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Self Directive Learning:

DOH Programs

Submitted to:
Mrs. Marilyn Geopano, RN.

Submitted by:
Crystal Fate Valdez
DOH PROGRAMS

RELATED TO FAMILY HEALTH:

1. EPI ( Expanded program of Immunization)- was established in 1976

 Ensures that infants/children and mothers have access to routinely recommended


infant infant/childhood vaccines. Six vaccine- preventable diseases were initially in
the EPI: tuberculosis, poliomyelitis, diphtheria, tetanus, pertussis and measles.

Over-all Goal- is to reduce the morbility and mortality among children against the most
common vaccine- preventive disease:

Specific Goals:
 To Immunize all infant/children against the most common vaccine-preventable
disease.
 To sustain the polio-free status of the Philippines.
 To eliminate measles infection.
 To eliminate maternal and neonatal tetanus.
 To control diphtheria, pertussis, hepatitis b and German measles.
 To prevent extra pulmonary tuberculosis among children.

Mandates:

Republic Act No. 10152“MandatoryInfants and Children Health Immunization Act of


2011Signed by President Benigno Aquino III in July 26, 2010. The mandatory includes
basic immunization for children under 5 including other types that will be determined
by the Secretary of Health.

2. IMCI ( INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSES)

 A major strategy for children survival, healthy growth and development and is
based on the combined delivery of essential intervention at community, health
facility and health systems level.
 Includes elements of prevention as well as curative and addresses the most
common conditions that affect young children.
 The strategy was develoed by the world Health Organization (WHO) and United
Nation Children’s Fund (UNICEF)

 Objective of IMCI:
 Reduce death and frequency and severity of illness and disability and
 Contribute to improve growth and development
 Rationale for an integrated approach in the management of sick children
-Majority of these deaths are caused by 5 preventable and treatable conditions
namely: pneumonia, diarrhea, malaria, measles and malnutrition. Three (3) out of four
(4) episodes of childhood illness are caused by these five conditions because most
children have more than one illness at one time. This overlap means that a single
diagnosis may not be possible or appropriate.
 Who are the children covered by the IMCI protocol? 
 Sick children birth up to 2 months (Sick Young Infant)
 Sick children 2 months up to 5 years old (Sick child)

3. EEIC (Early Essential Intrapartal and Newborn Care)

 Essential intrapartum and newborn care (EINC)


- is a package of evidence-based practices , one of the recommendation by the DOH,
PhilHealth and WHO as the standard of care in all births by skilled attendants in all
government and private setting. It is a basic components of DOH’s maternal , newborn
and child health and nutrition (MNCHN) strategy. The EINC also practices for newborn
care constitute a series of time bound, chronologically ordered, standard procedures
that a baby receives at births. At the heart of the protocol are four time-bound
intervention such as immediate drying, skin-to-skin contact followed by clamping of the
cord after 1-3 minutes , non-separation of baby from mother and breastfeeding. The
EINC care protocol is a step-by-step guide for health workers and medical practitioners
issued by the DOH for implementation under administration order 2009-0025.

 The DOH embarked on Essential Newborn care, a new program to address neonatal
death in the country. Under the umbrella of the Unang Yakap Campaign.
 First is Immediate and thorough drying to stimulate breathing after delivery of the
baby, and provision of appropriate thermal care through mother and newborn skin-
to-skin contact maintaining a delivery room with clean dry cloth, properly timed
clamping and cutting the umbilical cord (1-3 minutes or until cord pulsation stops),
non-separation of the newborn and mother for early breastfeeding for the
immediate latching on and initiation of breastfeeding within first hour after birth.
 The second is home visit to increased the coverage of care for postpartum women.

 The importance of EINC is to help save lives of the pregnant mother and children
since it is effective intervention that can improve neonatal and maternal care.

4. Newborn Screening

 Newborn Screening (NBS) is an essential public health strategy that enables the
early detection and management of several congenital disorder, which if left
untreated, may lead to mental retardation and/or death. Early diagnosis and
initiation of treatment, along with appropriate long-term care help ensure normal
growth and development of the affected individual. It has been an integral part of
routine newborn care in most developed countries for five decades, either as a
health directive or mandated by law. In the Philippines, it is service available since
1996.
Objectives/Goal: By 2030, all Filipino newborn are screened and properly manage for
common and rare congenital disorder to reduce preventable death of newborns.

5. BEmONC

 The Basic Emergency Obstetric and Newborn Care (BEmONC) in Crisis Settings,
Select Signal Functions outreach refresher training is designed for clinical trainers
conducting brief training on the key components of BEmONC. The target audience
for this training is health care workers who are currently attending or will attend
births in the acute phase of an emergency response. This includes midwives, nurses,
general practice physicians, obstetricians/gynecologists, and others. It covers the
necessary skill and professional behaviors for handling common obstetric
emergencies at multiple level of care such as:
 Postpartum infection.
 Pre-eclampsia/eclampsia
 Postpartum hemorrhage

 Element of essential newborn care and newborn resuscitation are also covered in
this course. However, if participants are proficient in newborn resuscitation, time
can be allocated to practicing other lifesaving skills and/or actual clinical practice
(supervised) with clients, if the opportunity arises.Additionally, the training
includes discussions and activities that promote the sustainability of services and
address ongoing training needs where there is high staff turnover. The course is
designed for in-person training workshops in crisis settings with limited resources.
The training can take place onsite or offsite in a nearby referral facility.

Objectives/goal
 The Program contributes to the national goal of improving women’s health and
well-being by:
 Collaborating with Local Government Units in establishing sustainable, cost-
effective approach of delivering health services that ensure access of disadvantaged
women to acceptable and high quality maternal and newborn health services and
enable them to safely give birth in health facilities near their homes
 Establishing core knowledge base and support systems that facilitate the delivery of
quality maternal and newborn health services in the country.

6. Nutrition

 MICRONUTRIENT SUPPLEMENTATION PROGRAM - Micronutrient


deficiencies can cause inter-generational consequences. The level of health care and
nutrition that women receive before and during pregnancy, at childbirth and
immediately post-partum has significant bearing on the survival, growth and
development of their fetus and newborn. Undernourished babies tend to grow into
undernourished adolescents. When undernourished adolescents become pregnant,
they in turn, may give birth to low-birth weight infants with greater risk of multiple
micronutrient deficiencies.
 It was mandate on 2010
 Goal of Micronutrient:
Achievement of better health outcomes, sustained health financing and responsive
health system by ensuring that all Filipinos especially the disadvantaged group (lowest
2 income quantiles)have equitable access to affordable health care.

 Objectives:
 1.       Contribute to the reduction of disparities related to nutrition through a focus
on population groups and areas highly affected or at risk to malnutrition
 2.       To provide vitamin A capsules, iron and iodine supplements to treat or
prevent specific micronutrient deficiencies
 3.       Go to scale with key interventions on micronutrient supplementation, food
fortification, salt iodization and nutrient education.
 4.       Revive, identify, document and adopt good practices and models for nutrition
improvement.
 5.       Build Nutrition human resource in relevant departments/ agencies.

7. Mental Health Gap Action Programme (mhGAP)

 Addressing concerns related to MNS contributes to the attainment of the SDGs.


Through a comprehensive mental health program that 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; integrated in various treatment settings from community to facility that
is implemented from the national to the barangay level; and backed with
institutional support mechanisms from different government agencies and CSOs.
 A society that promotes the well-being of all Filipinos, supported by transformative
multi-sectoral partnerships, comprehensive mental health policies and programs,
and a responsive service delivery network
 Objectives/Goal:
 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
 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

 Program Component including :


 Wellness of Daily Living
 All health/social/poverty reduction/safety and security programs and the like are
protective factors in general for the entire population
 Promotion of Healthy Lifestyle, Prevention and Control of Diseases, Family wellness
programs, etc
 School and workplace health and wellness programs
 Extreme Life Experience
Provision of mental health and psychosocial support (MHPSS) during personal and
community wide disasters
 Mental Disorder
 Neurologic Disorders
 Substance Abuse and other Forms of Addiction
 Provision of services for mental, neurologic and substance use disorders at the
primary level from assessment, treatment and management to referral; and
provision of psychotropic drugs which are provided for free.
 Enhancement of mental health facilities under HFEP

PUBLIC HEALTH LAWS

1. Magna Carta for Health Worker


 the Magna Carta of Public Health Workers (RA 7305) was enacted to ensure that
health workers are properly compensated, thereby helping to promote better
delivery of quality health care service. Also, For purposes of this Act, "health
workers" shall mean all persons who are engaged in health and health-related
work, and all persons employed in all hospitals, sanitaria, health infirmaries, health
centers, rural health units, barangay health stations, clinics and other health-related
establishments owned and operated by the Government or its political subdivisions
with original charters and shall include medical, allied health professional,
administrative and support personnel employed regardless of their employment
status.It implemented on march 26, 1992.

 Objective/ Goal:
 to promote and improve the social and economic well-being of the health workers,
their living and working conditions and terms of employment;
 to develop their skills and capabilities in order that they will be more responsive
and better equipped to deliver health projects and programs; and
 to encourage those with proper qualifications and excellent abilities to join and
remain in government service.

2. Sanitation Code

 Presidential decree no. 856, december 23, 1975


 The purpose of the Environmental / Sanitary Code is to:
 Promote the health, safety, comfort, and well-being of the public
 Prescribe the procedures to be followed in administering this code or any
amendments thereto
 Prescribe the rules, regulations, standards, and enforcement procedures to prevent,
minimize, control, or eliminate potential or actual sources or causes of
environmental, health, and safety hazards

 Wastewater Disposal-Domestic wastewater is a potential source of disease and


water pollution, and a hazard to the health, safety, and welfare of the public. It is the
purpose of this chapter to provide minimum standards for the location, design,
construction, maintenance, use, and abandonment of domestic on-site wastewater
systems, and the removal and disposal of materials from such facilities within the
boundaries of the County.
 Water Supplies - The purpose this code is for regulating and controlling the
development, maintenance, and use of all water supplies used for human
consumption other than public supplies in the unincorporated areas of Jefferson
County in order that public health will be protected and the contamination and
pollution of the water resources of the county will be prevented.

3. Clean Air Act

 The act establishes federal standards for mobile sources of air pollution and their
fuels and for sources of 187 hazardous air pollutants, and it establishes a cap-and-
trade program for the emissions that cause acid rain. Also, it establishes a
comprehensive permit system for all major sources of air pollution.8749, otherwise
known as the Philippine Clean Air Act, is a comprehensive air quality management
policy and program which aims to achieve and maintain healthy air for all Filipinos.
Lifted from: Department of Environment and Natural Resources.The State shall
protect and advance the right of the people to a balanced and healthful ecology in
accord with the rhythm and harmony of nature.There are principles of CAA of 1999
 Recognize that the responsibility of cleaning the habitat and environment is
primarily area-based; Recognize that “polluters must pay”; Recognize that a clean
and healthy environment is for the good of all and should therefore be the concern
of all.
 The Goal of the CAA is to seek to protect human health and the environment from
emissions that pollute ambient, or outdoor, air.

4. Generic Act

 This Act, consisting of 15 sections, declares the policy to promote, require and
ensure the production of adequate supply, use and acceptance of drugs (including
for animal use) identified by their generic names.
The objectives of this are:
 to promote, encourage and require the use of generic terminology in the
importation, manufacture, distribution, marketing, advertising and promotion,
prescription and dispensing of drugs;
 to ensure the adequate supply of drugs with generic names at the lowest possible
cost; to encourage the extensive use of drugs with generic names through a national
system of procurement and distribution;
 to emphasize the scientific basis for the use of drugs; and to promote drug safety by
minimizing duplication in medications and/or use of drugs with potentially adverse
drug interactions.
 In the promotion of the generic names for pharmaceutical products, special
consideration shall be given to drugs and medicines which are included in the
Essential Drug List to be prepared within 180 days from approval of this Act by the
Department of Health conditions obtaining in the Philippines as well as in the
internationally accepted criteria. In particular:
 all medical and veterinary practitioners, including private practitioners, shall write
prescriptions using generic name;
 any organization or company involved in the manufacture, import, repackaging,
marketing and/or distribution of drugs and medicine shall indicate the generic
name of the product labels and,
 drugstores, pharmacies and related stores shall inform any buyer about all other
generic drugs.
5. National Health Insurance Act (PhilHealth)
 The Philippine Health Insurance Corporation (PhilHealth) is mandated to
implement the National Health Insurance Program (NHIP) through Republic Act
(RA) 10606 or the National Health Insurance Act (NHIA) of 2013 which amended
RA 7875 (NHIA of 1995). The program aims to provide health insurance coverage
and ensures access to cost-effective and quality health care services for all Filipinos.
Under this program, the premium contribution of the poor families identified by the
National Household Targeting System for Poverty Reduction are subsidized by the
government. They are also covered in the No Balance Billing Policy, where no other
fees and expenses shall be charged and be paid for by the indigent patients above
and beyond the package rates. NHIP also provides coverage to senior citizens who
are not currently covered under the program.

Goals: The National Health Insurance Program was established to provide health
insurance coverage and ensure affordable, acceptable, available and accessible health
care services for all citizens of the Philippines. It shall serve as the means for the healthy
to help pay for the care of the sick and for those who can afford medical care to
subsidize those who cannot.
 The following are the list of benefit packages offered by PhilHealth to its members:
 inpatient hospital care
 outpatient care
 emergency and transfer services and,
 other health services that PhilHealth and the Department of Health (DOH) shall
determine to be appropriate and cost-effective.
 Some of the packages provided by the program include malaria package, outpatient
HIV/AIDS treatment package, TB-DOTS package, maternity care package, medical
detoxification package, Z-benefit packages for catastrophic diseases such as cancer,
cardiovascular disease, among others.

6. National Blood Services Act

 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.
 The National Voluntary Blood Services Program (NVBSP) of the Department of
Health is targeting the youth as volunteers in its blood donation program this year.
In accordance with RA No. 7719, it aims to create public consciousness on the
importance of blood donation in saving the lives of millions of Filipinos.
Goal / Objective :
 The National Voluntary Blood Services Program (NVBSP) aims to achieve the
following:
 Development of a fully voluntary blood donation system;
 Strengthening of a nationally coordinated network of BSF to increase efficiency by
centralized testing and processing of blood;
 Implementation of a quality management system including of Good Manufacturing
Practice GMP and Management Information System (MIS);
 Attainment of maximum utilization of blood through rational use of blood products
and component therapy; and
 Development of a sound, viable sustainable management and funding for the
nationally coordinated blood network.

7. Laws on Notifiable Disease

-Notifiable DIseases
 any disease that is required by law to be reported to government authorities.
 The collation of information allows the authorities to monitor the disease, and
provides early warning of possible outbreaks.
 The CDC National Notifiable Diseases Surveillance System (NNDSS) is a nationwide
collaboration that enables all levels of public health (local, state, territorial, federal,
and international) to share health information to monitor, control, and prevent the
occurrence and spread of state-reportable and nationally notifiable infectious and
some noninfectious diseases and conditions.
-Laws on notifiable diseases
 For inclusion in the list of Notifiable Diseases, a disease may be characterised by any
of the following:
 - have the potential to cause outbreaks
 - be serious and contagious
 - be vaccine preventable
 - be potential bio-terrorism agents
 -a timely public health intervention may help control the disease

 The CDC National Notifiable Diseases Surveillance System (NNDSS) is a nationwide


collaboration that enables all levels of public health (local, state, territorial, federal,
and international) to share health information to monitor, control, and prevent the
occurrence and spread of state-reportable and nationally notifiable infectious and
some noninfectious diseases and condition.
Responsibility:
 Clinical staff
  Awareness of and compliance with requirements under the Notifiable Diseases
Act
  Awareness of the Notifiable Diseases to be reported by DMOs/GPs and pathology
laboratories.
  Understand the Notifiable Diseases reporting process
  Liaise with the DMO / GP and CDC as necessary.

8. Senior Citizen Laws


 THE 1987 Philippine Constitution, Article XV, Section 4 on the Filipino Family of the
1987 Philippine Constitution mandates that, “It is the duty of the family to take care
of its older person members, while the State may design programs of social security
for them.” It is, therefore, the obligation of each family to make sure that the senior
members of its household are properly cared for and assisted. At present, our
government has already issued several programs to help families in caring for older
persons. Among them are the following proclamations and executive orders:
 Presidential Proclamation  470, Series of 1994, declaring the first week of October
of every year as “Elderly Filipino Week.”
 Presidential Proclamation 1048, Series of 1999, declaring a nationwide observance
in the Philippines of the International Year of Older Persons
 Executive Order (EO) 266, Series of 2000, approving and adopting the Philippine
Plan of Action for Older Persons (1999-2004). EO 105, Series of 2003, approving
and directing the implementation of the program providing for group homes and
foster homes for the neglected, abandoned, abused, detached and poor older
persons and persons with disabilities.
 There are also national laws for senior citizens that need to be properly
implemented for the benefit of older persons. These are:
 Republic Act (RA) 7432, or the “Senior Citizens Act of 1991,” or “An Act to Maximize
the Contribution of Senior Citizens to Nation-Building, Grant Benefits and Special
Privileges and for Other Purposes.” This provides for the granting of a 20-percent
discount for senior citizens on fares for domestic transportation, and the availment
of services from hotels, lodging houses, restaurants, theaters, recreation centers,
and purchase of drugs and medicines anywhere in the country. It also exempts
senior citizens from payment of individual income tax and establishes the Office of
Senior Citizens Affairs (Osca) at the city or municipal mayor’s office.
 RA 9257, otherwise known as the Expanded Senior Citizens Act of 2003, expands
the coverage of the benefits and privileges for senior citizens by making it
mandatory for business establishments to grant the 20-percent discount on goods
and services. It also installs a process for organizing the Osca and the selection of
the Osca head. But, more important, it provides for a comprehensive system for
senior citizens to foster their capacity to attain a more meaningful and productive
aging.
 RA 9994, or the “Expanded Senior Citizens Act of 2010,” is the most recent
amendment and prevailing law for senior citizens. It provides for the following
benefits and privileges:
 Twenty-percent discount and 12-percent value-added tax exemption, free services
and/or training fees;
 Discount on “essential medical supplies, accessories, equipment,” free flu and
pneumonia vaccines;
 Additional government assistance, i.e., social pension, mandatory PhilHealth
coverage, social-safety nets, death benefit assistance.

The goal / objectives are:


 Older persons should have access to adequate food, water, shelter, clothing and
health care through the provision of income, family and community support and
self-help.
 Older persons should have the opportunity to work or have access to other income-
generating opportunities.
 Older persons should be able to participate in determining when and at what pace
withdrawal from the labor force takes place.
 Older persons should have access to appropriate educational and training
programs.
 Older persons should be able to live in environments that are safe and adaptable to
personal preferences and changing capacities.
 Older persons should be able to reside at home for as long as possible.

9. Revised Dangerous Drug Law


 The Dangerous Drugs Board (DDB) has issued a new regulation that will improve
access to some dangerous drugs for medical purposes.DDB Regulation No. 8 will
issue license to acquire, possess and use drug products containing dangerous drugs,
which are registered in other countries and not locally, for compassionate use.The
license may be applied before the Philippine Drug Enforcement Agency (PDEA)
directly by the patient or his relative or guardian.Products in medicine form
containing dangerous drugs will only be authorized for use here if it has been
registered by counterparts of the Food and Drug Administration (FDA) in reference
countries.
 The DDB, PDEA and the DOH will formulate the procedural guidelines for license
application within 60 days after the regulation was approved by the Board on Dec.
17, 2019.

Goal : The purpose of the Comprehensive Dangerous Drugs Law is anchored in its
Declaration of Policy of the State to “safeguard the integrity of its territory and the well-
being of its citizenry particularly the youth, from the harmful effects of dangerous drugs
on their physical acts.” (Section 2, RA 9165) What is the Target of Republic Act No.
9165.

10. Act on Cheaper Medicine

 The Law and its IRR intend to make medicines more accessible & affordable to
Filipinos by enforcing provisions that improve market competition, availability,
contain costs, improve healthcare provider and consumers behaviour, and when
instances so require, even regulate prices.  There are a number of factors to be
considered and a variety of issues and concerns to address when facing the problem
of access to medicines.  Among the major and critical issues include those of rational
drug use, public perception on generics, health professional behaviour on
prescribing and dispensing medicines, information asymmetry and exercising
informed choice, pricing, supply and distribution, and procurement systems’
transparency, respect for patent rights vis-à -vis access by the poor, quality
assurance, and many others.  This is the reason why the Law too has many different
interventions ready to address these critical and major issues.

 Who are involves in the implementation of the CMA:

 The Secretary of Health has special powers to be able to make informed decisions
and ensure the full implementation of the Law.  Such influence extends even to the
Local Government Units where the DOH shall actively engage in meaningful
partnerships to ensure the Law is followed.
 The DOH is the main implementing and monitoring agency for Cheaper Medicines
Act but this is not a sole responsibility of the Department.  DTI, IPO, FDA, PhilHealth,
PITC, PITC Pharma Inc. are all collectively working together to get the intent of the
Law done.  Moreover, the Secretary can deputize any other government agency for
any purpose related to the implementation and apt enforcement of the Law and its
IRR.
 Private Sector participation, partnerships, and advice are encouraged and sought in
terms of monitoring implementation, building capacity, and reporting violations of
the Law and its IRR.
11. Save the Children

 The Philippines as Republic Act 11650 – An Act Instituting a Policy of Inclusion and
Services for Learners with Disabilities in Support of Inclusive Education, was signed
into law on March 11, 2022.
 Save the Children Philippines lauds the enactment of this law that safeguards the
recognition, protection, and promotion of the rights of all learners with disabilities –
whether in school or out of school, to education based on equal opportunity.
 This law will provide learners with disabilities with additional resources to support
their holistic education needs that include, among others, inclusive learning
resource centers featuring multidisciplinary teams of professionals, accessible
materials, child find systems, public awareness raising, consultative mechanisms,
family education, pre- and in-service professional development for teachers and
child development workers, and an advisory council.While this law paves the way
for improved programs and services for learners with disabilities, Save the Children
recognizes that there is more to be done to raise awareness on child and human
rights-based approaches to disability, fulfilling learners with disabilities’ right to
learn alongside their peers, and eradicating the deep-seated stigma against learners
with disabilities.
12. Violence against women

 violence against women as "any act of gender-based violence that results in, or is
likely to result in, physical, sexual, or mental harm or suffering to women, including
threats of such acts, coercion or arbitrary deprivation of liberty, whether occurring
in public or in private life. There 2 types of cause of violence:
 Intimate partner violence refers to behaviour by an intimate partner or ex-
partner that causes physical, sexual or psychological harm, including physical
aggression, sexual coercion, psychological abuse and controlling behaviours.
 Sexual violence is "any sexual act, attempt to obtain a sexual act, or other act
directed against a person’s sexuality using coercion, by any person regardless of
their relationship to the victim, in any setting. It includes rape, defined as the
physically forced or otherwise coerced penetration of the vulva or anus with a
penis, other body part or object, attempted rape, unwanted sexual touching and
other non-contact forms"
 Risk factors for both intimate partner and sexual violence include:
 lower levels of education (perpetration of sexual violence and experience of sexual
violence);
 a history of exposure to child maltreatment (perpetration and experience);
 witnessing family violence (perpetration and experience);
 antisocial personality disorder (perpetration);
 harmful use of alcohol (perpetration and experience); 
 harmful masculine behaviours, including having multiple partners or attitudes that
condone violence (perpetration);
 community norms that privilege or ascribe higher status to men and lower status to
women; 
 low levels of women’s access to paid employment; and
 low level of gender equality (discriminatory laws, etc.).
Goal: provide protection to women who had suffered violent abuses.
13. Disaster Risk Reduction Management

 A National Disaster Risk Management Plan (NDRMP) is being formulated,


developed, and implemented as the master plan that will provide the strategies,
organisation, tasks of concerned agencies and local government units, and other
guidelines in dealing with disasters or emergencies. Through this plan, a coherent,
integrated, efficient, and responsive disaster risk management at all levels will
hopefully be achieved.
 The law also promotes the development of capacities in disaster management at the
individual, organisational, and institutional levels. A very important feature of this
law is its call for the mainstreaming of disaster risk reduction in physical and land-
use planning, budget, infrastructure, education, health, environment, housing, and
other sectors.
  RA 10121 also recognises local risk patterns and trends and decentralisation of
resources and responsibilities and thus encourages the participation of NGOs,
private sectors, community-based organisations, and community members in
disaster management. It inhibits the full participation of the Local Government
Units (LGUs) and communities in governance. The approach tends to be 'response-
oriented' or 'reactive.' This is evidenced by the widespread emphasis on post-
disaster relief and short-term preparedness, such as forecasting and evacuation,
rather than on mitigation and post- disaster support for economic recovery.
 the Act mandates the establishment of a Disaster Risk Reduction and Management
Office (DRRMO) in every province, city and municipality, and a Barangay Disaster
Risk Reduction and Management Committee (BDRRMC) in every barangay.

14. Rooming-in and breastfeeding act of 1992 ( milk code)


 Roming-in as a national policy to encourage, protect and support the practice of
breast-feeding.  It shall create an environment where basic physical, emotional, and
psychological needs of mothers and infants are fulfilled through the practice of
rooming-in and breast-feeding.
 Breast-feeding has distinct advantages which benefit the infant and the mother,
including the hospital and the country that adopt its practice.  It is the first
preventive health measure that can be given to the child at birth. It also enhances
mother-infant relationship.  Furthermore, the practice of breast-feeding could save
the country valuable foreign exchange that may otherwise be used for milk
importation.
 Breastmilk is the best food since it contains essential nutrients completely suitable
for the infant’s needs.  It is also nature’s first immunization, enabling the infant to
fight potential serious infection.  It contains growth factors that enhance the
maturation of an infant’s organ systems.
 For purposes of this Act, the following definitions are adopted:
 Age of gestation — the length of time the fetus is inside the mother’s womb.
 Bottlefeeding — the method of feeding an infant using a bottle with artificial
nipples, the contents of which can be any type of fluid.
 Breast-feeding — the method of feeding an infant directly from the human breast.
 Breastmilk — the human milk from a mother.
 Expressed breastmilk — the human milk which has been extracted from the breast
by hand or by breast pump.  It can be fed to an infant using a dropper, a nasogatric
tube, a cup and spoon, or a bottle.
 Formula feeding — the feeding of a newborn with infant formula usually by
bottlefeeding.  It is also called artificial feeding.
 Health institutions — are hospitals, health infirmaries, health centers, lying-in
centers, or puericulture centers with obstetrical and pediatric services.
 Health personnel — are professionals and workers who manage and/or administer
the entire operations of health institutions and/or who are involved in providing
maternal and child health services.
 Infant — a child within zero (0) to twelve (12) months of age. Infant formula — the
breastmilk substitute formulated industrially in accordance with applicable Codex
Alimentarius standards, to satisfy the normal nutritional requirements of infants up
to six (6) months of age, and adopted to their physiological characteristics.

15. Responsible parenthood and reproductive health law of 2012.


 It is an act providing for a national policy on responsible parenthood and
reproductive health. The law, which stemmed from the strong advocacy of
stakeholders and the commitment of the Government, is a point for convergence of
multi-sectoral efforts toward the improvement of health outcomes of the country. It
mandates the government to adequately address the needs of Filipinos on
responsible parenthood and reproductive health.The law aims to empower the
Filipino people, especially women and youth, through informed choice and age- and
development- appropriate education. Further, the law guarantees access to
information, facilities and services most especially for the poor by ensuring stable
and sustainable reproductive health programs are in place through partnerships
between national and local governments in collaboration with CSOs, basic sectors,
academe and private sector.
 Responsible parenthood is the will and ability of parent(s) to respond to the needs
and aspirations of the family and children. It is the shared responsibility between
parents to determine and achieve the desired number and timing of their children
according to their own aspirations. (RA 10354 Section 4v).

 Reproductive health can be defined as a state of complete well-being in matters


relating to one’s sexual and reproductive life. It implies that people are able to have
a responsible, safe, consensual and satisfying sex life and that they have the
capability to reproduce and the freedom to decide of, when, and how often to do so.
Further, it implies that men and women attain equal relationships in matters
related to sexual relations and reproduction. (RA 10354 Section 4s).
 The RP-RH law is rooted on the human rights of all persons including their right to
equality and nondiscrimination, the right to sustainable human development, the
right to health including RH, the right to education and information, and the right to
choose and make decisions for themselves in accordance to their religious
convictions, ethics, cultural beliefs and the demand of responsible parenthood.
 In particular, the law upholds and guarantee the following principles:
 The right to make free and informed decisions of every person particularly couples,
adult individuals, women and adolescents including preference and choice for FP
methods, determination of ideal family size;
 The provision of effective and quality RH care services by the state that will lead to
universal access to affordable and quality RH care and services;
 The provision of truthful information and education on RH; and
 The preferential access to the poor and the marginalized.
16. Mandatory infants and children health immunization act of 2011

 REPUBLIC ACT NO. 10152- AN ACT PROVIDING FOR MANDATORY BASIC IMMUNIZATION SERVICES
FOR INFANTS AND CHILDREN, REPEALING FOR THE PURPOSE PRESIDENTIAL DECREE NO. 996, AS
AMENDED
 The mandatory basic immunization for all infants and children provided under this
Act shall cover the following vaccine-preventable diseases:
 Tuberculosis;
 Diphtheria, tetanus and pertussis;
 Poliomyelitis;
 Measles;
 Mumps;
 Rubella or German measles;
 Hepatitis-B;
 H. Influenza type B (HIB); and
 Such other types as may be determined by the Secretary of Health in a department
circular.
The mandatory basic immunization shall be given for free at any government hospital
or health center to infants and children up to five (5) years of age.
 Hepatitis-B vaccine shall be administered by any duly licensed physician, nurse or
midwife to ah infants born in hospitals, health infirmaries, health centers or lying-in
centers with obstetrical and pediatric services, whether public or private, within
twenty-four (24) hours after birth.
 This Act which is a consolidation of Senate Bill No. 138 and House Bill No. 4393 was
finally passed by the Senate and the House of Representatives on June 8, 2011.

17. Children safety on motorcycles act of 2015


 Children below 18 years old will no longer be allowed to ride on motorcycles
starting May 19, as Republic Act 10666, or the the Children’s Safety On Motorcycles
Act of 2015, is officially in effect. This comes a day after the Anti-Distracted Driving
Act took effect on May 18.
 Under the law, it is illegal to operate a two-wheeled motorcycle on public roads if a
child is on board, specifically if there's a heavy volume of vehicles, there's a high
density of fast moving vehicles, or where there's a speed limit of more than 60 kph
is imposed. The exception here is if the child's feet can comfortably reach the
motorcycle's foot peg for the pillion rider, the child's arms can reach around and
grasp the waist of the motorcycle rider, and the child is wearing a standard
protective helmet. Another exception is if the child being transported requires
immediate medical attention.
"The Department of Transportation believes that this proactive and preventive
approach will secure the safety of passengers, especially children," the agency said in a
statement.

Goal:This is a proactive and preventive approach to secure the safety of child


passengers. It is the policy of the State to protect children.
18. Children’s emergency relief and protection act of 2016
 [REPUBLIC ACT NO. 10821]- AN ACT MANDATING THE PROVISION OF
EMERGENCY RELIEF AND PROTECTION FOR CHILDREN BEFORE, DURING, AND
AFTER DISASTERS AND OTHER EMERGENCY SITUATIONS
 For the purposes of this Act, the following shall refer to:
 Child – refers to a person below eighteen (18) years of age or those over but are
unable to fully take care of themselves or protect themselves from abuse, neglect,
cruelty, exploitation Or discrimination because of a physical or mental disability or
condition as defined in Republic Act No. 7610 or the Special Protection of Children
Against Abuse, Exploitation and Discrimination Act;
 Child with Special Needs – refers to a child with a developmental or physical
disability as defined in Republic Act No. 10165 or the Foster Care Act of 2012;
 Child-Friendly Spaces – refer to spaces where communities create nurturing
environments for children to engage in free and structured play, recreation, leisure
and learning activities. The child-friendly space may provide health, nutrition, and
psychosocial support, and other services or activities which will restore their
normal functioning;
 Civil Registry Documents – refer to all certificates, application forms, and certified
true copies of legal instruments and court decrees concerning the acts and events
affecting the civil status of persons which are presented before the Civil Registrar
and are recorded in the Civil Registry;
 Civil Society Organizations (CSOs) – as defined in Republic Act No.10121 or the
Philippine Disaster Risk Reduction and Management Act of 2010, refer to non-state
actors whose aims are neither to generate profits nor to seek governing power such
as nongovernment organizations (NGOs), professional associations, foundations,
independent research institutes, community-based organizations (CBOs), faith-
based organizations, people’s organizations, social movements, and labor unions
which are organized based on ethical, cultural, scientific, religious or philanthropic
considerations;
 Disasters – as defined in Republic Act No. 10121, refer to a serious disruption of the
functioning of a community or a society involving widespread human, material,
economic, or environmental losses and impacts, which exceeds the ability of the
affected community or society to cope using its own resources. Disasters are often
described as a result of the combination of: the exposure to a hazard; the conditions
of vulnerability that are present; and insufficient capacity or measures to reduce or
cope with the potential negative consequences. Disaster impacts may include loss of
life, injury, disease and other negative effects on human, physical, mental and social
well-being, together with damage to property, destruction of assets, loss of services,
social and economic disruption, and environmental degradation;
 Emergency – refers to unforeseen or sudden occurrence, especially danger,
demanding immediate action as defined in Republic Act No. 10121;
 Family Tracing and Reunification – refers to the process where disaster response
teams reunite families separated by natural and human catastrophes by bringing
together the child and family or previous care-provider for the purpose of
establishing or reestablishing long-term care;
 Hazard – refers to a dangerous phenomenon, substance, human activity or
condition that may cause loss of life, injury or other health impacts, property
damage, loss of livelihood and services, social and economic disruption, or
environmental damage as defined in Republic Act No. 10121;
 Orphans or Orphaned Children – refer to children who do not have a family and
relatives who can assume responsibility for their care;
 Separated Children – refer to children separated from both parents, or from their
previous legal or usual primary caregiver, but not necessarily from other relatives.
As a result, this may include children accompanied by other family members;
 State of Calamity – refers to a condition involving mass casualty and/or major
damages to property, disruption of means of livelihoods, roads, and normal way of
life of people in the affected areas as a result of occurrence of natural or human-
induced hazard as defined in Republic Act No. 10121;
 Transitional Shelter – refers to structures temporarily constructed by the
government intended for families affected by a disaster while awaiting transfer to
permanent shelters; and
 Unaccompanied Children – refer to children who have been separated from both
parents and other relatives, and who are not being cared for by an adult who, by law
or custom, is responsible for doing so.
19. Child and youth welfare code of the philippines
 All children shall be entitled to the rights herein set forth without distinction as to
legitimacy or illegitimacy, sex, social status, religion, political antecedents, and other
factors.
Every child is endowed with the dignity and worth of a human being from the moment
of his conception, as generally accepted in medical parlance, and has, therefore, the
right to be born well.
Every child has the right to a wholesome family life that will provide him with love, care
and understanding, guidance and counseling, and moral and material security.
The dependent or abandoned child shall be provided with the nearest substitute for a
home.
Every child has the right to a well-rounded development of his personality to the end
that he may become a happy, useful and active member of society.
The gifted child shall be given opportunity and encouragement to develop his special
talents.
The emotionally disturbed or socially maladjusted child shall be treated with sympathy
and understanding, and shall be entitled to treatment and competent care.
The physically or mentally handicapped child shall be given the treatment, education
and care required by his particular condition.
Every child has the right to a balanced diet, adequate clothing, sufficient shelter, proper
medical attention, and all the basic physical requirements of a healthy and vigorous life.
Every child has the right to be brought up in an atmosphere of morality and rectitude
for the enrichment and the strengthening of his character.
(6) Every child has the right to an education commensurate with his abilities and to the
development of his skills for the improvement of his capacity for service to himself and
to his fellowmen.
(7) Every child has the right to full opportunities for safe and wholesome recreation and
activities, individual as well as social, for the wholesome use of his leisure hours.
(8) Every child has the right to protection against exploitation, improper influences,
hazards, and other conditions or circumstances prejudicial to his physical, mental,
emotional, social and moral development.
(9) Every child has the right to live in a community and a society that can offer him an
environment free from pernicious influences and conducive to the promotion of his
health and the cultivation of his desirable traits and attributes.
(10) Every child has the right to the care, assistance, and protection of the State,
particularly when his parents or guardians fail or are unable to provide him with his
fundamental needs for growth, development, and improvement.
(11) Every child has the right to an efficient and honest government that will deepen his
faith in democracy and inspire him with the morality of the constituted authorities both
in their public and private lives.
(12) Every child has the right to grow up as a free individual, in an atmosphere of peace,
understanding, tolerance, and universal brotherhood, and with the determination to
contribute his share in the building of a better world.

20. Tobacco regulation act of 2003 (RA 9211)

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