5th Annual Meeting of the Collaboration on Newborn Hearing Screening Advocacy (CoNHScA) The Roles and Responsibilities of Stakeholders

in the Universal Newborn Hearing Screening Program As Mandated By Department of Health

Focus on the Department of Health

Anthony P. Calibo, MD, DPPS
Supervising Health Program Officer, Family Health Office National Center for Disease Prevention and Control Department of Health Manila December 01, 2011 Hyatt Hotel, Ermita, Manila

Newborn Screening Programs and the Public Health System

Intertwined relationships of newborn screening programs and the national healthcare system Newborn hearing screening programs identifies undetected hearing abnormalities Enables early detection for treatment and rehabilitation Ensures optimal development of the newborn to achieve his/her full potential

Role of the Department of Health

Department of Health addresses evolving health problems of the population infectious, lifestylerelated, metabolic, preventable disease and complications e.g. disability due to injuries, etc. Health policy and legislative support to provide enabling environment for screening programs to take place

Roles of the National Government DOH

Integrate the universal newborn hearing screening program in existing newborn healthcare programs Health service delivery Health regulation Health financing Human resources for health Good governance in health Health information system

DOH Admin.Order 2010-0020 Rules and Regulations Implementing R.A. 9709 (UNHS Act of 2009) signed June 28, 2010

Rule III Implementing Arrangements Section 13 - DOH is the lead agency

1. Program development prevention and management of hearing loss in children 2. Health financing through PhilHealth and other resources 3. Interagency coordination and collaboration 4. Coordination with NIH-NHSRC (technical arm of DOH)

DOH Admin.Order 2010-0020 Rules and Regulations Implementing R.A. 9709 (UNHS Act of 2009) signed June 28, 2010

5. Health promotion and advocacy

(information dissemination, education and communication materials)

6. Policy formulation 7. Development of functional service delivery network especially for prompt recall of refer results among health service delivery provider

DOH Admin.Order 2010-0020 Rules and Regulations Implementing R.A. 9709 (UNHS Act of 2009) signed June 28, 2010

8. Coordination with various patients support groups, other professions involved in special education, and other professionals and organizations 9. Monitoring and evaluation

DOH Admin.Order 2010-0020 Rules and Regulations Implementing R.A. 9709 (UNHS Act of 2009) signed June 28, 2010

Rule IV Advisory Committee on Newborn Hearing Screening Section 16 - Composition

1. Secretary of Health is the Chairperson of this committee 2. Appoints three (3) representatives to the Advisory Committee on Newborn Hearing Screening

Roles of the DOH

Integrate the universal newborn hearing screening program in existing newborn healthcare programs

MNCHN strategy life-cycle approach Essential intrapartum and newborn care protocol (EINC Unang Yakap) Newborn screening (blood spot)

DOH MNCHN Health Programs through the Life Events

Pre-union Premarital counseling

Conception Pregnancy

Birth and Delivery

MBFHI

Under 5 years

BEmONC with POGS MDG; CEmONC

EINC
NBS, NHS, EPI, IMCI, IYCF, GM, GP Family Planning, Adolescent Health, Reproductive Health, Male Involvement in RH Healthy Lifestyle Micronutrient Supplementation, Food fortification, & Food diversification; Malnutrition Screening & Intervention Mental Health Injury and Disability Prevention

Challenges to the Health System Actions Needed

Full scale program implementation through MNCHN Strategy up to the barangay level with involvement of the community health teams (CHTs) Linked with the Newborn Screening Program Health facilities readiness and capability Health human resources capability and training Health financing strategies for equity and access especially those in the Q1/Q2 Universal Health Care (Aquino Health Agenda)

Challenges to the Health System Actions Needed

Development partners Local government support Public and private sector partnerships and collaboration Health professional organizations and societies Educational institutions and organizations Academic organization involved in undergraduate programs in health professions

Mabuhay! Maraming salamat po! Lets unite for the MDGs MDG 1, MDG 4 and MDG 5
Anthony P. Calibo, MD, DPPS Family Health Office DOH-National Center for Disease Prevention and Control, Manila

DOH Trunkline (02) 651.7800 local 1730 Direct Line: (02) 732.9956 Telefax: (02) 711.7846 Email: acalibomd@yahoo.com