Circular
Implementation of RMNCAYH Services in Affected Areas during the Emergency Phase of a Disaster situation
A new General Circular replaces the 2011 flood-emergency guidelines, setting out FHB's framework for delivering reproductive, maternal, newborn, child, adolescent and youth health services during the acute phase of a disaster.
General Circular No. 01-47/2025, issued by the Director General of Health Services, sets out the Family Health Bureau's framework for delivering Reproductive, Maternal, Newborn, Child, Adolescent and Youth Health (RMNCAYH) services during the emergency phase of a disaster situation. The directive replaces General Circular No. 02-08/2011 and addresses all Provincial Directors of Health Services, Regional Directors of Health Services, and Heads of Health Institutions.
The circular instructs public health staff and curative institutions on six operational areas: maintaining Public Health Midwife (PHM) communication with pregnant mothers; mapping hospital obstetric and newborn-care capacity in affected areas; identifying and safely relocating high-risk pregnant, postpartum mothers and newborns; provisioning RMNCAYH services through hospital delivery, mobile clinics, and inter-agency coordination on supplies and micronutrients; managing displacement camps with appointed health coordinators; and transitioning back to comprehensive routine care as the acute phase subsides.
Two annexes accompany the circular. Annex I lists danger signals for pregnant mothers, postpartum mothers, neonates and sick children that warrant immediate hospital referral. Annex II is a guidance note for MOH teams on maintaining child-nutrition services during the November 2025 severe weather emergency, covering shelter-based feeding corners, mobile/outreach Thriposha distribution, and breastfeeding support protocols.
The full circular and its annexes are available in the PDF reader below, and the canonical circular entry can be accessed under Related documents.
The circular instructs public health staff and curative institutions on six operational areas: maintaining Public Health Midwife (PHM) communication with pregnant mothers; mapping hospital obstetric and newborn-care capacity in affected areas; identifying and safely relocating high-risk pregnant, postpartum mothers and newborns; provisioning RMNCAYH services through hospital delivery, mobile clinics, and inter-agency coordination on supplies and micronutrients; managing displacement camps with appointed health coordinators; and transitioning back to comprehensive routine care as the acute phase subsides.
Two annexes accompany the circular. Annex I lists danger signals for pregnant mothers, postpartum mothers, neonates and sick children that warrant immediate hospital referral. Annex II is a guidance note for MOH teams on maintaining child-nutrition services during the November 2025 severe weather emergency, covering shelter-based feeding corners, mobile/outreach Thriposha distribution, and breastfeeding support protocols.
The full circular and its annexes are available in the PDF reader below, and the canonical circular entry can be accessed under Related documents.
