Updates/Refresher for

BHWs’ Rules and

Functions:

Inayangan Health Center

Calinan District
Barangay Health Worker
 A BHW is…
 A person who has undergone training program under any
accredited government and non-government organization
and who voluntarily renders primary health care services
in the community after having been accredited to function
as such by the health board in accordance with the
guidelines promulgated by the DOH.
Roles and Functions:
Navigator
Provide informal counseling and referrals
Managing care and care transition
Advocacy
Provide Information
Health education and promotion
Collecting data and making reports
What is expected from BHWs….

Create a link from vulnerable

population to the healthcare
systems.
Vital Signs:
 BP (Average BP)
 Pulse Rate
 Respiratory Rate
 Temperature
 Weight
 Height
 BMI - Body Mass Index
 Waist Circumference
BP Monitoring: Normal BP less than 120/80 mmHg

 Average BP: Thing to consider HBP Screening is done only ONCE

per patient
 Two readings are taken each arm
 If the difference of either systolic or diastolic exceeds 5 mmHg,
a 3rd reading is taken
 All readings are averaged
 The highest reading will be recorded
Pulse Rate: Normal:
Age Normal Pulse Rate (bpm)

Neonate (<28days) 100-205

Infant (1mo – 1yr old) 100-190
Toddler (1 – 2yr old) 98-140
Pre-School (3 – 5yr old) 80-120
6 – 11yr old 75-118
12yr old – Adult 60-100
Respiratory Rate:
Age Normal Respiratory Rate
Up to 6mos. old 30-60
6mos-12mos. old 24-30
1 – 5yr old 20-30
6 – 12yr old 12-20
12yr old – Adult 12-20
Body Temperature
Temperature: 36.5 to 37.5 C
How to Calculate BMI
BMI: Body Mass Index
Body Weight BMI Range
Underweight <18.5
Normal range 18.5-22.9
Overweight 23-29.9
Obese 30-Above
Waist Circumference:
Normal: female: 80cm or Below
Normal Male: 90cm or Below
BHWs Roles and Responsibilities on Maternal Health
Program
 Importance of Prenatal Check-up:
 Detect any abnormality brought about by pregnancy, such
as high blood pressure, eclampsia or diabetes
 Nutritional status of the mother
 Growth, size and position of the baby in each trimester
 Presence of infection to the mother
 Help women and couples prepare for delivery and plan
subsequent pregnancy
 
Prenatal check-ups should be
done at least once during the
1 and 2 trimester, and at
st nd

least twice during the 3 rd

trimester.
Signs and Symptoms of Pregnancy
 Dizziness
 Tender breast
 Fatigue and tiredness
 Increased sensitivity to smell
 Nausea
 Mood swings
 Frequent urination
A missed period
 Health Care Services Given During Pre Natal Check Up (Health Tips)
 AP Visits: 1-1-2
 EDD:
 LMP: (Jan-March) +9+7-0
 (April-December) -3+7+1
 AOG:
 Basic Laboratory: Hemoglobin, Urinalysis, Blood Typing, HbsAG, Syphilis, HIV Test
(Free) Examination
 TD immunization:
 Oral Health Care (Quality Oral Care): Seen By the Dentist
 Micronutrient
 Supplementation: Iron with Folic 180tabs for 6mos/ Calcium Carb: Start @5mos of
Pregnancy
 Nutrition: Low Salt and Low fat Diet/ Increase OFI
 Quality AP
 Quality PP
 RISK CODES
= (1) Too Old (> 35 y.o)
A = (2) Too young (<18 y.o)
= (1) Height less than 145cm (4’9”) tall
B = (2) Less than ideal weight
=(3) More than ideal weight

= TOO MANY (MORE THAN 4 CHILDREN)

C
= POOR OBSTETRICAL HISTORY
D =(1) previous delivery/ies by Caesarean Section
=(2) previous baby born dead or died during the first 7 days of life
=(3) prior pregnancy/ies with spotting/bleeding
=(4) prior pregnancy/ies with heavy bleeding
=(5) prior pregnancy/ies or delivery/ies with convulsions
=(6) prior pregnancy/ies by forceps or vacuum
=(7) prior pregnancy/ies traverse lie or malpresentation

= POOR MEDICAL HISTORY

E =(1) TB
=(2) Heart Disease
=(3) Diabetes
=(4) Bronchial Asthma
=(5) Goiter
=(6) HPN
=(7) Malaria
=(8) Parasitism, Schisto, Hetero, etc.

=TOO CLOSE (< 3 YRS. GAP)

F
= RISKY LIFESTYLE
G =(1) Smoking
=(2) Drink Alcohol
=(3) Multiple partners
=(4) Living with persons having HIV/AIDS
=(5) Exposures to communicable diseases/areas (ex. Malaria, TB, Schistosomiasis, STI)

= VIOLENCE AGAINST WOMEN (VAW) VICTIM

H
 Child Care
 EPI (Expanded Program on Immunization) aims
to reduce neonatal, infant and child mortality
due to vaccine-preventable diseases
 Ensures normal growth and development of
infants by increasing resistance against
infections and preventing malnutrition.
 
Vaccine Storage: OPV (Oral Polio
Vaccine) Freezer

BCG/Penta/PCV13/IPV/MMR/
MR/HPV: Body
 ORI-Measles: Continue: MCV0 @ 6-8 mos
 Exclusive Breastfeeding: Exclusive breastfeeding is best for babies
during the first 6 months of life and recommended to be continued
until 2 yrs of age or beyond.
 Complementary feeding may be given to infants 6 months of age or
older.
 Deworming: Start @ 12mos
 Vitamin A:
 6-11mos – 100,000 Blue
 12mos-59mos – 200,000 Red
Fully Immunized Children FIC

BCG 1 dose
Penta 3 doses
PCV 3 doses
OPV 3 doses + 1 dose IPV
MCV 2 doses

Before reaching 1 year old

 
 TD Immunization Schedule for Women
Vaccine Interval Percent Duration of Protection
Protected
TD1 As early as    
possible during
pregnancy

TD2 After 1 month 80% Infant: Protected from

Neonatal tetanus Mother: 3
years Protection

TD3 After 6 months 95% Infant: Protected from

Neonatal tetanus Mother: 5
years Protection

TD4 After 1 year 99% Infant: Protected from

Neonatal tetanus Mother: 10
years Protection

TD5 After 1 year 99% Infant: Protected from

Neonatal tetanus Mother:
Lifetime Protection
 Fundic Height (cms.)
Trimester Month Week Fundic Height
1st 1 1-4  
2 5-8  

3 9-12  

2nd 4 13-16  

5 17-20 20 cms
6 21-24 21-24 cms
3rd 7 25-28 25-28 cms
8 29-32 28-30 cms
9 33-36 (up to 40 30-34 cms
weeks)
 Quality Prenatal Care
4 Prenatal Visits (1 – 1 - 2)
3 basic laboratory
FeSO4 (Iron Supplementation) atleast
180 tablets
Seen by the doctor
Seen by the Dentist
Health teaching/counselling/info
 Quality Postpartum Care
 Facility-based Delivery
 Delivered by Skilled Birth Attendants
 Atleast 2 PP visits: After 24 hours and within 7 days PP
 1 clinic visit within 4-6 weeks PP
 Initiated BF within 1 hr after delivery
 Vit. A given within 1 month after delivery
 Health teaching/counselling