DOH PROGRAMS RELATED TO FAMILY HEALTH

The DOH – Family Health Office is tasked to operate health programs geared towards the health
of the family. It is responsible for the creation, implementation and evaluation of health family
programs.

The summary of its objective is to improve the survival, health and well being of each members
of the family as well as the reduction of morbidity and mortality rates in the family and
community.

FAMILY HEALTH PROGRAMS:

1. National Safe Motherhood Program

2. Family Planning Program
3. Child Health Program
a. Adolescent Health and Development
b. Integrated Management Of Childhood Illness (IMCI)
4. Expanded Program Of Immunization
5. Nutrition Program
6. Oral Health Program
7. Other Health Program

NATIONAL SAFE MOTHERHOOD PROGRAM

Vision

For Filipino women to have full access to health services towards making their pregnancy and
delivery safer

Mission

Guided by the Department of Health FOURmula One Plus thrust and the Universal Health Care
Frame, the National Safe Motherhood Program is committed to provide rational and responsive
policy direction to its local government partners in the delivery of quality maternal and newborn
health services with integrity and accountability using proven and innovative approaches

Objectives

The Program contributes to the national goal of improving women’s health and well-being by:

1. Collaborating with Local Government Units in establishing sustainable, cost-

effective approach of delivering health services that ensure access of
disadvantaged women to acceptable and high quality maternal and newborn health
services and enable them to safely give birth in health facilities near their homes
 2. Establishing core knowledge base and support systems that facilitate the delivery
of quality maternal and newborn health services in the country.

Program Components

Component A: Local Delivery of the Maternal–Newborn Service Package

This component supports LGUs in establishing and mobilizing the service delivery network of
public and private providers to enable them to deliver the integrated maternal-newborn service
package. In each province and city, the following shall continue to be undertaken:

1. Establishment of critical capacities to provide quality maternal-newborn services through

the organization and operation of a network of Service Delivery Teams consisting of:
a. Barangay Health Workers
b. BEmONC Teams composed of Doctors, Nurses and Midwives
2. In collaboration with the Centers for health Development and relevant national offices:
Establishment of Reliable Sustainable Support Systems for Maternal-Newborn Service
Delivery through such initiatives as:
a. Establishment of Safe Blood Supply Network with support from the National
Voluntary Blood Program
b. Behavior Change Interventions in collaboration with the Health Promotion and
Communication Service
c. Sustainable financing of maternal - newborn services and commodities through
locally initiated revenue generation and retention activities including PhilHealth
accreditation and enrolment.

Component B: National Capacity to Sustain Maternal-Newborn Services

1. Operational and Regulatory Guidelines

a. Identification and profiling of current FP users and identification of potential FP
clients and those with unmet need for FP (permanent or temporary methods)
b. Mainstreaming FP in the regions with high unmet need for FP
c. Development and dissemination of Information, Education Communication
materials
d. Advocacy and social mobilization for FP
2. Network of Training Providers
a. 31 Training Centers that provide BEmONC Skills Training
3. Monitoring, Evaluation, Research, and Dissemination with support from the
Epidemiology Bureau and Health Policy Development and Planning Bureau
a. Monitoring and Supervision of Private Midwife Clinics in cooperation with PRC
Board of Midwifery and Professional Midwifery Organizations
b. Maternal Death Reporting and Review System in collaboration with Provincial
and City Review Teams
c. Annual Program Implementation Reviews with Provincial Health Officers and
Regional Coordinators
Maternal Health Services:

1. ATENATAL REGISTRATION – pregnant woman can avail the free prenatal services at
their respective health center
2. TETANUS TOXOID IMMUNIZATION – a series of 2 doses of tetanus toxoid
vaccination must be received by a pregnant woman one month before delivery and 3
booster doses after childbirth
3. MICRONUTRIENT SUPPLEMENTATION – Vitamin A and Iron Supplement for he
prevention of anemia and Vit. A deficiency
4. TREATMENT OF DISEASES AND OTHE CONDITIONS – for women who are
diagnosed as under high risk of pregnancy

Ideal Frequency Of Prenatal Visits During The Duration Of Pregnancy:

PRENATAL VISITS PERIOD OF PREGNANCY

First visit As early as possible before 4 months or during
1st trimester
Second visit During the second trimester
Third visit During the third trimester
Every 2 weeks After 8 months

NATIONAL FAMILY PLANNING PROGRAM

DESCRIPTION
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

For Filipino women and men achieve their desired family size and fulfill the reproductive health
and rights for all through universal access to quality family planning information and services.

Mission

In line with the Department of Health FOURmula One Plus strategy and Universal Health Care
framework, the National Family Planning Program is committed to provide responsive policy
direction and ensure access of Filipinos to medically safe, legal, non-abortifacient, effective, and
culturally acceptable modern family planning (FP) methods.

Objectives

1. To increase modern Contraceptive Prevalence Rate (mCPR) among all women

from 24.9% in 2017 to 30% by 2022
2. To reduce the unmet need for modern family planning from 10.8% in 2017 to 8%
by 2022

Program Components

Component A: Provision of free FP Commodities that are medically safe, legal, non-
abortifacient, effective and culturally acceptable to all in need of the FP service:

o Forecasting of FP commodity requirements for the country

o Procurement of FP commodities and its ancillary supplies
o Strengthening of the supply chain management in FP and ensuring of
adequate FP supply at the service delivery points

Component B: Demand Generation through Community-based Management Information

System:

o Identification and profiling of current FP users and identification of potential

FP clients and those with unmet need for FP (permanent or temporary
methods)
o Mainstreaming FP in the regions with high unmet need for FP
o Development and dissemination of Information, Education Communication
materials
o Advocacy and social mobilization for FP

Component C: Family Planning in Hospitals and other Health Facilities

 o Establishment of FP service package in hospitals
o Organization of FP Itinerant team for outreach missions
o Delivery of FP services by hospitals to the poor communities especially
Geographically Isolated and Disadvantaged Areas (GIDAs):
o Provision of budget support to operations by the itinerant teams including
logistics and medical supplies needed for voluntary surgical sterilization
services
o FP services as part of medical and surgical missions of the hospital
o Partnership with LGU hospitals for the FP outreach missions

Component D: Financial Security in FP

o Strengthening PhilHealth benefit packages for F

o Expansion of PhilHealth coverage to include health centers providing No
Scalpel Vasectomy and FP Itinerant Teams
o Expansion of Philhealth benefit package to include pills, injectables and IUD
o Social Marketing of contraceptives and FP services by the partner NGOs
o National Funding/Subsidy

Strategies, Action Points and Timeline

Apart from the routine means of FP service delivery, the National Family Planning Program also
employs the following main strategies to ensure universal access to FP:

o FP Outreach Mission – this maximizes opportunities where clients are and FP services
are delivered down to the community level.
o FP in hospitals – this address missed opportunities where women especially those who
recently gave birth are offered with appropriate FP services.
o Intensive Demand generation through house-to-house visits by the community health
volunteers, Family Development Sessions, Usapan sessions, among others

TYPES OF FAMILY PLANNING:

NATURAL ARTIFICIAL PERMANENT

- Standard days method - Condoms - Vasectomy
- Lactational Amenorrhea - Injectables - Bilateral Tubal Ligation
method - Oral contraceptive pills
- Basal Body Temperature - Intrauterine device
- Billings ovulation/Cervical
Mucus method
- Symptothermal

NATURAL:

You can only use the Standard Days Method if:

o Your menstrual cycle is really regular (your periods always come at the same time).
 o Your cycle is never shorter than 26 days.
o Your cycle is never longer than 32 days.
o You’re okay with either not having vaginal sex or using birth control from day 8 through day 19
of each cycle.
To use the Standard Days method, you simply don’t have vaginal sex or use another method of birth
control on days 8-19 of your cycle.

Most people using the Standard Days method use an app or have a special string of beads, called
CycleBeads, that helps them keep track of their cycles. CycleBeads have 33 colored beads and a black
rubber ring that moves from bead to bead.

Lactational Amenorrhea Method is a temporary postpartum method of postponing pregnancy based on

the physiological infertility experienced by breastfeeding mothers. Mothers may ovulate but not
menstruate while breastfeeding.

Basal Body Temperature is used to identify the fertile and infertile period of a woman’s cycle by daily
taking and recording the rise and fall in body temperature during and after ovulation. Woman’s BBT falls
about half a degree before day of ovulation and BBT rises a full degree at time of ovulation.

The Billings ovulation method is a method in which women use their vaginal mucous to determine their
fertility. It does not rely on the presence of ovulation, rather it identifies patterns of potential fertility and
obvious infertility within the cycle, whatever its length. Effectiveness, however, is not very clear.

Symptothermal is a combination of BBT and Billings method.

ARTIFICAL:

Condom is a thin sheath of latex rubber made to fit on a man’s erected penis, it prevents the passage of
sperm into the internal vagina.

Injectables contain synthetic hormone, progestin which suppresses ovulation; thickens cervical mucus
thus making it difficult for sperm to pass through

Oral Contraceptive Pills contain hormones: estrogen and progesterone, taken daily to prevent
conception. It also reduces gynaecological symptoms like painful menstruation and reduce the risk of
ovarian and endometrial cancers

Intrauterine Device is a long term birth control that is a small, T-shaped plastic device that is wrapped in
coppe or contains hormones. A plastic string is ties of the IUD hangs down through cervix into vagina. It
can last up to 10 years.

PERMANENT:

Vasectomy prevents passage of sperm because the vas deferens is blocked or cut

Bilateral Tubal Ligation involves cutting or blocking of the 2 fallopian tubes.

 ADOLESCENT HEALTH AND DEVELOPMENT PROGRAM

Description

In April 2000, DOH issued the Administrative Order 34- A s 2000, the Adolescent and Youth
Health (AYH) Policy, creating the Adolescent Youth Health Sub-program under the Children’s
Health Cluster of Family Health Office. In 2006, the department created the Technical
Committee for Adolescent and Youth Health Program, composed of both government and non-
government organizations dedicated to uplifting the welfare of adolescents and tasked to
revitalize the program. Due to an increasing health risky behaviour among our Filipino
adolescents,

DOH embarked on revising the policy and to focus on the emerging issues of the adolescents
which are the 10 – 19 years old.

In March 21, 2013, DOH with the support of the United Nations Population Fund (UNFPA)
Philippines, revised the policy and served the Administrative Order 0013 - 2013 National Health
Policy and Strategic Framework on Adolescent Health and Development (AHDP). The Strategic
Framework 2013 is designed in accordance with this goal.

In 2015, DOH AHDP Program revived the National External Technical Working Group (TWG)
on AHDP. This is composed of different stakeholders from the government, non-government,
academe, and youth – led organizations. In 2016, DOH recognized the need for harmonization of
programs within the department that caters 10 – 19 years old. The AHDP Program convened the
first DOH – Internal Technical Working Group. This aims to ensure that all programs are
working together for the betterment of the adolescents in the country. It is also an avenue to
discuss indicators, policies, strategies, and service delivery at the national and local
implementation levels. The External and Internal TWGs on AHDP are multi -sectoral,
collaborative approaches to fulfil the goal, vision, and mission of the program. In 2017, both
TWGs revised the strategic framework, and developed a logical framework, and monitoring and
evaluation framework of the program.

Vision

The AHDP envisions a country with well informed, empowered, responsible and healthy
adolescents who are leaders in the society

Mission

Its mission is to ensure that all adolescents have access to comprehensive health care and
services in an adolescent-friendly environment.

Objectives

Improve the health status of adolescents and enable them to fully enjoy their rights to health.
Program Components

1. Nutrition 7. Harmful Use of Alcohol

2. National Safe Motherhood 8. Tobacco Control
3. Family Planning 9. Mental Health
4. Oral Health 10. Violence & Injury Prevention
5. National Immunization 11. Women and Children
Program Protection
6. Dangerous Drugs Abuse 12. HIV/STI
Prevention and Treatment
Strategies, action Points and Timeline

 Health promotion and behavior change for adolescents

 Adolescent participation in governance and policy decisions
 Developing/transforming health care centers to become adolescent-friendly
facilities
 Expanding health insurance to young people
 Enhancing skills of service providers, families and adolescents
 Strengthening partnerships among adolescent groups, government agencies,
private sectors, Civil Society organizations, families and communities
 Resource mobilization
 Regular assessment and evaluation

Program Accomplishments/ Status

Health Education and Promotion

o Advocacy and awareness raising activities such as Adolescent Health TV

segment and Healthy Young Ones

Provision of Health Services

o Establishment of Adolescent-Friendly Health Facilities Nationwide includes:

a. Core package of adolescent health services (AO 2017-0012)
available at the different levels of the health care system and in
settings outside the health care system.
b. Institutionalize linkage between school, community, civil society
organizations and health facilities in a service delivery network
(SDN).
c. Trained health and non-health personnel nationwide with the
following:
o Competency Training on Adolescent Health
o Adolescent Job Aid (AJA) Training
o Adolescent Health Education and Practical Training (ADEPT)
o Healthy Young Ones (HYO) Training
 o Adolescent Health and Development Program Manual of
Operations (MOP) Training

Calendar of Activities: The celebration of Linggo ng Kabataan every second week of December

INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS (IMCI)

One million children under five years old die each year in less developed countries. Just five diseases
(pneumonia, diarrhea, malaria, measles and dengue hemorrhagic fever) account for nearly half of these
deaths and malnutrition is often the underlying condition. Effective and affordable interventions to
address these common conditions exist but they do not yet reach the populations most in need, the young
and impoverish.

The Integrated Management of Childhood Illness strategy has been introduced in an increasing
number of countries in the region since 1995. IMCI is a major strategy for child survival, healthy growth
and development and is based on the combined delivery of essential interventions at community, health
facility and health systems levels. IMCI includes elements of prevention as well as curative and addresses
the most common conditions that affect young children. The strategy was developed by the World Health
Organization (WHO) and United Nations Children’s Fund (UNICEF).

In the Philippines, IMCI was started on a pilot basis in 1996, thereafter more health workers and
hospital staff were capacitated to implement the strategy at the frontline level.

Objectives of IMCI

 Reduce death and frequency and severity of illness and disability, and
 Contribute to improved growth and development

Components of IMCI

 Improving case management skills of health workers

o 11-day Basic Course for RHMs, PHNs and MOHs

o 5 - day Facilitators course
o 5 – day Follow-up course for IMCI Supervisors

 Improving over-all health systems

 Improving family and community health practices

Rationale for an integrated approach in the management of sick children

Majority of these deaths are caused by 5 preventable and treatable conditions

namely: pneumonia, diarrhea, malaria, measles and malnutrition. Three (3) out of four
(4) episodes of childhood illness are caused by these five conditions

Most children have more than one illness at one time. This overlap means that a single diagnosis
may not be possible or appropriate.
Who are the children covered by the IMCI protocol?

 Sick children birth up to 2 months (Sick Young Infant)

 Sick children 2 months up to 5 years old (Sick child)

Strategies/Principles of IMCI

 All sick children aged 2 months up to 5 years are examined for GENERAL
DANGER signs and all Sick Young Infants Birth up to 2 months are examined
for VERY SEVERE DISEASE AND LOCAL BACTERIAL
INFECTION. These signs indicate immediate referral or admission to hospital
 The children and infants are then assessed for main symptoms. For sick children,
the main symptoms include: cough or difficulty breathing, diarrhea, fever and ear
infection. For sick young infants, local bacterial infection, diarrhea and
jaundice. All sick children are routinely assessed for nutritional, immunization
and deworming status and for other problems
 Only a limited number of clinical signs are used
 A combination of individual signs leads to a child’s 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

BASIS FOR CLASSIFYING THE CHILD’S ILLNESS (please see enclosed portion of the
IMCI Chartbooklet) The child’s illness is classified based on a color-coded triage system:

 PINK- indicates urgent hospital referral or admission

 YELLOW- indicates initiation of specific Outpatient Treatment
 GREEN – indicates supportive home care

EXPANDED PROGRAM OF HEALTH IMMUNIZATION

The EPI was launched in July 1976 by the DOH in cooperation with WHO and UNICEF, it is to
ensure that infants/children and mothers have access to routinely recommended infant/childhood
vaccines. Six vaccine-preventable diseases were initially included in the EPI: tuberculosis,
poliomyelitis, diphtheria, tetanus, pertussis and measles. In 1986, 21.3% “fully immunized”
children less than fourteen months of age based on the EPI Comprehensive Program review.

Objective of Expanded Program of Health Immunization

 Reduce the morbidity and mortality among infants and children caused by the seven
childhood diseases.
Every Wednesday is designated as immunization day in all parts of the country.

A fully immunized child: receives one dose of BCG, 3 doses of OPV, DPT, HB and one dose of
measle vaccine before the child’s first birthday

Republic Act No. 10152 “Mandatory Infants and Children Health Immunization Act of 2011
signed by President Benigno Aquino III in July 26, 2010.

The mandatory includes basic immunization for children under 5 including other types that will
be determined by the Secretary of Health.

OVER-ALL GOAL:

To reduce the morbidity and mortality among children against the most common vaccine-
preventable diseases.

SPECIFIC GOAL:

1. To immunize all infants/children against the most common vaccine-preventable diseases.

2. To sustain the polio-free status of the Philippines.

3. To eliminate measles infection.

4. To eliminate maternal and neonatal tetanus

5. To control diphtheria, pertussis, hepatitis b and German measles.

6. To prevent extra pulmonary tuberculosis among children.

Four major strategies ◦

 Sustaining high routine FIC coverage of atleast 90%

 Sustaining polio free country for global certification
 Eliminating measles by 2008
 Eliminating neonatal tetanus by 2008

Immunization is the process by which vaccines are introduced into the body before injection sets
in. Vaccines are administered to induce immunity thereby causing the recipient’s immune system

EXPANDED PROGRAM ON IMMUNIZATION GUIDELINES

 It is safe and immunologically effective to administer all EPI vaccines on the same day at
different sites of the body.
 Moderate fever, malnutrition, mild respiratory infection, cough, diarrhea and vomiting
are not contraindicated to vaccination.
  DPT2 and DPT3 are contraindicated to a child who has had convulsion or shock within 3
days the previous dose.
 Live vaccines like BCG must not be given to individuals who are immunosuppressed due
to malignant disease, therapy with immunosuppressive agents or irradiation.
 It is safe and effective with mild side effects after vaccination. (Ex: Local reaction, fever)
 Repeat BCG vaccination if the child does not develop a scar after the first injection.
 BCG immunization shall be given to all school entrants both in private and public schools
regardless of the presence or absence of BCG scar.

NUTRITION PROGRAM

 Malnutrition continues to be a public health concerns in the country.

 The common nutritional deficiencies are Vitamin A, Iron and Iodine.
 Programs and projects are: Micronutrient supplementation, food fortification, nutrition
information, communication and education, home, school and community food
production and food assistance.

GOAL: To improve quality of life of Filipinos through better nutrition, improved health and
increased productivity

General Objective:

The overall objective is to improve the survival of infants and young children by improving their
nutritional status, growth and development through optimal feeding.

Specific Objectives:

To raise awareness of the main problems affecting infant and young child feeding, identify
approaches to their solution, and provide a framework of essential interventions;

To create an environment that will enable mothers, families and other caregivers in all
circumstances to make and implement informed choices about optimal feeding practices for
infants and young children.

To increase commitment of the local chief executives and other partners.

PROGRAM COMPONENTS

A. Breastfeeding Practices (IYCF)

Exclusive Breastfeeding for the first six months – Infants shall be exclusively breastfeed for the
first six months of life to achieve optimum growth and development. Only breast-milk should be
given and no other food or drinks, not even water. Vitamins and medicines are permitted by
physicians.
Extended breastfeeding up to three years – Although volume of breast-milk consumed declines
as complementary foods are added, breast-milk contribute significantly as it provides one third to
two thirds of average total energy intake towards the end of first year.

B. Complementary Feeding Practices (IYCF)

Appropriate complementary feeding

Infants shall be given appropriate complementary foods at age six months in order to meet their
evolving nutritional requirements. This means that it should be given: timely, adequate, safe, and
properly fed.

Ensure access to appropriate complementary foods – through diversified approaches and use of
home-and community based technologies.

Use of locally available and culturally acceptable foods

Low-cost complementary foods

C. Micronutrient Supplementation

Based on the updated Guidelines on Micronutrient Supplementation, the following are the
priority targets for micronutrient supplementation:

Universal Vitamin A supplementation shall continue to be provided to infants and children 6-59
months of age. Vitamin A supplementation shall be given to children at risk, particularly those
with measles, persistent diarrhoea, severe pneumonia and severely malnourished children to help
re-establish body reserves of vitamin A and protect against severity of infections and prevent
complications. Postpartum women shall be given vitamin A capsule within one month after
delivery to increase vitamin A concentration of her breast-milk as well as vitamin A status of
their breastfed children. Children with signs of xeropthalmia shall be treated with vitamin A.
Children during emergencies shall be given priority for vitamin A supplementation following
schedule for high risk children.

Iron Supplementation shall be provided to pregnant and lactating women and low birth weight
babies and children 6-11 months of age. In addition, anaemic and underweight children 1-5 years
of age shall be provided with iron supplements including adolescent girls enrolled in Grades 7-
10.

Iodine supplementation shall be provided to women of reproductive age group, school age
children in areas when the Urinary iodine Excretion of less than 50 ug/L in more than 20% of the
population. Priority will be given to all pregnant women who do not have access to iodized salt.

Calcium Supplementation for Pregnant Women shall be provided to reduce the risk of
developing gestational hypertensive disorders and associated health problems thereby improving
maternal and new born health and nutrition outcomes through provision of daily calcium
supplementation.

D. Universal Salt Iodization

Families shall be encourage and educated on the use of iodized salt in the preparation of foods
for older infants and young children and even adults to prevent iodine deficiency disorders.

E. Food Fortification

Food fortification of staple foods like oils and flour and salt to include processed foods was
undertaken to ensure that older infants and young children receive adequate amounts of
micronutrients.

F. Mother Baby Friendly Health Initiative (MBFHI)

To promote and support and protect breastfeeding and Infant and Young Child Feeding Practices
in all health facilities, and the need to transform these facilities (government and private-
hospitals and Lying-in) rendering maternal and new born care services into Mother Baby
Friendly Health Institution.

G. Philippine Integrated Management of Acute Malnutrition (PIMAM)

This aims to support the implementation and expansion of quality treatment for children
suffering from the most severe and acute form, of under nutrition which is severe acute
malnutrition (SAM). These children with SAM are at most risk of dying as a result of their under
nutrition.

DENTAL HEALTH

 Oral disease continues to be a serious public health problem in the Philippines. The
prevalence of dental caries on permanent teeth has generally remained above 90%
throughout the years. About 92.4% of Filipinos have tooth decay (dental caries) and 78%
have gum diseases (periodontal diseases)
 Although preventable, these diseases affect almost every Filipino at one point or another
in his or her lifetime.

GOAL: Attainment of improved quality of life through promotion of oral health and quality

OBJECTIVES:

 The prevalence of dental caries is reduce.

 The prevalence of periodontal disease is reduced.
 Dental caries experience is reduced.
 The proportion of Orally Fit Children (OFC) 12-71 months old is increased.
LIFECYCLE TYPES OF SERVICE
(BASIC ORAL HEATH CARE PACKAGE)

MOTHER (PREGNANT WOMEN)  ORAL EXAMINATION

 ORAL PROPHYLAXIS
 PERMANENT FILLINGS
 GUM TREATMENT
 HEALTH INSTRUCTION

NEONATAL AND INFANTS UNDER 1  DENTAL CHECK UP AS SOON AS

YEAR OLD THE FIRST TOOTH ERUPTS
 HEALTH INSTRUCTIONS ON INFANT
ORAL HEALTH CARE AND ADVISE
ON EXCLUSIVE BREASTFEEDING

CHILDREN 12-71 MONTHS OLD  DENTAL CHECK UP AS SOON AS

THE FIRST TOOTH APPEARS AND
EVERY 6 MONTHS THEREAFTER
 SUPERVISED TOOTH BRUSHING
DRILLS
 ORAL URGENT TREATMENT
-REMOVAL OF UNSAVEABLE
TEETH
- REFERRAL OF COMPLICATED
CASES
-TREATMENT OF POST EXTRACTION
COMPLICATIONS
- DRAINAGE OF LOCALIZED ORAL
ABSCESS
 APPLICATION OF ATRAUMATIC
RESTORATIVE TREATMENT (ART)

SCHOOL CHILDREN (6-12 YRS OLD)  ORAL EXAMINATION

 SUPERVISING TOOTH BRUSHING
DRILLS
 TOPICAL FLOURIDE THERAPY
 PITS AND FISSURE SEALANT
APPLICATION
  ORAL PROPHYLAXIS
 PERMANENT FILLINGS

ADOLESCENT YOUTH (10-24 YRS OLD)  ORAL EXAMINATION

 HEALTH PROMOTION AND
EDUCATION ON ORAL HYGIENE
AND ADVERSE EFFECT ON
CONSUMPTION OF SWEETS AND
SUGARY BEVERAGES, TOBACCO
AND ALCOHOL

OTHER ADULTS (25-59 YRS OLD)  ORAL EXAMINATION

 EMERGENCY DENTAL TREATMENT
 HEALTH INSTRUCTION AND
ADVICE
 REFERRALS

OLDER PERSON (60 YRS OLD AND  ORAL EXAMINATION

ABOVE)  EXTRACTION OF UNSAVABLE
TOOTH
 GUM TREATMENT
 RELIEF OF PAIN
 HEALTH INSTRUCTION AND
ADVICE

STRATEGIES AND ACTION POINTS:

1. Formulate policy and regulations to ensure the full implementation of OHP
A. Establishment of effective networking system (Deped, DSWD, LGU,
Academe and others)
B. Development of policies, standards, guidelines and clinical protocols
-flouride use
- toothbrushing
-other preventive measures
2. Ensure financial access to essential public and personal oral health services
A. Develop an outpatient benefit package for oral health
B. Develop financing schemes for oral health applicable to other levels of care
C. Restoration of oral health budget line
3. Provide relevant, timely and accurate information management system for oral health
A. Improve existing information system/ data collection
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 package of essential care/ services for different age groups
C. Design and implement grant assistance mechanism for high performing LGU’s
5. Build up highly motivated health professionals and trained auxilliaries to manage and
provide quality oral health care
A. Provide of adequate dental personnel
B. Capacity enhancement programs for dental personnel and non- dental
personnel
NEWBORN SCREENING PROGRAM

The Comprehensive Newborn Screening (NBS) Program was integrated as part of the country’s
public health delivery system with the enactment of the Republic Act no. 9288 otherwise known
as Newborn Screening Act of 2004. The Department of Health (DOH) acts as the lead agency in
the implementation of the law and collaborates with other National Government Agencies
(NGA) and key stakeholders to ensure early detection and management of several congenital
metabolic disorders, which if left untreated, may lead to mental retardation and/or death. Early
diagnosis and initiation of treatment, along with appropriate long-term care help ensure normal
growth and development of the affected individual. It has been an integral part of routine
newborn care in most developed countries for five decades, either as a health directive or
mandated by law. It is also a service that has been available in the Philippines since 1996. Under
the DOH, NBS is part of the Child Development and Disability Prevention Program at the
Disease Prevention and Control Bureau.

VISION: The National Comprehensive Newborn Screening System envisions all Filipino
children will be born healthy and well, with an inherent right to life, endowed with human
dignity; and Reaching their full potential with the right opportunities and accessible resources

MISSION: To ensure that all Filipino children will have access to and avail of total quality care
for the optimal growth and development of their full potential.

GOAL: To reduce preventable deaths of all Filipino newborns due to more common and rare
congenital disorders through timely screening and proper management.

PROGRAM OBJECTIVES

By 2030, all Filipino newborns are screened; Strengthen Quality of service and intensify
monitoring and evaluation of NBS implementation; Sustainable financial scheme; Strengthen
patient management
PROGRAM COMPONENTS

1. Operations / Systems and Network 4. Efficient data management

2. Service Delivery 5. Monitoring and Evaluation
3. Strengthen health promotion 6. Financing Scheme
4. Alliance building for ENBS

TARGET POPULATION: Filipino newborns

AREA OF COVERAGE: Nationwide

STRATEGIES ACTION POINTS AND HIGHLIGHTS

o Ensuring Efficient Operations, Systems and Networks Management

o Expanding Package of Services and Delivery Network
o Enhancing Health Promotion and Advocacy
o Optimizing Health Information Management Systems for Expanded Newborn
Screening
o Strengthen Monitoring and Evaluation
o Establishing Sustainable Financing Scheme

REFERENCES

https://www.doh.gov.ph/health-programs

https://www.doh.gov.ph/family-planning

https://www.doh.gov.ph/Adolescent-Health-and-Development-Program

https://www.doh.gov.ph/integrated-management-of-childhood-illness

https://www.plannedparenthood.org/learn/birth-control/fertility-awareness/whats-standard-days-
method

https://www.slideshare.net/lopao1024/health-care-programs?fbclid=IwAR0gdBW6RvwtPnF0XLSPCy-x1-
pWg135sl4X-L6SRee4UpqBIOxHH8oG1ns