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Appendix D: Innovations in the Provision of Health Services Using Empowered Nurses and Midwives in the Philippines--Oscar F. Picazo, Valerie Gilbert T. Ulep, Ida Pantig, Danica Ortiz, Melanie Aldeon, and Nina Ashley de la Cruz
Pages 113-120

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From page 113...
... decided to expand domestic nursing education, Filipino graduates increasingly found it difficult to find overseas employment especially in lucrative destinations like Australia, Canada, the United States, and Western Europe. Interestingly, although there has been a domestic glut of Filipino nurses for some time, many rural and peri-urban areas in the country remained unserved or underserved with health personnel, resulting in weak improvement in national child health status and a setback in the reduction of maternal mortality ratio.
From page 114...
... It operates as a social franchise that offers a "one-stop" shop for family planning and maternal and child health services targeting lower- and middle-income families. Social franchising works in much the same way as commercial franchising by applying the latter's strategies to the health sector to efficiently expand access to quality health care to underserved communities; the only difference is the initial subsidy (in development costs, training, and information
From page 115...
... , which a business franchise does not get. The WFMC clinics are equipped with birthing facilities and private examination rooms for pregnancy tests, minor gynecological services such as Pap smear, basic health services of a midwife such as normal spontaneous delivery, pre- and post-natal care, and immunization services.
From page 116...
... Blue Star Pilipinas Clinics Blue Star was launched in 2008 as a nonprofit network of clinics providing reproductive health services in the Philippines. The social marketing network is organized as a franchise arrangement with the license and accreditation being provided by the franchisor, Blue Star.
From page 117...
... To ensure quality, Marie Stopes International trains Blue Star providers in state-of-the-art service delivery and then regularly monitors quality to ensure that agreed standards are met. Providers receive training in areas such as family planning knowledge, counseling, clinical skills, marketing, and business management.
From page 118...
... Other services were added later, including medical transcription, emergency medical services, tourism health services, wellness and fitness management for private companies, outsourcing of nursing health services for private establishments, medical mission management for private companies and local government units, and periodic physical examination of workers for private companies. The strategy is to deploy recruited nurses to barangays (one nurse per barangay per month)
From page 119...
... With the enactment of the Reproductive Health Law, it is anticipated that many more nurse-led health services will bloom. This will gain traction through the expected approval of wider primary care benefits under PhilHealth.


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