Essential Health Packages and Nutrition Program PDF

ESSENTIAL NCM 104 - CHN 1 HEALTHPACKAGES AND NUTRITION PROGRAM BIANCA A. DELA PAZ, RN  INTRODUCTION IT IS IMPORTANT TO NOTE... All members The DOH are empowered uses the...

ESSENTIAL NCM 104 - CHN 1 HEALTHPACKAGES AND NUTRITION PROGRAM BIANCA A. DELA PAZ, RN  INTRODUCTION IT IS IMPORTANT TO NOTE... All members The DOH are empowered uses the to maintain their health LIFE SPAN status. APPROACH. THE FAMILY HEALTH OFFICE The Family Health Office is tasked to operationalize health programs geared towards the health of the family. It is concerned with the health of the mother and the unborn, the newborn, infant, child, the adolescent and youth, the adult men and women and older persons.  IT AIMS T O... Improve the survival, health and well being of mothers and the 01 unborn through a package of services for the pre-pregnancy, prenatal , natal and postnatal stages. Reduce morbidity and 02 Reduce morbidity and mortality rates for children 0-9 years. 04 mortality among Filipino adults and improve their quality. Reduce morbidity and 03 Reduce mortality from preventable causes among adolescents and young. 05 mortality of older persons and improve their quality of life.  MORTALITY = TALITY DEATH MOR MORBIDITY MORBIDITY = SICKNESS RECALL YOUR MDG # 5 Improve maternal health SO HOW WILL WE REACH THIS GOAL? DELAYS IN... Seeking care Making referral Providing appropriate management ESSENTIAL HEALTHPACKAGES AND NUTRITION PROGRAM MATERNAL HEALTH PROGRAM PRE-PREGNANCY PRE-NATAL NATAL POST-NATAL 2005-2010 THRUSTS Launch the BEMOC (Basic Emergency Obstetric Care) Akshwally, BEmONC na siya ngayon. 2005-2010 THRUSTS Improve the quality of pre-natal and post- natal care. 2005-2010 THRUSTS Reduce women's exposure to health risks 2005-2010 THRUSTS LGUs , NGOs and other stakeholders must advocate for health through resource generation and allocation for health services  ELCOME TO W THE MATERNA L HEALTH PROGRAM THESE ARE THE PACKAGES OF SERVICES THAT EVERY WOMAN HAS TO RECEIVE BEFORE AND AFTER PREGNANCY AND OR DELIVERY OF A BABY: ANTENATAL REGISTRATION  ANTENATAL REGISTRATION 1ST VISIT AS EARLY IN PREGNANCY AS POSSIBLE BEFORE 4 MONTHS DURING THE 1ST TRIMESTER  ANTENATAL REGISTRATION 2ND VISIT DURING THE 2ND TRIMESTER  ANTENATAL REGISTRATION 3RD VISIT DURING THE 3RD TRIMESTER  ANTENATAL REGISTRATION EVERY 2 WEEKS AFTER 8TH MONTH OF PREGNANCY UNTIL DELIVERY USAPANG TT NAMAN. MICRONUTRIENT SUPPLEMENTATION LET’S RECALL YOUR NUTRI HEHEHE Remember the 2 As in CHN context  Remember the 2 As in CHN context VITAMIN A 1. Fetal development 2. Maternal health 3. Deficiency risks Remember the 2 As in CHN context AYORN 1. Increased demand 2. Anemia prevention 3. Dietary sources  TREATMENT OF DISEASES AND OTHER CONDITIONS  THESE COULD ENDAGER HEALTH: 1. DOB 2. Unconscious 3. Post-partum bleeding 4. Intestinal parasite infections 5. Malaria CLEAN AND SAFE DELIVERY SUPPORT BREAST FEEDING SUSO MULA SIX  DEDE HANGGANG DALAWA FAMILY PLANNING COUNSELLING  FAMILY PLANNING PROGRAM FOR WHAT? To provide universal access to FP information and services to wherever and whenever these are needed. FOR WHAT? Reduce infant, neonatal, under-five, and maternal deaths  FEMALE STERILIZATION BILATERAL TUBAL LIGATION 99.5% PERMANENT  MALE STERILIZATION VASECTOMY 99.9% 99.8% TYPICAL USE* PERMANENT  PILLS WITH ESTROGEN AND PROGESTERONE 99.7% 92% TYPICAL USE* PER OREM MALE CONDOM 98% 85% TYPICAL USE*  INJECTABLES PROGESTIN 99.7% 97% TYPICAL USE* REVERSIBLE  LACTATING AMENORRHEA METHOD (LAM) 6 MONTHS 99.5% PHYSIOLOGICAL INFERTILITY 98% TYPICAL USE* SHORT TERM  MUCUS, BILLINGS, OVULATION KAPAG BASA, WALANG 97% 80% TYPICAL USE* PAGNANASA.  BASAL BODY TEMPERATURE RISE IN BODY TEMP DURING AND AFTER OVULATION 99% 80% TYPICAL USE* OTHER METHODS OF FAMILY PLANNING SYMPTO-THERMAL TWO-DAY STANDARD DAYS  STANDARD DAYS NO SEX FROM DAY 8-19 FOR CYCLES FROM 26-32 SADT :( CHILD HEALTH PROGRAM WHAT IS THE GOAL? Reduce morbidity and mortality rates for children 0-9. 2005-2010 THRUSTS REB strategy for immunization 2005-2010 THRUSTS Intensify health education and campaigns at ground level.  SOME LAWS TO STUDY AT HOME: 1. Early Childhood Development Act of 2000 2. Newborn Screening Act of 2004 3. E.O. 286 4. E.O. 51 5. R.A. 10028 6. R.A. 7600 7. R.A. 8976 INFANT AND YOUNG CHILD FEEDING  CHILDHOOD MALNUTRITION  WHAT DID THEY DO? GLOBAL STRATEGY FOR IYCF WHO + UNICEF IN 2002 Promotion of breastmilk as the ideal food for the healthy growth and development of infants  FOR THE MOTHER... Reduces risk for excessive blood loss  FOR THE MOTHER... Provides natural methods for delaying pregnancies  FOR THE MOTHER... Reduces the risk of ovarian and breast cancers and osteoporosis EXPANDED PROGRAM FOR IMMUNIZATION EPI  EPI WHO WANTS TO MAKE VACCINES AVAILABLE TO INFANTS AND CHILDREN  EPI THE GOAL OF THE DOH IS TO REDUCE MORTALITY AND MORBIDITY AMONG CHILDREN FROM THE MOST COMMON VACCINE-PREVENTABLE DISEASES.  RA 10152 “MANDATORY INFANTS AND CHILDREN HEALTH IMMUNIZATION ACTOF 2011” EPI cheat sheet :’)  MOST HEAT SENSITIVE OPV DPT MMR HEP B -15 TO -25 C BCG TT 2 TO 8 C LEAST HEAT SENSITIVE  KEY PRINCIPLE! “FEFO” FIRST EXPIRY, FIRST OUT 3 PROGRAMS MORE.... AND WE’LL HAVE THE FIRST 25-ITEM QUIZ. LET’S RECALL FIRST. CHILD HEALTH PROGRAM  TALKING ABOUT DISEASES This is a major strategy for child survival, healthy growth, and development and is based on the combined delivery of essential interventions at community, health facility, and health systems levels. (DOH, 2020)  5 PREVENTABLE AND TREATABLE CONDITIONS PNEUMONIA  5 PREVENTABLE AND TREATABLE CONDITIONS DIARRHEA  5 PREVENTABLE AND TREATABLE CONDITIONS MALARIA  5 PREVENTABLE AND TREATABLE CONDITIONS MEASLES  5 PREVENTABLE AND TREATABLE CONDITIONS MALNUTRITION  THIS IS BECAUSE... Three (3) out of four (4) episodes of childhood illness are caused by these five conditions.  AND THIS IS SPECIFICALLY FOR: Birth up to 2 months (Sick Young Infant) 2 months up to 5 years old (Sick child)  THERE ARE A LOT OF INTEGRATED CASE MANAGEMENT PROCESSES ORIGINATING FROM DIFFERENT SOURCES... THEY ALL COINCIDE SAMELY. LET’S FOLLOW THE ONE IN THE BOOK (AS ADOPTED BY THE DOH). PARA HAPPY LAHAT :) HOME RHU HOSPITAL THINK OF A STOPLIGHT. NUTRITION PROGRAM COMMON NUTRITIONAL DEFICIENCIES 1. VITAMIN A 2. IRON 3. IODINE  TO REDUCE: Proportion of Filipino households with intake below 100% of the dietary energy requirement from 53.2% to 44.0%. MICRONUTRIENT SUPPLEMENTATION ASAP  FOOD FORTIFICATION  REPUBLIC ACT 8976 THE FOOD FORTIFICATION ACT OF 2000 VITAMIN A IRON IODINE  ESSENTIAL MATERNAL AND CHILD HEALTH SERVICE PACKAGE AND OTHER PACKAGES: 1. NUTRITION INFORMATION, COMMUNICATION, AND EDUCATION 2. HOME, SCHOOL, AND COMMUNITY FOOD PRODUCTION 3. FOOD AND LIVELIHOOD ASSISTANCE ORAL HEALTH PROGRAM  AL CAR DEN T IES MAIN ORAL HEALTH ASE P E RI O PROBLEMS D SE ON I TAL D  THEREFORE... The delivery of the basic oral health care became the responsibility of the local government under the Local Government Code of 1991.  PREVENTIVE Promote oral health and provide specific protection from the occurrence of dental caries and other oral diseases.  CURATIVE/TREATMENT Remedial measures applied to halt the progress of oral disease and restore the sound condition of the teeth and supporting tissues.  PROMOTIVE Health education activities directed to the priority groups thru individual or group approach using accepted tools and media. ADOLESCENT HEALTH PROGRAM FIRST, LET’S RECALL SOME NUMBERS. 15-24 YOUTH ACCORDING TO WHO  10-19 ADOLESCENTS ACCORDING TO WHO  10-24 “YOUNG PEOPLE” ACCORDING TO WHO 15-30 YOUTH ACCORDING TO DOH 2005-2010 THRUSTS Come up with models for adolescent-friendly health services and adolescent- friendly environments 2005-2010 THRUSTS Organize and build the capability of young people to promote healthy lifestyles 2005-2010 THRUSTS Continue fertility awareness activities among high school teachers and students  THE ESSENTIAL PACKAGES 1. Management of illness 2. Counseling on substance abuse, sexuality and reproductive tract infections 3. Nutrition and diet counseling 4. Mental health 5. Family planning and responsible sexual behavior 6. Dental care DOH AO 2013-0013  PHILIPPINE REPRODUCTIVE HEALTH The Philippines is one of a signatory country to the International Conference Plan of Action of Reproductive Health in Cairo in 1994.  PHILIPPINE REPRODUCTIVE HEALTH To support the effective implementation of the program, the DOH issued AO 1-A s. 1998 establishing the Philippine Reproductive Health which define the RH service package consisting of 10 elements.  PHILIPPINE REPRODUCTIVE HEALTH The Responsible Parenthood and Reproductive Health Act is officially known as Republic Act No. 10354. This law was enacted on December 21, 2012. THANK YOU! SO MUCH! READY? :)