Health Promoting School

Dr. Mar Wynn Bello

OIC – Director IV
Health Promotion and Communication Service
Top Ten Causes of Morbidity
 1. Acute Respiratory Infection
 2. Acute Lower Respiratory Tract Infection and Pneumonia
 3. Hypertension
 4. Bronchitis
 5. Urinary Tract Infection
 6. Acute Watery Diarrhea
 7. Influenza
 8. TB Respiratory
 9. Acute Febrille Illness
 10. Dengue Fever
Burden of Disease in the Philippines
 Mortality

- All causes and all ages (2012)- 514,745

- 58% Males
- 42% Females
- Highest occurrence of deaths- 70 years old
and above (38%)
- under 1 year old (4.3%)
- 1-4 years old (1.8%)
- 10-14 years old (.9%)
Top Ten Causes of Mortality
 1. Diseases of the heart
 2. Diseases of the vascular system
 3. Malignant neoplasms
 4. Pneumonia
 5. Accidents
 6. Chronic lower respiratory diseases
 7. Diabetes mellitus
 8. Tuberculosis, all forms
 9. Nephritis, nephrotic syndrome and nephrosis
 10. Certain conditions originating in the perinatal period
 Mortality Among 1-4 years
 1 Pneumonia
 2 Diarrhoeas and gastroenteritis of presumed infectious origin
 3 Congenital anomalies
 4 Other diseases of nervous system
 5 Accidental drowning and submersion
 6 Chronic lower respiratory diseases
 7 Septicemia
 8 Dengue Fever and Dengue-hemorrhagic fever
 9 Meningitis
 10 Disease of pulmonary circulation and other forms of heart disease
Mortality Among 5-9 years
 1 Pneumonia
 2 Accidental drowning and submersion
 3 Dengue Fever and Dengue-hemorrhagic fever
 4 Congenital anomalies
 5 Other diseases of nervous system
 6 Transport accidents
 7 Leukemia
 8 Diarrhoeas and gastroenteritis of presumed infectious origin
 9 Septicemia
 10 Meningitis
Mortality Among 10-14 years
 1 Pneumonia
 2 Diarrhoeas and gastroenteritis of presumed infectious origin
 3 Congenital anomalies
 4 Other diseases of nervous system
 5 Accidental drowning and submersion
 6 Chronic lower respiratory diseases
 7 Septicemia
 8 Dengue Fever and Dengue-hemorrhagic fever
 9 Meningitis
 10 Disease of pulmonary circulation and other forms of heart disease
Health Statistics
 Prevalence of Tobacco Use (GATS Survey 2009)
- 17.3 Million or 28.3% of 15 years old and above smoke tobacco
- 14.6 Million or 47.7% are men
- 2.8 Million or 9.0% are women
 Prevalence of Tobacco Use Among students, Ages 13-15 (GYTS 2011, A
total of 3,708 students surveyed for the said age group)
- 27.5% had ever smoked cigarettes
- 13.7% currently use any tobacco product
- 8.9% currently cigarette smoke cigarette
- 7.3% currently use other tobacco products
- 10.5% of never smokers are likely to initiate smoking next year
Health Statistics
 Prevalence of alcohol use disorders and alcohol dependence (%) , 2010
Gender Alcohol Use Alcohol
Disorders ** Dependence
Males 7.7 5.2
Females 1.4 0.7
Both Sexes 4.6 2.9
WHO Western Pacific Region 4.6 2.3
* 12-month prevalence estimates (15+)
** including alcohol dependence and harmful use of alcohol

 Health Consequences: Mortality and Morbidity

Age-standardized death rates (ASDR) and alcohol-attributable fractions (AAF), 2012

ASDR* AAF (%)

Liver cirrhosis, males/females 35.0 9.7 66.7 49.6
Road traffic accidents, males/female 22.8 6.1 9.9 2.0
Per 100,000 population (15+)
Source: WHO, 2014
Health Statistics
 Alcohol Use for students aged 13-15 years

Total Boys Girls

Percentage of students who drank at least 18.7 22.5 15.4
one drink containing alcohol on one or
more for the past 30 days
Among students who ever had a drink of 56.7 61.5 51.1
alcohol (other than a few sips), the
percentage who had their first drink of
alcohol before age 14 years
Percentage of students who drank so 15.5 17.8 13.6
much alcohol that they were really drunk
one or more times during their life

Source: Global School-based student Health Survey, Philippine 2011 Fact Sheet
Health Statistics
Reported Cases of Drug Abusers by Type of Admission and Gender
(Facility Based), CY 2014

Type of Male Female Grand Total

Admission
No. % No. % No. %
New Admission 3,116 70.95 272 6.19 3,388 77.14
Re-Admission 733 16.69 39 0.89 772 17.58
Out-Patient 211 4.80 21 0.48 232 5.28
Total 4,060 92.44 332 7.56 4,392 100.00

• Total Reported Cases from Residential and Out-Patient Facilities

 Profile of Drug Abusers
(Facility Based) CY 2014
 AGE: Mean age of 30 years
 SEX: Ratio of male to female 12:1
 CIVIL STATUS: Single 49.07%
 STATUS OF EMPLOYMENT: Unemployed 47.59%
 EDUCATIONAL ATTAINMENT: College Level 29.83%
 PLACE OF RESIDENCE: Urban (specifically NCR 45.56%)
 DRUGS/SUBSTANCE ABUSE: Methamphetamine Hydrochloride (Shabu)
Cannabis (Marijuana) Inhalants (Contact Cement Adhesive)

Note: 40 and above (18.78%)

30-34 (20.24%)
25-29 (17.78%)
24 and below (43.2%)
Average age is 30 years old
Youngest 9 years old
Oldest 78 years old
* www.ddb.gov.ph/component/content/category/45-research-and-statistics
Challenges for the Youth
Embraces new media

Own a cellular phone - 78.0

Use the internet – 59.0
Have a social networking account – 53.0
(FB, Twitter, etc.)
Have an email account – 52.0
Have a personal blog – 2.0

Females are more digitally wired than males. And significant

proportion of younger cohort are digitally connected.
Virtual friends

• 31% have online friends and have not

seen personally

• 25% have textmates who they have not

seen personally
Emotionally Weak

Suicide among young people

Sexually Active

 Behavior is really changing…….

 75% looking for romantic relationship 15-17y.o

 37% of young people says “OK ang early sexual

encounter”
 In-school – 50%
 Working youth – 43%
 OSY - 42%
 Moremales than females have been exposed to
pornographic materials.
1 IN 4 PINOY YOUTH has sent or received sex videos
through cellphone or internet
 1 IN 3 PINOY YOUTH has engaged in
premarital sex

 Percent of youth who have engaged in

premarital sex:
2002 – 23.2 2013 – 32.0

 Highest levels of PMS in NCR (40.9%) & Central Luzon (39.1%);

Lowest in ARMM (7.7%)

 Davao region: between 35.4 – 40

Philippine Health Promotion Program
 AO 341 – Mandates DOH as the lead agency in implementing PHPP through
Healthy Places/Settings
 A National Multi-Sectoral Health Promotion Strategy Using the Settings
Approach
 Aims to bring health messages to where the people are & build healthy
supportive environment through advocacy, networking and community
action
 Philippines: one of the first countries to implement an integrated health
promotion program with the highest political advocacy
 First Asian Country under the Western Pacific Region of WHO to develop a
settings approach which involve all relevant sectors
Health Promoting Places
 Places or settings that influence physical, mental,
economic and social well-being and offer an ideal setting
and infrastructure to support the promotion of health.
 Healthy Settings started in the Healthy Cities
Movement
 Gained its momentum in 1990 in the Philippines
 WHO's Global School Health Initiative, launched in
1995, seeks to mobilize and strengthen health
promotion and education activities at the local,
national, regional and global levels.
 Issuance of AO 341 “Philippine Health Promotion
Program through Healthy Places” in 1997
Health Promoting Places
 Schools  Movie houses
 Workplaces  Resorts
 Hospitals  Streets
 Eating Places  Vehicles
 Homes  Bus Stations
 Hotels  Barangays
 Markets  Restrooms
 Ports
 Prisons
Health Promoting School
A health promoting school is one that
constantly strengthen its capacity as a
healthy setting for living, learning and
working
A place where all members of the school
community work together to provide
pupils/students with integrated and positive
experiences and structures which promote
their health
Health Promoting School

Six Features:
1.) Engages health and education officials,
teachers and their representative
organisations, students, parents, and
community leaders in efforts to promote
health, with :
• families and community groups involved in the school
• community services, businesses and organisations linked to the school
• school/community projects and outreach
• health promotion for school staff
Health Promoting School
Six Features:

 2.
Strives to provide a safe, healthy
environment, including
• sufficient sanitation and water
• freedom from abuse and violence
• a climate of care, trust and respect
• social support and mental health promotion
• safe school grounds
• opportunities for physical education and recreation
 Health Promoting School
Six Features:

 3. provides skills-based health education, with

• curricula that improve students' understanding of factors that influence
health and enable them to make healthy choices and adopt healthy
behaviors throughout their lives
• curricula that include critical health and life skills, a focus on
promoting health and well-being as well as preventing important health
problems, and information and activities appropriate to children's
intellectual and emotional abilities
• training and education for teachers and parents
Health Promoting School
Six Features:

 4. Provides access to health services, with

• services (screening, diagnosis, monitoring growth
and development, vaccination, selected medications
or procedures) that may be most efficiently provided
in the school setting, depending on school resources
and mandates
• partnerships with local health agencies that will
provide services
• nutrition and food safety programmes
Health Promoting School
Six Features:

5.Implements health-promoting
policies and practices, such as
• an overall policy supported by school administration and
management as well as teaching practices that help create a
healthy psychosocial environment for students and staff
• policies on equal treatment for all students
• policies on drug and alcohol use, tobacco use, first aid and
violence that help prevent or reduce physical, social and
emotional problems
Health Promoting School
Six Features:

 6.
Strives to improve the health of the
community by :
• focusing on community health concerns
• participating in community health
projects
What DOH can offer
Policy,standards, systems and program for health
promotion
Resources (Health Information, Education and
Communication materials, collaterals, etc.)
Technical assistance and capability building on the
development of school-based health promotion and
communication plans and programs
Conduct of health events in school
Thank you