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Adolescent and Youth Health and Development Program (AYHDP) In line with the global policy changes on adolescents

and youth, the DOH created the Adolescent and Youth Health and Development Program (AYHDP) which is lodged at the National Center for Disease Prevention and Control (NCDPC) specifically the Center for Family and Environmental Health (CFEH). The program is an expanded version of Adolescent Reproductive Health (ARH) element of Reproductive Health which aims to integrate adolescent and youth health services into the health delivery systems.

The DOH, with the participation of other line agencies, partners from the medical discipline, NGOs and donor agencies have developed a policy on adolescent and youth health as well as complementary guidelines and service protocol to ensure young peoples health needs are given attention.

The Program shall mainly focus on addressing the following health concerns regardless of their sex, race and socioeconomic background: * Growth and Development concerns Nutrition Physical, mental and emotional status * Reproductive Health Sexuality Reproductive Tract Infection (STD, HIV/AIDS) Responsible Parenthood Maternal & Child Health * Communicable Diseases Diarrhea, Dengue Hemorrhagic Fever, Measles, Malaria, etc. * Mental Health Substance use and abuse * Intentional / non-intentional injuries Disability Other issues and concerns such as vocational, education, social and employment needs where the DOH has no direct mandate nor control, shall be coordinated closely with other concerned line agencies, and NGOs.


Vision: Well-informed, empowered, responsible and healthy adolescents and youth. Mission: Ensure that all adolescent and youth have access to quality health care services in an adolescent and youth friendly environment. Goal: The total health, well being and self esteem of young people are promoted. Objectives: * reduce the mortality rate among adolescents and youth * reduce the proportion of teenage girls (15-19 years old) who began child bearing to 3.5 % (baseline-7% in 1998 NDHS). * increase the health care seeking behavior of adolescents to 50% (baseline: still to be established) * increase the knowledge and awareness level of adolescent on fertility, sexuality and sexual health to 80% (baseline: still to be established)

* increase the knowledge and awareness level of adolescents on accident and injury prevention to 50% (baseline: still to be established) Services and Protection Objectives:

* increase the percentage of health facilities providing basic health services including counseling for adolescents and youth to 70%. (baseline- still to be established)

* establish specialized services for occupational illnesses, victims of rape and violence, substance abuse in 50% of DOH hospitals

* integrate gender-sensitivity training and reproductive health in the secondary school curriculum.

* Establish resource centers or one stop shop for adolescents and youth in each province.

Guiding Principles:

1. Involvement of the youth The AYHDP shall involve the young people in the design, planning implementation, monitoring and evaluation of activities and program to ensure that it is acceptable, appealing and relevant to them. In so doing, they become part of the solution rather than the problem. Further, it: (1) favors the acquisition of valuable skills including interpersonal skills, (2) gives young people self confidence, (3) promotes individual self esteem and competence, and (4) contributes to a sense of belonging.

2. Rights Based Approach In all aspects of program implementation, the promotion of young peoples rights shall be applied. This is to ensure protection of adolescent and youth against neglect, abuse and exploitation and guaranteeing to them their basic human rights including survival, development and full participation in social, cultural, educational and other endeavors necessary for their individual growth and well being.

3. Diversity of adolescents needs and problems The program shall recognize the diverse characteristic and needs of adolescents in different situations. Their concerns and perception vary by demographic and socio-economic characteristics, sex and circumstances. But even how diverse the problems are, oftentimes they have common roots, its underlying causes are closely connected and the solutions are similar and interrelated. They are addressed most effectively by a combination of intervention that promote healthy development.

4. Gender & health perspective A gender perspective shall be adopted in all processes of policy formulation, implementation and in the delivery of services, especially sexual and reproductive health. This perspective will act upon inequalities that arise from belonging to one sex or the other, or from the unequal power relation between sexes. Adolescents have distinct and complex gender differences in behavior patterns, socialization process and expected roles in family, community and society. A gender gap exist in terms of opportunities in education and employment and access to health services.

Girls are often victims of traditional, discriminatory and harmful practices, including sexual abuse and exploitation. Besides, their individual development needs are also neglected because of the persistent and stereotypical roles that they are expected to perform. On the other hand, young boys can be particularly vulnerable, such as those in situations in armed conflict or crises. Adults often perpetuate traditional gender roles that trap young people in high risk behavior. They can therefore play a major role in helping them change their attitudes and prevent exploitation of adolescents.

Program Strategies:

The DOH shall adopt a two pronged inextricably linked and overarching strategies: * To Promote healthy development among young adults by building their life coping skills; promoting positive values and by creating a safe and supportive environment for their growth and development; * To prevent and respond to adolescent health problems through provision of adequate, accurate and timely information about their health, rights and other issues and through the availability of integrated, quality and gender sensitive adolescent health services that will bring about positive behavior and healthy lifestyle. 1. Service provision The program shall ensure the access and provision of quality gender responsive biomedical and psychosocial services. Eventually, these will contribute to the reduction of maternal, infant, child and young peoples morbidity and mortality, ensure the quality of life of the families and communities; and promote total health and well being of Filipino adolescents and youth.

2. Education and Information

Early education and information sharing for adolescents and service information providers: the parents, teachers, communities, church, health staff, media and NGOs on adolescent health concerns and an intensified and responsive counseling services geared towards adolescent health shall be done. This aims to increase knowledge and understanding of a particular health issue, and with the explicit intention of motivating the young people to adopt healthy behavior and to prevent health hazards such as unwanted pregnancies, STDs, substance use / abuse, violent behavior and nutritional deficiencies.


3. Building skills Adolescents and youth shall have life skills training to enable them to deal effectively with the demands and challenges of everyday life. It refers to skills that enhance psychosocial development, decision making and problem solving; creative and critical thinking; communication and interpersonal relations , self awareness, coping with emotions and causes of stress. Examples of these skills are:

* Self care skills eg. how to plan and prepare healthy meals or ensure good personal hygiene and appearance. * Livelihood skills eg. how to obtain and keep work.

* Skills for dealing with specific risky situations eg. how to say no when under peer pressure to use drug. Further, life skills shall be integrated in the training module for health workers as well as in the school curricula. On the other hand, service providers, parents and teachers shall also be equipped with competencies to influence behavior of adolescents and promote healthy development and prevent health problems.

4. Promoting a safe and supportive environment A safe and supportive environment is part of what motivates young people to make healthy decisions. It refers to an environment that: (1) nurtures and guides young people towards healthy development; (2) provides the least trauma, excessive stress, violence and abuse; (3) provides a positive close relationship with family, other adults and peers; (4) provides specific support in making individual responsible behavior choices. While intervention should now focus on the action that will facilitate growth and development and encourage adolescents and youth to practice healthy behavior, the following major aspects of social environment have to be considered:

1. Relationship with families, service providers and significant others. Adults contribute to a supportive climate for behavioral choices through positive relationship. They can substantially enrich the lives of young people through their fundamental role as parents and care-givers

2. Social norms and cultural practices


This involve what people typically do in all areas of life and peoples expectation of others. These forces usually shape the lives of young people thus it is important to take note of the attitudes and practices that are harmful to them. Attitudes and norms concerning (a)early marriage, (b)sexual behavior among young people, (c)access to information about sexuality may need to be addressed.

3. Mass Media and entertainment The media is a very important component in influencing social norms that encourage adolescent to make responsible health behavior choices. It also provides great potential to communicate and mobilize community support on adolescent health issues.

4. Policies and legislation Promoting policies and legislation for adolescent health can ensure young people have the opportunities and services they need to promote and protect their own health.

5. Monitoring and Evaluation This is to ensure the smooth implementation of the program. Regular monitoring and evaluation will be conducted to identify the status, issues, gaps and recommendations. A scheme shall be developed which will include indicators, monitoring tools and checklist. Monitoring will be through conduct of field visits, consultative meeting and program implementation review.

6. Resource mobilization The Department of Health have prepared a 10 year work plan for AYHDP. The budgetary requirements will be sourced out from national and international donor agencies. Advocacy with LGUs, other GOs and NGOs shall be conducted on sharing of existing resources where AYHDP will be integrated.

Child Health and Development Strategic Plan


Introduction The Philippine National Strategic Framework for lan Development for CHildren or CHILD 21 is a strategic framework for planning programs and interventions that promote and safegurad the rights of Filipino children. Covering the period 2000-2005, it paints in borad strokes a vision for the quality of life of Filipino children in 2025 and a roadmap to achieve the vision. Children's Health 2025, a subdocument of CHILD 21, realizes that health is a critical and fundamental element in children's welfare. However, health programs cannot be implemented in isolation from the other component that determine the safety and well being of children in society. Children's Health 2025, therefore, should be able to integrate the strategies and interventions into the overall plan for children's development. Children's Health 2025 contains both mid-term strategies, which is targeted towards the year 2004, while long-term strategies are targeted by the year 2025. It utilizes a life cycle approach and weaves in the rights of children. The life cycle approach ensures that the issues, needs and gaps are addressed at the different stages of the child's growth and development. The period year 2002 to 2004 will put emphasis on timely diagnosis and management of common diseases of childhood as well as disease prevention and health promotion, particularly in the fields of immunization, nutrition and the acquisisiton of health lifestyles. Also critical for effective pallning and implementation would be addressing the components of the health infrastructure such as human resource development, quality assurance, monitoring and disease surveillance, and health information and education. 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 parents * Carried to term by healthy mother * Born into a loving, caring. stable family capable of providing for his or her basic needs * Delivered 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 years * Introduced to compementary foods at about six months of age, and gradually to a balanced, nutritious diet * Protected 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 accidents * Properly 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 stimulation * Screened 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 * Protected from discrimination, explitation and abuse * Empowered and enabled to make decisions regarding healthy lifestyle and behaviors and included in the formulation health policies and programs * Afforded the opportunity to reach his or her full potential as adult Medium-term Objectives Health Status Objectives 1.Reduce infant mortality rate to 17 deaths per 1,000 live births 2.Reduce mortality rate among children 1-4 years old to 33.6% per 1000 livebirths 3.Reduce the mortality rate among adolescents and youths by 50% Risk Reduction Objectives 1.Increase the percentage of fully immunized children to 90% 2.Increase the percentage of infants exclusively breastfed up to six months to 30% 3.Reduce the prevalence of protein-energy malnutrition among school-age children 4.Increase the health care-seeking behavior of adolescents to 50% Services and Protection Objectives 1. Ensure 90% of infants and children are provided with essential health care package 2. Increase the percentage of health facilities with available stocks of vaccines and esential drugs and micronutrients to 80% 3. Increase the percentage of schools implementing school-based health and nutrition programs to 80% 4. Increase the percentage of health facilities providing basic health services including counseling for adolescents and youth to 70%

Dengue Control Program


One of the major health problems during rainy season is the incidence of Dengue Hemorrhagic Fever. It occurs in all age groups. This disease (transmitted by Aedes, a day-biting mosquito) is preventable but is prevalent in urban centers where population density is high, water supply is inadequate (resulting to water storage and a good breeding place for the vector), and solid waste collection and storing are also inadequate. The thrust of the Dengue Control Program is directed towards community-based prevention and control in endemic areas. Major strategy is advocacy and promotion, particularly the Four Oclock Habit which was adopted by most LGUs. This is a nationwide, continuous and concerted effort to eliminate the breeding places of Aedes aegypti. Other initiatives are the dissemination of IEC materials and trimedia coverage.


Promotion of Breastfeeding program / Mother and Baby Friendly Hospital Initiative (MBFHI)
Realizing optimal maternal and child health nutrition is the ultimate concern of the Promotion of Breastfeeding Program. Thus, exclusive breastfeeding in the first four (4) to six (6) months after birth is encouraged as well as enforcement of legal mandates. The Mother and Baby Friendly Hospital Initiative (MBFHI) is the main strategy to transform all hospitals with maternity and newborn services into facilities which fully protect, promote and support breastfeeding and rooming-in practices. The legal mandate to this initiative are the RA 7600 (The Rooming-In and Breastfeeding Act of 1992) and the Executive Order 51 of 1986 (The Milk Code). National assistance in terms of financial support for this strategy ended year 2000, thus LGUs were advocated to promote and sustain this initiative. To sustain this initiative, the field health personnel has to provide antenatal assistance and breastfeeding counseling to pregnant and lactating mothers as well as to the breastfeeding support groups in the community; there should also be continuous orientation and re-orientation/ updates to newly hired and old personnel, respectively, in support of this initiative



Expanded Program on Immunization

Children need not die young if they receive complete and timely immunization. Children who are not fully immunized are more susceptible to common childhood diseases. The Expanded Program on Immunization is one of the DOH Programs that has already been institutionalized and adopted by all LGUs in the region. Its objective is to reduce infant mortality and morbidity through decreasing the prevalence of six (6) immunizable diseases (TB, diphtheria, pertussis, tetanus, polio and measles) Special campaigns have been undertaken to improve further program implementation, notably the National Immunization Days (NID), Knock Out Polio (KOP) and Garantisadong Pambata (GP) since 1993 to 2000. This is being supported by increasing/sustaining the routine immunization and improved surveillance system.



Dental Health Program

Comprehensive Dental Health Program aims to improve the quality of life of the people through the attainment of the highest possible oral health. Its objective is to prevent and control dental diseases and conditions like dental caries and periodontal diseases thus reducing their prevalence.

Targeted priorities are vulnerable groups such as the 5-12 year old children and pregnant women. Strategies of the program include social mobilization through advocacy meetings, partnership with GOs and NGOs, orientation/updates and monitoring adherence to standards.

To attain orally fit children, the program focuses on the following package of activities: oral examination and prophylaxis; sodium fluoride mouth rinsing; supervised tooth brushing drill; pit and fissure sealant application; a-traumatic restorative treatment and IEC. The Program also integrates its activities with the Maternal and Child Health Program, the Nutrition Program and the Garantisadong Pambata activities of the WHSMP.



Family Planning
Brief Description of Program A national mandated priority public health program to attain the country's national health development: a health intervention program and an important tool for the improvement of the health and welfare of mothers, children and other members of the family. It also provides information and services for the couples of reproductive age to plan their family according to their beliefs and circumstances through legally and medically acceptable family planning methods. The program is anchored on the following basic principles. * Responsible Parenthood which means that each family has the right and duty to determine the desired number of children they might have and when they might have them. And beyond responsible parenthood is Responsible Parenting which is the proper ubringing and education of chidren so that they grow up to be upright, productive and civic-minded citizens. * Respect for Life. The 1987 Constitution states that the government protects the sanctity of life. Abortion is NOT a FP method: * Birth Spacing refers to interval between pregnancies (which is ideally 3 years). It enables women to recover their health improves women's potential to be more productive and to realize their personal aspirations and allows more time to care for children and spouse/husband, and; * Informed Choice that is upholding and ensuring the rights of couples to determin the number and spacing of their children according to their life's aspirations and reminding couples that planning size of their families have a direct bearing on the quality of their children's and their own lives. Vision: Empowered men and women living healthy, productive and fulfilling lives and exercising the right to regulate their own fertility through legally and acceptable family planning services.

Mission The DOH in partnership with LGUs, NGOs, the private sectors and communities ensures the availability of FP information and services to men and women who need them.

Program Goals: To provide universal access to FP information, education and services whenever and wherever these are needed. Objectives General:


To help couples, individuals achieve their desired family size within the context of responsible parenthood and improve their reproductive health. Specifically, by the end of 2004: Reduce * MMR from 172 deaths 100,000 LB in 1998 to less than 100 deaths/100,000 LB * IMR from 35.3 deaths/1000 livebirths in 1998 to less than 30 deaths/1000 live births * TFR from 3.7 children per woman in 1998 to 2.7 chidren per woman Increase: * Contraceptive Prevalence Rate from 45.6% * Proportion of modern FP methods use from 28>2% to 50.5% Major Activities I. Frontline participation of DOH-retained hospitals II. Family Planning for the urban and rural poor III. Demand Generation through Community-Based Management Information System IV. Mainstreaming Natural Family Planning in the public and NGO health facilities V. Strengthening FP in the regions with high unmet need for FP: CAR, CHD 5, 8, NCR, ARMM VI. Contraceptive Interdependence Initiative VIII. Development /Updating of FP CLinical Standards IX. Formulation of FP related policies/guidelines. E.g. Creation of VS Outreach team by retained hospitals and its operationalization, GUidelines on the Provision of VS services, etc. X. Production and reproduction of FP advocacy and IEC materials XI. Provision of logistics support such as FP commodities and VS drugs and medical supplies in 1998 to 57%



What is FOURmula ONE for Health?:

FOURmula ONE for Health is the implementation framework for health sector reforms in the Philippines for the medium term covering 2005-2010. It is designed to implement critical health interventions as a single package, backed by effective management infrastructure and financing arrangements. This document provides the road map towards achieving the strategic health sector reform goals and objectives of FOURmula ONE for Health from the national down to the local levels. FOURmula ONE for Health engages the entire health sector, including the public and private sectors, national agencies and local government units, external development agencies, and civil society to get involved in the implementation of health reforms. It is an invitation to join the collective race against fragmentation of the health system of the country, against the inequity of healthcare and the impoverishing effects of ill-health. With a robust and united health sector, we can win the race towards better health and a brighter future for generations to come. Starting the Race with the End in Mind: Fourmula One for Health Goals and Objectives Goals: The implementation of FOURmula ONE for Health is directed towards achieving the following end goals, in consonance with the health system goals identified by the World Health Organization, the Millennium Development Goals, and the Medium Term Philippine Development Plan: Objective: FOURmula ONE for Health is aimed at achieving critical reforms with speed, precision and effectivecoordination directed at improving the quality, efficiency, effectiveness and equity of the Philippine health system in a manner that is felt and appreciated by Filipinos, especially the poor. Fourmula One for * * * * Health will strive, within the medium term, to:

Secure more, better and sustained financing for health; Assure the quality and affordability of health goods and services; Ensure access to and availability of essential and basic health packages; and Improve performance of the health system

Defining the Rules of Engagement: Seven (7) General Guidelines for Health Reform Implementation


F1 Rule No.1: FOURmula ONE for Health will organize the critical reform initiatives into four implementation components, namely, Financing, Regulation, Service Delivery and Governance. F1 Rule No. 2: The implementation of FOURmula ONE for Health will focus on a few manageable and critical interventions. Such interventions will be identified using the following criteria: Doable given available resources - Critical interventions identified for each component must be deemed doable given the available time, human and financial resources. Sufficient groundwork and buy-in - The chosen interventions must be backed by sufficient groundwork and buy-in from implementation partners, especially in the development of reform packages for local implementation. Triggers a reform chain reaction - These critical interventions must be able to trigger a chain of reaction that will spur the implementation of other FOURmula ONE for Health interventions, within and across the four components. Produces tangible results and generates public support - These critical interventions must be ableto show tangible results within the immediate and medium terms, which in turn generate support and cooperation from the public;

F1 Rule No. 3: The reforms will be implemented under a sector-wide approach, which encompasses a management perspective that covers the entire health sector and an investment portfolio that encompasses all sources. F1 Rule No. 4: The National Health Insurance Program (NHIP) will serve as the main lever to effect desired changes and outcomes in each of the four implementation components, where the main functions of the NHIP including enrollment, accreditation, benefit delivery, provider payment and investment are employed to leverage the attainment of the targets for each of the reform components. F1 Rule No. 5: The functional and financial management arrangements will be defined in terms of specific offices having clear mandates, performance targets and support systems, within well-defined time frames in the implementation of reforms within each component.

F1 Rule No. 6: The functional clustering of teams and assignment of specific Team Leaders shall facilitate implementation, monitoring and supervision in a coordinative manner and shall not, in any way,


prejudice the corporate nature of the DOH-attached agencies nor the autonomy of Local Government Units. F1 Rule No. 7: The selection of FOUR-in-ONE Convergence Sites will be governed by the following criteria: Willingness of the LGU to participate in the FOURmula ONE for Health implementation, in terms of willingness to provide the requisite counterpart resources, and willingness to enter into formal national government to local government, interlocal government and government to private sector networking, partnership and resource sharing arrangements; Presence of local initiatives or start-up activities relevant to FOURmula ONE strategies, to include, but not limited to: development of inter-local health zones, enrollment of indigents into the social health insurance system, improvement in drug management systems, among others; Relatively high feasibility of success and sustainability, to include factors such as capacity to enter into loans, capacity to absorb investments and sustain the reform process, etc.; and Availability of funds from GOP and external sources for capital investment requirements.

Leprosy Control Program



Leprosy Control Program envisions to eliminate Leprosy as a human disease by 2020 and is committed to eliminate leprosy as a public health problem by attaining a national prevalence rate (PR) of less than 1 per 10,000 population by year 2000. Its elimination goals are: reduce the national PR of <1 case per 10,000 population by year 1998 and reduce the sub-national PR to <1 case per 10,000 population by year 2000. Kilatis Kutis Campaign.

Program thrust is towards finding hidden cases of leprosy and put them on Multi-Drug Therapy (MDT), emphasizing the completion of treatment within the WHO prescribed duration. Strategies are case-finding, treatment, advocacy, rehabilitation, manpower development and evaluation.

Malaria Awareness Month



Malaria is a disease caused by protozoan parasites called Plasmodium. It is usually transmitted through the bite of an infected female Anopheles mosquito. Malaria may also be transmitted through the following:

Transfusing blood that is positive for malaria parasites Sharing of IV needles (especially among IV drug users) Transplacenta (transfer of malaria parasites form an infected mother to her unborn child)

Newborn Screening Basic Information about Newborn Screening



What are the disorders included in the Newborn Screening Package? 1. Congenital Hypothyroidism (CH) CH results from lack or absence of thyroid hormone, which is essential to growth of the brain and the body. If the disorder is not detected and hormone replacement is not initiated within (4) weeks, the baby's physical growth will be stunted and she/he may suffer from mental retardation. 2. Congenital Adrenal Hyperplasia (CAH) CAH is an endocrine disorder that causes severe salt lose, dehydration and abnormally high levels of male sex hormones in both boys and girls. If not detected and treated early, babies may die within 7-14 days. 3. Galactosemia (GAL) GAL is a condition in which the body is unable to process galactose, the sugar present in milk. Accumulation of excessive galactose in the body can cause many problems, including liver damage, brain damage and cataracts. 4. Phenylketonuria (PKU) PKU is a metabolic disorder in which the body cannot properly use one of the building blocks of protein called phenylalanine. Excessive accumulation of phenylalanine in the body causes brain damage. 5. Glucose-6-Phosphate Dehydrogenase Deficiency (G6PD Def) G6PD deficiency is a condition where the body lacks the enzyme called G6PD. Babies with this deficiency may have hemolytic anemia resulting from exposure to certain drugs, foods and chemicals. What is Newborn Screening? Newborn Screening (NBS) is a simple procedure to find out if your baby has a congenital metabolic disorder that may lead to mental retardation and even death if left untreated. Why is it important to have Newborn Screening? Most babies with metabolic disorders look normal at birth. One will never know that the baby has the disorder until the onset of signs and symptoms and more often ill effects are already irreversible. When is Newborn Screening done? Newborn screening is ideally done on the 48th hour or at least 24 hours from birth. Some disorders are not detected if the test is done earlier than 24 hours. The baby must be screened again after 2 weeks for more accurate results. How is Newborn Screening done?



Newborn screening is a simple procedure. Using the hell prick method, a few drops are taken from the baby's heel and blotted on a special absorbent filter card. The blood is dried for 4 hours and sent to the Newborn Screening Laboratory. (NBS Lab). Who will collect the sample for Newborn Screening? A physician, a nurse, a midwife or medical technologist can do the newborn screening. Where is Newborn Screening Available? Newborn screening is available in practicing health institutions (hospitals, lying-ins, Rural Health Units and Health Centers). If babies are delivered at home, babies may be brought to the nearest institution offering newborn screening. When is the Newborn Screening results available? Newborn screening results are available within three weeks after the NBS Lab receives and tests the samples sent by the institutions. Results are released by NBS Lab to the institutions and are released to your attending birth attendants or physicians. Parents may seek the results from the institutions where samples are collected. A negative screen mean that the result of the test is normal and the baby is not suffering from any of the disorders being screened. In case of a positive screen, the NBS nurse coordinator will immediately inform the coordinator of the institution where the sample was collected for recall of patients for confirmatory testing. What should be done when a baby has a positive newborn screening result? Babies with positive results should be referred at once to the nearest hospital or specialist for confirmatory test and further management. Should there be no specialist in the area, the NBS secretariat office will assist its attending physician. Disorder Screened CH Hypothyroidism) (Congenital Adrenal Effect SCREENED Severe Mental Retardation Death Death or Cataracts Severe Mental Retardation Severe Anemia, Kernicterus Effect if treated Normal Alilve and Normal Alive and Normal Normal Normal SCREENED and

CAH (Congenital Hyperplasia) GAL (Galactosemia) PKU (Phenylketonuria) G6PD Deficiency

Help us save the 33,000 babies affected annually by any of this disorders.



TB Control Program
National TB Control Program The rising incidence of tuberculosis has economic repercussions not only for the patients family but also for the country. Eighty percent of people afflicted with tuberculosis are in the most economically productive years of their lives, and the disease sends many self-sustaining families into poverty. The rise in the incidence of tuberculosis has been due to the low priority accorded to anti-tuberculosis activities by many countries. The unavailability of anti-TB drugs, insufficient laboratory networking, poor health infrastructures, including a lack of trained health personnel, have also contributed to the rise in the incidence of the diseases. According to the World Health Organization, the Philippines ranks fourth in the world for the number of cases of tuberculosis and has the highest number of cases per head in Southeast Asia. Almost two thirds of Filipinos have tuberculosis, and up to five million people are infected yearly in our country. In 1996, WHO introduced the Directly Observed Treatment Short Course (DOTS) to ensure completion of treatment. The DOTS strategy depends on five elements for its success: Microscope, Medicines, Monitoring , Directly Observed Treatment, and Political Commitment). If any of these elements are missing, our ability to consistently cure TB patients slips through our fingers.



Vitamin A Supplementation Policy on Vitamin A Supplementation Program * The Philippine government is committed to virtually eliminate VAD * ECCD Law: DOH role is to ensure Vitamin A supplementation * Administrative Order No. 3-A, s. 2000: Guidelines of Vitamin A and Iron Supplementation * Therapeutic supplementation: all cases of VAD * Preventive supplementation:

1. Universal - children 6-59 months 2. Regular/routine - Pregnant and Lactating women, High-risk children 3. Supplementation during emergencies

Vitamin A Supplementation Food Fortifcation The Food Fortification program is the government's response to the growing micronutrient malnutrition, which is prevalent in the Philippines for the past several years. Food Fortification is the addition of Sangkap Pinoyor micronutrients such as Vitamin A, Iron and/or Iodine to food, whether or not they are normally contained in the food, for the purpose of preventing or correcting a demonstrated deficiency with one or more nutrients in the population or specific population groups. Sangkap Pinoy or micronutrients are vitamins and minerals required by the body in very small quantities. These are essential in maintaining a strong, healthy and active body; sharp mind; and for women to bear healthy children. Nutrition surveys since 1993 have been showing increasing prevalence of micronutrient malnutrition, particularly that of Vitamin A Deficiency Disorder (VADD) and Iron Deficiency Anemia (IDA) among children and women of reproductive age, who are the most at-risk groups to micronutrient malnutrition.



Garantisadong Pambata
Garantisadong Pambata (GP) is a campaign to support the various health programs to reduce childhood illnesses and deaths by promoting positive child care behaviours. GP is a program of the Department of Health in partnership with the Local Government Units (LGUs) and other government and non-government organizations.