Healthcare

Programs of
the DOH
MATERNAL & CHILD HEALTH
PROGRAM
• WHO Philippines MCH Program
works with local public health
departments, community based
organizations, statewide
organizations and other providers
to provide and/or assure quality
health services are delivered to
mothers, children, and families in
the country.
The primary areas of work focus are:

1.Increasing healthy birth outcomes

2.Promoting and assuring comprehensive primary care
for children, from birth to 21 year old, including
children with special health care needs
3. Promoting healthy lifestyles among school-age youth,
ages 6-21, including children with special health care
needs;
4. Promoting access to safe, healthy child care, including
children with special health care needs
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 center.
• 2. Tetanus Toxoid Immunization - A series of 2 doses of
tetanus toxoid vaccination must be received
by a pregnant women one month before
delivery and 3 booster doses after
childbirth
• 3. Micronutrient Supplementation - Vitamin A and Iron
supplement for the prevention of
anemia and Vit. A deficiency.
• 4. Treatment of diseases and other conditions - These is for
the women who is diagnosed as
under the high risk
• IDEAL FREQUENCY OF PRENATAL VISITS DURING THE
DURATION OF PREGNANCY

• FIRST VISIT As early as possible before 4

months or during 1st trimester

• SECOND VISIT During the second trimester

• During the third trimester After 8 months

until THIRD VISIT EVERY 2 WEEKS
TETANUS TOXOID Vaccine and Protected Duration of
Protection

TT1 As early as possible during pregnancy

TT2 At least 4 weeks later
• Gives 3 years protection for the mothers
TT3 At least 6 months later
• Gives 5 years protection for the mothers
TT4 At least 1 year later
• Gives 10 years protection for the mothers
TT5 At least 1 year later
• Gives lifetime protection for the mothers

When given to women of childbearing age, vaccines that

contain tetanus toxoid not only protect women against
tetanus, but also prevent neonatal tetanus in their newborn
FAMILY PLANNING PROGRAM
Brief Description of Program:

• A national mandated priority public health

program to attain the country's national
health development: 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 family planning methods.
• FAMILY PLANNING PROGRAM

The program is anchored on the following basic principles.

a. Responsible Parenthood which means that each family

has the right and duty to determine the desired number of
children they might have and when they might have
them. And beyond responsible parenthood b.

b. Responsible Parenting which is the proper upbringing and

education of chidren so that they grow up to be upright,
productive and civic-minded citizens.

c. Respect for Life. The 1987 Constitution states that the

government protects the sanctity of life. Abortion is
NOT a FP method.
• Birth Spacing
• refers to interval between pregnancies (which is ideally 3
years).
• It enables women to recover their health improves
women's potential to be more productive and to realize
their personal aspirations and allows more time to care
for children and spouse/husband

• Informed Choice that is upholding and

ensuring the rights of couples to determine the number
and spacing of their children according to their life's
aspirations and reminding couples that planning size of
their families have a direct bearing on the quality of
• FAMILY PLANNING PROGRAM 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:
a. 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.
b. Ensure that quality FP services are available in
DOH retained hospitals, LGU managed health
facilities and private sector.
• TYPES OF FAMILY PLANNING
• NATURAL
• Standard Days Method
• Lactational Amennorhea Method
• Basal Body Temperature
• Billings Ovulation/Cervical Mucus Method
• Symptothermal Method
• ARTIFICIAL
• Condom
• Injectables
• Oral Contraceptive
• Pills
• Intrauterine Device
• PERMANENT
• Vasectomy
• Bilateral Tubal Ligation
CHILD HEALTH PROGRAM
CHILD HEALTH PROGRAMS

• Newborns, infants and children are

vulnerable age group for common
childhood diseases.
• To address problems, child health
programs have been created
and available in all health
facilities which includes:
GOAL of child health
programs:

• Reduce morbidity and

mortality rates for
children 0 – 9 years with
the strategies necessary
for program
• INFANT AND YOUNG CHILD
FEEDING
• Breastfeeding, especially exclusive
breastfeeding during the first half-year of
life is an important factor that can prevent
infant and childhood morbidity and
mortality.
• Timely, adequate, safe and proper
complementary feeding will prevent
childhood malnutrition.
Importance of Breast feeding:

Exclusive breast feeding is

giving only breast milk to
infants. This is
recommended up to 6 months
and can be extended up to 2
years.
EXPANDED PROGRAM ON
IMMUNIZATION
• The EPI was launched in July 1976 by
the DOH in cooperation with WHO
and UNICEF.

• The original objective was to reduce

the morbidity and mortality among
infants and children caused by the
seven childhood diseases.

• Every Wednesday is designated as

immunization day in all parts of the
country.

•
• A fully immunized child:
receives all the recommended basic
vaccines by 12 months of age

• BCG at birth
• polio doses at 6 (42), 10 (70) and 14 (98) weeks (days)
of age
• pentavalent doses at 6 (42), 10 (70) and 14 (98) weeks
(days) of age
• measles dose at 9 (274) months (days) of age

***Pentavalent consisted of 5 antigens (diphtheria,

pertussis, tetanus, and hepatitis B and Haemophilus
influenzae type b).
EXPANDED PROGRAM ON IMMUNIZATION
GUIDELINES
• 1. It is safe and immunologically effective to administer all
EPI vaccines on the same day at different sites of the body.

• 2. Moderate fever, malnutrition, mild respiratory infection,

cough, diarrhea and vomiting are not contraindicated to
vaccination.

• 3. DPT2 and DPT3 are contraindicated to a child who has

had convulsion or shock within 3 days the previous dose.
• 4. Live vaccines like BCG must not be given to individuals
who are immunosuppressed due to malignant
disease, therapy with immunosuppressive agents or
irradiation.

• 5. It is safe and effective with mild side effects after

vaccination. (Ex: Local reaction, fever)

• 6. Repeat BCG vaccination if the child does not develop a

scar after the first injection.

• 7. BCG immunization shall be given to all school entrants

both in private and public schools regardless of the
presence or absence of BCG scar.
Vaccine Minimum Number of Minimum Interval Reason
Age at 1st Doses Between Doses
Dose

BCG Birth or 1 BCG protects the

anytime infant from possibility
after of TB meningitis &
birth other TB infectio

DPT 6 weeks 3 3 4 weeks Reduces the chance

of pertussis
OPV 6 weeks 3 3 4 weeks Protection against
Polio Disease
Hepatitis At birth 1 3 6 weeks Reduces the chance
B interval of being infected

Measles 9 months 1 Prevents deaths,

malnutrition and
protection from
measles
 Vaccine storage and handling
Type/Form of vaccine Storage Temperature

Oral Polio (live attenuated freezer -15°C to -25°C

)

Measles ( Freeze dried) Freezer -15°C to -25°C

DPT/Hep B body of refrigerator +2 °C to + 8°C

BCG (freeze dried) body of refrigerator +2 °C to + 8°C

Tetanus toxoid body of refrigerator) +2 °C to + 8°C (

NUTRITION PROGRAM
• Malnutrition continues to be a public health concerns in the
country. The common nutritional deficiencies are Vitamin A,
Iron and Iodine.

• GOAL:

• To improve quality of life of Filipinos through better nutrition,

improved health and increased productivity.

• Programs and projects are: Micronutrient supplementation,

food fortification, nutrition information, communication and
education, home, school and community food production and
food assistance.
DENTAL HEALTH
• Oral disease continues to be a serious public health problem
in the Philippines.
• The prevalence of dental caries on permanent teeth has
generally remained above 90% throughout the years.
• About 92.4% of Filipinos have tooth decay (dental caries) and
78% have gum diseases (periodontal diseases)
Although preventable, these diseases affect almost
every Filipino at one point or another in his or her lifetime.

• Goal:
Attainment of improved quality of life through promotion
of oral health and quality
Dental Health Objectives:

• The prevalence of dental caries is

reduce
• The prevalence of periodontal
disease is reduced
• Dental caries experience is reduced
• The proportion of Orally Fit
Children (OFC) 12-71 months old is
increased
TB DOTS
Infectious disease usually affecting the
lungs caused by Mycobacterium
tuberculosis.
Transmitted from TB patients through
coughing
Most common sign is cough lasting for 2 weeks
or more.
Diagnosed through sputum examination
Strategy: Directly Observed Treatment Shortcourse (TB-DOTS)

• What DOTS can do?

• Will cure TB patients (high cure rate as
high as 95%)
• Prevents new infections among children &
adults
• Prevents resistance to Anti-TB Drugs
• No hospitalization required
• Saves money