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NATIONAL HEALTH PROGRAMS OF THE DOH

Prepared by:
Jessica D. Bentayen RN-MAN
A. Family Health Services

FAMILY HEALTH PROGRAMS


• Its objective is to improve the survival, health
and well-being of each members of the family as
well as the reduction of morbidity and mortality
rates in the family and community
A. MATERNAL HEALTH PROGRAM
Objective: To improve the survival, health and well-being of mothers and
unborn child.
Maternal Health Services:
1. Antenatal Registration – pregnant women can avail the free prenatal
services at their respective health centers.
• The home-based maternal record (HBMR) is prepared and retained by the
mother and serves as her “passport” to appropriate health care.
• The HBMR is a card designed to facilitate the easy recording and
interpretation of comprehensive information on the health status of a
woman before her first pregnancy, during the current pregnancy, delivery,
postpartum and neonatal periods and during two subsequent pregnancies.
Ideal frequency of Prenatal visits during
the duration of Pregnancy
Prenatal Visits Period of Pregnancy
As early as possible before 4 months
First visit
during the
1st trimester
Second visit During the second trimester
Third visit
During the third trimester

Every 2 weeks After 8th month of pregnancy until


delivery
2. Tetanus Diphtheria (Td) immunization

 for the prevention of tetanus and diphtheria in


pregnant women
Vaccin Duration of
When to give Dose Site
e protection

On first contact with the health care system


Td1 0.5 mL Deltoid 0
or as soon as possible during pregnancy

Td2 At least 4 weeks after Td1 0.5 mL Deltoid 1 – 3 years

6 months after Td2 or during


Td3 0.5 mL Deltoid At least 5 years
subsequent pregnancy

At least 1 year after Td3 or during


Td4 0.5 mL Deltoid At least 10 years
subsequent pregnancy
For all childbearing
At least 1 year after Td4 or during
Td5 0.5 mL Deltoid years and possibly
subsequent pregnancy
longer
3. Macronutrient and Micronutrient supplementation – Vitamin
A, folic acid and Iron supplement for the prevention of anemia
and Vitamin A deficiency.
• Standard prescription of Iron/folate supplements for Filipino
women is twice a day (60 mg/tablet) starting on the 5th month
of pregnancy up to 2 months postpartum or for a period of 210
days.
• Vitamin A: 10,000 IU during the 1st prenatal visit in the 1st
trimester and throughout the pregnancy.
4. Treatment of diseases and other conditions – These is for the
women who is diagnosed as under the high risk pregnancy
category.
NATIONAL SAFE MOTHERHOOD PROGRAM

Vision: For Filipino women to have full access to health


services towards making their pregnancy and delivery
safer.
Mission: Guided by the Department of Health FOURmula
One Plus thrust and the Universal Health Care Frame, the
National Safe Motherhood Program is committed to
provide rational and responsive policy direction to its local
government partners in the delivery of quality maternal
and newborn health services with integrity and
accountability using proven and innovative approaches.
Objectives:
The Program contributes to the national goal of improving
women’s health and well-being by:
a) Collaborating with Local Government Units in establishing
sustainable, cost-effective approach of delivering health services
that ensure access of disadvantaged women to acceptable and
high quality maternal and newborn health services and enable
them to safely give birth in health facilities near their homes
b) Establishing core knowledge base and support systems that
facilitate the delivery of quality maternal and newborn health
services in the country.
PROGRAM COMPONENTS

Local Delivery of the Maternal-Newborn Service Package


1. Establishment of critical capacities to provide quality maternal newborn
services through the organization and operation of a network of Service
Delivery Teams consisting of:
a. Barangay Health Workers
b. BEmONC Teams composed of Doctors, Nurses and Midwives
2. In collaboration with the Centers for health Development and relevant
national offices: Establishment of Reliable Sustainable Support Systems for
Component A
Maternal-Newborn Service Delivery through such initiatives as:
a. Establishment of Safe Blood Supply Network with support from the
National Voluntary Blood Program
b. Behavior Change Interventions in collaboration with the Health
Promotion and Communication Service
c. Sustainable financing of maternal - newborn services and commodities
through locally initiated revenue generation and retention activities
including PhilHealth accreditation and enrolment.
National Capacity to Sustain Maternal-Newborn Services
1. Operational and Regulatory Guidelines
a. Identification and profiling of current Family Planning
users and identification of potential Family Planning
clients and those with unmet need for Family Planning
(permanent or temporary methods)
b. Mainstreaming Family Planning in the regions with high unmet need
for Family Planning
Component B c. Development and dissemination of Information, Education
Communication materials
d. Advocacy and social mobilization for Family Planning
2. Network of Training Providers
a. 31 Training Centers that provide BEmONC Skills Training
3. Monitoring, Evaluation, Research, and Dissemination with
support from the Epidemiology Bureau and Health Policy
Development and Planning Bureau
B. FAMILY PLANNING PROGRAM
• A health intervention program and an important tool for
the improvement of the health and welfare of mothers,
children and other members of the family. It also provides
information and services for the couples of reproductive
age to plan their family according to their beliefs and
circumstances through legally and medically acceptable
planning methods.
Goal: To provide universal access to family planning information
and services wherever and whenever these are needed. It aims
to contribute to reduce neonatal, infant, under-five and maternal
deaths.
Objectives:
1. To help couples and individuals achieve their desired family
size within the context of responsible parenthood and to
improve their reproductive health to attain sustainable growth.
2. Ensure that quality family planning services are available in
DOH retained hospitals, LGU managed health facilities and
private sector.
Basic Principles:
1. Responsible parenthood
2. Respect for life
3. Birth spacing
4. Informed choice
TYPES OF FAMILY PLANNING

NATURAL
1. Standard days Method
 Most appropriate for women who usually have cycles between 26 and 32
days long.
 Uses cycle beads to determine fertile days.
2. Lactational Amenorrhea Method
 A temporary postpartum method of postponing pregnancy based on the
physiological infertility experienced by breastfeeding mothers.
3. Basal Body Temperature
 Used to identify the fertile and infertile period of a woman’s cycle by daily
taking and recording the rise and fall in body temperature during and after
ovulation.
4. Billings Ovulation/Cervical Mucus Method
 Abstaining from sexual intercourse during fertile days of spinnbarkeit
mucus and 3 days after the peak day.
5. Symptothermal Method
 A combination of basal body temperature and billings method.
6. Rhythm Method
 Calendar method
 Abstaining from coitus 3 or 4 days before ovulation until 3 or 4 days after
ovulation.
6. Coitus interruptus
 Method of contraception where couple proceeds with coitus until moment
of ejaculation and the man withdraws so that the spermatozoa are emitted
outside the vagina.
ARTIFICIAL
1. Barrier methods (e.g. Condom)
 A thin sheath of latex rubber made to fit on a man’s erected
penis, it prevents the passage of sperm into the internal vagina
2. Injectables
 Contains synthetic hormone, progestin which suppresses
ovulation; thickens the cervical mucus making it difficult for
sperm to pass through.
3. Oral contraceptive pills
 Pill contains hormones, estrogen and progesterone taken
daily to prevent conception.
REVERSIBLE
1. Intrauterine contraceptive device (IUD)
 Small, flexible plastic devices that are inserted into the
woman’s uterus. The most common IUDs contain copper, and
they work by preventing sperm from reaching an egg.
2. Contraceptive implants
 Inserted under the skin of a woman’s upper arm and provide
continuous, highly effective pregnancy protection for 3 to 5
years, depending on the type of implant.
PERMANENT
1. Vasectomy
 The vas deference is blocked or cut, to prevent the passage of
sperm.
2. Bilateral tubal ligation
 Involves the cutting of blocking of the fallopian tubes.
Important things to Consider:

• Personal values
• Ability to use method correctly
• How method will affect enjoyment
• Financial factor
• Status of couple’s relationship
• Prior experience
• Future plans
C. CHILD HEALTH PROGRAMS
Goal: Reduce morbidity and mortality rates for children 0-9 years
with the strategies necessary for program.
1. INFANT AND YOUNG CHILD FEEDING PROGRAM
 There is global evidence that good nutrition in the early
months and years of life plays a very significant role, affecting
not only the health and survival of infants and children but
also their intellectual and social development, resulting in life-
long impact on school performance and overall productivity.
 Breastfeeding, especially exclusive breastfeeding during the
first half-year of life is an important factor that can prevent
infant and childhood morbidity
• and mortality.
• B – Best for babies
• R – Reduce incidence of allergens
• E – Economical
• A – Antibodies present
• S – Stool inoffensive (golden yellow)
• T – Temperature is always ideal
• F – Fresh milk never goes off
• E – Emotional bonding
• E – Easy once established
• D – Digested easily
• I – Immediately available
• N – Nutritionally optimal
• G – Gastroenteritis greatly reduced
Laws that Protects Infant and Young Child
Feeding
• Milk Code (EO 51)
 Products covered by milk code consist of breast milk substitute, such as infant
formula, other milk products, bottle-fed complementary foods
• Rooming-in Breastfeeding Act of 1992 (RA 7600)
 Requires both public and private institution to promote rooming-in, it encourages
and supports the practice of breastfeeding
• Food Fortification Law (RA 8976)
 An act establishing the Philippine Food Fortification Program and other purpose.
Fortification is the addition of one or more essential nutrients to food, whether or
not it is normally contained in the food, for the purpose of preventing or correcting a
demonstrated deficiency of one or more nutrients in the population or specific
population groups.
The law requires a mandatory food fortification of staple foods – rice, flour, edible
oil and sugar and voluntary food fortification of processed food and food products
(Vitamin A, Iron and Iodine).
2. NATIONAL IMMUNIZATION PROGRAM (NIP)
 The National Immunization Program is used interchangeably
with the Expanded Program on Immunization (EPI) that
originally focused on preventing vaccine-preventable diseases
in children.
 The EPI was launched in July 1976 by the Department of
Health in cooperation with WHO and UNICEF.
Goal: To reduce the morbidity and mortality among children,
adolescents and senior citizens against the most common
vaccine-preventable diseases.
Principles:
(1) Prevention is better than cure;
(2) Immunization is still the most cost-effective public
health strategy in reducing and preventing illness and
death.
• Immunization is the process by which vaccines are
introduced into the body. Vaccines are administered to
induce immunity thereby causing the recipient’s
immune system to react to the vaccines that produce
antibodies to fight the disease.
• Republic Act 10152 or the “Mandatory Infants and Children
Health Immunization Act” of 2011 signed by former Pres. Benigno
Aquino III in July 26, 2010 mandates the basic immunization for
children under 5 including other types of disease determined by the
Department of Health.

• Republic Act 7846 is the Compulsory Hepa-B Immunization among


infants and children less than 8 years old and other laws and policies
for the protection of infants to be pursued.

• AO No. 39 s. 2003 – “Policies on the Nationwide Implementation


of the Expanded Program on Immunization”
• A Fully Immunized Child (FIC): receives one
dose of BCG and Hepa-B at birth, 3 doses of
OPV, 3 doses of PENTA and 1 dose of anti-
measles vaccine before the child’s first birthday.
• A Completely Immunized Child (CIC) is a child
who has completed vaccination AFTER first
birthday.
Strategies:
a) Conduct of Routine Immunization for infants/children/women
through the Reaching Every Barangay (REB) strategy.
b) Supplemental Immunization Activity (SIA)
c) Strengthening vaccine-preventable diseases surveillance
d) Procurement of adequate and potent vaccines and needles
and syringes to all health facilities nationwide
Minimum
Minimum age Number
Vaccine at 1st dose of doses interval Indication
between doses

BCG Birth or any time after birth 1 Protection from TB meningitis and other TB
infections
Reduces the chance of being infected and
Hepa-B vaccine At birth 1 becoming a carrier of Hepatitis B

Pentavalent Protection against Diphtheria, Pertussis,


vaccine (DPT 6 weeks 3 4 weeks Hepatitis B and Haemophilus influenza
HepB-Hib) type B
Oral polio vaccine
6 weeks 3 4 weeks Protection against poliomyelitis
(OPV)
Inactivated Polio 14 weeks (Given at the Protection against poliomyelitis
1
Virus vaccine (IPV) same time with OPV3)

Pneumococcal
Conjugate 6 weeks 3 4 weeks Protection against Pneumonia
Vaccine (PCV 13)
Protection against diarrhea caused by
Rotavirus vaccine 6 weeks 2 4 weeks
severe forms of rotavirus disease

Anti-measles Prevents death, malnutrition and


vaccine (AMV): 9 months 1 protection from measles
MCV 1

Protection against
MMR (Measles, measles, mumps, and
mumps, rubella) 12 - 15 months 1 rubella virus
vaccine: MCV2
VACCINES FOR OTHER POPULATION:

a) Human papillomavirus vaccine (HPV): this is


given to female children aged 9 – 10 years old in
priority provinces only (Apayao, Abra, Mt.
Province and Ifugao)
b) Pneumococcal Polyvalent Vaccine (PPV23): for
protection against Pneumonia for (indigent)
Senior Citizens
c) Flu vaccine: for protection against Influenza for
(indigent) Senior Citizens
Vaccine Dose Route Administration site Vaccine

BCG 0.05 mL ID Left deltoid BCG

Hepa-B vaccine 0.5 mL IM Outer mid-thigh Hepa-B vaccine

Pentavalent vaccine 0.5 mL IM Right upper thigh Pentavalent vaccine

OPV 2 drops Oral Mouth OPV

IPV 0.5 mL IM Left upper thigh IPV

Rotavirus vaccine 1.5 mL Oral Mouth Rotavirus vaccine

MCV 1 0.5 mL SC Deltoid MCV 1

MCV 2 0.5 mL SC Deltoid MCV 2

Left upper thigh (2 finger


PCV 13 0.5 mL IM PCV 13
width below IPV site)

HPV 0.5 mL IM Left deltoid HPV


General Contraindications of Vaccinations:

a) Prior allergic reactions to the same or related


vaccine
b) Lives vaccines (OPV, BCG, and anti-measles) are
not to be administered in the following situations:
in immunosuppressive therapy,
immunodeficiency disorders, leukemia,
lymphoma or generalized malignancy
c) Acute illness with fever above 38OC. Postpone
until recovery has occurred
False Contraindication to Vaccination:
a) Allergy or asthma (except if there is a known allergy to specific
component of the vaccine)
b) Any minor illness such as respiratory tract infection or diarrhea with temperature
below 38.5OC
c) Family history of adverse events following immunizations
d) Family history of convulsions, seizures or fits
e) Treatment with antibiotics
f) Known or suspected HIV infection with no signs and symptoms
g) Signs and symptoms of AIDS, except as noted above
h) Child being breastfed
i) Chronic illnesses such as chronic diseases of the heart, lung, kidney or liver
j) Stable neurological conditions, such as Cerebral Palsy or Down’s Syndrome
k) Premature or low birth weight
l) Recent or imminent surgery
m) Malnutrition
n) History of jaundice at birth
COLD CHAIN
• A system to ensure the potency, the safety of vaccines
during distribution to the point of use.
VACCINE COLD CHAIN MANAGEMENT

Vaccine Special considerations Storage

BCG Use tuberculin syringe only. Discard 6 hours after reconstitution +2 to +8OC, never freeze

Hepa-B Birth dose is very important +2 to +8OC, never freeze


Not to be given above 2 years old; may be administered with OPV and
Pentavalent +2 to +8OC, never freeze
PCV13
OPV Very sensitive to heat -15 to -25OC

MCV1 Discard 6 hours after reconstitution +2 to +8OC

MCV2 Discard 6 hours after reconstitution +2 to +8OC


1st dose not to be given to infants more than 15 weeks old; 2nd dose not to be
Rotavirus vaccine +2 to +8OC, never freeze
given to infants more than 32 weeks old
May be co-administered with OPV, Rota and Penta provided that separate
PCV13 syringes and site will be used. Not to be given if febrile with temperature +2 to +8OC, never freeze
more than 39OC
3. INTEGRATED MANAGEMENT OF
CHILDHOOD ILLNESS (IMCI)
• IMCI is an integrated approach to child health that focuses
on the wellbeing of the whole child. IMCI aims to reduce
death, illness and disability, and to promote improved growth
and development among children under five years of age. IMCI
includes both preventive and curative elements that are
implemented by families and communities as well as by health
facilities.
• The strategy includes three main components:
• Improving case management skills of health care staff.
• Improving overall health systems
• Improving family and community health practices
• In health facilities, the IMCI strategy promotes the accurate
identification of childhood illnesses in outpatient settings,
ensures appropriate combined treatment of all major illnesses,
strengthens the counselling of caretakers, and speeds up the
referral of severely ill children. In the home setting, it promotes
appropriate care seeking behaviors, improved nutrition and
preventative care, and the correct implementation of prescribed
care.
Steps in the IMCI Case Management
Process:
1. Asses the child’s illness
2. Classify the illness based on signs
3. Identify treatment
4. Treat the child
5. Counsel the caretaker
6. Follow-up
4. BEmoNC/CEmoNC
Basic Emergency Obstetrics and Newborn Care (BEmONC) provider
 A capable private facility or an appropriately upgraded public health facility that
is either an RHU and/or its satellite BHS or hospital capable of performing the
following emergency functions:
1. Parenteral administration of oxytocin in the third stage of labor
2. Parenteral administration of loading dose of anticonvulsant
3. Parenteral administration of initial dose of antibiotic
4. Performance of assisted deliveries in imminent breech
5. Removal of retained placental products
6. Manual removal of retained placenta
7. Neonatal emergency interventions: newborn resuscitation, provision of warmth
and referral
8. Blood transfusion services
9. IUD and Voluntary Surgical Contraception (VSC) services
ComprehensiveEmergency Obstetrics and Newborn Care (CEmONC) provider
 A tertiary level regional hospital or medical center, provincial hospital or an
appropriately upgraded district hospital. It can also be a capable privately
operated medical center.
 It is capable of performing emergency obstetric functions as in BEmONC
provider facilities, as well as the following:
1. Provides surgical delivery (cesarean section)
2. Blood bank transfusion services
3. Highly specialized obstetric interventions
4. Emergency neonatal care: newborn resuscitation, treatment of neonatal
sepsis/infection, and oxygen support
5. Antenatal administration of (maternal) steroids for
threatened premature delivery.
D. NUTRITION PROGRAM
 The Philippine Plan of Action for Nutrition (PPAN) 2017-2022
is an integral part of the Philippine Development Plan 2017-
2020. It is consistent with the Duterte Administration 10-point
Economic Agenda, the Health for All Agenda of the DOH, the
development pillar of malasakit (protective concern),
pagababgo (change or transformation), and kaunlaran
(development), and the vision of Ambisyon 2040. It factors in
and considers country commitments to the global community
as embodied in the 2030 Sustainable Development Goals, the
2025 Global Targets for Maternal, Infant and Young Child
Nutrition, the 2014 International Conference on Nutrition.
PROGRAM
1. Infant and young child feeding
PROJECT/COMPONENT
 Health systems support
 Community-based health and nutrition support
 Maternity Protection and Improving Capacities of
 Workplaces on Breastfeeding
 Establishment of breastfeeding places is non-health
establishments
 Enforcement of the Milk Code
PROGRAM
2. Integrated Management of Acute Malnutrition
PROJECT/COMPONENT
 Enhancement of Facilities and provision of services
 Building of capacity of local implementers
PROGRAM
3. National Dietary Supplementation Program
PROJECT/COMPONENT
 Supplementary feeding of pregnant women
 Supplementary feeding of children 6-23 months old
 Supplementary feeding of school children
 Food plants for producing supplementary foods
PROGRAM
4. National Nutrition Promotion Program for Behavior Change
PROJECT/COMPONENT
 In schools
 In communities
 In the workplace
 Resource center
PROGRAM
5. Micronutrient supplementation (Vitamin A, iron-folic acid, multiple micronutrient
powder, zinc)
PROJECT/COMPONENT
 In health units
 In schools
 Communication support
PROGRAM
6. Mandatory food fortification
(technology development, capacity building, regulation and
monitoring, promotion )
PROJECT/COMPONENT
 Rice fortification with iron
 Flour fortification with iron and vitamin A
 Cooking oil fortification with vitamin A
 Sugar fortification with vitamin A
 Salt iodization
PROGRAM
7. Nutrition in emergencies
PROJECT/COMPONENT
 Capacity building for mainstreaming nutrition
protection in emergencies
PROGRAM
8. Overweight and obesity management and prevention program
PROJECT/COMPONENT
 Health Food Environment
 Promotion of healthy lifestyle
 Weight Management Intervention (for overweight and obese
individuals)
Common Nutritional Problems of Public
Health Importance:
1. Protein-Energy Malnutrition (PEM)
a) Marasmus – is a result of prolonged starvation and is associated
with severe wasting with classical signs of “old man’s face”
b) Kwashiorkor – the main sign of this condition is the presence of
pitting edema in the legs and feet can also affect the hands and face.
The face is characterized as “moon face” likely due to edema, hair is
described as flag-sign, because of alternating depigmentation, the
skin lesion called “flaky paint dermatosis.”
2. Iron-deficiency Anemia
3. Vitamin A Deficiency Disorders
4. Iodine Deficiency Disorders
5. Overweight and obesity
E. ORAL HEALTH PROGRAM
Goal: Attainment of improved quality of life through promotion
of oral health and quality of oral health care.
Objectives:
1. To increase proportion of Orally Fit Children (OFC) under 6
years old to 12% by 20% by 2020.
2. To control oral health risks among the young people
3. To improve the oral health conditions of pregnant women by
20% and older persons by 10% ever year till 2016
F. ESSENTIAL HEALTH PACKAGES FOR THE ADOLESCENT, ADULT
MEN AND WOMEN AND OLDER PERSONS
1. ADOLESCENT HEALTH AND DEVELOPMENT PROGRAM
Vision: The AHDP envisions a country with well-informed,
empowered, responsible and health adolescents who are leaders
in the society.
Mission: Its mission is to ensure that all adolescents have access
to comprehensive health care and services in an adolescent-
friendly environment.
Objectives: Improve the health status of adolescents and enable
them to fully enjoy their rights to health
Program Components:
Nutrition
National Safe Motherhood
Family Planning
Oral Health
National Immunization Program
Dangerous Drugs Abuse Prevention and Treatment
Harmful Use of Alcohol
Tobacco Control
Mental Health
Violence and Injury Prevention
Women and Child Protection
HIV/STI
2. HEALTH AND WELLNESS PROGRAM FOR SENIOR CITIZEN
Vision: A country where all Filipino senior citizens are able to live an
improved quality of life through a healthy and productive aging.
Mission: Implementation of a well-designed program that shall
promoted the health and wellness of senior citizens and improve their
quality of life in partnership with other stakeholders and sectors.
Objectives:
1. To ensure better health for senior citizens through the provision of
focused service delivery packages and integrated continuum of quality
care in various settings.
2. To develop patient-centered and environment standards to ensure
safety and accessibility of all health facilities for the senior citizens.
3. To achieve equitable health financing to develop, implement, sustain,
monitor and continuously improve quality health programs accessible to
senior citizens.
4. To enhance the capacity of health providers and other stakeholders
including senior citizens group in the implemen-tation of health programs for
senior citizens.
5. To establish and maintain a database management system and conduct
researches in the development of evidence-based policies for senior citizens.
6. To strengthen coordination and collaboration among government agencies,
non-government organizations, partner agencies and other stakeholders
involved in the implementation of programs for senior citizens.
Program Components:
• The policy, standards and regulation component shall
develop a unified patient-centered and supportive
environment standards to ensure safety and accessibility of
senior citizens to all health facilities and to promote health
ageing in order to prevent functional decline among senior
citizens.
•The Health Financing component shall promote health
financing schemes and other funding support in all
concerned government agencies and private stakeholders to
provide programs that are accessible to senior citizens.
• The Service Delivery component shall ensure access of senior citizens to
essential geriatric health services including preventive, promotive, treatment,
and rehabilitation services from the national to the local level.
• The Human Resources for Health component shall capacitate the health
care providers in both national and local government to be able to effectively
provide technical assistance and implement the program for senior citizens.
• The Health Information component shall establish an information
management system and maintain a repository of data.
• The Governance for Health component shall coordinate and collaborate
with the local government units and other stakeholders to ensure an effective
and efficient delivery of health services at the hospital and
community level.
• Program Components:
• • The policy, standards and regulation component shall
develop a unified patient-centered and supportive
environment standards to ensure safety and accessibility of
senior citizens to all health facilities and to promote health
ageing in order to prevent functional decline among senior
citizens.
• •The Health Financing component shall promote health
financing schemes and other funding support in all
concerned government agencies and private stakeholders
to provide programs that are accessible to senior citizens.
G. MENTAL HEALTH GAP ACTION PROGRAM (mhGAP)
The WHO Mental Health Gap Action Program (mhGAP) aims at scaling up
services for mental, neurological and substance use disorders for countries
especially with low- and middle income. The program asserts that with proper
care, psychosocial assistance and medication, tens of millions could be treated
for depression, schizophrenia, and epilepsy, prevented from suicide and begin to
lead normal lives– even where resources are scarce.
Objectives:
1. To reinforce the commitment of governments, international organizations, and
other stakeholders to increase the allocation of financial and human resources
for care of Mental, Neurological and Substance abuse (MNS) disorders.
2. To achieve much higher coverage with key interventions in the countries with
low and lower middle incomes that have a large proportion of the global burden
of MNS disorders.
Strategies:
This program is grounded on the best available
scientific and epidemiological evidence on
priority conditions. It attempts to deliver an
integrated package of interventions, and takes
into account existing and possible barriers to
scaling up care.

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