MODULE 1: DOH PROGRAMS (PART 1)

PRESENTED BY: DR. MARIA CHRISTINA BERNADETTE C. AGUBA

Reference:: https://doh.gov.ph/Adolescent-Health-and-Development-Program
LEARNING OBJECTIVES:

At the end of this chapter, students are expected:

 To be familiarized with the different health programs of Philippine’s Department of Health

 To gain knowledge about the importance of DOH programs in improving health of the Filipino population

 To know the role of nurses in the effective implementation of DOH programs

 To perform measures that would increase awareness of Filipinos in availing the benefits/services of DOH
programs
ADOLESCENT HEALTH AND DEVELOPMENT PROGRAM
Description
Administrative Order No.34-A, s
2000, the Adolescent and
Youth Health Policy was issued
in April 2000.
The mission was to ensure that
all adolescents and youth have
access to quality
comprehensive health care and
services in an adolescent and
youth-friendly environment.
Objective/s
It aims to achieve the following
health outcomes among
adolescents:
(1) Healthy Development (2)
Healthy Nutrition (3) Sexual
and Reproductive Health (4)
Reduction of Substance Use
(5) Reduction of Injuries and
Mortality, Morbidity and
Psychosocial Consequences of
Injuries (6) Reduction of all
Forms of Violence and
Mortality, Morbidity and
Psychosocial Consequences of
Violence and (7) Mental
Health.
Program
Components
• Nutrition
• National Safe Motherhood
• Family Planning
• Oral Health
• National Immunization
Program
• Dangerous Drugs Abuse
Prevention and Treatment
• Harmful Use of Alcohol
• Tobacco Control
• Mental Health
• Violence & Injury Prevention
• Women and Children
Protection
• HIV/STI
Strategies
• Health promotion and behavior change for adolescents
• Adolescent participation in governance and policy decisions
• Developing/transforming health care centers to become
adolescent-friendly facilities
• Expanding health insurance to young people
• Enhancing skills of service providers, families and adolescents
• Strengthening partnerships among adolescent groups,
government agencies, private sectors, Civil Society
organizations, families and communities
• Resource mobilization
• Regular assessment and evaluation
BLOOD DONATION PROGRAM
Description
Republic Act No. 7719, also
known as the National Blood
Services Act of 1994,
promotes voluntary blood
donation to provide sufficient
supply of safe blood and to
regulate blood banks.
This act aims to inculcate
public awareness that blood
donation is a humanitarian
act.
Objective/s Program Strategies
Component/s
1. Development of a fully • Safe, adequate, accessible and • Strengthening the existing Blood Services Networks
voluntary blood donation affordable blood supply to the • Improving the delivery of safe, adequate, accessible and
system; communities affordable blood supply to health facilities
2. Strengthening of a nationally
coordinated network of BSF to
increase efficiency by centralized
testing and processing of blood
3. Implementation of a quality
management system including of
Good Manufacturing Practice
GMP and Management
Information System (MIS)
4. Attainment of maximum
utilization of blood through
rational use of blood products
and component therapy; and
5. Development of a sound, viable
sustainable management and
funding for the nationally
coordinated blood network.
BELLY GUD FOR HEALTH PROGRAM
Description
Promotion of healthy lifestyle
activities and reduction of
noncommunicable diseases
among employees and other
groups of high-risk individuals
BARANGAY NUTRITION SCHOLAR PROGRAM
Description
The Barangay Nutrition Scholar
(BNS) Program is a human
resource development strategy
of the Philippine Plan of Action
for Nutrition, which involves the
recruitment, training,
deployment and supervision of
volunteer workers called the
Barangay Nutrition Scholars
(BNS).
Objective/s
1. Prevention of non-
communicable diseases
through weight loss
2. Attaining and maintaining a
desirable waist circumference
(DWC) of <80 cms for females
and <90cms for males.
Objective/s
To train individuals who can:
1. Care for the malnourished
2. Mobilize the community
3. Help in establishing
community linkages
4. Assist in
documenting/recording of
patient information
Program Strategies
Component/s
• Healthy weight loss and • Periodic monitoring and recording of the participants waist
acceptable waist circumference for assessment
circumference • Promotion of healthy diet
• Decrease risk for lifestyle-
related diseases
Program Strategies
Component/s
• Competent Barangay Nutrition • Didactic and skills training of qualified individuals
Scholars in the Community • Regular observation of BNS and encouraging them to do their
• Decrease risk in the task correctly
occurrence of nutrition-related
problems
DENTAL HEALTH PROGRAM
Description
Advocates the prevention of
teeth and gum diseases that
may result to disruptions in the
later stage of adulthood through
provision of oral health
services/care.
DENGUE PREVENTION AND CONTROL PROGRAM
Description
To reduce the burden of
dengue as a disease on the
physical, mental, emotional,
social and economic well-
being of Filipinos
Objective/s
1. Reduced prevalence of dental
caries
2. Reduced prevalence of
periodontal disease
3. Increased proportion of orally-
fit children
Objective/s
1. To reduce dengue morbidity,
mortality, and maintain case
fatality rate
Program Strategies
Component/s
• Basic Oral Health Package (see • Formulate policy and regulations to ensure the full
this link for the complete implementation of OHP
package: • Ensure financial access to essential public and personal oral
https://doh.gov.ph/dental- health services
health-program ) • Provide relevant, timely and accurate information management
system for oral Health.
• Ensure access and delivery of quality oral health care services
• Build up highly motivated health professionals and trained
auxilliaries to manage and provide quality oral health care
Program Strategies
Component/s
• Surveillance Enhanced 4S Strategy:
• Case Management and
Diagnosis S - earch and Destroy
• Integrated Vector Management S - eek Early Consultation
• Outbreak Response S - elf Protection Measures
• Health Promotion and S - ay yes to fogging only during outbreaks
Advocacy
• Research
EMERGING AND RE-EMERGING INFECTIOUS DISEASE PROGRAM
Description
Advocates for the need to
come up with proactive
systems that would ensure
preparedness and response in
anticipation to negative
consequences that may result
in pandemic proportions of
diseases.
Objective/s
The program aims to:
1. Reduce public health impact of
emerging and re-emerging
infectious diseases; and
2. Strengthen surveillance,
preparedness, and response to
emerging and re-emerging
infectious diseases.
Program Strategies
Component/s
n.a • Policy Development
• Resource Management and Mobilization
• Coordinated Networks of Facilities
• Building Health Human Resource Capacity
• Establishment of Logistics Management System
• Managing Information to Enhance Disease Surveillance
• Improving Risk Communication and Advocacy
15 MINUTES BREAK
 EXPANDED PROGRAM FOR IMMUNIZATION (EPI)

 Immunization is the process by which vaccines are introduced into the body before infection sets in

PRINCIPLES FOR VACCINATING CHILDREN

a. It is safe and immunologically effective to administer all EPI vaccines on the same day at different sites of the
body
b. Measles vaccine should be given as soon as the child is 9 months old, regardless of whether other vaccines will
be given on that day
c. Vaccination schedule should not be restarted from the beginning even if the interval exceeded the recommended
interval by months or years
d. Moderate fever, malnutrition, mild respiratory infection, cough, diarrhea and vomiting are not contraindications
for vaccination. Generally, one should immunize unless the child is so sick that he needs to be hospitalized.
EXPANDED PROGRAM FOR IMMUNIZATION (EPI)
EXPANDED PROGRAM FOR IMMUNIZATION (EPI)
EXPANDED PROGRAM FOR IMMUNIZATION (EPI)
EXPANDED PROGRAM FOR IMMUNIZATION (EPI)
EXPANDED PROGRAM FOR IMMUNIZATION (EPI)
EXPANDED PROGRAM FOR IMMUNIZATION (EPI)
EXPANDED PROGRAM FOR IMMUNIZATION (EPI)
EXPANDED PROGRAM FOR IMMUNIZATION (EPI)

 Role of the Nurse in Improving the Delivery of Immunization Services in the Community
1. Actively masterlist infants eligible for vaccination in the community
2. Immunize infants following the recommended immunization schedule
3. Observe aseptic technique on immunization and use one syringe and one needle per child. This reduces blood-borne diseases and
promote safety injection practices
4. Dispose used syringes and needles properly by using collector box and disposing it in the septic vault to prevent health hazard
5. Inform, educate, and communicate with the parents
6. Conduct health visits in the community to assess other health needs
7. Manage vaccines properly by following the recommended storage temperature
8. Submit report and record of children vaccinated, cases and deaths on EPI diseases, vaccine received and utilized, and any other EPI
target related reports
FOOD AND WATERBORNE DISEASES PREVENTION AND CONTROL PROGRAM
Description
FWBDs refer to the limited
group of illnesses
characterized by diarrhea,
nausea, vomiting with or
without fever, abdominal pain,
headache and/or body
malaise.
These are spread or acquired
through the ingestion of food
or water contaminated by
disease-causing
microorganisms (bacterial or
its toxins, parasitic, viral).
Objective/s
To guarantee universal access to
quality FWBD-PCP intervention
and services at all stages of the
life
To guarantee financial risk
protection of clients availing
diagnosis, management and
treatment for FWBDs
To guarantee a responsive service
delivery network for the
prevention and control of FWBDs
Program
Component/s
1. Policy Plans and
Organizational Support
2. Diagnosis, Management and
Treatment
3. Quality Assurance System
4. Logistic Management
5. Capability building
6. Health Promotion and
Advocacy
7. Monitoring, Evaluation,
Research, Surveillance, and
Response
8. Outbreak Response/Disaster
Management
Strategies
Enforce the implementation of the “Code of Sanitation of the
Philippines” (PD No. 856, December 23, 1975):
Ensure access of households to safe drinking water, safe water
and sanitation facilities
1. Inspect food establishments on adherence to standards
sanitation practices
2. Provide training to food handlers and regulate
3. Ensure proper waste disposal
4. Establish, operate and sustain local epidemiology and
surveillance units
EXAMPLES OF WATERBORNE DISEASES

1. Typhoid Fever
2. Cholera
3. Giardia Infection
4. Dysentery
5. E. coli Infection
6. Hepatitis A
7. Salmonella Infection
FOOD FORTIFICATION PROGRAM
Description
Based on Republic Act 8976,
“An Act Establishing the
Philippine Food Fortification
Program and for other
purposes” mandating
fortification of flour, oil and
sugar with Vitamin A and flour
and rice with iron by
November 7, 2004 and
promoting voluntary
fortification
Objective/s
1. To provide the basis for the
need for a food fortification
program in the Philippines: The
Micronutrient Malnutrition
Problem
2. To discuss various types
of food fortification strategies
3. To provide an update on the
current situation of food
fortification in the Philippines
Program Strategies
Component/s
Addition of one or more essential Food fortification of the following nutrients based on laws and
nutrients to food, whether or not recommendations:
it is normally contained in the - Iodine (Salt)
food, for the purpose of - Vitamin A (Flour and Refined Sugar)
preventing or correcting a - Iron (Rice and Flour)
demonstrated deficiency of one
or more nutrients in the
population or specific population
groups
Implementation of the Sangkap
Pinoy Seal Program
FILARIASIS ELIMINATION PROGRAM
Description
Elimination of the following
parasites causing Filariasis in
endemic regions and
populations:
- W. bancrofti
- A. poecilius
- Anopheles flavirostris
Objective/s
To sustain transmission
interruption in provinces through
strengthening of surveillance
To intensify interventions and
interrupt transmission in
persistent infection provinces
To strengthen Morbidity
Management & Disability
Prevention (MMDP) activities and
services to alleviate suffering
among chronic patients
To strengthen the health system
capacity to secure LF elimination
Secure adequate investment from
governmental and non-
governmental sources
Program Strategies
Component/s
INTERRUPTION OF 1. Mass Drug Administration
TRANSMISSION: Elimination level 2. Disability Management
prevalence of microfilaremia of 3. Monitoring thru Midterm Sentinel surveys and Evaluation thru
less than 1% and Antigen rate of Transmission Assessment Survey
< 1% through Mass Drug 4. Post Validation Surveillance
Administration (MDA) 5. Private-Public Partnership
CONTROL AND REDUCTION OF
MORBIDITY by alleviating the
sufferings and disability caused
by its clinical manifestations
through Morbidity Management
Disability Prevention (MMDP)
SAMPLE IMAGES OF FILARIASIS PATIENTS
GARANTISADONG PAMBATA PROGRAM
Description
Comprehensive and
integrated package of
services and communication
on health, nutrition and
environment for children
available everyday at various
settings such as home,
school, health facilities and
communities by government
and non-government
organizations, private sectors
and civic groups.
Objective/s
› Contribute to the reduction of
infant and child morbidity and
mortality towards the
attainment of MDG 1 and 4.
› Ensure that all Filipino children,
especially the disadvantaged
group (GIDA), have equitable
access to affordable health,
nutrition and environment care.
Program Strategies
Component/s
GP Services Package, (see image 1. Financial risk protection.
on the next slide) 2. Improved access to quality hospitals and facilities
3. Attainment of health-related MDGs by:
4. Deploy CHTs to actively assist families in assessing and
acting on their health needs
5. Utilize life cycle approach in providing needed services: FP,
ANC, FBD, ENC, IPP, GP for 0-14 years old
6. Aggressive promotion of healthy lifestyle change
7. Harness strengths of inter-agency and intersectoral
cooperation with DepEd, DSWD and DILG
GARANTISADONG PAMBATA PROGRAM
HEALTH AND WELLNESS PROGRAM FOR SENIOR CITIZENS
Description
Promotion of the health
and wellness of senior
citizens as well as to
alleviate the conditions of
older persons who are
encountering degenerative
diseases.
Objective/s
• To ensure better health for senior citizens
through the provision of focused service
delivery packages and integrated
continuum of quality care in various
settings.
• To develop patient-centered and
environment standards to ensure safety
and accessibility of all health facilities for
the senior citizens.
• To achieve equitable health financing to
develop, implement, sustain, monitor and
continuously improve quality health
programs accessible to senior citizens.
• To enhance the capacity of health
providers and other stakeholders
including senior citizens group in the
implementation of health programs for
senior citizens.
• To establish and maintain a database
management system and conduct
researches in the development of
evidence-based policies for senior
citizens.
• To strengthen coordination and
collaboration among government
agencies, non-government organizations,
partner agencies and other stakeholders
involved in the implementation of
programs for senior citizens
Program Component/s
- Ensure safety and accessibility of senior
citizens to all health facilities and to promote
healthy ageing in order to prevent functional
decline among senior citizens.
- Provide programs that are accessible to senior
citizens.
- Ensure access of senior citizens to essential
geriatric health services including preventive,
promotive, treatment, and rehabilitation
services from the national to the local level.
- Capacitate the health care providers in both
national and local government to be able to
effectively provide technical assistance and
implement the program for senior citizens.
- Establish an information management system
and maintain a repository of data.
- Coordinate and collaborate with the local
government units and other stakeholders to
ensure an effective and efficient delivery of
health services at the hospital and community
level.
Strategies
Provide the following:
• Focused service delivery packages and
integrated continuum of quality care,
• Patient-centered and environment standard to
ensure safety and accessibility for senior
citizens,
• Equitable health financing,
• Capacitated health providers in the
implementation of health programs for senior
citizens,
• Data base management, and
• Strengthened coordination and collaboration
with other stakeholders involved in the
implementation of programs for senior
citizens.
HIV/STI PREVENTION PROGRAM
Description Objective/s Program Component/s Strategies

This program aims to • Reduce the transmission of HIV
decrease/eliminate the and STI among the Most At Risk
prevalence of HIV/STI Population and General
related infections across Population and mitigate its
populations impact at the individual, family,
and community level.
1. Health policy and program development
2. Capability building of local government
units (LGUs) and other stakeholders;
3. Leveraging services for priority health
programs.
1. Availability of free voluntary HIV Counseling
and Testing Service;
2. 100% Condom Use Program (CUP) especially
for entertainment establishments;
3. Peer education and outreach;
4. Multi-sectoral coordination through Philippine
National AIDS Council (PNAC);
5. Empowerment of communities;
6. Community assemblies and for a to reduce
stigma;
7. Augmentation of resources of social Hygiene
Clinics; and
8. Procured male condoms distributed as
education materials during outreach.
INFANT AND YOUNG CHILD FEEDING PROGRAM
Description Objective/s Program Component/s Strategies

Program that aims to
improve health and nutrition
status of infants and young
children; and 5o improve
exclusive and extended
breast feeding and
complementary feeding.
Here, the overall objective is to
improve the survival of infants and
young children by improving their
nutritional status, growth, and
development through optimal
feeding.
See images below This strategy calls for the promotion of breastmilk
as the ideal food for the healthy growth and
development of infants, and of exclusive
breastfeeding for the 1st 6 months of life as the
means to achieve optimal growth.
INFANT AND YOUNG CHILD FEEDING PROGRAM
IMCI (INTEGRATED MANAGEMENT FOR CHILDHOOD ILLNESSES) PROGRAM
Description Objective/s Program Component/s Strategies

IMCI is an integrated IMCI aims to reduce death, illness Integrated Case Management Process (See -ASSESS THE PATIENT (Taking the history and
approach to child health and disability and to promote image on the next slide) observing the patient’s condition)
that focuses on the well- improved growth and development -CLASSIFY THE DISEASE (Identify if MILD,
being of the whole child. among children under five years of MODERATE, or SEVERE)
age. -TREAT THE PATIENT
IMCI include curative and -COUNSEL THE PATIENT (Through providing of
preventive elements that health education)
are implemented by
families and communities
and by health facilities.

FOR COMPLETE IMCI CHART, PLEASE REFER TO THIS LINK:

HTTPS://WWW.WHO.INT/MATERNAL_CHILD_ADOLESCENT/DOCUMENTS/PDFS/IMCI_CHART_BOOKL
ET.PDF
IMCI (INTEGRATED MANAGEMENT FOR CHILDHOOD ILLNESSES) PROGRAM
IMCI (INTEGRATED MANAGEMENT FOR CHILDHOOD ILLNESSES) PROGRAM
SELF-ASSESSMENT EXERCISES:

1. Think of a DOH program that needs review. Tell your analysis about the
effectiveness of this program and how it could be further enhanced for
better implementation.
2. Formulate any type of awareness campaign (e.g., infomercial, poster
dissemination, seminars, health education activities, etc) for the
discussed DOH programs
3. Find an actual case being targeted in IMCI. Try to determine the possible
interventions to be done for the child based on the stipulation in IMCI
chart
 MODULE 1: DOH PROGRAMS (PART 2)
PRESENTED BY: DR. MARIA CHRISTINA BERNADETTE C. AGUBA

Reference:: https://doh.gov.ph/Adolescent-Health-and-Development-Program
LEARNING OBJECTIVES:

At the end of this chapter, students are expected:

 To be familiarized with the different health programs of Philippine’s Department of Health

 To gain knowledge about the importance of DOH programs in improving health of the Filipino population

 To know the role of nurses in the effective implementation of DOH programs

 To perform measures that would increase awareness of Filipinos in availing the benefits/services of DOH
programs
 KNOCK-OUT TIGDAS 2007
Description
“Knock-out Tigdas 2007” is a
sequel to the 1998 and 2004
“Ligtas Tigdas” mass measles
immunization campaigns.
This is the second follow-up
measles campaign to eliminate
measles infection as a public
health problem.
Objective/s
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.
Program
Components
• Measles Immunization
• Vitamin A capsule will be
given and deworming tablet
to children
Strategies
• It is a door-to-door strategy. The team goes from one-
household to another in all areas nationwide.
• All health centers, barangay health stations, hospitals and
other temporary immunization sites such as basketball court,
town plazas and other identified public places will also offer
FREE vaccination services during the campaign period.
LIFESTYLE-RELATED DISEASES PROGRAM
Description
Programs that aim to lessen
the burden of non-
communicable diseases;
(NCDs)
These diseases are considered
as lifestyle related and is
mostly the result of unhealthy
habits.
Objective/s
To develop and promote an
integrated and comprehensive
program on the prevention and
control of lifestyle-related
diseases in the country.
To engage all province-wide or
city-wide health systems
Program
Components
• Advocacy and Health
Promotion
• Capacity Building
• Health systems
strengthening
• Health care financing
• Network building and
collaboration
• Policy development and
regulation
• Research, surveillance,
monitoring and evaluation
(M&E)
Strategies
• Develop a regional program and plan of action on prevention
and control of lifestyle-related diseases, advocate and provide
template for the integration of the said program and plan into
the annual health action plans of local government units and
other partners.
• Strengthen health systems
• Collaborate with local government units, private sectors, and
other partners.
• Engage in health promotion and advocacy initiatives
• Ensure the inclusion of lifestyle-related diseases in the unified
health research agenda
• Strengthen surveillance, monitoring and evaluation systems for
lifestyle-related diseases and their determinants
• Advocate for the establishment and strengthening of
regulatory mechanisms
 MALARIA CONTROL AND ELIMINATION PROGRAM
Description
DOH-NMCEP aims to eliminate
malaria by adopting a health
system focused approach to
achieve universal coverage
Objective/s
Objective 1 (Universal Access)
Objective 2 (Governance and
Human Resources
Objective 3 (Health Financing)
Objective 4 (Health Information
and Regulation)
Program
Components
1. Program Management and
Health System -
2. Diagnosis and Treatment
3. Vector Control
4. Advocacy and Social
Mobilization
5. Surveillance, Outbreak
Preparedness and Response
6. Monitoring and Evaluation
7. Partnerships
8. Assessment of Other Factors
- assessment of the possible
contribution of factors such as
government health
expenditure, poverty, forest
cover, etc
Strategies
• Early Detection and Prompt Treatment through a strengthened
case-finding mode;
• Foci investigation and Classification as a means to determine
need for interventions;
• Annual Stratification using Foci Classification;
• Strengthened recording and reporting;
• Quality assurance monitoring to cover all aspects of malaria
service delivery;
• Structured capability-building of local health system staff; and
• Adaption of specified IEC strategies and other social
mobilization approaches for identified risk groups
MICRONUTRIENT SUPPLEMENTATION PROGRAM
Description
The micronutrient
supplementation program was
adopted in response to the
micronutrient malnutrition in the
country.
Objective/s
To reduce the prevalence of
underweight, anemia and iodine-
deficiency disorder among under
five children.
Program Strategies
Components
Provision of Vitamin A Target the nutritionally at-risk and vulnerable.
supplements
Promote Infant and young child feeding practices
Augmentation of iron drops and
syrups for under five children Integrate and strengthen nutrition services in the maternal continuum
of care.
Augmentation for iodine checker
solutions Promote universal access to the standard child survival package of
interventions.
Conduct of Monitoring and
Evaluation of Local Level Plan
Implementation (MELLPI)
Advocacy for the creation of
ordinances that supports
micronutrient supplementation
and breastfeeding.
Advocacy to the priority province
on strengthening their local
nutrition committees
MICRONUTRIENT SUPPLEMENTATION PROGRAM
MENTAL HEALTH PROGRAM
Description
Includes a wide range of
promotive, preventive,
treatment and rehabilitative
services; that is for all
individuals across the life
course especially those at risk
of and suffering from MNS
disorders
Objective/s
To promote participatory
governance and leadership in
mental health
To strengthen coverage of mental
health services through multi-
sectoral partnership to provide
high quality service aiming at best
patient experience in a responsive
service delivery network
Program Strategies
Components
1. Wellness of Daily Living Provision of services for mental, neurologic and substance use
2. Extreme Life Experience disorders at the primary level from assessment, treatment and
3. Mental Disorder
4. Neurologic Disorders
management
5. Substance Abuse and other Forms
of Addiction Enhancement of mental health facilities under HFEP

To harness capacities of LGUs and

organized groups to implement
promotive and preventive
interventions on mental health

To leverage quality data and

research evidence for mental
health

To set standards for compliance in

different aspects of services
NATIONAL FAMILY PLANNING PROGRAM
Description Objective/s Program Strategies
Components
To increase modern Contraceptive 1. Service Delivery
It also provides information Prevalence Rate (mCPR) among all • FP Outreach Mission 2. Logistics Management
and services for the couples of women from 24.9% in 2017 to • FP in hospitals 3. Training
reproductive age to plan their 30% by 2022 • Intensive Demand generation 4. Monitoring and Evaluation
family according to their beliefs 5. Research and Development
To reduce the unmet need for
and circumstances through
modern family planning from
legally and medically 10.8% in 2017 to 8% by 2022
acceptable family planning
methods.
 FEMALE STERILIZATION (TUBAL LIGATION)
 Involves cutting or blocking 2 fallopian tubes to provide permanent contraception for women who do not want more
children.

ADVANTAGES:
1. Permanent method; lifelong,
safe, and effective.
2. Nothing to remember, no
supplies needed, and no
repeated clinic visits required
3. Does not interfere with sex
4. No effect in breastfeeding
quantity and quality
5. No long-term side-effects or
health risks
DISADVANTAGES
1. Infection/bleeding at infection
site
2. Injury at the internal organs
3. Anesthesia risks
4. In rare cases when pregnancy
occurs, it is more likely ectopic
5. Reversal surgery is difficult
6. Requires operating set-up and
physical examination
7. Do not protect against STDs/HIV
8. Clients may have limitations in
physical activities after surgery
MALE STERILIZATION (VASECTOMY)
 Vas deferens (passage of the sperm) is tied/cut/blocked through a small opening on the scrotal skin

ADVANTAGES: DISADVANTAGES
1. Very effective, 3 months after 1. Uncomfortable due to slight pain
the procedure 2. Reversibility is difficult and
2. Permanent, safe, simply and expensive
easy to perform 3. Bleeding may result in
3. Can be performed in a hematoma in the scrotum
clinic/primary care center
4. No apparent long-term health
risks
5. Does not affect male hormonal
function, erection, and
ejaculation
6. Option for couples whose
female partner can’t undergo
medical tx
PILLS
 Contains hormones estrogen/progesterone taken daily to prevent contraception
 Taken daily per orem.
ADVANTAGES:
1. Convenient and easy to use
2. Makes menstrual cycle occur
regularly and predictable
3. Reduces gynecologic symptoms
such as painful menses and
endometriosis
4. Reduces risk of ovarian and
endometrial cancer
5. Reversible, rapid return to
fertility
6. Does not interfere with sexual
intercourse
DISADVANTAGES
1. If not used correctly and
consistently, effectiveness is
lowered.
2. With side-effects of nausea,
dizziness or breast tenderness
3. May pose health risks for a
number of women
4. Offers no protection against
STDs
5. Effectiveness may be lowered if
taken with Rifampicin and
anticonvulsants
6. Can suppress lactation
7. Requires regular resupply.
MALE CONDOM

 Sheath of latex rubber made to fit on a man’s erected penis to prevent the passage of sperm cells and STDs into
the vagina.

ADVANTAGES: DISADVANTAGES
1. Safe and has no hormonal effect 1. May cause allergy for people
2. Protects against microorganisms who are sensitive to
causing STDs/HIV latex/lubricant
3. Encourages male participation in 2. May decrease sensation,
family planning Interrupts the sexual act
4. Easily accessible 3. Requires a man’s cooperation
5. Is used in managing premature for use
ejaculation
 INJECTABLES
 Contains synthetic hormone, progestin, which suppresses ovulation, thickens cervical mucus, making difficult for
sperm to pass through changes and uterine lining

ADVANTAGES: DISADVANTAGES
1. Reversible 1. Little weight gain
2. No need for daily intake 2. Depression
3. Does not interfere with sexual 3. A feeling of bloating and belching
intercourse in the stomach
4. Perceived as culturally acceptable 4. Breast pain
by some women 5. Menstrual
5. Private since it is not coitally irregularities/Amenorrhea
dependent 6. Delay in the return of fertility
6. Has no estrogen-related side-
effects
7. Does not affect breastfeeding
quantity and quality
8. Has beneficial non-contraceptive
effects
LACTATING AMENORRHEA METHOD
 Temporary introductory postpartum method of postponing pregnancy based on physiological infertility experienced
by breastfeeding women.
ADVANTAGES:
1. LAM is universally accessible to
all post-partum breastfeeding
women
2. Protection from an unplanned
pregnancy begins immediately
at post partum
3. No other FM commodities are
required
4. It contributes to maternal and
child health nutrition
DISADVANTAGES
1. Short-term, FP method which is
effective only for a maximum of
6 months postpartum
2. Effectiveness may decrease if
mother and child are separated
for longer periods of time
3. Full or nearly full BF mothers
may be difficult to maintain for
up to 6 mos
MUCUS/BILLINGS/OVULATION
 Abstaining from sexual intercourse during fertile/wet days
to prevent pregnancy
 HOW IS IT USED:
1. Recording of menstruation and dry days
2. Inspecting underwear regularly for presence of mucus
3. Recording the most fertile observation/characteristics
at the end of the day.

ADVANTAGES: DISADVANTAGES
1. Can be used by any woman of 1. Cannot be used by women with
reproductive age as long as conditions that would make
she’s not suffering from a pregnancy especially dangerous
disease that results in
extraordinary vaginal discharges
that makes observation difficult
BASAL BODY TEMPERATURE

 Used in identifying fertile and non-fertile

period of a woman’s cycle by daily taking
and recording of the rise in body
temperature during and after ovulation.
 Here, thermometer is placed in axilla or
under the tongue to get the temperature 3
hours of undisturbed rest during (upon
waking up and before any activity)
throughout the menstrual cycle.

 Advantages: VERY EFFECTIVE

 Disadvantages: Requires to take BBT
everyday and time to record temperature.
 SYMPTOTHERMAL METHOD & 2-DAY METHOD

 Symptothermal method: Identification of fertile

and non-fertile days of the menstrual cycle as
determined through a combination of
observations made on cervical mucus, basal
body temperature, and signs of ovulation.

 2-day method: simple fertility awareness based

on cervical secretions and woman checking the
presence of secretions everyday.
STANDARD DAYS METHOD
 Here, all users with menstrual cycle between 26 and 32 days are counselled to
abstain from sexual intercourse on 8-19 to avoid pregnancy.
 The couples use color-coded cycle beads to mark the fertile and infertile days of
the menstrual cycle.

ADVANTAGES: DISADVANTAGES
1. No health-related side-effects 1. Cannot be used by women who
2. Increases awareness and usually have menstrual cycle
knowledge about human between 26 and 32 days long
reproduction & can lead to dx of
some gynecologic problems
3. No need for counting/charting
4. Can be used either to
avoid/achieve pregnancy
5. Very little cost
6. Enhances self-discipline and
mutual respect
7. Not dependent on medically-
qualified personnel
8. Provides opportunities for
enhancing the couple’s sexual life
NATIONAL LEPROSY CONTROL PROGRAM
Description
The National Leprosy Control
Program (NLCP) is a multi-
agency effort to control
Leprosy in the country with
private and public partnership
in achieving its goals to lessen
the burden of the disease and
its mission to have a leprosy-
free country.
Objective/s
To further reduce the disease
burden and sustain provision of
high-quality leprosy service
To decrease by 50% the
identified hyper endemic cities
and municipalities
Program Components Strategies
• Early diagnosis and • Strengthen local government ownership, coordination and
treatment partnership
• Integration of leprosy • Stop leprosy and its complications
services • Stop discrimination and promote inclusion
• Referral system
• Case detection and diagnosis
• Advocacy and IEC focusing
on stigma discrimination and
reduction
• Prevention of Deformity, self-
care and rehabilitation
• Recording and reporting
• Monitoring, supervision and
evaluation
NATIONAL TUBERCULOSIS CONTROL PROGRAM
Description
The National Tuberculosis
Control Program, organized in
1978 and operating within a
devolved health care delivery
system, is one of the public
health programs managed and
coordinated by the Infectious
Diseases for Prevention and
Control Division (IDPCD) of the
Disease Prevention and
Control Bureau (DPCB) of the
Department of Health (DOH).
Objective/s Program Components Strategies
• Improve the utilization of TB • Develop policies, standards, • Provision of TB diagnostic and treatment services
care and prevention services by and national strategic plan • Formulating of Community groups, such as the community
patients and communities. • Manage program logistics health teams and barangay health workers to participate in
• Reduce the catastrophic cost of • Provide leadership and community-level activities.
TB-affected households
technical assistance to the • Directly Observed Therapy Shortcourse (DOTS)
accessing DOTS facilities to 0%.
lower health offices/units
• Ensure adequate and
competent human resources • Manage data and use the
for TB elimination efforts. information to inform
• Improve the use of TB data for programmatic activities
effective TB elimination efforts. • Conduct monitoring and
• Enhance the quality of all TB evaluation
care and prevention services.
• Increase to at least 90% of
DOTS facilities that provide
expanded integrated patient-
centered TB care and
prevention services.
• Enhance the political
stewardship through a high-
level political commitment of
national government agencies
and LGUs to implement
localized TB elimination plans in
coordination with different
sectors.
NATIONAL TUBERCULOSIS CONTROL PROGRAM

Pyrazinamide
NEWBORN SCREENING PROGRAM
Description
Newborn screening (NBS) is an
essential public health strategy
that enables the early
detection and management of
several congenital disorders,
which if left untreated, may
lead to mental retardation
and/or death.
Objective/s
By 2030, all Filipino newborns
are screened; Strengthen
quality of service and intensify
monitoring and evaluation of
NBS implementation;
Sustainable financial scheme;
Strengthen patient
management
Program Components
1. Actual screening
2. Follow-up and recall of
patients who are positive for
any of the 6 disorders
included in the newborn
3. Diagnosis or confirmation of
cases on patients with
positive results in the
screening.
4. Management/treatment
and monitoring of babies
confirmed to have the
disorder.
Strategies
• Ensuring Efficient Operations, Systems and Networks
Management
• Expanding Package of Services and Delivery Network
• Enhancing Health Promotion and Advocacy
• Optimizing Health Information Management Systems for
Expanded Newborn Screening
• Strengthen Monitoring and Evaluation
• Establishing Sustainable Financing Scheme
NATIONAL SAFE MOTHERHOOD PROGRAM
Description
The National Safe Motherhood
Program is committed to
provide rational and
responsive policy direction to
its local government partners
in the delivery of quality
maternal and newborn health
services with integrity and
accountability using proven
and innovative approaches
Objective/s Program Components Strategies
The Program contributes to the • Local Delivery of the • Strategic Change in the Design of Safe Motherhood Services
national goal of improving Maternal–Newborn Service • An Integrated Package of Women’s Health and Safe Motherhood
women’s health and well-being Package Services
by: • National Capacity to Sustain • Reliable Sustainable Support Systems
Maternal-Newborn Services • Stronger Stewardship and Guidance from the DOH Program
1. Collaborating with Local Manager and Regional Coordinators
Government Units in
establishing sustainable,
cost-effective approach of
delivering health services
2. Establishing core knowledge
base and support systems
that facilitate the delivery of
quality maternal and
newborn health services in
the country.
RABIES PREVENTION AND CONTROL PROGRAM
Description
Provides for the “control and
elimination of human and
animal rabies
Objective/s Program Components
To eliminate rabies as a • Post-Exposure Prophylaxis
public health problem with (PEP) and Pre-Exposure
absences of indigenous (PrEP)
cases for human and • Health Promotion
animal • Dog Population Management
• Central Database System
• Responsible Pet Ownership
• Health Education and
advocacy campaign
• Training/Capability Building
• Training on National Rabies
Information System (NaRIS)
• Establishment of ABTCs by
Inter-Local Health Zone
• DOH-DA joint evaluation and
declaration of Rabies-free
areas/provinces
Strategies
• Provision of Post Exposure Prophylaxis to all rabies exposures/ animal
bite victims (provided by RA 9482).
• ABTC/ABC certification as quality PEP providers-PhilHealth Package
• Provision of Pre- Exposure Prophylaxis (PrEP) to high risk individuals and
school children in high incidence area- Provided by RA 1984.
• Strengthened IEC campaign
• Advocacy Campaign
• Training of Medical Doctors and Registered Nurses of ABTCs on the
guidelines on the management of animal bite victims- A requirement for
ABTC certification as providers of quality PEP services and PHIC
accreditation
• Disease free zone – Joint DOH-DA evaluation and declaration of Rabies-
free islands (as provided for in the DOH disease free zone initiative and
the Joint DOH-DA AO).
• Integration of rabies program in elementary curriculum
• Post-mortem review
• Support to Department of Agriculture on Dog Vaccination
SCHISTOSOMIASIS CONTROL & ELIMINATION PROGRAM
Description
The program aims to prevent
and eliminate the occurrence
of Schistosomiasis; particularly
in endemic regions of the
Philippines.
Objective/s Program Components Strategies
• To develop/enhance the • Elimination of Lymphatic • Preventive Chemotherapy and infection Control
Knowledge and skills of Filariasis as a public health • Transmission Control
LGU staff in the problem by 2018 • Public-Private/ P2P Partnerships
implementation of the • Elimination of • Advocacy and social mobilization
Schistosomiasis Schistosomiasis as a public • Monitoring and evaluation
Prevention and Control. health problem by 2020
• Active and Passive Case • Reduction of the prevalence
Finding and Treatment rate of Soil-Transmitted
• Environmental Control Helminthiasis to 25% by
• Snail Control 2018
• Health Education
• Mass Treatment
UNANG YAKAP PROGRAM (ESSENTIAL NEWBORN CARE)
Description Objective/s Program Components Strategies
ENC is a simple cost-effective • The program aims to • Immediate and thorough • See the DOH-WHO Protocol at this link:
newborn care intervention that give appropriate and drying of the newborn https://ferfect.ucoz.com/_ld/0/55_unang_yakap_pro.pdf
can improve neonatal as well immediate support on • Early skin-to-skin contact
as maternal care. IT is an the health and nutrition • Properly-timed cord clamping
evidence-based intervention of a newborn is • Non-separation of the
that: significant in avoiding newborn and mother for early
newborn complications initiation of breastfeeding
• emphasizes a core that may result to
sequence of actions, death.
performed methodically
(step -by-step);
• is organized so that
essential time bound
interventions are not
interrupted; and
• fills a gap for a package of
bundled interventions in a
guideline format.