Community Health Nursing 1 (NCM 104) PDF

COMMUNITY HEALTH NURSING 1 NCM 104 MODULE 4 LESSON 2 Prof. Jobbie S. Lacopia BSN,RN,CT,MAT MODULE 4 Lesson 2 PUBLIC HEALTH LAW Course Description This course deals with concepts, principles, theories and techniques in the provision of basic care in terms of health promotion, disease prevention...

COMMUNITY HEALTH NURSING 1 NCM 104 MODULE 4 LESSON 2 Prof. Jobbie S. Lacopia BSN,RN,CT,MAT MODULE 4 Lesson 2 PUBLIC HEALTH LAW Course Description This course deals with concepts, principles, theories and techniques in the provision of basic care in terms of health promotion, disease prevention, restoration and maintenance and rehabilitation at the individual and family level. It also includes the determinants and factors affecting the health of the clients such as the Philippine Health Care Delivery System, national health situation and the global context of public health. The utilization of nursing process to provide safe and holistic management of individual and family through inter-professional care is highlighted in this course. MODULE 4 PUBLIC HEALTH LAW Introduction Health Law, according to the World Health Organization, is the area of law concerned with the health of individuals and populations, the provision of health care and the operation of the health care system.  MODULE 4 PUBLIC HEALTH LAW Health Laws are advance important used health policy to: goals such as Universal health coverage; establish the basis for organizing, governing and financing a country’s health system; protect the public and social nature of healthcare; protect public health from communicable diseases or other public health risks; regulate the operation of hospitals, clinics or other health services; control the training and practice standards of health workers; regulate the safety and efficacy of medicines and medical devices; protect patient rights; address non-communicable disease risk factors (e.g. smoking); and M4 - Learning OBJECTIVES Learning Objectives At the end of this module, the students are expected to : 1.Explain what is the importance of the public health laws; 2.Determine the various public health laws and its content; 3.Enumerate the provisions embodied in the various public health laws. 4.Identifies the objectives and parameters of the various public health laws. M4: Graphic Organizer  M-9 Lesson2. Public Health Laws Philippine Health Laws are categorized to the following: A. REPUBLIC ACT – an act passed by the Congress of the Philippines, while the form of government is Republican government. B. PRESIDENTIAL DECREE – An order of the President. This power of the President which allows him/her to act as legislators was exercised during the Marshall Law period. C. LETTER OF INSTRUCTION – An order issued by the President to serve as a guide to his/her previous decree or order. D. EXECUTIVE ORDER – an order issued by the executive branch of the government in order to implement a constructional mandate or a statutory provision. Kindly read on the discussion below for you to understand the different Public Health Laws that has a big impact in PUBLIC HEALTH LAW ▪Public health law is a field that focuses legal practice, scholarship and advocacy on issues involving the government’s legal authorities and duties “to ensure the conditions for people to be healthy,”and how to balance these authorities and duties with “individual rights to autonomy, privacy, liberty, property and other legally protected interests. ▪The scope of public health law is broad. Public health law issues range from narrow questions of legal interpretation to complex matters involving public health policy, social justice and ethics. Sources of Public Health Law ▪Legal authority relevant to population health comes from five basic legal sources and from every level of government. ▪Constitutions. All government action to advance public health must be consistent with constitutional authority and constitutional protections of individual rights. In addition to the U.S. Constitution, which applies nationally, all 50 states and many tribal and territorial governments have adopted constitutions. Sources of Public Health Law The role boards of health play in public health generally depends on their legal authority and powers as defined in state statutes. ▪ In addition, executive branch officials are authorized to issue legally binding executive orders. ▪ Regulatory decisions, and the laws governing executive branch actions, are known collectively as “administrative law.” ▪ Case law. The judicial branch, through courts, resolves disputes and interprets laws, including balancing community needs with constitutionally- protected rights of individuals. Clean Air Act Republic Act No. 8749 June 23, 1999 AN ACT PROVIDING FOR A COMPREHENSIVE AIR POLLUTION CONTROL POLICY AND FOR OTHER PURPOSES. Also Known As: ”Philippine Clean Air Act of 1999" Declaration of Principles The State shall protect and advance the right of the people to a balanced and healthful ecology in accord with the rhythm and harmony of nature. The State shall promote and protect the global environment to attain sustainable development while recognizing the primary responsibility of local government units to deal with environmental problems. The State recognizes that the responsibility of cleaning the habitat and environment is primarily area-based. The State also recognizes the principle that "polluters must pay". State recognizes that a clean and healthy environment is for the good of all and should, therefore, be the concern of all. National Health Insurance Act (PhilHealth) Republic Act No. 7875 National Health Insurance Act of 2013 Amended the "NATIONAL HEALTH INSURANCE ACT OF 1995″ State to adopt an integrated and comprehensive approach to health development which shall endeavor to make essential goods, health and other social services available to all the people at affordable cost and to provide free medical care to paupers. State shall provide comprehensive health care services to all Filipinos through a socialized health insurance program that will prioritize the health care needs of the underprivileged, sick, elderly, persons with disabilities (PWDs), women and children and provide free health care services to indigents. Senior Citizen Act REPUBLIC ACT No. 9994 July 27, 2009 AN ACT GRANTING ADDITIONAL BENEFITS AND PRIVILEGES TO SENIOR CITIZENS, FURTHER AMENDING REPUBLIC ACT NO. 7432, AS AMENDED, OTHERWISE KNOWN AS "AN ACT TO MAXIMIZE THE CONTRIBUTION OF SENIOR CITIZENS TO NATION BUILDING, GRANT BENEFITS AND SPECIAL PRIVILEGES AND FOR OTHER PURPOSES” Also known as the "Expanded Senior Citizens Act of 2010." Expanded Senior Citizens Act of 2010 To recognize the rights of senior citizens to take their proper place in society and make it a concern of the family, community, and government To give full support to the improvement of the total well-being of the elderly and their full participation in society, considering that senior citizens are integral part of Philippine society To motivate and encourage the senior citizens to contribute to nation building Expanded Senior Citizens Act of 2010 To encourage their families and the communities they live with to reaffirm the valued Filipino tradition of caring for the senior citizens To provide a comprehensive health care and rehabilitation system for disabled senior citizens to foster their capacity to attain a more meaningful and productive ageing To recognize the important role of the private sector in the improvement of the welfare of senior citizens and to actively seek their partnership. Expanded Senior Citizens Act of 2010 Expanded Senior Citizens Act of 2010 Expanded Senior Citizens Act of 2010 Expanded Senior Citizens Act of 2010 Expanded Senior Citizens Act of 2010 Act on Cheaper Medicine REPUBLIC ACT No. 9502 June 6, 2008 AN ACT PROVIDING FOR CHEAPER AND QUALITY MEDICINES, AMENDING FOR THE PURPOSE REPUBLIC ACT NO. 8293 OR THE INTELLECTUAL PROPERTY CODE, REPUBLIC ACT NO. 6675 OR THE GENERICS ACT OF 1988, AND REPUBLIC ACT NO. 5921 OR THE PHARMACY LAW, AND FOR OTHER PURPOSES Also known as the "Universally Accessible Cheaper and Quality Medicines Act of 2008”. Universally Accessible Cheaper and Quality Medicines Act of 2008 To promote and ensure access to affordable quality drugs and medicines for all. Pursuant to the attainment of this general policy, an effective competition policy in the supply and demand of quality affordable drugs and medicines is recognized by the State as a primary instrument. In the event that full competition is not effective, the State recognizes as a reserve instrument the regulation of prices of drugs and medicines, with clear accountability by the implementing authority as mandated in this Act Save the Children REPUBLIC ACT NO. 10821 May 18,2016 AN ACT MANDATING THE PROVISION OF EMERGENCY RELIEF AND PROTECTION FOR CHILDREN BEFORE, DURING, AND AFTER DISASTERS AND OTHER EMERGENCY SITUATIONS Also known as the “Children’s Emergency Relief and Protection Act”. Children’s Emergency Relief and Protection Act To protect the fundamental rights of children before, during, and after disasters and other emergency situations when children are gravely threatened or endangered by circumstances that affect their survival and normal development. Guided by the principles on survival and development, on child participation, and consistent with the United Nations Convention on the Rights of the Child, as well as the Children’s Charter for Disaster Risk and Reduction, and the minimum standards for children in humanitarian action, the State shall establish and implement a comprehensive and strategic program of action to provide the children and pregnant and lactating mothers affected by disasters and other emergency situations with utmost support and assistance necessary for their immediate recovery and protection against all forms of violence, cruelty, discrimination, neglect, abuse, exploitation and other acts prejudicial to their interest, survival, development and well- being. Save the Children Republic Act No. 7610 June 17, 1992 AN ACT PROVIDING FOR STRONGER DETERRENCE AND SPECIAL PROTECTION AGAINST CHILD ABUSE, EXPLOITATION AND DISCRIMINATION, AND FOR OTHER PURPOSES Also known as the "Special Protection of Children Against Abuse, Exploitation and Discrimination Act." Abuse, Exploitation and Discrimination Act To provide special protection to children from all firms of abuse, neglect, cruelty exploitation and discrimination and other conditions, prejudicial their development To provide sanctions for their commission and carry out a program for prevention and deterrence of and crisis intervention in situations of child abuse, exploitation and discrimination. The State shall intervene on behalf of the child when the parent, guardian, teacher or person having care or custody of the child fails or is unable to protect the child against abuse, exploitation and discrimination or when such acts against the child are committed by the said parent, guardian, teacher or person having care and custody of the same. National Blood Services Act of 1994 To protect and rehabilitate children gravely threatened or endangered by circumstances which affect or will affect their survival and normal development and over which they have no control. The best interests of children shall be the paramount consideration in all actions concerning them, whether undertaken by public or private social welfare institutions, courts of law, administrative authorities, and legislative bodies, consistent with the principle of First Call for Children as enunciated in the United Nations Convention of the Rights of the Child. Every effort shall be exerted to promote the welfare of children and enhance their opportunities for a useful and happy life. Violence Against Women Republic Act No. 9262 March 08, 2004 AN ACT DEFINING VIOLENCE AGAINST WOMEN AND THEIR CHILDREN, PROVIDING FOR PROTECTIVE MEASURES FOR VICTIMS, PRESCRIBING PENALTIES THEREFORE, AND FOR OTHER PURPOSES Also known as the "Anti-Violence Against Women and Their Children Act of 2004".  Anti-Violence Against Women and Their Children Act of 2004 The State values the dignity of women and children and guarantees full respect for human rights. The State also recognizes the need to protect the family and its members particularly women and children, from violence and threats to their personal safety and security. State shall exert efforts to address violence committed against women and children in keeping with the fundamental freedoms guaranteed under the Constitution and the Provisions of the Universal Declaration of Human Rights, the convention on the Elimination of all forms of discrimination Against Women, Convention on the Rights of the Child and other international human rights instruments of which the Philippines is a party. Rooming-In and Breastfeeding Act of 1992 ( Milk Code) EXECUTIVE ORDER NO. 51 October 20, 1986 ADOPTING A NATIONAL CODE OF MARKETING OF BREASTMILK SUBSTITUTES, BREASTMILK SUPPLEMENTS AND RELATED PRODUCTS, PENALIZING VIOLATIONS THEREOF, AND FOR OTHER PURPOSES Also Known As “ The Milk Code” Milk Code The Aim of the Code is to contribute to the provision of safe and adequate nutrition for infants by the protection and promotion of breastfeeding and by ensuring the proper use of breastmilk substitutes and breastmilk supplements when these are necessary, on the basis of adequate information and through appropriate marketing and distribution. Scope of the Code applies to the marketing, and practices related thereto, of the following products: breastmilk substitutes, including infant formula; other milk products, foods and beverages, including bottle-fed complementary foods, when marketed or otherwise represented to be suitable, with or without modification, for use as a partial or total replacement of breastmilk; feeding bottles and teats. It also applies to their quality and availability, and to information concerning their use. Responsible Parenthood and Reproductive Health Law of 2012 Responsible Parenthood and Reproductive Health Law of 2012 REPUBLIC ACT NO. 10354 December 21, 2012 AN ACT PROVIDING FOR A NATIONAL POLICY ON RESPONSIBLE PARENTHOOD AND REPRODUCTIVE HEALTH Also known as "The Responsible Parenthood and Reproductive Health Act of 2012″. The Responsible Parenthood and Reproductive Health Act of 2012 The human rights of all persons including their right to equality and nondiscrimination of these rights The right to sustainable human development, the right to health which includes reproductive health The right to education and information, and the right to choose and make decisions for themselves in accordance with their religious convictions, ethics, cultural beliefs, and the demands of responsible parenthood. The Responsible Parenthood and Reproductive Health Act of 2012 It is the duty of the State to protect and strengthen the family as a basic autonomous social institution and equally protect the life of the mother and the life of the unborn from conception. The State shall protect and promote the right to health of women especially mothers in particular and of the people in general and instill health consciousness among them. It is the duty of the State to protect and strengthen the family as a basic autonomous social institution and equally protect the life of the mother and the life of the unborn from conception. The State shall protect and promote the right to health of women especially mothers in particular and of the people The Responsible Parenthood and Reproductive Health Act of 2012 It is the duty of the State to protect and strengthen the family as a basic autonomous social institution and equally protect the life of the mother and the life of the unborn from conception. The State shall protect and promote the right to health of women especially mothers in particular and of the people in general and instill health consciousness among them. The Responsible Parenthood and Reproductive Health Act of 2012 The family is the natural and fundamental unit of society. The State shall likewise protect and advance the right of families in particular and the people in general to a balanced and healthful environment in accord with the rhythm and harmony of nature. The State also recognizes and guarantees the promotion and equal protection of the welfare and rights of children, the youth, and the unborn. The Responsible Parenthood and Reproductive Health Act of 2012 The State recognizes and guarantees the promotion of gender equality, gender equity, women empowerment and dignity as a health and human rights concern and as a social responsibility. The advancement and protection of women’s human rights shall be central to the efforts of the State to address reproductive health care. The Responsible Parenthood and Reproductive Health Act of 2012 The State recognizes marriage as an inviolable social institution and the foundation of the family which in turn is the foundation of the nation. Pursuant thereto, the State shall defend: A.The right of spouses to found a family in accordance with their religious convictions and the demands of responsible parenthood B.The right of children to assistance, including proper care and nutrition, and special protection from all forms of neglect, abuse, cruelty, exploitation, and other conditions prejudicial to their development; C.The right of the family to a family living wage and income D.The right of families or family associations to participate in the planning and implementation of policies and programs The Responsible Parenthood and Reproductive Health Act of 2012 The State likewise guarantees universal access to medically-safe, non- abortifacient, effective, legal, affordable, and quality reproductive health care services, methods, devices, supplies which do not prevent the implantation of a fertilized ovum as determined by the Food and Drug Administration (FDA) and relevant information and education thereon according to the priority needs of women, children and other underprivileged sectors, giving preferential access to those identified through the National Household Targeting System for Poverty Reduction (NHTS-PR) and other government measures of identifying marginalization, who shall be voluntary beneficiaries of reproductive health care, services and supplies for free. The Responsible Parenthood and Reproductive Health Act of 2012 The State shall eradicate discriminatory practices, laws and policies that infringe on a person’s exercise of reproductive health rights. The State shall also promote openness to life; Provided, That parents bring forth to the world only those children whom they can raise in a truly humane way. Mandatory Infants and Children Health Immunization Act of 2011 REPUBLIC ACT No. 10152 June 21, 2011 AN ACT PROVIDING FOR MANDATORY BASIC IMMUNIZATION SERVICES FOR INFANTS AND CHILDREN, REPEALING FOR THE PURPOSE PRESIDENTIAL DECREE No. 996, AS AMENDED. Also known as the "Mandatory Infants and Children Health Immunization Act of 2011". The State shall adopt a comprehensive, mandatory and sustainable immunization program for vaccine-preventable diseases for all infants and children. Mandatory Infants and Children Health Immunization Act of 2011 The mandatory basic immunization for all infants and children provided under this Act shall cover the following vaccine- preventable diseases: A.Tuberculosis B.Diphtheria, tetanus and pertussis C.Poliomyelitis D. Measles E. Mumps F.Rubella or German measles G.Hepatitis-B H.H. Influenza type B (HIB) I. Such other types as may be determined by the Secretary of Health in a department circular. Mandatory Infants and Children Health Immunization Act of 2011 The mandatory basic immunization shall be given for free at any government hospital or health center to infants and children up to five (5) years of age. Hepatitis-B vaccine shall be administered by any duly licensed physician, nurse or midwife to all infants born in hospitals, health infirmaries, health centers or lying-in centers with obstetrical and pediatric services, whether public or private, within twenty-four (24) hours after birth. That in cases of infants born in places other than the above, any duly licensed physician, nurse or midwife who delivers, or assists in the delivery of the newborn shall be responsible for administering the vaccine to the latter. Mandatory Infants and Children Health Immunization Act of 2011 That for deliveries assisted by persons other than the health professionals mentioned above, the infant should be brought to any available health are facility so as to be immunized against Hepatitis-B within twenty-four (24) hours after birth but not later than seven (7) days: Provided, finally, That subsequent doses of Hepatitis-B vaccination shall be completed according to the recommended schedule of Hepatitis-B immunization, as may be provided in the implementing rules and regulations to be issued by the Department of Health (DOH) Children Safety on Motorcycles Act of 2015 REPUBLIC ACT No. 10666 July 21, 2015 AN ACT PROVIDING FOR THE SAFETY OF CHILDREN ABOARD MOTORCYLES Also known as "Children’s Safety on Motorcycles Act of 2015". REPUBLIC ACT No. 10666 July 21, 2015 AN ACT PROVIDING FOR THE SAFETY OF CHILDREN ABOARD MOTORCYLES Also known as "Children’s Safety on Motorcycles Act of 2015".  Children Safety on Motorcycles Act of 2015 The State will defend the right of children to assistance, including proper care and nutrition, and special protection from all forms of neglect, abuse, cruelty, exploitation, and other conditions prejudicial to their development. The State shall pursue a more proactive and preventive approach to secure the safety of passengers, especially children, by regulating the operation of motorcycles along roads and highways. References ▪ Famorca, Z.U,Nies, M.A., & Mc Ewen , M. (2013). Nursing Care of the Community. Singapore : Elsevier ▪ Maglaya, A. S.,(2004). Nursing Practice in the Community ( 5th Ed).Marikina City, Philippines : Argonauta Corporation References ▪ Public Health Law ▪ https://www.youtube.com/watch?v=RlO9Z9YF3yM ▪ Clean Air Act 1999 ▪ https://www.youtube.com/watch?v=5pIqxIA0Euk ▪ National Health Insurance Act of 2013 ▪ https://www.youtube.com/watch?v=QdJlR8bBE1U ▪ Senior Citizen Act 2010 ▪ https://www.youtube.com/watch?v=Ipn0fctOlNw ▪ Anti-VAWC Act of 2004 ▪ https://www.youtube.com/watch?v=yhI9XwIkD00 ▪ Children’s Emergency Relief & Protection Act ▪ https://www.youtube.com/watch?v=Jl7O2kaT1Oc ▪ Cheaper Medicine Act 2008 ▪ https://www.youtube.com/watch?v=HMGH13wZ59c ▪ The Milk Code ▪ https://www.youtube.com/watch?v=Qy2XhO4HcRc ▪ RA 10354 Responsible Parenthood and Reproductive Health Law ▪ https://www.youtube.com/watch?v=Mu7qDtYOmSE  Module 8: The Philippine Department of Health Programs Related to Family Health Lesson I: Maternal, Newborn , and Child Health and Nutrition (MNCHN)  The Maternal, Newborn, and Child Health and Nutrition (MNCHN) Strategy The following are the four key strategies of MNCHN: 1. Ensuring universal access to and utilization of an MNCHN Core Package of services and interventions 2. Establishment of a service delivery network at all levels of care to provide the package of services and interventions; 3. Organized use of instruments for health systems development to bring all localities to create and sustain their service delivery networks 4. Rapid build-up of institutional capacities of DOH and PhilHealth, being the lead national agencies that will provide support to local planning and development istcock.com Source: Department of Health ,2011 CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The Maternal, Newborn, and Child Health and Nutrition (MNCHN) Strategy The MNCHN strategy aims for: 1. Every pregnancy to be wanted, planned and supported; 2. Every pregnancy to be adequately managed throughout its course; 3. Every delivery to be facility-based and managed by skilled birth attendants/skilled health professionals; 4. Every mother and newborn pair to secure proper post-partum and newborn care with smooth transitions to the women’s health care package for the mother and child survival package for the newborn istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Pre-Pregnancy Package 1. Nutrition Nutritional counseling; Promotion of the use of Iodized salt Promotion and Provision of micronutrient supplements: Iron and Folate: 60 mg of elemental iron/ 400 ug folic acid 1 tab.OD for 3 to 6 months Vit. A : at least 5,000 IU every week or a daily multivitamin supplement 2. Promotion of healthy lifestyle istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Pre-Pregnancy Package 3. Advice on family planning and provision of family planning services 4. Prevention and management of lifestyle-related diseases istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Pre-Pregnancy Package 5. Prevention and management of infection 6. Counseling on STI/HIV/AIDS, nutrition, personal hygiene, and the consequences of abortion istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Pre-Pregnancy Package 7. Adolescent health services 8. Provision of oral health services istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Pre-Natal Package 1. Prenatal visits (at least 4 through pregnancy) and Prenatal assessment 1. Micronutrient Supplementation Iron and folate : 60 mg of elemental iron/ 400 ug folic acid 1 tab.OD for 6 mnths or 180 tablets Vit. A 10,000 IU 2x a wk from the 4 th month of pregnancy. Elemental Iodine: 200 mg. given once during the pregnancy istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Pre-Natal Package 3. Tetanus toxoid immunization 4. Promotion of exclusive breastfeeding, newborn screening, and infant immunization istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Pre-Natal Package 5. Counseling on healthy lifestyle 6. Early detection and management of complications of pregnancy istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Pre-Natal Package 7. Prevention and management of other conditions where indicated: hypertension, anemia, diabetes, tuberculosis, malaria, schistosomiasis, STI/HIV/AIDS 8. Birth planning and promotion of facility-based delivery istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  Home-Based Mother’s Record (HBMR) HBMR is a simplified record of history of present and past pregnancies, and measures of the TBA, BHW, or health professional HBMR has been concluded to: Provides a means of promoting continuity of care through a woman’s reproductive life; Promotes early recognition of women who are at risk of developing conditions Encourages self-care where appropriate and referral suited to the needs of the woman; Supports initiation of appropriate care Serves as a useful record of care and health information and source of health statistics; and Guides the health workers in providing for the health educational needs of the client istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Childbirth Package 1. Skilled birth attendance/skilled health professional-assisted delivery and facility-based deliveries including the use of partograph istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019 PARTOGRAPH or Partogram – a composite graphical record of progress of labor on a single sheet of paper which aids in recognition of feto- maternal problems. It serves as an early warning system and assist in making decisions and interventions Source:https://www.slideshare.net/fathi1957/partograph-103750056  The MNCHN Core Packages of Services Childbirth Package 2. Proper management of pregnancy and delivery complications and newborn complications  DOH, PhilHealth, and WHO recommend Essential Intrapartum and Newborn Care (EINC) or Unang Yakap istcock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  Essential Newborn Care (Unang Yakap ) ENC is a simple cost-effective newborn care intervention that can improve neonatal as well as maternal care. It is an evidence-based intervention that: 1. Emphasizes a core sequence of actions, performed methodically (step -by-step); 2. Is organized so that essential time bound interventions are not interrupted; and 3. Fills a gap for a package of bundled interventions in a guideline format. istcock.com Source: https://www.doh.gov.ph/unang-yakap FOR INTERNAL CIRCULATION ONLY 2019 CENTRO ESCOLAR UNIVERSITY  The MNCHN Core Packages of Services Childbirth Package 3. Access to Basic Emergency Obstetric and Newborn Care (BEmONC) or Comprehensive Emergency Obstetric and Newborn Care (CEmONC) services CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Post-Partum Package 1. Post-partum visits: within 72 hours and on the 7th day postpartum check istock.com CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Post-Partum Package 2. Micronutrient supplementation Iron and folate : 60 mg of elemental iron/ 400 ug folic acid 1 tab.OD for 3 months or 90 tablets Vit. A 200, 000 IU w/in 4 wks after delivery CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Post-Partum Package 3. Counseling on nutrition, child care, family planning, and other available services CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Newborn (First Week of Life) Care Package 1. Interventions within the first 90 minutes Immediate and thorough drying Skin to skin contact between mother and newborn Cord clamping 1 to 3 minutes after birth Early initiation of breastfeeding means breastfeeding within an hour after birth Non-separation of baby from the mother, also known as rooming-in CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2019  The MNCHN Core Packages of Services Newborn (First Week of Life) Care Package 2. Essential newborn care after 90 minutes to 6 hours Vitamin K prophylaxis; Hepatitis B and BCG vaccination; Examination of the baby for birth injuries, malformations, or defects; and Additional care for a small baby (a baby with a birth weight M1 – Program Summary Table >M2 - Morbidity > HPA > Morbidity Disease Quarterly Form Monthly Consolidation Table (MCT >Q1 – Program >Q2 - Morbidity Annual Forms >A-BHS >A1 – Vital Statistics Envi/Demographic >A2 - Morbidity >A3 – Mortality Uses & Importance of each Recording Forms 1.Individual Treatment Record (ITR) - foundation/building block - piece of paper - patient consultation record a. Complaints/presenting symptoms b. Diagnosis c. Treatment given Uses & Importance of each Recording Forms 2. Target Client List (TCL) - To plan and carry out patient care and service delivery “Targets/Eligibles” - Facilitate the monitoring and supervision of service delivery activities - - Record services delivered - Provide a clinic-level data base accessible for further studies - TCLs to be maintained are: TCL for Prenatal, TCL for Post-partum Care, TCL for Family Planning, TCL for Under One year old children and TCL for Sick Children file:///C:/Users/ASUS-pc/Downloads/field-health-information-system%20(4).pdf HEALTH RECORDS AND REPORTS IN COMMUNITY HEALTH NURSING PRACTICE Health Records and Reports Disease Icon Registries is a listing of persons diagnosed with a specific type of disease in a defined population Census is a periodic governmental enumeration of the population De jure assignment is based on the legally established \ place of residence of people; De facto is according to the actual physical location of people CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018  HEALTH RECORDS AND REPORTS IN COMMUNITY HEALTH NURSING PRACTICE Importance of Health Records and Reports Helps local Icon government determine public health priorities. Basis for monitoring and evaluating health program implementation. Basis for planning, budgeting, logistics, and decision making at all levels. Source of data to detect unusual occurrence of a disease. Needed to monitor health status of the community. Helps midwives in following up clients. Documentation of RHM/PHN day to day activities. CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018 Click icon to add picture PRESENTATION TITLE LINE THANK YOU! Community Health Nursing CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018  MODULE 10 NEW TECHNOLOGIES RELATED TO PUBLIC HEALTH Anjanette S. De Leon, MAN, MAEd, RN  NEW TECHNOLOGIES RELATED TO PUBLIC HEALTH Electronic Information Government Sites Nursing and Health Care Sites CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018 NEW TECHNOLOGIES RELATED TO PUBLIC HEALTH Icon What is ICT A diverse set of technological tools and Example technologies resources used to communicate, create, Computers The Internet disseminate, store, and manage information Television Mobile phones (Blurton, 2002) CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018  Differentiating Data – unanalyzed raw facts that do not imply Data and Icon meaning (Gudea, Ex: 2005) – The number ’39’ Information Icon Information – data with meaning Example: – The number ‘39’ as the patient’s respiratory rate Is different from Icon Lorem ipsum dolor sit amet, consectetur The health care system heavily relies on adipiscing elit. Sed sit amet magna Icon accurate recording of data and information tristique hendrerit eros non, vulputate risus. Ut in aliquam leo. NEW TECHNOLOGIES RELATED TO PUBLIC HEALTH According to the WHO, eHealth encompasses three main areas: The delivery of health information, for health professionals and health The use of e-commerce and e-business consumers, through the internet and practices in health systems management telecommunications. Using the power of information Icon technology (IT) and e-commerce to improve public health services, for example, through the education and training of health workers. CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018  Good Data Accurate Qualities Icon Accessible Comprehensive Icon Consistent/Reliable Current Icon Lorem ipsum dolor sit amet, consectetur Defined adipiscing elit. Sed sit amet magna Icon tristique hendrerit eros non, vulputate risus. Ut in aliquam leo.  NEW TECHNOLOGIES RELATED TO PUBLIC HEALTH What is eHealth? Icon The World Health Organization defines eHealth as the use of information and communication technologies for health. eHealth is described also as a means to ensure that “the right health information is provided to the right person at the right place and time in a secure, electronic form to optimize the quality and efficiency of health care delivery, research, education and knowledge. eHealth is the use of ICT for health (World Health Organization, 2012). Examples of eHealth: Communicating with patients through a teleconference, e-mail, SMS Recording, retrieving and mining data in an electronic medical record Providing patient teachings with the aid of electronic tools (computers, television, tablets) CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018  NEW TECHNOLOGIES RELATED TO PUBLIC HEALTH ICT in the Philippines Icon Internet Access (ITU, 2011) 2001 – 2.5% of Filipinos had Internet access 2011 – increased to 29% Mobile Phone Usage 2009 - 80% of Filipinos own a mobile phone 73M subscribers The Philippines is ranked first in SMS usage in the entire world (BusinessWire, 2010) CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018  NEW TECHNOLOGIES RELATED TO PUBLIC HEALTH eHealth in the Philippines Icon Factors to consider Limited health budget Emergence of Free and Open Source Software (FOSS) Decentralized government Target users are unfamiliar with the technology Surplus of digital native-registered nurses CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018  NEW TECHNOLOGIES RELATED TO PUBLIC HEALTH eHealth in the Philippines (continued) Icon ‘Kalusugan Pangkalahatan’ and ICT Also known as KP one of its aims is to attain efficiency by using ICT in alL aspects of health care The DOH recognizes the valuable purpose of ICT for health and has drafted its National eHealth Strategic Framework for 2010-2016 With the vision of ICT supporting UHC to improve health care access, quality, efficiency, and patient’s safety and satisfaction, for reducing cost and enabling policy makers, providers, individuals, and communities to make the best possible health decisions. CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018  NEW TECHNOLOGIES RELATED TO PUBLIC HEALTH Electronic Medical Records Icon Comprehensive patient records that are stored and accessed from a computer or server. An example is the Community Health Information Tracking System (CHITS) of the University of the Philippines Manila. CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018  NEW TECHNOLOGIES RELATED TO PUBLIC HEALTH Telemedicine Icon ‘The delivery of health care services, where distance is a critical factor, by all health care professionals using information and communication technologies for the exchange of valid information for diagnosis, treatment and prevention of disease and injuries, research and evaluation, and for the continuing education of health care providers, all in the interests of advancing the health of individuals and their communities. - WHO CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018  NEW TECHNOLOGIES RELATED TO PUBLIC HEALTH Four elements specific to Telemedicine -WHO Icon ‘1. Its purpose is to provide clinical support. 2. It is intended to overcome geographical barriers, connecting users who are not in the same physical location. 3. It involves the use of various types of ICT. 4. Its goal is to improve health outcomes An example of which is the National Telehealth Service Program (NTSP). CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018  NEW TECHNOLOGIES RELATED TO PUBLIC HEALTH eLearning Icon The use of electronic tools to aid in teaching Instructional videos, informational textblasts, interactive simulations Can be done asynchronously, synchrously, or a combination of both CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018  NEW TECHNOLOGIES RELATED TO PUBLIC HEALTH eHealth Projects in the Community Icon ‘BuddyWorks – allowed RHU physicians to send telereferrals to clinical specialists in PGH via SMS and eMail CHITS – an EMR, designed for and by the community health workers, divided into different modules based on existing DOH programs Electronic Field Health Service Information System (eFHSIS) - An online version of the FHSIS developed by the DOH CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018  NEW TECHNOLOGIES RELATED TO PUBLIC HEALTH eHealth Projects in the Community (continued Icon Electronic Integrated Management of Childhood Illness (eIMCI) – An electronic version of IMCI accessible in mobile devices NTHC eLearning videos – funded by USAID, created eLearning videos on tuberculosis, stroke, bird flu, and child poisoning Segworks Rural Health Information System (SEGRHIS) - An EMR created for rural health units by Segworks, local software company in Davao CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018  NEW TECHNOLOGIES RELATED TO PUBLIC HEALTH eHealth Projects in the Community (continued Icon ‘ RxBox - It is a mobile computer connected with medical devices such as ECG, pulse oximeter and electronic blood pressure and heart rate monitors that is intended for mobile deployment to rural health centers Secure Health Information Network Exchange (SHINE) – An EMR developed by Smart Communications CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018  NEW TECHNOLOGIES RELATED TO PUBLIC HEALTH eHealth Projects in the Community (continued Icon Synchronized Patient Alert via SMS (SPASMS) - an SMS reminder system for patients who are due for follow-up Surveillance in Post Extreme Emergencies and Disasters (SPEED) - Allows community health nurses to submit daily reports of prevalent diseases immediately after disasters via SMS, e-mail, and other information and communication technologies CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018  NEW TECHNOLOGIES RELATED TO PUBLIC HEALTH eHealth Projects in the Community (continued Icon Wireless Access for Health (WAH) - WAH augmented the existing CHITS by connecting health centers through broadband Internet access ; Implemented in 2010 in the Tarlac Province through the Public–Private Partnership (PPP) of Qualcomm, UPM- NTHC, USAID, Smart, DOH-IMS, Center for Health Development (CHD) Region III, RTI International, National Epidemiological Center (NEC), Tarlac State University, and the local government CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018  NEW TECHNOLOGIES RELATED TO PUBLIC HEALTH Community eHealth Nurses’ Roles Icon 1. Data and Records Manager 2. Change Agent 3. Educator 4. Client Advocate 5. Telepresenter 6. Researcher CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018  NEW TECHNOLOGIES RELATED TO PUBLIC HEALTH References: Icon The Phil ehealth strategic framework framework and plan(2013). Retrieved from https:// www.doh.gov.ph/sites/default/files/Philippines_eHealthStrategicFrameworkPlan_February02_2014_Release02.pdf Famorca Z, Nies M. & McEwen M.(2013). Nursing care of the community. Elsevier(Singapore).ISBN 978-981- CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018 PRESENTATION TITLE LINE THANK YOU! SUBJECT OR CLASS SECTION Lorem ipsum dolor sit amet, consectetur adipiscing elit. Sed sit amet magna tristique, hendrerit eros non, vulputate risus. Ut in aliquam leo. CENTRO ESCOLAR UNIVERSITY FOR INTERNAL CIRCULATION ONLY 2018