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Philippine Normal University National Center for Teacher Education College of Sciences Department of Allied Sciences

Written Report In Public Health


Submitted By: Myra Mhay R. Guadalupe IV-BS-Nutrition and Dietetics For Teachers

Submitted To: Ms. Robles

FAMILY HEALTH

-the family health office is tasked to operationalize health programs geared towards the health of the family.

THE MATERNAL HEALTH PROGRAM

The strategic thrusts for 2005-2010 includes:

1. Launch and implement the Basic Emergency Obstetric Care or BEMOC strategy in coordination with the DOH. The BEMOC strategy entails the establishment of facilities that provide emergency obstetric care for every 125,000 population and which are located strategically.

2. Improve the quality of prenatal and post natal care. Pregnant women should have at least four prenatal visits with time for adequate evaluation and management of diseases and conditions that may put the pregnancy at risk.

3. reduce womens exposure to health risks through the institutionalization of responsible parenthood and provision of appropriate health care package to all women of reproductive age especially those are less than 18 years old and over 35 years old, women with low educational and financial resources, women with unmanaged chronic illness and women who had just given birth in the last 18 months.

4. LGUs, NGOs and other stakeholders must advocate for health through resource generation and allocation for health services to be provided for the mother and the unborn.

Essential health service packages available in the health care facilities A. Antenatal Registration The standard prenatal visits that a woman has to receive during pregnancy are as follows:

Prenatal visits 1st visit

Period of Pregnancy As early in pregnancy as possible before four months or during the first trimester

2nd visit 3rd visit 4th visit

During 2nd trimester During 3rd trimester During 4th trimester

B.Tetanus Toxoid Immunization -Neonatal Tetanus is one of the public health concerns that we need to address among newborns. To protect them from deadly disease tetanus toxoid immunization is important for pregnant women and child bearing age women.

C. Micronutrient Supplementation - micronutrient supplementation is vital for pregnant women. These are necessary to prevent anemia, vitamin A deficiency and other nutritional disorders.

D. Treatment of Diseases and other conditions -there are other conditions that might occur among pregnant women. These conditions may endanger her health and complication could occur. These are the following: 1. Difficulty of breathing/ obstruction of airway 2. Unconscious 3. Post partum bleeding

4. intestinal parasite infection 5. malaria

E. Clean and safe delivery

1. do a quick check upon admission for emergency signs 2. make the woman comfortable 3. assess the woman in labor 4. determine the stage of labor 5. decide of the woman can safely deliver 6. give supportive care throughout labor 7. monitor and manage labor 8. monitor closely within one hour after delivery and give supportive care 9. continue care after one hour postpartum. Keep watch closely for at least two hours 10. educate and counsel on FP method if available and decision was made by a woman. 11. inform, teach and counsel the woman on important MCH messages

F. support breastfeeding G. Family Planning counseling

THE FAMILY PLANNING PROGRAM

The overall goal of family planning is to provide universal access to family planning information and services wherever and whenever these are needed.

Objectives:

1. addresses the need to help couples and individuals achieve their desired family size within the context of responsible parenthood and improve their reproductive health to attain sustainable development.

2. ensure that quality FP services are available in DOH retained hospitals, LGU managed health facilities, NGOs, and private sectors.

There are different strategies adopted to achieve goal and objectives such as:

1. focus service delivery to the urban and rural poor 2. reestablish the FP outreach program 3. strengthen FP provision in regions with high unmet needs 4. promote frontline participation of hospitals 5. mainstream modern natural family planning 6. promote and implement CSR strategy

The family planning methods

1. Female sterilization Safe and simple surgical procedure which provides permanent contraception for women who do not want more children. Also known as bilateral tubal ligation that involves cutting or blocking the two fallopian tubes.

2. Male sterilization Permanent method wherein the vas deferens (passage of sperm) is tied and cut or blocked through a small opening on the scrotal skin. It is also known as vasectomy

3. Pill Contains hormones estrogen and progesterone taken daily to prevent contraception

4. Male condom Thin sheath of latex rubber made to fit on a mans erect penis to

prevent the passage of sperm cells and sexually transmitted disease organisms into the vagina.

5. Injectables Contain synthetic hormone, progeton which suppresses ovulation,

thickens cervical mucus, making it difficult for sperm to pass through and changes uterine lining.

6. lactating Amenorhea Method or LAM Temporary introductory postpartum method of postponing

pregnancy based on physiological infertility experienced by breast feeding women

7. Mucus /Billing/ovulation Abstaining from sexual intercourse during fertile (wet) days

prevents pregnancy

8. Basal Body Temperature Method in identifying the fertile and infertile period of a womans

cycle by daily taking and recording of the rise in body temperature during and after ovulation.

9. Sympto-thermal method Method is identifying the fertile and infertile days of the menstrual

cycle as determine through a combination of observations made on the cervical mucus, basal body temp recording and other signs o ovulation

10. Two Day method Is a simple fertility awareness based method of FP.

11. Standard Days method A new method of natural family planning in which all users with

menstrual cycle between 20 and 32 days are counseled to abstain from sexual intercourse on days 8 to 19 to avoid pregnancy

Misconception about family planning method

1. some family planning methods causes abortion 2. using contraceptives with render couples steril 3. using contraceptive method will result to loss of sexual desire