The Life-Course Approach: From Pre-Pregnancy to School Age

The Life-Course Approach: From Pre-Pregnancy to School Age

In the Philippines, improving maternal and child health is approached as a life-course journey. The strategy weaves together education, preventive services, and clinical care—each stage building on the last to cut risks and boost long-term well-being.

Pre-pregnancy efforts emphasize informed choice through family planning. Facilities provide counseling on methods suited to different health profiles and life goals, helping couples space births and avoid high-risk pregnancies. Adolescents are a specific focus: youth-friendly services and comprehensive sexuality education seek to reduce early pregnancy and empower young people with accurate information.

Once a woman is pregnant, antenatal care becomes the backbone of prevention. The recommended schedule covers blood pressure checks to catch preeclampsia, hemoglobin testing to address anemia, micronutrient supplementation, and tetanus-diphtheria vaccination. Health workers counsel on danger signs and create birth and emergency plans, including identifying the nearest facility with Basic or Comprehensive Emergency Obstetric and Newborn Care capabilities.

Delivery in facilities with skilled attendants remains a national priority. PhilHealth benefits mitigate financial barriers, and referral linkages help move patients when complications occur. For newborns, immediate and exclusive breastfeeding is promoted, with early skin-to-skin contact and non-separation policies supporting lactation. Hospitals advancing Baby-Friendly standards and human milk banks broaden access to safe donor milk for infants who need it.

The first 1,000 days—from conception to a child’s second birthday—guides nutrition programming. Pregnant women receive iron-folic acid; infants and young children benefit from vitamin A supplementation, counseling on complementary feeding starting at six months, and growth monitoring. School-based deworming, hygiene promotion, and nutrition education extend these gains into the early grades, while the Expanded Program on Immunization protects against multiple infections.

Community health workers—Barangay Health Workers and Barangay Nutrition Scholars—are the glue. They map pregnancies, conduct home follow-up, and coordinate with midwives to schedule checkups and immunization days. In geographically isolated and disadvantaged areas, mobile teams bring services to island and mountain communities, often supported by local disaster risk plans to keep services going during typhoons or floods.

Policy frameworks align these interventions. The RPRH Law secures access to reproductive health information and services; the Universal Health Care law moves the system toward comprehensive primary care; protections for breastfeeding and maternity leave uphold the right to recover and bond. Conditional cash transfers under the 4Ps program nudge families to complete prenatal visits and keep children’s vaccinations up to date, complementing health system efforts.

Persistent gaps highlight where attention must intensify: adolescent pregnancy rates, regional inequities in service quality, and malnutrition that undermines learning and productivity. Strengthening respectful maternity care, ensuring reliable transport for referrals, and reinforcing cold chains for vaccines are practical steps. At the same time, collecting and using local data—on missed ANC visits, stock-outs, or areas with low immunization—helps facilities tailor solutions.

By following the life-course approach, the Philippines aligns policies, insurance, and on-the-ground services so that prevention and timely care are the norm—giving mothers and children a sturdier start and a better chance at healthy, thriving lives.

Health