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A Ward Class on DOH Programs submitted In partial fulfillment of the requirements Of NCM 105 RLE
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
Essential Newborn Care The Department of Health embarked on Essential Newborn Care , a new program to address neonatal deaths in the country. Under the umbrella of the Unang Yakap Campaign, Essential Newborn Care is an evidenced based strategic intervention aimed at improving newborn care and helping cub neonatal mortality. The ENC Protocol is a step-by-step guide for health workers and medical practitioners issued by the Department of Health for implementation under Administrative Order 2009-0025. What are these step-by-step interventions? Immediate drying Using a clean, dry cloth, thoroughly dry the baby, wiping the face, eyes, head, front and back, arms and legs. Uninterrupted skin-to-skin contact Aside from the warmth and immediate bonding between mother and child, it has been found that early skin-to-skin contact contributes to a host of medical benefits such as the overall success of breastfeeding/colostrum feeding, stimulation of the mucosa— associated lymphoid tissue system, and colonization with maternal skin flora that can protect the newborn from sepsis and other infectious disease and hypoglycemia. Proper cord clamping and cutting Waiting for up three minutes or until the pulsations stop is found to reduce to chances of anemia in full term and pre-term babies. Evidence also shows that delaying cord clamping has no significant impact on the mother. Non-separation of the newborn from the mother The earlier the baby breastfeeds, the lesser the risk of death. Keeping the baby latched on to the mother will not only benefit the baby (see skin-to-skin contact) but will also prevent doing unnecessary procedures like putting the newborn on a cold surface for examination (thereby exposing the baby to hypothermia), administering glucose water or formula and foot printing (which increases risk of contamination from ink pads) and washing (the WHO standard is to delay washing up to 6 hours; the vernix protects the newborn from infection). Post-natal care required within 24 hours after birth also includes: Cord care Delayed bathing until 6 hours of life Breastfeeding BCG and first dose of Hepatitis B Vitamin K injection Immunization Eye prophylaxis Newborn screening The Essential Newborn Care Package aims to reduce newborn mortality rate from 13 deaths (2006 FPS, NSO) to 10 per 1000 live births by 2015.
Willing to work in depressed and hard to reach areas for two (2) years f. To ensure quality health care service to depressed. marginalized and underserved areas through the deployment of competent and community-oriented doctors. unserved/underserved.00+++) b. To effect changes in the approach to health care delivery by the stakeholders in health. How can the LGU avail of the program? The Center for Health Development (CHDs). Magna Carta for Health Workers d. (1:20. Physically and mentally fit d. c. hard to reach and critical 5th and 6th class municipalities with MHO/RHP on study leave. The minimum requirements for applicants to the program shall be the following: a.Doctors to the Barrios (DTTB) What is the objective of the program? a.000) What are the benefits of a DTTB volunteer? The DTTB shall receive the following: a. Licensed Doctor of Medicine b. unserved/underserved. This shall be supported with the written request in the form of a resolution passed by the Local Health Board and the Sanguniang Bayan approved by the Local Chief Executive. Interested in community health g. 3rd and 4th class municipalities needing additional doctors to achieve the doctor to population. b. What are the qualifications of a DTTB volunteer. Bonafide Filipino citizen c. Depressed. Receive a salary equivalent of salary grade 24 (P24. Representation Allowance c. Certified to be of good moral character e.000. Depressed. b. Not more than 50 years old What are the available areas for deployment? What is the category of this areas? The following areas will be given priority: a. through the Human Resource Development Unit (HRDU) shall submit to the HHRDB a list of areas qualified to be recipients of a DTTB. Continuing Medical Education . hard to reach and critical 5th and 6th class municipalities without doctors for at least two(2) years.
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. b. 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. To provide items for residency training to identified physicians who have rendered government service. they must be Filipino Citizen. Opportunity to travel f. For the Medical Officer III items. Opportunity to Postgraduate studies What is the scope of the program. For Medical Specialist II. For Medical Specialist that will augment the medical specialty needs of a government hospitals. How many years can a hospital avail of DOH medical pool items? a.? How can the hospitals avail of the program? The program is for all government hospitals. national or local . On Hospital Development Plan: Hospital Development Plan of the health facility concerned in consonance with the National Hospital Development Plan. other government physicians who have rendered substantial services for the country and those government representatives endorsed by public officials for meritorious accomplishments. The renewal shall be based on satisfactory performance. which are requesting for augmentation of their Medical Specialist II cadre and replacement of their Medical Officer III items undergoing training. . To provide Medical Officer III replacements for provincial and district hospitals who are sending their service residents for training. c.e. The specific objectives are: a. Local Government Hospitals who are sending their permanent medical staff for training. Who are qualified to avail of physicians items under the program? a. b. What is the basis for distributing/allocating and re-allocating of Medical Pool item? a. b. it is renewable yearly for a maximum of three(3) years. Fellow/Diplomate of the relevant accredited specialty society or board eligible as endorsed by the accredited specialty society. To augment the Medical Specialist human resource needed in government/public hospitals. 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.
For Medical Officer III. . and civil society to get involved in the implementation of health reforms. efficiency. It is an invitation to join the collective race against fragmentation of the health system of the country. in consonance with the health system goals identified by the World Health Organization. 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. the Millennium Development Goals. better and sustained financing for health. and the Medium Term Philippine Development Plan: * Better health outcomes. * More responsive health system. especially the poor. 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. For specialty training . precision and effective coordination directed at improving the quality. national agencies and local government units. external development agencies. to: * Secure more. it is renewable yearly corresponding to the length of the residency training program of the doctor being replaced. General Objective: FOURmula ONE for Health is aimed at achieving critical reforms with speed. within the medium term. against the inequity of healthcare and the impoverishing effects of ill-health. backed by effective management infrastructure and financing arrangements. * Assure the quality and affordability of health goods and services. With a robust and united health sector. that is being used for replacing LGU physicians. and * More equitable healthcare financing.b. effectiveness and equity of the Philippine health system in a manner that is felt and appreciated by Filipinos. It is designed to implement critical health interventions as a single package. 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. we can win the race towards better health and a brighter future for generations to come. it is renewable yearly corresponding to the specified training program requirements where the trainee is undergoing training. including the public and private sectors. FOURmula ONE for Health engages the entire health sector. Specific Objectives: Fourmula One for Health will strive.
This is what a revitalized PhilHealth is Drug Price Reference Index (DPRI) provides as a service to the Filipino citizenry. with the participation of other line agencies. This initial listing of prices shall inform the public of the price range for a select number of essential drugs. 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. prevention. consumer groups and the academe to achieve price transparency and to disseminate this vital information to the public. PhilHealth can help make essential drugs and health care available and affordable. both agencies have worked together with other public agencies. race and socioeconomic background: * Growth and Development concerns Nutrition Physical. PhilHealth and DOH aim to promote drug price transparency. 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.* Ensure access to and availability of essential and basic health packages. rational and fair drug pricing. HIV/AIDS) Responsible Parenthood Maternal & Child Health . private and international organizations. partners from the medical discipline. The DPRI was developed to help answer the need of the Filipino to have access to affordable and quality drugs. mental and emotional status * Reproductive Health Sexuality Reproductive Tract Infection (STD. PRICE TRANSPARENCY will be the initial step to empowering consumers and improving their accessibility to drugs. Many essential drugs are unaffordable to the average Filipino. As the largest purchaser of health care. The consumer is encouraged to refer to this list when making decisions on drug purchases. Working under Health Secretary Francisco Duque III ís framework of FOURmula One for Health (F1). 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 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). Empowered with this information. The Program shall mainly focus on addressing the following health concerns regardless of their sex. It all begins with the public knowing the right price of their medicines at any given time. 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. Through the DPRI. thereby depriving them of health by curtailing treatment. The DOH. and rational drug use. and control of illnesses.
appealing and relevant to them. sexuality and sexual health to 80% (baseline: still to be established) * increase the knowledge and awareness level of adolescents on accident and injury prevention to 50% (baseline: still to be established) Services and Protection Objectives: * increase the percentage of health facilities providing basic health services including counseling for adolescents and youth to 70%. shall be coordinated closely with other concerned line agencies. empowered. Guiding Principles: 1. education. * Mental Health Substance use and abuse * Intentional / non-intentional injuries Disability Other issues and concerns such as vocational. Further.5 % (baseline-7% in 1998 NDHS) * increase the health care – seeking behavior of adolescents to 50% (baseline: still to be established) * increase the knowledge and awareness level of adolescent on fertility. substance abuse in 50% of DOH hospitals * integrate gender-sensitivity training and reproductive health in the secondary school curriculum. Health Status Objectives: * reduce the mortality rate among adolescents and youth Risk Reduction Objectives: * reduce the proportion of teenage girls (15-19 years old) who began child bearing to 3. (2) gives young people self confidence. Vision: Well-informed. they become part of the solution rather than the problem. Measles. responsible and healthy adolescents and youth. . it: (1) favors the acquisition of valuable skills including interpersonal skills. Involvement of the youth The AYHDP shall involve the young people in the design. monitoring and evaluation of activities and program to ensure that it is acceptable. (baseline. * Establish resource centers or one stop shop for adolescents and youth in each province. and NGOs. Goal: The total health. etc. Dengue Hemorrhagic Fever.* Communicable Diseases Diarrhea. Malaria. victims of rape and violence.still to be established) * establish specialized services for occupational illnesses. planning implementation. Mission: Ensure that all adolescent and youth have access to quality health care services in an adolescent and youth friendly environment. well being and self esteem of young people are promoted. In so doing. social and employment needs where the DOH has no direct mandate nor control.
They can therefore play a major role in helping them change their attitudes and prevent exploitation of adolescents. socialization process and expected roles in family. or from the unequal power relation between sexes. 1. infant. their individual development needs are also neglected because of the persistent and stereotypical roles that they are expected to perform. This is to ensure protection of adolescent and youth against neglect. Eventually. * To prevent and respond to adolescent health problems through provision of adequate. They are addressed most effectively by a combination of intervention that promote healthy development. such as those in situations in armed conflict or crises. 3. young boys can be particularly vulnerable. Their concerns and perception vary by demographic and socioeconomic characteristics. cultural. abuse and exploitation and guaranteeing to them their basic human rights including survival. rights and other issues and through the availability of integrated. these will contribute to the reduction of maternal. oftentimes they have common roots. quality and gender sensitive adolescent health services that will bring about positive behavior and healthy lifestyle. Girls are often victims of traditional. implementation and in the delivery of services. Service provision The program shall ensure the access and provision of quality gender responsive biomedical and psychosocial services. including sexual abuse and exploitation. Adults often perpetuate traditional gender roles that trap young people in high – risk behavior. Program Strategies: The DOH shall adopt a two pronged inextricably linked and overarching strategies: * To Promote healthy development among young adults by building their life coping skills. Gender & health perspective A gender perspective shall be adopted in all processes of policy formulation. But even how diverse the problems are. 2. Rights Based Approach In all aspects of program implementation. Besides. educational and other endeavors necessary for their individual growth and well being. development and full participation in social. Diversity of adolescents needs and problems The program shall recognize the diverse characteristic and needs of adolescents in different situations. This perspective will act upon inequalities that arise from belonging to one sex or the other. discriminatory and harmful practices. especially sexual and reproductive health. community and society. promoting positive values and by creating a safe and supportive environment for their growth and development. and (4) contributes to a sense of belonging. sex and circumstances. On the other hand. accurate and timely information about their health. Adolescents have distinct and complex gender differences in behavior patterns. its underlying causes are closely connected and the solutions are similar and interrelated. the promotion of young peoples’ rights shall be applied.(3) promotes individual self esteem and competence. child and young peoples’ morbidity and . A gender gap exist in terms of opportunities in education and employment and access to health services. 4.
decision making and problem solving. how to plan and prepare healthy meals or ensure good personal hygiene and appearance. how to say no when under peer pressure to use drug. Examples of these skills are: * Self care skills eg. church. 3. STDs. media and NGOs on adolescent health concerns and an intensified and responsive counseling services geared towards adolescent health shall be done. creative and critical thinking. They can substantially enrich the lives of young people through their fundamental role as parents and care-givers 2. This aims to increase knowledge and understanding of a particular health issue. Attitudes and norms concerning (a)early marriage. (4) provides specific support in making individual responsible behavior choices. ensure the quality of life of the families and communities. excessive stress. and promote total health and well being of Filipino adolescents and youth. (b)sexual behavior among young people.mortality. Adults contribute to a supportive climate for behavioral choices through positive relationship. coping with emotions and causes of stress. life skills shall be integrated in the training module for health workers as well as in the school curricula. how to obtain and keep work. communication and interpersonal relations . self awareness. health staff. communities. other adults and peers. It refers to skills that enhance psychosocial development. 3. * Livelihood skills eg. teachers. parents and teachers shall also be equipped with competencies to influence behavior of adolescents and promote healthy development and prevent health problems. While intervention should now focus on the action that will facilitate growth and development and encourage adolescents and youth to practice healthy behavior. On the other hand. It refers to an environment that: (1) nurtures and guides young people towards healthy development. Education and Information Early education and information sharing for adolescents and service information providers: the parents. violent behavior and nutritional deficiencies. Mass Media and entertainment . violence and abuse. * Skills for dealing with specific risky situations eg. (2) provides the least trauma. and with the explicit intention of motivating the young people to adopt healthy behavior and to prevent health hazards such as unwanted pregnancies. Social norms and cultural practices This involve what people typically do in all areas of life and peoples expectation of others. Building skills Adolescents and youth shall have life skills training to enable them to deal effectively with the demands and challenges of everyday life. 4. service providers. the following major aspects of social environment have to be considered: 1. Promoting a safe and supportive environment A safe and supportive environment is part of what motivates young people to make healthy decisions. substance use / abuse. These forces usually shape the lives of young people thus it is important to take note of the attitudes and practices that are harmful to them. (c)access to information about sexuality may need to be addressed. Relationship with families. 2. (3) provides a positive close relationship with family. service providers and significant others. Further.
Regular monitoring and evaluation will be conducted to identify the status. 6.e. and specifically licensed by the Bureau of Food and Drugs (BFAD) to sell. with a trained operator and a supervising pharmacist specifically established in accordance with Administrative Order No. approved by the National Drug Policy-Pharmaceutical Management Unit (NDP-PMU 50). Thus. quality. safe and effective. The budgetary requirements will be sourced out from national and international donor agencies. The legal mandate to this initiative are the RA 7600 (The Rooming-In and Breastfeeding Act of 1992) and the Executive Order 51 of 1986 (The Milk Code). underserved. The BnB program aims to promote equity in health by ensuring the availability and accessibility of affordable.The media is a very important component in influencing social norms that encourage adolescent to make responsible health behavior choices. gaps and recommendations. offer for sale and/or make available low-priced generic home remedies. promote and support breastfeeding and rooming-in practices. Advocacy with LGUs. Botika Ng Barangay (BnB) The Botika ng Barangay (BnB) refers to a drug outlet managed by a legitimate community organization (CO/non-government organization (NGO) and/or the Local Government Unit (LGU). The Mother and Baby Friendly Hospital Initiative (MBFHI) is the main strategy to transform all hospitals with maternity and newborn services into facilities which fully protect. 4. National assistance in . Amoxicillin and Cotrimoxazole).2004. essential drugs to all. monitoring tools and checklist. evaluated and selected by the concerned Center for Health Development (CHD). 5. Promotion of Breastfeeding program / Mother and Baby Friendly Hospital Initiative (MBFHI) Realizing optimal maternal and child health nutrition is the ultimate concern of the Promotion of Breastfeeding Program. critical and hard to reach areas. A scheme shall be developed which will include indicators. The BnB outlet should be initially identified. Policies and legislation Promoting policies and legislation for adolescent health can ensure young people have the opportunities and services they need to promote and protect their own health. with priority for marginalized. distribute. other GOs and NGOs shall be conducted on sharing of existing resources where AYHDP will be integrated. Monitoring will be through conduct of field visits. issues. Resource mobilization The Department of Health have prepared a 10 year work plan for AYHDP. 144 s. exclusive breastfeeding in the first four (4) to six (6) months after birth is encouraged as well as enforcement of legal mandates. over-the-counter (OTC) drugs and two (2) selected. It also provides great potential to communicate and mobilize community support on adolescent health issues. publicly-known prescription antibiotic drugs (i. Monitoring and Evaluation This is to ensure the smooth implementation of the program. consultative meeting and program implementation review.
blood sugar reaches a dangerously high level which leads to complications. Blindness Kidney failure Stroke Heart Attack Wounds that would not heal Impotence What are the types of diabetes? Type 1 – Insulin dependent diabetes Develops during childhood or adolescence and affects about 10% of all diabetic patients. in support of this initiative. Six lead cancers (lung. there should also be continuous orientation and re-orientation/ updates to newly hired and old personnel. Features peculiar to the Philippines are described. begun in 1988. fat and liver. the heart and blood vessels. Insulin is a hormone necessary for the proper utilization of sugar by muscles. the kidneys. colon and rectum) are discussed. oral cavity. There is also today in place a Community-based Cancer Care Network which seeks to develop a network of selfsufficient communities sharing responsibility for cancer care and control in the country. breast. Sufferers require a lifetime of insulin injection for survival since their pancreas cannot produce insulin. respectively. Philippine Cancer Control Program The Philippine Cancer Control Program. is an integrated approach utilizing primary. Diabetes Diabetes is a serious chronic metabolic disease characterized by an increase in blood sugar levels associated with long term damage and failure or organ functions. liver. To sustain this initiative. Type 2 – Non-insulin dependent diabetes How will you know if you are a diabetic? . the nerves. the field health personnel has to provide antenatal assistance and breastfeeding counseling to pregnant and lactating mothers as well as to the breastfeeding support groups in the community. How does one become a diabetic? Diabetes occurs when insulin is not adequately produced by the pancreas. What are the complications of diabetes? In diabetics. A recent assessment revealed shortcomings in the Cancer Control Program and urgent recommendations were made to reverse the anticipated ‘cancer epidemic’. secondary and tertiary prevention in different regions of the country at both hospital and community levels. and their causation and prevention are discussed. It also happens when the body cannot properly use insulin. especially the eyes. cervix. thus LGUs were advocated to promote and sustain this initiative.terms of financial support for this strategy ended year 2000.
See your doctor for advice and management. It lowers your blood sugar It improves your lipid profile It improves your blood pressure control 4. 2. Instead have complex carbohydrated like rice. This improves your cardiovascular risk profile. Quit smoking. cereals and fresh fruits. Eat more fiber-rich foods like vegetables. . Your doctor can prescribe one or two agent. especially if it is associated with diabetes. Dietary guidelines recommend no more than two drinks for men and no more than one drink per day for women. Exercise Regular exercise is an important part of diabetes control. Diet Therapy Avoid simple sugars like cakes and chocolates. . Cut down on salt. pasta. reliable BP monitoring and control is recommended. Daily exercise . Since having hypertension puts a person at high risk of cardiovascular disease.If you urinate frequently. If you have fasting plasma glucose level of not more than 126mg/dl. 5. especially if you are overweight or hypertensive. Smoking is harmful to your health. Always carry quick sugar sources like candy or softdrink to avoid hypoglycemia (low blood sugar) during and after exercise. experience excessive thirst and unexplained weight loss. 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. Control your weight If you are overweight or obese. Maintain a normal blood pressure. Avoid alcohol. 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. It causes fluctuations in blood sugar levels. you should see your doctor right away for proper guidance and treatment. Do not skip or delay meals. If you have any these symptoms. If your casual blood sugar (plasma glucose) level is higher than 200mg/dl. start weight reduction by diet and exercise. depending on which is appropriate for you. . 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. 3.
Its objective is to prevent and control dental diseases and conditions like dental caries and periodontal diseases thus reducing their prevalence. Repaglinide 2. Targeted priorities are vulnerable groups such as the 5-12 year old children and pregnant women. sodium fluoride mouth rinsing. Dental Health Program Comprehensive Dental Health Program aims to improve the quality of life of the people through the attainment of the highest possible oral health. particularly the Four O’clock Habit which was adopted by most LGUs. continuous and concerted effort to eliminate the breeding places of Aedes aegypti. Proglitazone. Other initiatives are the dissemination of IEC materials and tri-media coverage. Biguanide – Metformin 3. Sulfonylurea – Glibenclamide. To attain orally fit children. try to lose some weight Avoid alcohol drinking and stop smoking If you are hypertensive. Emerging Disease Control Program . orientation/updates and monitoring adherence to standards. It occurs in all age groups. Alpha-glucosidase Inhibitors – Acarbose 4. Gliclazide. Glipizide. The thrust of the Dengue Control Program is directed towards community-based prevention and control in endemic areas. Major strategy is advocacy and promotion. partnership with GOs and NGOs. the Nutrition Program and the Garantisadong Pambata activities of the WHSMP. This is a nationwide. Strategies of the program include social mobilization through advocacy meetings. water supply is inadequate (resulting to water storage and a good breeding place for the vector). Thiazolidindione – Troglitazone. supervised tooth brushing drill. The Program also integrates its activities with the Maternal and Child Health Program. pit and fissure sealant application. This disease (transmitted by Aedes.1. a day-biting mosquito) is preventable but is prevalent in urban centers where population density is high. Glimepiride. a-traumatic restorative treatment and IEC. the program focuses on the following package of activities: oral examination and prophylaxis. Remember If you have the classic symptoms of diabetes: See your doctor for blood sugar testing Start dieting eat plenty of vegetables avoid sweets such as chocolates and cakes cut down on fatty foods Exercise regularly If you are obese. Rosiglitazone. consult your doctor for advice and management Dengue Control Program One of the major health problems during rainy season is the incidence of Dengue Hemorrhagic Fever. and solid waste collection and storing are also inadequate.
disabilities and deaths through health promotion and mitigation of hazards and risks in the environment and worksplaces. An Inter-Agency COmmittee on Environmental Health was created by virute of E.Emerging infectious diseases are newly identified and previously unknown infections which cause public health problems either locally or internationally.O. 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. policy review and development. air. 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. environmental health impact assessment and occupational health through inter-agency collaboration. Vision: Health Settings for All Filipinos Mission: Provide leadership in ensuring health settings Goals: Reduction of environmental and occupational related diseases. projects. guidelines. It is concerned primarily with effects of the environment to the health of the people. solid waste. effective monitoring and communication. The Committee has five sectoral task forces on water. Strategic Objectives: 1. 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. programs and parameters for specific healthy settings. It provides the venue for technical collaboration. resource mobilization. toxic and chemical substances and occupational health. Provision of technical assistance to implementers and other relevant partners 3.agency Committee on Environmental Health IACEH Task Force on Water IACEH Task Force on Solid Waste . Development of evidence-based policies. These include diseases whose incidence in humans has increased within the past two decades or threatens to increase in the near future. standards. 2. Program strategies and activities are focused on environmental sanitation. 489 to facilitate and improve coordination among concerned agencies.
Children who are not fully immunized are more susceptible to common childhood diseases. Area of Coverage: Nationwide . pertussis. productive and civic-minded citizens. Intended Audience: Men and women of reproductive age (15-49) years old) including adolescents F. * 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. Abortion is NOT a FP method: * Birth Spacing refers to interval between pregnancies (which is ideally 3 years). Its objective is to reduce infant mortality and morbidity through decreasing the prevalence of six (6) immunizable diseases (TB. E. * 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. tetanus. polio and measles) Special campaigns have been undertaken to improve further program implementation. The Expanded Program on Immunization is one of the DOH Programs that has already been institutionalized and adopted by all LGUs in the region. notably the National Immunization Days (NID). and. children and other members of the family. The 1987 Constitution states that the government protects the sanctity of life. Knock Out Polio (KOP) and Garantisadong Pambata (GP) since 1993 to 2000. * Respect for Life. diphtheria. 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. The program is anchored on the following basic principles. 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. 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. This is being supported by increasing/sustaining the routine immunization and improved surveillance system. And beyond responsible parenthood is Responsible Parenting which is the proper ubringing and education of chidren so that they grow up to be upright.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.
Vision: Empowered men and women living healthy. by the end of 2004: Reduce * MMR from 172 deaths 100. 8. Logistics management 8. Strengthening FP in the regions with high unmet need for FP: CAR. Family Planning for the urban and rural poor III. individuals achieve their desired family size within the context of responsible parenthood and improve their reproductive health. K. education and counselling 6.7 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. Monitoring and evaluation 9.5% L. guidelines and plans formulation 2. the private sectors and communities ensures the availability of FP information and services to men and women who need them. ARMM VI. Mission The DOH in partnership with LGUs. Capability building for trainers of CHDs/LGUs 7. Major Activities I. Key Result Areas 1. Policy. NGOs. J.3 deaths/1000 livebirths in 1998 to less than 30 deaths/1000 live births * TFR from 3. Mandate: EO 119 and EO 102 H. Frontline participation of DOH-retained hospitals . I. social mobilization 5. Strategies I. Technical assistance to CHDs/LGUs and other partner agencies 4. CHD 5. Demand Generation through Community-Based Management Information System IV. Mainstreaming Natural Family Planning in the public and NGO health facilities V.000 LB in 1998 to less than 100 deaths/100. Contraceptive Interdependence Initiative N. Specifically. education and services whenever and wherever these are needed. productive and fulfilling lives and exercising the right to regulate their own fertility through legally and acceptable family planning services. Frontline participation of DOH-retained hospitals II. Program Goals: To provide universal access to FP information. Research and development M. NCR. Information. Standard setting 3.000 LB * IMR from 35. Advocacy. Objectives General: To help couples.G.7 children per woman in 1998 to 2.
X. 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. Funding Agencies * United States Agency for International Development (USAID) * United Nations Funds for Population Activities (UNFPA) .* 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. injectables and IUD * SOcial Marketing of contraceptives and FP services by the partner NGOs * National Funding/Subsidy VIII. 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. 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. 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. GUidelines on the Provision of VS services. Development /Updating of FP CLinical Standards IX. NCR. 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. Education and counseling activities * Advocacy and social mobilization efforts * Production of NFP IEC materials * Monitoring and evaluation activities V. Other Partners 1. 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. Formulation of FP related policies/guidelines. etc. CHD 5. E.g. Strengthening FP in the regions with high unmet need for FP: CAR. Creation of VS Outreach team by retained hospitals and its operationalization. 8.
outbreaks from FWBDs can be very passive and catastrophic. * Institute of Reproductive Health 3. typhoid fever. 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. Paragonimiasis). typhoid fever. In the Philippines. . Inc.997 per 100.7 per 100. * Friendly Care Foundation. The program focuses on cholera. From 1993 to 2002. 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. diarrheal diseases for the past 20 years is the number one cause of morbidity and mortality incidence rate is as high as 1. .000 population while mortality rate is 6. hepatitis A and other foodborne emerging diseases (e. the best approach to limit economic losses due to FWBDs is prevention through health education and strict food and water sanitation. Other diseases acquired through contaminated food and water not addressesd by other services fall under the program.* Management Sciences for Health (MSH) * Engender Health * The Futures Group 2.000 population. 2006. Also.00. 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. Since most of these diseases have no specific treatment modalities. NGOs * Reachout foundation * DKT * Philippine Federation for Natual Family Planning (PFNFP) * John Snow Inc. FWBDs such as cholera. Inc. hepatitis A and other food poisoning/foodborne diseases were the most common outbreaks investigated by the Department of Health. 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.000.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.g.
measles is not transmitted to others. barangay health stations. 2003 – January 1. 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. hospitals and other temporary immunization sites such as basketball court. Hence the HRHN was conceived to achieve such purpose and to ensure that the HRHMP will be able to attain its goals. Less than one (1) measles case is confirmed measles per one million population. the DOH together with the World Health Organization (WHO) developed the Human Resources for Health Master Plan (HRHMP). 2007. How will it be done? . This is the second follow-up measles campaign to eliminate measles infection as a public health problem. 2007 . Detects and extracts blood for laboratory confirmation from at least 2 suspect measles cases per 100. All health centers.2007) should be vaccinated against measles from October 15 November 15. the objective of KOT is to eliminate measles circulation in all communities by 2008. Who should be vaccinated? All children between 9 months to 48 months old ( born October 1. town plazas and other identified public places will also offer FREE vaccination services during the campaign period.Prior to the creation of the HRHN. projects and activities needing multi-sectoral coordination. No secondary transmission of measles. The HRHMP serves as a conceptual framework and road map that will support HRH development and management in the Philippines. Knockout Tigdas for the period of the Barangay and SK Elections Executive Order No.000 populations. 2.2007) should be vaccinated against measles. Ultimately. Knock Out Tigdas “Knock-out Tigdas 2007” is a sequel to the 1998 and 2004 “Ligtas Tigdas” mass measles immunization campaign. Included in the HRHMP is the creation of a network of different organizations with stake on HRH that will facilitate the implementation of programs. This means that when a measles case occurs. All children 9 months to 48 months old ( born October 1. door-to-door. 3. What does measles elimination mean? Measles elimination means: 1. 2003 – January 1. Other services to be given include Vitamin A Capsule and deworming tablet. When will it be done? Immunization among these children will be done on October 15-November 15. 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.
My child had measles previously. Anyway. Give him plenty of fluids and breastfeed the child. The child will not harm because there is no vaccine overdose for the measles vaccine. The best thing to do when the child has fever is to give him paracetamol every four (4) hours. diphtheria. Is there any overdose. she is not. What will happen to my child after receiving the measles immunization? Normally. hospitals and other temporary immunization sites such as basketball court. if my child receives this booster immunization? Antibodies in the blood which provide protection against disease decrease as the child grows older. We want to be 100% sure of their protection. The previously received measles immunization has formed antibodies. Ensure that the child has enough rest and sleep. The measles vaccine is even known to enhance overall immunity against other diseases. pertussis. The effect will also be like a booster vaccination. 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. There is 15% vaccine failure when the vaccine is given to 9 months old children. Additional messages: . What will happen after the “Knock-out Tigdas 2007”? To interrupt measles circulation by 2008. We cannot be sure exactly what the child had. the child will have slight fever.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. is he exempted in this campaign? There are many measles-like diseases. The child’s waning internal protection will increase. All children with fever and rashes have to be listed and tested to verify the cause of the infection. 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. but no one can really be sure. town plazas and other identified public places will also offer FREE vaccination services during the campaign period. the vaccination will not harm a child who already had measles. The team goes from one-household to another in all areas nationwide. with the booster shot it will strengthened the said antibodies. Booster vaccinations are needed to raise protection again. My child has been vaccinated against measles. A previously vaccinated child is not exempted from the vaccination campaign because we cannot be sure if her previous vaccination was 100% effective. What strategy will be used during the campaign? It is a door-to-door strategy. All health centers. Is she exempted from this vaccination campaign? No. etc. barangay health stations. especially if the illness occurred years ago. 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. The fever is a sign that the child’s vaccine is working and is helping the body develop antibodies against measles. Vitamin A capsule and deworming drug. Chances are a vaccinated child is already protected. Measles vaccination during the said campaign will be a booster vaccination for a previously vaccinated child.
this may not occur. not on the vaccines. Its elimination goals are: reduce the national PR of <1 case per 10. Program thrust is towards finding hidden cases of leprosy and put them on Multi-Drug Therapy (MDT). treatment.000 population by year 2000. “I heard that there are cases where the child who was vaccinated who became seriously ill or died. rehabilitation. so do not erase. so do not try to remove for the purpose of validation. Kilatis Kutis Campaign. The most serious and RARE adverse event following immunization is anaphylaxis which is inherent on the child. s. emphasizing the completion of treatment within the WHO prescribed duration. Supplementation during emergencies Food Fortifcation . Regular/routine . Strategies are case-finding. the posterior upper left earlobe will be marked with gentian violet.Pregnant and Lactating women. Universal . It is usually transmitted through the bite of an infected female Anopheles mosquito. manpower development and evaluation. Malaria Awareness Month . 2000: Guidelines of Vitamin A and Iron Supplementation * Therapeutic supplementation: all cases of VAD * Preventive supplementation: 1. 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. 3-A. Houses will also be marked. Minor reactions may occur such as fever but in an already immunizes child.Once the child is vaccinated. High-risk children 3.November 2007 Malaria is a disease caused by protozoan parasites called Plasmodium. advocacy. 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.000 population by year 1998 and reduce the sub-national PR to <1 case per 10. Is this true? Measles vaccine is very safe.children 6-59 months 2.
which is essential to growth of the brain and the body. Glucose-6-Phosphate Dehydrogenase Deficiency (G6PD Def) G6PD deficiency is a condition where the body lacks the enzyme called G6PD. Nutrition surveys since 1993 have been showing increasing prevalence of micronutrient malnutrition. Congenital Hypothyroidism (CH) CH results from lack or absence of thyroid hormone. 3. particularly that of Vitamin A Deficiency Disorder (VADD) and Iron Deficiency Anemia (IDA) among children and women of reproductive age. brain damage and cataracts. These are essential in maintaining a strong.The Food Fortification program is the government's response to the growing micronutrient malnutrition. If not detected and treated early. Sangkap Pinoy or micronutrients are vitamins and minerals required by the body in very small quantities. Galactosemia (GAL) GAL is a condition in which the body is unable to process galactose. 4. What is Newborn Screening? . babies may die within 7-14 days. If the disorder is not detected and hormone replacement is not initiated within (4) weeks. sharp mind. including liver damage. for the purpose of preventing or correcting a demonstrated deficiency with one or more nutrients in the population or specific population groups. Food Fortification is the addition of Sangkap Pinoyor micronutrients such as Vitamin A. Newborn Screening Basic Information about Newborn Screening What are the disorders included in the Newborn Screening Package? 1. 5. Accumulation of excessive galactose in the body can cause many problems. dehydration and abnormally high levels of male sex hormones in both boys and girls. whether or not they are normally contained in the food. foods and chemicals. 2. Babies with this deficiency may have hemolytic anemia resulting from exposure to certain drugs. GP is a program of the Department of Health in partnership with the Local Government Units (LGUs) and other government and non-government organizations. and for women to bear healthy children. Garantisadong Pambata Garantisadong Pambata (GP) is a campaign to support the various health programs to reduce childhood illnesses and deaths by promoting positive child care behaviours. healthy and active body. Excessive accumulation of phenylalanine in the body causes brain damage. Phenylketonuria (PKU) PKU is a metabolic disorder in which the body cannot properly use one of the building blocks of protein called phenylalanine. which is prevalent in the Philippines for the past several years. the baby's physical growth will be stunted and she/he may suffer from mental retardation. Iron and/or Iodine to food. Congenital Adrenal Hyperplasia (CAH) CAH is an endocrine disorder that causes severe salt lose. who are the most at-risk groups to micronutrient malnutrition. the sugar present in milk.
Using the hell prick method. The blood is dried for 4 hours and sent to the Newborn Screening Laboratory. Some disorders are not detected if the test is done earlier than 24 hours. Where is Newborn Screening Available? Newborn screening is available in practicing health institutions (hospitals. 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. The baby must be screened again after 2 weeks for more accurate results. (NBS Lab). Kernicterus Normal . Who will collect the sample for Newborn Screening? A physician. babies may be brought to the nearest institution offering newborn screening. the NBS nurse coordinator will immediately inform the coordinator of the institution where the sample was collected for recall of patients for confirmatory testing. lying-ins. 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. In case of a positive screen. 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. If babies are delivered at home. 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. the NBS secretariat office will assist its attending physician. a few drops are taken from the baby's heel and blotted on a special absorbent filter card. 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. Rural Health Units and Health Centers). Should there be no specialist in the area. a midwife or medical technologist can do the newborn screening. Disorder Effect Effect if SCREENED and Screened SCREENED treated CH (Congenital Severe Mental Retardation Normal Hypothyroidism) CAH (Congenital Adrenal Death Alilve and Normal Hyperplasia) GAL (Galactosemia) Death or Cataracts Alive and Normal PKU (Phenylketonuria) Severe Mental Retardation Normal G6PD Deficiency Severe Anemia. When is Newborn Screening done? Newborn screening is ideally done on the 48th hour or at least 24 hours from birth. Why is it important to have Newborn Screening? Most babies with metabolic disorders look normal at birth. a nurse. How is Newborn Screening done? Newborn screening is a simple procedure.Newborn Screening (NBS) is a simple procedure to find out if your baby has a congenital metabolic disorder that may lead to mental retardation and even death if left untreated.
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. Program Objectives and TargetsTo promote and protect the health and well being of the working population thru improved health. Occupational Health Program Vision/Mission Statement Health for all occupations in partnership with the workers. 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. local government authorities and other sectors in promoting self-sustaining programs and improvement of workers' health and working environment. epidemiological and applied studies . standards.Help us save the 33. better working conditions and workers' environment.000 babies affected annually by any of this disorders. employers. 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.
and several State Universities and Medical Schools. With the frontline services of the Department of Health devolved to the local government units. The technique used in . 1998 Pinoy MD Program "Gusto kong Maging Doktor" A Medical Scholarship Grant for Indigenous People. Barangay Health Workers.” National policies had been put in place to address the problems of disabled persons. Hence the PRPWD can now serve as a spring board for executing the CBRP. Persons with Disabilities Rationale & Significance The Constitution of the Republic of the Philippines recognizes every Filipino citizen’s right to health. Materials & Methods The tool used in the PRPWD was a Personal Information Sheet (PIS) developed by the Classifications and Standards Work Group for the PRPWD. Local Health Workers. networking and community action Top 25 Healthy workplaces awarded by Pres. The implementing rules and regulations of this Act required the Department of Health to establish a “national registration and reporting system” for specific types of disabilities. August. Ramos at Malacañang in 1996 1998 awardees honored by the First Lady Dr. Department of Health Employees or their children. Self-Development. Philippine Charity Sweepstakes Office (PCSO).” was passed in September 1995. otherwise known as. Loi Ejercito at Malacañang. 844 was passed to increase the mobility and access of a group of disabled persons to jobs and recreational facilities. “An Act Providing for the Rehabilitation. This is a joint program of the Department of Health (DOH). Fidel V. the Philippines issued a statement and assured the internatonal community that the country will recognize the protection and promotion of the Rights and Dignity of PWDs. 2002. The LGUs had also been empowered to implement the Community-Based rehabilitation (CBR) for PWDs by Executive Order 437. the final implementation of this Act now rests with the Local Government Units (LGUs). and Self-Reliance of Disabled Persons and Their Integration into the mainstream of Society and for Other Purposes. The Philippines was the main sponsor of resolution 56/115 on the “Implementation of the World Programme of Action Concerning Disabled Persons: Towards a society for all inthe 21st Century. The Accessibility Law or Batasang Pambansa No. Republic Act No. Last July 31. 2005. dated June 21. the government has worked to ensure that the role and contributions of Filipinos with disabilities in nationbuilding are given the appropriate attention by the international community.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 Orientation seminars and training Information campaign in coordination with local leaders Advocacy and NetworkingHealthy Workplace Campaign Launched in 1995 as a multi-sectoral health promotion strategy to build supportive environments thru advocacy.7277. Recognizing this basic constitutional right.
. Two CHDs were not included due to difficulties in data processing at the National Office. and up to five million people are infected yearly in our country. poor health infrastructures. DOH Profile. (2010). Monitoring . Directly Observed Treatment. The results of the registration of PWDs are in Tables 1.collecting the data was the survey. have also contributed to the rise in the incidence of the diseases. a total of 508. The unavailability of anti-TB drugs. Eighty percent of people afflicted with tuberculosis are in the most economically productive years of their lives.In 2004.270 PWDs registered. The tables were either hand carried or sent by snail mail to the Provincial Health Office by the Health Officer or through the Department of Health’s Local Representatives who sent the provincial summaries to the regions. Medicines.doh. and Political Commitment). age and locality was generated using a calculator. The case definitions. Results Last day for closing the 2004 Registry was April 6. 2005.ph/about_doh/profile. Retrieved on December 6. The DOTS strategy depends on five elements for its success: Microscope. (2010). thence the national office. and the disease sends many self-sustaining families into poverty.4 million PWDs. WHO introduced the Directly Observed Treatment Short Course (DOTS) to ensure completion of treatment. The PIS were collated at the Municipal or City Health Office. where a summary table for gender. procedures and practices of that survey was contained in the first version of the Manual of Operations for the PRPWD. 2.gov. our ability to consistently cure TB patients slips through our fingers. 2010 from http://www. 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. BIBLIOGRAPHY Department of Health. In 1996. insufficient laboratory networking. Retrieved on December 6. and 3. Almost two thirds of Filipinos have tuberculosis. DOH Profile. including a lack of trained health personnel. National TB Control Program The rising incidence of tuberculosis has economic repercussions not only for the patient’s family but also for the country. 2010 from http://portal.doh. representing 12% of the estimated 8. According to the World Health Organization. A national summary was produced using a calculator at the National Office. If any of these elements are missing.gov. The rise in the incidence of tuberculosis has been due to the low priority accorded to anti-tuberculosis activities by many countries.ph/program [GENERAL REFERENCE] Department of Health.
doh. (2010).doh.net/administ/doh/doh. 2010 from http://www.html .html#top Department of Health.ph/programs/malaria.ph/node/1299.doh.doh.gov.ph/programs/tigdas.html Department of Health. 2010 from http://www.html Department of Health. 2010 from http://www. 2010 from http://www. Health Programs.gov. Functions of DOH. (2010). 2010 from http://www. Retrieved on December 6.lawphil. Retrieved on December 6. (2010).html Department of Health. Retrieved on December 7.gov. (2010). 2010 from www.ph/healthadvisories/leprosy. Retrieved on December 4. Health Programs.ph/program Department of Health. Retrieved on December 5.gov. Health Programs.doh.Department of Health. (2010). Health Programs. Retrieved on December 7. Health Programs. (2010).gov.
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