Programs and Projects at National Setting

8/4/2019 Programs and Projects at National Setting

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DEPARTMENT OF HEALTH


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The DOH is the principalagency in health in the

Philippines.


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It is responsible: for ensuring access to basic public health services to all

Filipinos through the provision of quality health care andregulation of providers of health goods and services.

a policy and regulatory body for health

a technical resource, a catalyzer for healthpolicy and a political sponsor and advocatefor health issues in behalf of the health

sector. provides the direction and national plans for

health programs and services


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DOH Health Calendar 2010

JANUARY

STI / Condom Week January 7, 2010

World Leprosy Day January 31, 2010

FEBRUARY

World Cancer Day February 4, 2010

Pregnancy Awareness Week February 7-14, 2010

Healthy Lifestyles Awareness Day February 19, 2010


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MARCH

International Womens Day March 8, 2010

World Kidney Day March 11, 2010World Head Injury Awareness Day March 20, 2010

Human Rights Day March 21-24,2010

World Down Syndrome Day March 21, 2010

World TB Day March 24, 2010


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APRIL

World Autism Awareness Day April 2-4, 2010National Polio Eradication Awareness Week April 4, 2010

World Health Day April 7, 2010

World Hemophilia Day April 17, 2010


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MAY

World Red Cross Day May 8, 2010

World Move for Health Day May 10, 2010

World Chronic Fatigue andImmune Dysfunction Syndrome May 12, 2010

International Nurses Day May 12, 2010

International Day of Action for

Womens Health May 28, 2010

World No Tobacco Day May 31, 2010


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JUNEInternational Childrens Day June 1, 2010

International Day of Innocent Children

Victims of Aggression June 4, 2010

World Environment Day June 5, 2010

World Blood Donor Day June 14, 2010

World Elder Abuse Awareness Day June 15, 2010

Youth Day June 16, 2010National Epilepsy Day June 21, 2010

International Day against Drug Abuse

and Illicit Drug Trafficking June 26, 2010


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JULYWorld Population Day July 11, 2010

AUGUST

World Breastfeeding Week August 1-7, 2010

National Immunization Awareness Week August 2-8, 2010

Rheumatic Fever Week August 2-8, 2010National Womens Day August 9, 2010

International Youth Day August 12, 2010

Deaf Awareness Week August 30, 2010


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SEPTEMBER

Pharmacy Week September 6-12, 2010

Kidney Awareness Week September 6-9, 2010

World Rabies Day September 8, 2010

World Oral Health Day September 12, 2010

Attention Deficit Hyperactivity

Disorder Day (ADHD) September 14, 2010Stroke Week September 14-17, 2010

World Alzheimers Day September 21, 2010

World Heart Day September 21, 2010


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OCTOBER

International Day for Older Persons October 1, 2010

National Nutrition Week October 1, 2010

World Mental Health Day October 10, 2010

World Arthritis Day October 12, 2010

World Food Day October 16, 2010

International Day for the Eradication ofPoverty October 17, 2010

National Down Syndrome Day October 20, 2010

National Iodine Deficiency Disorder Day October 23, 2010

World Polio Day October 24, 2010


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NOVEMBERNational Childrens Day November 6, 2010

Malaria Day November 12, 2010

International Day for the Elimination of

Violence against Women November 25, 2010

DECEMBER

World AIDS Day December 1, 2010

International Day of Disabled Persons December 3, 2010International Volunteers Day December 5, 2010

World Patient Safety Day December 9, 2010

International Human Rights Day December 10, 2010


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D Dental Health ProgramO Osteoporosis Prevention

H Health Educ. & Community Org.

P Primary Health CareR Reproductive HealthO Order Person Health ServicesG Guidelines for Good NutritionR Respiratory Infection Control

A AcupressuresM Maternal and Child CareS Sentrong Sigla Movement


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1. Eradicate extreme poverty & hunger

2. Achieve universal primary education3. Promote gender equality& empower

women4. Reduce child mortality5. Improve maternal health6. Combat HIV/AIDS, malaria & other

diseases

7. Ensure environmental sustainability8. Develop a global partnership for

development


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I. FAMILY HEALTH /SERVICES

Reduce morbidity and mortality

rates for children, adolescents,adults and older people.


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A. THE MATERNAL AND CHILD

HEALTH PROGRAM

Facts:-Maternal and pediatric population group comprise 60% of

population of most communities

-Decrease women having prenatal ( 1998-77% to 2003-70.4%)-Decrease women receiving @least 2 doses of TT(1998-38% to

2003-37.3%)

-Only 76.8% of pregnant received supplementation during

pregnancy


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Current MMR

170/100,000

Rank number 49th of the 136 countries


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Q: The main causes ofmaternal deaths according to

the National healthStatistics?


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Main cause of maternal deathsremains to be due to:

1. Hypertension (25%)

2. Post Partum Hemorrhage 20.3%

3. Pregnancy with abortiveoutcomes 9%


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BEMOC Basic EmergencyObstetric Care (entails theestablishment of facilities thatprovide emergency obstetric

care for every 125,000population located strategically.

Strategic thrust for 2005-2010


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A. Antenatal Registration:

At least 4 visits till delivery

Q: What is the ideal frequency of

prenatal visits during the duration

of pregnancy?


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Standard Prenatal Visits


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B. Tetanus Toxoid Immunization

2 doses one month before delivery

plus 3 booster doses for the

mother to be called

FIMFully Immunized Mother


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C. Micronutrient Supplementation


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NEWBORN SCREENING

Why important?

-detect congenital metabolic disorders

-most were born asymptomatic

-early diagnosis & prompt treatment

before becoming symptomatic

-prevent mental retardation or death


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NEWBORN SCREENING

When is the best time?

- 48 hours to 72 hours after birth

- may also be done with in 24 hour afterbirth

note: result is positive repeat the test 14

days after


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Newborn Screening

Who are authorized?

- doctor

- nurse

- medical technologist Trained by

- midwife DOH


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Effects of Newborn Screening

Congenital Disorder NO NewbornScreening

Newborn Screened

Congenital Hypothyroidism Severe MentalRetardation

Normal

Congenital AdrenalHyperplasia (CAH)

Death Alive & Normal

Galactosemia (Gal) Death / Cataract Alive and Normal

Phenylketonuria (PKU) Severe MentalRetardation

Normal

G6PD Dediciency Serious Anemia andKernicterus

Normal


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THE FAMILY PLANNING PROGRAM

EO 199: Created the PFPP (Phil.Family Planning Program.

The goal is to provide universalaccess to family planning information

and services whenever and whereverthese are needed.


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Important things to Consider

a. Personal values

b. Ability to use method correctly

c. How method will affect enjoymentd. Financial factor

e. Status of couples relationship

f. Prior experienceg. Future plans


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Criteria for Ideal Contraceptive

a. Safe

b. Affordable

c. Acceptabled. Free of effects on future pregnancy

e. Free of side effects

f. Effective 100%

g. Easily obtainable

CHILD HEALTH PROGRAMS (N b


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CHILD HEALTH PROGRAMS: (Newborns,Infants and Children)

1. Infant and Young Child Feeding

Exclusive BF6 months

Global Strategy For IYCF WHO and UNICEF

consensus 55th World Health Assembly in May

2002 and Exec. Board in Sep. 2002 (UNICEF)

GoalReduce Child Mortality by 2/3 by 2015

Current IMR: 24.24 for every 1,000 child


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Infants & Young Child Feeding

Newborn Screening Expanded Program on Immunization

Management on Childhood Illnesses

Micronutrient Supplementation Dental Health

Early Child Development

Child Health Injuries

Reduce morbidity and mortality 0-9


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Specific Objectives

70% of newborn initiated breastfeedingwithin 1 hour after birth

60% of infants are exclusive breastfeeding

up to 6 months 90% of infants are started on

complementary feeding by 6 months of age.

Median duration of breastfeeding is 18months


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Laws that protects Infants and

Young Child:

1. Milk Code (EO 51)

2. The Rooming In and breastfeeding Act of

1992 requires institution adoptingrooming. Baby friendly hospitalwherein the mother and the babyshould be together for 24 and as long

as both are in hospital.


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3. Food Fortification Law or An Act

Establishing the Philippine FoodFortification Program and for other aims : to address the nutritional deficiency problems in the

Philippines, based on the past nutrition surveys

Purpose : Food Fortification Law (Republic Act 8976) it covers allmanufacturers, or producers, importers, traders, tollees, retailers,repackers, of food products as well as restaurants and food serviceestablishments where such fortified foods are encourage to beserved.

Fortification: addition of nutrients to processed foods or foodproducts at levels above what is naturally present in the food.
http://en.wikipilipinas.org/index.php?title=Philippineshttp://en.wikipilipinas.org/index.php?title=National_Nutrition_Survey&action=edithttp://en.wikipilipinas.org/index.php?title=National_Nutrition_Survey&action=edithttp://en.wikipilipinas.org/index.php?title=National_Nutrition_Survey&action=edithttp://en.wikipilipinas.org/index.php?title=National_Nutrition_Survey&action=edithttp://en.wikipilipinas.org/index.php?title=Philippines


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2. EPI

Four Major Strategies:

Sustain 90% FIC

Sustain Polio Free Country for Global Cert.

In 2000 our country has been certified poliofree in Kyoto Japan

Eliminate Measles by 2008

Given @ 9 months 85% protectionGiven @ 1 year and older 95% protection

Eliminating Neonatal Tetanus by 2008


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EXPANDED PROGRAM ONIMMUNIZATION

1. Sustaining high routine FICcoverage of at least 90% in allprovinces and cities.

2. Sustaining the polio free country

for global certification


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3. Eliminating neonatal tetanus by 2008.

4. Measles elimination by 2008A. Measles Catch up campaign

(reduces cases by 70% in 15 years

after 1998.B. Follow Up Measles Campaign

vaccination of children 9 months to

less than 5 years old 94 %reduction in cases in 2004.


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EXPANDED

PROGRAM ONIMMUNIZATION

VACCINES SCHEDULES/ DOSES DOSE ROUTE SITE


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BCG

(bacillus

calmette

guerin)

@ BIRTH

school entrance

0.05 ml

0.10 ml

ID

intradermal

right upper

arm/

DELTOID

DDT

(Diptheria,

Pertusis,

Tetanus)

1 mos./6 wks

2 mos./12 wks

3 mos./14 wks

0.5 ml

0.5 ml

0.5ml

IM

intramascular

right/left

upper outer

thigh

OPV

(Oral Polio

Vaccine)

1 mos./6 wks

2 mos./12 wks

3 mos./14 wks

2-3 gtts

2-3 gtts

2-3 gtts

ORAL MOUTH

Hepa B @ BIRTH

1 mos./6 wks

2 mos./12 wks

0.5 ml

0.5 ml

0.5ml

IM

intramascular

right/left

upper outer

thigh


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VACCINES SCHEDULES/

DOSES

DOSE ROUTE/

% PROTECTED

SITE/

Duration

Of Protection

MEASLES

with Vit. A

( 100,000

units)

9 mons. 0.5 ml

2-3 gtts

Sub-Q

Subcutaneous

ORAL

right/ left

upper arm

Mouth

NORMAL COURSE


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NORMAL COURSE&

SIDE EFFECTS OF VACCINATION

VACCINE Side Effects Advice / Management

BCGthewhealraised by injectiondisappears in about half anhour

a small red tender swellingabout 10mm across, appearsat the injection site afterapproximately 2 wks.

after 2-3 wks , the swellingmay become a small abscessw/in then ulcerates

the ulcer heals by itself andleaves a scar. The course fromvaccination to scar takesabout 12 wks

Kochs phenomenon(an acute inflmmatory reaction,

appearing w/in 2-4 days of

vaccination)

NO Management Needed

Deep Abcess at

Vaccination site or Lymph

nodes

(due to subQ/deeper injection

Incision

and

Drainage

Indolent ulceration

(ulcer that persist after wks fromdate of vaccination or more than 10

mm deep

Treat with INH powder

Glandular enlargement

(glands draining injection sitebecome enlarged)

If suppuration occurs, treat

as deep abscess

Vaccine Side Effects Advice/


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Management

DPT

Fever

- most children develop

fever after injection & last

for one day.

-more than 24 hrs fever

after DPT vaccine is due

to other causes but not the

vaccine.

advice mother to give

antipyretic

advice sponge with

tepid water

Local Soreness- pain that starts early

after injection is only due

to vaccine

reassure mothers that

no treatment is needed

& will disappear in 3-4

days

warm compress

Abscess- wrong tech./unsterile incision and drainage

Convulsions- are rare, occurs more inabove 3 mos. of age due to

Pertussis component ofvaccine.

give proper care , do

not continue the normal

course of DPT



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Management

OPV None advice not to breastfeed

within 30 mins.

MEASLES

Fever & Rash

- Fever and rashesmay develop 5-7 daysfrom the time ofvaccination.

- Fever only last 1-3days, sometimes mildrash

reassure the motherthat its normalantipyretic

HEPATITIS B

Local Soreness- soreness at injection site

usually go away within 24

hours.

no treatmentnecessary

TETANUS TOXOID

Local Soreness

- some develop pain,

redness & swelling at

the site of injection

apply cold compress reassure the womanthat there is notreatment needed


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NON COMMUNICABLEDISEASES

PREVENTION AND

CONTROL


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Integrated Community Based Non-CommunicableDiseases Prevention & Control Program

Aim at preventing the four major Non-CD/chronic/lifestyle relateddiseases , cardiovascular diseases , cancers , COPD , DM

Through promotion of healthy lifestyle

Healthy Lifestyleis defined as a way of life that promotes &

protects health and well-being.Includes practices that promote health as:

Healthy diet & nutrition

Regular & adequate physical activity & leisure

Avoidance of substances that can be abused-tobacco, alcohol,

addicting substances,

adequate stress mgt. relaxation

Safe sex and immunization


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SENTRONG SIGLA

SS is a quality improvement initiative through acertification/recognition program. Health facilities arecertified based on a set of standards

Renamed from QAP to Sentrong Sigla or Centers of

Vatality Movement- goal: quality health care, services& facilities

Expansion of program to the private sector Phase II(2001)

Level 1 Focus on the major functions of RHU/HC Level 2 Directed on Specialty Achivement on

strengthening local health programs


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ADOLESCENT and YOUTH HEALTH and

DEVELOPMENT PROGRAM(AYHDP)

The program is an expanded version ofAdolescent Reproductive Health (ARH)

element of Reproductive Health whichaims to integrate adolescent and youthhealth services into the health deliverysystems.


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* Growth and Development concerns NutritionPhysical, mental and emotional status* Reproductive Health Sexuality ReproductiveTract Infection (STD, HIV/AIDS) Responsible

Parenthood Maternal & Child Health * Communicable Diseases Diarrhea, Dengue

Hemorrhagic Fever, Measles, Malaria, etc.

* Mental Health Substance use and abuse * Intentional / non-intentional injuries

Disability

PHILIPPINE CANCER


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PHILIPPINE CANCERCONTROL PROGRAM

Is an integrated approach utilizing primary,secondary and tertiary prevention indifferent regions of the country at both

hospital and community levels. Six leadcancers (lung, breast, liver, cervix, oralcavity, colon and rectum) are discussed.Features peculiar to the Philippines are

described; and their causation andprevention are discussed.


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LEPROSY CONTROL PROGRAM

Envisions to eliminate Leprosy as a human disease by2020 and is committed to eliminate leprosy as apublic health problem by attaining a nationalprevalence rate (PR) of less than 1 per 10,000

population by year 2000. Its elimination goals are:reduce the national PR of


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MALARIA CONTROL PROGRAM

Malaria Awareness Month - November2007

Malaria is a disease caused by protozoan parasites calledPlasmodium. It is usually transmitted 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 infectedmother to her unborn child)


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NATIONAL TB CONTROL


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NATIONAL TB CONTROLPROGRAM

The rising incidence of tuberculosis has economicrepercussions not only for the patients family butalso for the country. Eighty percent of peopleafflicted with tuberculosis are in the most

economically productive years of their lives, and thedisease sends many self-sustaining families intopoverty. The rise in the incidence of tuberculosishas been due to the low priority accorded to anti-

tuberculosis activities by many countries.


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Documents

Programs and Projects at National Setting