John Kevin B. Arrivas,
Genessa A. Buenafe,
Jeline N. Encarnacion,
Michael Joshua S. Martinez,
Iris Francesca C. Mecenas,
Gilbert Guy D. Murillo,
Thea Carmelle J. Nadala,
Pol Jed E. Openiano,
Daniel Ace . Tomulto,
Hannah Mae . Unsing,
Nikki Aimee Bernadtte D. Villa
College of Medicine - West Visayas State University
Background: In the Philippines, 13 mothers die every day from pregnancy-related complications which can be prevented with adequate antenatal care (ANC). However only 84.3% of pregnant had the recommended number of ANCs. Also, about a fifth of babies born alive have low birth weight, predisposing them to diseases and poor growth later in life. Thus, Maternal and newborn health is a high priority globally and is included among the millennium development goals and in the recently adopted sustainable development goals. The Pantawid Pamilyang Pilipino Program (4Ps) is a human development measure of the national government that provides conditional cash grants to the poorest of the poor to improve health, which includes maternal and newborn health.
Objectives: The study to aimed to determine the maternal health-seeking behaviour (MHB) and pregnancy (PO) outcomes among the 4ps members and non-members in Iloilo City.
Methods: A retrospective cohort design was used to investigate the effect of 4Ps membership on the maternal health-seeking behavior and pregnancy outcomes in Iloilo City. Secondary data on exposure was obtained from the Department of Social Welfare and Development Field Office VI and Iloilo City government, while outcome variables were acquired from participants, respective health centers. An interview schedule was used to collect information socio-demographics, MHB and Po of the respondents. Descriptive statistics was used to show the characteristics of the population, while Person's Chi-square test was used to assess the difference on the study variables between 4Ps and non-members. Binomial logistics regression and odds ratio was calculated to detect the effect and the relationship of 4Ps membership on maternal health-seeking behaviour and study outcome.
Result: A total 124 respondents were interviewed and included in the study with 40% composed of 4Ps members while 60% were non-4Ps. There is no differentce in the proportions of god maternal health seeking behaviors between 4Ps and non-4Ps respondent (X2 = 0.702, 1df, p=0.402). On maternal outcomes, the proportions of those who did not have complice showed similar proportions of normal birth weight between 4Ps and non-4Ps (X2 = 0.003, 1df, p=0.957). Birth weight among non-4Ps are 18% more likely to be normal than 4Ps (adjusted OR=0.848, 95% CI =0.253.844), while maternal complications are 30% more likely to occur among 4Ps. than non-4Ps. These associations are not statistically significant.
Conclusion: 4Ps and non-4Ps members showed similar goods maternal health seeking behaviors and ideal pregnancy outcomes. Taking into account the effect of socio-demographic and maternal variables, 4Ps membership was not associated with good MHB and ideal outcome.
Keywords: Pantawid Pamilya, Maternal Health, Antenatal Care, Pregnancy Outcome, Birth Weight