Programs and Projects in

the National Setting

By: TAN, ANN GRETHEL R R.N.

DEPARTMENT OF HEALTH
The DOH is the principal
agency in health in the
Philippines.
 It is responsible:
 for ensuring access to basic public health services to all
Filipinos through the provision of quality health care and
regulation of providers of health goods and services.
 a policy and regulatory body for health
 a technical resource, a catalyzer for health
policy and a political sponsor and advocate
for health issues in behalf of the health
sector.
 provides the direction and national plans for
health programs and services
 DOH Health Calendar 2010
JANUARY
STI / Condom Week January 7, 2010
World Leprosy Day January 31, 2010

FEBRUARY

World Cancer Day February 4, 2010

Pregnancy Awareness Week February 7-14, 2010
Healthy Lifestyles Awareness Day February 19, 2010
 DOH Health Calendar 2010
MARCH

International Women’s Day March 8, 2010

World Kidney Day March 11, 2010
World Head Injury Awareness Day March 20, 2010
Human Rights Day March 21-24,2010
World Down Syndrome Day March 21, 2010
World TB Day March 24, 2010
 DOH Health Calendar 2010

APRIL

World Autism Awareness Day April 2-4, 2010

National Polio Eradication Awareness Week April 4, 2010
World Health Day April 7, 2010
World Hemophilia Day April 17, 2010
 DOH Health Calendar 2010
MAY
World Red Cross Day May 8, 2010
World Move for Health Day May 10, 2010
World Chronic Fatigue and
Immune Dysfunction Syndrome May 12, 2010
International Nurses Day May 12, 2010
International Day of Action for
Women’s Health May 28, 2010
World No Tobacco Day May 31, 2010
 DOH Health Calendar 2010
JUNE
International Children’s Day June 1, 2010
International Day of Innocent Children
Victims of Aggression June 4, 2010
World Environment Day June 5, 2010
World Blood Donor Day June 14, 2010
World Elder Abuse Awareness Day June 15, 2010
Youth Day June 16, 2010
National Epilepsy Day June 21, 2010
International Day against Drug Abuse
and Illicit Drug Trafficking June 26, 2010
 DOH Health Calendar 2010
JULY
World Population Day July 11, 2010

AUGUST

World Breastfeeding Week August 1-7, 2010

National Immunization Awareness Week August 2-8, 2010
Rheumatic Fever Week August 2-8, 2010
National Women’s Day August 9, 2010
International Youth Day August 12, 2010
Deaf Awareness Week August 30, 2010
 DOH Health Calendar 2010
SEPTEMBER

Pharmacy Week September 6-12, 2010

Kidney Awareness Week September 6-9, 2010
World Rabies Day September 8, 2010
World Oral Health Day September 12, 2010
Attention Deficit Hyperactivity
Disorder Day (ADHD) September 14, 2010
Stroke Week September 14-17, 2010
World Alzheimer’s Day September 21, 2010
World Heart Day September 21, 2010
 DOH Health Calendar 2010
OCTOBER

International Day for Older Persons October 1, 2010

National Nutrition Week October 1, 2010
World Mental Health Day October 10, 2010
World Arthritis Day October 12, 2010
World Food Day October 16, 2010
International Day for the Eradication of
Poverty October 17, 2010
National Down Syndrome Day October 20, 2010
National Iodine Deficiency Disorder Day October 23, 2010
World Polio Day October 24, 2010
 DOH Health Calendar 2010
NOVEMBER
National Children’s Day November 6, 2010
Malaria Day November 12, 2010
International Day for the Elimination of
Violence against Women November 25, 2010
DECEMBER
World AIDS Day December 1, 2010
International Day of Disabled Persons December 3, 2010
International Volunteers Day December 5, 2010
World Patient Safety Day December 9, 2010
International Human Rights Day December 10, 2010
D – Dental Health Program
O – Osteoporosis Prevention
H – Health Educ. & Community Org.

P – Primary Health Care

R – Reproductive Health
O – Order Person Health Services
G – Guidelines for Good Nutrition
R – Respiratory Infection Control
A – Acupressures
M – Maternal and Child Care
S – Sentrong Sigla Movement
1. Eradicate extreme poverty & hunger
2. Achieve universal primary education
3. Promote gender equality& empower
women
4. Reduce child mortality
5. Improve maternal health
6. Combat HIV/AIDS, malaria & other
diseases
7. Ensure environmental sustainability
8. Develop a global partnership for
development
I. FAMILY HEALTH /SERVICES

Reduce morbidity and mortality

rates for children, adolescents,
adults and older people.
A. THE MATERNAL AND CHILD
HEALTH PROGRAM
Facts:
-Maternal and pediatric population group comprise 60% of
population of most communities
-Decrease women having prenatal ( 1998-77% to 2003-70.4%)
-Decrease women receiving @least 2 doses of TT(1998-38% to
2003-37.3%)
-Only 76.8% of pregnant received supplementation during
pregnancy
 Current MMR

170/100,000

Rank number 49th of the 136 countries

Q: The main causes of
maternal deaths according to
the National health
Statistics?
 Main cause of maternal deaths
remains to be due to:

1. Hypertension (25%)
2. Post Partum Hemorrhage
– 20.3%
3. Pregnancy with abortive
outcomes – 9%
Strategic thrust for 2005-2010
BEMOC – Basic Emergency
Obstetric Care (entails the
establishment of facilities that
provide emergency obstetric
care for every 125,000
population located strategically.
A. Antenatal Registration:
At least 4 visits till delivery

Q: What is the ideal frequency of

prenatal visits during the duration
of pregnancy?
Standard Prenatal Visits
B. Tetanus Toxoid Immunization
2 doses one month before delivery
plus 3 booster doses for the
mother to be called
FIM – Fully Immunized Mother
C. Micronutrient Supplementation
 Newborn Screening

Why important?
-detect congenital metabolic disorders
-most were born asymptomatic
-early diagnosis & prompt treatment
before becoming symptomatic
-prevent mental retardation or death
 NEWBORN SCREENING

When is the best time?

- 48 hours to 72 hours after birth
- may also be done with in 24 hour after birth
note: result is positive repeat the test 14
days after
 Newborn Screening

Who are authorized?

- doctor
- nurse
- medical technologist Trained by
- midwife DOH
 Effects of Newborn Screening
Congenital Disorder NO Newborn Newborn Screened
Screening

Congenital Hypothyroidism Severe Mental Normal

Retardation
Congenital Adrenal Death Alive & Normal
Hyperplasia (CAH)

Galactosemia (Gal) Death / Cataract Alive and Normal

Phenylketonuria (PKU) Severe Mental Normal

Retardation
G6PD Dediciency Serious Anemia and Normal
Kernicterus
THE FAMILY PLANNING PROGRAM
EO 199: Created the PFPP (Phil.
Family Planning Program.

The goal is to provide universal

access to family planning information
and services whenever and wherever
these are needed.
 Important things to Consider
a. Personal values
b. Ability to use method correctly
c. How method will affect enjoyment
d. Financial factor
e. Status of couples relationship
f. Prior experience
g. Future plans
 Criteria for Ideal Contraceptive
a. Safe
b. Affordable
c. Acceptable
d. Free of effects on future pregnancy
e. Free of side effects
f. Effective 100%
g. Easily obtainable
CHILD HEALTH PROGRAMS: (Newborns,
Infants and Children)
1. Infant and Young Child Feeding
Exclusive BF – 6 months
Global Strategy For IYCF – WHO and UNICEF –
consensus 55th World Health Assembly in May
2002 and Exec. Board in Sep. 2002 (UNICEF)
Goal – Reduce Child Mortality by 2/3 by 2015
Current IMR: 24.24 for every 1,000 child
 Infants & Young Child Feeding
 Newborn Screening
 Expanded Program on Immunization
 Management on Childhood Illnesses
 Micronutrient Supplementation
 Dental Health
 Early Child Development
 Child Health Injuries
 Reduce morbidity and mortality 0-9
 Specific Objectives
 70% of newborn initiated breastfeeding
within 1 hour after birth
 60% of infants are exclusive breastfeeding
up to 6 months
 90% of infants are started on
complementary feeding by 6 months of age.
 Median duration of breastfeeding is 18
months
 Laws that protects Infants and
Young Child:
1. Milk Code (EO 51)
2. The Rooming In and breastfeeding Act of
1992 – requires institution adopting
rooming. Baby friendly hospital wherein
the mother and the baby should be
together for 24 and as long as both are
in hospital.
3. Food Fortification Law or An Act
Establishing the Philippine Food
Fortification Program and for other
 aims : to address the nutritional deficiency problems in the
Philippines, based on the past nutrition surveys
 Purpose : Food Fortification Law (Republic Act 8976) – it covers all
manufacturers, or producers, importers, traders, tollees, retailers,
repackers, of food products as well as restaurants and food service
establishments where such fortified foods are encourage to be
served.
 Fortification: addition of nutrients to processed foods or food
products at levels above what is naturally present in the food.
2. EPI
Four Major Strategies:

Sustain 90% FIC

Sustain Polio Free Country for Global Cert.
In 2000 our country has been certified polio
free in Kyoto Japan
Eliminate Measles by 2008
Given @ 9 months 85% protection
Given @ 1 year and older – 95% protection
Eliminating Neonatal Tetanus by 2008
 EXPANDED PROGRAM ON
IMMUNIZATION
1. Sustaining high routine FIC
coverage of at least 90% in all
provinces and cities.
2. Sustaining the polio free country
for global certification
3. Eliminating neonatal tetanus by 2008.
4. Measles elimination by 2008
A. Measles Catch – up campaign
(reduces cases by 70% in 15 years
after 1998.
B. Follow – Up Measles Campaign
vaccination of children 9 months to
less than 5 years old – 94 % reduction
in cases in 2004.
 EXPANDED
PROGRAM ON
IMMUNIZATION
VACCINES SCHEDULES/ DOSE ROUTE SITE
DOSES
BCG
(bacillus @ BIRTH 0.05 ml ID • right upper
calmette school entrance 0.10 ml intradermal arm/
guerin) DELTOID

DDT 1 ½ mos./6 wks 0.5 ml

(Diptheria, 2 ½ mos./12 wks 0.5 ml IM • right/left
Pertusis, 3 ½ mos./14 wks 0.5ml intramascular upper outer
Tetanus) thigh
OPV 1 ½ mos./6 wks  2-3 gtts
(Oral Polio 2 ½ mos./12 wks  2-3 gtts ORAL MOUTH
Vaccine) 3 ½ mos./14 wks  2-3 gtts

Hepa B @ BIRTH 0.5 ml •right/left

1 ½ mos./6 wks 0.5 ml IM upper outer
2 ½ mos./12 wks 0.5ml intramascular thigh
 VACCINES SCHEDULES/ DOSE ROUTE/ SITE/
DOSES % Duration
PROTECTED Of Protection

MEASLES 9 mons. 0.5 ml Sub-Q • right/ left

Subcutaneous upper arm

with Vit. A
( 100,000 units) 2-3 gtts ORAL Mouth
 NORMAL COURSE
&
SIDE EFFECTS OF VACCINATION

VACCINE Side Effects Advice / Management

Kochs’ phenomenon • NO Management Needed

BCG (an acute inflmmatory reaction,
•the wheal raised by injection appearing w/in 2-4 days of
disappears in about half an vaccination)
hour Deep Abcess at
•a small red tender swelling Vaccination site or Lymph • Incision
about 10mm across, appears nodes and
at the injection site after (due to subQ/deeper injection Drainage
approximately 2 wks.
•after 2-3 wks , the swelling  Indolent ulceration
may become a small abscess (ulcer that persist after wks from • Treat with INH powder
w/in then ulcerates date of vaccination or more than 10
mm deep
•the ulcer heals by itself and
leaves a scar. The course Glandular enlargement
from vaccination to scar takes (glands draining injection site •If suppuration occurs, treat
about 12 wks become enlarged) as deep abscess
Vaccine Side Effects
 Fever
DPT - most children develop
fever after injection & last
for one day.
- more than 24 hrs fever
after DPT vaccine is due
to other causes but not the
vaccine.
 Local Soreness
- pain that starts early
after injection is only due
to vaccine
Abscess
- wrong tech./unsterile
Advice/
Management
• advice mother to give
antipyretic
• advice sponge with
tepid water
• reassure mothers that
no treatment is needed
& will disappear in 3-4
days
•warm compress
•incision and drainage

Convulsions • give proper care , do

- are rare, occurs more in not continue the normal
above 3 mos. of age due to
Pertussis component of course of DPT
vaccine.
 Vaccine Side Effects Advice/
Management
OPV None • advice not to breastfeed
within 30 mins.
Fever & Rash
- Fever and rashes may • reassure the mother
MEASLES develop 5-7 days from that its normal
the time of •antipyretic
vaccination.
- Fever only last 1-3
days, sometimes mild
rash
 Local Soreness • no treatment
HEPATITIS B - soreness at injection site necessary
usually go away within 24
hours.

Local Soreness •apply cold compress

TETANUS TOXOID - some develop pain, • reassure the woman
redness & swelling at that there is no
treatment needed
the site of injection
NON COMMUNICABLE
DISEASES
PREVENTION AND
CONTROL
Integrated Community Based Non-Communicable
Diseases Prevention & Control Program

 Aim at preventing the four major Non-CD/chronic/lifestyle related

diseases , cardiovascular diseases , cancers , COPD , DM
 Through promotion of healthy lifestyle
Healthy Lifestyle is defined as a way of life that promotes &
protects health and well-being.
Includes practices that promote health as:
 Healthy diet & nutrition
 Regular & adequate physical activity & leisure
 Avoidance of substances that can be abused-tobacco, alcohol,
addicting substances,
 adequate stress mgt. relaxation
 Safe sex and immunization
 NATIONAL PREVENTION OF
BLINDNESS PROGRAM

 Vision 20 / 20: The Right to Sight

 Cataract / Refractive Errors / Low
Vision causes of childhood
blindness
 SENTRONG SIGLA
Definition: SS is a quality improvement initiative
through a certification/recognition program. Health
facilities are certified based on a set of standards
 Renamed from QAP to Sentrong Sigla or Centers of
Vatality Movement- goal: quality health care, services
& facilities
 Expansion of program to the private sector – Phase II
(2001)
 Level 1 – Focus on the major functions of RHU/HC
 Level 2 – Directed on Specialty Achivement on
strengthening local health programs
ADOLESCENT and YOUTH HEALTH and
DEVELOPMENT PROGRAM(AYHDP)

 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.
 * 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
 PHILIPPINE CANCER
CONTROL PROGRAM
 Is an integrated approach utilizing primary,
secondary and tertiary prevention in
different regions of the country at both
hospital and community levels. Six lead
cancers (lung, breast, liver, cervix, oral
cavity, colon and rectum) are discussed.
Features peculiar to the Philippines are
described; and their causation and
prevention are discussed.
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.
MALARIA CONTROL PROGRAM
 Malaria Awareness Month - November
2007
 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)
 NATIONAL TB CONTROL
PROGRAM
 The rising incidence of tuberculosis has economic
repercussions not only for the patient’s 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.
THANK YOU!