HEALTH BELIEF MODEL • Reminder postcards from physicians or dentist.
• Illness of family member or friend.
• Godfrey M. Hochbaum originally proposed the
model in 1958 as a theoretical model of
preventive health behavior.
• Rosenstock in 1966 developed and coined the
team “Health Belief Model”.
• This was further modified by Becker in 1974.
• Is based on the premise that the world of the
perceiver determines what he or she will do.
• It suggests that whether or not a person changes
their behavior, will be influenced by an
evaluation of its feasibility and its benefits
weighed against its costs.
• Belief influences behavior.
INDIVIDUAL PERCEPTIONS:
1. Perceived Susceptibility – pertains to whether the
person feels susceptible or vulnerable to the negative
consequences of the illness. A family history of a certain
disorder, such as diabetes or heart disease, may make the
individual feel at risk.
2. Perceived Seriousness or Severity – are perceived
threats that the person has in a relation to the severity of
the illness or its sequelae. The greater the perceived
severity, the more likely the person is to adhere to self-
care practices or adopt recommended actions.
MODIFYING FACTORS:
1. Demographic Variables – age, gender, race, and
ethnicity.
2. Sociopsychological Variables – social pressure or
influence from peers or other reference groups may
encourage preventive health behaviors even when
individual motivation is low.
STRUCTURAL VARIBALE – knowledge about the
target disease and prior contact with it are structural
variables that are presumed to influence preventive
behavior.
CUES TO ACTION – this can either be internal or
external. Internal cues include feelings of fatigue,
uncomfortable symptoms, or thoughts about the
condition of an ill person who is close.
EXTERNAL CUES:
• Mass media campaigns
• Advice from others
• Newspaper or magazine article.
The likelihood of a person’s taking recommended
preventive health action depends on the perceived
benefits of the action minus the perceived barriers to the
action.
PERCEIVED BENEFITS OF ACTION OR
TREATMENT – pertains to whether the person
believes that the action/treatment will make a difference
in the outcome of the disease. The patients need to
believe that the benefits of the action/treatment outweigh
“the cost” of performing it in order to promote health
care.
PERCEIVED BARRIERS TO ACTION – refers to the
perceived barriers that the person must overcome in
order to follow the health recommendation. It includes,
but not limited to financial cost, inconveniences,
unpleasantness, and lifestyle changes. Others include
knowledge, attitudes, and practices.
PENDER’S HEALTH PROMOTION THEORY
• Nola J. Pender, PhD, R.N., F.A.A.N.
• Professor Emerita
• School of Nursing, University of Michigan
• Distinguished Professor, Loyola University,
Michigan
She became interested in health promotion because very
early in her nursing career she observed that health
professionals intervened only after people developed
acute or chronic diseases and experienced compromised
lives. Attention was devoted to treating them after the
fact. She further said that this reactive approach did not
reflect the philosophical beliefs of our predecessors in
nursing which focused on maintaining conditions of
healthy interaction between self and the environment.
Her doctoral preparation in psychology and
cognitive processes furthered her interest in
people’s ability to take responsibility, make
reasoned discussions and engage in competent self-
care.
BANDURA’S SELF EFFICACY THEORY
Albert Bandura believes that those with high self –
efficacy expectancies can achieve what one sets out to do;
they are healthier, more effective, and generally more
successful than those with low self – efficacy
expectancies. He demonstrates how belief in one’s
capabilities affects development and psychosocial
functioning during the course of life, underscoring
provocative applications of this work to issues in
education, health among others.
THE PRECEDE-PROCEED MODEL OF HEALTH
PROGRAM PLANNING AND EVALUATION
The Precede-Proceed Model of health program planning
and evaluation builds on more than 40 years of work by
Dr. Lawrence W. Green and colleagues at Berkeley,
Johns Hopkins, the U.S. Public Health Service, the
University of Texas, the Kaiser Family Foundation, the
University of British Columbia, Health 2000, Macro
International, and Emory University. In collaboration
with Marshall Kreuter on the second edition of the
textbook that describes the model, the original Precede
model was extended to encompass the wider
environmental, policy and organizational factors that
Green and Kreuter had found important in their
respective roles in launching national programs of
community health promotion from the Kaiser Family
Foundation and the Centers for Disease Control and
Prevention.
THE GOALS OF THE MODEL ARE:
1. To explain health-related behaviors and
environments.
2. To design and evaluate the interventions needed to
influence both the behaviors and the living conditions
that influence them and their consequences.
The Precede-Proceed framework for planning is
founded on the disciplines of epidemiology; the social,
behavioral, and educational sciences; and health
administration. Throughout the work with Precede and
Proceed, two fundamental propositions are emphasized:
(1) health and health risks are caused by multiple factors
and (2) because health and health risks are determined
by multiple factors, efforts to effect behavioral,
environmental, and social change must be
multidimensional or multisectoral, and participatory.
LEVELS OF PREVENTION:
1. Primary Prevention
a. Health Promotion and Illness Promotion –
primary prevention programs for the promotion
of health:
• Adequate and proper nutrition
• Weight control and exercise
• Stress reduction
b. Primary Prevention Programs for Illness
Prevention
• Immunizations
• Identifying risk factors for illness.
• Environmental sanitation.
2. Secondary Prevention
a. Diagnosing and Prevention – serves the purpose
of early detection of disease through:
• Dental exam
• BP taking
• Blood chemistry
• Mammogram
• Self-breast exam
• HIV testing
3. Tertiary Prevention
• Rehabilitation, Health Restoration and Palliative
Care
• The goal of tertiary prevention is to help people
move to their previous level of health.
• Rehabilitative care emphasizes the importance
of assisting clients to function adequately in the
physical, mental, social, economic, and
vocational areas of their lives.
• Palliative Care is for those people who cannot
return to their original health conditions.
• Palliative care is providing comfort and
treatment for symptoms.
• End-of-life care may be conducted in many
settings like the home.
PRIMARY HEALTH CARE (APPROACH)
In September 1978, the World Health Organization
(WHO) and United Nations International Children's
Emergency Fund (UNICEF) held a historical
international conference on primary health care in Alma-
Ata, then the capital of Kazakhstan. The conference
focused on the importance of primary health care in
national health services as well as its principles and
organizational models and prospects of international
cooperation in this area. The conference adopted the
Alma-Ata Declaration, which defined primary health
care as the key to achieving the goal of "health for all by
the year 2000".
PRIMARY HEALTH CARE (PHC) IS DEFINED AS:
"Essential health care based on practical, scientifically
sound and socially acceptable methods and technology
made universally accessible to individuals and families in
the community through their full participation and at a
cost that the community and the country can afford to
maintain at every stage of their development in the spirit
of self-determination".
The International Conference on Primary Health Care
(PHC) in Alma-Ata, Kazakhstan, in September 6-12,
1978, brought together 134 countries and 67
international organizations (China was notably absent).
The conference defined and granted international
recognition to the concept of primary health care (PHC)
as a strategy to reach the goal of Health for All in 2000.
Primary health care promoted the progressive
strengthening of units of services and of local capacities
(which in many countries would be called the primary
care level) and that subsequently would serve as a basis
for new approaches to social policies. It was a new
approach to health care that came into existence
following this international conference in Alma Ata in
1978 organized by the World Health Organization and
UNICEF. Primary health care was accepted by the
member countries of WHO as the key to achieving the
goal of Health for all. Primary health care is essential
health care made universally accessible to individuals and
families in the community by means acceptable to them,
through their full participation and at a cost that the
community and country can afford. It forms an integral
part both of the country's health system of which it is the
nucleus and of the overall social and economic
development of the community.
COMPONENTS OF PHC – the declaration of Alma
Ata outlined essential components of primary health care
such as principles of:
1. Equitable Distribution – health services must be
shared equally by all people irrespective of their ability to
pay and all (rich or poor, urban, or rural) must have
access to health services. Primary health care aims to
address the current imbalance in health care by shifting
the center of gravity from cities where a majority of the
health budget is spent to rural areas where a majority of
people live in most countries.
2. Community Participation – there must be a continuing
effort to secure meaningful involvement of the
community in the planning, implementation and
maintenance of health services, beside maximum
reliance on local resources such as manpower, money,
and materials.
3. Intersectoral Coordination – primary health care
involves in addition to the health sector, all related
sectors, and aspects of national and community
development, in particular agriculture, animal
husbandry, food, industry, education, housing, public
works, communication and other sectors.
FOUR CORNERSTONES IN PRIMARY HEALTH
CARE:
1. Active community participation
2. Intra and Inter-sectoral linkages
3. Use of appropriate technology
4. Support mechanism made available
ELEMENTS OF PHC:
E - education for health
L - locally endemic disease control
E - expanded program of immunization
M - maternal and child health
E - essential drugs
N - nutrition
T - treatment of communicable disease
S - safe water and sanitation
The legal basis of the implementation of Primary Health
Care in the Philippines. Letter of Instruction (LOI) 949.
HEALTH CARE DELIVERY SYSTEM
HEALTH CARE DELIVERY SYSTEM – is the totality
of all policies, infrastructures, facilities, equipment,
products, human resources, and services that address the
health needs, problems, and concerns of all people. The
framework which traces how the services will reach the
people.
MAJOR PLAYERS – 2 sectors which composed the
HCDS.
1. Public Sector – largely financed through a tax-based
budgeting system at both national and local levels and
where health care is generally given free at the point of
service.
2. Private Sector – largely market-oriented and where
health care is paid through user fees at the point of
service.
LEVELS OF PRIMARY HEALTH CARE
WORKERS:
1. Village or Barangay Health Workers – this refers to
trained community health workers or health auxiliary
volunteer or a traditional birth attendant or healer.
2. Intermediate Level Health Workers – this may be
composed of the general medical practitioners or their
assistants, public health nurse, rural sanitary inspector
and midwives.
LEVELS OF HEALTH CARE AND REFERRAL
SYSTEM:
1. Primary Level of Care
• this is devolved to the cities and municipalities
• the care provided by center physicians, public
health nurses, rural health midwives, barangay
health workers, traditional healers and others at
 the barangay health stations and rural health
units.
• usually, the first level contact between the
community members and the other levels of
health care facility.
2. Secondary Level of Care
• This is given by physicians with basic health
training.
• This is usually given in health facilities that are
either privately owned or government operated
such as infirmaries, municipal and district
hospitals, and outpatient departments of
provincial hospitals.
• They are capable of performing minor surgeries
and perform some simple laboratory
examinations.
3. Tertiary Level of Care
• This is rendered by specialists in health facilities
including medical centers as well as regional and
provincial hospitals, and specialized hospitals
such as the Philippine Heart Center.
• This facility is the referral center for the
secondary care facilities.
• They catered complicated cases and those
requiring intensive care.
LEVELS OF HEALTH CARE FACILITIES:
1. Primary Level Facilities
• Barangay Health Stations
• Rural Health Unit
• Community Hospitals and Health Centers
• Private practitioners
• Puericulture Centers
UNIVERSAL HEALTH CARE AND ITS AIM:
Universal Health Care (UHC), also referred to as
Kalusugan Pangkalahatan (KP), is the “provision to every
Filipino of the highest possible quality of health care that
is accessible, efficient, equitably distributed, adequately
funded, fairly financed, and appropriately used by an
informed and empowered public”.1 The Aquino
administration puts it as the availability and accessibility
of health services and necessities for all Filipinos.
It is a government mandate aiming to ensure that every
Filipino shall receive affordable and quality health
benefits. This involves providing adequate resources –
health human resources, health facilities, and health
financing.
UHC’S THREE THRUSTS – to attain UHC, three
strategic thrusts are to be pursued, namely:
1. Financial Risk Protection
Protection from the financial impacts of health care is
attained by making any Filipino eligible to enrol, to know
their entitlements and responsibilities, to avail of health
services, and to be reimbursed by PhilHealth with regard
to health care expenditures.
PhilHealth operations are to be redirected towards
enhancing national and regional health insurance system.
The NHIP enrollment shall be rapidly expanded to
improve population coverage. The availment of
outpatient and inpatient services shall be intensively
promoted. Moreover, the use of information technology
shall be maximized to speed up PhilHealth claims
processing.
2. Improved Access to Quality Hospitals and Health
Care Facilities

2. Secondary Level Facilities
• Emergency/District Hospitals
• Provincial/City Health Services
• Provincial/City Hospitals
3. Tertiary Level Facilities
• Regional Health Services
• Regional Medical Centers and
Hospitals
• National Health Services
• Medical Centers
• Teaching and Training Hospitals
UNIVERSAL HEALTH CARE
• UHC Act in the Philippines
• Western Pacific, RA 11223
Improved access to quality hospitals and health facilities
shall be achieved in a number of creative approaches.
First, the quality of government-owned and operated
hospitals and health facilities is to be upgraded to
accommodate larger capacity, to attend to all types of
emergencies, and to handle non-communicable diseases.
The Health Facility Enhancement Program (HFEP) shall
provide funds to improve facility preparedness for
trauma and other emergencies. The aim of HFEP was to
Training upgrade 20% of DOH-retained hospitals, 46% of
provincial hospitals, 46% of district hospitals, and 51% of
rural health units (RHUs) by end of 2011.
Financial efforts shall be provided to allow immediate
rehabilitation and construction of critical health facilities.
In addition to that, treatment packs for hypertension and
diabetes shall be obtained and distributed to RHUs. The
DOH licensure and PhilHealth accreditation for
hospitals and health facilities shall be streamlined and
unified.
3. Attainment of Health-related MDGs
Further efforts and additional resources are to be applied
on public health programs to reduce maternal and child
mortality, morbidity and mortality from Tuberculosis
and Malaria, and incidence of HIV/AIDS. Localities
shall be prepared for the emerging disease trends, as well
as the prevention and control of non-communicable
diseases.
The organization of Community Health Teams (CHTs)
in each priority population area is one way to achieve
health related MDGs. CHTs are groups of volunteers,
who will assist families with their health needs, provide
health information, and facilitate communication with
other health providers. RN heals nurses will be trained to
become trainers and supervisors to coordinate with
community-level workers and CHTs. By the end of
2011, it is targeted that there will be 20,000 CHTs and
10,000 RN heals.
Another effort will be the provision of necessary services
using the life cycle approach. These services include
family planning, ante-natal care, delivery in health
facilities, newborn care, and the Garantisadong Pambata
package.
Better coordination among government agencies, such as
DOH, DepEd, DSWD, and DILG, would also be
essential for the achievement of these MDGs.
DENGUE PREVENTION AND CONTROL
PROGRAM
BACKGROUND:
• Dengue is the fastest spreading vector-borne
disease in the world endemic in 100 countries.
• Dengue virus has four serotypes (DENV1,
DENV2, DENV3, and DENV4).
• First infection with one of the four serotypes
usually in non-severe or asymptomatic, while
second infection with one of other serotypes may
cause severe dengue.
• Dengue has no treatment, but the disease can be
early managed.
• The five-year average case of dengue is 185,008.
• Five-year average deaths are 723.
• Five-year average case fatality rate is 0.39 (2012-
2016 data).
TRANSMISSION – dengue virus is transmitted by day
biting Aedes Aegypti and Aedes Albopictus Mosquitoes.
DENGUE CASE CLASSIFICATION AND LEVEL
OF SEVERITY:
• Dengue illness is categorized according to level
of severity as dengue without warning signs,
dengue with warning signs and severe dengue.
• Dengue without warnings can be further
classified according to signs and symptoms and
laboratory tests as suspect dengue, probable
dengue and confirmed dengue.
DENGUE WITHOUT WARNING SIGNS:
A1. SUSPECT DENGUE – a previously well individual
with acute febrile illness of 1-7 days duration plus two of
the following: headache, body malaise, retro-orbital pain,
myalgia, arthralgia, anorexia, nausea, vomiting, diarrhea,
flushed skin, rash (petechial, Hermann’s sign).
A2 PROBABLE DENGUE – a suspect dengue case
plus laboratory test: Dengue NS1 antigen test and at least
CBC (leukopenia with or without thrombocytopenia) or
dengue IgM antibody test (optional).
A3 CONFIRMED DENGUE – a suspect or probable
dengue case with positive result of viral culture and/or
Polymerase Chain Reaction (PCR) and/or Nucleic Acid
Amplification Test- Loop Mediated Amplification Assay
(NAAT-LAMP) and/ or Plaque Reduction
Neutralization Test (PRNT).
DENGUE WITH WARNING SIGNS:
a previously well person with acute febrile illness of 1-7
days plus any of the following: abdominal pain or
tenderness, persistent vomiting, clinical signs of fluid
accumulation (ascites), mucosal bleeding, lethargy or
restlessness, liver enlargement, increase in haematocrit
and/or decreasing platelet count
SEVERE DENGUE:
a. Severe plasma leakage leading to:
• Shock (DSS)
• Fluid accumulation with respiratory
distress
b. Severe bleeding:
• As evaluated by clinician
c. Severe organ impairment
• Liver: AST or ALT ≥ 1000
• CNS: e.g., seizures, impaired
consciousness
• Heart and other organs (i.e.,
myocarditis, renal failure)
PHASES OF DENGUE INFECTION:
1. Febrile Phase
• Usually, last 2-7 days
• Mild haemorrhagic manifestations like
petechiae and mucosal membrane bleeding
(e.g., nose and gums) may be seen.
• Monitoring of warning signs is crucial to
recognize its progression to critical phase.
2. Critical Phase
• Phase when patient can either improve or
deteriorate.
• Defervescence occurs between 3 to 7 days of
illness. Defervescence is known as the period in
which the body temperature (fever) drops to
almost normal (between 37.5 to 38°C).
• Those who will improve after defervescence will
be categorized as Dengue without Warning
Signs, while those who will deteriorate will
manifest warning signs and will be categorized as
Dengue with Warning Signs or some may
progress to Severe Dengue.
• When warning signs occurs, severe dengue may
follow near the time of defervescence which
usually happens between 24 to 48 hours.
3. Recovery Phase
• Happens in the next 48 to 72 hours in which the
body fluids go back to normal.
• Patients’ general well-being improves.
• Some patients may have classical rash of “isles of
white in the sea of red”.
• The White Blood Cell (WBC) usually starts to
rise soon after defervescence, but the
normalization of platelet counts typically
happens later than that of WBC.
MANAGEMENT (based on patient type):
1. Group A – patients who may be sent home. Patients
who are able to:
• Tolerate adequate volumes of oral fluids
• Pass urine every 6 hours
• Do not have any of the warning signs particularly
when the fever subsides
• Have stable haematocrit
2. Group B – patient who should be referred for in-
hospital management. Patients shall be referred
immediately to in-hospital management if they have the
following conditions:
• Warning signs
• Without warning signs but with co-existing
conditions that may make dengue or its
management more complicated (such as
pregnancy, infancy, old age, obesity, diabetes
mellitus, hypertension, heart failure, renal
failure, chronic haemolytic diseases such as
sickle- cell disease and autoimmune diseases,
etc.)
• Social circumstances such as living alone or
living far from health facility or without a reliable
means of transportation.
• The referring facility has no capability to manage
dengue with warning signs and/or severe dengue.
3. Group C – patient with severe dengue requiring
emergency treatment and urgent referral. These patients
with severe dengue who require emergency treatment
because they are in the critical phase of the disease and
have the following:
• Severe plasma leakage leading to dengue shock
and/or fluid accumulation with respiratory
distress.
• Severe haemorrhages.
• Severe organ impairment (hepatic damage, renal
impairment, cardiomyopathy, encephalopathy,
or encephalitis)
Note: patients in Group C shall be immediately referred
and admitted in the hospital within 24 hours.
LABORATORY TESTS:
1. Dengue NS1 RDT
• Requested between 1-5 days of illness.
• Use to detect dengue virus antigen during early
phase of acute dengue infection.
• Test is for free in all health centers and selected
public hospitals nationwide.
2. Dengue IgM/IgG
• Requested beyond five days of illness.
• Use to detect dengue antibodies during acute
late stage of dengue infection (IgM) and to
determine previous infection (IgG).
• May give false positive result due to antibodies
induced by dengue vaccine.
• May cross react with other arboviral diseases
such as Chikungunya and Zika.
• DOH augmentation is limited to selected
government hospitals only.
3. Polymerase Chain Reaction (PCR)
• One of the gold standard laboratory tests to
confirm dengue virus.
• Molecular based test confirmatory test.
 • Available only in dengue sub-national and
national reference laboratories.
4. Nucleic Acid Amplification Test – Loop Mediated
Isothermal Amplification Assay (NAAT-LAMP)
• A novel molecular-based confirmatory test used
to detect dengue virus.
• Work just like PCR but cheaper and simpler in
nature.
• In the pipeline to be introduced under the
National Dengue Prevention and Control
Program in district and provincial hospitals.
5. Plaque Reduction Neutralization Test (PRNT)
• Gold standard to characterize and quantify
circulating level of anti-DENV neutralizing
antibody (NAb).
• Available only at the dengue national reference
laboratory.
6. Other Tests – Total White Blood Cell (WBC) Count:
Platelet and Hematocrit.
• Routinely used in hospitals as standard dengue
diagnostic tests.
• Look for trend of decreasing WBC, decreasing
platelet, and increasing Hematocrit.
NATIONAL DENGUE PREVENTION AND
CONTROL PROGRAM VMGO
VISION – A dengue free Philippines.
MISSION – ensure healthy lives and promote well-being
for all at all ages.
GOAL – to reduce the burden of dengue disease.
OBJECTIVES:
PROGRAM COMPONENTS:
1. Surveillance
• Case Surveillance through Philippine Integrated
Disease Surveillance and Response (PIDSR).
• Laboratory-based surveillance/ virus surveillance
through Research Institute for Tropical
Medicine (RITM) Department of Virology, as
national reference laboratory, and sub-national
reference laboratories.
• Vector Surveillance through DOH Regional
Offices and RITM Department of Entomology.
2. Case Management and Diagnosis
• Dengue Clinical Management Guidelines
training for hospitals.
• Dengue NS1 RDT as forefront diagnosis at the
health center/ RHU level.
• PCR as dengue confirmatory test available at the
sub-national and national reference laboratories.
• NAAT-LAMP as one of confirmatory tests will
be available at district hospitals, provincial
hospitals and DOH retained hospitals.
3. Integrated Vector Management (IVM)
• Training on Vector Management, Training on
Basic Entomology for Sanitary Inspector,
Training on Integrated Vector Management
(IVM) for health workers.
• Insecticide Treated Screens (ITS) as dengue
control strategy in schools.
4. Outbreak Response
• Continuous DOH augmentation of insecticides
such as adulticides and larvicides to LGUs for
outbreak response.
5. Health Promotion and Advocacy
• Celebration of ASEAN Dengue Day every June
15.
• Quad media advertisement.
• IEC materials.
6. Research
ENHANCED 5 STRATEGIES:
S - earch and Destroy
S - eek Early Consultation
S - elf Protection Measures
S - ay yes to fogging only during outbreaks/Support
fogging for impending outbreak/sustain vector control
measures
S - ustain hydration home, school, health facilities and communities by
government and non-government organizations, private
LINKS TO PROGRAM POLICIES AND sectors, and civic groups.
GUIDELINES:
OBJECTIVES:
AO 2016-0043 – Guidelines for the nationwide
Implementation of Dengue Rapid Diagnostic Test. • Contribute to the reduction of infant and child
morbidity and mortality towards the attainment
AO 2012-006 – Revised Dengue Clinical Management
of MDG 1 and 4.
Guidelines.
• Ensure that all Filipino children, especially the
AO 2001-0045 – Guidelines on the Application of disadvantaged group (GIDA), have equitable
Larvicides on the Breeding Sites of Dengue Vector access to affordable health, nutrition, and
Mosquitoes in Domestic Water. environment care.
DM 2017-0353 – Implementation Guidelines for Initial GP SERVICES PACKAGE:
Implementation of Nucleic Acid Amplification Assay -
Loop Mediated Isothermal Assay (LAMP) as One of
Dengue Confirmatory Tests to Support Dengue.
DM 2015-0309 – Reactivation of Dengue Fast Lanes and
Continuing Improvement of Systems for Dengue Case
Management and Services.
DM 2014-0112 – Technical Guidelines, Standards, and
other Instructions for Reference in the Implementation
of Sentinel-based Active Dengue Surveillance.
GARANTISADONG PAMBATA
MANDATE: A.O. 36, s2010 or Aquino Health Agenda
(AHA): Achieving Health Care for All Filipinos.
GOAL - Achievement of better health outcomes,
sustained health financing and responsive health system
by ensuring that all Filipinos, esp. the disadvantaged
group (lowest 2 income quintiles) have equitable access
to affordable health care.
STRATEGIES OF UHC:

• Financial risk protection. VITAMIN A SUPPLEMENTATION POLICY:

• Improved access to quality hospitals and
1. Routine – every 6 months for 6-59 months pre-
facilities
schoolers.
ATTAINMENT OF HEALTH RELATED MDG’s
2. Therapeutic
BY:
• 1 capsule upon diagnosis regardless of when the
• Deploy CHTs to actively assist families in
last dose of VAC for pre-schoolers with measles.
assessing and acting on their health needs.
• 1 capsule upon diagnosis except when child was
• Utilize life cycle approach in providing needed
given Vitamin A was given less than 4 weeks for
services: FP, ANC, FBD, ENC, IPP, GP for 0-
pre-schoolers with severe pneumonia, persistent
14 years old.
diarrhea, severely underweight.
• Aggressive promotion of healthy lifestyle change.
• 1 capsule immediately upon diagnosis, 1 capsule
• Harness strengths of inter-agency and
the next day and another capsule after 2 weeks
intersectoral cooperation with DepEd, DSWD
after for pre-schoolers with xerophthalmia.
and DILG.
RECORDING/REPORTING:
EXPANDED GARANTISADONG PAMBATA –
Comprehensive and integrated package of services and • FHSIS Records and Reports.
communication on health, nutrition, and environment • GP Forms – submitted to NCDPC thru CHDs.
for children available every day at various settings such as
 • April – pre-schoolers 6-59 months given VAC
from November of last year to April of the
current year October – pre-schoolers 6-59
months given.
• VAC from May to October.
CORE MESSAGES PER GATEWAY BEHAVIOR:
1. Magpasuso

• (Newborn to 6 mos) Pasusuhin ng gatas ni Nanay

lang
• (6 mos to 2 years old) Magpasuso at bigyan ng
(mga masustansyang ibat-ibang pagkain) ibang
pagkain (pampamilyang pagkain).
• Bumili/ Gumamit ng mga produktong may
SANGKAP PINOY seal sa pagluluto.
2. Magpabakuna

• Siguraduhing kumpletoang bakuna ni baby bago

siya magdiwang ng unang kaarawan.
• Pabakunahan ng MMR ang mga batang 1 taon
hanggang 1 taon at 3 buwan. Ito ay laban sa
tigdas, beke at rubella (German Measles).

3. Magbitamina A
• Siguraduhing mabigyan (mapatakan)
ng Bitamina A kada anim (6) na buwan
ang inyong mga anak na edad 6 na
buwan hanggang 5 taon.

4. Magpurga
• Siguraduhing mapurga ang inyong mga anak na
edad 1 hanggang 12 na taong gulang kada anim
na buwan.

5. Gumamit ng Palikuran
• Gumamit ng kubeta o palikuran sa pagdumi at
pagihi.

6. Magsipilyo
• Wastong pagsisipilyo ng ngipin ng dalawang
beses sa isang araw, lalo na bago matulog.

7. 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.