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POLGOV: HEALTH SERVICES Family Planning: 1. Reproductive Health Law (RA 10354) - mandates the Philippine government to comprehensively address the needs of Filipino citizens when it comes to responsible parenthood and reproductive health. 2. Family Planning Program (FPP) of DOH -...

POLGOV: HEALTH SERVICES Family Planning: 1. Reproductive Health Law (RA 10354) - mandates the Philippine government to comprehensively address the needs of Filipino citizens when it comes to responsible parenthood and reproductive health. 2. Family Planning Program (FPP) of DOH - All accredited public health facilities shall provide a full range of modern family planning methods, which shall also include medical consultations, supplies and necessary and reasonable procedures for poor and marginalized couples having infertility issues who desire to have children. 3. SODEX (Service Outreach and Distribution Extension Program) Mobile Clinic - This pioneering effort aims to provide safe and accessible modern family planning methods for Filipinos in far-flung areas to bridge the gap between Filipinos wanting to space and limit pregnancy and the disparities in family planning service provision. 4. ADOLESCENT HEALTH AND DEVELOPMENT PROGRAM (AHDP) -It envisioned well-informed empowered, responsible and healthy adolescents and youth. The mission was to ensure that all adolescents and youth have access to quality comprehensive health care and services in an adolescent and youth-friendly environment. Mental Health: Mental Health Act (Republic Act no. 11036) - An Act Establishing a National Mental Health Policy for the Purpose of Enhancing the Delivery of Integrated Mental Health Services, Promoting and Protecting the Rights of Persons Utilizing  Psychosocial Health Services, Appropriating Funds Therefor and Other Purposes The passing of the Mental Health Act (RA No. 11036) was a big step in improving mental health services in the country. It aims to provide better access to integrated care while safeguarding the rights of individuals with mental disorders and their families (Lally et al, 2019). However, mental health services remain underfunded, with only 3-5% of the total health budget allocated to this sector, and most of it (70%) going towards hospital care (WHO & Department of Health, 2006). This leaves community-based services underdeveloped, making hospitals the main source of care. The National Center for Mental Health in Mandaluyong City holds most of the country’s psychiatric beds, accounting for 67% of available resources (Conde, 2004). Other facilities include the Mariveles Mental Hospital in Bataan, but community residential services are scarce, with only four in the entire country (WHO, 2014). While there are some outpatient facilities (46 in total), their availability is still low, at just 0.05 per 100,000 population (WHO, 2014). Overcrowding, staff shortages, and limited funding are ongoing challenges, especially in peripheral and provincial areas. The country has made strides with the Mental Health Act, but much work is needed to improve access, increase funding, and address the gaps in community-based care. Dental Services: Dental services cover oral facilities and accommodations to patients who seek oral care or checkups, but still provide a holistic approach to the patients. a. Bicol Region General Hospital & Geriatric Medical Center (Bicol Sanitarium) - Medical care such as Dental services are also offered in this region, such as dental consultations, oral examinations, promotive, preventive, curative & restorative dentistry. Its administrative & consultative (educational & clinical) dental sections offer help to people or patients that live in this region to provide good quality services to the patients. b. Sagip Ngipin, Ngiting kay Ganda program (Charity First Foundation) - Considering that most Filipinos from marginalized sectors can’t afford proper dental care, this foundation, the Charity First Foundation, provided dental outreach program called the Sagip Ngipin, Ngiting kay Ganda (September 2002), which promoted oral health by imparting knowledge regarding proper oral hygiene and not only through tooth extraction and tooth fillings. - Dra Rosa Fruto-Garcia led a group of dedicated volunteer dentists in the program's initial biweekly free dental clinics, where they filled teeth and extracted teeth. Health Services for Specific Populations: - Refer to interventions such as health promotion, disease surveillance, and vector control, which have population groups as recipients. Klinikalye: ChildHope Philippines’ Medical Mission in Metro Manila during COVID-19 - The goal of Childhope Philippines is to help underprivileged kids with their medical needs. Every two weeks or less, the Mobile Health Clinic conducts a community health visit to each of the specified regions. - In addition, KliniKalye offers telemedicine consultations through phone or internet platforms as part of their medical mission in the Philippines. Personal consultations are also available, however they should only be done in cases of extreme emergency. This is to ensure that strict health measures are followed. Additionally, they offer medical referrals for emergency care, specialist check-ups, and diagnostic testing. Epidemic surveillance: 1. Field Epidemiology Training Program- are often on the front line in emergencies. Their scientific training allows them to manage outbreak investigations, analyze situations on the ground, and develop public health recommendations. 2. RA 11332 - "Mandatory Reporting of Notifiable Diseases and Health Events of Public Health Concern Act" 3. The National Epidemiology Center - primarily responsible for assessing the health status of Filipinos, detecting or confirming disease outbreaks and  implementing outbreak control measures including but not limited to rapid containment. Answers: Data in mental health (clinical and not cliinical): Mental Health (Clinical) 1. Mental Health in general stated by World Health Organization (WHO) stated that 1 out of 40 people globally will be impacted by mental illness in some point of their lives. It was also said that 350 million people suffer depression, and estimated at least 700,000 people take their own lives. It was also stated that 22% of the people require psychosocial support. Suicide is also said to be the fourth leading cause of death young girls and women, between 15-29 years of age and 9 out of 10 people suffers from mental condition and experiences discrimination which has negative impacts among them. 2. Covid-19 really affected our mental health, considering the increase of rates from 13% to 59% of people experiencing these issues. Globally, it has affected more females (11.9%) than males (9.3%) according to Our world in Data, 2018. 3. The country has limited professionals with only about 548 psychiatrists and 133 psychologists, which translates to roughly 0.5 psychiatrists per 100,000 people. Access to care facilities is limited, with just 4 mental hospitals and 46 general hospitals with psychiatric units nationwide. Community-based mental health services are more accessible, especially after training health workers in mental health care and psychosocial support. Mental Health (Non-clinical): 1.) The three most frequent diagnoses among adults were: psychosis (4.3%), anxiety (14.3%) and panic disorder (5.6%). 2.) Mental illness is the third most common disability in the Philippines. Around 6 million Filipinos are estimated to live with depression and/or anxiety, making the Philippines the country with the third highest rate of mental health problems in the Western Pacific Region. - Suicide rates are pegged at 3.2 per 100,000 population 3.) “Affordability and stigma hinder Filipinos from seeking mental health care.” According to a recent study conducted by the Harvard Humanitarian Initiative, in collaboration with the Philippine Psychiatric and Psychological Associations, highlighted that affordability and stigma remain the most significant barriers to mental health care access in the Philippines, despite a perceived reduction in these barriers since COVID-19. High financial costs (40%) and stigma-related fears, such as being seen as "crazy" or weak, were major obstacles. However, teletherapy expanded care access during the pandemic, addressing issues like distance and travel costs and offering continuity of services. To address these issues, providers recommend more training, expanded internet access, increased funding, and community education on mental health. A significant portion of providers (26.1%) highlighted successes in raising mental health awareness during the pandemic, which they attribute to public and community education initiatives. The survey included psychiatrists and psychologists serving in various settings, particularly private practices and hospitals, with notable service concentration in Metro Manila. A proposal or bill for mental health: Main Proposal # 1: Universal Mental Health Coverage (UMHC) Description: In recent years, mental health has been established to be part of general health and wellbeing. However, most people do not get easy access to mental health services because of the associated costs and a lack of resources. Universal Mental Health Coverage will fill this gap since it ensures that every individual, regardless of his income level, background, or location, has easy access to affordable and effective mental health services. This proposal shall call for coverage of mental health within the broader provision of healthcare services, so that it becomes an unquestionable right rather than a privilege. Through UMHC, we aim to provide a society where access to mental health care is no different from access to physical health care. The main idea of the proposal thus lies in early intervention, preventive care, and broad treatment options that are best tailored for individuals who vary with mental health challenges. To this end, we shall commit to building healthier communities that reduce stigma and allow citizens to live life up to its fullest potential. Objectives: 1. Partnership with educational constitutions - Mental problems are seen in students as well due to many underlying situations. With collaboration with institutions they can regularly check up students and provide help as well. Some of the stress comes from school activities, with proper guidance from a professional, a student can know time and emotional management. Sharing knowledge is a must as well to properly know how to handle things. 2. Betterment of the country - UMHC aims to improve the living conditions of everyone. Mental health affects every aspect of our life, it is connected in our daily life, social interactions, and performance in school or work. A community having a good mental health functions better. 3. Strengthen community support and inclusiveness - UMHC aims at building a society where the people feel truly connected and supported by their communities. This is achieved by ensuring that local organizations, community centers, and support groups actively participate in mental health education and outreach. The end result is that more open discussion of mental health challenges and support without any form of judgment. This emphasis on inclusiveness provides people with a sense of being seen, valued, and less isolated and fosters a resilience foundation to better enhance overall community well-being.  4. Making mental healthcare centers accessible - it should be in primary care centers so that it is available whenever a person needs it. This should be implemented not just in urban areas but in rural as well. So that even if it is a remote area in the Philippines, good mental healthcare is still provided in the community. Main Proposal # 2: Increase mental health funding and resources Description: This will need more financing to be able to service the increased demand for available services, like training and development of health professionals majoring in mental health so that there will be an adequate number of qualified practitioners to meet the service demands. Funding will also go into the construction and improvements of mental health facilities within the country so that it can make health services accessible to urban and rural communities. It plays a significant role in providing prevention, diagnosis, and treatment services while promoting awareness that everybody can seek help within the community. To ensure adequate funding for mental health services within the healthcare system. Objectives: 1. Training more health professionals - Make it possible to meet a variety of mental health needs. 2. Build mental health facilities - includes hospitals, community centers and specialist clinics with mental health units to ensure services are available nationwide, particularly in underserved areas. 3. Develop community mental health programs - provide accessible mental health care outside of hospital settings on a community basis, emphasizing prevention, early intervention, and ongoing support, making services available in everyday settings 4. An emergency response team - people close to us are not always on the phone 24/7 when one needs emotional support. Creating a team hotline specially for  the betterment of mental health would be a great help. A team of professionals in mental healthcare assisting patients through a call in an instant helps prevent accidents. 5. Promote mental health awareness - there could be seminars, not just dedicated to students but parents as well. The funding will go to a large scale of seminar combinations of parents and students, as being informed about these things helps break the stigma. 6. Mental Health Research - fundings are needed in research to better provide quality mental healthcare. References: A primer on the Reproductive Health Law. (n.d.-a). https://www.plcpd.org.ph/wp-content/uploads/2014/08/A-primer-on-the-Reprod uctive-Health-Law.pdf Adolescent health & development program | doh car. (n.d.-b). https://caro.doh.gov.ph/adolescent-health-program/ Affordability and stigma hinder Filipinos from seeking mental health care-HHI study - philippines. ReliefWeb. (2023, April 17). https://reliefweb.int/report/philippines/affordability-and-stigma-hinder-filipinos-se eking-mental-health-care-hhi-study Dental program. Charity First. (n.d.). https://www.charityfirst.ph/projecto-3 Dental Services. (n.d.-a). https://brghgmc.doh.gov.ph/services/clinical-services/dental-services Doh. (n.d.-b). https://ncroffice.doh.gov.ph/HealthStatistics?p=Py9WRi6jnZC3yQIQWf4ZO0tjI%2 B6aZXQohKR4uUbalXMiobaP9mbkCFn3LN1lEN3D19AiszzWP6bVxmWLjM2z7Ve 9vwPHxIEe%2BsJ1l1tqhfZXbz0ffUqh6e7wdymN50siXzdhfLgIoOhUulHqnfVlnLmV /AaHd1/oIvNJ18fl1YFFe0WJO0FBqc/b%2Bar%2BmaAE2xdOFdMJqm9LFuQZO %2BtI6IJvTwhC6nawnWYfqsQfNayZrJdrcuj09CaUc/cZALWE160b5b3JpvvcA/wv 2WClVVHYYstI5ZvEm%2BExgejLNniKJP0prsSdnKvqoN7V0NEUGZLqEubGrDud VUIlF0dzXQ%3D%3D Family Planning Program (FPP) of doh. (n.d.-d). https://hrh2030program.org/wp-content/uploads/2020/04/HRH2030-PH-Org-Des ign-and-WISN-of-FHO-FPP_final-approved.pdf FHI360. (n.d.-b). https://www.fhi360.org/wp-content/uploads/drupal/documents/FETP%20Applied %20Communication%20Curriculum_ENG%20(2).pdf Filipinos don’t seek mental health care. HNL. (2023, October 2). https://healthandlifestyle.ph/article/filipinos-dont-seek-mental-health-care/ Lally, J., Tully, J., & Samaniego, R. (2019, August). Mental Health Services in the Philippines. BJPsych international. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6646843/#ref1 Martinez, A. B., Co, M., Lau, J., & Brown, J. S. L. (2020, November). Filipino help-seeking for mental health problems and associated barriers and facilitators: A systematic review. Social psychiatry and psychiatric epidemiology. https://pmc.ncbi.nlm.nih.gov/articles/PMC7578164/ Ministerie van Algemene Zaken. (2023, November 10). MHPSS worldwide: Facts and figures. Mental health and psychosocial support in crisis situations | Government.nl. https://www.government.nl/topics/mhpss/mhpss-worldwide-facts-and-figures pfkahanap0307. (2024, May 16). Sodex mobile clinic to give Free Family-planning services in Luzon. RAPPLER. https://www.rappler.com/bulletin-board/sodex-mobile-clinic-free-family-planning- services-luzon/ Supreme Court e-library information at your fingertips. RSS. (n.d.). https://elibrary.judiciary.gov.ph/thebookshelf/showdocs/2/89284#:~:text=Short% 20Title.,of%20Public%20Health%20Concern%20Act%22. Team, S. (2024, September 19). Mental health statistics 2020. The Checkup. https://www.singlecare.com/blog/news/mental-health-statistics/ Tolentino, U. J. L. (2004, October 1). The state of Mental Health in the Philippines. International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists. https://pmc.ncbi.nlm.nih.gov/articles/PMC6733085/ Lally, J., Tully, J., & Samaniego, R. (2019). Mental health services in the Philippines. BJPsych International, 16(03), 62–64. https://doi.org/10.1192/bji.2018.34