Law Summary
Goals and Objectives
- Establish guidelines for EmONC training centers to provide high-quality maternal and newborn care services.
- Develop a consortium of tertiary hospitals (3rd and 4th level) as BEmONC training centers in strategic locations.
- Ensure healthcare providers are proficient in technical standards for quality care delivery in BEmONC facilities.
Scope of Application
- Applies to all regional hospitals, medical centers, and similar institutions across the Philippines.
Definitions and Key Terms
- BEmONC Training Center: A 3rd or 4th level hospital with adequate staff and infrastructure to conduct BEmONC training for licensed doctors, nurses, and midwives.
- BEmONC Capacity: The functional capability of health facilities like hospitals or rural health units to provide emergency obstetric and newborn care 24/7 or on-call basis, certified by the DOH.
- Professional Societies: Accredited organizations of healthcare professionals responsible for continuing education and accreditation (e.g., POGS, PPS, PSNbM, PAP, PAFP, PNA, IMAP, PLGPMI, MFP).
- Proficiency: The competency and skills healthcare professionals demonstrate in delivering quality health care through continuous practice and expertise.
Implementing Guidelines
Establishment Criteria for BEmONC Training Centers:
- Must be a regional hospital or medical center with:
- Obstetrics and Gynecology Department accredited by Philippine Obstetrics and Gynecological Society.
- Pediatric Department accredited by Philippine Pediatric Society.
- Accreditation by the Professional Regulations Commission (PRC) as a Continuing Professional Education provider.
- A designated pool of trainers including a minimum of 2 obstetricians, 1 pediatrician, 1 nurse, and 1 midwife who have completed a 5-day Training of Trainers course.
- At least 2 administrative personnel supporting training activities.
- Adequate training infrastructure including space, furniture, and equipment (e.g., LCD projector, pelvic model, newborn mannequins).
- Training institutions may form networks for resource sharing including trainers, equipment, supplies, and venues.
- Must be a regional hospital or medical center with:
Training and Certification:
- All training centers must utilize the BEmONC skills training course module from DOH, adapted from WHO guidelines on Pregnancy, Childbirth, Postpartum and Newborn Care.
- Trainees who complete the course receive a Certificate of Training as BEmONC skilled health providers.
- CHDs (Centers for Health Development) are responsible for ensuring trained health providers work in BEmONC-capable facilities.
- Trainers must conduct random mentoring visits to trainees using standard evaluation tools.
- CHDs, in coordination with local government units (LGUs), must regularly monitor trained personnel in their workplaces.
Resource and Funding Provisions
- Tuition Fees and Funding:
- Provincial and city Annual Operations Plans (AOP) must specify BEmONC training resource needs and funding sources.
- Funding may come from DOH grants or LGU Internal Revenue Allotment.
- Trainer Incentives:
- Trainers shall receive training fees aligned with Department Order No. 2009-0084.
- Training fees are sourced from tuition fees paid by trainees.
Repealing Clause
- All prior orders and related issuances inconsistent with this order are repealed and rescinded.
Effectivity
- This Administrative Order takes effect immediately upon issuance on July 25, 2011.