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Programs and Projects in the National Setting

By: TAN, ANN GRETHEL R R.N.

DEPARTMENT OF HEALTH

The DOH is the principal agency in health in the Philippines.



It is responsible: responsible: 

for ensuring access to basic public health services to all Filipinos through the provision of quality health care and regulation of providers of health goods and services. services. 

 

a policy and regulatory body for health a technical resource, a catalyzer for health policy and a political sponsor and advocate for health issues in behalf of the health sector. sector. provides the direction and national plans for health programs and services

DOH Health Calendar 2010
JANUARY STI / Condom Week World Leprosy Day FEBRUARY World Cancer Day Pregnancy Awareness Week Healthy Lifestyles Awareness Day February 4, 2010 February 7-14, 2010 7February 19, 2010 January 7, 2010 January 31, 2010

2010 21March 21. 2010 March 11. 2010 .DOH Health Calendar 2010 MARCH International Women s Day World Kidney Day World Head Injury Awareness Day Human Rights Day World Down Syndrome Day World TB Day March 8. 2010 March 20. 2010 March 24. 2010 March 21-24.

DOH Health Calendar 2010 APRIL World Autism Awareness Day National Polio Eradication Awareness Week World Health Day World Hemophilia Day April 2-4. 2010 April 17. 2010 2April 4. 2010 . 2010 April 7.

2010 . 2010 May 12.DOH Health Calendar 2010 MAY World Red Cross Day World Move for Health Day World Chronic Fatigue and Immune Dysfunction Syndrome International Nurses Day International Day of Action for Women s Health World No Tobacco Day May 8. 2010 May 31. 2010 May 28. 2010 May 12. 2010 May 10.

2010 June June June June June June 4. 2010 5. 2010 June 26.DOH Health Calendar 2010 JUNE International Children s Day International Day of Innocent Children Victims of Aggression World Environment Day World Blood Donor Day World Elder Abuse Awareness Day Youth Day National Epilepsy Day International Day against Drug Abuse and Illicit Drug Trafficking June 1. 2010 . 2010 16. 2010 15. 2010 14. 2010 21.

DOH Health Calendar 2010 JULY World Population Day AUGUST World Breastfeeding Week August 1-7. 2010 1National Immunization Awareness Week August 2-8. 2010 2Rheumatic Fever Week August 2-8. 2010 International Youth Day August 12. 2010 2National Women s Day August 9. 2010 July 11. 2010 Deaf Awareness Week August 30. 2010 .

2010 September 14-17. 2010 September 21.DOH Health Calendar 2010 SEPTEMBER Pharmacy Week Kidney Awareness Week World Rabies Day World Oral Health Day Attention Deficit Hyperactivity Disorder Day (ADHD) Stroke Week World Alzheimer s Day World Heart Day September September September September 66-12. 2010 12. 2010 14September 21. 2010 September 14. 2010 . 2010 8. 2010 66-9.

DOH Health Calendar 2010 OCTOBER International Day for Older Persons National Nutrition Week World Mental Health Day World Arthritis Day World Food Day International Day for the Eradication of Poverty National Down Syndrome Day National Iodine Deficiency Disorder Day World Polio Day October October October October October October October October October 1. 2010 16. 2010 12. 20. 2010 10. 23. 2010 17. 24. 2010 1. 2010 2010 2010 2010 .

DOH Health Calendar 2010 NOVEMBER National Children s Day Malaria Day International Day for the Elimination of Violence against Women DECEMBER World AIDS Day International Day of Disabled Persons International Volunteers Day World Patient Safety Day International Human Rights Day November 6. 2010 December December December December December 1. 2010 November 25. 2010 9. 2010 . 2010 3. 2010 10. 2010 November 12. 2010 5.

D O H Dental Health Program Osteoporosis Prevention Health Educ. & Community Org. P Primary Health Care R Reproductive Health O Order Person Health Services G Guidelines for Good Nutrition R Respiratory Infection Control A Acupressures M Maternal and Child Care S Sentrong Sigla Movement .

2. 4.1. 8. 3. 6. malaria & other diseases Ensure environmental sustainability Develop a global partnership for development . 5. Eradicate Eradicate extreme poverty & hunger Achieve Achieve universal primary education Promote gender equality& empower women Reduce child mortality Improve maternal health Combat HIV/AIDS. 7.

. adolescents. FAMILY HEALTH /SERVICES Reduce morbidity and mortality rates for children.I. adults and older people.

8% of pregnant received supplementation during pregnancy .A.3%) -Only 76.4%) 19982003-Decrease women receiving @least 2 doses of TT(1998-38% to TT(199820032003-37. THE MATERNAL AND CHILD HEALTH PROGRAM Facts: -Maternal and pediatric population group comprise 60% of population of most communities -Decrease women having prenatal ( 1998-77% to 2003-70.

000 Rank number th 49 of the 136 countries .Current MMR 170/100.

Q: The main causes of maternal deaths according to the National health Statistics? .

Post Partum Hemorrhage 20.Main cause of maternal deaths remains to be due to: 1. Pregnancy with abortive outcomes 9% . Hypertension (25%) 2.3% 3.

000 population located strategically.Strategic thrust for 2005-2010 BEMOC Basic Emergency Obstetric Care (entails the establishment of facilities that provide emergency obstetric care for every 125. .

A. Antenatal Registration: At least 4 visits till delivery Q: What is the ideal frequency of prenatal visits during the duration of pregnancy? .

Standard Prenatal Visits .

Tetanus Toxoid Immunization 2 doses one month before delivery plus 3 booster doses for the mother to be called FIM ± Fully Immunized Mother .B.

Micronutrient Supplementation .C.

Newborn Screening Why important? -detect congenital metabolic disorders -most were born asymptomatic -early diagnosis & prompt treatment before becoming symptomatic -prevent mental retardation or death .

NEWBORN SCREENING When is the best time? .may also be done with in 24 hour after birth note: result is positive repeat the test 14 days after .48 hours to 72 hours after birth .

midwife Trained by DOH .Newborn Screening Who are authorized? .medical technologist .doctor .nurse .

Effects of Newborn Screening Congenital Disorder NO Newborn Screening Severe Mental Retardation Newborn Screened Congenital Hypothyroidism Congenital Adrenal Hyperplasia (CAH) Galactosemia (Gal) Phenylketonuria (PKU) G6PD Dediciency Normal Alive & Normal Death Death / Cataract Severe Mental Retardation Serious Anemia and Kernicterus Alive and Normal Normal Normal .

. The goal is to provide universal access to family planning information and services whenever and wherever these are needed.THE FAMILY PLANNING PROGRAM EO 199: Created the PFPP (Phil. Family Planning Program.

f. g. c. d. e. b. Personal values Ability to use method correctly How method will affect enjoyment Financial factor Status of couples relationship Prior experience Future plans .Important things to Consider a.

g. Safe Affordable Acceptable Free of effects on future pregnancy Free of side effects Effective 100% Easily obtainable . d.Criteria for Ideal Contraceptive a. e. b. f. c.

24 for every 1. Infants and Children) 1.000 child . 2002 (UNICEF) Goal ± Reduce Child Mortality by 2/3 by 2015 Current IMR: 24. Infant and Young Child Feeding Exclusive BF ± 6 months Global Strategy For IYCF ± WHO and UNICEF ± consensus 55th World Health Assembly in May 2002 and Exec. Board in Sep.CHILD HEALTH PROGRAMS: (Newborns.

         Infants & Young Child Feeding Newborn Screening Expanded Program on Immunization Management on Childhood Illnesses Micronutrient Supplementation Dental Health Early Child Development Child Health Injuries Reduce morbidity and mortality 0-9 0- .

 Median duration of breastfeeding is 18 months .Specific Objectives  70% of newborn initiated breastfeeding within 1 hour after birth  60% of infants are exclusive breastfeeding up to 6 months  90% of infants are started on complementary feeding by 6 months of age.

2. Baby friendly hospital wherein the mother and the baby should be together for 24 and as long as both are in hospital. Milk Code (EO 51) The Rooming In and breastfeeding Act of 1992 requires institution adopting rooming.Laws that protects Infants and Young Child: 1. .

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tollees. retailers. repackers. served. traders. tollees. food. Food Fortification Law or An Act Establishing the Philippine Food Fortification Program and for other    aims : to address the nutritional deficiency problems in the Philippines. repackers. Fortification: Fortification: addition of nutrients to processed foods or food products at levels above what is naturally present in the food.3. importers. . of food products as well as restaurants and food service establishments where such fortified foods are encourage to be served. Philippines. or producers. based on the past nutrition surveys Purpose : Food Fortification Law (Republic Act 8976) it covers all 8976) manufacturers.

EPI Four Major Strategies: Sustain 90% FIC Sustain Polio Free Country for Global Cert. In 2000 our country has been certified polio free in Kyoto Japan Eliminate Measles by 2008 Given @ 9 months 85% protection Given @ 1 year and older ± 95% protection Eliminating Neonatal Tetanus by 2008 .2.

Sustaining the polio free country for global certification 1. 2.EXPANDED PROGRAM ON IMMUNIZATION Sustaining high routine FIC coverage of at least 90% in all provinces and cities. .

Measles elimination by 2008 A. Measles Catch up campaign (reduces cases by 70% in 15 years after 1998. B. 4.3. . Eliminating neonatal tetanus by 2008. Follow Up Measles Campaign vaccination of children 9 months to less than 5 years old 94 % reduction in cases in 2004.

EXPANDED PROGRAM ON IMMUNIZATION .

/6 wks  2-3 gtts 2 ½ mos.5 ml 0.05 ml 0./12 wks  2-3 gtts 3 ½ mos.5ml IM ‡ right/left intramascular upper outer thigh ORAL MOUTH 1 ½ mos.VACCINES BCG (bacillus calmette guerin) DDT (Diptheria./12 wks 3 ½ mos./6 wks 2 ½ mos./14 wks 0.5 ml 0./6 wks 2 ½ mos./12 wks 0./14 wks  2-3 gtts @ BIRTH 1 ½ mos. Pertusis.5 ml 0.10 ml ID intradermal ‡ right upper arm/ DELTOID 1 ½ mos.5ml ‡right/left IM upper outer intramascular thigh .5 ml 0. Tetanus) OPV (Oral Polio Vaccine) Hepa B SCHEDULES/ DOSES DOSE ROUTE SITE @ BIRTH school entrance 0.

0.VACCINES SCHEDULES/ DOSES DOSE ROUTE/ % PROTECTED SITE/ Duration Of Protection ‡ right/ left upper arm MEASLES 9 mons.000 units) 2-3 gtts ORAL Mouth . A ( 100.5 ml Sub-Q Subcutaneous with Vit.

The course Glandular enlargement from vaccination to scar takes ‡If suppuration occurs. appearing w/in 2-4 days of vaccination) Deep Abcess at Vaccination site or Lymph ‡a small red tender swelling nodes about 10mm across.NORMAL COURSE & SIDE EFFECTS OF VACCINATION VACCINE BCG Side Effects Kochs· phenomenon Advice / Management ‡ NO Management Needed ‡the wheal raised by injection disappears in about half an hour (an acute inflmmatory reaction. the swelling may become a small abscess w/in then ulcerates  Indolent ulceration (ulcer that persist after wks from date of vaccination or more than 10 mm deep ‡ Incision and Drainage ‡ Treat with INH powder ‡the ulcer heals by itself and leaves a scar. ‡after 2-3 wks . treat (glands draining injection site about 12 wks become enlarged) as deep abscess . appears at the injection site after (due to subQ/deeper injection approximately 2 wks.

pain that starts early after injection is only due to vaccine ‡ reassure mothers that no treatment is needed & will disappear in 3-4 days ‡warm compress ‡incision and drainage .Vaccine Side Effects  Fever .more than 24 hrs fever after DPT vaccine is due to other causes but not the vaccine. do .wrong tech. Advice/ Management ‡ advice mother to give antipyretic ‡ advice sponge with tepid water DPT  Local Soreness .are rare. . occurs more in not continue the normal above 3 mos.most children develop fever after injection & last for one day. Convulsions . of age due to course of DPT Pertussis component of vaccine./unsterile Abscess ‡ give proper care .

‡ reassure the mother that its normal ‡antipyretic MEASLES HEPATITIS B ‡ no treatment necessary TETANUS TOXOID Local Soreness .soreness at injection site usually go away within 24 hours.Vaccine OPV Side Effects None Fever & Rash . sometimes mild rash  Local Soreness .Fever only last 1-3 days. .some develop pain. Advice/ Management ‡ advice not to breastfeed within 30 mins.Fever and rashes may develop 5-7 days from the time of vaccination. redness & swelling at the site of injection ‡apply cold compress ‡ reassure the woman that there is no treatment needed .

NON COMMUNICABLE DISEASES PREVENTION AND CONTROL .

cancers . DM  Through promotion of healthy lifestyle Healthy Lifestyle is defined as a way of life that promotes & protects health and well-being.  adequate stress mgt. wellIncludes practices that promote health as:  Healthy diet & nutrition  Regular & adequate physical activity & leisure  Avoidance of substances that can be abused-tobacco. alcohol.Integrated Community Based Non-Communicable NonDiseases Prevention & Control Program Aim at preventing the four major Non-CD/chronic/lifestyle related Nondiseases . relaxation  Safe sex and immunization  . abusedaddicting substances. cardiovascular diseases . COPD .

NATIONAL PREVENTION OF BLINDNESS PROGRAM  Vision 20 / 20: The Right to Sight  Cataract / Refractive Errors / Low Vision causes of childhood blindness .

services Movement& facilities  Expansion of program to the private sector Phase II (2001)  Level 1 Focus on the major functions of RHU/HC  Level 2 Directed on Specialty Achivement on strengthening local health programs . Health facilities are certified based on a set of standards  Renamed from QAP to Sentrong Sigla or Centers of Vatality Movement.goal: quality health care.SENTRONG SIGLA Definition: SS is a quality improvement initiative through a certification/recognition program.

ADOLESCENT and YOUTH HEALTH and DEVELOPMENT PROGRAM(AYHDP)  The program is an expanded version of Adolescent Reproductive Health (ARH) element of Reproductive Health which aims to integrate adolescent and youth health services into the health delivery systems. systems. .

Dengue Hemorrhagic Fever. Malaria. HIV/AIDS) Responsible Parenthood Maternal & Child Health * Communicable Diseases Diarrhea. etc. Measles. mental and emotional status * Reproductive Health Sexuality Reproductive Tract Infection (STD.   * Growth and Development concerns Nutrition Physical. * Mental Health Substance use and abuse * Intentional / non-intentional injuries nonDisability .

breast. liver.PHILIPPINE CANCER CONTROL PROGRAM  Is an integrated approach utilizing primary. discussed. discussed. oral cavity. Features peculiar to the Philippines are described. cancers (lung. colon and rectum) are discussed. secondary and tertiary prevention in different regions of the country at both hospital and community levels. Six lead levels. described. and their causation and prevention are discussed. cervix. .

Campaign. Kilatis Kutis Campaign. population by year 2000. are: reduce the national PR of <1 case per 10. Its elimination goals are: 2000. . 10.000 10.LEPROSY CONTROL PROGRAM  Envisions to eliminate Leprosy as a human disease by 2020 and is committed to eliminate leprosy as a public health problem by attaining a national prevalence rate (PR) of less than 1 per 10. 2000. population by year 1998 and reduce the sub-national subPR to <1 case per 10.000 population by year 2000.000 10.

November 2007 Malaria is a disease caused by protozoan parasites called Plasmodium. It is usually transmitted through the bite of an infected female Anopheles mosquito. Malaria may also be mosquito.MALARIA CONTROL PROGRAM   Malaria Awareness Month . Plasmodium. transmitted through the following: following: *Transfusing blood that is positive for malaria parasites *Sharing of IV needles (especially among IV drug users) *Transplacenta (transfer of malaria parasites form an infected mother to her unborn child) .

afflicted with tuberculosis are in the most economically productive years of their lives. .NATIONAL TB CONTROL PROGRAM  The rising incidence of tuberculosis has economic repercussions not only for the patient s family but also for the country. and the disease sends many self-sustaining families into selfpoverty. poverty. countries. The rise in the incidence of tuberculosis has been due to the low priority accorded to antiantituberculosis activities by many countries. Eighty percent of people country.

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