Philippine DOH Programs Related to Family Health PDF

Module 8: The Philippine Department of Health Programs Related to Family Health Lesson I: Maternal, Newborn , and Child Health and Nutrition (MNCHN)  The Maternal, Newborn, and Child Health and Nutrition (MNCHN) Strategy The following are the four ke...

Module 8: The Philippine Department of Health Programs Related to Family Health Lesson I: Maternal, Newborn , and Child Health and Nutrition (MNCHN)  The Maternal, Newborn, and Child Health and Nutrition (MNCHN) Strategy The following are the four key strategies of MNCHN: 1. Ensuring universal access to and utilization of an MNCHN Core Package of services and interventions 2. Establishment of a service delivery network at all levels of care to provide the package of services and interventions; 3. Organized use of instruments for health systems development to bring all localities to create and sustain their service delivery networks 4. Rapid build-up of institutional capacities of DOH and PhilHealth, being the lead national agencies that will provide support to local planning and development istcock.com Source: Department of Health ,2011 CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The Maternal, Newborn, and Child Health and Nutrition (MNCHN) Strategy The MNCHN strategy aims for: 1. Every pregnancy to be wanted, planned and supported; 2. Every pregnancy to be adequately managed throughout its course; 3. Every delivery to be facility-based and managed by skilled birth attendants/skilled health professionals; 4. Every mother and newborn pair to secure proper post-partum and newborn care with smooth transitions to the women’s health care package for the mother and child survival package for the newborn istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Pre-Pregnancy Package 1. Nutrition Nutritional counseling; Promotion of the use of Iodized salt Promotion and Provision of micronutrient supplements: Iron and Folate: 60 mg of elemental iron/ 400 ug folic acid 1 tab.OD for 3 to 6 months Vit. A : at least 5,000 IU every week or a daily multivitamin supplement 2. Promotion of healthy lifestyle istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Pre-Pregnancy Package 3. Advice on family planning and provision of family planning services 4. Prevention and management of lifestyle-related diseases istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Pre-Pregnancy Package 5. Prevention and management of infection 6. Counseling on STI/HIV/AIDS, nutrition, personal hygiene, and the consequences of abortion istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Pre-Pregnancy Package 7. Adolescent health services 8. Provision of oral health services istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Pre-Natal Package 1. Prenatal visits (at least 4 through pregnancy) and Prenatal assessment 1. Micronutrient Supplementation Iron and folate : 60 mg of elemental iron/ 400 ug folic acid 1 tab.OD for 6 mnths or 180 tablets Vit. A 10,000 IU 2x a wk from the 4th month of pregnancy. Elemental Iodine: 200 mg. given once during the pregnancy istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Pre-Natal Package 3. Tetanus toxoid immunization 4. Promotion of exclusive breastfeeding, newborn screening, and infant immunization istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Pre-Natal Package 5. Counseling on healthy lifestyle 6. Early detection and management of complications of pregnancy istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Pre-Natal Package 7. Prevention and management of other conditions where indicated: hypertension, anemia, diabetes, tuberculosis, malaria, schistosomiasis, STI/HIV/AIDS 8. Birth planning and promotion of facility-based delivery istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  Home-Based Mother’s Record (HBMR) HBMR is a simplified record of history of present and past pregnancies, and measures of the TBA, BHW, or health professional HBMR has been concluded to: Provides a means of promoting continuity of care through a woman’s reproductive life; Promotes early recognition of women who are at risk of developing conditions Encourages self-care where appropriate and referral suited to the needs of the woman; Supports initiation of appropriate care Serves as a useful record of care and health information and source of health statistics; and Guides the health workers in providing for the health educational needs of the client istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Childbirth Package 1. Skilled birth attendance/skilled health professional-assisted delivery and facility-based deliveries including the use of partograph istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  PARTOGRAPH or Partogram – a composite graphical record of progress of labor on a single sheet of paper which aids in recognition of feto- maternal problems. It serves as an early warning system and assist in making decisions and interventions rce:https://www.slideshare.net/fathi1957/partograph-103750056  The MNCHN Core Packages of Services Childbirth Package 2. Proper management of pregnancy and delivery complications and newborn complications  DOH, PhilHealth, and WHO recommend Essential Intrapartum and Newborn Care (EINC) or Unang Yakap istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  Essential Newborn Care (Unang Yakap ) ENC is a simple cost-effective newborn care intervention that can improve neonatal as well as maternal care. It is an evidence-based intervention that: 1. Emphasizes a core sequence of actions, performed methodically (step -by-step); 2. Is organized so that essential time bound interventions are not interrupted; and 3. Fills a gap for a package of bundled interventions in a guideline format. istcock.com Source: https://www.doh.gov.ph/unang-yakap FOR INTERNAL CIRCULATION ONLY 2019 CENTRO ESCOLAR UNIVERSITY  The MNCHN Core Packages of Services Childbirth Package 3. Access to Basic Emergency Obstetric and Newborn Care (BEmONC) or Comprehensive Emergency Obstetric and Newborn Care (CEmONC) services CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Post-Partum Package 1. Post-partum visits: within 72 hours and on the 7th day postpartum check istock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Post-Partum Package 2. Micronutrient supplementation Iron and folate : 60 mg of elemental iron/ 400 ug folic acid 1 tab.OD for 3 months or 90 tablets Vit. A 200, 000 IU w/in 4 wks after delivery CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Post-Partum Package 3. Counseling on nutrition, child care, family planning, and other available services CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Newborn (First Week of Life) Care Package 1. Interventions within the first 90 minutes Immediate and thorough drying Skin to skin contact between mother and newborn Cord clamping 1 to 3 minutes after birth Early initiation of breastfeeding means breastfeeding within an hour after birth Non-separation of baby from the mother, also known as rooming-in CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Newborn (First Week of Life) Care Package 2. Essential newborn care after 90 minutes to 6 hours Vitamin K prophylaxis; Hepatitis B and BCG vaccination; Examination of the baby for birth injuries, malformations, or defects; and Additional care for a small baby (a baby with a birth weight