MANAGEMENT OF CHILDHOOD ILLNESS

• An approach established to strengthen the provision of comprehensive

and essential health package to the children

• Objectives:
• a. To reduce global mortality and morbidity associated with the major
causes of diseases in children such as pneumonia, diarrhea, dengue,
malaria, fever, measles and malnutrition.
• b. To contribute to healthy growth and development of children
INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS
• Major Components
A. Improvements in the case management skills of health workers o
Improvements in the overall health system to deliver IMCI
B. Improvements in family and community health care practices
INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS

Children covered by IMCI protocol

• Sick young infant

• Sick Child
Strategies/ Principles of IMCI
• All sick children age 2 months up to 5 years are examined for general danger
signs and all sick young infants from birth up to 2 months are examined for very
severe disease and local bacterial infection
• The children and infants are then assessed for main symptoms: cough or
difficulty breathing, diarrhea, fever, and ear infection
• For sick young infants:
▪ Local bacterial infection
▪ Diarrhea
▪ Jaundice

• All sick children are routinely assessed for nutritional, immunization and deworming status and
for other problems
• Only a limited number of clinical signs are used
• A combination of individual signs leads to a child’s classification within one or more symptom
groups rather than a diagnosis
• IMCI management procedures use limited number of essential drugs and encourage active
participation of caretakers in the treatment of children
• Counseling of caretakers on home care, correct feeding and giving of fluids, and when
to return to clinic is an essential component of IMC
ADOLESCENT, ADULT AND OLDER ADULT HEALTH
PROGRAMS

❖Responsible Parenthood and Reproductive Health

o General guiding principles
▪ Rights based approach
▪ Culture based approach
▪ Gender responsive approach
12 ELEMENTS OF REPRODUCTIVE HEALTH CARE
• Family planning information services
• Maternal, infant and child health and nutrition, including breastfeeding
• Proscription of abortion and management of abortion complications
• Adolescent and youth reproductive health guidance and counseling
• Prevention, treatment and management of reproductive tract infections,
HIV and AIDS and other sexually transmittable infections
• Elimination of violence against women and children and other forms
of sexual and gender-based violence ▪ Education and counseling on
sexuality and reproductive health
• Treatment of breast and reproductive tract cancers and other
gynecological conditions and disorders
• Male responsibility and involvement and men’s reproductive health
• Prevention, treatment, and management of infertility and sexual
dysfunction
• Reproductive health education for adolescents
• Mental health aspect of reproductive health care
❖ FAMILY PLANNING
• To provide universal access to FP information, education, and services
whenever and wherever these are needed.
• Men and women of reproductive age are the intended audience for
this program
• Basic principles:
▪ Responsible Parenthood ▪ Birth Spacing
▪ Responsible Parenting ▪ Informed Choice
▪ Respect for Life
 MODERN FAMILY
PLANNING METHOD
NON-COMMUNICABLE DISEASE PREVENTION AND
CONTROL PROGRAM
✓ Goal is to reduce the total morbidity, disability and premature deaths due to chronic, non-
communicable, lifestyle related diseases.
✓ Four major non-communicable diseases
i. Cardiovascular diseases
ii. Cancer
iii. Chronic Obstructive Pulmonary Disease iv. Diabetes Mellitus
✓ Approaches
i. Comprehensive approach focused of primary prevention
ii. Community-based approach iii. Integrated approach
• ✓ Key Intervention Strategies
i. Establishing program direction and infrastructure
ii. Changing environments iii. Changing lifestyle
iv. Reorienting health services
✓ Role of a Public Health Nurse
i. Health Advocate ii. Health Educator
iii. Health Care Provider
iv. Community Organizer
v. Health Trainer
vi. Researcher
 PUBLIC HEALTH LAW’S IN THE PHILIPPINES
• Public Health Nurses need to know the laws affecting health and nursing practice in the
Philippines. As practicing nurse in the community setting, the PHN must be familiar with
the existing laws and standards that governs safe nursing practice.
A. Magna Carta for Health Workers or Republic Act No. 7305 - was enacted to ensure
that health workers are properly compensated, thereby helping to promote better delivery of
quality health care service
B. Sanitation Code or RA 1067 - Water Code of the Philippines, providing for the utilization,
exploitation, development, conservation, and protection of water resources to be subject to the
control and regulation of the government through the NWRC
C. Clean Air Act or Republic Act No. 8749 - is a comprehensive air quality management
policy and program which aims to achieve and maintain healthy air for all Filipinos.
D. Generic Act or Republic Act No. 6675 – an Act to Promote, Require and Ensure the
Production of an Adequate Supply, Distribution, Use and Acceptance of Drugs and Medicines
Identified by their Generic Names
E. National Health Insurance Act (PhilHealth) or Republic Act No. 10606 - he
program aims to provide health insurance coverage and ensures access to cost-
effective and quality health care services for all Filipinos.
F. National Blood Services Act or 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
G. Senior Citizen laws or R.A. No. 9994 - Senior citizens who have the capacity and
desire to work, or be re-employed, shall be provided information and matching services
to enable them to be productive members of society
• H. Revised Dangerous Drugs Law or REPUBLIC ACT NO. 9165 -This Act, consisting of 101
sections, provides for importation of Dangerous Drugs and/or Controlled Precursors and Essential
Chemicals. It establishes offences and penalty according to the different dangerous drug, regardless of
the quantity and purity involved
• I. Act on Cheaper medicine or RA 9502 - The Law intends to achieve better health outcomes for the
Filipino people by assuring that quality medicines are accessible and affordable to as many Filipinos
especially the poor.
• J. Violence Against Women or RA 9262 - It is a law the seeks to address the prevalence of violence
against women and their children (VAWC) by their intimate partners like their husband or ex-husband,
live-in partner or former live-in partner, boyfriend/girlfriend or ex-boyfriend/ex-girlfriend, dating partner or
former dating partner.
• K. Disaster Risk Reduction Management or RA 10121 - an act strengthening the Philippine Disaster
Risk Reduction and Management System, providing for the National Disaster Risk Reduction and
Management Framework and institutionalizing the National Disaster Risk Reduction and Management
Plan, appropriating funds therefor and for other purposes
• L. Rooming-in and breastfeeding act of 1992 or Republic Act No. 7600 - entitled
"Rooming-In and Breastfeeding Act of 1992" provides for breastfeeding rooms in government
and private hospitals. In these institutions, only mothers who are still confined therein for
delivery, have the right to use the breastfeeding or nursery room.
• M. Milk Code or Executive Order 51 - also known as the “National Code of Marketing of
Breastmilk Substitutes, Breastmilk Supplements and Other Related Products” aims to protect
and promote breastfeeding and to ensure that breast milk substitutes and supplements are
properly used with adequate information, marketing and distribution
• N. Responsible Parenthood and Reproductive health law of 2012 or Republic Act No.
10354 - The Responsible Parenthood and Reproductive Health Act of 2012, known as the RH
Law, is a groundbreaking law that guarantees universal and free access to nearly all modern
contraceptives for all citizens, including impoverished communities, at government health
centers
•
• O. Mandatory infants and Children Immunization Act of 2011 or Republic Act No. 10152 - It is
otherwise known as the “Mandatory Infants and Children Health Immunization Act of 2011,
which requires that all children under five years old be given basic immunization against vaccine-
preventable diseases.
• P. Children’s Emergency Relief and Protection Act of 2016 or Republic Act No. 10821 - An Act
Mandating the Provision of Emergency Relief and Protection for Children Before, During and After
Disasters
• Q. Child and Youth Welfare Code of the Philippines or Presidential Decree No. 603 - otherwise
known as the Child and Youth Welfare Code and issued in December 1974, legally defines special
categories of youths, including youthful offenders, and directs the Ministry of Social Services and
Development (MSSD) to provide comprehensive services to assist in youth development
• R. Tobacco Regulation Act of 2003 or RA 921 - also known as the Tobacco Regulation Act of 2003,
is an omnibus law regulating smoking in public places, tobacco advertising, promotion and
sponsorship, and sales restrictions, among other requirements