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Department of Health Programs

1. Adolescent and Youth Health and Development Program (AYHDP)

In line with the global policy changes on adolescents and youth, the DOH created theAdolescent and Youth Health and Development Program (AYHDP) which is lodged at theNational Center for Disease Prevention and Control (NCDPC) specifically the Center forFamily and Environmental Health (CFEH). The program is an expanded version of AdolescentReproductive Health (ARH) element of Reproductive Health which aims to integrateadolescent and youth health services into the health delivery systems.

The DOH, with the participation of other line agencies, partners from the medical discipline,NGOs and donor agencies have developed a policy on adolescent and youth health as wellas complementary guidelines and service protocol to ensure young peoples health needsare given attention.

The Program shall mainly focus on addressing the following health concerns regardless oftheir sex, race and socioeconomic background:

* Growth and Development concerns Nutrition Physical, mental and emotional status* Reproductive Health Sexuality Reproductive Tract Infection (STD, HIV/AIDS) ResponsibleParenthood Maternal & Child Health

* Communicable Diseases Diarrhea, Dengue Hemorrhagic Fever, Measles, Malaria, etc.* Mental Health Substance use and abuse

* Intentional / non-intentional injuries Disability

Other issues and concerns such as vocational, education, social and employment needswhere the DOH has neither direct mandate nor control, shall be coordinated closely withother concerned line agencies, and NGOs.

2. Botika Ng Barangay (BnB)

Botika ng Barangay Profile: currently being updated.

The Botika ng Barangay (BnB) refers to a drug outlet managed by a legitimate communityorganization (CO/non-government organization (NGO) and/or the Local Government Unit(LGU), with a trained operator and a supervising pharmacist specifically established inaccordance with Administrative Order No. 144 s.2004. The BnB outlet should be initiallyidentified, evaluated and selected by the concerned Center for Health Development (CHD),approved by the National Drug Policy-Pharmaceutical Management Unit (NDP-PMU 50), andspecifically licensed by the Bureau of Food and Drugs (BFAD) to sell, distribute, offer for sale

and/or make available low-priced generic home remedies, over-the-counter (OTC) drugs andtwo (2) selected, publicly-known prescription antibiotic drugs (i.e. Amoxicillin andCotrimoxazole).

The BnB program aims to promote equity in health by ensuring the availability andaccessibility of affordable, safe and effective, quality, essential drugs to all, with priority formarginalized, underserved, critical and hard to reach areas.

3. Promotion of Breastfeeding program / Mother and Baby Friendly HospitalInitiative (MBFHI)

Realizing optimal maternal and child health nutrition is the ultimate concern of thePromotion of Breastfeeding Program. Thus, exclusive breastfeeding in the first four (4) to six(6) months after birth is encouraged as well as enforcement of legal mandates.

The Mother and Baby Friendly Hospital Initiative (MBFHI) is the main strategy to transformall hospitals with maternity and newborn services into facilities which fully protect, promoteand support breastfeeding and rooming-in practices. The legal mandate to this initiative arethe RA 7600 (The Rooming-In and Breastfeeding Act of 1992) and the Executive Order 51 of1986 (The Milk Code). National assistance in terms of financial support for this strategyended year 2000, thus LGUs were advocated to promote and sustain this initiative. To

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sustain this initiative, the field health personnel has to provide antenatal assistance andbreastfeeding counseling to pregnant and lactating mothers as well as to the breastfeedingsupport groups in the community; there should also be continuous orientation and re-orientation/ updates to newly hired and old personnel, respectively, in support of thisinitiative.

4. Philippine Cancer Control Program

The Philippine Cancer Control Program, begun in 1988, is an integrated approach utilizingprimary, secondary and tertiary prevention in different regions of the country at bothhospital and community levels. Six lead cancers (lung, breast, liver, cervix, oral cavity, colonand rectum) are discussed. Features peculiar to the Philippines are described; and theircausation and prevention are discussed. A recent assessment revealed shortcomings in theCancer Control Program and urgent recommendations were made to reverse the anticipatedcancer epidemic. There is also today in place a Community-based Cancer Care Networkwhich seeks to develop a network of self-sufficient communities sharing responsibility forcancer care and control in the country.

Sources:

Department of Medicine, University of the Phil-Phil General Hospital and Jose R. ReyesMemorial Medical Center, Department of Health and 2Cancer Institute, Philippine GeneralHospital and Department of Orthopaedics, University of the Phil-Phil General Hospital,Manila, Philippines.

5. Cancer or Malignant Neoplasms

Cancer is largely considered a lifestyle-related disease. Many chemical, biological,radioactive, and other naturally occurring and synthetic substances, as well as predisposingfactors and high-risk behaviors like smoking, diet, sexual activity, pollution and occupationalexposure have been linked to cancer.

Many different types of cancers have been identified. In the Philippines, the most commonsites of reported deaths from cancer are the trachea, bronchus and lung (8.4 deaths per100,000 population), breast (4.4 per 100,000) and leukemia (2.9 per 100,000). Amongmales, the leading sites are the lungs, prostate, colorectal area and liver. Among females,the leading sites are the breast, uterus, cervix and lungs. Among children, the leadingcancers are the leukemias and lymphomas.

6. Child Health and Development Strategic Plan Year 2001-2004

The Philippine National Strategic Framework for lan Development for CHildren or CHILD 21 isa strategic framework for planning programs and interventions that promote and safeguradthe rights of Filipino children. Covering the period 2000-2005, it paints in borad strokes a

vision for the quality of life of Filipino children in 2025 and a roadmap to achieve the vision.

Children's Health 2025, a subdocument of CHILD 21, realizes that health is a critical andfundamental element in children's welfare. However, health programs cannot beimplemented in isolation from the other component that determine the safety and wellbeing of children in society. Children's Health 2025, therefore, should be able to integratethe strategies and interventions into the overall plan for children's development.

Children's Health 2025 contains both mid-term strategies, which is targeted towards theyear 2004, while long-term strategies are targeted by the year 2025. It utilizes a life cycleapproach and weaves in the rights of children. The life cycle approach ensures that theissues, needs and gaps are addressed at the different stages of the child's growth anddevelopment.

The period year 2002 to 2004 will put emphasis on timely diagnosis and management ofcommon diseases of childhood as well as disease prevention and health promotion,particularly in the fields of immunization, nutrition and the acquisisiton of health lifestyles.Also critical for effective pallning and implementation would be addressing the componentsof the health infrastructure such as human resource development, quality assurance,monitoring and disease surveillance, and health information and education.

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The successful implementation of these strategies will require collaborative efforts with theother stakeholdres and also implies integration with the other developmental plan of actionfor children.

7. Dengue Control Program

One of the major health problems during rainy season is the incidence ofDengueHemorrhagic Fever. It occurs in all age groups. This disease (transmitted by Aedes, a day-biting mosquito) is preventable but is prevalent in urban centers where population density ishigh, water supply is inadequate (resulting to water storage and a good breeding place forthe vector), and solid waste collection and storing are also inadequate.

The thrust of the Dengue Control Program is directed towards community-based preventionand control in endemic areas.

Major strategy is advocacy and promotion, particularly the Four Oclock Habit which wasadopted by most LGUs. This is a nationwide, continuous and concerted effort to eliminatethe breeding places of Aedes aegypti. Other initiatives are the dissemination of IECmaterials and tri-media coverage.

8. Dental Health Program

ComprehensiveDental Health Program aims to improve the quality of life of the peoplethrough the attainment of the highest possible oral health. Its objective is to prevent andcontrol dental diseases and conditions like dental caries and periodontal diseases thusreducing their prevalence.

Targeted priorities are vulnerable groups such as the 5-12 year old children and pregnantwomen. Strategies of the program include social mobilization through advocacy meetings,partnership with GOs and NGOs, orientation/updates and monitoring adherence tostandards.

To attain orally fit children, the program focuses on the following package of activities: oralexamination and prophylaxis; sodium fluoride mouth rinsing; supervised tooth brushing drill;pit and fissure sealant application; a-traumatic restorative treatment and IEC. The Programalso integrates its activities with the Maternal and Child Health Program, the NutritionProgram and theGarantisadong Pambata activities of the WHSMP.

9. Emerging Disease Control Program

Emerging infectious diseases are newly identified and previously unknown infections whichcause public health problems either locally or internationally. These include diseases whoseincidence in humans has increased within the past two decades or threatens to increase inthe near future.

10. Environmental Health

Environmental Health is concerned with preventing illness through managing theenvironment and by changing people's behavior to reduce exposure to biological and non-biological agents of disease and injury. It is concerned primarily with effects of theenvironment to the health of the people.

Program strategies and activities are focused on environmental sanitation, environmentalhealth impact assessment and occupational health through inter-agency collaboration. AnInter-Agency COmmittee on Environmental Health was created by virute of E.O. 489 tofacilitate and improve coordination among concerned agencies. It provides the venue for

technical collaboration, effective monitoring and communication, resource mobilization,policy review and development. The Committee has five sectoral task forces on water, solidwaste, air, toxic and chemical substances and occupational health.

11. Expanded Program on Immunization

Children need not die young if they receive complete and timely immunization. Children whoare not fully immunized are more susceptible to common childhood diseases. TheExpanded

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Program on Immunization is one of the DOH Programs that has already beeninstitutionalized and adopted by all LGUs in the region. Its objective is to reduce infantmortality and morbidity through decreasing the prevalence of six (6) immunizable diseases(TB, diphtheria, pertussis, tetanus, polio and measles)

Special campaigns have been undertaken to improve further program implementation,

notably the National Immunization Days (NID), Knock Out Polio (KOP) and GarantisadongPambata (GP) since 1993 to 2000. This is being supported by increasing/sustaining theroutine immunization and improved surveillance system.

12. Family Planning

Brief Description of Program

A national mandated priority public health program to attain the country's national healthdevelopment: a health intervention program and an important tool for the improvement ofthe health and welfare of mothers, children and other members of the family. It alsoprovides information and services for the couples of reproductive age to plan their familyaccording to their beliefs and circumstances through legally and medically acceptable family

planning methods.

The program is anchored on the following basic principles.

* Responsible Parenthood which means that each family has the right and duty to determinethe desired number of children they might have and when they might have them. Andbeyond responsible parenthood is Responsible Parenting which is the proper ubringing andeducation of chidren so that they grow up to be upright, productive and civic-mindedcitizens.* Respect for Life. The 1987 Constitution states that the government protects the sanctity oflife. Abortion is NOT a FP method:* Birth Spacing refers to interval between pregnancies (which is ideally 3 years). It enables

women to recover their health improves women's potential to be more productive and torealize their personal aspirations and allows more time to care for children andspouse/husband, and;* Informed Choice that is upholding and ensuring the rights of couples to determin thenumber and spacing of their children according to their life's aspirations and remindingcouples that planning size of their families have a direct bearing on the quality of theirchildren's and their own lives.

13. DOH WAGES WAR AGAINST PICCOLO

Press Release/28 December 2010

The Department of Health (DOH) today launched an all-out war against the sale of piccolo as

latest Kampanya Kontra Paputok Surveillance revealed that 48% of the total 173 fireworks-related injuries were due to said firework.

As of December 28, the DOH recorded a total of 173 fireworks-related injuries. Of the total,162 were due to fireworks, six from stray bullets, and five from fireworks ingestion.

This years reported 173 cases is 12% lower compared to last years figure. The NationalCapital Region reported the most (80) number of cases, followed by Central Luzon (15) andWestern Visayas (12).

Of the 162 injury cases reported due to fireworks, the most affected group belonged to the1-10 years, composed of 140 males. Majority (107/162) were active users or directly handledfirecrackers. There were no deaths reported.

The number of stray bullets cases stand at six. Ages of cases ranged from 11-29 years. Ofthe total cases, five were males. Three of the injuries occurred at home. There were nodeaths reported.

Fireworks ingestion now rose to five from yesterdays four. Of the total cases, three weredue to piccolo. Ages of cases ranged from 1-44 years. Three of the cases were males. Therewas one fatality reported.

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The leading fireworks which are causing injuries are piccolo (83), kwitis (15), five star (13,whistle bomb and boga (8), and triangle (7).

If we do not stop the sale of piccolo, we expect about a thousand casualties or more untilJanuary 1, Health Secretary Enrique Ona said.

Ona noted that the boga is also making a comeback as a source of injury, and warned thatinjury due to its use is also expected to increase.

There is still time to remind everybody on the dangers of exploding firecrackers/fireworks. Iam calling on parents and caregivers, as well, not to let their children handle piccolo andother seemingly harmless firecrackers. Let us all welcome the New Year without injury, Onaconcluded.

14. Food and Waterborne Diseases Prevention and Control Program

Food and Waterborne Diseases (FWBDs) are among the most common causes of diarrhea. Inthe Philippines, diarrheal diseases for the past 20 years is the number one cause ofmorbidity and mortality incidence rate is as high as 1,997 per 100,000 population whilemortality rate is 6.7 per 100,000 population. From 1993 to 2002, FWBDs such as cholera,typhoid fever, hepatitis A and other food poisoning/foodborne diseases were the mostcommon outbreaks investigated by the Department of Health. Also, outbreaks from FWBDscan be very passive and catastrophic. Since most of these diseases have no specifictreatment modalities, the best approach to limit economic losses due to FWBDs isprevention through health education and strict food and water sanitation.

The Food and Waterborne Disease Prevention and Control Program (FWBDPCP) establishedin 1997 but became fully operational in year 2000 with the provision of a budget amountingto PHP551,000.00. The program focuses on cholera, typhoid fever, hepatitis A and otherfoodborne emerging diseases (e.g. Paragonimiasis). Other diseases acquired throughcontaminated food and water not addressesd by other services fall under the program.

15. Human Resources for Health Network

The Human Resources for Health Network (HRHN) is a multi-sectoral organization in thePhilippines that is composed of government agencies and non-government organizationswith the aim of addressing and responding to HRH issues and problems. The Department ofHealth (DOH) spearheaded the creation of this network which was formally establishedduring its launching and signing of the Memorandum of Understanding among its memberorganizations last October 25, 2006.

Prior to the creation of the HRHN, the DOH together with the World Health Organization(WHO) developed the Human Resources for Health Master Plan (HRHMP). The HRHMP servesas a conceptual framework and road map that will support HRH development andmanagement in the Philippines. Included in the HRHMP is the creation of a network of

different organizations with stake on HRH that will facilitate the implementation ofprograms, projects and activities needing multi-sectoral coordination. Hence the HRHN wasconceived to achieve such purpose and to ensure that the HRHMP will be able to attain itsgoals.

16. Essential Newborn Care(ENC)

Many initiatives, globally and locally, help save lives of pregnant women and children.Essential Newborn Care (ENC) is one.

ENC is a simple, cost-effective newborn care intervention that can improve neonatal as wellas maternal care. It is an evidence-based intervention that

emphasizes a core sequence of actions, performed methodically (step-by-step);

is organized so that essential time bound interventions are not interrupted; and

fills a gap for a package of bundled interventions in a guideline format.

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Unang Yakap Campaign

The Unang Yakap campaign seeks to engage national and local sectors, public and privatehealth sectors, individuals and organizations, mothers, fathers and families, to embrace theEssential Newborn Care Protocol to ensure a bright and healthy future for our newborns.

17. Leprosy Control Program

Leprosy Control Program envisions to eliminate Leprosy as a human disease by 2020 and iscommitted to eliminate leprosy as a public health problem by attaining a nationalprevalence rate (PR) of less than 1 per 10,000 population by year 2000. Its elimination goalsare: reduce the national PR of

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At the same time, the DOH shall provide the funding requirements of NAPC and DILGcorresponding to the agreed responsibilities and tasks under this joint programme forpurposes of monitoring.Meanwhile, the DILG shall develop and implement capacity development interventionsunder the program, and shall establish collaborative partnerships and network among

relevant agencies, non-governmental organizations, academe and other institutions in theimplementation of the capacity development interventions.

19. World Health Report 2010 focusing on Health Systems Financing

Health Secretary Enrique T. Ona, (3rd from left) presenting the World Health Report2010 focusing on Health Systems Financing - The Path to Universal Coverage. HealthSecretary Ona reiterated in the Alma-Ata Declaration that Health for All would contributeboth to a better quality of life and also to global peace and security. He expressed optimismthat President Benigno Aquino IIIs marching order of universal healthcare coverage amongthe poorest of the poor Filipinos will soon be realize in two or three years. He added thatstrengthening rural health units, tapping private sector cooperation, sustaining healthoutcomes, expanding membership of informal sectors and scaling-up information campaign

of Philhealth are some of the strategies the Department of Health should adopt in order toattain its objective. Also in photo from left to right are Philhealth President Dr. Rey Aquino,World Health Organization Country Representative to the Philippines Dr. Soe Nyunt-U, WHOHealth Care Financing Team Leader Dr. Dorjsuren Bayarsaikhan, and WHO Health SectorDevelopment Director Dr. Henk

20. Malaria Awareness Month - November 2007

Malaria is a disease caused by protozoan parasites called Plasmodium. It is usuallytransmitted through the bite of an infected female Anopheles mosquito. Malaria may also betransmitted through the following:

Transfusing blood that is positive for malaria parasites

Sharing of IV needles (especially among IV drug users)

Transplacenta (transfer of malaria parasites form an infected mother to her unbornchild)

21. WORLD AIDS DAY 2010: LIGHT FOR RIGHTS

Human Immunodeficiency Virus or HIV continues to be a potent threat to the healthof our countrymen. Countries across the globe are facing this dreaded disease and itsdisastrous effects on individuals, their families, the health care delivery system, and societyin general.

Towards the end of 2008, an estimated total number of 33.4 million people were infected

with HIV globally.

Locally, there are now a total of 5,729 HIV positive cases in the country. Thisrepresents less than one percent of our total population which means that the country is stillon track to meet our MDG target of halting the spread of HIV/AIDS by 2015.

Despite this, Secretary Ona warned against complacency. Efforts should be intensified toprevent its spread, according the Health Secretary.

Steady increases in the number of cases have been reported over the years. Twenty-twopercent (22%) of all cases were recorded this year alone. This is primarily driven by riskybehaviours which includes unprotected sex, among others. In every ten (10) HIV infections

reported in the country, nine were acquired through unprotected sex. About of half of theseinfections were in men having sex with men.

Risky behaviours are fuelled by lack of awareness on HIV, declared Secretary Ona as heemphasized the importance of focusing information and education campaigns on the mostat risk populations (MARP). He also said that there is a need to inform people about thesocial impact of HIV/AIDS to correct the negative attitudes, biases, and stigma heavilyassociated with the disease.

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Likewise, he stressed the importance of supporting the needs of people of living with HIV(PLHIV). At present, a total of 1,153 people living with HIV are currently on Anti-Retroviraltreatment in the governments 13 treatment hubs. These, together with the medical andsocial services are given for free.

This is in keeping with our celebration of World AIDS Day aptly themed, Light for Rights.

As health is a fundamental right, it is essential that every human being has access toaccurate and appropriate information on HIV/AIDS, preventive services to halt its spread,and adequate treatment to fight the disease.

Let us all be beacons of light in the face of darkness that it is HIV/AIDS, concluded theHealth Chief.

22. MEASLES-RUBELLA SUPPLEMENTAL IMMUNIZATION ACTIVITY IN PASAY CITY

Health Assistant Secretary Paulynn Jean Rosell-Ubial (right), with Pasay City MayorAntonino Calixto (left) and Pasay City Congresswoman Imelda Calixto-Rubiano, led theceremonial Measles-Rubella Supplemental Immunization activity held at Barangay 179covered court in Pasay City as the countrys pilot area for the Philippines commitment to

the 2008 World Health Assembly to achieve measles elimination. The DOH strategy of door-to-door measles elimination campaign will cover all children aged nine months to beloweight years old. According to Asst. Sec. Ubial, the said measles vaccination campaign, ifsuccessful, will make Pasay City the first local government unit to be certified measles-freein the country and in the world.

23. DOH AND PHILIPPINE CANCER SOCIETY TO IMPROVE BREAST CANCERSURVIVAL IN THE PHILIPPINES

In a bid to improve the survival rates of women diagnosed with breast cancer in thePhilippines, the Department of Health (DOH) and the Philippine Cancer Society, Inc. (PCSI)will soon launch a medicines access program through a patient navigation scheme targeting

indigent Filipino women diagnosed with early stage breast cancer.

The new joint venture between DOH and the PCSI, which have been partners for almostthree decades in combating cancer in the Philippines, was formally announced todaythrough the signing of a Memorandum of Agreement (MOA) between PCSI Chairman Dr.Roberto Paterno and DOH Undersecretary Alexander Padilla represented by AssistantSecretary Elmer Punzalan who oversees all DOH-retained hospitals in Metro Manila.

We are very much elated with this new partnership with the DOH to strengthen efforts tohelp women with breast cancer by providing them support and free medicines. Cancer is anexpensive disease and can really drive patients into poverty because of the huge out-of-pocket expenses it requires. We can never really stop women from dying until our efforts atearly detection are linked to cost-effective care and treatment, says Dr. Rachel Marie

Rosario, PCSI Executive Director.

Health Secretary Enrique T. Ona also expressed full support to the new partnershipadding that providing medicine entitlements to poor and vulnerable sectors for prioritydiseases like cancer is a move that will be pursued by the DOH within the next five years.Cancer currently ranks third among the top killer diseases in the country.

Both DOH and PCSI aim to promote early breast cancer screening particularly amongpoor women by providing assured access to medicines as well as other forms of support tothe patient. The program is meant to highlight the advocacy that breast cancer is a curabledisease when detected, treated and managed early.

The Patient Navigation Program for poor patients with early stage breast cancer shallinitially be implemented in four government hospitals covering the catchment areas of theMetro Manila Cancer Registry and the Rizal Cancer Registry which are the main sources ofdata for cancer incidence in the country.

The four government hospitals include the East Avenue Medical Center (EAMC), JoseReyes Memorial Medical Center (JRMMC), the Philippine General Hospital (PGH) and the RizalMedical Center, all having the capacity, support facilities and a multidisciplinary team ofexperts for managing breast cancer.

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In a ceremonial memorandum of agreement signing, the chief of hospitals of the pilotaccess sites also pledged support and cooperation in implementing the Patient NavigationProgram in their respective institutions. Signing the agreement were Dir. Rolando Cortez,Medical Center Chief of EAMC; Dir. Ma. Alicia Lim, Medical Center Chief of JRMMC; Dir.Rolando Enrique Domingo, PGH Director; and Dir. Relito Saquilayan, Medical Center Chief ofRMC.

Also present during the event are other important partners of DOH from professionalmedical societies such as the Philippine College of Surgeons, the Philippine Society ofMedical Oncologists (PSMO) and the Philippine Society of Pathologists (PSP) as well aspractitioners from the four government hospitals who developed the standard treatmentprotocol that will be used in the access sites.

Breast cancer is now the leading cancer site overtaking lung cancer for both sexes in thePhilippines (i.e. 15% of all cancers). It is also the number one cause of cancer morbidity andmortality among Filipino women accounting for almost 30% of all female malignancies.

It is estimated that there will be a total of 12, 262 new breast cancer cases in 2010 with4,371 deaths. Latest data reveals that three out of every 100 Filipinas are likely to develop

breast cancer in their lifetime and that one out of every 100 are likely to die from thedisease before age 75 (Philippine Cancer Facts and Estimates 2010).

In Asia, the Philippines is among the countries with the highest age standardized incidencerate for breast cancer. Survival rate for breast cancer in the Philippines is below 40%compared to the high survival rates of 80-98% already achieved in developed countries.

Breast cancer cases are projected to increase in the Philippines in the coming years withfactors such as smoking, unhealthy lifestyles and decreasing fertility.

In August this year, the Philippine Cancer Society vowed to more strongly rally behindgovernment efforts to improve care for cancer patients in response to the appeal of

Secretary Ona to do something about the increasing burden of cancer in the Philippines.

24. MEMORANDUM OF AGREEMENT TO PROVIDE FREE MEDICINES TO BREASTCANCER PATIENTS

The Department of Health, represented by Health Assistant Secretary ElmerPunzalan, and the Philippine Cancer Society, Inc. (PCSI) forged a Memorandum of Agreementto provide free medicines to breast cancer patients to be pilot initially in four hospitals,namely Philippine General Hospital (PGH), East Avenue Medical Center (EAMC), Rizal MedicalCenter (RMC) and the Jose R. Reyes Memorial Medical Center. The free medicines andservices, worth approximately P45 M, will provide treatment for those cases detected early.Also in photo from left are PCSI Executive Director Dr. Rachel Marie Rosario, PGH DirectorDr. Eric Domingo, PCSI Chairman Dr. Roberto Paterno, Dr. Ma. Victoria Abesamis from the

EAMC, RMC Director Dr. Relito Saquilayan and Dr. Rolando Bautista from PITC Pharma. 29October 2010, MRU-DOH

25. Knock Out Tigdas 2007

Knock-out Tigdas 2007 is a sequel to the 1998 and 2004 Ligtas Tigdas mass measlesimmunization campaign. All children 9 months to 48 months old ( born October 1, 2003

January 1,2007) should be vaccinated against measles from October 15 - November 15,2007 , door-to-door. All health centers, barangay health stations, hospitals and othertemporary immunization sites such as basketball court, town plazas and other identifiedpublic places will also offer FREE vaccination services during the campaign period.

Other services to be given include Vitamin A Capsule and deworming tablet.

26. Vitamin A Supplementation

Policy on Vitamin A Supplementation Program

* The Philippine government is committed to virtually eliminate VAD* ECCD Law: DOH role is to ensure Vitamin A supplementation* Administrative Order No. 3-A, s. 2000: Guidelines of Vitamin A and Iron Supplementation

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* Therapeutic supplementation: all cases of VAD* Preventive supplementation:

1. Universal - children 6-59 months

2. Regular/routine - Pregnant and Lactating women, High-risk children3. Supplementation during emergencies

27. Food Fortifcation

The Food Fortification program is the government's response to the growingmicronutrient malnutrition, which is prevalent in the Philippines for the past several years.

Food Fortification is the addition ofSangkap Pinoyor micronutrients such as Vitamin A, Ironand/or Iodine to food, whether or not they are normally contained in the food, for thepurpose of preventing or correcting a demonstrated deficiency with one or more nutrients inthe population or specific population groups.

Sangkap Pinoy or micronutrients are vitamins and minerals required by the body invery small quantities. These are essential in maintaining a strong, healthy and active body;

sharp mind; and for women to bear healthy children.

Nutrition surveys since 1993 have been showing increasing prevalence ofmicronutrient malnutrition, particularly that of Vitamin A Deficiency Disorder (VADD) andIron Deficiency Anemia (IDA) among children and women of reproductive age, who are themost at-risk groups to micronutrient malnutrition.

28. Garantisadong Pambata

Garantisadong Pambata (GP) is a campaign to support the various health programsto reduce childhood illnesses and deaths by promoting positive child care behaviours.

GP is a program of the Department of Health in partnership with the Local Government Units

(LGUs) and other government and non-government organizations.

29. Newborn Screening

Basic Information about Newborn Screening

What are the disorders included in the Newborn Screening Package?

1. Congenital Hypothyroidism (CH)

CH results from lack or absence of thyroid hormone, which is essential to growth of the brainand the body. If the disorder is not detected and hormone replacement is not initiated within(4) weeks, the baby's physical growth will be stunted and she/he may suffer from mental

retardation.

2. Congenital Adrenal Hyperplasia (CAH)

CAH is an endocrine disorder that causes severe salt lose, dehydration and abnormally highlevels of male sex hormones in both boys and girls. If not detected and treated early, babiesmay die within 7-14 days.

3. Galactosemia (GAL)

GAL is a condition in which the body is unable to process galactose, the sugar present inmilk. Accumulation of excessive galactose in the body can cause many problems, includingliver damage, brain damage and cataracts.

4. Phenylketonuria (PKU)

30. Occupational Health Program

Vision/Mission Statement

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Health for all occupations in partnership with the workers, employers, localgovernment authorities and other sectors in promoting self-sustaining programs andimprovement of workers' health and working environment.

Program Objectives and TargetsTo promote and protect the health and well being of theworking population thru improved health, better working conditions and workers'

environment.

31. Health Development Program for Older Persons (Elderly Health)

Health Development Program for Older Persons

Bureau or Office: National Center for Disease Prevention and Control

Program Briefer

Cognizant of its mandate and crucial role, the Philippine Department of Heallth (DOH)formulated the Health Care Program for Older Persons (HCPOP) in 1998. The DOH HCPOP(presently renamed Health Development Program for Older Persons) sets the policies,standards and guidelines for local governments to implement the program in collaboration

with other government agencies, non-government organizations and the private sector.

The program intends to promote and improve the quality of life of older persons through theestablishment and provision of basic health services for older persons, formulation ofpolicies and guidelines pertaining to older persons, provision of information and healtheducation to the public, provision of basic and essential training of manpower dedicated toolder persons and, the conduct of basic and applied researches.

Target Population/Clients

1. Older persons (60 years and above) who are:a. Well and free from symptomsb. Sick and frail

c. Chronically ill and cognitively impairedd. In need of rehabilitation services2. Health workers and caregivers3. LGU and partner agencies

32. Pinoy MD Program

"Gusto kong Maging Doktor"

A Medical Scholarship Grant for Indigenous People, Local Health Workers, BarangayHealth Workers, Department of Health Employees or their children. This is a jJoint programof the Department of Health (DOH), Philippine Charity Sweepstakes Office (PCSO), andseveral State Universities and Medical Schools.

33. TB Control Program

The rising incidence of tuberculosis has economic repercussions not only for thepatients family but also for the country. Eighty percent of people afflicted with tuberculosisare in the most economically productive years of their lives, and the disease sends manyself-sustaining families into poverty. The rise in the incidence of tuberculosis has been dueto the low priority accorded to anti-tuberculosis activities by many countries. Theunavailability of anti-TB drugs, insufficient laboratory networking, poor healthinfrastructures, including a lack of trained health personnel, have also contributed to the risein the incidence of the diseases.

According to the World Health Organization, the Philippines ranks fourth in the worldfor the number of cases of tuberculosis and has the highest number of cases per head inSoutheast Asia. Almost two thirds of Filipinos have tuberculosis, and up to five million peopleare infected yearly in our country.

34. RUN FOR A CAUSE

Health Secretary Enrique T. Ona, together with other DOH officers and staffs, jointhousands of Filipinos in the 10-10-10 Run for the Pasig River yesterday, October 10,2010.The event which aimed to raise funds for the rehabilitation of a heavily polluted PasigRiver was participated by famous showbiz and political personalities.

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Secretary Ona and the entire DOH delegation took part in the 10K run which started in AyalaAve., Makati and ended at the SM Mall of Asia in Pasay.

35. Kalusugan ng Lahat, Philhealth ang Katapat

President Benigno S. Aquino III and Health Secretary Enrique T. Ona distributes

Philhealth cards to indigent residents of Baseco, Tondo, Manila. The Department of Health,along with other government agencies, observed October 2 as National PhilhealthRegistration Day in order to promote national insurance consciousness aimed at reducingout-of-pocket expenditiures of Filipinos during hospital confinement and out-patienttreatment. The DOH believes that a strongsocial insurance system is a vital element towardsprogress and nation building.

36. ENERICS EXPO IN CLARK

Healthy Lifestyle advocate Edna Nito, during the 2nd leg of the Philippine GenericsEXPO 2010, lectures on the importance of engaging in regular exercise, eating healthy,balanced diet consisting of fruits, root crops, fish, and avoiding alcohol and tobacco as the

natural way of preventing diseases and aging. The recent Generics EXPO was held in SMClark, Pampanga and was participated by pharmaceutical companies promoting genericproducts.

37. ANTI-DENGUE CAMPAIGN IN LRT

Health Secretary Enrique Ona explains to a young boy the Department of Healths 4-S strategy against dengue because the population most affected by the disease are the 1-10years age group. The DOHs 4-S campaign includes Search and destroy all mosquitobreeding sites, Seek early consultation once dengue is suspected, wear Self-protectiveclothing to prevent mosquito bites, and Say no to indiscriminate fogging, because there arecertain conditions that should be observed during fogging operation. Assisting SecretaryOna is Light Railway Transit Authority Division Chief Mr. Joseph Hagos. From January toAugust 21 this year, dengue cases nationwide reached 62,503 with 465 deaths.

39. COURT SAYS TO TOBACCO COMPANY: NO INJUNCTION to DOH AO

The Department of Health won its first battle in what has become a long, drawn-outfight to protect the peoples right to health information.

The Regional Tiral Court of Paranaque City denied Telengtan Brothers and Sonsapplication for an injunction against the implementation of Administrative Order (AO) No.2010-0013 last July 22, 2010.

The AO requires tobacco manufacturers to put pictures of tobacco-related illnesses

on cigarette packs, and prohibit manufacturers from using misleading descriptors oncigarettes, like light, ultra-light and low tar. It was issued in compliance with theConsumer Protection Act and the World Health Framework Convention on Tobacco Controlthat was ratified five years ago.

Telengtan Brothers and Sons sought the injunction because of the grave andirreparable damage it believes it would suffer from the penalties that can be imposed forviolations. Telengtan Brothers and Sons manufactures the cigarette brands, Astro,Canon and Memphis, and does business under the name and style La Suerte Cigar andCigarette Factory.

The RTC denied the injunction because it would preempt a decision on the validity ofthe AO, the principal issue in the case. It also said that as the penalties are not even

operative yet, Telengtan Brothers and Sons rouse of a possible violation of the lawbecomes a little bit imaginary in the meantime, and would not stand to prejudice petitioner.

According to the AO, tobacco companies are expected to comply by ensuring that allcigarette packs have graphic information within 90 days from its effectivity, or bySeptember 10, 2010.

This order is a victory for the DOH and the Filipino public. Its very tragic that wehave all these tobacco companies filing cases left and right questioning the validity of an AO

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that was crafted with nothing but the health of the Filipino people in mind. The fight is farfrom over, but this is a positive development. Undersecretary Alex Padilla of the DOH said.

Since the issuance of the Administrative Order, five tobacco companies have filedcases in various courts assailing its validity.

The DOH is mandated by law to promote the peoples constitutional right to health,and we intend to comply with our duty, added Usec. Padilla.

40. DOH LAUNCHES OSPITAL PiNOY: MALINIS AT MABANGO CAMPAIGN

In the governments desire to further improve service to the people and be at parwith its private counterparts, the Department of Health (DOH) today launched the Ospitalng PiNOY: Malinis at Mabango campaign.

Hospitals should be centers of wellness and not of sickness, hence the need tomaintain always a clean environment, Health Secretary Enrique T. Ona said, adding thatthe poor status of cleanliness and orderliness of DOH hospitals have always been a usualsource of complaints among patients and caregivers, as well.

Aside from providing health services, hospital authorities should make sure that thewards, rooms, lavatories, hallways, and corridors inside the hospital premises and itssurroundings are always clean, orderly, and odor-free.

The health chief challenged all hospital directors of DOH-retained hospitals andspecialty hospitals to maintain the highest degree of hygiene in their work environment.Unclean, unkempt and smelly hospital premises pose a health risk to patients, theircompanions, and health workers. Oftentimes, this also causes the negative perception of thepeople on public hospitals.

The Ospital ng PiNOY: Malinis at Mabango campaign specifically instructs hospitalsto maintain cleanliness and orderliness inside hospital premises including driveways and

parking areas at all times and pursue specific initiatives, mechanisms, and activities toachieve its goal. It should also mobilize its staff and health workers, as well as patients andtheir companions, to ensure that hospital cleanliness and orderliness is maintained.

Ospital ng PiNOY: Malinis at Mabango stickers, posters, and tarpaulins should be set up inconspicuous areas such as entrances, corridors, hallways, offices, wards, rooms, lavatories,etc.

A feedback mechanism such as grievance boxes, complaint desks, hotlines is a must inorder to allow patients, clients and other stakeholders to lodge their complaints regardingthe cleanliness and orderliness of the hospital so that corrective measures are implementedimmediately.

Ona directed the Assistant Secretary for Special Concerns and Regional Directors to ensure

compliance to this campaign by conducting regular, random, unannounced spot checks ofhospitals and by calling the attention of hospital chiefs, if necessary.

41. DOH AND PHILHEALTH TO LAUNCH NATIONWIDE REGISTRATION

The Department of Health (DOH) and the Philippine Health Insurance Corporation(PHIC) will stage a massive open registration this September in response to PresidentBenigno Simeon Aquinos marching orders to attain universal Philhealth coverage in threeyears.

This was disclosed by Health Secretary Enrique T. Ona in a press briefing today explainingthat the nationwide registration shall take place by setting up Philhealth desks in public

schools, municipal halls and all DOH-retained hospitals nationwide.

In keeping with P-Noys promise to give each and every Filipino access to qualityhealthcare in three years time, your Philhealth will open its doors across the country toreach out to the very poor Filipinos identified through the National Household targetingSystem Proxy means test (NHTS-PMT) of Department of Social Welfare and Development(DSWD) and considered as true indigents, Ona said.

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Meanwhile, Philhealth President and CEO Dr. Rey B. Aquino also disclosed that allPhilhealth regional and service offices and government as well as premiere commercialcenters nationwide will also hold registration for non-members.

The state-run health insurance program was made a priority item in the newAdministrations health agenda which aims to hit 100 percent of the Philippine populationwithin three years.

Secretary Ona who currently sits as the Chairman of the Philhealth Board, hasorganized a multi-sectoral task force to set things into motion and realize president Aquinosdirective the soonest time possible.

Ona himself heads the said task force which is composed of the DOH, theDepartment of Interior and Local Government (DILG), the Department of Social Welfare andDevelopment (DSWD) and the Department of Education (DepEd).

The DILG shall help the DOH engage local chief executives in the enrolment ofindigents in their respective jurisdictions as identified by the DSWD while DepEd shall helpcreate Philhealth desks in all public schools to encourage students and their parents toregister and become Philhealth members.

The activity aims to enrol the remaining Filipino citizens who are at least 21 years ofage and non-members of the program. It is also open to 18 to 20 year olds who may needto register; existing contributors who are still unregistered; those not issued their PhilhealthNumber Card or Family Health Card yet; and those already registered but who may want toupdate their membership profile with Philhealth.

The program mainly targets those from the self-employed and informal sector whocomprise some 53 percent of the population and of which a substantial portion can afford topay for health insurance as individually paying members (IPMs). On the other hand, the lowincome as well as those without the means to pay shall benefit from sponsorships where thenational and local governments and other sponsors shoulder the premiums for their annualcoverage.

Targeted citizens are also enjoined to go to any of Philhealths 17 regional offices andclose to 100 service offices in their locality.

We are also tapping other means such as online registration via our website; viatexting using their cell phones; in malls and other commercial centers; and through ourpartners such as Local Government Units, government hospitals and colleges anduniversities to ensure that they will be able to register with ease and convenience,Philhealth President Aquino explained.

Upon registration, enrolees will be advised to activate their membership by payingthe required contribution of at least Php 300 for a quarter or Php 1,200 for a years paymentat any accredited collecting partners nearest them. A duly activated membership and

completion of all eligibility requirements shall entitle a member and his/her qualifieddependents medical care subsidies when confined in accredited hospitals anywhere in thecountry.

I encourage all Filipinos, especially Philhealth non-members, to go out and avail ofthis opportunity to be registered with Philhealth and secure financial protection that they willneed in times of emergencies and medical situations in the family, Secretary Onaconcluded.

42. PHILIPPINE PHARMACISTS ASSOCIATION SUPPORTS DOH ON HERBAL

SUPPLEMENTS REGULATION

The Philippine Pharmacists Association (PPhA), the accredited national organization of

pharmacists in the Philippines, expressed its support for the Department of Healths (DOH)issuance of Administrative Order (A.O.) No. 2010-0008, which will require herbal food anddietary supplements manufacturers to translate the cautionary statement No Approved

Therapeutic Claims into Filipino in all their advertising and promotional materials.

The English phrase will be replaced by the statement, Mahalagang Paalala: Ang(name of product) ay hindi gamot at hindi dapat gamiting panggamot sa anumang uri ngsakit.

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We believe that the move to modify and translate said phrase is appropriate for thereason that food/dietary supplements are really not supposed to be used for treatment orcure, simply because they are NOT DRUGS., the PPhA said in its statement.

The current use of the statement No Approved Therapeutic Claims used inpromotion and advertisement of food supplements is not easily understood by the generalpublic who have limited knowledge of the specific differences between drugs and foodsupplements, and as such has been used to the advantage of some business entities formarketing purposes., the statement added.

The PPhA also rejected arguments of those opposed to the A.O. that it contravenesother laws and issuances.

The subject A.O. is not inconsistent with R.A. No. 8423 (The Traditional andAlternative Medicines Act of 1997). It does not stifle promotion and advocacy of alternativepreventive and curative health modalities.

However, these health care modalities must have been proven to be safe andeffective by those who manufacture, advertise, promote and market them. These modalitiesmust also be consistent with the standards of medical practice, and it must be noted that

the establishment of said standards is part of the development process mentioned in Section2 of R.A. 8423...the DOH as vanguard of the health of the nation must, and has all the rightto intervene and make issuances such as the subject A.O. to ensure that health products inthe market are safe and effective and their use properly guided through adequateinformation dissemination., the PPhA opined.

The PPhA likewise rejected the notion that the A.O. falsely presupposes that food/dietarysupplements do not have curative and/or health benefits. It reminded critics and oppositorsthat ..if ever there is a curative and/or health benefit in these products, the burden to provesuch claim is still on the entity or person who makes such claims pursuant to existing laws,rules, regulations, and standards of classification of products.

The PPhA also made several recommendations in its statement, including the review of

current regulatory policies and guidelines to on the integration of alternative and traditionalmedicine in the national healthcare system, the compulsory registration of ALL foodsupplements being marketed liberally all over the country and the participation of the Foodand Drug Administration (FDA) in the evaluation of food/dietary supplement advertisingmaterials by the Advertising Standards Council (ASC), under the Kapisanan ng mgaBrodkaster ng Pilipinas (KBP).

We wholeheartedly thank the PPhA for supporting us on this move., said Health SecretaryEsperanza Cabral. As more and more professional societies in the health sector back ourAdministrative Order, it only proves that what we are doing is just and rational., she furtheradded.

43. DOH ISSUES ADMINISTRATIVE ORDER ON DECEASED ORGAN DONORS

The Department of Health and Secretary Esperanza Cabral announced the issuanceof an Administrative Order (AO) on the Establishment of a National Program for Sharing ofOrgans from Deceased Donors to better serve the needs of the 9,000 Filipinos developingpermanent kidney failure every year. This AO is in response to the Philippine Commitment tothe 2008 Declaration of Istanbul on Organ Trafficking and Transplant Tourism and the 63rdWorld Health Assembly Resolution on Organ Donation for governments to take appropriateactions in increasing kidney/organ transplantation from the deceased donors.

We seek not only to improve an important service for many patients in need of organtransplantation, but also to assure that the illegal traffic of organs that has victimized manyof our countrymen for many years until 2008 will not be repeated, Secretary Cabral said.

44. SMOKE-FREE REPORTING IN METRO

The DOH-Center for Health Development in Metro Manila launched the first-everSmoke-free Reporting Package to provide venue for the general public to report tobaccoviolations in Metro Manila.

The Smoke-free Reporting Package consists of NOSI SMS, NOSI Report Line and NOSIWebsite. Using the NOSI SMS package, the general public can send in their reports by

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texting NOSI to 2256 which is open to Smart, Globe and Sun cellular Networks subscribers.The public can also report their complaints by dialling 661-3747 from 9:00am-5:00pm fromMondays to Fridays, or by visiting http://www.nosi.com.ph.

45.DOH ISSUES DEPARTMENT CIRCULAR ON BLOOD SERVICES FOR PREGNANT WOMEN

Press Release/29 June 2010

The Department of Health (DOH), cognizant of the fact that postpartum hemorrhageaccounts for a large number of maternal deaths in the Philippines, issued a DepartmentCircular providing for the availability blood and blood transfusion services for pregnantwomen under the Maternal, Neonatal and Child Health and Nutrition Strategy (MNCHN).Department Circular 2010-0181 seeks to complement Administrative Order 2008-0029(Implementing Health Reforms for Rapid Reduction of Maternal and Neonatal Mortality) andDepartment Circular 2010-0013 (Operation Guidelines for National Blood Voluntary ServicesProgram), and was published on Sunday, June 27.

The MNHCN is the national program driven under the auspices of the DOH that seeks toreduce maternal and child mortality rates in the entire country. At present, the Philippines is

unlikely to meet the target for maternal mortality rate under Millennium Development Goal5, necessitating more interventions on the part of the government.

Under the circular, pregnant women and their husbands shall undergo blood typing duringone of the prenatal visits. After passing donor selection and screening standards, thehusbands and relatives of the pregnant women shall donate blood, with priority access tothe blood pool going to the pregnant women in time of need.

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MINDANAO SANITARIUM AND HOSPITAL COLLEGE

School of Nursing

Assignment in

COMMUNITY HEALTH NURSING

MUAMIR ALI ALINGAN

BSN sec. 4A

LORIE NOVAL PACLIPAN, RN, MPH

CHN-instructor

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