University of the Philippines IH211

Open University Health Promotion Theory

Armie Dianne Saliba

Jullie Anne Infante

◤ Health Promotion Maria Jessanina Bernardo

Charina Javier

Strategies to Control Ilonah Borja

Lester Abad

Measles Outbreak Maxine Erica de Quiroz

Exelle Anne Garrido
in the Philippines Rose Antoinette Umayam
 Measles
◤ Situation in the Philippines
More figures... February 2019

64% of cases Cases Feb-18-18 VS Feb-18-19 Case Fatality Rate

2%
were not 2018 2534
vaccinated 2019 9267
Compared to 0.93 %
266% increase on December 2018

new
9267 cases
Region IV-A
CALABARZON
National Capital
Region
Region III – Central
Luzon
new
146 deaths
between January 1 and
2310 new
cases 1937 new
cases 1387 cases
February 18, 2019 5150 % increase 1799 % increase 2982 % increase

data from UNICEF, 2019

 ◤ How can Health Promotion help
to address Measles Outbreak?
1. Risk Communication

2. Coordination with Local Government

3. Augmentation of Human Resource for Health

4. Expanding Program Coverage thru Demand-

Generating Activities
5. Delivery of Health Messages during Outbreak
Response Immunization
6. Improving management of measles in the hospitals
 ◤ Risk Communication
to eliminate vaccine hesitancy

1. Broad dissemination of measles outbreak advisories,

guidelines for school-based immunization, and
guidelines for primary healthcare facilities.

2. Large-scale publicity campaigns on social media, TV

and radio involving credible personality (health
secretary) to increase confidence and trust to
vaccination.
 ◤
Coordination with
Local Government
1. LGU cooperation is needed in conducting an intensified
community-based information campaigns to promote
measles immunization targeting children 6-59 months.

2. Establishment of LGU task force or measles outbreak

brigade headed by public officials for active case
management and community engagement.
 ◤
Augmentation of Human
Resource for Health
1. Human resource for health is essential in spreading key health
messages.

2. Deployment of more Doctors and Nurses to the Barrios program

strengthens the promotion of immunization to those far-flung areas in
coordination and collaboration with the Local Government Units.

3. Utilization of Barangay Health Workers when public health

professionals are not available as to widen the scope of reach for
immunization promotion especially in distant and remote locations.
 ◤
Expanding Program Coverage
thru Demand-Generating
Activities
▪ Accelerated immunization activities have had a major
impact on reducing measles deaths. During 2000– 2017,
measles vaccination prevented an estimated 21.1 million
deaths. Global measles deaths have decreased by 80%
from an estimated 545 000 in 2000* to 110 000 in 2017
(WHO, 2019)
 ◤
Expanding Program Coverage
thru Demand-Generating
Activities
▪ Demand-generating activities include mother’s class,
barangay assembly and health forums/congress.

▪ These activities are great avenues to eliminate

perceived threat and convert it to perceived benefit thru
correct information. In such way, community will realize
the advantages of having their children vaccinated with
anti-measles vaccine.
 ◤
Delivery of Health Messages during
Outbreak Response Immunization
▪ Integration of health promotion activities such as short
lectures, video presentation, dissemination of IEC
materials and behavior change communication before
outbreak immunization and routine immunization
activities.
 ◤
Improving Management of Measles in
the Hospitals

▪ Orientation/Re-orientation of medical staff on the

hospital management of measles cases.
▪ Integration of health education about measles in
the out-patient department (eg. video showing,
lectures)
▪ Health education regarding infection control to the
folks and family of infected patients.
 ◤
References
▪ Department of Health. (2019). DOH identifies vaccine hesitancy as one of the reasons for Measles outbreak. Retrieved
from https://www.doh.gov.ph/node/16721

▪ Department of Health. (2019).Statistics of Disease Surveillance.( 2019, February). Retrieved from https://www.doh.gov.ph/statistics

▪ Department of Health. (2019). DOH expands Measles outbreak declaration to other regions. Retrieved from https://www.doh.gov.ph/node/16647

▪ Department of Health.(n.d.). The Philippine health system at a glance. Retrieved from https://www.doh.gov.ph/sites/default/files/basic-
page/chapter-one.pdf

▪ Department of Health. (n.d). Kaarawan ng Kalusugan ISO 9001:2015 CERTIFIED. Retrieved from https://www.doh.gov.ph/node/1091

▪ Department of Health. (n.d). Barangay Health Worker. Retrieved from https://www.doh.gov.ph/node/837

▪ Department of Interior and Local Government. (2018). "Ligtas Tigdas" supplemental immunization acitivity. Memorandum Circular No. 2018-102.
Retrieved from https://www.dilg.gov.ph/PDF_File/issuances/memo_circulars/dilg-memocircular-201873_f103d02502.pdf

▪ World Health Organization. (2019). Ten threats to global health in 2019. Retrieved from https://www.who.int/emergencies/ten-threats-to-global-
health-in-2019

▪ World Health Organization.(2019). Immunization, vaccines and biologicals. Last updated: April 2018. Retrieved
from https://www.who.int/immunization/diseases/measles/en/

▪ World Health Organization. (2015). Introducing rubella vaccine into national immunization Ppogrammes: A step-by-step guide. Retrieved
from https://apps.who.int/iris/bitstream/handle/10665/184174/9789241549370_eng.pdf;jsessionid=AF1FE3BCE2F2D298C6FA89B3F205271E?se
quence=1