ORIENTATION ON COMMUNITY HEALTH - DOH PROGRAMS & SERVICES

SCOPE OF THE ORIENTATION

 Background Information about City Health Office, its
Vision, Mission, & Human Resource
 How programs & services are being implemented &
delivered in the community.
DAVAO CITY
AREA: 2, 440 SQUARE METERS or 244, 000 hECTARES
Population: 1,825,450 (2020)
Barangays: 182
Congressional Districts : 3
VISION: “A Healthy Davao City”.
MISSION: “Promotion of health for All by providing full access to quality health care
and services in the context of balanced ecology, gender equality, sustainable growth
and equitable development.”

HEALTH HUMAN RESOURCES

RHU/Main Category of Health Personnel

Health
Centers Doctors Dentists Nurses Midwives Med Techs SIs

Total 22 19 76 104 24 29

Actual ratio 1:77,093 1:89,266 1:22,316 1:16,308 1:70,669 1:58,484

Standard 1:20,000 1:20,000 1:20,000 1:5,000 1:20,000 1:20,000

Ratio

Deficiency 62 65 8 235 60 55
based on
DOH
standards

CHO HEALTH FACILITIES

• 18 Rural Health Units
• 174 Barangay Health Centers
• District Hospital – Infirmary Level
• Dispensary Clinic
• 3 Animal Bite & Treatment Centers
• Reproductive Health & Wellness Center
• Private-Public Mix DOTS/Chest Center
• 18 Laboratory Facilities
• 18 Dental Facilities
• Medico-Legal Clinic
• 5 Birthing Facilities
10 LEADING CAUSES OF MORBIDITY (ALL AGES)
NO. CAUSES
1 Urinary Tract Infection
2 Pneumonia
3 Acute Respiratory Infection
4 Diarrhea & Gastroenteritis
5 Essential Hypertension
6 Dengue
7 Respiratory Tuberculosis
8 Gastritis
9 Diabetes Mellitus
10 Asthma

10 LEADING CAUSES OF MORTALITY (ALL AGES)

NO. CAUSES
1 Pneumonia
2 Lab Findings Not Elserwhere Classified
3 Diseases of the Heart
4 Cerebrovascular Accident
5 Diseases of the Nervous System
6 Renal Failure
7 Diabetes Mellitus
8 Diseases of the Respiratory System
9 Hypertensive Diseases
10 Tuberculosis , All Forms
ORGANIZATIONAL CHART

HEALTH PROGRAMS

I. MATERNAL HEALTH CARE/SAFE MOTHERHOOD PROGRAM

 Pre-natal (4 ANC – Quality)
 Monitoring of height & weight
 BP determination & monitoring
 Laboratory examination
 Micronutrient supplementation
 TT immunizations
 Malaria Prophylaxis (endemic areas only)
 Deworming
 Promotion of Family Planning
 Counseling & promotion of exclusive
breastfeeding, healthy lifestyle
  Post- partum
 Indicators:
 Facility –Based Deliveries
 Skilled birth Attendant
II. CHILD SURVIVAL PROGRAMS
 Essential Newborn Care (ENC) – FBD (Lying-Ins/Hospitals)
 Vitamin K injection
 Eye prophylaxis
 BCG and first dose of hepatitis B immunization
 Newborn screening
 Newborn hearing
 National Immunization Program (NIP)
 BCG
 Hepa B- birth dose
 Pentavalent (Diphtheria, Pertussis,
Tetanus, Haemophilus influenza
type B, Tuberculosis)
 Oral Polio vaccine (OPV)
 Inactivated Polio Vaccine (IPV)
 PCV (Pneumoccocal Conjugate
Vaccine)
 Measles
 MMR
 Nutrition Program
 Operation Timbang/Follow-up weighing
 WHO Child Growth Standards
a. Weight for Age (Underweight)
b. Weight for Length/Height (Stunted)
c. Length/Height for Age (Wasted) - MUAC
 Breastfeeding
 Exclusive Breastfeeding up to 6 mos
  Supplementary/Complementary Feeding
 Micronutrient Supplementation
 Deworming
III. FAMILY PLANNING PROGRAM
 Responsible Parenthood
 Respect for Life
 Birth Spacing
 Informed Choice
IV. ADOLESCENT REPRODUCTIVE HEALTH
 Includes the following:
 Teen age Pregnancy
 Depression
 Suicide
 Drug Addiction
 Alcoholism
 Teen Centers in Barangays/School Campus
 Peer counseling Referral
 Social Media Initiative – Teen Talk Davao
 Responsible Parenthood & Reproductive Health Act of 2012 or Republic
Act No. 10534 which was signed into law in December 2012.
- This law is aimed at addressing the reproductive health issues of
Filipinos.
V. ORAL HEALTH CARE PROGRAM
1. Pregnant Women
 Oral Examination
 Oral Prophylaxis
 Gum Treatment
2. Pre-schoolers
 Oral Examination
 Oral Prophylaxis
 Fluoridization
3. School Children
 Oral Examination
 Tooth Extraction
VI. STI (Sexually Transmitted Infections) / HIV (Human Immunodeficiency Virus) AND
AIDS (Acquired Immune Deficiency Syndrome) PREVENTION & CONTROL
PROGRAM
 HIV may live in the human body for years & can be spread to others
 HIV lowers the person’s body defense mechanism rendering the body unable to
fight diseases & infections.
 People infected with HIV usually look and feel healthy & may not know that they
had been infected for many years.
 The person’s HIV status can only be determined through the HIV Antibody
Testing.
 Mode of Transmission:
a. Unprotected sexual intercourse.
b. Receiving infected blood and blood products in a transfusion or organ
transplant.
c.Sharing of needles and other skin piercing instruments
d. From HIV positive mother to her baby during pregnancy and
breastfeeding.
 Prevention:
A Abstinence
B Be faithful
C Correct & Consistent Use of condoms
 D Do not use Drugs
E Educate yourself
VII. MALARIA PREVENTION AND CONTROL
1. Prevention and Vector Control
a. Provision of insecticide-treated mosquito nets
b. Indoor residual spray
2. Treatment and Care
a. Case-finding
 Malaria microscopy
 Rapid Drug Test
b. Treatment of all Malaria cases within the required time utilizing
the Revised Treatment Protocol
 Uncomplicated Malaria (Field Management)
 Complicated or severe Malaria (Hospital Management)
VIII. TUBERCULOSIS PREVENTION AND CONTROL PROGRAM

1. Detection of all forms of TB cases from Public and Private Health Care
Providers
a. Microscopy service(sputum exam)
b. Radiography service (x-ray)
c. Culture & DST service
 d. PPD Test service
2. Preventive therapy for TB in children/TB in jails/prisons
3. Treatment of all forms of TB, from Public and Private
 Adult
 Children
 Drug resistant
 TB/HIV co-infections
IX. FILARIASIS ELIMINATION SERVICES PROGRAM (9 ENDEMIC DISTRICTS)
 Mass Treatment (85%)
 Blood Survey using nocturnal blood examination or rapid test
 Davao City has been declared Filariasis Free City in 2018.
X. SCHISTOSOMIASIS / PARAGONIMIASIS ELIMINATION (3 ENDEMIC
DISTRICT)
 Mass Treatment of at least 85% of endemic population
 Sentinel surveillance
XI. RABIES ELIMINATION SERVICES
PROGRAM- ANIMAL BITE &
TREATMENT CENTER
1. Prevention and control of human
rabies through provision of Post-
Exposure Prophylaxis (PEP)
 Category II bites
 Category III bites
2. Mass dog immunization
3. Advocacy for Responsible Pet
Ownership
XII. LEPROSY ELIMINATION
 Case-finding
 Case-management and treatment
XIII. NATIONAL AEDES-BORNE VIRAL DISEASES PREVENTION AND CONTROL
(NAVDPCP) (Dengue , Zika, Chikungunya)
  Incubation Period:
 Dengue – 4-10 days
 Zika – 3-7 days
 Chikungunya – 3-14
days
 Services:
1. Case Investigation
a. Suspected
b. Probable
c. Confirmed
2. Surveillance – 100 Households
3. Fogging, IRS, misting, soaking of curtains & mosquito nets
4. Health education/IEC
 Environmental sanitation & vector control
 Enhanced 4S
 Search and Destroy
 Self-Protection Measures
 Seek Early Consultation
 Support fogging/spraying in hotspot areas where increase in
cases is registered for 2 consecutive weeks to prevent
impending outbreaks
 Management of cases
XIV. EMERGING/RE-EMERGING INFECTIONS PREVENTION AND CONTROL
SERVICES
(SARS, Meningococcemia, Avian Flu, H1N1, MERS-COV, Ebola)
a. Disease Surveillance: Notification, Investigation & Contact Tracing
b. Treatment Services (Prophylaxis)
XV. ENVIRONMENTAL SANITATION PROGRAM
 Provision of potable water supply to priority waterless barangays
 Monitoring of drinking water quality
 Promotion of proper disposal/management of domestic wastewater
  Sanitary Toilets/ Waste management in every household
XVI. NON-COMMUNICABLE DISEASES (NCD) PROGRAM
1. Cardiovascular Disease
2. Renal Disease Control Program
3. Mental Health (Substance Abuse)
4. Health & Well-being of Older Persons (RA 9994)
5. Prevention of blindness Program
6. Persons with Disability Program (RA 7277)
7. Anti-smoking Program
XVII. CARDIOVASCULAR DISEASE CONTROL PROGRAM
 Diabetes & Hearts Day every Friday
 Screening of patients on Diabetes/Hypertension
 Anthropometric Measurement
 Foot Risk assessment
 Diabetes Education
 Diagnosis & Treatment
 Follow-up & Monitoring