CHN Midterm Reviewer PDF

ESSENTIAL HEALTH PACKAGES AND ANTENATAL REGISTRATION NUTRITION AND NUTRITION PROGRAM 1ST VISIT - as early in pregnancy as - All members are empowered to maintain possible before 4 months during the 1st their health status...

ESSENTIAL HEALTH PACKAGES AND ANTENATAL REGISTRATION NUTRITION AND NUTRITION PROGRAM 1ST VISIT - as early in pregnancy as - All members are empowered to maintain possible before 4 months during the 1st their health status trimester - The DOH uses the LIFE SPAN 2ND VISIT - during 2nd trimester APPROACH 3RD VISIT - during 3rd trimester EVERY 2 WEEKS - after 8th month of THE FAMILY HEALTH OFFICE pregnancy until delivery Tasked to operationalize health programs geared towards the health of the family. TETANUS TOXOID Concerned with the health of the mother EXPECTED and the unborn, the newborn, infant, child, DATE WHEN TO GIVE DURATION OF the adolescent and youth, and adult men PROTECTION and women and older persons. IT AIMS TO: TT1 At first contact or as none 1. Improve the survival, health and wellbeing early as possible in pregnancy. of mothers and unborn through a package of services for the pre-pregnancy, prenatal, TT2 At least 4 weeks after 1-3 yrs natal and postnatal stages. TT1 2. Reduce morbidity and mortality rates for children 0-9 years. TT3 At least 6 months after 5 yrs TT2 3. Reduce mortality from preventable causes among adolescents and young. TT4 At least one year after 10 years 4. Reduce morbidity and mortality among TT3 or during filipino adults and improve their quality subsequent pregnancy 5. Reduce morbidity and mortality of older TT5 At least one year after All childbearing persons and improve their quality of life. TT4 years MORTALITY - death MORBIDITY - sickness HEALTH NUTRITION DURING PREGNANCY MDG #5: IMPROVE MATERNAL HEALTH V - vision Delays in… I - immune response Seeking care C - cellular differentiation Making referral Providing appropriate management ??? 1. Fetal development 2. Maternal health MATERNAL HEALTH PROGRAM 3. Deficiency risks - Pre-pregnancy, prenatal, natal, postnatal 2005-2010 THRUSTS 2 A’s in CHN context (pregnant women needs launch the BEMOC (Basic emergency during pregnancy) obstetric care) VITAMIN A - for vision ○ Now: BEmONC (basic emergency AYORN (IRON) - for: obstetric NEWBORN/NATAL care) ○ Increased demand Improve the quality of prenatal and ○ Anemia prevention postnatal care. ○ Dietary sources LGUs, NGOs and other stakeholders must advocate for health through resource TREATMENT OF DISEASES AND OTHER generation and allocation for health CONDITIONS services These could endanger health: 1. DOB  2. Unconscious EPI CHEAT SHEET (pati yung table) 3. Postpartum bleeding OPV, MMR - -15 to -25 C (taas ng ref) 4. Intestinal parasite infections ○ Most heat sensitive 5. Malaria DPT, HEP B, BCG, TT - 2 to 8 C (baba ng ref) CLEAN AND SAFE DELIVERY - prayer for the ○ Least heat sensitive whole 9 months of pregnancy, not only during the delivery. FEFO - first expiry, first out SUPPORT BREAST FEEDING SUSO MULA SIX (six months) CHILD HEALTH PROGRAM ○ Breast feed 6 months, after 6 WHAT IS THE GOAL months pwede na solid foods or not - Reduce morbidity and mortality rates for pure breast milk children 0-9. INFANT AND YOUNG CHILD FEEDING 2005-2010 THRUSTS CHILDHOOD MALNUTRITION REB strategy for immunization WHAT DID THEY DO? Intensify health education and campaigns GLOBAL STRATEGY FOR IYCF (???) at ground level - Made by WHO and UNICEF in 2002 LAWS (sinearch q lang sa google) - Promotion of breastmilk as the ideal food EARLY CHILDHOOD DEVELOPMENT for the healthy growth and development of ACT OF 2000 infants ○ Aka RA 8980 FOR THE MOTHER ○ Refers to the full range of health, Reduce risk for excessive blood loss nutrition, early education and social Provides natural methods for delaying services programs that provide for pregnancies the basic holistic needs of young Reduces the risk of ovarian and breast children from birth to 6, to promote cancers and osteoporosis optimum growth and development. NEWBORN SCREENING ACT OF 2004 EXPANDED PROGRAM FOR IMMUNIZATION ○ Aka RA 9288 (EPI) ○ Illustrates a procedure to detect a Who wants to make vaccines available to genetic and metabolic disorder in infants and children newborns that may lead to mental The goal of the DOH is to reduce mortality retardation and even death if left and morbidity among children from the untreated. most common vaccine-preventable E.O. 286 - reorganizing the metropolitan diseases. waterworks and sewerage system (MWSS) RA 10152 and the local water and utilities - “Mandatory infants and children health administration (LWUA) pursuant to republic immunization act of 2011” act no. E.O. 51 - regulates the marketing of certain products related to infant feeding, and ensures their quality and the appropriateness of information pertaining to their use. R.A. 10028 - an act expanding the promotion of breastfeeding amending for the purpose R.A. 7600 - an act providing incentives to all government and private health institutions with rooming-in and  breastfeeding practices and for other purposes. R.A. 8976 - “The Philippine food fortification act of 2000” an act establishing the Philippine Food Fortification Program and for Other purposes. DEDE HANGGANG DALAWA - Hanggang 2 yrs old lang pwede mag breastfeed FAMILY PLANNING COUNSELLING - Open for all, not limited to married/couples FAMILY PLANNING PROGRAM - To provide universal access to FP information and services to wherever and whenever these are needed. - Reduce infant, neonatal, under-five, and maternal deaths LACTATING AMENORRHEA METHOD (LAM) ○ 6 months physiological infertility ○ 99.5 % (short term) MUCUS, BILLINGS, OVULATION ○ Kapag basa walang pagnanasa ○ 97% BASAL BODY TEMPERATURE ○ Rise in body temp during and after ovulation ○ 99% SYMPTO-THERMAL, TWO-DAY, ○ STANDARD DAYS - no sex from day 8-19 (for cycles from 26-32) FEMALE STERILIZATION ○ BILATERAL TUBAL LIGATION - 99.5% permanent MALE STERILIZATION ○ VASECTOMY - 99.9% permanent PILLS ○ WITH ESTROGEN AND PROGESTERONE - 99.7% per orem MALE CONDOM - 98% INJECTABLES ○ PROGESTIN - 99.7% reversible