Antenatal Registration Tetanus Toxoid Immunization Micronutrient Supplementation Treatment of Diseases and other Clean and safe delivery

Support to breast feeding amily !lanning counseling

conditions

B.) Tetanus Toxoid Immunization

Do a "uic# chec# upon admission for emergency signs Ma#e the $oman comfortable Assess $oman in labor Determine stage of labor Decide if $oman can safely deliver

%ive supportive care throughout labor Monitor and manage labor Monitor $ithin & hr after delivery 'ducate and counsel on ! Inform( teach( counsel on)

Birth registration Importance of BF NBS Schedule of postpartum visits

Unconscious/ convulsions Vaginal bleeding Severe abdominal pain Looks ver ill Severe !eadac!e "it! visual

disturbance Severe breat!ing di##icult $ever Severe vomiting

Antenatal Clean and safe obstetric 'mergency obstetric care amily !lanning

delivery

sick "oman needs more nutrients and rest. Although pregnancy is a normal event( it may be an additional burden for her body* +er condition may become $orse* A sic# $oman is more li#ely to have a miscarriage or a premature birt!* A sic# $oman is more li#ely to become anemic and is prone to in#ection* A sic# $oman is more li#ely to give birth to a lo"%birt!%"eig!t bab *

 'nsure that she is p! sicall read Detect any medical problems that

need treatment ind out if she has to observe any special precautions during pregnancy and childbirth*

& '(s o# )ome *eliver

'lean )+,*S 'lean SU-$+'. 'lean '/-*

Delay in
DECIDING to SEEK IDENTIFYING and medical Care REACHING APPROPRIATE Facility RECEIVING appropriate and ade !ate CARE at t"e FACI#ITY

Failure to recognize danger signs Unplanned/ Unwanted pregnancy

Distance Road Transport Communication

Lack of ealt care personnel ! ortage of supply "ealt not prioritized

Delay in deciding to Delay in Delay in recei#ing seek medical care reac ing facility ade$uate care at facility

$EmOC

REFERRA# #EVE#S CEmOC

)erform si( function of a '*m+C facility plus C! and "ysterectomy and gi#e 'lood transfusions

%i#e parenteral &' %i#e parenteral o(ytocin %i#e parenteral anticon#ulsants )erform manual remo#al of placenta Remo#e retained placental products )erform assisted #aginal deli#ery

!illars of amily !lanning)

Responsible parenthood Respect for life -irthspacing Informed choice

provide universal access to family planning information and services wherever and whenever these are needed

To

Reduce Reduce Reduce

deaths Reduce maternal deaths

infant deaths Neonatal deaths Under five

 Focus

service delivery to the urban and rural poor Reestablish the FP outreach program Strengthen FP provision in regions with high unmet needs Promote frontline participation of hospitals Mainstream modern natural family planning

when when

a woman is between 20 and 35 years old a woman has not been pregnant for the last 2-3 years when a woman has fewer than 4 children when a woman has no illness that would place herself or her baby in danger and when the couple wants to have a baby!

there

are more chances for the pregnancy to end in abortion or miscarriage the woman is more li"ely to become anemic and malnourished! #prone to develop obstetrical complications such as prolonged labor and hemorrhage as well as gynecologic problems such as uterine prolapse$ the baby has more chances of being born premature or with low birth weight! %he incidence of stillbirths and fetal death will be higher!

&* The bene#its of contraception

It saves mothers. and children.s lives* It helps clients plan their pregnancies to

protect their health and that of their babies* It helps a couple provide a better life for their children* It improves "uality of life by removing the fear of an un$anted pregnancy*

/* The different contraceptive methods available* &iscuss'

description and use0 effectiveness0 advantages and disadvantages0 and possible side1effects*

(! Where they can obtain specific family planning services Some clients will come directly to you for services! )thers will only need information about the methods and how they are used* and others may need more e+planation and encouragement!

 the the

age of the woman woman,s reproductive stage the effectiveness of a method the woman,s health status and personal considerations!

Infant and young child feeding 2e$born screening 'xpanded program on immunization Management of Childhood illnesses Micronutrient supplementation Dental +ealth 'arly child development Child +ealth in3uries

/verall ob0ective1 %o improve the survival of infants and young children by improving their nutritional status* growth and development through optimal feeding 2oal1 Reduce child mortality rate by -.( by -/01

4b3ective) %o improve health and nutritional status of infants and young children 4utcome) %o improve e+clusive and e+tended breastfeeding and complementary feeding

 Initiate breastfeeding within 0 hr after birth 2+clusive for the first 3 months of live 4omplemented at 3 months with appropriate

foods*

e+cluding mil" supplements 2+tend breastfeeding up to - yrs and beyond 5 '6s of -reastfeeding
'arly breastfeeding 'xclusive breastfeeding for the &st 7 months 'xtend up to / years

 %imely 5de6uate Properly fed Safe

 7ater is good for the thirst No drin"s high in sugar %ea and coffee reduce iron

absorbed

from food &rin"s should not replace foods or breastfeeding 4hildren not receiving breastmil" need special attention

 2ncourage

child to drin" and eat with lots of patience Feed small amounts fre6uently 8ive foods that the child li"es 8ive a variety of nutrient rich foods 4ontinue to breastfeed

 8ive e+tra breastfeeds Feed an e+tra meal 8ive an e+tra amount Use e+tra rich foods Feed with e+tra patience

 Breasfteeding

for - years or longer helps a child to develop and grow strong! 4omplementary feeding at 3 months helps a child grow well! Foods that are thic" enough to stay in the spoon give more energy 5nimal9source foods help children grow strong Peas* beans* lentils* nuts and seeds are good &ar" green leaves* yellow9coloured fruits and vegetables help a child have healthy eyes and fewer infections! 8rowing child needs ( meals plus snac"s! 8rowing child needs increasing amounts of foods 8rowing child needs to learn to eat! 2ncourage child to drin" and eat during illness!

RA 8/99 Ideally done ,9th : ;/nd hour of life <&st / 15 days=0 also done /, hours from birth +eel !ric#( blood dried for , hours( transport $ithin /, hours to 2S Results in ; days !ositive screen means 2'>-4R2 M?ST -' S?-@'CT T4 C42 IRMAT4RA T'STS and ?RT+'R MA2A%'M'2T

Goal: To improve the quality of life of Filipinos through better nutrition, improved health and increased productivity

Bitamin Iron Iodine

ST-+T.2I.S1
Food

3-/2-+4S +,* 3-/5.'TS1

based interventions for sustained improvements in nutritional status :ife9cycle approach 2ffective complementation of nutrition interventions with other services 8eographical focus to needier areas

Micronutrient

supplementation ood fortification 'ssential maternal and child health service pac#age 2utrition information( communication and education +ome( school( and community food production ood assistance Civelihood assistance

V T!" # ! $%&&'("(#T!T )#

T+R'' CCASSI ICATI42S 4 4RAC I2T'RB'2TI42S

Preventive services 4urative services Promotive services

 )ral e+amination )ral hygiene Pit and fissure sealant program Fluoride utili;ation program

 Permanent filling 8um treatment 5truamatic restorative treatment 2+traction %reatment of post e+traction

complications &rainage of locali;ed oral abscess

<ealth

education activities

4verall %oal) 5chieve Better =uality :ife among Filipinos

Reducing maternal mortality rate Reducing child mortality <alting and reversing spread of <I>.5I&S Increasing access to reproductive health information and services

, Ma3or 2CDs)

4ardiovascular diseases 4ancer 4)P& &iabetes Mellitus

 %obacco Smo"ing Physical inactivity Unhealthy diet

4omprehensive approach focused on primary prevention 4ommunity Based approach Integrated approach

6.7 I,T.-V.,TI/, ST-+T.2I.S1

-/L.S /$ T). 3), I, ,'* 3-.V.,TI/, +,* '/,T-/L1

'stablishing program direction and infrastructure Changing 'nvironments Changing lifestyle Reorienting health services

+ealth advocate +ealth educator +ealth care provider Community organizer +ealth trainer Researcher

).+LT) +*V/'+T.
Inform

).+LT) .*U'+T/

people about rightness of cause Discuss nature of alternatives( content and conse"uences Support people6s right to ma#e a choice and to act on the choice Influence public opinion

Inform people Motivate people %uide people into action

).+LT) '+-. 3-/VI*.

'/44U,IT7 /-2+,I8. Raising

+ealth promotion and disease prevention Secondary level of care 1 relieve pain( etc Disability limitation and rehabilitation

level of a$areness regarding 2CDs 4rganizing and mobilizing community Influencing executive and legislative bodies for policies that favor a healthy environment

).+LT) T-+I,. !rovides

-.S.+-').

technical assistance to auxiliary health $or#ers Teaches and supervises on clinical management of non1 communicable diseases Records( reports( and utilization of health information related to 2CDs

Conducts community assessments( epidemiological studies and intervention studies

-IS6 $+'T/+SS.SS4.,T

,+TI/,+L 3-.V.,TI/, /$ BLI,*,.SS 3-/2-+4

Cigarette smo#ing 2utritionDdiet <A-C= 4ver$eightDobesity !hysical inactivity DSedentary lifestyle 'xcessive alcohol drin#ing

BISI42 /E/E) T+' RI%+T T4 SI%+T All ilipinos en3oy the right to sight by year /E/E*

3-I/-IT7 9 3-.V.,T+BL./T-.+T+BL. '/,*ITI/,1

4.,T+L ).+LT)

Cataract Refractive errors and lo$ vision Trachoma 4nchocerciasis Childhood blindness

our facets)
Defined burden ?ndefined burden +idden burden uture burden

2ursing

Responsibilities)

Mental health promotion !revention and control Rehabilitation Research and epidemiology

MAN

"N#

"N T M N $%

A D !"

NT " G "A

& 3-.V.,TIV. ST-+T.2I.S1

4+5/- .,VI-/,4.,T+L ).+LT) +,* S+,IT+TI/, 3-/2-+4S1

Change the people6s behavior Manipulate environment Increase man6s resistance or immunity

>ater sanitation ood sanitation Refuse and garbage disposal +ospital $aste management program

MAN
(! Increase man@s immunity or resistance to disease agents 0! 4hange people?s behavior

"N #

"NT M N $%

D!

NT " G "A ! A "

-! Prevent production of disease agents

:+T.- SU33L7 S+,IT+TI/, 3-/2-+4 +33-/V.* T73.S1

3-/3.- .;'-.T+ +,* S.:+2. *IS3/S+L 3-/2-+4

Cevel

I <!oint source= 1 protected $ell or developed spring Cevel II <Communal faucet or Stand posts= : system composed of a source reservoir( piped distribution and communal faucet Cevel III < >ater$or#s System or Individual +ouse connections= : system $ith a source( reservoir( a piped distributor net$or# and household taps

Cevel

I : 2on $ater carriage and toilets re"uiring small amounts of $ater Cevel II : 4n site toilet facilities $ith $ater1sealed and flush type Cevel III : toilet facilities connected to septic tan#s or to se$erage system to treatment plant

$//* S+,IT+TI/,
$our rig!ts in $ood sa#et Right source Right !reparation Right Coo#ing Right storage

-UL. I, $//* S+$.T7

>hen in doubt( Thro$ it out FFFF