An International Multidisciplinary Research Journal

Implementation of the Essential Intrapartum and Newborn Care Protocol in the Second District of Ilocos Sur

Sherwin S. Paguiligan1
1Ilcoos Sur Polytechnic State College, Candon City, Ilcoos Sur, Philippines
ISSN: 2961-3035 | Volume 5 | Issue 2 | December 2025

Abstract

Childbirth is a pivotal and deeply personal experience in a woman’s life, marking the transition to motherhood and profoundly impacting families. Over the past 25 years, maternal and newborn care has evolved significantly, with health workers now focusing more on individualized care. In the Philippines, to reduce neonatal deaths and improve care quality, the Department of Health (DOH) introduced the Essential Intrapartum and Newborn Care (EINC) protocol. While this initiative aimed to standardize care during labor and delivery, its adoption presented challenges for healthcare providers. This study examined the implementation of the EINC protocol in Municipal Health Offices (MHOs) with licensed birthing facilities in Ilocos Sur’s Second District during 2020. It also examined differences in implementation across MHOs and explored whether healthcare workers’ personal and professional characteristics, as well as MHO profiles, influenced adherence. Ninety-six healthcare professionals—including nurses, midwives, and physicians—working in labor and delivery rooms participated. Using descriptive, comparative, and correlational methods, the study employed a questionnaire-checklist to evaluate implementation levels. Results showed that healthcare providers consistently followed the EINC protocol at a very high level, with minimal differences among MHOs. Personal and work-related factors, except religion, did not significantly affect adherence. These findings emphasize the need to maintain strong EINC implementation through continuous education and advocacy. Health workers, program planners, and local governments should keep promoting awareness and properly orienting pregnant women about EINC to sustain and enhance maternal and newborn care quality.

Full Article

DOI: 10.56901/edawa2025V5I2-10

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