeking help.
and anesthesiologists. • Financial Barriers: Poverty prevents
families from accessing emergency
5. Complexity of Cases: services.
o BEmONC: Handles most obstetric
• Awareness Gaps: Communities may be
emergencies. unaware of BEmONC and CEmONC
o CEmONC: Manages severe cases
services, leading to underutilization.
requiring advanced medical • Need for Policy Support and Funding:
intervention. Continuous training, policy support, and
funding are essential for sustainability.
6. Role in Healthcare System:
o CEmONC: Acts as a backup to
BEmONC, providing referral and Laws Supporting BEmONC and CEmONC:
higher-level care. 1. Republic Act No. 10354 (2012) -
Responsible Parenthood and
7. Accessibility: Reproductive Health Act
o BEmONC: More accessible in rural o Purpose: Universal access to
and low-resource areas. reproductive health care services,
o CEmONC: Available in better- including maternal health.
equipped, often urban or regional o Key Provisions:
hospitals. ▪ Right to health care
services, including
emergency obstetric care.
 Community Health Nursing
▪Identifies BEmONC and ▪ Requires training for
CEmONC as essential for BEmONC skills.
reducing maternal and ▪ Sets standards for health
neonatal mortality. facilities to provide
2. DOH Administrative Order No. 2008- BEmONC services.
0029 6. Republic Act No. 9710 - Magna Carta of
o Overview: Health reforms to Women (2009)
reduce maternal and neonatal o Purpose: Ensures women's rights
mortality through the MNCHN and access to health services,
Strategy. including maternal and newborn
o Key Provisions: care.
▪ Establishes policies to o Key Provisions:
address maternal and ▪ Requires appropriate
neonatal death risks. emergency obstetric care
▪ Supports BEmONC and services within BEmONC
CEmONC facility and CEmONC frameworks.
development in local health ▪ Mandates government
systems. support for maternal health
3. DOH Administrative Order No. 2009- programs.
0025
o Overview: Policies for essential
newborn care in the first week of
life.
o Key Provisions:
▪ Reinforces BEmONC
protocols.
▪ Ensures evidence-based
newborn care to prevent
neonatal deaths.
4. DOH Administrative Order No. 2010-
0014
o Overview: Allows midwives to
administer life-saving drugs in
emergencies.
o Key Provisions:
▪ Specifies when midwives
can provide emergency
medications linked to
BEmONC.
▪ Mandates training for safe
administration of
emergency drugs.
5. DOH Administrative Order No. 2015-
0020
o Overview: Strengthens
capabilities of nurses and midwives
in maternal and newborn care.
o Key Provisions:
 Community Health Nursing
PRACTICE QUIZ 6. Which law identifies BEmONC and CEmONC
as essential components to reduce maternal
1. What is the primary focus of Basic and neonatal mortality?
Emergency Obstetric and Newborn Care a) Republic Act No. 10354 (2012) - Responsible
(BEmONC)? Parenthood and Reproductive Health Act
a) Surgical interventions for severe complications b) DOH Administrative Order No. 2009-0025
b) Providing basic emergency care for common c) Republic Act No. 9710 - Magna Carta of
obstetric complications Women (2009)
c) Blood transfusions for severe blood loss d) DOH Administrative Order No. 2015-0020
d) Offering advanced neonatal care
7. Which of the following is a challenge in
2. What additional services does implementing BEmONC and CEmONC?
Comprehensive Emergency Obstetric and a) Overabundance of trained healthcare
Newborn Care (CEmONC) provide compared to professionals
BEmONC? b) Geographic barriers and remote access to
a) Parenteral antibiotics facilities
b) Cesarean sections and blood transfusions c) Excessive financial resources available for
c) Neonatal resuscitation maternal care
d) Assisted vaginal deliveries d) High rates of awareness about emergency
obstetric care
3. Which of the following is NOT one of the
seven essential signal functions of BEmONC? 8. Which of the following laws allows midwives
a) Cesarean section to administer life-saving drugs in emergencies?
b) Neonatal resuscitation a) Republic Act No. 10354 (2012)
c) Parenteral anticonvulsants b) DOH Administrative Order No. 2010-0014
d) Assisted vaginal delivery c) DOH Administrative Order No. 2008-0029
d) Republic Act No. 9710 - Magna Carta of
4. What is the main objective of CEmONC? Women (2009)
a) Enhance accessibility to maternal care in rural
areas 9. What is one key benefit of implementing
b) Provide comprehensive management of BEmONC and CEmONC services?
severe complications, including surgery a) Increased reliance on home births
c) Promote home births with trained midwives b) Reduced maternal and neonatal mortality
d) Reduce neonatal resuscitation needs c) Decreased need for healthcare provider
training
5. What type of facility is required for providing d) Higher costs for emergency interventions
CEmONC services?
a) Rural health center 10. What is the key difference between
b) Community clinic BEmONC and CEmONC in terms of personnel
c) Hospital with advanced medical capabilities needs?
d) Home-based care a) BEmONC requires highly trained surgeons and
anesthesiologists
b) CEmONC can be managed by trained
midwives or general healthcare providers
c) BEmONC can be managed by trained
midwives or general healthcare providers, while
CEmONC requires specialized medical staff
d) CEmONC is managed by untrained volunteers
 Community Health Nursing
ANSWER KEY 6. Which law identifies BEmONC and CEmONC
as essential components to reduce maternal
1. What is the primary focus of Basic and neonatal mortality?
Emergency Obstetric and Newborn Care a) Republic Act No. 10354 (2012) - Responsible
(BEmONC)? Parenthood and Reproductive Health Act
a) Surgical interventions for severe complications b) DOH Administrative Order No. 2009-0025
b) Providing basic emergency care for common c) Republic Act No. 9710 - Magna Carta of
obstetric complications Women (2009)
c) Blood transfusions for severe blood loss d) DOH Administrative Order No. 2015-0020
d) Offering advanced neonatal care
7. Which of the following is a challenge in
2. What additional services does implementing BEmONC and CEmONC?
Comprehensive Emergency Obstetric and a) Overabundance of trained healthcare
Newborn Care (CEmONC) provide compared to professionals
BEmONC? b) Geographic barriers and remote access to
a) Parenteral antibiotics facilities
b) Cesarean sections and blood transfusions c) Excessive financial resources available for
c) Neonatal resuscitation maternal care
d) Assisted vaginal deliveries d) High rates of awareness about emergency
obstetric care
3. Which of the following is NOT one of the
seven essential signal functions of BEmONC? 8. Which of the following laws allows midwives
a) Cesarean section to administer life-saving drugs in emergencies?
b) Neonatal resuscitation a) Republic Act No. 10354 (2012)
c) Parenteral anticonvulsants b) DOH Administrative Order No. 2010-0014
d) Assisted vaginal delivery c) DOH Administrative Order No. 2008-0029
d) Republic Act No. 9710 - Magna Carta of
4. What is the main objective of CEmONC? Women (2009)
a) Enhance accessibility to maternal care in rural
areas 9. What is one key benefit of implementing
b) Provide comprehensive management of BEmONC and CEmONC services?
severe complications, including surgery a) Increased reliance on home births
c) Promote home births with trained midwives b) Reduced maternal and neonatal mortality
d) Reduce neonatal resuscitation needs c) Decreased need for healthcare provider
training
5. What type of facility is required for providing d) Higher costs for emergency interventions
CEmONC services?
a) Rural health center 10. What is the key difference between
b) Community clinic BEmONC and CEmONC in terms of personnel
c) Hospital with advanced medical capabilities needs?
d) Home-based care a) BEmONC requires highly trained surgeons and
anesthesiologists
b) CEmONC can be managed by trained
midwives or general healthcare providers
c) BEmONC can be managed by trained
midwives or general healthcare providers, while
CEmONC requires specialized medical staff
d) CEmONC is managed by untrained volunteers