Reorient Health Services and Global Development
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Questions and Answers

What is the recommended dose of iodine for postpartum women?

  • 50,000 IU 2x per week
  • 200,000 IU 1 cap 1x within 4 weeks after delivery (correct)
  • 100,000 IU 1x within 4 weeks after delivery
  • 10,000 IU 1x during the pregnancy
  • Which food should be avoided to prevent inhibition of iodine absorption?

  • Seaweed
  • Fish
  • Shrimp
  • Cabbage (correct)
  • What is the target group for iodine supplementation according to the provided content?

  • Children of reproductive age
  • Children under 6 years old (correct)
  • Adults over 50
  • Infants under 1 year
  • What is the goal of Family Planning Counseling?

    <p>To ensure a polite and effective communication</p> Signup and view all the answers

    What are pregnant women advised against during the 2nd trimester concerning multivitamins?

    <p>Excessive intake that could be teratogenic</p> Signup and view all the answers

    What is the recommended practice for administering iodine supplementation to children?

    <p>1 cap for 1 year</p> Signup and view all the answers

    Which program provides early detection of congenital hearing loss?

    <p>Newborn Hearing Screening Reference Center</p> Signup and view all the answers

    What is the recommended formula for calculating the amount of ORS to be administered?

    <p>Weight in kg x 75 mL/kg BW</p> Signup and view all the answers

    Which of the following is a manifestation of Kwashiorkor?

    <p>Irritable behavior</p> Signup and view all the answers

    What is the composition of the homemade Oresol?

    <p>1L water + 1 tsp salt + 4 tsp sugar</p> Signup and view all the answers

    What behavior is NOT recommended during Family Planning Counseling?

    <p>Pressuring the client to decide immediately</p> Signup and view all the answers

    What is assessed using anthropometry?

    <p>Weight for age</p> Signup and view all the answers

    Which is NOT a center-based early childhood program mentioned in the content?

    <p>Public Libraries</p> Signup and view all the answers

    In cases of severe dehydration with very low weight, which treatment is recommended?

    <p>Intravenous fluids such as D5W &amp; D10W</p> Signup and view all the answers

    In diagnosing malnutrition, when should weight for age not be used?

    <p>When the patient has edema</p> Signup and view all the answers

    For infants under 6 months, how much ORS should be given in the first 4 hours?

    <p>100-200 mL</p> Signup and view all the answers

    What are the consequences of iodine deficiency in infants?

    <p>Congenital hypothyroidism or cretinism</p> Signup and view all the answers

    What should be done if a mother must leave before treatment?

    <p>Explain the four rules of home management</p> Signup and view all the answers

    Which condition is characterized by a qualitative deficiency?

    <p>Kwashiorkor</p> Signup and view all the answers

    Which of the following is a standard assessment in nutritional evaluation?

    <p>Health history</p> Signup and view all the answers

    If a child is experiencing very low weight and severe dehydration, what is the follow-up time recommended?

    <p>5 days</p> Signup and view all the answers

    How long should zinc be continued in the feeding plan?

    <p>For 14 days</p> Signup and view all the answers

    What is a sign of Marasmus?

    <p>Normal hair and skin</p> Signup and view all the answers

    Which of the following is NOT included in the treatment for persistent diarrhea?

    <p>Intravenous antibiotics</p> Signup and view all the answers

    Which of the following nutritional deficiencies can lead to protein, carbohydrates, and fats shortage?

    <p>Marasmus</p> Signup and view all the answers

    What is the 'Flag Sign' associated with?

    <p>Discoloration of hair</p> Signup and view all the answers

    What is one of the goals of the FOURmula One for Health framework?

    <p>Increase health system responsiveness</p> Signup and view all the answers

    Which of the following is a strategy to improve health services for poor families?

    <p>Deployment of Community Health Teams (CHTs)</p> Signup and view all the answers

    What was the role of the Department of Health (DOH) in the Sentrong Sigla Movement?

    <p>Provide technical and financial assistance</p> Signup and view all the answers

    Which goal seeks to reduce maternal mortality by three-quarters?

    <p>Goal 5</p> Signup and view all the answers

    What is the mission of the Department of Health (DOH) in the Philippines?

    <p>To ensure equitable health for all Filipinos</p> Signup and view all the answers

    What does 'no balance billing' policy aim to achieve?

    <p>Protect the poorest families from extra costs</p> Signup and view all the answers

    Which health goal aims to ensure universal access to reproductive health by 2015?

    <p>Goal 5</p> Signup and view all the answers

    What characterized the health service disruptions during the Japanese Era?

    <p>Interruption of services</p> Signup and view all the answers

    Which indicator is associated with Goal 4 regarding child mortality?

    <p>Under-5 mortality rate</p> Signup and view all the answers

    Which of these is NOT a thrust in the FOURmula One for Health framework?

    <p>Health education</p> Signup and view all the answers

    What does the term 'pandemic' refer to?

    <p>A disease that exists worldwide</p> Signup and view all the answers

    In the context of health financing, what is a cash subsidy intended for?

    <p>To assist poor families with healthcare costs</p> Signup and view all the answers

    What is the aim of the Sentrong Sigla Movement?

    <p>To improve healthcare quality</p> Signup and view all the answers

    What is the maximum duration breast milk can be stored at room temperature?

    <p>8 hours</p> Signup and view all the answers

    Which of the following is NOT a galactogen mentioned?

    <p>Peanuts</p> Signup and view all the answers

    How often should a breastfeeding mother ideally feed her baby?

    <p>8 times a day</p> Signup and view all the answers

    What is the appropriate storage temperature range for vaccines in a refrigerator?

    <p>2–8ºC</p> Signup and view all the answers

    Which vaccine requires 3 doses during specific weeks after birth?

    <p>Hepatitis B</p> Signup and view all the answers

    Which of the following vaccines is administered orally?

    <p>Rotavirus Vaccine</p> Signup and view all the answers

    What is the recommended action if a mother consumes coffee?

    <p>Withhold feeding for 24 hours</p> Signup and view all the answers

    Which condition is listed as a contraindication for vaccination?

    <p>Persistent fever</p> Signup and view all the answers

    At what age is the first dose of the Hepatitis B vaccine recommended?

    <p>At birth</p> Signup and view all the answers

    Which type of vaccine is the BCG vaccine classified as?

    <p>Live attenuated</p> Signup and view all the answers

    Which of the following vaccines must be stored in a cold place?

    <p>Measles Vaccine</p> Signup and view all the answers

    What should NOT be done after administering a vaccine that causes local tenderness?

    <p>Massage the injection site</p> Signup and view all the answers

    Which of the following immunization programs focuses on children under 1 year old?

    <p>Expanded Program on Immunization</p> Signup and view all the answers

    Study Notes

    Reorient Health Services

    • Advocate for community engagement in health education.
    • Facilitate decision-making processes within health services.

    Millennium Development Goals

    • Significant summit held from September 6-8, 2000 in New York with global leaders.
    • Aimed to establish measurable targets for health and development.
    • Goals are aimed at eradicating poverty, promoting education, gender equality, child health, maternal health, and combating diseases.

    Goal 1: Eradicate Extreme Poverty and Hunger

    • Objective to reduce the proportion of people living on less than $1 a day by half.
    • Key indicators include poverty gap ratio and consumption share of the poorest quintile.

    Goal 2: Achieve Universal Primary Education

    • Aim for all children to complete a full course of primary education.
    • Focus on net enrollment ratios and literacy rates among youth.

    Goal 3: Promote Gender Equality and Empower Women

    • Commit to eliminating gender disparity in education by 2015.
    • Indicators include ratios of girls to boys in education and women's representation in the workforce and parliament.

    Goal 4: Reduce Child Mortality

    • Target to reduce under-5 mortality rates by two-thirds.
    • Emphasis on immunization coverage for children.

    Goal 5: Improve Maternal Health

    • Aim to reduce the maternal mortality ratio by three-quarters.
    • Universal access to reproductive health services to be achieved by 2015.

    Goal 6: Combat HIV/AIDS, Malaria, and Other Diseases

    • Focus on prevention and treatment strategies for infectious diseases.

    FOURmula One for Health Framework

    • Goals include improved health outcomes, responsive health systems, and equitable healthcare financing.
    • Core thrusts: financing, regulation, service delivery, and good governance.

    Sentrong Sigla Movement

    • Aims for quality health through better collaboration between the Department of Health (DOH) and Local Government Units (LGUs).
    • Focus on technical and financial assistance from DOH while LGUs develop and implement health systems.

    Aquino Health Agenda

    • Objective of achieving Universal Health Care for all Filipinos under the Kalusugan Pangkalahatan initiative.

    Community Health Nursing

    • Poor households face challenges in accessing quality healthcare and health services.
    • Engagement strategies include home visits by healthcare professionals for direct care and health education.

    Iodine Supplementation

    • Aim to address iodine deficiency to prevent congenital hypothyroidism.
    • Sources of iodine include seafood, with avoidance of goitrogenic foods.

    Early Childhood Care and Development (ECCD)

    • Focus on holistic needs for children under six years old.
    • Programs include home-based and center-based services to enhance development.

    Expanded Program on Immunization (EPI)

    • EPI aims to immunize all children before age one with a focus on vaccine storage and logistics.
    • Essential vaccines include BCG, DTP, and measles.

    Supplementary Immunization Activities (SIAs)

    • Implement "catch up" campaigns to increase vaccination rates in older age groups.
    • Aimed at reducing disease transmission and promoting community immunity.

    Contraindications and Vaccine Management

    • Educating about vaccination contraindications and managing adverse effects is crucial for effective immunization practices.
    • Health centers need to maintain rigorous monitoring and education efforts on vaccines and preventable diseases.### Kwashiorkor
    • Qualitative deficiency primarily resulting from inadequate protein intake.
    • Key manifestations include:
      • Edema (swelling due to fluid accumulation)
      • Ascites (abdominal swelling due to fluid)
      • Irritable behavior
      • Alternating black or dull hair, also known as the "Flag Sign"
      • Skin desquamation (peeling of skin)
    • Weight for age is critical for assessment; not valid if edema is present.
    • Diagnosis includes identifying acute malnutrition, which can lead to obesity or wasting.

    Marasmus

    • Represents a quantitative deficiency due to lack of proteins, carbohydrates, and fats.
    • Key manifestations include:
      • Significant muscle wasting
      • Normal hair and skin appearance
      • Profound thinness (“skin and bones” appearance)
      • Weight indicates between 2nd to 3rd degree malnutrition.

    Nutritional Methods of Assessment

    • Methods categorized:
      • A – Anthropometry
      • B – Biochemical or laboratory exams
      • C – Clinical examination
      • D – Dietary history
      • H – Health history
    • Anthropometric measures include weight for age, height for age, body mass index, and mid-upper arm circumference.

    Treatment and Management

    • For kwashiorkor, follow-up within 5 days if no improvement.
    • Plan B addresses cases with some dehydration:
      • Administer rehydration solutions (ORS) based on weight in kg multiplied by 75 mL/kg BW.
      • Use homemade oral rehydration solutions (Oresol) with a specific recipe.
      • For infants below 6 months, give 100–200 mL in the first 4 hours.
    • Advise continued breastfeeding and additional feeding after initial treatment.
    • Zinc supplementation recommended post-treatment.
    • Immediate follow-up is crucial after 4 hours and weighted decisions made for further intervention.

    Follow-Up and Additional Treatment

    • Administer antibiotics for 2 days and bronchodilators (such as Salbutamol) for 2 days.
    • Monitor weight for a minimum of 30 days for very low weight instances.
    • Address anemia treatment for 14 days, ensuring absence of dehydration, anemia, or pneumonia for further follow-up every 5 days.

    ORS Formulations

    • Standard ORS: 1L water, 1 tsp NaCl, and 4 tsp sugar.
    • Homemade ORS: alternatives of water with specific amounts of salt and sugar for hydration management.
    • Soothe throat symptoms with natural remedies such as calamansi, avoiding codeine-based products.

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    Description

    This quiz explores the prerequisites for health services and their role in fostering global partnerships for development. It examines the need for an open and predictable trading and financial system while advocating for community health education and effective decision-making processes.

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