17/08/2023

COMMUNITY PROF. VINCE GASMIN

HEALTH VINCE GASMIN

NURSING @beansgasmin
Prof. John Vincent A. Gasmin @-beansgasmin

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D – isease Prevention of Under 5 years old

O- ral Health / Dental Health Program DISEASE
H - ygiene and Environmental Sanitation
P - revention & Control of Communicable Disease PREVENTION
R - eproductive Health UNDER 5
O - lder Persons care services
G - uidelines in Nutrition and Health INTEGRATED
R - ehabilitation of Non-CD
A – lternative Medicine MANAGEMENT ON
M - aternal & Child Health
CHILDHOOD
DOH PROGRAMS ILLNESSES

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IMCI IMCI
HISTORY HISTORY
• 1992 – UN → WHO • 1992 – UN → WHO
• 1995 – DOH • 1995 – DOH
• 1997 – School of RN, RM • 1997 – School of RN, RM

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IMCI IMCI
TARGET SETTING: RHU COLOR COMBINATION
TARGET AGE: UNDER 5
PINK
ALERT!!! GIDA / FAR FLUNG YELLOW
GREEN

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IMCI National Immunization Program

The National Immunization Program, which was then known as
PINK HOSPITAL URGERT REFERAL/SEVERE Expanded Program for Immunization, was launched by the
Philippine government on July 12, 1976 with the assistance of
YELLOW RHU SOME World Health Organization (WHO) and the United Nations
Children’s Fund (UNICEF) to ensure that infants/children and
GREEN HOME NO / UNLIKELY mothers have access to routinely recommended
infant/childhood vaccines

RA 10152 – Mandatory Basic Immunization Services for Infants

and Children

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National Immunization Program National Immunization Program

Vision
Enabled and strong immunization system for everyone, everywhere at
every age to attain a vaccine-preventable disease-free and a
healthier Philippines.

Mission
Guided by the Universal Health Care Law, the program commits to
ensure that every Filipino is fully immunized from vaccine-preventable
diseases by building a strong and well-supported immunization
system that is equipped for routine immunization service delivery and
backed with contingencies for and response to public health crises
related to VPDs, vaccines and immunization programs.

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PROF. VINCE GASMIN

ORAL
VINCE GASMIN HEALTH
@beansgasmin
@-beansgasmin CARE

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VISION: Empowered and responsible Filipino citizens taking care of their own
personal oral health for an enhanced quality of life.

MISSION: The state shall ensure quality, affordable, accessible and available
oral health care delivery.

GOAL: Attainment of improved quality of life through promotion of oral health

and quality oral health care.

Presidential Proclamation no. 559 signed by Former President Gloria Macapagal

Arroyo February as National Dental Health Month

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What are the most common oral health illnesses of the

Filipinos? What are the most common oral health illnesses of the
Dental Caries (tooth decay) and Periodontal Diseases (gum Filipinos?
diseases) Dental Caries (tooth decay) and Periodontal Diseases
(gum diseases)
Dental caries can be prevented through…
•regular visits to the dentist for early diagnosis and preventive care;
Gum diseases can be prevented through…
•professionally applied fluorides & sealants;
•regular visits to the dentist for early detection and treatment;
•well balanced diet;
•minimize eating sugary foods and •regular and proper toothbrushing and
•good plaque control through regular toothbrushing and flossing. •healthy lifestyle such as avoidance of tobacco smoking, drugs &
excessive alcohol-intake

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What are the most common oral health illnesses of the

Filipinos?
Dental Caries (tooth decay) and Periodontal Diseases HYGIENE &
(gum diseases) ENVIRONMENTAL
Gum diseases can be prevented through…
SANITATION
•regular visits to the dentist for early detection and treatment;
•regular and proper toothbrushing and
•healthy lifestyle such as avoidance of tobacco smoking, drugs &
excessive alcohol-intake

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Major Law
Regulating Sanitation in the Philippines WATER SAFETY
• PD 856 SANITATION CODE OF THE PHILIPPINES PROHIBITIONS OF THE CODE OF SANITATION ON WATER SAFETY
• PD 825 ANTI LITTERING LAW
• RA 9003 SOLID WASTE MANAGEMENT ACT ▪ Washing and Bathing within a radius of 25 meters from any well or
• RA 8749 CLEAN AIR ACT other sources of drinking water
• RA 9275 CLEAN WATER ACT ▪ Construction of artesian, deep or shallow well within 25 meters
• RA 9516 NALT ENVIRONMENTAL AWARENES ACT from any source of pollution
• EO 26 NATL SMOKING BAN ▪ Drilling a well within 50-meter distance from a cemetery
• RA 10611 FOOD SAFETY ACT ▪ Construction of dwellings within the catchment area of a protected
• RA 11211 PROVISION OF CLEAN TOILETS IN PUBLIC spring water source
TRANSPORTATION TERMINALS

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WATER SAFETY WATER SAFETY

THREE TYPES OF APPROVED WATER SUPPLY
DESCRIPTION POINT SOURCE COMMUNAL FAUCET WATERWORKS SYSTEM
SYSTEM / STAND POST
SUITABLE AREA RURAL AREAS HOUSES RURAL AREA WHERE DENSELY POPULATED
ARE THINLY SCATTERED HOUSES ARE CLUSTERED URBAN AREAS
DENSELY
NUMBER OF 15 – 25 HH AVERAGE OF 100 MORE THAN 100
HOUSEHOLD HOUSEHOLD
HOUSEHOLDS
SERVED
DISTANCE FROM NOT GREATER THAN 250 NOT MORE THAN 25 REACHES EVEN
MTERS FROM THE METERS FROM THE OUTLYING
FARTHEST FARTHEST HOUSE FARTHEST HOUSEHOLD COMMUNITIES
HOUSEHOLD
WATER YIELD OR 40 TO 140 LITERS 40 TO 80 LITERS OF AT LEAST INE FAUCET
WATER PER CAPITAL PER PER HOUSEHOLD
DISCHARGE DAY WITH ONE FAUCET
PER

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GARBAGE DISPOSAL FOOD SAFETY

PROHIBITED ACTS ON SOLID WASTE MANAGEMENT ACT • Food Establishment must have sanitary permit
• No person shall be employed in food establisgment without any
▪ Open Burning of Solid Wastes health certificate
▪ Open Dumping • No person shall be allowed to work in food handling while
▪ Burying on flood prone areas affected by a communicable disease such as boils, infected
▪ Squatting in Landfills wounds, respiratory infection, diarrhea and GI upset
▪ Operation of Landfills on any aquifer, groundwater reservoir • After properly washing the Utensils, Immersion for at least half a
or watershed minute in clean hot water 77C, or lukewarm water with 55-
▪ Construction of any establishment within 200 meters from a 100ppm of chlorine solution for one minute, or steam for 15
dump or landfill minutes to 77C or 5 minutes to 200C

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FOOD SAFETY
FOUR RIGHTS IN FOOD SAFETY
FOOD SAFETY
• Right Source
• Buy Fresh, Check Expiry Dates, Avoid deformed canned foods
• When in doubt with water sources boil for at least 2 minutes
• Right Preparation WHEN IN DOUBT, THROW IT OUT
• Right Cooking
• 70 degrees
• Right Storage
• Food should not be left at room temperature for more than 2 hours
• Store cooked foods in tightly sealed containers
• Hot conditions – at least 60 degrees centigrade
• Cold conditions – below or equal to 10 degrees centigrade
• 10 – 60C Organism easily multiply

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National Tuberculosis Control Program

Vision: TB -free Philippines
PREVENTION OF Mission: To reduce TB burden (TB incidence and TB mortality)
To achieve catastrophic cost of TB-affected households
COMMUNICABLE To responsively deliver TB service

DISEASES RA 10767 : Comprehensive TB Elimination Plan Act of 2016

CAUSATIVE MODE OF INCUBATION

AGENT TRANSMISSION PERIOD

MYCOBACTERIUM AIRBORNE / 4 – 6 WEEKS

DROPLET

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TYPES OF PATIENT
NEW
C

Never had treatment, <1 mos in Treatment

DIAGNOSTIC TEST Previously Treated, Cured, Completed Tx
RELAPSE
C

DSSM but presently positive

Treatment After Failure, Previously Tx
TAF
C

XPERT but still positive, don’t show improvement

SKIN TEST Treatment After Lost to Follow up, lost to

C

TALF follow up for 2 months

X - RAY C

PTOU
Previously Treatment Outcome Unknown,
Undocumented

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TB MEDICATIONS TB MEDICATIONS
PULMONRY TB
H – ISONIAZID CATEGORY CLASSIFCATION INTENSIVE MAINTENANCE
PHASE PHASE
R – RIFAMPICIN
1 NEW RIPE 2 RI 4
Z – PYRAZINAMIDE 2 RELAPSE RIPES 2 RIE 5
TAF RIPE 1
E – ETHAMBUTOL TALF
PTOU
S – STREPTOMYCIN

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TB MEDICATIONS
Aedes Control Program
EXTRA PULMONRY TB Vision Aedes-borne Viral Disease-free Philippines

CATEGORY CLASSIFCATION INTENSIVE MAINTENANCE Mission

Reduced disease burden of Dengue, containment and
PHASE PHASE prevention of transmission of Chikungunya and Zika
1A NEW RIPE 2 RI 10
2A PREVIOUSLY RIPE 3 RIE 9 CAUSATIVE MODE OF INCUBATION
TREATED AGENT TRANSMISSION PERIOD

DENGUE VIRUS 1234 VECTOR BORNE 7 DAYS

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Aedes Control Program Aedes Control Program

Vision Aedes-borne Viral Disease-free Philippines

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

CAUSATIVE MODE OF INCUBATION

AGENT TRANSMISSION PERIOD

DENGUE VIRUS 1234 VECTOR BORNE 7 DAYS

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Family Planning Program

REPRODUCTIVE
HEALTH “Usap Tayo sa FP so you can Practice Safe Sex,”
“Usap Tayo sa FP para sa HIV-Free ‘Pinas,”
“Usap Tayo sa FP dahil ang Pamilyang Planado,
Protektado!”, and
“I CHOOSE #MalayaAkongMaging”.

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Family Planning Program Family Planning Program

Benefits of Family Planning to Mothers
1. Enables her to regain her health after Delivery
2. Prevents pregnancy-related health risk
3. Gives enough time and opportunity to love and provide
attention to family
4. \Gives more time for her family and own personal
advancement
5. When suffering from illness, gives enough time for
treatment and recovery

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Family Planning Program Family Planning Program

Benefits of Family Planning to Children Benefits of Family Planning to Father

1. Reduces Infant Mortality Rate 1. Lightens the burden and responsibility in supporting his
2. Healthy Mother produced healthy children family
3. Will get the attention, love security and care they deserve 2. Enables him to give his children their basic needs

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Responsible Parenthood
Family Planning Program
1. The Right to Life
2. The Right to Liberty & Security of the Person
3. The Right to Equality and to be free from Forms of
Discrimination
4. The Right to Privacy
5. The Right to Freedom of Thought
6. The Right to Information and Education
7. The Right to Choose Whether or Not to Marry to find and
plan and family

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Responsible Parenthood
8. The Right to Decide Whether or When to Have Children
9. The Right to Health Care and Health Protection OLDER ADULT
10. The Right to the Benefits if Scientific Progress HEALTH CARE
11. The Right to Freedom of Assembly and Political
Participation
12. The Right to be Free from Torture and Ill Treatment
13. The Right to Development

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Micronutrient Supplementation Program

Vision: Empowered healthy and well-nourished Filipino families
GUIDELINES IN Mission: DOH and partners to align their strategic actions and exert collective and
NUTRITION & unified efforts to create a supportive environment for a sustainable and improved
nutrition development Spot
HEALTH RA 11037 – National Feeding Program for Undernourished Children in Public Daycare,
Kinder and Elementary Schools to combat hunger and undernutrition among Filipino
Children

RA 11148 – National and Local Health and Nutrition Program through a strengthened
Integrated Strategy for Maternal, Neonatal, Child Health and Nutrition in the first 1000
days of life

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Food Fortification Program Food Fortification Program

Objectives:
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
Fortification as defined by Codex Alimentarius
“the addition of one or more essential nutrients to food, whether or not it is normally contained in
the food, for the purpose of preventing or correcting a demonstrated deficiencyof one or more
nutrients in the population or specific population groups”
Vitamin A, Vitamin A Deficiency (VAD) and its Consequences
•Vitamin A - an essential nutrient as retinol needed by the body for normal sight, growth,
reproduction and immune competence
•Vitamin A deficiency - a condition characterized by depleted liver stores & low blood levels of
vitamin A due to prolonged insufficient dietary intake of vit. A followed by poor absorption or
utilization of vit. A in the body
•VAD affects children’s proper growth, resistance to infection, and chances of survival (23 to
35% increased child mortality), severe deficiency results to blindness, night blindness and bitot’s
spot
Iron and Iron Deficiency Anemia (IDA) and its consequences
•Iron - an essential mineral and is part of hemoglobin, the red protein in red blood
cells that carries oxygen from the lungs to the cells
•Iron Deficiency Anemia - condition where there is lack of iron in the body resulting
to low hemoglobin concentration of the blood
•IDA results in premature delivery, increased maternal mortality, reduce ability to
fight infection and transmittable diseases and low productivity
Iodine and Iodine Deficiency Disorders (IDD)
•Iodine -a mineral and a component of the thyroid hormones
•Thyroid hormones - needed for the brain and nervous system to develop &
function normally
•Iodine Deficiency Disorders refers to a group of clinical entities caused by
inadequacy of dietary iodine for the thyroid hormone resulting into various condition
e.g. goiter, cretinism, mental retardation, loss of IQ points

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Food Fortification Program Garantisadong Pambata Program

ASIN LAW MAGPABAKUNA

Siguraduhing kumpletoang bakuna ni baby bago siya magdiwang ng unang kaarawan.
Republic Act 8172, “An Act Promoting Salt Iodization Nationwide and for other purposes”, Pabakunahan ng MMR ang mga batang 1 taon hanggang 1 taon at 3 buwan. Ito ay laban sa tigdas, beke at
Signed into law on Dec. 20, 1995 rubella (German Measles)
MAGBITAMINA A
Siguraduhing mabigyan (mapatakan) ng Bitamina A kada anim (6) na buwan ang inyong mga anak na edad 6
Food Fortification Law na buwan hanggang 5 taon
Republic Act 8976, “An Act Establishing the Philippine Food Fortification Program and for MAGPURGA
other purposes” mandating fortification of flour, oil and sugar with Vitamin A and flour and Siguraduhing mapurga ang inyong mga anak na edad 1 hanggang 12 na taong gulang kada anim na buwan.
rice with iron by November 7, 2004 and promoting voluntary fortification through the SPSP, GUMAMIT NG PALIKURAN
Signed into law on November 7, 2000 Gumamit ng kubeta o palikuran sa pagdumi at pagihi.

MAGSIPILYO
Wastong pagsisipilyo ng ngipin ng dalawang beses sa isang araw, lalo na bago matulog.

MAGHUGAS NG KAMAY
Maghugas ng kamay bago kumain at matapos gumamit ng kasilyas. Ugaliin din ang paghuhugas ng kamay
matapos maglaro o humawak ng maduduming bagay.

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LIFESTYLE RELATED DISEASES

Vision
A Philippines free from the avoidable burden of NCDs

REHABILITATION
Mission
Ensure sustainable health promoting environments and accessible, cost-effective,

OF NON
comprehensive, equitable and quality health care services for the prevention and control
of NCDs, and guided by the principle of “Health in All, Health by All, Health for All” whereas
Health in All refers to Health in All Policies, Health by All involves the whole-of-government

COMMUNICABLE and the whole-of-society and the Health for All captures the KP (Kalusugan
Pangkalahatan) or the Universal Health Care (UHC).

DISEASES Program Components

1. Cardiovascular Disease
2.Diabetes Mellitus
3.Cancer
4.Chronic Respiratory Disease

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Cancer Control Program Chronic Kidney Dse Prev & Control

Vision: Comprehensive Cancer Care and Optimized Cancer Survival in 2025 Vision: Philippines free from the avoidable burden of NCDs.
Mission To reduce the impact of cancer and improve the wellbeing of Filipino Mission Provision of accessible, affordable, quality health care services to all
people with cancer and their families

Pursuant to Rule II Section 4 of the IRR of RA No. 11215 or the National Integrated
Cancer Control Act (NICCA), the National Integrated Cancer Control Program was
established under the Cancer Control Division of the Disease Prevention and Control
Bureau (DPCB). It serves as the framework for all cancer-related activities of the
government that aims to decrease the incidence of preventable cancer, prevent and
manage its recurrence, and provide access to quality healthcare for its treatment.

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Smoking Cessation Healthy Lifestyle

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ALTERNATIVE MATERNAL &

MEDICINE CHILD HEALTH

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Safe Motherhood Program DT Immunization for women

DOSE SCHEDULE PERCENTAGE DURATION OF
Mission OF PROTECTION
Our Mission is for Filipino women to have full access to health services towards PROTECTION
making their pregnancy and childbirth safer.
1 ASAP - -
Vision
In support of the Ambisyon Natin 2040, the National Safe Motherhood Program 2 4weeks after DT1 80% 3 years
envisions a healthy Filipino family where the mother is healthy as the other members 3 6month after DT2 95% 5 years
of her family. 4 1 year after DT3 99% 10 years
5 1 year after DT4 99% Lifestyle

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Recommended Dose of Recommended Dose of

Iron and Folic Supplementations Vitamin A
TARGET PREPARATION DOSE/DURATION TARGET PREPARATION DOSE/DURATION
Pregnant 60mg / 400mg 1tab/day 6mos Pregnant 10,000 IU 1cap 2x/wk 4mos
2tabs/day until Delivery
Lactating 60mg / 400mg 1tab/day 3mos PostPartum 200,000 IU 1cap once after
delivery (1month)

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Recommended Dose of Breastfeeding

Iodine Vision
Well-fed, nurtured children and health mothers;
Breastfeeding as a social norm; Competent and dignified

TARGET PREPARATION DOSE/DURATION health workers; Enabling health systems, communities, and
workplaces; and Whole of society working together,

Women 200mg/ iodize 1 cap per year accountable to make this vision happen.

15 – 25y/o oil capsule Mission

Focusing on the First 1,000 Days, stakeholders of the
Philippine IYCF Program shall set out to
1.nurture and nourish the mother and child;
2.reduce stunting and all other forms of malnutrition; and
3.create an enabling environment for optimal infant and
young child feeding.

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Breastfeeding Breastfeeding
Breastfeeding Awareness Month theme “Tulong-
Tulong sa Pagpapasuso sa First 1,000 Days!”, Breastfeeding Storage

LAWS • Room Temperature – 8 Hours

• Refrigerators Body – 24 hours
• RA 7600 Rooming-in and • Refrigerators Freezer – 1 month
Breastfeeding Act • Chest Freezer – 1 year
• EO 51 – Milk Code
• RA 10028 – Expanded
Breastfeeding and
Promotion Act

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Breastfeeding
PROF. VINCE GASMIN

VINCE GASMIN
@beansgasmin
@-beansgasmin

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Jeremiah 29:11 THANK YOU

For I know the plans I have for you,” Kayang Kaya nyo yan!
declares the LORD, “plans to
prosper you and not to harm you,
plans to give you hope and a
future.

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