NOTRE DAME OF MARBEL UNIVERSITY

Nursing Department
Alunan Avenue, Koronadal City South Cotabato, Philippines, 9506

NCM- N 104A
COMMUNITY HEALTH NURSING 1
(Individual and Family as Clients)

Family Health
Programs
• At the end of the lesson, the students can:
• 1. define public health program;
• 2. enumerate the different health programs under different categories;
• 3. discuss each of the health program;
• 4. appreciate the role of a community health nurse in implementing these health
programs.
A. PUBLIC HEALTH PROGRAMS
❖ Are set of interventions put together to operationalize policies and standards directed
towards the prevention of certain public health problems.
❖ Family Health includes maternal health program, child health program, adolescent
health program, adult health program, and older adult health program
❖ Family health programs aims to:
▪ Improve the survival, health, and well-being of mothers and the unborn.
▪ Reduce morbidity and mortality rates for children 0-9 years.
▪ Reduce mortality for preventable causes among adolescents and young people.
▪ Reduce morbidity and mortality among Filipino adults and improve their quality of life.
▪ Reduce morbidity and mortality of older persons and improve their quality of life.
B. 1 MATERNAL HEALTH PROGRAM
✓ Goal is to improve survival, health and well-being of mothers and unborn through
a package of services for the pre-pregnancy, pre-natal, natal, and postnatal stages.

✓ Underlying causes of maternal deaths

i. Delay in taking critical actions
ii. Closely spaced birth and frequent pregnancies
iii. Poor detection and management of high-risk pregnancies
iv. Poor access to health facilities
v. Lack of competent health care staff
B. MATERNAL HEALTH PROGRAM

✓ Antenatal Registration
o Reach all pregnant women to give sufficient care to ensure a
healthy pregnancy and the birth of a full term healthy baby.

✓ Home Based Mother Records (HBMR)

✓ Early Child Care Development Card (ECCDC)

MATERNAL AND CHILD BOOKLET
MATERNAL AND CHILD BOOKLET CONTENT
REPORTING TOOL USED IN THE BHS
REPORTING TOOLS USED FOR MATERNAL CARE
B. 2 MATERNAL, NEWBORN, CHILD HEALTH
AND NUTRITION (MNCHN)

✓ This strategy aims to achieve the following immediate results:

o Every pregnancy is wanted, planned and supported
o Every pregnancy is adequately managed throughout its course
o Every delivery is facility-based and managed by skilled birth
attendants/ skilled health professionals
o Every mother and newborn pair secures proper postpartum and
newborn care with smooth transitions to the women’s health
✓ The likelihood of maternal and neonatal deaths is further
magnified with the critical accumulation of four risks:
o Mistimed, unplanned, unwanted and unsupported pregnancy
o Not securing adequate care during the course of pregnancy
o Delivering without being attended to by skilled health professional
o Not securing proper postpartum and newborn care for the mother
and her newborn
❖ MNCHN Core package of services consists of interventions that will be
delivered for each life stage: pre-pregnancy, pregnancy, delivery, and the
postpartum and newborn periods. Most of these services require minimal cost
and can be delivered by health workers as part of their routine functions with
some that may require additional training and minimal investments in facilities.
❖ MNCHN Service Delivery Network
o 3 LEVELS OF CARE

▪ Community level services – Barangay health stations

▪ BEmONC - Basic Emergency Maternal Obstetrics and Newborn Care services

▪ CEmoNC - Comprehensive Emergency Obstetric and Newborn Care services

❖ Essential Intrapartum and Newborn Care
✓ Is a simple, cost-effective newborn care intervention that can improve
neonatal as well as maternal care.
✓ 4-time bound interventions
o Immediate drying
o Uninterrupted skin-to-skin contact o Proper cord clamping and cutting
o Nonseparation of the newborn from the mother for early
breastfeeding initiation and rooming in