Professional Documents
Culture Documents
ANTENAL REGISTRATION
Pregnancy poses a risk to the life of every woman. Pregnant women may suffer complication and die.
Every woman has to visit the nearest facility for antenatal registration and to avail prenatal care services.
This is the only way to guide her in pregnancy care to make her prepare for child birth. The standard
prenatal visits that women have to receive during pregnancy are as follows:
Prental Visits
1st visit
2nd visit
3rd visit
Every 2 weeks
Period of Pregnancy
As early in pregnancy as possible before four months or during the first trimester
During the 2nd trimester
During the 3rd trimester
After 8th month of pregnancy till delivery.
C. MICRONUTRIENT SUPPLEMENTATION
Micronutrient supplementation is vital for pregnant women. These are necessary to prevent anema,
vitamin A deficieny and other nutritional disorders. They are:
Nutrient Dose
Schedule
Vitamin 10,000 IU
A
Twice a week starting on Do not give Vitamin A supplementation before the 4th
the 4th month of
month of pregnancy. It might cause congenital problems
pregnancy
in the baby.
Iron
Remarks
60 mg/400 Daily
ug tablet
What to do
Clear airway
Unconscious
Do not give
Monitor U.O.
If bleeding persists:
Intestinal parasite
infection
Malaria
Unconscious/convulsion
Vaginal bleeding
Fever
Severe vomiting
Number of pregnancy
Age/height
Taking the history through interview will help determine the clients condition during delivery of a baby.
Determine the stage of labor
Labor can be determined when womans response to contraction is observed pushing down and vulva is
bulging, with leaking amniotic fluid, and vaginal bleeding. A vaginal examination can be performed to
determine the degree of contraction.
Decide if the woman can safely deliver
By assessing the condition of the client and not finding any indication that could harm the delivery of a
baby, a trained health worker can decide a safe delivery of a mother.
Give supportive care throughout labor
There are many things that a woman needs to do during labor. This will help her deliver clean, safe and
free from fatigue. These are:
Encourage to drink but not to eat as this may interfere surgery in case needed.
Encourage to empty bladder and bowels to facilitate delivery of the baby. Remind to empty
bladder ever 2 hours
Encourage to do breathing technique to help energy in pushing baby out the vagina. Panting can
be done by breathing with open mouth with 2 short breaths followed by long breath. This prevent
pushing at the end of the first stage.
What to do
Not to do
Others
Monitor closely within one hour after delivery and give supportive care
Continue care after one hour postpartum. Keep watch closely for at least 2 hours.
Educate and counsel on FP and provide FP method if available and decision was made by a
woman.
Birth registration
Importance of BF
Newborn Screening for babies delivered in RHU or at home within 48 hours up to 2 weeks after
birth
2nd Visit
The successful implementation of these strategies will require collaborative efforts with the other
stakeholdres and also implies integration with the other developmental plan of action for children.
Vision
A healthy Filipino child is:
Wanted, planned and conceived by healthy parentsCarried to term by healthy motherBorn into a
loving, caring. stable family capable of providing for his or her basic needsDelivered safely by a
trained attendant
Screened for congenital defects shortly after birth; if defects are found, interventions to corrrect
these defects are implemented at the appropriate time
Exclusively breastfed for at least six months of age, and continued breasfeeding up to two
yearsIntroduced to compementary foods at about six months of age, and gradually to a balanced,
nutritious dietProtected from the consequences of protein-calorie and micronutirent deficiencies
through good nutrition and access to fortified foods and iodized salt
Provided with safe, clean and hygienic surroundings and protected from accidentsProperly cared
for at home when sick and brought timely to a health facility for appropriate management when
needed.Offered equal access to good quality curative, preventive and promotive health care
services and health education as members of the Filipino society
Regularly monitored for proper growth and development, and provided with adequate
psychosocial and mental stimulationScreened for disabilities and developmental delays in early
childhood; if disabilities are found, interventions are implemented to enabled the child to enjoy a
life of dignity at the highest level of function attainable
Empowered and enabled to make decisions regarding healthy lifestyle and behaviors and
included in the formulation health policies and programsAfforded the opportunity to reach his or
her full potential as adult
exclusive breastfeeding and adequate and appropriate complementary feeding with continued
breastfeeding. (1)
All sick children aged up to 5 years are examined for general danger signs and all sick
young infants are examined for very severe disease. These signs indicate immediate
referral or admission to hospital
The children and infants are then assessed for main symptoms. For older children, the
main symptoms include: cough or difficulty breathing, diarrhea, fever and ear infection. For
young children, local bacterial infection, diarrhea and jaundice. All sick children are
routinely assessed for nutritional and immunization and deworming status and other
problems
Only a limited number of clinical signs are used
A combination of individual signs leads to a childs classification within one or more
symptom groups rather than a diagnosis.
IMCI management procedures use limited number of essential drugs and encourage active
participation of caretakers in the treatment of children
Counseling of caretakers on home care, correct feeding and giving of fluids, and when to
return to clinic is an essential component of IMCI
WHAT IS IMCI?
IMCI is an integrated approach to child health that focuses on the well-being of the whole child. IMCI aims
to reduce death, illness and disability and to promote improved growth and development among children
under five years of age. IMCI include curative and preventive elements that are implemented by families
and communities and by health facilities.
The strategy was developed by World Health Organization and UNICEF and is used by most countries in
the world.
L. Micronutrient Program
Micronutrient deficiencies can cause inter-generational consequences. The level of health care and
nutrition that women receive before and during pregnancy, at childbirth and immediately post-partum has
significant bearing on the survival, growth and development of their fetus and newborn. Undernourished
babies tend to grow into undernourished adolescents. When undernourished adolescents become
pregnant, they in turn, may give birth to low-birth weight infants with greater risk of multiple micronutrient
deficiencies.
Micronutrient deficiencies have considerable impact on economic productivity, growth and national
development. Widespread iron deficiency is estimated to decrease the gross domestic product (GDP) by
as much as 2% per year in the worst affected countries. Conservatively, this translates into a loss of about
Php 172 per capita or 0.9% of GDP. Productivity losses for anemic manual laborers have been
documented to be as high as 9% for severely stunted workers and 5% and 17% for workers engaged in
moderate and heavy physical labor respectively (Micronutrient Supplementation Manual of Operations)
The main oral health problems are dental caries (tooth decay) and peridontal disease (gum
disease). These two oral diseases are so widespread that 87% of our people are suffering from
tooth decay and 48% have gum disease. (2011 NMEDS Survey)
The combined ill effects of these two major diseases (except oral cancer) weaken bodily defense
and serve as portal of entry to other more serious, potentially dangerous and opportunistic
infections overlapping other diseases present. Such will incapacitate a young victim as in
crippling heart conditions arising from oral infection that may end in death.
The individual so affected with such handicap also has disturbed speech, becomes withdrawn
and avoids socializing with people and so lessen his opportunities for advancement. More critical
however is the effect of poor or defective teeth to overall nutrition to maintain good general
health, that begins with the first bite and chewing the food efficiently.
Develop an outpatient benefit package for oral health under NHIP of the government.
b. Develop financing schemes for oral health applicable to other levels of care (fee for service,
cooperatives,
network with HMOS)
c.
Restoration of oral health budget line item in the GAA of DOH CO.
3. Provide relevant, timely and accurate information management system for oral health
a. Improve existing information system/ data collection (reporting and recording dental services
and accomplishments)
- Setting essential indicators
- Development of IT system on recording and reporting oral health services accomplishments
and indices- Integrate oral health
in every family health information tools, recording
books/manuals
b. Conduct regular epidemiological dental surveys- every 5 years
4. Ensure access and delivery of quality oral health care services
a. Upgrading of facilities, equipment, instruments, supplies
b. Develop packages of essential care/services for different groups (children, mothers and
marginalized groups)
- Revival of the sealant program for school children
- Tooth brushing program for pre-school children
- Outreach programs for marginalized groups
c. Design and implement grant assistance mechanism for high performing LGUs
- Awards and incentives
- Funding grants for priority programs/activities
d. Regular conduct of consultation meetings, technical updates and program implementation
reviews with stakeholders
5. Build up highly motivated health professionals and trained auxiliaries to manage and provide
quality oral health care
a. Provision of adequate dental personnel
b. Capacity enhancement programs for dental personnel and non-dental personnel
5. Status of Implementation / Accomplishments
Outpatient Dental Health Care Finance Package Being advocated for inclusion under PhilHealth
outpatient packages. The best scheme is through Capitation wherein a certain amount will be provided for
these dental services for indigent patients to certain health facilities including RHUs.
Capacity Enhancement Program (CEP) for Public Health Dentists- This training program was
designed with the public health dentists (PHDs) as the main recipients of the Basic Course on the
Management of Oral Health Program. The training is expected to provide an in-depth understanding of
the different roles and functions of the PHDs in the management and delivery of Public Health Services.
For the last two years (2010-2011) 10.2 Million pesos were sub-allotted to all CHDs for this purpose. To
date almost 87% of all PHDs are trained. NCDPC is proposing to develop Skills Training (Oral and
Maxillo-facial surgery) for Hospital dentist as continuation to the CEP.
Oral Health Survey The Department of Health (DOH) has been conducting nationwide surveys
every five years (1977, 1982, 1987, 1992 and 1998) to determine the prevalence of oral diseases in the
Philippines. In 2011, the NCDPC with a 5 Million pesos budget conducted the National Monitoring and
Evaluation Dental Survey (NMEDS) through the UP-National Institute of Health (UP-NIH).
Orally Fit Child (OFC) Campaign- In 2009 the DOH launched the OFC campaign for 2-6 years old
children (pre-school children) in day care centers. Orally Fit child is a child who meets the following
conditions upon oral examination and /or completion of treatment a.) caries-free or all carious tooth/teeth
must be restored either temporary or permanent filling materials
b.) have healthy gums
c.) has no oral debris
d.) no dento-facial anomaly that limits oral cavitys normal function.
(b) Initiate, develop and implement productive activities and work schemes for senior citizens in order to
provide income or otherwise supplement their earnings in the local community;
(c) Promote and maintain linkages with provincial government units and other instrumentalities of
government and the city and municipal councils for the elderly and the Federation of Senior Citizens
Association of the Philippines and other non-government organizations for the delivery of health care
services, facilities, professional advice services, volunteer training and community self-help projects; and
(d) To exercise such other functions which are necessary to carry out the purpose for which the centers
are established.
Sec. 6. Center Workers. The Secretary of the Department of Social Welfare and Development (DSWD)
may designate social workers from the Department as the workers of the centers: Provided, however,
That the Secretary may appoint other personnel who possess the necessary professional qualifications to
work efficiently with the elderly of the community.
The Secretary may also call upon private volunteers who are responsible members of the community to
provide medical, educational and other services and facilities for the senior citizens.
Sec. 7. Qualification/Disqualification. A senior citizen who suffers from a contagious disease, or who is
mentally unfit or unsound or whose actuations are inimical to other senior citizens as determined by the
DSWD on the basis of an appropriate certification by a qualified government or private volunteer
physician, may be denied the benefits provided in the Center. However, the center shall refer the senior
citizen concerned to the appropriate government agency for the needed medical care or confinement.
Sec. 8. Exemptions of the Center. The Center shall be exempted from the payment of customs duties,
taxes and tariffs on the importation of equipment and supplies used actually, directly and exclusively by
the Center pursuant to this Act, including those donated to the Center.
Sec. 9. Rules and Regulations. Withinsixty (60) days from the approval of this Act, the DSWD, in
coordination with other government agencies concerned, shall issue the rules and regulations to
effectively implement the provisions of this Act. Any violation of this section shall render the concerned
official(s) liable under Republic Act No. 6713, otherwise known as the "Code of Conduct and Ethical
Standards for Public Officials and Employees" and other existing administrative and/or criminal laws.
Sec. 10. Coordination of Government Agencies. The DSWD, in coordination with the Department of
Health and other government agencies and local government units, shall assist in the effective
implementation of this Act and provide the necessary support services.
Sec. 11. Appropriations. The amount necessary to carry out the provisions of this Act shall be included
in the General Appropriations Act of the year following its enactment into law and every year there after.
The sum necessary for the continuous operation of the centers shall be subsidized in part by the DSWD
and in part by the local government units concerned.
Sec. 12. Repealing or Amending Clause. All laws, decrees, executive orders, and rules and
regulations, which are not consistent with this Act, are hereby modified, amended or repealed accordingly
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Sec. 13. This Act shall take effect fifteen (15) days after its publication in two (2) newspapers of general
circulation.
Q. REPRODUCTIVE HEALTH
WHAT ARE THE 13 SEXUAL REPRODUCTIVE HEALTH RIGHTS?
1. The Right to Life
This means, among other things, that no womans life should be put at risk by reason of pregnancy,
gender or lack of access to health information and services. This also includes the right to be safe and
satisfying sex life.
2. The Right to Liberty and Security of the Person
This recognizes that no woman should be subjected to forced pregnancy, forced sterilization or forced
abortion.
3. The Right to Equality, and to be free from all Forms of Discrimination
This includes, among other things, freedom from discrimination because of ones sexuality and
reproductive life choices.
4. The Right to Privacy
This means that all sexual and reproductive health care services should be confidential in terms of
physical set-up, information given or shared by the clients, and access to records or reports.
5. The Right to Freedom of Thought
This means that all sexual and reproductive health care services should be confidential in terms of
physical set-up, information given or shared by the clients, and access to records or reports.
6. The Right to Information and Education
This includes access to full information on the benefits, risks and effectiveness of all methods of fertility
regulation, in order that all decisions taken are made on the basis of full, free and informed consent.
7. The Right to Choose Whether or Not to Marry and to Found and Plan a Family
This includes the right of persons to protection against a requirement to marry without his/her consent. It
also includes the right of individuals to choose to remain single without discrimination and coercion.
8. The Right to Decide Whether or When to Have Children
This includes the right of persons to decide freely and responsibly the number and spacing of their
children and to have access to related information and education.
9. The Right to Health Care and Health Protection
This includes the right of clients to the highest possible quality of health care, and the right to be free from
harmful traditional health practices.
10. The Right to the Benefits of Scientific Progress
This includes the right of sexual and reproductive health service of clients to avail of the new reproductive
health technologies that are safe, effective, and acceptable.
11. The Right to Freedom of Assembly and Political Participation
This includes the right of all persons to seek to influence communities and governments to prioritize
sexual and reproductive health and rights.
12. The Right to be Free From Torture and Ill-Treatment
This includes the rights of all women, men and young people to protection from violence, sexual
exploitation and abuse.
13. The Right to Development
This includes the right of all individuals to access development opportunities and benefits, especially in
decision-making processes that affect his/her life.
Expect and demand equality, full consent, mutual respect and shared responsibility in sexual
relationships
SEX
GENDER
Sexuality: Encompasses personal and social meanings as well as sexual behavior and biology. It
includes ways our bodies develop and respond sexually, includes sexual acts: kissing, touching,
intercourse, includes feelings about these activities and responses. Also includes what we think is right
and wrong, good or bad. Includes life experiences that have shaped these feelings and values.
This results to missed opportunities of addressing sexual and reproductive health (SRH) related and
other important issues that clients fail or may be constrained to express due to fear, shame or lack of
knowledge.
Thus, opportunities for health education and addressing potentially life threatening consequences of
unmet SRH problems such as sexually transmitted infections (STIs), violence and high-risk pregnancies
are neglected.