COMMUNITY HEALTH NURSING o Promotion of health

o Improvement of conditions
I. A BRIEF INTRODUCTION o Rehabilitation of illness
- Combination of:
COMMUNITY o Nursing skills
- Group of people o Public health
- Living together
o Social assistance
- Common interest
- Is a field of nursing practice where services are delivered outside of purely curative
- Geographical boundary
- Place of usual condition institution but in community settings such as home, the school, places of work,
- “Comunicas” health centers, and clinics.
- The patient in CHN - Freeman, 1970: service rendered by a professional nurse to an individuals, families,
communities, and population groups in health centers, clinic, school in order to
HEALTH promote health, prevent illness, provide care for the sick and their respective homes,
- wellness and wellbeing provide effective rehabilitation
- dynamic and evolutionary - Philosophy of CHN: based on the worth and dignity of men
- beliefs and practices - Goals of CHN: to assist the individual, family and the community in attaining their
- a continuum highest level of holistic health
- interplay of factors
- one’s totality PUBLIC HEALTH
- state of complete physical, mental, and social well-being, not merely the absence of - Science and art
disease or infirmity - 3P’s
o Prevention of disease
COMMUNITY HEALTH o Prolonging of life
- paramedical and medical approach o Promotion of health
- focused on health of population - Organized community effort
- aims: - Foundations of health promotion
o health promotion - 3 basic strategies
o disease prevention o Advocate
o management of factors o Enable
o Mediate
NURSING - Goal: “to realize his birth rights and longevity”
- “Nutrix” - Philosophy: “worth and dignity of man”
- Science, art, and social science - 5 core business
- Utilizes nursing process (APIE only) o Disease control
- Assisting the sick to recovery o Injury prevention
- Promoting the health towards OLOF (Optimum Level Of Functioning) o Health protection
- Holistic approach to care o Health public policy
o Promotion of health
COMMUNITY HEALTH NURSING - Determinants of health (OLOF)
- Utilization of nursing process o Socioeconomic
- Different levels of clientele o Political
- Focuses on: o Health care delivery system
o Promotion o Heredity
o Prevention o Behavioral
o Rehabilitation o Environmental
- Special field of nursing
PUBLIC HEALTH NURSING
- Focuses on:
- Practice of nursing
 - National and local government units 3. RURBAN
- Community health nursing in public sector o The centro/población
COMMUNITY HEALTH NURSING o Mixed type
- Learned practice discipline o Not highly industrialized
- Collaboration with others o Conversion of agricultural lands
- Teaching and delivery of care as a method o Increasing population
- OLOF as the ultimate goal
LEVELS OF CLIENTELE
12 PRINCIPLES OF CHN (ITS COMMUNITY) 1. Individual
1. I-ts objectives are fully understood o Direct recipient of care
2. T-o be available to all o A unit of family
3. S-erves as a team member o Important to community building
4. C-PE and CPD programs are offered o Ability to relate to others
5. O-ffers provision of service evaluation 2. Family
6. M-akes family as a basic unit of service o Basic unit of community care/service
7. M-aintains connection with active groups o Composed of members (father, mother, etc.)
8. U-se of available resources o Functions focused on
9. N-eeds of community is the basis i. Physiologic
10. I-nto educative supervision of all ii. Physical
11. T-otally accurate recording and reporting iii. Economic
12. Y-ou focus on health education iv. Reproductive
v. Socialization
PHILOSOPHY OF CHN (HUMANISTIC Philosophy) 3. Community
1. H-umanistic values of the profession upheld o An organized society
2. U-nique and distinct component of health care o Usual conditions/events to families
3. M-ultiple factors of health considered o Territory and geographical locations
4. A-ctive participation of clients considered o Social avenue of growth
5. N-urse considers availability of resources 4. Population group/aggregates/vulnerable
6. I-nterdependence among members practiced o A group of people who share common characteristics, developmental
7. S-scientific and up-to date stage or common exposure to a particular environmental factors
8. T-ask of nurse vary with time and place o Aggregates and vulnerable groups
9. I-ndependence of people is the end of goal o Care must be prioritized
10. C-onnectedness of health and development regarded o Types of vulnerable groups
i. Infants and young child
3 CLASSIFICATION OF COMMUNITY ii. School age
1. Rural iii. Adolescent
o The province iv. Mother
o Open land v. Elderly
o Forest land vi. Males
o Agricultural/fishing
o Less dense TYPES OF FAMILY
o More spacious 1. Traditional type
o Pollution is low a. Nuclear
2. Urban b. Extended
o The city/metro/capital 2. Non-traditional type
o Non-agricultural land a. 3-generational
o Dense and highly populated b. Dyad
o Highly industrialized c. Single parent
o Pollution is high d. Step parent
 e. Blended  Supervising Public Health Nurse/Nurse Supervisor at Provincial or City Level
f. Single adult (alone) o BSN, RN, MN/MAN
g. No kin o 5 years PHN experience
h. Compound  Nurse Instructor II
i. Gay/cohabitating o BSN, RN, MAN
j. Commune/religious o 3 years PHN experience
k. Living-in o Special training of the functions of the nurse
 Regional Training Nurse
STAGES OF FAMILY DEVELOPMENT o BSN, RN, MAN/MPH
a. Beginning (courting, marriage) o 6 years of PHN experience, 3 of which is Nursing Education
b. Child bearing (pregnancy)  Regional Nurse Supervisor (Nurse V)
c. Child rearing o BSN, RN, MAN/MPH major in CHN Admin. & Sup.
i. With infants o 5 years PHN experience, 2 of which is Supervisory
ii. With toddlers  Nursing Program Supervisor (Nurse VI)
iii. With preschoolers o BSN, RN, MAN/MPH major PHN Administration
iv. With school age o 7 years PHN experience CHN/Training
v. With teenagers  Chief Nurse (Nurse VII)
d. Family with middle age members o BSN, RN, MAN/MPH major in CHN
e. Family with aging members o 5 years PHN experience, 3 of which is Assistant Chief Nurse
 Assistant Chief Nurse
II. THE RHU IN ACTION o BSN, RN, MAN/MPH major in CHN
o 5 years PHN experience, 2 of which is Supervisory
THE RHU PERSONNEL  Occupational Nurse
- 8 core health team members o BSN, RN
o Municipal Health Officer (MD) = 20,000 pop. o Preferably with units in Occupational Nursing
o Public Health Nurse (RN) = 20,000 pop.
o Rural Health Midwife (RM) = 5,000 pop. PERSONAL QUALIFICATION (GIRLAH)
o Dentist (Registered Dentist) = 50,000 pop.  G-ood physical and mental health
o Nutritionist (Registered Nutrionist/Dietitian)  I-nterest and willingness to work in the community
o Medical Technologist (RMT)  R-esourcefulness and creativity
o Pharmacist (RPHar)  L-eadership and potential
o Rural Sanitary Inspector (Civil Engineer by Profession)  A-ctive member in professional working organization
 H-onesty and integrity
LEVELS OF HEALTH WORKERS
1. Village/Barangay Health Workers (VHW/BHW) ROLES OF PHN
2. Intermediate Health Workers 1. Clinician
3. First line personnel 2. Organizer
3. Collaborator
QUALIFICATIONS OF PHN 4. Counselor
 Public Health Nurse I, II, & III 5. Educator
o P-rofessional Nurse with current license (RN) 6. Researcher/recorder
o H-ealth advocate to the community 7. Role model
o N-urses the masses 8. Change agent
 Where to apply/submit application 9. Health Advocate
o Municipality – Municipal Mayor 10. Case manager
o City – City Mayor 11. Hospice care
o Province – Governor
o Region – Congressman
FUNCTIONS OF PHN LEVELS OF HEALTH CARE
1. Management  Primary health care facility
2. Supervisory  Secondary health care facility
3. Nursing care  Tertiary health care facility
4. Collaborating
5. Coordinating REFERRAL SYSTEM
6. Health promotion  BHS – Rural Health Midwife
7. Training  RHU – Public Health Nurse
8. Research  MHO – Rural Health Doctor
 PHO – Provincial Health Doctor
III. THE HEALTH CARE DELIVERY SYSTEM  RHO – Regional Health Doctor
 National Agency
STRATEGIES IN DELIVERING HEALTH SERVICES
 Specialized Agency
 Creation of Restructured Health Care Delivery System (RHCDS) regulated by PD 568
(1976) IV. THE PRIMARY HEALTH CARE
 Management Information Systems regulated by R.A. 3753: Vital Health Statistics
Law PRIMARY HEATLH CARE
 Primary Health Care (PHC) regulated by LOI 949 (1984): Legalization of  Essential health care
Implementation of PHC in the Philippines  Universally accessible
 Accepted by the people
CREATION OF RHCDS
 Full participation of the people
 RHO (National Health Agency)
 Affordable cost
 MHO & PHO
 Services provided in every stage of development
 BHS & RHU
CHARACTERISTICS
THE LOCAL HEALTH BOARD (LHB)
 Acceptable
- Provincial Level
 Accessible
- Governor – Chair
 Affordable
- Provincial Health Officer – Vice Chair
- Chair, Committee on Health of Sangguniang Panlalawigan  Available
- DOH representative  Attainable
- NGO representative  Sustainable
- City and Municipal Level 
- Mayor – Chair LEGAL BASIS
- MHO – Vice Chair  May, 1977 – 30th World Health Assembly
- Chair, Committee on Health of Sangguniang Panlalawigan  Main health target is the attainment of a socially and economically productive life
- DOH representative by the year 2000.
- NGO representative  Alma Ata Declaration
- Factors of effective LHB functions:  Goal: HEALTH FOR ALL BY THE YEAR 2000
- 1. The LGU’s financial capability  PHC is the KEY to attain the GOAL
- 2. A dynamic and responsive political leadership  Alma Ata, USSR, first international conference on PHC, September 6-12, 1978
- 3. Community empowerment  Initiated by WHO, UNICEF
 LETTER OF INSTRUCTION 949
LEVELS OF PREVENTION o Signed by Pres. Ferdinand Marcos
 Primary Prevention o October 19, 1979
 Secondary Prevention  Underlying Theme:
 Tertiary Prevention o HEALTH IN THE HANDS OF THE PEOPLE BY 2020
4 PILLARS OF PHC (SALU)  Old DOH Secretary
 S-upport mechanism made available o Sec. Paulyn Jean B. Rosell-Ubial
 A-ctive community participation  Proponent of Phil. Health Agenda 2016-2022
 L-inkages both Intra- and Inter- sectoral  Current DOH Secretary
 U-se of appropriate technology o Sec. Francisco Duque III

BARRIERS OF COMMUNITY INVOLVEMENT HEALTH SECTOR REFORM AGENDA

 Lack of motivation  Strategic Goal
 Attitude o Fiscal autonomy
 Resistant to change o Secure funding
 Dependence on the part of community people o Promote development of local health systems
 Lack of managerial skills o Strengthen health regulatory agencies
o Expand the coverage of NHIP
COMPONENTS OF PHC (ELEMENTS DAM)  Framework of Implementation
o FOURmula One for Health
 E-ducation for Health
o Goals
 L-ocally Endemic and Communicable Disease Control
 B-etter health outcomes
 E-xpanded Program on Immunization
 E-quitable health care financing
 M-aternal and Child Health
 M-ore responsive health system
 E-ssential Drugs o Elements (FiReGoD)
 N-utrition  Fi-nancing of Health
 T-reatment of CD & Non-CD  Re-gulation of Health
 S-afe water and sanitation  Go-od governance
 D-ental Health  D-elivery of health service
 A-ccess to Sentrong Sigla o Key Feature
 M-ental Health  National Health Insurance Program
o Objectives
V. THE DEPARTMENT OF HEALTH  Effectiveness and efficient delivery of healthcare services
 Upgrade health care management
DEPARTMENT OF HEALTH (DOH)  Promote inter-LGU linkages
 Goal: Health Sector Reform Agenda (HSRA)  Fosters participations of private sectors
 Mission  Ensure quality health care service
o “Guarantee equitable, sustainable, and quality health for all Filipinos o Clustering of municipalities
especially the poor and lead the quest for excellence in health.”  Defined population
 EO 102: DOH as National Health Authority  Geographical area
 Vision (dream of DOH by 2030)  Referral hospitals
o “A global leader for attaining better health outcomes, competitive and  RHU’s
responsive care systems, and equitable health financing.”  BHS
 Principles to attain the vision
o Equity (no discrimination) INTER-LOCAL HEALTH SYSTEM/ZONE
o Quality (quality is above quantity)  Composition
o Accessibility (strategic health delivery) o People
 PRIMARY STRATEGIES (SAID) o Boundaries
o S-upport to local health system and front liners o Health facilities
o A-ssurance of health care o Health workers
o I-ncreased investment of PHC
o D-evelopment of national standards and objectives for health
 DOH as Facilitators
 LGU as Implementators (ra 7160)
 VI. PHILIPPINE HEALTH AGENDA 2016-2022 o Presentation
o Problem identification
o Action plan preparation
PHILIPPINE HEALTH AGENDA 2016-2022
 “All for Health towards Health for All” IX. COMMUNITY ORGANIZING
 “Lahat Para sa Kalusugan! Tungo sa Kalusugan Para sa Lahat”
 The Health System Aspiration COMBINING
o Goals  People
 Financial Protection  Health services
 Better Health Outcomes  Community agencies
 Responsiveness
o Values PURPOSE
 Equity  Learn problems
 Transparency  Own these problems
 Efficiency  Plan solution of these problems
 Quality  Act on this basis
 3 Guarantees:
o All life stages and triple burden of disease BASIC METHODS
o Service delivery network  Fact finding
o Universal health insurance  Determination of needs
 The Strategies (ACHIEVE)  Program formation
o A-dvance health promotion  Education and interpretation
o C-over for all Filipinos
o H-arness of power of partners BASIC VALUES
o I-nvest in EHealth  Human rights
o E-nforce standards  Social justice
o V-alue patients  Social responsibility
o E-licit support of multi-stakeholders
BASIC AIMS
VII. MILLENIUM DEVELOPMENT GOALS (MDG)  People empowerment
 Building people’s organization
MILLENIUM DEVELOPMENT GOALS (DEVELOPS)  Improved quality of life
 D-evelopment of global partnership
 E-nsure environmental sustainability APPROACHES TO COMMUNITY DEVELOPMENT
 V-ery improved maternal health  Welfare approach
 E-radicate extreme poverty and hunger  Modernization approach
 L-owered child mortality  Transformation approach
 O-bserve gender equality and empowerment
 P-romote universal primary education X. COMMUNITY ORGANIZING PARTICIPATORY ACTION RESEARCH
 S-upport/combat HIV/AIDS and other diseases
CONTINUOUS AND SUSTAINED PROCESS
VIII. COMMUNITY DIAGNOSIS  Educating the people
 In-depth process  Working with people
 Profiling  Mobilizing with people
 Health status
 Factors affecting health PRINCIPLES
 Steps  People are open to change
o Preparation  Have the capacity to change
o Data gathering  Able to bring about change
  Based on the interest of the poorest
 Leads to self-reliant society
EMPHASIS
 Community solve its problem
 Direction is established
 Development of community’s capacity
 Consciousness raising
IMPORTANCE
 Maximizes participation
 Alternative health interventions
 Active involvement, selection and support
 Resources are mobilized
 Improves project implementation
METHODS AND PROCESSES
 Progressive cycle of ARFA
 Consciousness raising
 Participatory/mass based
 Group centered
PHASES (4 MAIN PHASES)
 Pre-entry Phase
o Preparation of the Institution
 Train faculty and students
 Formulate plans
 Revise/enrich curriculum
 Coordinate participants
o Site Selection
 Initial networking with LGU
 Conduct PSI
 Make long/short list of potentials
 Do ocular survey
o Criteria for Initial Site Selection
 Population of 100-200 families
 Economically depressed
 No strong resistance
 No serious peace problem
 No similar group holding the same program
o Identifying Potential Municipalities
 Make long/short list
o Identifying Potential Barangay
 Same process in selecting municipality
 Consult key informants and residents
 Coordinate with LGU’s and NGO’s
o Choosing Final Barangay
 Conduct formal interviews
 Determine the need of the program
 Take note of political development
 Develop community profiles
 Develop survey tools
 Pay courtesy call
 Choose foster families
o Identifying Host Family
 House is strategically located
 Should not belong to the rich segment
 Respected by leaders
 Neighbors are not hesitant to enter
 No member of the host family should be moving out in the
community
 Entry Phase (social preparation)
o Guidelines for Entry
 Recognize the role of local authorities
 Her appearance, speech, behavior, and lifestyle should be in
keeping
 Avoid raising the consciousness of the community residents
 Adopt a low-key profile
o Activities in the Entry Phase
 Integration/immersion
 Living with the community
 Seek out to converse with people
 Lend a hand in household chores
 Avoid gambling and drinking
 Deepening social investigation
 Community study
 Verification and enrichment survey
 Conduct baseline survey by students
 Results relayed through assembly
o Core Group Formation
 Leader spotting through sociogram
 Key persons
 Opinion leader
 Isolates
 Organization Building Phase
o Community Health Organizations (CHO)
 Preparation of legal requirements
 Guidelines in the organization of the CHO by the core group
 Election of officers
o Research Team Committee
o Planning Committee
o Health Committee Organization
o Formation of by-laws by the CHO
 Sustenance and strengthening
o Key Activities
 Training of CHO for monitoring
 Identification of secondary leaders
 Linkaging and networking
  Conduct of mobilization  End view of rendering effective nursing care
 Implementation of livelihood projects
PUBLIC HEALTH BAG
 Phase Out  Essential and indispensable tool of PHN which should be carries along during home
o Partnership and Collaboration visit
 Networking  Principles of Bag Technique
 Coordination o Minimize if not prevent spread of infection
 Cooperation o Save time and effort
 Collaboration o Show effectiveness of total care
 Coalition or multi-sector collaboration o Perform in variety of ways

XI. ACTIVITIES OF PUBLIC HEALTH NURSE BAG TECHNIQUE

 Guidelines to follow
HOME VISIT o Content
 Allows the PHN to asses the home and family situations  Prepared based on convenience
 Professional face to face contact of PHN to the patient or family o Cleaning
 Goal  Done after visit, never endorse the bag
o Provide necessary nursing care o Contamination
o Promote other health related services  Bag is opened for 3 times only
 Phases o Care of Communicable cases
o Preparatory  Disinfected with 70% alcohol or Lysol
o Home visit  Done at the health center not at home
o Post visit
 Principles HOME ISOLATION TECHNIQUES
o Has a purpose or objective  Do not mix articles used by patient to others
o Use available patient or family information  Frequent washing and airing of beddings
o Priority needs is essential to be focused  Protective gown must be worn in patient’s room
o Involved individual and family  All discharges must be properly discarded
o Should be flexible  Articles soiled with discharges be boiled
 Priorities of Care  Articles that is to be burned must be burned
o Newborn
o Post-partum LEOPOLD’S MANEUVER
o Pregnant mothers  Purpose
o Morbid cases o Systematic observation and palpation of the abdomen
o Determine fetal presentation and position
STEPS (HOME VISIT)  Grips
1. H-as to greet and introduce self to family o Maneuver 1 – FUNDAL GRIP
2. O-ffer explanation of purpose  Determine whether fetal head or breech
3. M-akes query about health and welfare o Maneuver 2 – LATERAL GRIP
4. E-nforce proper placement of PHN Bag  Located the back of the fetus
5. V-igilant mind in doing handwashing o Maneuver 3 – PAWLIK’S GRIP (1st pelvic)
6. I-nstitute assessment and nursing care  Determines part in the inlet and its mobility
7. S-ecure time for health teaching o Maneuver 4 – PELVIC GRIP (2nd pelvic)
8. I-ntroduce performance of handwashing  Determines fetal attitude and degree of extension into the
9. T-o record finding and make appointment pelvis

BAG TECHNIQUE
 Enables the nurse to perform procedures with ease and deftness
 Save time and effort
BENEDICT’S TEST  Primary Prevention Health Teaching
 Purpose  Focused on health promotion
o Determine presence of glucose in urine of pregnant women  Very difficult for the nurse
o Determine risks of gestational diabetes  Time consuming
o Sample: freshly voided urine  Less cooperation from participants
o Solution: Benedict’s solution/blue solution  PHN needs to provide interactive methods
 Results  Secondary Prevention Health Teaching
o Blue: negative – none (0)  Focused on disease prevention
o Green: traces of reducing glucose (+1)  Less difficult for the nurse
o Orange red: moderate traces of glucose (+2)  Time is valued
o Brick red: large amount of glucose (+3)  More cooperation from participants
 PHN needs to provide lively methods
ACETIC TEST
 Tertiary Prevention Health Teaching
 Purpose
 Focused on illness rehabilitation and recovery
o Determine the presence of protein (albumin) in the urine
 Easier for the nurse to deliver
o Determine the risk of PIH (pregnancy induced hypertension)
 Time is well appreciated
o Sample: freshly voided urine
o Solution: acetic acid  Utmost cooperation from participants
 Result  PHN needs to provide simple methods
o 0: negative – non-cloudy
o +1: distinct cloud but non-granules 2) LOCALLY ENDEMIC & COMMUNICABLE DISEASE CONTROL
o +2: distinct cloud plus definite granules  Separate discussion for Communicable Disease Nursing
o +3: dense cloud
o +4: heavy precipitate 3) EXPANDED PROGRAM ON IMMUNIZATION (EPI)
 Goal
XII. ELEMENTS OF PRIMARY HEALTH CARE  Decrease morbidity and mortality against the immunizable
disease
1) EDUCATION FOR HEALTH  Legal Basis
 Process where KSA is transferred to people  PD 996
 Gives better informed choices - Providing for compulsory basic immunization for
 3 aspects of health teachings (IEC) infants and children below 8 y/o
 Information – knowledge  RA 10152
 Education – change thru KSA - An act providing for mandatory basic immunization
 Communication – exchange of information services for infants and children.
 Principles of Health Education  PD 147
 Considers the HEALTH STATUS - Declaring every Wednesday as National Immunization
 It’s a LEARNING PROCESS Days (NIDs)
 Involves MOTIVATION  RA 7846
- An act requiring compulsory immunization against
 BASIC FUNCTION of all health workers
Hepa B for infants and children under 8 y/o
 It can be done ANYWHERE
 EO 663
 It is a COOPERATIVE WORK
- Implementing the national commitment for “Bakuna
 It meets the NEED of the Needy
ang Una sa Sanggol at Ina”, attaining World Health
 It is achieved by DOING
Organization’s goals to eliminate measles and
 It is a SLOW CONTINUOUS PROCESS neonatal tetanus, eradicate polio, control hepatitis B
 It utilizes COMMUNITY RESOURCES and other vaccine-preventable diseases.
 It is a CREATIVE PROCESS
 It helps people attain self-reliance
  Coverage of Mandatory Infants and Children Health Immunization Act of Vaccine Dose Route Site # of Dose First Dose Interval
2011 (RA 10152) BCG I: 0/05 ml ID R Deltoid 1 At birth -
 Tuberculosis SE: 0.05 ml ID L Deltoid 1 At school -
 Diphtheria, Pertussis, Tetanus Hep B 0.5 ml IM (light) Thigh 3 At birth 6th & 14th week
OPV 2 drops PO Mouth 3 6th week 4 weeks
 Poliomyelitis
Measles 0.5 ml SC Deltoid 1 9th month -
 Measles Pentavalent 0.5 ml IM (deep) Thigh 3 6th week 6, 10, 14 weeks
 Mumps (DPT, HIB,
 Rubella or German Measles HB)
 Hepatitis B Rotavirus 2-3 drops PO Mouth 2 6th week 4 weeks
 H. Influenza type B vaccine
 Diarrhea (rotaviral) MMR 0.5 ml SC Deltoid 1 12th-15th
month
 Four (4) Major Strategies
 Sustain high level FIC coverage of at least 90%
Vaccine Minimum Time % Protection Duration of Duration of
 Sustain polio free country Mothers Infants
 Eliminate measles by 2008 Protection Protection
 Eliminate neonatal tetanus by 2008 TT1 As early during 0 None 1 year
pregnancy
ELEMENTS OF EPI TT2 4 weeks after TT1 80% 3 years 1 year
1. Target Setting TT3 6 months after TT2 95% 5 years 1 year
 Infants – 3% of entire population TT4 1 year after 99% 10 years 1 year
 School entrants – 3% of entire population TT5 1 year after 99% Lifetime 1 year
 Pregnant – 3.5% of entire population
 12-59 months – in measles HRA 11.5%
XIII. MATERNAL AND CHILD CARE
 0-59 months – for OPV 14.5%
 15-44 years old women – for TT 11.5%
 Reproductive health as a way of life
2. Cold Chain Logistics
 Determinants
 FEFO – “First Expiry First Out”
o Socioeconomic
 Arrange vaccine according to:
o Status of women
 Type – duration of storage
o Social and gender issues
 Expiration – number of times vaccine is brought out on the field
o Cultural, biological, and psychosocial factors
 Storage  Elements of Philippine Reproductive Health
 6 months – regional o Family planning
 3 months – provincial o Maternal and child health and nutrition
 1 month – main/municipal center o Prevention and management of reproductive tract infections
 5 days – barangay health station o Adolescent reproductive health
 Temperature o Prevention and management of abortion and its complications
 -15 to -25 OPV & Measles, MMR o Men’s reproductive health
 +2 to +8 other vaccines  Family Planning
3. Information, Education, and Communication (IEC) o Goal – provide universal access to information and services whenever
4. Assessment and Evaluation for the Program and wherever these are needed
5. Surveillance, Research, and Studies o Pertinent Laws
 PD 965
- A decree requiring applicant for marriage license to
receive instructions on family planning and
responsible parenthood
 EO 119
 - Reorganizing the ministry of health, its attached  Health Service Packages
agencies and for other purposes o Prenatal Periods
 Principles of Family Planning  Prenatal Visits
o Responsible parenthood  1st visit – ASAP upon pregnancy
o Respect for life  2nd visit – every month (2nd tri)
o Birth spacing  3rd visit – every 2 weeks (3rd tri)
o Informed choice  Every week (3rd trimester)

 Natural family planning (SAVES) XIV. ESSENTIAL DRUGS AND ALTERNATIVE THERAPIES
o Spacing pregnancies
o Achieving pregnancy  Legal Basis
o Value based marital bond o R.A. 9502 – Cheaper Medicine Act
o Empowerment o R.A. 6675 – Generic Drugs Act
o Safe motherhood o R.A. 6425 – Dangerous Drugs Act (old)
o R.A. 9165 – Comprehensive Dangerous Drugs Act of 2002
 Natural Family Planning Method
o Lactation Amenorrhea Method BOTIKA NG BARANGAY PROGRAM
o Ovulator/Cervical Mucus/Billing’s Method  Goal
o Basal Body Temperature Method o Equity
o Sympthothermal Symptoms o Availability
o Accessibility
 Artificial Family Planning Method o Safe and effective
o Pills o Priority for marginalized
o Condoms  Objectives
o DMPA (Depo Medroxy Progesterone Acetate) o To rationalize the distribution of common drugs and medicines
o IUD (Intra-Uterine Device)
o Vaginal Methods (Spermicide, Diaphragm, Cervical Cap) LIST OF OTC DRUGS UNDER BOTIKA NG BARANGAY
o Norplant  Analgesic/Antipyretic – Paracetamol
 Antacid – Aluminum Hydroxide
 Permanent Family Planning Methods  Antihelmintic – Albendazole, Mebendazole
o Bilateral Tubal Ligation (Female Sterilization)  Anti-allergic – Diphenhydramine
o Vasectomy (Male Sterilization)  NSAID – Mefenamic Acid, Ibuprofen
 Antivertigo – Meclozine
 Maternal Health Program  Bronchodilator – Lagundi
o 14-49 years old female reproductive age  Diuretic – Sambong
o PD 965  Antitussive – Dextromethorphan
- the Responsible Parenthood and Reproductive Health Act of  Anti-motility – Loperamide
2012 (Republic Act No. 10354), informally known as the  Solution Correcting Water – ORS
Reproductive Health Law or RH Law, is a law in the Philippines,  Laxatives – Bisacodyl
which guarantees universal access to methods on  Antiscabies – Benzyl Benzoate
contraception, fertility control, sexual education, and maternal  Antiemetic – Ferrous Sulfate
care.  Antifungals – Benzoic Acid, ASA
 Vitamins – Ascorbic Acid, Vit. A, B1, B6, B12
 Strategic Thrusts  Multivitamins – Folic Acid + Ferrous + Zinc
o BEmOC (Basic Emergency Obstetric Care)  Minerals – Calcium (lactate) (carbonate)
o 4 prenatal visits  Disinfectant – Hydrogen Peroxide
o Responsible parenthood and provision of appropriate health package to  Anti-infectives – Amoxicillin, Cotrimoxazole
women of reproductive age 18-35 years  Other – Metformin, Glibenclamide, Captopril, & Salbutamol
WALONG WASTONG GAMOT (CARIPPON)
 Cotrimoxazole – antibacterial (Trimethoprim, Sulfametoxazole)
 Amoxicillin/Amphicillin – effect is generally bacteriostatic
 Rifampicin -
 Isoniazid
 Pyrazinamide
 Paracetamol
 Oresol
 Nifedipine