THE FAMILY HEALTH

Health is a right of every human being.

Healthy people is a prerequisite to national development.
DOH uses the life span approach to design programs and assist in the delivery of
health services to specific age group.
Focus of family health is the “family”.
The family health office is tasked to operationalize health programs geard
towards the health of the family. Concerns: heath of the mother and the unborn,
new born,infant,child,adoleacent and youth, adult men and women and older
persons.(WOMB TO TOMB)

AIMS TO:
 Improve the survival, health and well being of mothers and the unborn
through a package of services for pre-pregnancy, perinatal, natal, and
post natal.
Reduce morbidity and mortality rate for children 0-9 years old.
Reduce mortality from preventable causes among causes among adolescents and
young people.
Reduce morbidity and mortality among Filipino adults and improve their quality
of life.
Reduce morbidity and mortality among older people and improve their quality of
life.

MATERNAL HEALTH PROGRAMS

The philippines is tasked to reduce the maternal mortality ratio (MMR ) by three
quarters by 2015 to achieve its millennium development goal ( MDG NO.4).
The 2000 Philippine Health Statistics revealed that 25 percent of all maternal
deaths are due to: Hypotension, Hemorrhage, and unsafe abortion.
According to the Three Delay Model, maternal deaths occurs due to delays in 1)
deciding to seek cate for perceived obstetrical complications2) identifying and
reaching the appropriate facility and 3) receiving appropriate and adequate care
in the facility.
THE STRATEGIC TRUST FOR 2005-2010
BEmOC ( Basic Emergency Obstetric Care)
-refers to the function that can be provided by a team of experienced and
trained skilled birth attendants which compose of a licensed doctor, nurse, and
midwife who acts as a team in providing basic emergency Obstetric care to
mothers and newborn.
-The WHO recommends a BEmOC facility every 125,000 populations to achieve
its millenium development goal.(MDG no. 4 and 5)
-aims to avert death and disability among pregnant women and newborn.
THE 11 BASIC FUNCTIONS OR SIGNAL FUNCTIONS OF A BEmOC
FACILITY
Administer parenteral antibtics (initial loading).
Administer parenteral anticonvulsants.
Administer parenteral uterotonics.
Removal of retained products.
Assisted vaginal delivery.
Manual placenta removal.
Resuscitation of the newborn.
Infection prevention and management for both mother and infant.
Monitoring and management of labor using the partograph.
Active management of the third stage of labor.
Infant thermal protection, feeding and HIV protection.
-CEMONC or( Comprehensive emergency obstetric and newborn care) added
surgical capacity and blood transfusion.

ADMINISTRATIVE ORDER NO. 79s 2000

-The safe morherhood policy
-promulgated in partnership with the DOH
Principles:
a. Promote of women’s right and gender sensitivity.
b. Access to health services.
c. Reporting and reviewing all maternal deaths.
d. Mobilizing families and communities to address family planning and
maternal and new born care.
e. Establishing linkages.
The essential health services packages available in BEMOC facility
1. Antenatal registration
-this is the only way to guide her in pregancy care to make her prepare for child
birth.
The standard prenatal visits that a woman has to receive during pregancy are:
1st visit- as early in pregancy as possible before four months or during the first
trimester
2nd visit- during the second trimester
3rd visit- during the third trimester
Every 2 weeks- after 8th month of pregnancy till deliver
2. Tetanus toxoid immunization
-a series of 2 doses of tetanus toxoid vaccination must be receive one month
before delivery to protect the baby from neonatal tetanus.
-3 booster dose shots to complete the five doses following the schedule provides
full protection for both the mother and child
3. Micronutrient supplementation
-vitamins A (10,000 IU twice a week starting on the 4th month of pregnancy. Not
to be given before four months. It might cause congenital problems to the baby.
-iron (60mg/400 ug tablet daily
-calcium (once a day)
4.Treatment of diseases and other conditions.
Condition and diseases:
Difficulty of breathing
What to do:
-clear airway
-place in her best position
-refer woman to the hospital with EmOC capabilities
Unconscious
What to do:
-put on her back arms at the side
-tilt head backwards (unless trauma is suspected)
-lift chin to open airway
-monitor BP ,pulse and shortness of breath every 15 minute.
-give IVF to prevent or correct shock
-monitor fluid given. If difficulty of breathing and puffiness develops, stop
infusion.
-monitor urine output

Do not give:
-oral rehydration solution to unconscious woman or has convulsion.
-do not give IVF if you are not trained to do so.
Intestinal parasite
Give: Mebendazole 500 mg single dose from 4-9 months of pregnancy if none
was given in the past 6 months

Do not give: at 1-3 months of preganancy. Might cause congenital problems.

Malaria
Give: Sulfadoxin-pyrimenthamine to women from malaria endemic areas who are
in 1st or 2nd pregancy, 500 mg, 25mg tab, 3 tabs at the beginning of 2nd to 3rd
trimesters not less than one month interval

Postpartum bleeding
What to do:
-massage uterus and expel clots
-if bleeding persist,place cupped palm on uterine fundus and feel state of
contraction
-massage fundus in a circular motion
-apply bimanual urerine compression if ergometrine treatment done and
postpartum bleedind still persist
-give ergo metrine 0.2 mg and another dose after 15 minutes

Do not give: Ergometrine if woman has eclampsia, pre-eclampsia or

hypertension

5.Clean and safe delivery

 Do a quick chech upon admission for emergency signs (ei. Vaginal
bleeding,severe abdominal pain,fever..)
 make the woman comfortable
 Assess the woman in labor
 Determine the stage of labor
 Decide if the woman can safely deliver
 Give supportive care throughout the labor
 Monitor and manage labor
 Monitor closely within one hour after deliver and give supportive
care
 Continue care after one hour postpartum
 Educate and counsel on FP and provide FP method.
 Inform and counsel the woman on important MCH messages:
  Birth registration
 Importance of FP
 Newborn screening for babies
 Schedule when to return for consultation for postpartum visits
1st visit- 1st week postpartum preferably 3-5 days
2nd visit-6 week postpartum
5.Support to breast feeding
6. Family planning counseling