UNANG YAKAP PROGRAM

The Unang Yakap 4&5, or

"The First Embrace", is the
campaign of the Philippines
Department of Health (DOH),
in cooperation with WHO, to
adopt and embrace the safe
and quality care of Essential
Intrapartum and Newborn
Care (EINC) for birthing
mothers and their newborns.
 UNANG YAKAP PROGRAM

The DOH, in 2009, began a hospital-based

initiative to change childbirth practices to EINC.
This iniative called Scale up EINC Project, with
support from WHO and the Joint Programme on
Maternal and Neonatal Health (JPMNH), was
piloted in 11 hospitals. This project is fondly
referred as Unang Yakap 4&5.

Since 2010, selected DOH-retained

hospitals were trained on EINC evidence-based
standards and consequently adopted them. EINC
represents the highest standards for safe and
quality care for birthing mothers and healthy
newborns with 48 hours of intrapartum period
and up to a week of life of the newborn.
 Adoption of the EINC evidenced-
based standards helps reduce maternal
and newborn morbidity and deaths. It
also supports the Philippine
Government commitment to the
United Nations Millenium
Development Goals (MDG) 4 and 5 by
year 2015.
Initial results of the Unang Yakap
campaign were extremely positive.
Admissions to the neonatal intensive
care units (NICUs) dropped, neonatal
sepsis rates were reduced, maternal
and newborn deaths decreased and
more satisfied mothers. Hence, more
and more hospitals and health
professionals are embracing and
providing EINC care.
 UNANG YAKAP PROGRAM QUICK
FACTS
Established on Dec. 7 2009
Legal basis : A.O 2009-0025
 Signed by Pres. B. Aquino
11 Pioneer/ Pilot hospital which includes:
-Quirino Memorial Hospital
-Fabella Memorial Hospital
-Phil. General Hospital
*EINC- Essential Intrapartum and Newborn care
 PILLARS OF EINC and its
RATIONALE
Immediate and thorough drying using
a pair of blanket to:
-stimulate breathing
-prevents hypothermia
-don’t remove the vernix
* may only bathe NB after 6HOL
 Early skin to skin contact to

-initiate bonding
-prevent hypothermia
-increase immunity that prevents infection
-decrease episodes of hypoglycemia
 Properly time cord clamping and cutting to
-1-3 mins after cord pulsation stops
-prevents anemia, brain and intra ventricular
hemorrhages
 Non separation of NB to initiate breast
feeding within 90 mins of life to
-get the colostrums-yellowish first milk
 Categories of UNANG YAKAP
PROGRAM
 Time bound (within 90 mins of life)
-routinely perform in unang yakap program
Within 30 sec
After thorough drying
1-3 mins
Within 90 mins
 Non time bound –should be done but delay doesn’t cause
harm.
Vit k injection
Immunization
Crede’s prophylaxis
Anthropometric measurements
 Unnecessary
Foot printing
Administration of pre lacteal(glucose water)
Routine suctioning
Routine separation
Video presentation
on
UNANG YAKAP
Thank you for listening