Professional Documents
Culture Documents
Final CHN 2015
Final CHN 2015
Community:
Group of people with common characteristic or interests living together with in a
territory or geographical boundary
A social organization that is territorially localized and through which its members
satisfy most of their daily needs and deal with most of their common problems
Health - state of complete physical, mental, and social well-being, not merely the absence of
disease or infirmity
Community Health part of paramedical or medical intervention/ approach which is
concerned on the health of the whole or population
Public Health the science and art of preventing disease, prolonging the efficiency thru
organized community effort to:
1. Sanitation of the environment
2. Control of communicable diseases
3. Education of the individual in personal hygiene
4. Organization of medical and nursing service for the early diagnosis and
preventive treatment of disease
5. Development of social machinery to ensure everyone a standard of living,
adequate for the maintenance of health to enable every citizen to realize
his birth right of health and longevity.
- Dr. C. E. Winslow
Priorities in Public Health:
1. Survival of human species
2. Prevention of conditions which lead to the destruction of retardation of human function
and potential in the early years of life
3. Achievement of the human potential
4. Prevention of the loss of productivity of young adults and those in the middle period of
life
5. Improvement of quality of life, especially in later years
Community Health Nursing
Learned practice discipline with the ultimate goal of contributing, as individual and in
collaborative with others, to the promotion of the clients optimum level of functioning
through teaching and delivery of care
Public Health Nursing (WHO Expert Committee on Nursing)
A special field of nursing that combines the skills of nursing, public health and some
phases of social assistance for the promotion o health, the improvement of conditions
in the social and physical environment, rehabilitation, prevention of illness and
disability.
Principles
1. CHN services is based on recognized needs and problems of communities, families,
groups and individuals.
2. The Community Health Nurse must understood fully the objectives and policies of the
agency he/she represents
3. In CHN, the family is the unit of service.
4. CHN must be available to all regardless of race, creed, and socio-economic status
5. Health teaching is a primary responsibility of the Community Health Nurse.
6. The community health nurse works as a member of the health team.
Objectives:
Improve the general health status of the population
Reduce morbidity, mortality, disability and complications from diseases and
disorders
Eliminate the certain diseases as public health problems
a. Schistosomiasis
b. Malaria
c. Filariasis
d. Leprosy
e. Rabies
f. Vaccine- preventable diseases: measles, tetanus, diphtheria, and pertussis
g. Vitamin A deficiency
h. Iodine deficiency disorders
Promote healthy lifestyle and environmental health
Protect vulnerable groups with special health and nutrition needs
Strengthen national and local health systems to ensure better health services
delivery
Definitions of COPAR:
A social development approach that aims to transform the apathetic, individualistic
and voiceless poor into dynamic, participatory and politically responsive community.
A collective, participatory, transformative, liberative, sustained and systematic
process of building peoples organizations by mobilizing and enhancing the
capabilities and resources of the people for the resolution of their issues and
concerns towards effecting change in their existing oppressive and exploitative
conditions (1994 National Rural Conference)
A process by which a community identifies its needs and objectives, develops
confidence to take action in respect to them and in doing so, extends and develops
cooperative and collaborative attitudes and practices in the community (Ross 1967)
The process and structure through which members of a community are/or become
organized for participation in health care and community development activities
Principles of COPAR:
1. People, especially the most oppressed, exploited and deprived sectors are open to
change, have the capacity to change and are able to bring about change.
2. COPAR should be based on the interest of the poorest sectors of society
3. COPAR should lead to a self-reliant community and society.
COPAR Process:
A progressive cycle of action-reflection action which begins with small, local and
concrete issues identified by the people and the evaluation and the reflection of and
on the action taken by them.
Consciousness through experimental learning central to the COPAR process because
it places emphasis on learning that emerges from concrete action and which enriches
succeeding action.
COPAR is participatory and mass-based because it is primarily directed towards and
biased in favor of the poor, the powerless and oppressed.
COPAR is group-centered and not leader-oriented. Leaders are identified, emerge and
are tested through action rather than appointed or selected by some external force or
entity.
Phases of COPAR
Pre-Entry Phase
The initial phase of the organizing process where the community / organizer looks for
communities to serve / help.
It is considered to be the simplest phase in terms of actual outputs, activities and
strategies and time spent for it.
Designing a plan for community development including all its activities and strategies
for care / development
Designing criteria for the selection for the site.
Actual Selecting the site for community cares
Preparation of the Institution
o Train faculty and students in COPAR.
o Formulate plans for institutionalizing COPAR.
o Revise/enrich curriculum and immersion program.
o Coordinate participants of other departments.
Site Selection
o Initial networking with local government.
o Conduct preliminary special investigation.
o Make long/short list of potential communities.
o Do ocular survey of listed communities.
Criteria for Initial Site Selection
o Must have a population of 100-200 families.
o Economically depressed.
o No strong resistance from the community.
o No serious peace and order problem.
o No similar group or organization holding the same program.
Identifying Potential Municipalities
o Make long/short list.
Identifying Potential Barangay
o
o
o
3. Ensure public and private health care providers adherence to the implementation of the
national standard of care
4. Improve access to services thru innovative service delivery mechanisms for patients
living in challenging areas
Objective B:
Strategies:
1. Develop effective, appropriate and culturally- responsive IEC materials
2. Organize barangay advocacy groups
Objective C:
Strategies:
1. Facilitate implementation of TB DOTS Center certification and accreditation
2. Build TB coalitions among sectors
3. Advocate input from LGU
4. Mobilize resources to address program limitation
Objectives D:
Strategies:
1. Enhance managerial capability of all NTP program managers
2. Establish efficient data management system for public and private sectors
3. Implement a standardized recording and reporting system
4. Conduct regular monitoring and evaluation at all levels
5. Advocate political support thru effective local governance
Case Finding
Direct sputum microscopy for identified TB symptomatics
X-ray exam for TB symptomatics who are (-) after 2 or more sputum exam
Establishment of passive and active collection points for sputum samples of all
identified TB symptomatics, as well as validation centers to ensure the standard and
quality of sputum exam
Case finding and treatment services shall be made available in the BHS/RHUs
Treatment
1. All TB cases must be treated for free, on ambulatory and domicillary (home basis,
except those with acute complications and emergencies
2. All sputum positive and cavitary shall be given priority
TB Network. It is the official communication handle of the National Tuberculosis Control
Program or NTP that will stand for DOHs re-energized fight against TB.
1.
It is a product of DOHs collaboration with the LGUs, PhilCAT, and Philhealth.
2.
It is a special group dedicated to help/ take care of TB symptomatics and TB
patients.
3.
Initially, it comprises regular health workers in the RHUs, MHOs and PHOs.
4.
Eventually, it will include everyone in the community who wish to help in the
administration and financing of D.O.T.S.; family and relatives of TB symptomatics /
patients, church, church organizations, civic organizations, NGOs, schools,
companies/corporations.
D.O.T.S
D.O.T.S. stands for Directly-Observed Treatment Short-course. It is a comprehensive strategy
endorsed by the World Health Organization (WHO) and International Union Against
Tuberculosis and Lung Diseases (IUATLD) to detect and cure TB patients. Tutok
Gamutan
Clinical
signs and symptoms
Microscopic
- Mass Blood Smear Exam
In the event that an imminent epidemic occurs, the following should be done:
Mass Blood Smear Collection
Immediate confirmation and follow-up cases
Insecticide-treatment of mosquito nets
Medical management:
1. Chloroquine Phosphate
2. Quinine Sulfate
3. Quinine Hydrochloride
4. Sulfadoxine/ Sulfalene
5. Tetracycline Hydrochloride
6. Quinidine Sulfate
7. Quinidine Glucolate
EXPANDED PROGRAM OF IMMUNIZATION
Goal: morbidity and mortality reduction of immunizable diseases
Schedule:
1 months: First doses of DPT, OPV
2 months: Second doses of DPT, OPV
3 months: Third doses of DPT, OPV
Tetanus Toxiod
First Pregnancy: TT1 5th to 6th month of pregnancy, after 4 weeks TT2 (3 years immunity)
Second Pregnancy: TT3 (1st booster dose) - 5th to 6th (5 years immunity)
Third Pregnancy: TT4 (2nd booster dose) 5th to 6th (10 years immunity)
Fourth Pregnancy: TT5 (3rd booster dose) 5th to 6th (life long immunity)
ADMINISTRATION OF VACCINES
BCG: (infants) 0.05 ml intradermal; (school entrants) 0.10 ml intradermal
DPT:
0.5 ml intramuscular
Pentavaccine: 0.5 ml, intramuscular
Hep B: 0.5 ml intramuscular
OPV:
2 drops per orem
Measles: 0.5 ml subcutaneous
Rotavirus: 1.5 ml PO
Tetanus Toxoid: 0.5 ml intramuscular
COLD CHAIN Logistics
A system used to maintain the potency of a vaccine from that of manufacture to the time it
is given to child or pregnant woman.
Storage
Storage of vaccine should not exceed:
6 mos. @ the Regional Level
3 mos. @ the Provincial Level
1 mo. @ main Health Centers (with refrigerators)
not more than 5 days @ Health Centers (using transport boxes)
Important points to remember:
Arranging of stored vaccine according to:
1. Type
2. Expiration date
3. Duration of Storage
4. Number of times they have been brought out to the field
The vaccine stored the LONGEST AND THOSE THAT WILL EXPIRE FIRST should be distributed
or used 1st
Storage
Vaccine
Temperatur
e
Most Sensitive -25C to
to Heat
-15C
FREEZER
Form
OPV
Liquid
Measles
Freeze
dried
20 dose/
Easily damaged by heat:
special
not destroyed by
bottle or
freezing
25 dose/special
bottle
10 dose/vial
Freeze
dried
20 dose/amp
50 dose/amp
LIQUID
20 dose/vial
Destroyed by heat,
sunlight; not
destroyed by
freezing
Destroyed by freezing
Damaged by heat and
freezing
Least Sensitive
to heat
Hepa-B
Liqiud
20 dose/vial
Damaged by heat or
freezing
Liquid
Tetanus
Toxiod
TARGET SETTING
- involves the calculation of the population. Eligible population consists of any group of
people targeted for specific immunizations due to their susceptibility to one or several
of the EPI diseases.
REPRODUCTIVE Health
Is the exercise of reproductive right with responsibility
Safe pregnancy and delivery
Protection from unwanted pregnancy
Protection from harmful reproductive practices and violence
Assures access to information on sexuality to achieve sexual enjoyment
Vision: RH practice as a way of life for every man and woman throughout life
Factors/Determinants of Reproductive Health
Socio-economic conditions
Education
Employment
Poverty
Nutrition
Living Conditions. Environment
Family environment
Status of Women
Social and Gender Issues
Biological, cultural and Psycho-Social Factors
Adolescent Health Program
Adolescent
- Period of life between 10 and 30 years of age (WHO)
Youth
- who are between 15 and 24 years old
Young People
- refers to both age group; 10-24 years old
Accidents and injuries - common cause of death among young people
Strategic thrust for 2005- 2010:
Management of illness
Mental Health
Dental care
Adult Men
Strategic thrust for 2005-2010:
1. Improve the over all participation of men in the heaklt5h care system
2. Develop male focused information system and strategic communication plans
3. Develop and implement a health package for the adults
4. Improve the health seeking behavior of the Filipino adult through health education
5. Intensify the implementations of policies and laws that protect and improve the
quality life of adults
6. Essential Health Care package for the Adult male and Female
7. Management of illness
8. Counselling o sexual abuse, sexuality and reproductive tract infection
9. Nutrition and diet counseling
10. Mental health
11. Family planning and responsible sexual behavior
Strategic thrusts:
BEMOC (Basic Emergency Obstetric Care ) establishment of facilities that
provide emergency obstetric care for every 125,000 population.
4 Prenatal visit
Responsible parenthood and provision of appropriate health package to women
of reproductive age 18-35 years
Strategies:
A Provision of Regular and Quality Maternal Care Services
Regular and quality prenatal care
o History taking, utilization of HBMR (Home-Based Mothers Record) as a guide
in the identification of risk factors
o PE: weight, height, BP taking
o Perform Head to toe assessment, abdominal exam
o Tetanus Toxoid Immunization
o Fe supplementation
o Vitamin A Supplementation
o Laboratory exam
o Oral/ Dental exam
Provision of Safe Delivery Care
All Birth attendants shall ensure clean and safe deliveries at home or at the
facilities (RHUs/ Hospitals)
At risk pregnancies and mothers must be immediately referred to the nearest
institution
Untrained TBAs who actively practice must be identified, trained and
supervised by a personnel of the nearest BHS/ RHU trained on maternal care
Qualifications for Home Delivery:
full term
less than 5 pregnancies
cephalic presentations
without existing diseases
no history of complications during the previous deliveries
no history of difficult delivery and prolonged labor
no previous caesarian sections
imminent deliveries
if risk remains after delivery refer to nearest health facility
no premature rupture of membranes
adequate pelvis
abdominal enlargement is appropriate for age of gestation
Provision of quality post-partum care
Proper schedule of follow-up must be followed:
1.
1st postpartum visit for home deliveries must be done within 24 hours after
delivery
2.
2nd done at least 1 week after delivery
3.
3rd done 2-4 weeks thereafter
Attendants must be aware of the early signs, symptoms and complications. They follow the 3
CLEANS:
CLEAN Hands
CLEAN Surface
CLEAN Cord
Newborn Screening
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.
Effect
SCREENED
CH (Congenital Hypothyroidism)
Normal
Death
GAL (Galactosemia)
Death or Cataracts
PKU (Phenylketonuria)
Normal
G6PD Deficiency
Disorder
Screened
Environmental Sanitation
Environmental Sanitation is defined as the study of all factors in mans physical
environment, which may exercise a deleterious effect on his health, well-being and
survival.
Goal:
To eradicate and control environmental factors in disease transmission through the provision
of basic services and facilities to all households.
Components
Water Supply Sanitation Program
Proper Excreta and Sewage Disposal Program
Level II
Communal faucet system
or stand posts
Level III
Waterworks system or
individual house
connections Level III
Protected well or developed Source of reservoir, A
source, reservoir, a piped
spring with an outlet but
piped distribution network, distributor network and
with out a distribution
communal faucets
households tap
system
Rural areas that are
urban areas where
Rural areas
clustered densely
population is dense
Serves around 15 to 25
not more than 25 meters
households
from the farthest user
Outreach: not more than
deliver 40 to 80 liters per
250 meters from the
day to 100 households
A system with a source, a
farthest user
one faucet per 4 to 6
reservoir, a piped
Yield or discharge: 40 to
households
distributor network and
140 liters per minute
household taps that is
A system composed of a
suited for densely
A protected well or a
source, a reservoir, a piped populated urban areas.
developed spring with an distribution network and
outlet but without a
communal faucets located
distribution system for rural at not more than 25 meters
areas where houses are
from the farthest house in
thinly scattered.
rural areas where houses
are clustered densely.
. Unapproved type of water facility:
Open dug wells
Unimproved springs
Wells that need priming
Disinfection of water supply sources is required on the following:
Newly constructed water supply facilities
Water supply facility that has been repaired or improved
Found to be positive bacteriologically by lab analysis
Open dug wells
Unimproved springs
Surface water
Proper Excreta and Sewage Disposal System
Level 1
Level 2
Level 3
Community
Burial
Deposited in 1m x 1m deep pits
covered with soil, located 25m
away from water supply.
Open Burning
Animal feeding
Composting
Grinding and disposal sewer
Food establishment are subject to inspection (approved of all food sources containers
and transport vehicles)
Comply with updated health certificates for food handlers, helpers, cooks
3 Points of Contamination
Place of production processing and source of supply
Transportation and storage
Retail and distribution points
Hospital Waste Management
Goal:
To prevent the risk of contraction nosocomial infection from type disposal of infectious;
pathological and other wastes from hospital.
Policies:
All newly constructed/ authorized and existing government and private hospitals shall
prepare and implement a Hospital Waste Management ( HMW ) as a requirement for
registration and renewal of licenses.
1.
2.
3.
4.
5.
6.
Health Promotion Major strategy for the prevention of the emergence of risk factors
Healthy Lifestyle
- a way of life that promotes and protects well- being
- includes practices that promote health such as: healthy diet and nutrition, regular and
adequate physical activity and leisure, avoidance of substances that can be abused,
adequate stress management and relaxation, safe sex, immunization
Goal:
To reduce the toll of morbidity, disability, and premature deaths due to chronic, noncommunicable lifestyle- related diseases
Objectives:
1. Analyze the social, economic, political, and behavioral determinants of NCD
2. Reduce exposure of individuals and population to major determinants of NCD while
preventing emergence of preventable common risk factors.
3. Strengthen health care for people with NCD through health sector reforms and costeffective interventions
Approaches Used in Non- Communicable Disease Prevention and Control:
1. Comprehensive Approach Focused on Primary Prevention
2. Community- Based Approach
3. Integrated Approach
Key Intervention Strategies
1. Establishing program direction and infrastructure
2. Changing environments
3. Changing lifestyle
4. Reorienting health services
Role of the Public Health Nurse in NCD Prevention and Control
1. Health advocate
2. Health educator
3. Health care provider
4. Community Organizer
5. Health Trainer
6. Researcher
Role of the Public Health Nurse in Risk Assessment and Screening:
1. Educate as many people and in every opportunity
2. Educate people on how to prevent the NCD risk factors
3. Every client, not only the patient seeking consultation, should be assessed for the
presence of risk factors
4. Train other health workers on performing risk factor assessment
When risk factors are present:
1. Advise retesting if needed
2. Explain the significance of the finding
3. Educate on how to modify risk factors and promote positive lifestyle change
4. Monitor and follow up
Cataract
In accordance with the Prevention of Blindness Program,
Malakas na Baga, Malinaw na Mata
National Focus: Cataracts Screening Week at DOH Centers
OPLAN: Sagip Mata
Eye Surgery for cataract and squint operations for cross-eyed children
National Prevention of Blindness Program
Vision: All Filipinos enjoy the right to sight by the year 2020
Vision 2020: The Right to Sight
- a global initiative to eliminate avoidable blindness by the year 2020
- a partnership between the World Health Organization (WHO) and the International agency
for Prevention of Blindness
5 preventable/ treatable conditions:
cataract - opacification of the normally clear lens of the eye; most common cause of
blindness worldwide; corrected by surgery
refractive errors and low vision- corrected by spectacle glasses, contact lenses, or
surgery
trachoma
onchocerciasis
childhood blindness- highly specialized services are needed for diagnosis; can be
done by pediatricians and in school clinics
Botika ng Barangay
developed and established under AO 23- A dated July 5, 1996
a drug outlet managed by a legitimate community organization (CO), NGO, and the
LGU with a trained operator and a supervising pharmacist, and specifically licensed
by BFAD
makes available low- priced generic home remedies, OTC drugs, two selected,
publicly- known prescription antibiotic drugs (Amoxicillin and Cotrimoxazole) and
recently selected medication for chronic diseases that requires lifetime medications
such as diabetes, hypertension, and asthma
Goal: To promote equity in health by ensuring the availability and accessibility of
affordable, safe, and effective quality essential drugs to all, with priority for
marginalized, underserved, critical, and hard- to- reach areas
Objectives:
o To rationalize the distribution of common drugs and medicines
o To serve as the mechanism for the DOH to establish partnership with Local
Government Units (LGUs) and Community Organizations
o To optimize the involvement of Barangay Health Workers addressing the
health need of the community
Criteria for Establishing a Botika ng Barangay
.1
Managed or operated by an established community organization or cooperative
(recognized as the judicial body)
.2
Service or coverage area is the Barangay that is a far- flung and hard- to reach area
.3
At least 1/3 of the initial capital requirements are community- sourced funds
.4
.5
.6
EPIDEMIOLOGY
study of occurrences and distribution of diseases as well as the distribution and
determinants of health states or events on specified population, and application of
this study to the control of health problems
-concerned not only with deaths and illnesses, but with positive health states and
means to improve health
Environme
considered as the backbone of preventing disease
nt
host
agent
Classifications of Agents, Hosts, and Environmental Factors which determine the Occurrence
Disease in the Human Population
1. Agents of Disease
a. Nutritive Elements
b. Chemical Agents
c. Physical Agents
d. Infectious Agents
2. Host Factors (Intrinsic Factors)
a. Genetic
b. Age
c. Sex
d. Ethnic group
e. physiologic
f. Immunologic
g. Inter- current or pre- existing disease
h. Human behavior
3. Environmental Factors
a. physical environment
b. biologic environment
c. socio- economic environment
Patterns of Occurrence and Distribution
-
ENDEMIC
habitual presence of a disease in a given geographic location accounting for the low
number of immunes and susceptible
causative factor of the disease is constantly available or present in the area
EPIDEMIC
a situation when there is a high incidence of new cases of a specific disease in excess
of the expected
when the proportion of the susceptible are high compared to the proportion of the
immunes.
PANDEMIC
global occurrence of a disease
SPORADIC
disease occurs every now and then affecting only a small number of people relative to
the total population
- considered information loops or cycles involving health care providers, public health
agencies, and the public
Information Loop:
1. Cases of disease occur
2. Cases are reported by health care providers to health agencies
3. Information about cases is relayed to those responsible for disease prevention
4. Feedback of surveillance information is received by health providers, health agencies,
and the public
HEALTH CARE
PUBLIC
PROVIDERS
SUMMARIES,
INTERPRETATIONS,
RECOMMENDATIONS
REPORTS
HEALTH
AGENCIES
Surveillance
-an continuous collection and analysis of data of cases and death
-public health nurse function as a researcher in disease surveillance
Objectives:
-measures magnitude of the problem
-measures effect of the control program
National Epidemic Sentinel Surveillance System (NESSS)
- hospital based information system that monitors the occurrence of infectious disease with
outbreak potential
- supplemental information system of the DOH
Objectives:
Provides early warning on occurrence of outbreaks
Provide program managers, policy makers, and public administrators, rapid, accurate and
timely information do that inventive control measures can be instituted.
NESSS shows:
Trends of cases across time
Demographic characteristics of cases
Estimates case fatality ratio
Clustering of cases in a geographical area
Formulate hypothesis for disease causation
Diseases under surveillance:
Laboratory
diagnosed:
Cholera
Hepatits A
Hepatits B
Malaria
Clinically diagnosed:
DHF
Diptheria
Measles
Meningococcal disease
Typhoid fever
Neonatal Tetanus
Non neonatal tetanus Pertussis
Rabies
Leptospirosis
Acute flaccid paralysis /
Poliomyelitis
x 1000
x 100,000
Prevalence Rate
-measures the proportion of the population which exhibits a particular disease at a particular
time; deals with NEW and OLD CASES
Number of old and new cases of a specific disease of condition
existing at a point in time
x 100,000
total population at the same point in time
General Fertility Rate
Number of live births during a given year
x 1000 female pop (15-44 y.o.)
population estimated at mid-year for females age 15-44 during the same year
Attack rate
-accurate measure of the risk of exposure
Rate
- relationship between a vital event and those persons exposed to the occurrence of
said event, within a given area and during a specified time
Ratio
- describes the relationship between 2 numerical quantities or measures of events
without taking particular considerations to the time or place
Client List:
EPI
Eligible Population
Children 0-59 months
Nutrition
Pre natal care
Post partum care
Family planning
TB symptomatic
TB cases under Short Course Chemotherapy
TB cases under Standard regimen
Leprosy cases
record to show what the finding or urine test results are. If the visit is a usual prenatal visit,
a tick would be made on the appropriate block on the Tally Sheet/ Report Form. No other
recording of information such as entries in a logbook or daily serviced record is required.
Geographic Coding
Reporting Unit
- DOH health care facility that renders/ delivers public care-related services to targeted
beneficiaries
Conditions for a Reporting Unit:
It renders/ delivers health services to a defined catchment area which composed of
one or more barangays
A midwife renders regular services to the areas
Health services may be provided for any physical structure designated for the
purpose:
BHS building, barangay hall, place of residence
The catchment area served is not a service area of any RHU
It should not include satellite BHS which are visited by the midwife but part of the
catchment of the mother BHS
Health Emergency Preparedness and Response Program
AO No. 6 Bs. Of 1999
- comprehensive, integrated, and responsive emergency disaster- related service and
research- oriented program
Legal mandate:
Presidential Decree No. 1566 (1978)
- Creation of the National Disaster Coordinating Council (NDCC)
-Creation of multilevel organizations
-funding of a 2% reserve for calamities
Disaster and Health Emergency Management:
Disaster
- a serious disruption of the functioning of a society, causing widespread human, material, or
environmental losses which exceed the ability of the affected society to cope, using only its
own resources (UN)
Emergency
- any occurrence, which requires an immediate response (WHO)
Hazards
-any phenomenon, which has the potential to cause disruption or damage to humans and
their environment
Risk
- level of loss or damage that can be predicted from a particular hazard affecting a particular
place, at a particular time from the point of view of the community
Susceptibility: involves factors, which allow a hazard to cause an emergency
Vulnerability: involves factors of a community, which allow a hazard to cause an
emergency
Classifications of Disasters:
1. According to Cause
-Natural Disaster
-Human Generated/ Manmade
2. According to Onset
-Acute/ Sudden Impact Events
-Slow or chronic genesis (creeping disasters)
Contributing factors to Disaster Occurrence and Severity:
Human Vulnerability
Environmental Degradation
Rapid Population Growth
General Principles of Disaster Management:
1st priority: protection of people who are at risk
2nd priority: protection of critical resources and systems on which the communities
depend
disaster management:
-an integral function of national development plans and objectives
-relies upon understanding of hazard risks
-must be based on interdisciplinary collaboration
-only as effective as the extent to which commitment, knowledge and capabilities can be
applied
capabilities must be developed prior to the impact of the hazard
Major
Risks to be Considered:
natural risks-includes flood, earthquakes
technological risks- chemical, radiological, failure of infrastructure and
transportation
epidemics- caused by infectious diseases
societal risks-includes poverty, violence
-Mandated DOH, Philippine National Red Cross (PNRC), and Philippine Blood Coordinating
Council, government agencies, and NGOs to implement a National Voluntary Blood Services
Program (NVBSP)
Vision:
A network of modernized national and regional blood centers operating on a
fully voluntary, non- remunerated blood donation system
Mission:
Ensure adequate, safe, and accessible blood supply by:
Promoting voluntary blood donation as a way of life
Provide adequate, safe, affordable, and equitable distribution of supply of blood and
blood products
To mobilize all sectors of the community to participate in mechanisms for voluntary
and non- profit collection of blood
Eligible Blood Donors:
1. Weigh more than 45 kg (100 lbs) for 250 ml of donated blood and 50 kg (110 lbs) for 450
ml of donated blood
2. In good health
Without the following conditions:
Diabetes
Cancer
Hyperthyroidism
Cardiovascular Diseases
Severe psychiatric disorder
Epilepsy/ convulsions
Severe bronchitis/ other lung conditions
AIDS, Syphilis, and other STDs (past and present)
Malaria
Kidney and Liver Diseases (e.g. Hepatitis)
Prolonged bleeding
Use of prohibited drugs
3. 16- 65 years (parental consent needed for those below 18)
4. SBP 90-160 mmHg; DBP 60-100 mmHg
5. Hemoglobin at least 125 g/L
Steps
-donors blood will not be extracted immediately and stored. This will be required only when
the need arises.
-listed with corresponding blood types and are on call when needed.
Community- Based Rehabilitation Program
- application of Primary Health Care approach in rehabilitation services for persons with
disabilities
R.A. 7277 Magna Carta for Disabled Persons
provides rehabilitation, self- development, and self- reliance of disabled persons
Goal:
Improvement of quality of life of disabled handicapped persons
Objective:
To reduce the prevalence of disability through prevention, early detection, and
provision of rehabilitation services at the community level
Program Components:
Social Preparations- involves identification of site, organization of committee,
selection of supervisor, establishment of linkages, community survey
Services Preparation- provision of family care rehabilitation services, technical aids
(braces, prosthesis)
Training- provision of opportunities for manpower development
Information Education and Communication- creating a wide range of health
promotion activities, family counselling, organization of special events among
persons with disability with talent
Monitoring, Supervision, and Evaluation