T’boli’s (Tagabili) and Bilaan (Bla’an – opponent people) are the indigenous people of South Cotabato in Southern Minadano. They are scattered in many municipalities of South Cotabato mainly in Lake Sebu and T’boli. They strive to uphold their traditional ways of living, their values, and distinctive culture as well as health practices even while living in a new society and to compete with modern economic world and try to adopt the new realities of modern era.
Basing on the Safe Motherhood Initiative (SMI) goal being launched by WHO in 1987: which is to reduce maternal mortality by half by the year 2000, the Barangay Edwards Health Center located at T’boli, South Cotabato does proved that maternal death has reduced by half after SMI was launched base on cross-checking with health service records and on my personal interview with the community and health provider assigned in the area. The data below shows that out of 3,407 population (Source: NSO 2010) of this Barangay only a total of 267 (7.8%) acceptors were documented to have access in the local health center in terms of contraceptive used both natural and artificial method (Table 1). The most commonly contraceptive used is pills, followed by female sterilization and DMPA injectable, succeeded by IUD and natural methods and the last in line are male sterilization and the use of condom. This indicates that the male citizens are not encouraged to participate in the program.
CONTRACEPTIVE USED November 2012 Female Sterilization 61 Male Sterilization 3 Pills 66 IUD 35 Injectables (DMPA) 50 NFP – SDM (Natural Family 23 Planning Standard Days Rhythm) NFP – LAM (Natural Family 28 Planning Lactational Amenorrhea Method) Condom 1 Total 267 Table 1. Barangay Edwards Health Center, November 2012 Census
The table does not mean that only a few residents belong to reproductive period are being aware of the significance of reproductive health and safe motherhood. Although there are no official figures presented to me by Barangay Midwife for the total number of reproductive woman who avail health services from private sectors, rough estimations indicate that more than half of the population benefited from private maternal care annually through personal interview (Table 2).
Private Hospital Maternal Care Health Center Maternal Care Others (Hilot, Trained Birth Attendants) Total
Pre-natal Check up 34 (68%) 11(22%) 5 (10%) 50 (100%)
Place of Delivery 29 (58%) 9 (18%) 12 (24%) 50 (100%)
Table 2. Out of 50 Respondents 38 are working mother and only 12 are housewives
The Safe Motherhood Initiative is a worldwide effort that aims to increase attention to and reduce the devastating numbers of women that suffer death or serious illness every year. Making motherhood safe for the world’s women calls for national governments, funding agencies, and non-governmental organizations (NGOs): to make maternal health an urgent health priority and to ensure that the necessary political and financial support is dedicated to this effort. As implemented by WHO with subsequent help and participation of other agencies have outlined clear strategies and specified interventions for the reduction of maternal morbidity and mortality often referred to as the Pillars of Safe motherhood (Figure 1). 1
Clean / Safe Delivery Antenatal Care Essential Obstetric Care
Basic Maternal Care
Primary Health Care Equity for Woman
Figure 1. Pillars of Safe Motherhood
Family Planning as one of the pillars of Safe Motherhood was proved by this barangay to be practiced well by some residents due to non-population explosive. The
Essential Obstetric Care
local health center caters about 7.8% of the total population of the barangay excluding private health care that used contraceptive method. Family planning allows individuals and couples to anticipate and attain their desired number of...