CHN LEC Finals Reviewer PDF

CHN LEC - Select relevant facts and the D. Focus charting Week 01: I. Records in Family Health recording should be neat, complete E. Charting by exception (CBE) Nursing Practice and uniform...

CHN LEC - Select relevant facts and the D. Focus charting Week 01: I. Records in Family Health recording should be neat, complete E. Charting by exception (CBE) Nursing Practice and uniform F. Computerized documentation - Records are valuable legal G. Case management 1. Importance and Uses documents and so it should be REPORT - A report is oral, written, or handled carefully, and accounted for. A. Source-Oriented Record computer-based communication - Records systems are essential for - The traditional client record intended to convey information to efficiency and uniformity of services. - Narrative charting consists of written others. - Records should be written notes that include routine care, RECORD - A record, also called a chart immediately after an interview. normal findings, and client problems. or client record, is a formal, legal - Records are confidential documents. document that provides evidence of a ADVANTAGE client's care and can be written or Values & Uses of Records - Convenient computer based. - Record provides basic facts for - Can easily locate the forms services. on which to record data Ethical & Legal Considerations - Provides a basis for short and long - It is easy to trace the - "the nurse has a duty to maintain term planning. information specific to one's confidentiality of all patient - It prevents duplication of services discipline. information". (ANA) and helps follow up services DISADVANTAGE - The client's record is also protected effectively. - Information about a legally as a private record of the - Helps the nurse to evaluate the care particular client problem is client's care. and the teaching which she has given. scattered throughout the - Access to the record is restricted to - It helps the nurse organize her work chart health professionals involved in giving in an orderly way and to make an - Can lead to decreased care to the client. effective use of time. communication among the - The institution or agency is the - It serves as a guide to professional health team rightful owner of the client's record. growth. Components of the Source-Oriented Record Ensuring Confidentiality of Computer Values & Uses of Records - Admission (face) sheet Records - It enables the nurse to judge the - Initial nursing assessment - A personal password is required to quality and quantity of work done - Graphic record enter and sign off computer files - A Record can be used as a teaching - Daily care record - After logging on, never leave a tool too. - Special flow sheets computer terminal unattended. - Record serves as a guide for - Medication record - Do not leave client information diagnosis, treatment and evaluation - Nurses' notes displayed on the monitor where of services. - Medical history and physical others may see it. - It indicates progress examination - Shred all unneeded computer- - It may be used in research - Physician's order form generated worksheets. - The record helps identify families - Physician's progress notes - Know the facility's policy and needing service and those prepared - Consultation records procedure for correcting an entry to accept help. - Diagnostic reports error. - It helps in the guidance of staff and - Consultation reports students - Client discharge plan and Purposes of Client Records - It helps the administrator assess the referral summary - Communication health assets and needs of the village - Planning client care or area. B. Problem-Oriented Medical Record - Auditing health agencies - It helps in making studies for (POMR) - Research research, for legislative action and for - Problem-Oriented Medical Record - Education planning budget. (POMR), or Problem-Oriented Record - Reimbursement - It is legal evidence of the services (POR)- the data are arranged - Legal documentation rendered by each worker. according to the problems the client - Health care analysis - It provides a justification for has rather than the source of the expenditure of funds information. Principles of Record Writing ADVANTAGE - Records should be written clearly, Types of Records & Reports - It encourages collaboration appropriately and legibly. Documentation Systems - The problem list in the front - Records should contain facts based A. Source-oriented record of the chart alerts caregivers on observation, conversation and B. Problem-oriented medical record to the client's needs action. C. Problems, interventions, evaluation - Easier to track the status of (PIE) model each problem. DISADVANTAGE 1. Flow sheets - graphic records of a - Caregivers differ in their C. Problems, Interventions, vital sign sheet ability to use the required Evaluation (PIE) model 2. Standards of nursing care - charting format - This system consists of a agency's printed standards of nursing - It takes constant vigilance to client care assessment flow practice maintain an up-to-date sheet and progress notes. 3. Bedside access to chart forms - all problem list - The flow sheet uses specific flow sheets are kept at the client's - It is somewhat inefficient assessment criteria in a bedside because assessments and particular format, such as interventions must be human needs or functional ADVANTAGE repeated. health patterns. - It eliminates lengthy, 4 Basic Components of POMR - The time parameters for a repetitive notes 1. Database flow sheet can vary from - It makes client changes in 2. Problem list minutes to months. condition more obvious. 3. Plan of care 4. Progress notes. PIE Model F. Computerized Documentation 1. Database ADVANTAGE - Electronic Health Records - Consists of all information - Eliminates the traditional (EHRs) are used to manage known about the client when care plan the huge volume of the client first enters the - Incorporates an ongoing care information required in health care agency. plan into the progress notes contemporary health care. - Data are constantly updated DISADVANTAGE - EHR can integrate all as the client's health status - The nurse must review all of pertinent client information changes. the nursing notes before into one record. 2. Problem List giving care - Problems are listed in the G. Case Management order in which they are D. Focus Charting - The case management model identified, and the list is - Focus charting is intended to make emphasizes quality, cost-effective care continually updated as new the client and client concerns and delivered within an established length problems are identified and strengths the focus of care. of stay. others resolved. - The focus may be a condition, a - This model uses a multidisciplinary 3. Plan of care nursing diagnosis, a behavior, a sign or approach to planning and - The initial list of orders or symptom, an acute change in the documenting client care, using critical plan of care is made with client's condition, or a client strength pathways. reference to the active ADVANTAGE problems. DAR (Focus Charting) - Promotes collaboration and - Care plans are generated by - Data category - assessment teamwork among caregivers the individual who lists the phase - Helps to decrease length of problems - Action category - planning stay, and makes efficient use 4. Progress notes and implementation of time - A chart entry made by all - Response category - DISADVANTAGE health professionals involved evaluation phase - Critical pathways work best in a client's care they all use for clients with one or two the same type of sheet for Focus Charting diagnoses and few notes. ADVANTAGE individualized needs - Progress notes are numbered - Eliminates the traditional to correspond to the care plan Documenting Nursing Activities problems on the problem list - Incorporates an ongoing care - Admission Nursing and may be lettered for the plan into the progress notes Assessment type of data DISADVANTAGE - Nursing Care Plans - The nurse must review all of the - Kardexes Formats of Progress Notes nursing notes before giving care - Flow Sheets SOAP - Subjective data, Objective - Progress Notes data, Assessment, and Planning E. Charting by Exception (CBE) - Nursing Discharge/Referral SOAPIE- Subjective data, Objective - Charting by exception (CBE) is a Summaries data, Assessment, Planning, documentation system in which only General Guidelines for Recording Interventions and Evaluation abnormal or significant findings or 1. Date and Time SOAPIER- Subjective data, Objective exceptions to norms are recorded 2. Timing data, Assessment, Planning, 3. Legibility Interventions, Evaluation and Revision 3 Key Elements of CBE 4. Permanence 5. Accepted Terminology Key Elements for Effective Handoff - To show the progress in reaching 6. Correct Spelling Communication goals. 7. Signature - Up-to-date information - As an aid in studying health 8. Accuracy - Interactive communication conditions. 9. Sequence - Method for verifying the information - As an aid in planning. 10. Appropriateness - Minimal interruptions - To interpret the services to the 11. Completeness - Opportunity for receiver of public and to other interested 12. Conciseness information to review relevant client agencies. 13. Legal Prudence data Components of a patient's records Purposes of Records Telephone Reports include: ➤ Provides health team with - Health professionals frequently - Medical records documentation of the services that report about a client by telephone. - Nursing records/progress have been rendered - Nurses inform primary care notes ➤ To provide the practitioner with providers about a change in a client's - Medication charts data required for the application of condition - Laboratory orders and professional services - The nurse receiving a telephone reports ➤ Records are tools of report should document the date and - Vital signs observation charts communication between health time, the name of the person giving - Handover sheets and workers, the family, and other the information, and the subject of admission development personnel. the information received, and sign the - Discharge and transfer ➤ A record indicates plans for future. notation checklists/letters ➤ It provides baseline data to - Primary care providers often order a - Patient's assessment forms, estimate the long-term changes therapy for a client by telephone. such as nutrition or pressure related to services. - Most agencies have specific policies area care assessment. about telephone orders. Reporting Common Deficiencies in Record - The purpose of reporting is to Care Plan Conference Keeping communicate specific information to a - A care plan conference is a meeting - An absence of clarity person or group of people. of a group of nurses to discuss - Inaccuracies - A report, whether oral or written, possible solutions to certain problems - Spelling mistakes should be concise, including pertinent of a client, such as inability to cope - Missing information information but no extraneous detail with an event or lack of progress - Failure to record action taken toward goal attainment. when a problem has been Reports identified ➤ Reports can be compiled daily, Nursing Rounds weekly, monthly, quarterly and ➤ Nursing rounds are procedures in Legal Issues in Record Keeping annually. which two or more nurses visit - A comprehensive nursing ➤ Report summarizes the services of selected clients at each client's assessment of the patient the nurse and/ or the agency. bedside to: - Relevant information is included ➤ Reports may be in the form of an a. Obtain information that will help together with any actions that have analysis of some aspect of a service. plan nursing care. been taken in response to changes in b. Provide clients the opportunity to patients' conditions; Types of Report discuss their care. - The duty of care to the patient has ➤ Change-of-Shift Reports c. Evaluate the nursing care the client been provided and that no acts or ➤ Telephone Reports has received omissions have compromised a ➤ Telephone Orders patient's safety; ➤ Care Plan Conference Types of Record-Keeping Used in - Arrangements have been made for ➤ Nursing Rounds Healthcare the ongoing care of the patient. ➤ Hand-written records Change-of-Shift Reports ➤ Computer-based systems Week 02: DOH Programs Related to - "handoff" communication a process (electronic) Family Health in which information about patient ➤ Some organizations or employers care is communicated in a consistent will use a combination of both DOH Programs Related to Family manner including an opportunity to Health ask and respond to questions Purposes of Writing Reports 1. Expanded Program of Immunization - Change-of-shift reports may be - To show the kind and quantity of 2. Integrated management of written or given orally, either in a service rendered over to a specific Childhood Illnesses (IMCI) face-to-face exchange or by audiotape period. 3. Early Essential Intrapartal and recording Newborn Care (EEINC) 4. BEMONC/CEMONC most common vaccine- preventable - Reduce death and frequency and 5. Nutrition diseases. severity of illness and disability, and 6. MhGap NIP Specific Goal: - Contribute to improved growth and 7. Other Related Programs To immunize all infants/children development against the most common 1. Expanded Program of vaccine-preventable diseases; Components of IMCI Immunization Improving case management skills Expanded Program of Immunization To sustain polio-free status of the of health workers - The Expanded Program on Philippines; - 11-day Basic Course for RHMs, PHNs Immunization (EPI) was established in To eliminate measles infection; and MOHS 1976 to ensure that infants/children To eliminate maternal and neonatal - 5- day Facilitators course and mothers have access to routinely tetanus; - 5-day Follow-up course for IMCI recommended infant/childhood To control diphtheria, pertussis, Supervisors vaccines. hepatitis b and German Measles; Improving overall health systems To prevent extra pulmonary Improving family and community RA 10152 tuberculosis among children health practices - "Mandatory Infants and Children Health Immunization Act of 2011". NIP Program Target: Rationale for an Integrated Approach - An act providing for mandatory basic Achieve 95% Fully Immunized Child in the Management of Sick Children immunization services for infants & Coverage. ➤ Majority of these deaths are children, repealing for the purpose of caused by 5 preventable and treatable PD No. 996, as amended Program Strategies: conditions namely: - Conduct of routine immunizations 1. Pneumonia Six Vaccine-Preventable Diseases for infants/children/women through 2. Diarrhea, 1. Tuberculosis Reaching Every Purok Strategy. 3. Malaria 2. Poliomyelitis - Supplemental immunization 4. Measles 3. Diphtheria Activities (SIA) 5. Malnutrition. 4. Tetanus - Vaccine-Preventable Disease ➤ Three (3) out of four (4) episodes 5. Pertussis Surveillance of childhood illness are caused by 6. Measles these five conditions Issues & Concerns: Vaccines under the EPI - Some health workers have no Children Covered by the IMCI - Vaccines under the EPI training on Basic EPI Skills and Cold Protocol - BCG birth dose Chain and Logistics Management. - Sick children birth up to 2 - Hepatitis B birth dose - Regional medical and nurse months (Sick Young Infant) - Oral Poliovirus Vaccine coordinators are also untrained on - Sick children 2 months up to - Pentavalent Vaccine Basic EPI Skills and Cold Chain 5 years old (Sick child) - Measles Containing Vaccines Management. (Antimeasles Vaccine, - Immunization is being conducted Strategies/Principles of IMCI: Measles, Mumps, Rubella) usually once a month in BHSS - All sick children aged 2 months up to - Tetanus Toxoid. - Some birthing facilities are not giving 5 years are examined for GENERAL - Pneumococcal Conjugate BCG and Hepatitis B birth dose. DANGER signs and all Sick Young Vaccine - Requests for vaccine refrigerators Infants Birth up to 2 months are were not granted because WHO examined for VERY SEVERE DISEASE National Immunization Program pre-qualified refrigerators are AND LOCAL BACTERIAL INFECTION. - This 2016, the Expanded Program on expensive. - These signs indicate immediate Immunization will transition to - Health workers claim that their referral or admission to hospital become the National Immunization actual population is lower than that of - The children and infants are then Program. the projected population from PSA. assessed for main symptoms. - It will include immunizations of - For sick children, the main symptoms other populations such as senior 2. Integrated management of include: cough or difficulty breathing, citizen immunization, school-age Childhood Illnesses (IMCI) diarrhea, fever and ear infection. immunization, and adolescent - IMCI is a major strategy for child - For sick young infants, local bacterial immunizations survival, healthy growth and infection, diarrhea and jaundice. development and is based on the - All sick children are routinely Program Goals: combined delivery of essential assessed for nutritional, immunization Over-all Goal: interventions at community, health and deworming status and for other To reduce the morbidity and facility and health systems levels. problems mortality among children against the - Only a limited number of clinical Objectives of IMCI signs are used - A combination of individual signs - The ENC Protocol was developed by anthropometric measurements, leads to a child's classification within the Newborn Care Technical Working intramuscular administration of one or more symptom groups rather Group (TWG) that conducted a vitamin K, Hepatitis B vaccine and BCG than a diagnosis. systematic search and critical vaccine - IMCI management procedures use appraisal of foreign and local medical - Transferring of the newborn to the limited number of essential drugs and and allied health literature on nursery or neonatal intensive care encourage active participation of practices in the immediate newborn unit without any indication caretakers in the treatment of period children 4. BEMONC/ CEMONC - Counseling of caretakers on home 4 EEINC Protocol care, correct feeding and giving of 1. Immediate and thorough drying, Basic emergency obstetric and fluids, and when to return to clinic is 2. Early skin-to-skin contact newborn care (BEMONC) an essential component of IMCI 3. Properly-timed clamping and - Basic emergency obstetric and cutting of the cord after 1 to 3 newborn care (BEMONC) is a primary Classifying the Child's illness minutes health care level initiative promoted - The child's illness is classified based 4. Non-separation of the newborn in low- and middle- income countries on a color-coded triage system: from the mother for early to reduce maternal and newborn PINK - indicates urgent hospital breastfeeding initiation and mortality. referral or admission rooming-in. - The WHO recommends a ratio of YELLOW - indicates initiation of one BEmOC facility per one hundred specific Outpatient Treatment Legal Basis twenty five thousand (1:125,000) GREEN - indicates supportive home - The signing of the Administrative population. care Order 2009- 0025 last Dec. 1, 2009 institutionalizes policies and 6 Functions of BEMONC All severe classifications on coloured guidelines for government and private 1. Administer parenteral antibiotics pink and include: health facilities to adopt the essential 2. Administer parenteral oxytocic - Severe Pneumonia or Very newborn care protocol. drugs Severe Disease - Advocacy and dissemination for a 3. Administer parenteral - Severe Dehydration have been done since its launch. anticonvulsants for preeclampsia and - Severe Persistent Diarrhea eclampsia - Very Severe Febrile Disease THE RELATIONSHIP OF THE ENC 4. Perform manual removal of - Severe Complicated Measles PROTOCOL TO THE MOTHER-BABY placenta - Mastoiditis FRIENDLY HOSPITAL INITIATIVE 5. Perform removal of retained - Severe Malnutrition or (MBFHI), INFANT AND YOUNG CHILD products Severe Anemia FEEDING STRATEGY, AND THE 6. Perform assisted vaginal delivery REPUBLIC ACT 10028 Steps of the IMCI Case management Principles of BEMONC Process - The ENC Protocol seeks to provide a - Promotion of women's rights and - At the out-patient health facility, the firm foundation for an environment gender sensitivity health worker should routinely do that complies with the "Ten (10) Steps - Access to quality health and basic demographic data collection, to Successful Breastfeeding" of the nutrition services vital signs taking, and asking the Mother-Baby Friendly Hospital - Focusing on health promotion, mother about the child's problems. Initiative (MBFHI), breastfeeding education and advocacy - Determine whether this is an initial initiation crucial to the IYCF WHO - Establishing linkages and developing or a follow-up visit. global strategy and in the collaboration to ensure sustainability - The health worker then proceeds implementation of the R.A. 10028 - Mobilizing families and communities with the IMCI process by checking for to address family planning and general danger signs, assessing the Newborn Care Practices in the DR maternal and newborn care main symptoms and other processes that should stop: - Empowering communities to indicated in the chart below. - Manipulation such as routine recognize and correct gender - Take note that for the pink box, suctioning of secretions if the baby is discrimination and prevent violent referral facility includes district, crying and breathing normally. and abusive behavior towards women provincial and tertiary hospitals. - Putting the newborn on a cold or and girls - Once admitted, the hospital protocol wet surface. - Reporting and reviewing all maternal is used in the management of the sick - Wiping or removal of vernix caseosa deaths child. if present - Foot printing Goal & Objective of BEmONC 3. Early Essential Intrapartal and - Bathing earlier than 6 hours of life Goal: Newborn Care (EEINC) - Unnecessary separation of the - Ensuring safe motherhood and newborn primarily for weighing, healthy newborns Main Objective: detection and management - Blood transfusion facilities with all - To reduce maternal and perinatal of complications. groups of blood morbidity and mortality. - Supportive lab and imaging services - Treatment: Management of Coverage and Scope of BEMONC sexually transmitted - PPTCT Services - All women of reproductive age infections, anemia, toxemia, - Free antenatal and postnatal (15-49) and newborns up to 28 days or other risk conditions. counseling services of life are target of interventions and Free 108 emergency ambulance services. Natal/ Delivery Care system maintained - Special attention shall be given to - All deliveries should be attended by - Uninterrupted power supply indigenous women, women among a "skilled attendant" - Healthcare waste management highly marginalized groups and - Provide good quality care that is facility teenage/adolescent groups hygienic, safe and sympathetic on an - Approaches or strategies shall be on-going basis Services in the Labour Room culture- based and gender-sensitive - Recognizes and manage - Emergencies met by trained complications obstetrician and staff nurse round the Guidelines and Procedures of - Monitor progress of labor using clock BEMONC partograph - Emergency treatment protocols, - Ensuring Quality Maternal and - Refer promptly and safely when equipment and drugs are available in Newborn Care - Good quality higher-level care is needed the casualty, labour room and new maternal and newborn health service - Ensure the support/presence of born care services - Elements of Quality Maternal and husband/ partner. - Emergency USG are taken for Newborn Care maternal emergencies Prenatal Care Postpartum and Newborn Care - Partographs are used Natal Care/Delivery Care - Newborn screening for 8 congenital - Bio medical waste management Postpartum and Newborn Care metabolic disorder procedures followed - Apgar scoring, proper cord care Good quality maternal and newborn - Identification and management of Services for Care of the Newborn health services: problems in mothers and newborn in - Resuscitation of new born by trained - Are accessible and available as close the 1st 24 hours paediatrician as possible to where the women live. - Immediate and safe referral cases - Emergency treatment protocols, - Are acceptable to potential users needing higher level care equipment and drugs are available in and responsive to local cultural and - Initiate exclusive breastfeeding the casualty, labour room and new social norms - Counseling and health promotion born care services - Have on hand all essential supplies - BCG immunization and complete - Initiation of breast feeding and equipment. assessment of the newborn using immediately after birth - Provide comprehensive care and Growth Monitoring Chart (GMC) linkages to other reproductive health 5. Nutrition Program services Comprehensive Emergency Obstetric Malnutrition - Provide for continuity of care and and Newborn Care (CEMONC) - Malnutrition remains to be a follow-up; challenge in the region despite of the - Are staffed technically competent Establishment of CEmONC Centers decline in the under five mortality health care providers - In September 2004, a Government rate. - Are staffed by workers who provide Order was passed to establish - One of the Global Nutrition Targets respectful and non-judgmental care CEMONC Centers in the State. for 2025 is a 40% reduction in - Involve the client in decision-making - Phase 166 Centers were established stunting, thus the Philippines is - Offer economic and social support to (52 project hospitals and 14 tertiary committed to this target under the health care providers care centers) Global Scaling-Up Nutrition - Encourage partner as well as family - In Phase 2 - 32 Centers were Movement (SUN), ensuring optimal and community involvement in established nutrition in the First 1,000 Days of life pre-natal and post- natal services. - Phase 3 - 27 centers were from a mother's pregnancy up to a established. child's second year of life. Prenatal Pregnant Women should have at least Services Available in a CEMONC Nutrition Program Objectives four (4) prenatal visits for: Center General Objective: - Health promotion - Resuscitation of all obstetric - The overall objective is to improve - Assessment: HBMR emergencies the sur of infants and young children - Prevention: Tetanus Toxoid - Resuscitation of all newborn by improving their nutritional status, immunization, Micronutrient emergencies growth and development through supplementation & early optimal feeding.  processed foods was undertaken to ➤ Trainings and Orientations Specific Objectives: ensure that older infants and young ➤ Advocacies - To raise awareness of the main children receive adequate amounts of ➤ Mentoring and Coaching problems affecting infant and young micronutrients ➤ Monitoring child feeding, identify approaches to ➤ Technical Assistance their solution, and provide a Mother Baby Friendly Health framework of essential interventions; Initiative (MBFHI) Nutrition Month - To create an environment that will - To promote and support and protect - An annual campaign held every July enable mothers, families and other breastfeeding and Infant and Young to create greater awareness on the caregivers in all circumstances to Child Feeding Practices in all health importance of nutrition among make and implement informed facilities, and the need to transform Filipinos. choices about optimal feeding these facilities rendering maternal - The campaign aims to increase practices for infants and young and new born care services into awareness on the importance of children. Mother Baby Friendly Health healthy diets which protects against - To increase commitment of the local Institution. both under- and overnutrition and chief executives and other partners. non-communicable diseases (NCDs). Philippine Integrated Management of Program Components Acute Malnutrition (PIMAM) Barangay Nutrition Scholar (BNS) - Breastfeeding Practices - This aims to support the Program - Complementary Feeding Practices implementation and expansion of - The Barangay Nutrition Scholar - Micronutrient Supplementation quality treatment for children (BNS) Program is a human resource - Universal Salt lodization suffering from the most severe and development strategy of the - Food Fortification acute form, of under nutrition which Philippine Plan of Action for Nutrition, - Mother Baby Friendly Health is severe acute malnutrition (SAM). which involves the recruitment, Initiative (MBFHI) - These children with SAM are at most training, deployment and supervision - Philippine Integrated Management risk of dying as a result of their under of volunteer workers or barangay of Acute Malnutrition (PIMAM) nutrition. nutrition scholars (BNS). - PD No. 1569 mandated the Breastfeeding Practices 4 Guiding Principles of PIMAM deployment of one BNS in every - Exclusive Breastfeeding for the first 1. Maximum coverage and access. barangay in the country. six months 2. Timeliness - early case- finding and - Extended breastfeeding up to three mobilization so that most of the cases Objectives years of SAM - To be able to deliver nutrition and 3. Appropriate care nutrition- related services to the Complementary Feeding Practices 4. Care when and where it is needed barangay by caring for the - Appropriate complementary feeding malnourished and the nutritionally - Ensure access to appropriate 4 Components of PIMAM vulnerable, mobilizing the community, complementary foods - through - Outpatient Therapeutic Care (OTC) and linkage building diversified approaches and use of - Inpatient Therapeutic Care (ITC) home-and community based - Community Mobilization Program Components technologies. - Management of Moderated Acute - Recruitment: A BNS is a trained - Use of locally available and culturally Malnutrition (MAM) community worker who links the acceptable foods community with service providers - Low-cost complementary foods - Training: Ideally, ten-day didactic Pilot Areas of PIMAM: training and a 20-day practicum. Micronutrient Supplementation - Zamboanga del Sur and Pagadian - Benefits: - Universal Vitamin A City Monthly travelling allowance supplementation - Zamboanga Sibugay Entitled to second grade Civil - Iron Supplementation - Zamboanga City Service Commission (CSC) - lodine supplementation eligibility after completing - Calcium Supplementation Target Population/Client two years of continuous and Target Beneficiaries: satisfactory service Universal Salt lodization - Infants, 0-11 months - Families shall be encourage and - Young Children, 1 year up to 3 years Target Population/ Client educated on the use of iodized salt in old - Children 0-5 years old the preparation of foods - Adolescent females (Grades 7-10, - Pregnant and lactating women ALS, Out of School - Families with 0-5 years old children Food Fortification - Pregnant/Lactating women and those with pregnant and lactating - Food fortification of staple foods like women oils and flour and salt to include Strategies, Action Points, & Timeline Area of Coverage & Partner - Disorders due to use of - Republic Act No. 11036 Mental Institutions alcohol Health Act - Disorders due to use of illicit Area of Coverage: drugs Program Components - Nationwide - Mental disorders in children - Wellness of Daily Living - Partner Institutions : - Extreme Life Experience - Local Government Units Mental Health Program - Mental Disorder - Mental health and well-being is a - Neurologic Disorders Policies and Laws concern of all. - Substance Abuse and other - PD No. 1569, "Strengthening the - Through a comprehensive mental Forms of Addiction Barangay Nutrition Program by health program that includes a wide providing for a barangay nutrition range of promotive, preventive, Other Related Programs scholar in every barangay, providing treatment and rehabilitative services - Adolescent Health and funds therefore, and for other Development Program purposes" Mission- Vision - Blood Donation Program - NNC Memorandum No. 2017-011, Vision - A society that promotes the - Belly Gud for Health “Guidelines for providing medical and well-being of all Filipinos, supported - Child Health and survivorship assistance to Barangay by transformative multi-sectoral Development Strategic Plan Nutrition Scholars (BNS)" partnerships, comprehensive mental Year 2001-2004 health policies and programs, and a - Climate Change Strategies, Action Points and responsive service delivery network - Dental Health Program Timeline Mission - To promote over-all - Dengue Prevention and - Capacity building of local wellness of all Filipinos, prevent Control Program government units along providing mental, psychosocial, and neurologic - Emerging and Re-emerging technical and administrative support disorders, substance abuse and other Infectious Disease Program to BNS. forms of addiction, and reduce - Environmental Health - Annual evaluation of performance of burden of disease by improving access Programs BNSS to quality care and recovery in order - Food and Waterborne - Active pursuit of the amendment of to attain the highest possible level of Diseases Prevention and PD 1569 by end of the 17th Congress health to participate fully in society. Control Program - Revision of Guidelines on the Barangay Nutrition Scholars Program MHP Objectives: 7. Other Related Programs by end of December 2017 - To promote participatory - Garantisadong Pambata governance and leadership in mental - Health and Wellness Program 6. Mental Health Gap Action Program health for Senior Citizen (MhGap) - To strengthen coverage of mental - HIV/STI Prevention Program - WHO aims to provide health health services through multi-sectoral - Infant and Young Child planners, policy- makers, and donors partnership to provide high quality Feeding with a set of clear and coherent service aiming at best patient - Inter Local Health Zone activities and programs for scaling up experience in a responsive service - Knock Out Tigdas 2007 care for mental, neurological and delivery network - Lifestyle-related Diseases substance use disorders through the - To harness capacities of LGUs and - Malaria Control Program Mental Health Gap Action Program organized groups to implement - Measles Elimination (mhGAP). promotive and preventive Campaign (Ligtas Tigdas) - MhGAP aims to provide a interventions on mental health - National Family Planning framework for scaling up - To leverage quality data and research Program interventions for mental, neurological, evidence for mental health - National Tuberculosis TB and substance use disorders. The - To set standards for compliance in Control Program framework takes into account the different aspects of services - Newborn Screening Program various constraints which might exist - National Safe Motherhood in different countries. Policies and Laws Program - DOH Administrative Order No. 8 - Oral Health Program Priority Conditions series of 2001 The National Mental - Occupational Health - Depression Health Policy Programs - Schizophrenia - DOH Administrative Order No. - Persons with Disabilities - Other psychotic disorders 2016-0039 - Province-wide Invesment - Suicide - Revised Operational Framework for a Plan for Health (PIPH) - Epilepsy Comprehensive National Mental - Philippine Cancer Control - Dementia Health Program Program  - Rabies Prevention and that the code needs updating to 1. Not taking undue risks or Control Program reflect changes in nursing. Modern performing procedures for which the - Schistosomiasis Control bioethics is a form of the person is not qualified. Program deontological approach to ethics. 2. The treatment must be used - Smoking Cessation Program without undue pain or expense, and it - Violence and Injury Increasingly sophisticated may offer a reasonable hope of Prevention Program technology has created new ethical benefit. - Women and Children dilemmas. That’s why, nowadays, four 3. The level of "quality of life." Protection Program principles are considered essential to 4. Keeping someone alive by food and a theory of modern bioethics. water vs. technology and other WEEK 03: ETHICAL CONSIDERATIONS 1. RESPECT FOR AUTONOMY, treatments. IN COMMUNITY HEALTH NURSING 2. NONMALEFICENCE, 3. BENEFICENCE BENEFICENCE WHAT DOES ETHICS MEANS? 4. JUSTICE - The obligation to act in ways DECLARATIONS OF WHAT IS RIGHT OR that would benefit or provide WRONG AND WHAT IS OUGHT TO BE RESPECT FOR AUTONOMY: some good to others. - It is the capacity of a rational WHAT ARE THE DUTIES AND individual to make informed There are two principles of OBLIGATIONS FOR ETHICAL NURSING decisions, free from control beneficence: PRACTICE? by others and from personal Positive beneficence: The current code for nurses, limitations." - moral rules generally developed by the American Nurses accepted by our Society Association (ANA), is a set of 11 These are the guidelines to make a Utility: statements outlining duties and good decision about treatment: - balancing benefits against obligations related to ethical nursing 1. The individual must be competent the risk of probable harms of practice. 2. The provider or researcher must the individual disclose all information that would THESE DUTIES AND OBLIGATIONS influence the individual's decision. Protect and defend the rights ARE: 3. The individual must understand the of others. 1. Respecting human dignity and meaning and consequences of Prevent harm from occurring providing service without prejudice. information provided. to others. 2. Safeguarding the right of privacy 4. The decision to consent to or refuse Help persons with and the confidential nature of the treatment must be voluntary. disabilities. client's health information. 5. Consent must be given. Rescue persons in danger. 3. Protecting the public from the incompetent, unethical, or illegal AS NURSES, WE CAN'T NEVER JUSTICE practice of any health care provider. FORGET PRINCIPLES OF PRIVACY AND - Fair, equitable, and 4. Assuming personal responsibility CONFIDENTIALITY appropriate treatment of for decisions and actions. what is due or owed to 5. Maintaining professional NONMALEFICENCE persons. competence. "FIRST OF ALL, DO NOT HARM" - Or Right to health care. 6. Using good judgment in seeking THIS IS THE CORNERSTONE OF consultation, accepting responsibility, ETHICAL PRACTICE IN MEDICINE AND 1.) Individual characteristics and delegating nursing activities. NURSING: "no one person is more deserving 7. Contributing to the body of nursing 1. HIGHEST PRIORITY - NO than another" knowledge. HARM 1. ethnicity 8. Participating in the improvement of 2. SECOND PRIORITY - PREVENT 2. gander. standards of care. HARM 3. Social status. 9. Promoting workplace conditions 3. THIRD PRIORITY - REMOVING 4. place of birth. that affect the quality of care. HARM 5. genetic inheritance. 10. Protecting the public from 4. FOURTH PRIORITY - 6. pronatal environment. misinformation and maintaining the PROMOTE HEALTH 7. family structure integrity of nursing. 11. Collaborating in efforts at all levels THE MOST IMPORTANT ETHICAL 2.) Health care and public funds of society to meet the public health ISSUES RELATED TO “Sometimes requires herd destalons" care needs. NONMALEFICENCE AND 1. To stay within reasonable PROLONGING THE LIFE INCLUDING limits and to apply what is MODERN BIOETHICS THE FOLLOWING: available with justice The effects of the business world on the nursing workplace have suggested Both: All nurses have an ethical - Follow the golden rule: assure the conditions for responsibilities to promote health "Treating others the way you people to be healthy(to care as best way want to be treated." identify, prevent, and 7TH STEP (REASSESS THE SITUATION) ameliorate risks to health in 2. What are the common steps in the - If decision makers are not the population) and the process of ethical decision making? producing the intended limitations on the power of - Base your actions on results or are causing the state to constrain the informed judgment undesirable results. autonomy, privacy, liberty, - Keep your knowledge and - Make a new one proprietary, or other legally skills in a continual process of protected interests of self examination. individuals for the common - Provides patients enough 3. When is it ethical not to treat? good." Laurence Gostin information about the Why? - This definition emphasizes therapeutic process Based on these concepts we can the dynamic tension - Respecting the autonomy of reach the answer between the government's the patient. - Moral dilemmas in nursing powers and duties to protect - DO NOT DECIDE FOR THEM - Ethical codes the public's health and the - Making ethical decisions - Moral distress limitations on government's should be a collaborative - Moral integrity power by individual liberties. process between client and - Moral thought counselor (when is Public Good appropriate) Moral dilemmas Individual Liberty Dilemma: is a situation requiring a TO MAKE THE ETHICAL DECISIONS choice between desirable and REPUBLIC ACT 7305 WE NEED TO SEPARATE FOR STEPS undesirable alternatives MAGNA CARTA OF PUBLIC HEALTH 1ST STEP (STOP AND THINK) WORKERS - No rush decisions. Alternatives are justified by - More reflection. fundamental moral rules or SECTION 1. Title. - This Act shall be - Mobilization for our principles. known as the "Magna Carta of Public knowledge. - It can cause moral distress. Health Workers." 2ND STEP (CLARIFY GOALS) - It can support moral - "Determining what is wanted principles. SECTION 2. Declaration of the Policy. - and what isn't, and how they example: the reduction of pain and The State shall instill health are affected by the decision, suffering consciousness among our people to is the most important." effectively carry out the health 3RD STEP (DETERMINE FACTS) Ethical codes programs and projects to the - Be sure that you have - 1st the nursing must give an government essential for the growth adequate information to enforceable standard of and health of the nation. Towards this support a choice. conduct end, this Act aims: - What you know and what - 2nd indicate some of the 1. (a) to promote and improve you need to know. ethical considerations the social and economic - Prepared for additional professionals take into well-being of the health information. account in deciding on workers, their living and 4TH STEP (DEVELOPING OPTIONS conduct working conditions and YOU HAVE TO KNOW) terms of employment; - Make your best judgment as Moral distress 2. (b) to develop their skills and to the relevant facts. - The emotional suffering that capabilities in order that they - Make a list of actions to get is experienced when we will be more responsive and your goals. refuse to follow the course of better equipped to deliver - Talk to somebody you trust action that one believes is health projects and and think of new choices. right. programs; and 5TH STEP (IDENTIFY AND ELIMINATE 3. (c) to encourage those with ANY UNETHICAL OPTIONS) PUBLIC HEALTH LAW proper qualifications and - Identify who will be affected - "Public health law is the excellent abilities to join and and how the decision is going study of the legal powers and remain in government to affect them. duties of the state, in service. 6TH STEP (CHOOSE, YOU HAVE TO collaboration with its MAKE A DECISION!) partners (e.g., health care, SECTION 3. Definition. - For purposes business, the community, the of this Act, "health workers" shall media, and academe), to mean all persons who are engaged in health and health-related work, and an employee of a city health names at the lowest possible all persons employed in all hospitals, district, a general health cost and endeavor to make sanitaria, health infirmaries, health district, the environmental them available for free to centers, rural health units, barangay protection agency, the indigent patients; health stations, clinics and other department of health, or the - To encourage the extensive health- related establishments owned department of agriculture use of drugs with generic and operated by the Government or requiring specialized names through a rational its political subdivisions with original knowledge, training, and system of procurement and charters and shall include medical, experience in the field of distribution; allied health professional, environmental health - To emphasize the scientific administrative and support personnel science, with the primary basis for the use of drugs, in employed regardless of their purpose of improving or order that health employment status. conducting administration or professionals may become enforcement under any of more aware and cognizant of CODE ON SANITATION OF THE the following: their therapeutic PHILIPPINES effectiveness; and Presidential Decree No. 856 Republic Act No. 8749 - To promote drug safety by PHILIPPINE CLEAN AIR ACT OF 1999 minimizing duplication in 1. (A) "Environmental health medications and/or use of science" means the aspect of - The State shall protect and drugs with potentially public health science that advance the right of the adverse drug interactions. includes, but is not limited people to a balanced and to, the following bodies of healthful ecology in accord Republic Act No. 7875 knowledge: air quality, food with the rhythm and NATIONAL HEALTH INSURANCE ACT quality and protection, harmony of nature. OF 1995 hazardous and toxic - The State shall promote and substances, consumer protect the global - Provides all citizens of the product safety, housing, environment to attain Philippines with the institutional health and sustainable development mechanism to gain financial safety, community noise while recognizing the access to health service control, radiation protection, primary responsibility of local through the National Health recreational facilities, solid government units to deal Insurance Program and liquid waste with environmental - Aims to prioritize and management, vector control, problems. accelerate the provisions of drinking water quality, milk - The State recognizes that the health services to all sanitation, and rabies responsibility of cleaning the Filipinos, especially the poor. control. habitat and environment is 2. (B) "Sanitarian" means a primarily area-based. REPUBLIC ACT NO. 7719 person who performs for - The State also recognizes the NATIONAL BLOOD SERVICES ACT OF compensation educational, principle that "polluters must 1994 investigational, technical, or pay". - An act promoting voluntary administrative duties - Finally, the State recognizes blood donation, providing for requiring specialized that a clean and healthy an adequate supply of safe knowledge and skills in the environment is for the good blood regulating banks, and field of environmental health of all and should, therefore, providing penalties for science. be the concern of all. violation thereof. 3. (C) "Registered sanitarian" - To promote and encourage means a person who is REPUBLIC ACT No. 6675 voluntary blood donation by registered as a sanitarian in GENERICS ACT OF 1988 the citizenry and to instill accordance with this chapter. public consciousness of the 4. (D) "Sanitarian-in-training" - To promote, encourage and principle that blood donation means a person who is require the use of generic is a humanitarian act; registered as a terminology in the - To lay down the legal sanitarian-in-training in importation, manufacture, principle that the provision accordance with this chapter. distribution, marketing, of blood for transfusion is a 5. (E) "Practice of advertising and promotion, professional medical service environmental health" prescription and dispensing and not a sale of a means consultation, of drugs; commodity; instruction, investigation, - To ensure the adequate - To provide for adequate, inspection, or evaluation by supply of drugs with generic safe, affordable and  equitable distribution of of blood transfusion ➤ Any person or entity that violates supply of blood and blood transmissible diseases. the law will be slapped with a fine products; ranging between P20,000 to P50,000, - To Inform the public of the Week 04: Public Health Laws imprisonment between one month need for voluntary blood to six months, or both at the donation to curb the hazards Republic Act No. 11332 discretion of the court causes by the commercial Laws on Notifiable Disease sale of blood - President Duterte has signed Senior Citizen Laws - To teach the benefits and Republic Act No. 11332 that The 1987 Philippine Constitution. rationale of voluntary blood provides policies and Article XV, Section 4 on the Filipino donation in the existing procedures on surveillance Family of the 1987 Philippine health subjects of the formal and response to notifiable Constitution mandates that, "It is the education system in all public diseases, epidemics and duty of the family to take care of its and private school, in the health events that pose risk older person members, while the elementary, high school and to public health and security. State may design programs of social college levels as well as the security for them." non-formal education The law, also known as "Mandatory systems; Reporting of Notifiable Diseases and ➤ Presidential Proclamation 470, - To mobilize all sectors of the Health Events of Public Concern Act, Series of 1994, declaring the first community to participate in was signed last April 26 week of October of every year as mechanisms for voluntary - Notifiable disease is any "Elderly Filipino Week." and non-profit collection of disease that is required by ➤ Presidential Proclamation 1048, blood; law to be reported to Series of 1999, declaring a nationwide - To mandate the Department government authorities. The observance in the Philippines of the of Health to establish and collation of information International Year of Older Persons. organize a National Blood allows the authorities to ➤ Executive Order (EO) 266, Series of Transfusion Service Network monitor the disease and 2000, approving and adopting the in order to rationalize and provides early warning of Philippine Plan of Action for Older improve the provision of possible outbreaks. Persons (1999-2004). ΕΟ 105, Series adequate and safe supply of - All public and private of 2003, approving and directing the blood; physicians, allied medical implementation of the program - To provide for adequate personnel, hospitals, health providing for group homes and foster assistance to institutions facilities, workplaces, homes for the neglected, abandoned, promoting voluntary blood schools, prisons, ports, abused, detached and poor older donation and providing airports, establishments. persons and persons with disabilities non-profit blood services, communities, other either through a system of government agencies, and There are also national laws for reimbursement for costs non-government senior citizens that need to be from patients who can afford organizations are required to properly implemented for the benefit to pay or donations from accurately and immediately of older persons. governmental and non report notifiable diseases Republic Act (RA) 7432, or the governmental entities; and health events. "Senior Citizens Act of 1991," or "An - To Require all blood - Provincial, city or municipal Act to Maximize the Contribution of collection units and blood health offices may only Senior Citizens to Nation-Building, banks/centers to operate on declare a disease outbreak Grant Benefits and Special Privileges a non-profit basis; within their respective areas and for Other Purposes." This - To Establish scientific and provides for the granting of a professional standards for ➤ The new law also prohibits 20-percent discount for senior citizens the operation of blood - unauthorized disclosure of on fares for domestic transportation, collection units and blood private and confidential and the availability of services from banks/centers in the information about a patient's hotels, lodging houses. restaurants, Philippines; medical condition or theaters, recreation centers, and - To regulate ensure the safety treatment purchase of drugs and medicines of all activities related to the - tampering of records anywhere in the country. It also collection, storage and - non-operation of disease exempts senior citizens from payment banking of blood; surveillance and response of individual income tax and - Torequire upgrading of blood systems establishes the Office of Senior banks/centers to include - non-cooperation of persons Citizens Affairs (Osca) at the city or preventive services an and entities that should municipal mayor's office. education to control spread There are also national laws for ➤ The government shall pursue an ranging from Five hundred thousand senior citizens that need to be intensive and unrelenting campaign pesos (P500,000.00) to Ten million properly implemented for the benefit against the trafficking and use of pesos (P10,000,000.00) shall be of older persons. dangerous drugs and other similar imposed upon any person or group of RA 9257, otherwise known as the substances through an integrated persons who shall maintain a den, Expanded system of planning, implementation dive or resort where any dangerous Senior Citizens Act of 2003, expands and enforcement of anti-drug abuse drug is used or sold in any form. the coverage of the benefits and policies, programs, and projects. - The penalty of death and a fine privileges for senior citizens by ➤ The government shall however aim ranging from One million making it mandatory for business to achieve a balance in the national (P1,000,000.00) to Fifteen million establishments to grant the drug control program so that people pesos (P15.000,000.00) shall be 20-percent discount on goods and with legitimate medical needs are not imposed on the maintainer, owner services. It also installs a process for prevented from being treated with and/or operator organizing the Oscar and the selection adequate amounts of appropriate Employees and Visitors of a Den, of the Osca head. But, more medications, which include the use of Dive or Resort. - The penalty of importantly, it provides for a dangerous drugs. imprisonment ranging from twelve comprehensive system for senior ➤ It is further declared the policy of (12) years and one (1) day to twenty citizens to foster their capacity to the State to provide effective (20) years and a fine ranging from One attain a more meaningful and mechanisms or measures to hundred thousand pesos productive aging. re-integrate into society individuals (P100,000.00) to Five hundred who have fallen victims to drug abuse thousand pesos (P500,000.00) shall There are also national laws for or dangerous drug dependence be imposed upon: senior citizens that need to be through sustainable programs of - Any employee of a den, dive or properly implemented for the benefit treatment and rehabilitation resort, who is aware of the nature of of older persons. the place as such; and RA 9994, or the "Expanded Senior Unlawful Acts and Penalties - Any person who, not being included Citizens Act of 2010," is the most Importation of Dangerous Drugs in the provisions of the next preceding recent amendment and prevailing law and/or Controlled Precursors and paragraph. is aware of the nature of for senior citizens. It provides for the Essential Chemicals. - The penalty of the place as such and shall knowingly following benefits and privileges: life imprisonment to death and a fine visit the same. ➤ Twenty-percent discount and ranging from Five hundred thousand Manufacture of Dangerous Drugs 12-percent value-added tax pesos (P500,000.00) to Ten million and/or Controlled Precursors and exemption, free services and/or pesos (P10,000,000.00), shall import Essential Chemicals. - The penalty of training fees or bring into the Philippines any life imprisonment to death and a fine ➤ Discount on "essential medical dangerous drug. regardless of the ranging from Five hundred thousand supplies, accessories, equipment," quantity and purity involved, including pesos ($500,000.00) to Ten million free flu and pneumonia vaccines any and all species of opium poppy or pesos (P10.000.000.00) shall be ➤ Additional government assistance, any part thereof or substances imposed upon any person, who, i.e., social pension, mandatory derived therefrom even for floral, unless authorized by law, shall engage PhilHealth coverage, social-safety decorative and culinary purposes in the manufacture of any dangerous nets, death death benefit assistance Sale, Trading, Administration. drug. Dispensation, Delivery, Distribution - Any phase of the manufacturing Comprehensive Dangerous Drugs Act and Transportation of Dangerous process was conducted in the of 2002 Drugs and/or Controlled Precursors presence or with the help of minor/s: Republic Act No. 9165 and Essential Chemicals. - The - Any phase or manufacturing process It is the policy of the State to penalty of life imprisonment to death was established or undertaken within safeguard the integrity of its territory and a fine ranging from Five hundred one hundred (100) meters of a and the well-being of its citizenry thousand pesos ($500,000.00) to Ten residential, business, church or school particularly the youth, from the million pesos (P10,000,000.00. sell, premises: harmful effects of dangerous drugs on trade, administer, dispense, deliver, - Any clandestine laboratory was their physical and mental well-being, give away to another. distribute, secured or protected with booby and to defend the same against acts dispatch in transit or transport any traps; or omissions detrimental to their dangerous drug, including any and all - Any clandestine laboratory was development and preservation. In species of opium poppy regardless of concealed with view of the foregoing, the State needs the quantity and purity involved, or Illegal Chemical Diversion of to enhance further the efficacy of the shall act as a broker in any of such Controlled Precursors and Essential law against dangerous drugs, it being transactions. Chemicals. - The penalty of one of today's more serious social ills. Maintenance of a Den, Dive or imprisonment ranging from twelve Resort. - The penalty of life (12) years and one (1) day to twenty imprisonment to death and a fine (20) years and a fine ranging from One hundred thousand pesos the body: Provided. That in the case imprisonment ranging from twelve (P100,000.00) to Five hundred of medical practitioners and various (12) years and one (1) day to twenty thousand pesos (P500.000.00) shall professionals who are required to (20) years and a fine ranging from One be imposed upon any person, who, carry such equipment. instrument, hundred thousand pesos unless authorized by law, shall illegally apparatus and other paraphernalia in (P100,000.00) to Five hundred divert any controlled precursor and the practice of their profession, the thousand pesos (P500,000.00) and essential chemical. Board shall prescribe the necessary the additional penalty of the Manufacture or Delivery of implementing revocation of his/her license to Equipment, Instrument, Apparatus, Possession of Dangerous Drugs practice shall be imposed upon the and Other Paraphernalia for During Parties, Social Gatherings or practitioner. who shall prescribe any Dangerous Drugs and/or Controlled Meetings. - Any person found dangerous drug to any person whose Precursors and Essential Chemicals. - possessing any dangerous drug during physical or physiological condition The penalty of imprisonment ranging a party, or at a social gathering or does not require the use or in the from twelve (12) years and one (1) meeting, or in the proximate company dosage prescribed therein, as day to twenty (20) years and a fine of at least two (2) persons, shall suffer determined by the Board in ranging from One hundred thousand the maximum penalties provided for consultation with recognized pesos (P100,000.00) to Five hundred in Section 11 of this Act, regardless of competent experts who are thousand pesos (P500.000.00) any the quantity and purity of such authorized representatives of person who shall deliver, possess with dangerous drugs professional organizations of intent to deliver, or manufacture with Use of Dangerous Drugs. - A person practitioners, particularly those who intent to deliver equipment, apprehended or arrested, who is are involved in the care of persons instrument, apparatus and other found to be positive for use of any with severe pain. paraphernalia for dangerous drugs. dangerous drug, after a confirmatory Unlawful Prescription of Dangerous knowing, or under circumstances test, shall be imposed a penalty of a Drugs. - The penalty of life where one reasonably should know, minimum of six (6) months imprisonment to death and a fine that it will be used to plant. rehabilitation in a government center ranging from Five hundred thousand propagate, cultivate, grow, harvest, for the first offense. subject to the pesos (P500,000.00) to Ten million manufacture. compound, convert, provisions of Article VIII of this Act. If pesos (P10,000,000.00) shall be produce, process, prepare, test, apprehended using any dangerous imposed upon any person, who, analyze, pack, repack, store, contain drug for the second time, he/she shall unless authorized by law, shall make or conceal any dangerous drug and/or suffer the penalty of imprisonment or issue a prescription or any other controlled precursor and essential ranging from six (6) years and one (1) writing purporting to be a prescription chemical in violation of this Act. day to twelve (12) years and a fine for any dangerous drug. Possession of Dangerous Drugs. - ranging from Fifty thousand pesos The penalty of life imprisonment to (P50,000.00) to Two hundred Cheaper Medicines Act death and a fine ranging from Five thousand pesos (P200,000.00): R.A. 9502 of 2008 hundred thousand pesos Provided. That this Section shall not - The Law intends to achieve better (P500,000.00) to Ten million pesos be applicable where the person tested health outcomes for the Filipino (P10,000,000.00) shall be imposed is also found to have in his/her people by assuring that quality upon any person, who, unless possession such quantity of any medicines are accessible and authorized by law, shall possess any dangerous drug provided for under affordable to as many Filipinos dangerous drug in the following Section 11 of this Act. in which case especially the poor. quantities, regardless of the degree of the provisions stated therein purity. Cultivation or Culture of Plants Building a better world for and with Possession of Equipment, Classified as Dangerous Drugs or are children Instrument, Apparatus and Other Sources Thereof. - The penalty of life - Save the Children, the world's Paraphernalia for Dangerous Drugs. - imprisonment to death and a fine leading independent children's The penalty of imprisonment ranging ranging from Five hundred thousand organization, has been working in the from six (6) months and one (1) day to pesos (P500,000.00) to Ten million Philippines for over three decades and four (4) years and a fine ranging from pesos (P10,000,000.00) shall be is dedicated to helping children. Ten thousand pesos (P10,000.00) to imposed upon any person, who shall - Save the Children works hard to help Fifty thousand pesos (P50,000.00) plant, cultivate or culture marijuana, children gain access to quality shall be imposed upon any person, opium poppy or any other plant education and health services, who, unless authorized by law, shall regardless of quantity, which is or may support them in times of great need, possess or have under his/her control hereafter be classified as a dangerous and protect them from risks and any equipment, instrument, drug or as a source from which any harm. We work with the government apparatus and other paraphernalia fit dangerous drug may be manufactured in developing policies, plan and or intended for smoking. consuming, or derived budgets to ensure that children, administering, injecting, ingesting. or Unnecessary Prescription of especially those living in poor introducing any dangerous drug into Dangerous Drugs. - The penalty of communities, have access to quality basic services and have their rights child has the right to desist from or 1. Preventing the entry and protected. desist from conduct which the woman distribution of relief goods in or her child has the right to engage in, disaster-stricken areas Humanitarian Response 01 or attempting to restrict or restricting 2. Diverting or misdelivery of relief - When disasters strike, we the woman's or her child's freedom of goods ensure that children are movement or conduct by force or 3. Forcibly seizing of the goods given care and emotional threat of force, physical or other harm intended for a specific group of support to survive. recover, or threat of physical or other harm, or victims or relief agency and continue to learn and intimidation directed against the 4 Accepting, possessing, using or live normal lives. woman or child disposing of relief supplies not Health and Nutrition 02 - Causing or attempting to cause the intended for nor consigned to a - We improve the health of woman or her child to engage in any person children and families so sexual activity which does not children no longer die of constitute rape, by force or threat of 5. Misrepresenting the source of relief preventable illnesses and live force, physical harm, or through goods either by covering or replacing past their fifth birthday intimidation directed against the the labels Education 03 woman or her child or her/his 6. Repacking the goods into - We create greater access to immediate family: containers with different markings, or quality education and ensure - Engaging in purposeful, knowing, or making a false verbal claim that the that girls and boys are able to reckless conduct, personally or goods came from another agency or learn in safe and positive through another, that alarms or persons environments.. causes substantial emotional or 7. Substituting or replacing relief Childs' Rights & Protection 04 psychological distress to the woman goods, equipment or other aid - We ensure that children are or her child. commodities with the same items of safe from abuse, exploitation - Causing mental or emotional inferior or cheaper quality and violence at all times, and anguish, public ridicule or humiliation have a say in government to the woman or her child, including, Rooming-in and breastfeeding act of decisions that affect their but not limited to, repeated verbal 1992 (milk Code) lives. and emotional abuse, and denial of financial support or custody of minor Republic Act 7600 Anti-Violence Against Women and children of access to the woman's SECTION 1. Title. This Act shall be Their Children Act of 2004 child/children known as "The Rooming-In and Breast-feeding Act of 1992". Republic Act 9262 Philippine Disaster Risk Reduction SECTION 2. Declaration of Policy. The - It is hereby declared that the State and Management (DRRM) Act of State adopts rooming-in as a national values the dignity of women and 2010 Republic Act No. 10121 policy to encourage, protect and children and guarantees full respect - An act mandated to strengthen support the practice of breast- for human rights. The State also disaster management in the feeding. It shall create an recognizes the need to protect the Philippines, a country prone to natural environment where basic physical, family and its members, particularly hazards. emotional, and psychological needs of women and children, from violence mothers and infants are fulfilled and threats to their personal safety SELLING, BUYING OF RELIEF GOODS through the practice of rooming-in and security. PUNISHABLE BY IMPRISONMENT OF and breast-feeding. UP TO 12 YEARS SECTION 3. Definition of Terms. Anti-Violence Against Women and For purposes of this Act, the following Their Children Act of 2004 RA10121 definitions are adopted: - AN ACT STRENGTHENING a) Age of gestation Republic Act THE PHILIPPINE DISASTER b) Bottle Feeding 9262 RISK REDUCTION AND c) Breast-feeding - Causing physical harm to the woman MANAGEMENT SYSTEM d) Breastmilk or her child: PROHIBITED ACTS e) Expressed breastmilk - Threatening to cause the woman or 1. Selling of relief goods, equipment, f) Formula feeding her child physical harm; or other aid commodities intended for - the feeding of a newborn with infant - Attempting to cause the woman or distribution to disaster victims formul