Professional Documents
Culture Documents
DOH Programs
DOH Programs
College of Nursing
Submitted To:
Mr. Joseph Rosalio Roque, RN
Submitted By:
Anggam, Christine Angeli
Bendijo, Vi Alfred
Cagas, Ediza Nanell
Casinillo, Jesse Charmaine
Casino, Kram Onisac
de las Alas, Gerard Christopher Alex
Decena, Stacy Lenn
Dinero, Jeannie-Ann
Elsisura, Mafel Jo-An
Paano, Theresa Eleanor
Pelpinosas, Maverick Jones
Ringia, Jamela
Soriano, Saidee Kriszl
Yu, Meg Leslie
December 9, 2010
e. Opportunity to travel
f. Opportunity to Postgraduate studies
What is the scope of the program.? How can the hospitals avail of the program?
The program is for all government hospitals, national or local , which are
requesting for augmentation of their Medical Specialist II cadre and replacement of their
Medical Officer III items undergoing training.
What is the objective of the program?
The general objective is to provide the country with competent Medical Human
Resource who will render quality medical care to patients.
The specific objectives are:
a. To provide Medical Officer III replacements for provincial and district hospitals who
are sending their service residents for training.
b. To augment the Medical Specialist human resource needed in government/public
hospitals.
c. To provide items for residency training to identified physicians who have rendered
government service.
Who are qualified to avail of physicians items under the program?
a. For the Medical Officer III items, Local Government Hospitals who are sending their
permanent medical staff for training, other government physicians who have rendered
substantial services for the country and those government representatives endorsed by
public officials for meritorious accomplishments.
b. For Medical Specialist that will augment the medical specialty needs of a government
hospitals, they must be Filipino Citizen, Fellow/Diplomate of the relevant accredited
specialty society or board eligible as endorsed by the accredited specialty society.
What is the basis for distributing/allocating and re-allocating of Medical Pool item?
a. On geographical location : far-flung or hard to reach areas in the catchment of the
DOH hospitals as determined by the CHDs and approved by the Undersecretary of
Health.
b. On Hospital Development Plan: Hospital Development Plan of the health facility
concerned in consonance with the National Hospital Development Plan.
How many years can a hospital avail of DOH medical pool items?
a. For Medical Specialist II, it is renewable yearly for a maximum of three(3) years. The
renewal shall be based on satisfactory performance. Within the period of three(3) years
the recipient hospitals shall device measures on how to provide a regular hospital item
for possible absorption of the medical specialist after its termination.
b. For Medical Officer III, that is being used for replacing LGU physicians, it is
renewable yearly corresponding to the length of the residency training program of the
doctor being replaced. For specialty training , it is renewable yearly corresponding to the
specified training program requirements where the trainee is undergoing training.
FOURmula One
What is FOURmula ONE for Health?
FOURmula ONE for Health is the implementation framework for health sector
reforms in the Philippines for the medium term covering 2005-2010. It is designed to
implement critical health interventions as a single package, backed by effective
management infrastructure and financing arrangements. This document provides the
road map towards achieving the strategic health sector reform goals and objectives of
FOURmula ONE for Health from the national down to the local levels. FOURmula ONE
for Health engages the entire health sector, including the public and private sectors,
national agencies and local government units, external development agencies, and civil
society to get involved in the implementation of health reforms. It is an invitation to join
the collective race against fragmentation of the health system of the country, against the
inequity of healthcare and the impoverishing effects of ill-health. With a robust and
united health sector, we can win the race towards better health and a brighter future for
generations to come.
Fourmula One for Health Goals and Objectives
Over-all Goals:
The implementation of FOURmula ONE for Health is directed towards achieving the
following end goals, in consonance with the health system goals identified by the World
Health Organization, the Millennium Development Goals, and the Medium Term
Philippine Development Plan:
* Better health outcomes;
* More responsive health system; and
* More equitable healthcare financing.
General Objective:
FOURmula ONE for Health is aimed at achieving critical reforms with speed, precision
and effective coordination directed at improving the quality, efficiency, effectiveness and
equity of the Philippine health system in a manner that is felt and appreciated by
Filipinos, especially the poor.
Specific Objectives:
Fourmula One for Health will strive, within the medium term, to:
* Secure more, better and sustained financing for health;
* Assure the quality and affordability of health goods and services;
* Ensure access to and availability of essential and basic health packages; and
* Improve performance of the health system
The Drug Price Reference Index (DPRI)
The prevailing high cost and wide price variation of drugs impede the access of the
greater majority of Filipinos to timely and quality healthcare. Many essential drugs are
unaffordable to the average Filipino, thereby depriving them of health by curtailing
treatment, prevention, and control of illnesses.
It all begins with the public knowing the right price of their medicines at any given
time. This is what a revitalized PhilHealth is Drug Price Reference Index
(DPRI) provides as a service to the Filipino citizenry.
Working under Health Secretary Francisco Duque III s framework of FOURmula
One for Health (F1), both agencies have worked together with other public agencies,
private and international organizations, consumer groups and the academe to achieve
price transparency and to disseminate this vital information to the public. The DPRI was
developed to help answer the need of the Filipino to have access to affordable and
quality drugs. As the largest purchaser of health care, PhilHealth can help make
essential drugs and health care available and affordable. Through the DPRI, PhilHealth
and DOH aim to promote drug price transparency, rational and fair drug pricing, and
rational drug use. This initial listing of prices shall inform the public of the price range for
a select number of essential drugs. PRICE TRANSPARENCY will be the initial step to
empowering consumers and improving their accessibility to drugs. The consumer is
encouraged to refer to this list when making decisions on drug purchases. Empowered
with this information, the public shall be able to demand for lower drug prices.
Adolescent and Youth Health and Development Program (AYHDP)
In line with the global policy changes on adolescents and youth, the DOH created
the Adolescent and Youth Health and Development Program (AYHDP) which is lodged
at the National Center for Disease Prevention and Control (NCDPC) specifically the
Center for Family and Environmental Health (CFEH). The program is an expanded
version of Adolescent Reproductive Health (ARH) element of Reproductive Health
which aims to integrate adolescent 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 well as complementary guidelines and service protocol to ensure young
peoples health needs are given attention.
The Program shall mainly focus on addressing the following health concerns
regardless of their sex, race and socioeconomic background:
* Growth and Development concerns Nutrition Physical, mental and emotional status
* Reproductive Health Sexuality Reproductive Tract Infection (STD, HIV/AIDS)
Responsible Parenthood Maternal & Child Health
If you have any these symptoms, especially if you are overweight or hypertensive, you
should see your doctor right away for proper guidance and treatment.
Who are at risk of diabetes?
children of diabetics
obese people
people with hypertension
people with high cholesterol levels
people with sedentary lifestyles
What can you do to control your blood sugar?
1. Diet Therapy
Avoid simple sugars like cakes and chocolates. Instead have complex carbohydrated
like rice, pasta, cereals and fresh fruits.
Do not skip or delay meals. It causes fluctuations in blood sugar levels.
Eat more fiber-rich foods like vegetables.
Cut down on salt.
Avoid alcohol. Dietary guidelines recommend no more than two drinks for men and no
more than one drink per day for women.
2. Exercise
Regular exercise is an important part of diabetes control.
Daily exercise . . .
Improves cardiovascular fitness
Helps insulin to work better and lower blood sugar
Lowers blood pressure and cholesterol levels
Reduces body fat and controls body weight Exercise at least 3 time a week for ate least
30 minutes each session. Always carry quick sugar sources like candy or softdrink to
avoid hypoglycemia (low blood sugar) during and after exercise.
3. Control your weight
If you are overweight or obese, start weight reduction by diet and exercise. This
improves your cardiovascular risk profile.
It lowers your blood sugar
It improves your lipid profile
It improves your blood pressure control
4. Quit smoking.
Smoking is harmful to your health. 5. Maintain a normal blood pressure.
Since having hypertension puts a person at high risk of cardiovascular disease,
especially if it is associated with diabetes, reliable BP monitoring and control is
recommended. See your doctor for advice and management.
If there is no improvement in blood sugar what advice can I expect my doctor to give?
There are drug therapies using oral hypoglycemic agents. Your doctor can prescribe
one or two agent, depending on which is appropriate for you.
1. Sulfonylurea Glibenclamide, Gliclazide, Glipizide, Glimepiride, Repaglinide
2. Biguanide Metformin
3. Alpha-glucosidase Inhibitors Acarbose
4. Thiazolidindione Troglitazone, Rosiglitazone, Proglitazone. Remember
Environmental Health
Environmental Health is concerned with preventing illness through managing the
environment 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 the
environment to the health of the people.
Program strategies and activities are focused on environmental sanitation,
environmental health impact assessment and occupational health through inter-agency
collaboration. An Inter-Agency COmmittee on Environmental Health was created by
virute of E.O. 489 to facilitate 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, solid waste, air, toxic and chemical substances and occupational
health.
Vision:
Health Settings for All Filipinos
Mission:
Provide leadership in ensuring health settings
Goals:
Reduction of environmental and occupational related diseases, disabilities and deaths
through health promotion and mitigation of hazards and risks in the environment and
worksplaces.
Strategic Objectives:
1. Development of evidence-based policies, guidelines, standards, programs and
parameters for specific healthy settings.
2. Provision of technical assistance to implementers and other relevant partners
3. Strengthening inter-sectoral collaboration and broad based mass participation for the
promotion and attainment of healthy settings
Key Result Areas:
Appropriate development and regular evaluation of relevant programs, projects, policies
and plans on environmental and occupational health
Timely provision of technical assistance to Centers for Health Development (CHDs) and
other partners
Development of responsive/relevant legislative and research agenda on DPC
Timely provision of technical inputs to curriculum development and conduct of human
resource development
Timely provision of technically sound advice to the Secretary and other stakeholders
Timely and adequate provision of strategic logistics
Components:
Inter- agency Committee on Environmental Health
IACEH Task Force on Water
IACEH Task Force on Solid Waste
IACEH Task Force on Toxic Chemicals
IACEH Task Force on Occupational Health
Environmental Sanitation
Environmental Health Impact Assessment
Occupational Health
Expanded Program on Immunization
Children need not die young if they receive complete and timely immunization. Children
who are not fully immunized are more susceptible to common childhood diseases. The
Expanded Program on Immunization is one of the DOH Programs that has already been
institutionalized and adopted by all LGUs in the region. Its objective is to reduce infant
mortality 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
Garantisadong Pambata (GP) since 1993 to 2000. This is being supported by
increasing/sustaining the routine immunization and improved surveillance system.
Family Planning
Brief Description of Program
A national mandated priority public health program to attain the country's national health
development: a health intervention program and an important tool for the improvement
of the health and welfare of mothers, children and other members of the family. It also
provides information and services for the couples of reproductive age to plan their family
according 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
determine the desired number of children they might have and when they might have
them. And beyond responsible parenthood is Responsible Parenting which is the proper
ubringing and education of chidren so that they grow up to be upright, productive and
civic-minded citizens.
* Respect for Life. The 1987 Constitution states that the government protects the
sanctity of life. 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 to realize their personal aspirations and allows more time to care for
children and spouse/husband, and;
* Informed Choice that is upholding and ensuring the rights of couples to determin the
number and spacing of their children according to their life's aspirations and reminding
couples that planning size of their families have a direct bearing on the quality of their
children's and their own lives.
E. Intended Audience:
Men and women of reproductive age (15-49) years old) including adolescents
F. Area of Coverage:
Nationwide
G. Mandate:
EO 119 and EO 102
H. Vision:
Empowered men and women living healthy, productive and fulfilling lives and exercising
the right to regulate their own fertility through legally and acceptable family planning
services.
I. Mission
The DOH in partnership with LGUs, NGOs, the private sectors and communities
ensures the availability of FP information and services to men and women who need
them.
J. Program Goals:
To provide universal access to FP information, education and services whenever and
wherever these are needed.
K. Objectives
General:
To help couples, individuals achieve their desired family size within the context of
responsible parenthood and improve their reproductive health.
Specifically, by the end of 2004:
Reduce
* MMR from 172 deaths 100,000 LB in 1998 to less than 100 deaths/100,000 LB
* IMR from 35.3 deaths/1000 livebirths in 1998 to less than 30 deaths/1000 live births
* TFR from 3.7 children per woman in 1998 to 2.7 chidren per woman
Increase:
* Contraceptive Prevalence Rate from 45.6% in 1998 to 57%
* Proportion of modern FP methods use from 28>2% to 50.5%
L. Key Result Areas
1. Policy, guidelines and plans formulation
2. Standard setting
3. Technical assistance to CHDs/LGUs and other partner agencies
4. Advocacy, social mobilization
5. Information, education and counselling
6. Capability building for trainers of CHDs/LGUs
7. Logistics management
8. Monitoring and evaluation
9. Research and development
M. Strategies
I. Frontline participation of DOH-retained hospitals
II. Family Planning for the urban and rural poor
III. Demand Generation through Community-Based Management Information System
IV. Mainstreaming Natural Family Planning in the public and NGO health facilities
V. Strengthening FP in the regions with high unmet need for FP: CAR, CHD 5, 8, NCR,
ARMM
VI. Contraceptive Interdependence Initiative
N. Major Activities
I. Frontline participation of DOH-retained hospitals
* Establishment of FP Itinerant team by each hospital to respond to the unmet needs for
permanent FP methods and to bring the FP services nearer to our urban and rural poor
communities
* FP services as part of medical and surgical missions of the hospital
* Provide budget to support operations of the itenerant teams inclduing the drugs and
medical supplies needed for voluntary surgical sterilization (VS) services
* Partnership with LGU hospitals which serve as the VS site
II. Family Planning for the urban and rural poor
* Expanded role of Volunteer Health Workers (VHWs) in FP provision
* Partnership of itenerant team and LGU hospitals
* Provision of FP services
III. Demand Generation through Community-Based Management Information System
* Identification and masterlisting of potential FP clients and users in need of PF services
(permanent or temporary methods)
* Segmentation of potential clients and users as to what method is preferred or used by
clients
IV. Mainstreaming Natural Family Planning in the public and NGO health facilities
* Orientation of CHD staff and creation of Regional NFP Management Committee
* Diacon with stakeholders
* Information, Education and counseling activities
* Advocacy and social mobilization efforts
* Production of NFP IEC materials
* Monitoring and evaluation activities
V. Strengthening FP in the regions with high unmet need for FP: CAR, CHD 5, 8, NCR,
ARMM
* Field of itinerant teams by retained hospitals to provide VS services nearer to the
community
* Installation of COmmunity Based Management Information System
* Provision of augmentation funds for CBMIS activities
VI. Contraceptive Interdependence Initiative
* Expansion of PhilHealth coverage to include health centers providing No Scalpel
Vasectomy and FP Itenerant Teams
* Expansion of Philhealth benefit package to include pills, injectables and IUD
* SOcial Marketing of contraceptives and FP services by the partner NGOs
* National Funding/Subsidy
VIII. Development /Updating of FP CLinical Standards
IX. Formulation of FP related policies/guidelines. E.g. Creation of VS Outreach team by
retained hospitals and its operationalization, GUidelines on the Provision of VS
services, etc.
X. Production and reproduction of FP advocacy and IEC materials
XI. Provision of logistics support such as FP commodities and VS drugs and medical
supplies
O. Other Partners
1. Funding Agencies
* United States Agency for International Development (USAID)
* United Nations Funds for Population Activities (UNFPA)
* Management Sciences for Health (MSH)
* Engender Health
* The Futures Group
2. NGOs
* Reachout foundation
* DKT
* Philippine Federation for Natual Family Planning (PFNFP)
* John Snow Inc. - Well Family Clinic
* Phlippine Legislators Committee on Population Development (PLPCD)
* Remedios Foundation
* Family Planning Organization of the Philippines (FPOP)
* Institute of Maternal and CHild HEalth (IMCH)
* Integrated Maternal and CHild Care Services and Development, Inc.
* Friendly Care Foundation, Inc.
* Institute of Reproductive Health
3. Other GOs
* Commission on Population
* DILG
* DOLE
* LGUs
Food and Waterborne Diseases Prevention and Control Program
Profile:
Food and Waterborne Diseases (FWBDs) are among the most common causes of
diarrhea. In the Philippines, diarrheal diseases for the past 20 years is the number one
cause of morbidity and mortality incidence rate is as high as 1,997 per 100,000
population while mortality 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 most common outbreaks investigated by the Department of Health.
Also, outbreaks from FWBDs can be very passive and catastrophic. Since most of these
diseases have no specific treatment modalities, the best approach to limit economic
losses due to FWBDs is prevention through health education and strict food and water
sanitation.
The Food and Waterborne Disease Prevention and Control Program (FWBDPCP)
established in 1997 but became fully operational in year 2000 with the provision of a
budget amounting to PHP551,000.00. The program focuses on cholera, typhoid fever,
hepatitis A and other foodborne emerging diseases (e.g. Paragonimiasis). Other
diseases acquired through contaminated food and water not addressesd by other
services fall under the program.
Human Resources for Health Network
The Human Resources for Health Network (HRHN) is a multi-sectoral organization in the
Philippines that is composed of government agencies and non-government
organizations with the aim of addressing and responding to HRH issues and problems.
The Department of Health (DOH) spearheaded the creation of this network which was
formally established during its launching and signing of the Memorandum of
Understanding among its member organizations 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 serves as a conceptual framework and road map that will support HRH
development and management 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 of programs, projects and activities needing multi-sectoral coordination.
Hence the HRHN was conceived to achieve such purpose and to ensure that the
HRHMP will be able to attain its goals.
Knock Out Tigdas
Knock-out Tigdas 2007 is a sequel to the 1998 and 2004 Ligtas Tigdas mass
measles immunization 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 other temporary immunization sites such as basketball court, town plazas
and other identified public places will also offer FREE vaccination services during the
campaign period.
Other services to be given include Vitamin A Capsule and deworming tablet.
Knockout Tigdas for the period of the Barangay and SK Elections
Executive Order No. 663
Promotional materials
What is Knock-out Tigdas (KOT) 2007?
Knock-out Tigdas 2007 is a sequel to the 1998 and 2004 Ligtas Tigdas mass
measles immunization campaigns. This is the second follow-up measles campaign to
eliminate measles infection as a public health problem.
What is the over-all objective of the Knock-out Tigdas?
The Knock-out Tigdas is a strategy to reduce the number or pool of children at risk of
getting measles or being susceptible to measles and achieve 95% measles
immunization coverage. Ultimately, the objective of KOT is to eliminate measles
circulation in all communities by 2008.
What does measles elimination mean?
Measles elimination means:
1. Less than one (1) measles case is confirmed measles per one million population.
2. Detects and extracts blood for laboratory confirmation from at least 2 suspect
measles cases per 100,000 populations.
3. No secondary transmission of measles. This means that when a measles case
occurs, measles is not transmitted to others.
Who should be vaccinated?
All children between 9 months to 48 months old ( born October 1, 2003 January
1,2007) should be vaccinated against measles.
When will it be done?
Immunization among these children will be done on October 15-November 15, 2007.
How will it be done?
Vaccination teams go from door-to-door of every house or every building in search of
the targeted children who needs to be vaccinated with a dose of measles vaccines,
Vitamin A capsule and deworming drug.
All health centers, barangay health stations, hospitals and other temporary
immunization sites such as basketball court, town plazas and other identified public
places will also offer FREE vaccination services during the campaign period.
My child has been vaccinated against measles. Is she exempted from this vaccination
campaign?
No, she is not. A previously vaccinated child is not exempted from the vaccination
campaign because we cannot be sure if her previous vaccination was 100% effective.
Chances are a vaccinated child is already protected, but no one can really be sure.
There is 15% vaccine failure when the vaccine is given to 9 months old children. We
want to be 100% sure of their protection.
What strategy will be used during the campaign?
It is a door-to-door strategy. The team goes from one-household to another in all areas
nationwide.
My child had measles previously, is he exempted in this campaign?
There are many measles-like diseases. We cannot be sure exactly what the child had,
especially if the illness occurred years ago. Anyway, the vaccination will not harm a child
who already had measles. The effect will also be like a booster vaccination. The
previously received measles immunization has formed antibodies, with the booster shot
it will strengthened the said antibodies.
Is there any overdose, if my child receives this booster immunization?
Antibodies in the blood which provide protection against disease decrease as the child
grows older. Booster vaccinations are needed to raise protection again. Measles
vaccination during the said campaign will be a booster vaccination for a previously
vaccinated child. The childs waning internal protection will increase. The child will not
harm because there is no vaccine overdose for the measles vaccine. The measles
vaccine is even known to enhance overall immunity against other diseases.
What will happen to my child after receiving the measles immunization?
Normally, the child will have slight fever. The fever is a sign that the childs vaccine is
working and is helping the body develop antibodies against measles.
The best thing to do when the child has fever is to give him paracetamol every four (4)
hours. Give him plenty of fluids and breastfeed the child. Ensure that the child has
enough rest and sleep.
What will happen after the Knock-out Tigdas 2007?
To interrupt measles circulation by 2008, ALL children ages 9 months will continue to
routinely receive one dose of the measles vaccine together with the vaccines the other
disease of the childhood like polio, diphtheria, pertussis, etc. All children with fever and
rashes have to be listed and tested to verify the cause of the infection.
ALL 18 months old children will be given a second dose of measles immunization to
really ensure that these children are protected against measles infection.
What other services will be given?
Vitamin A capsule will be given to all children 6 months to 71 month old and deworming
tablet to 12 months to 71 months old nationwide.
Additional messages:
Once the child is vaccinated, the posterior upper left earlobe will be marked with gentian
violet, so do not try to remove for the purpose of validation.
Houses will also be marked, so do not erase.
I heard that there are cases where the child who was vaccinated who became seriously
ill or died. Is this true?
Measles vaccine is very safe. Minor reactions may occur such as fever but in an already
immunizes child, this may not occur. The most serious and RARE adverse event
following immunization is anaphylaxis which is inherent on the child, not on the
vaccines.
Leprosy Control Program
Leprosy Control Program envisions to eliminate Leprosy as a human disease by 2020
and is committed to eliminate leprosy as a public health problem by attaining a national
prevalence rate (PR) of less than 1 per 10,000 population by year 2000. Its elimination
goals are: reduce the national PR of <1 case per 10,000 population by year 1998 and
reduce the sub-national PR to <1 case per 10,000 population by year 2000. Kilatis Kutis
Campaign.
Program thrust is towards finding hidden cases of leprosy and put them on Multi-Drug
Therapy (MDT), emphasizing the completion of treatment within the WHO prescribed
duration.
Strategies are case-finding, treatment, advocacy, rehabilitation, manpower development
and evaluation.
Malaria Awareness Month - November 2007
Malaria is a disease caused by protozoan parasites called Plasmodium. It is usually
transmitted through the bite of an infected female Anopheles mosquito. Malaria may
also be transmitted 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 unborn
child)
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
* Therapeutic supplementation: all cases of VAD
* Preventive supplementation:
1. Universal - children 6-59 months
2. Regular/routine - Pregnant and Lactating women, High-risk children
3. Supplementation during emergencies
Food Fortifcation
The Food Fortification program is the government's response to the growing
micronutrient malnutrition, which is prevalent in the Philippines for the past several
years.
Food Fortification is the addition of Sangkap Pinoyor micronutrients such as Vitamin A,
Iron and/or Iodine to food, whether or not they are normally contained in the food, for
Most babies with metabolic disorders look normal at birth. One will never know that the
baby has the disorder until the onset of signs and symptoms and more often ill effects
are already irreversible.
When is Newborn Screening done?
Newborn screening is ideally done on the 48th hour or at least 24 hours from birth.
Some disorders are not detected if the test is done earlier than 24 hours. The baby must
be screened again after 2 weeks for more accurate results.
How is Newborn Screening done?
Newborn screening is a simple procedure. Using the hell prick method, a few drops are
taken from the baby's heel and blotted on a special absorbent filter card. The blood is
dried for 4 hours and sent to the Newborn Screening Laboratory. (NBS Lab).
Who will collect the sample for Newborn Screening?
A physician, a nurse, a midwife or medical technologist can do the newborn screening.
Where is Newborn Screening Available?
Newborn screening is available in practicing health institutions (hospitals, lying-ins,
Rural Health Units and Health Centers). If babies are delivered at home, babies may be
brought to the nearest institution offering newborn screening.
When is the Newborn Screening results available?
Newborn screening results are available within three weeks after the NBS Lab receives
and tests the samples sent by the institutions. Results are released by NBS Lab to the
institutions and are released to your attending birth attendants or physicians. Parents
may seek the results from the institutions where samples are collected.
A negative screen mean that the result of the test is normal and the baby is not suffering
from any of the disorders being screened.
In case of a positive screen, the NBS nurse coordinator will immediately inform the
coordinator of the institution where the sample was collected for recall of patients for
confirmatory testing.
What should be done when a baby has a positive newborn screening result?
Babies with positive results should be referred at once to the nearest hospital or
specialist for confirmatory test and further management. Should there be no specialist in
the area, the NBS secretariat office will assist its attending physician.
Disorder
Effect
Effect if SCREENED and
Screened
SCREENED
treated
CH (Congenital
Hypothyroidism)
Normal
Death
GAL (Galactosemia)
Death or Cataracts
PKU (Phenylketonuria)
Normal
G6PD Deficiency
Severe Anemia, Kernicterus Normal
Help us save the 33,000 babies affected annually by any of this disorders.
Occupational Health Program
Vision/Mission Statement
Health for all occupations in partnership with the workers, employers, local government
authorities and other sectors in promoting self-sustaining programs and improvement of
workers' health and working environment.
Program Objectives and TargetsTo promote and protect the health and well being of the
working population thru improved health, better working conditions and workers'
environment.Priority TargetsUnderserved/small scale and high risk groups in
industryOccupational Health ProgramsIndustrial HygieneGeneral Objective
To promote and protect the health and safety of workers in industry
Specific Objectives
To develop the capabilities and competencies of field health personnel in industrial
Hygiene
To formulate policies, standards, regulations and guidelines on Occupational Health and
Sanitation for industrial workers
To provide technical assistance on health and safety measures to protect the workers
from occupational hazards/stresses in the work environment
Strategies/Activities
Policy development
Manpower development
Promotion of Industrial Hygiene consciousness among target groups
Provision of Industrial Hygiene instruments for monitoring in selected regions
Inspection of workers
Monitoring
Special investigations
Advocacy thru the "Healthy Workplace Campaign"
Intersectoral linkages
Occupational Toxicology
General Objectives:
To promote the health and well being of workers exposed to hazardous substances in
small scale/non-institutional industries and to institute appropriate intervention
measures among workers with occupationally-related illnesses
To reduce morbidity and mortality of occupationally related poisonings Specific
Objectives
To develop training programmes/post graduate courses for medical and allied personnel
To establish a mechanism for toxicovigilance/surveillance of work-related poisonings
To establish an integrated system of monitoring, reporting and evaluation of all
occupationally-related poisonings
Develop an information databank on occupational toxicology and hazardous chemical
substances used in industry
Recommends codes of practices/intervention measures including detoxification to
minimize adverse effects of hazardous chemicals
Conduct research studies to establish baseline data for biological exposures,
epidemiological and applied studies
Undertake social mobilization/advocacy activities among target sectors in noninstitutional industries
Provide timely and accurate health advisories to target clienteles Strategies/Activities
Health surveillance and monitoring
were either hand carried or sent by snail mail to the Provincial Health Office by the
Health Officer or
through the Department of Healths Local Representatives who sent the provincial
summaries to the regions, thence the national office. A national summary was produced
using a calculator at the National Office.
Results
Last day for closing the 2004 Registry was April 6, 2005. The results of the registration
of PWDs are in Tables 1, 2, and 3.In 2004, a total of 508,270 PWDs registered,
representing 12% of the estimated 8.4 million PWDs. Two CHDs were not included due
to difficulties in data processing at the National Office.
National TB Control Program
The rising incidence of tuberculosis has economic repercussions not only for the
patients family but also for the country. Eighty percent of people afflicted with
tuberculosis are in the most economically productive years of their lives, and the
disease sends many self-sustaining families into poverty. The rise in the incidence of
tuberculosis has been due to the low priority accorded to anti-tuberculosis activities by
many countries. The unavailability of anti-TB drugs, insufficient laboratory networking,
poor health infrastructures, including a lack of trained health personnel, have also
contributed to the rise in the incidence of the diseases.
According to the World Health Organization, the Philippines ranks fourth in the world for
the number of cases of tuberculosis and has the highest number of cases per head in
Southeast Asia. Almost two thirds of Filipinos have tuberculosis, and up to five million
people are infected yearly in our country.
In 1996, WHO introduced the Directly Observed Treatment Short Course (DOTS) to
ensure completion of treatment.
The DOTS strategy depends on five elements for its success: Microscope, Medicines,
Monitoring , Directly Observed Treatment, and Political Commitment). If any of these
elements are missing, our ability to consistently cure TB patients slips through our
fingers.
BIBLIOGRAPHY