Name of Student: Zamora, Barbara Ally Year & Section: BSN 2H

Name of CI: Ms. Dawn Miranda Date: October 4, 2021

2.2.2: Learning Task #2: An Evaluation of the Aedes-Borne Viral Diseases Prevention and
Control Program based on the Principles of Primary Health Care

The prevalence of aedes-borne viral diseases such as dengue is still a significant problem
that the country faces as it affects many Filipinos that can lead to severe complications and even
death. Aside from the dengue, other aedes-borne viral diseases, such as zika and chikungunya,
are also controlled to eradicate their transmissions. Hence this program, aims to expand and
integrate the existing program to include the prevention and control interventions for various
aedes-borne viral diseases such as dengue, zika, and chikungunya, and other diseases with
similar vectors.

Goals
To reduce the disease burden of dengue, and to contain and prevent transmission of
chikungunya and zika.

Objectives
• To enhance Philippine Dengue Prevention and Control
• Program management and implementation capacity of national, regional and local levels
• To expand coverage of quality anti-dengue preventive and control services
• To improve compliance to national and local policies in dengue prevention control
• To reduce financing of dengue from out-of- pocket source
Vision
Aedes-borne Viral Disease-free Philippines

Mission
Reduced disease burden of Dengue, containment and prevention of transmission of
Chikungunya and Zika

Legal Basis
• Proclamation No. 1204 series 1998 declares the month of June as the National Dengue
Awareness Month. For this year’s celebration, the Philippines was identified as the lead
country for the celebration of the Association of South East Asian Nations (ASEAN)
 Dengue Day. Participants shared their best practices in the prevention and control of
dengue within the region amidst the COVID-19 pandemic during the ASEAN Dengue
Day Regional forum.
• House Bill No. 3730 in the 17th Congress, an act providing for the control and elimination
of dengue, prescribing penalties for violation thereof and appropriating funds therefor,
known as the “Anti-Dengue Act” is declared of the State to protect and promote the right
to health of the people. This bill seeks to mandate local government units, communities,
households, business establishment, and schools to participate in the nationwide program
against Dengue. Given that the disease is preventable, this bill seeks to provide a
community-based prevention and control in endemic areas.
• The NAVDPCP’s current activities in 2020 include updating the Dengue Manual of
Operations and Administrative Order No. 2012-006: Revised Dengue Clinical Practices
Guidelines through Technical Working Group Meeting; partnering with UP-Philippine
General Hospital (PGH), UP-National Institutes of Health (NIH), Research Institute for
Tropical Medicine (RITM), and World Mosquito Program; and releasing administrative
issuances.
• To further strengthen its prevention measures, the DOH, through the Disease Prevention
and Control Bureau (DPCB), has released policy issuances related to the current Dengue
activities such as Department Order No. 2020-0536, titled “Guidelines in the Conduct of
a Dengue Mortality Review”, and Administrative Order No. 2021-0009, titled
“Guidelines for the Establishment of Dengue Centers of Excellence (COEs) in Tertiary
Hospitals''. These interventions aim to identify current gaps in clinical management and
to improve the service delivery for dengue.
• Links to Program Policies and Guidelines include: AO 2016-0043 Guidelines for the
nationwide Implementation of Dengue Rapid Diagnostic Test, AO 2012-006 Revised
Dengue Clinical Management Guidelines, AO 2001-0045 Guidelines on the Application
of Larvicides on the Breeding Sites of Dengue Vector Mosquitoes in Domestic Water,
DM 2017-0353 Implementation Guidelines for Initial Implementation of Nucleic Acid
Amplification Assay - Loop Mediated Isothermal Assay (LAMP) as One of Dengue
Confirmatory Tests to Support Dengue NSI RDT, DM 2015-0309 Reactivation of
Dengue Fast Lanes and Continuing Improvement of Systems for Dengue Case
Management and Services, and DM 2014-0112 Technical Guidelines, Standards and
other Instructions for Reference in the Implementation of Sentinel-based Active Dengue
Surveillance
Evaluation based on the 6 Principles of PHC
a. 4A's of health services
The basic healthcare and prevention for Dengue is given free at any government hospital
or health center as it is categorized according to its level of severity. Since it mainly focuses on
decreasing the mortality amongst people with the disease, it is affordable to the target population.
It is accessible for there is a considerable number of government hospitals and health centers
within communities that participate in the nationwide program against Dengue. It is also
acceptable in terms of culture and tradition. Even though there are different religions existing in
the Philippines, we are considered a Catholic country or a Christian nation. Its availability is
constantly present in the health institution as the program have components which supports the
claim.
b. Support Mechanism and Multi-sectoral approach
It utilizes a support mechanism in terms of implementation which involves the
participation of local government units, communities, households, business establishment, and
schools in the program. The program components include Surveillance (Case/Laboratory-
based/Vector Surveillances), Case Management and Diagnosis, Integrated Vector Management
(IVM), Outbreak Response, Health Promotion and Advocacy (celebration of ASEAN Dengue
Day every 15th of June), and Researches.

c. Community participation
It is initiated by implementing the enhanced 4S strategies, Search and Destroy, Seek
Early Consultation, Self-Protection Measures, and Say yes to fogging only during outbreaks.
Through these activities, people are given the opportunity to participate as there is continuous
DOH augmentation of insectides such as adulticides and larvicides to LGUs for outbreak
response. There are also partner organizations such as International Health Partner: World Health
Organization through Special Service Agreement and Short-Term Consultants; Clinical
Management, Philippine Society for Microbiology and Infectious Diseases, Inc. and Pediatric
Infectious Disease Society of the Philippines; and Diagnostic and Entomology Research Institute
for Tropical Medicine.

d. Equitable distribution of health resources - The resources required in this program is readily
available as it focuses on prevention. There are services such as PhilHealth Benefit Package for
Selected Medical Case Rates – Additional Implementing Guidelines and Trainings like Dengue
Clinical Case Management and Program Management, Nucleic Acid Amplification Test-Loop
Mediated Isothermal Assay (NAAT-LAMP) Training as One of Dengue Confirmatory Tests of
the National Aedes-borne Prevention and Control Program (NDPCP), and National Dengue
Death / Mortality Review. There is no current data on the budget allocation. The health
personnel needed to carry out this program serve from the different communities. It is made
available to majority of the people.

e. Appropriate technology?
The DOH multi-pronged approach that works in direct cooperation with medical centers
and local government units (LGUs) also aims to reduce cases of water-borne infectious diseases,
influenza, and leptospirosis, including dengue (W.I.L.D.), which usually peaks at the start of the
rainy season. Through epidemiological data and analysis submitted, the DOH has noted that
W.I.L.D. illnesses peak significantly in the months of July and October due to fluctuating
weather conditions, flooding, and accumulation of contaminated water. It is what the community
needs as this is with special consideration for the present COVID-19 pandemic are shared from
surveillance, integrated vector management, to the submission of reports to the National Dengue
Prevention and Control Program and Infectious Diseases Office of the Disease Prevention and
Control Bureau.
References

Aedes-Borne Viral Diseases Prevention and Control Program | Department of Health website.
(2012). Doh.gov.ph. https://doh.gov.ph/aedes-borne-viral-diseases-prevention-and-control-
program
Dengue Prevention and Control Program | Department of Health website. (2012). Doh.gov.ph.
https://doh.gov.ph/national-dengue-prevention-and-control-program
Department of Health website. (2012). Doh.gov.ph. https://doh.gov.ph/health-programs/aedes-
borne-viral-diseases-prevention-and-control-program/partner-organizations
DOH initiative lowers dengue deaths by 78%. (2020, September 4). @Pnagovph; Philippine

News Agency. https://www.pna.gov.ph/articles/1114383

DOH OBSERVES NATIONAL DENGUE AWARENESS MONTH, LEADS THE 2021 ASEAN

DENGUE DAY REGIONAL FORUM | Department of Health website. (2021). Doh.gov.ph.

https://doh.gov.ph/press-release/DOH-OBSERVES-NATIONAL-DENGUE-
AWARENESS-MONTH-LEADS-THE-2021-ASEAN-DENGUE-DAY-REGIONAL-
FORUM