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Program For Young Parents Implementing Guidelines PDF
Program For Young Parents Implementing Guidelines PDF
This document is produced through the generous support of the United States Agency for International
Development (USAID). The VisayasHealth Project is managed by the EngenderHealth with headquarters
in 440 Ninth Avenue, New York City, NY 10001.The contents are the responsibility of EngenderHealth
and do not necessarily reflect the views of USAID or the United States Government
PROGRAM FOR YOUNG PARENTS
Implementing Guidelines
Table of Contents
PROGRAM FOR YOUNG PARENTS Implementing Guidelines (PYP) ...............................................3
Background ........................................................................................................................................................3
Objectives...........................................................................................................................................................6
Approach ............................................................................................................................................................6
Engagement Process.........................................................................................................................................7
ATTACHMENTS ..............................................................................................................................................9
ATTACHMENT I: Teaching and Learning Process Guide for Educational Sessions ................ 37
Background
According to the United Nations Population Fund (UNFPA) State of the World Population
Report of 2017, the Philippines has the third highest adolescent birth rate among 11 Southeast
Asian nations, trailing Laos and Thailand. The Philippine Statistics Authority (PSA) estimates
that one in every five persons is likely to be an adolescent between 10 to 19 years old and
about half of them are female. From 2000 to 2010, the number of babies born to teenage
mothers increased from 7.1 to 11.7 percent of total births. Consequently, the proportion of
maternal deaths among teenagers doubled from 5 to 10 percent for the same period.
The problem of high teen pregnancy rates is compounded by rapid repeat pregnancy, meaning
that teen moms tend to have another pregnancy soon after the index pregnancy. About one-
fourth of teenage mothers have a second child within 24 months of the first birth.
Early pregnancy and childbearing carries inherent risks for the mother and her infant. The
bodies of young mothers have not fully ready for the rigors of pregnancy and childbirth,
significantly raising the risks for complications. Children of young mothers are more likely to
be born prematurely and with low birth weight, making them prone to infant death and other
health issues like deafness and blindness. Early pregnancy and childbirth also carries social and
economic risks, such as reduced probability of school completion, and therefore, reduced
likelihood of gainful employment, perpetuating the cycle of poverty. According to the UNFPA
early childbearing could be costing the Philippines PhP33.0 billion annually, or one percent of
the country’s gross domestic product in foregone incomes.
The Program for Young Parents (PYP) is the United States Agency for International
Development’s (USAID) response to the problem of increasing teen pregnancies in the
Philippines. The PYP seeks to expand access to high quality integrated MNCHN/FP services to
help reduce unmet need for family planning, especially among the poor and women below age
19. The PYP is an adaptation and expansion of the Teen Moms Program of the University of the
Philippines – Philippine General Hospital (UP-PGH).
PROGRAM FOR YOUNG PARENTS
Implementing Guidelines
In compliance with the Department of Health (DOH) policy on high-risk pregnancy, CEmONC-
capable (Comprehensive Emergency Obstetric and Newborn Care) regional, provincial, and
district level hospitals with high numbers of deliveries among young women below 19 years old
are engaged for the PYP. The PYP emphasizes joint responsibility and involvement of male
partners in ensuring healthy pregnancy and safe delivery. It seeks to promote complete antenatal
consultations; facility-based deliveries, including availing of Philippine Health Insurance
Corporation (PhilHealth) benefits for the mother and infant; exclusive breastfeeding for at least
six months; and a gap of three to five years between births through the use of long-acting
reversible contraceptives.
It is incumbent upon hospitals to serve clients, but adolescents require special skills and
empathy, in accordance with the DOH Administrative Order 2013-0013, “National Policy and
Strategic Framework on Adolescent Health and Development and the National Standards and
Implementation Guide for the Provision of Adolescent-Friendly Health Services.” Engaged facilities
constitute a PYP Team with members from the different hospital departments and identify an
area that they can transform into an adolescent-friendly space. The PYP Team trains to deal with
adolescent clients; drafts the hospital PYP protocol; and operates the PYP Center. In addition to
providing antenatal services, they conduct educational sessions for teenage parents on
recognition of danger signs and symptoms of pregnancy, gender sensitization, life skills, healthy
timing and spacing of pregnancies, and exclusive breastfeeding. The PYP Team endorses clients
who complete the health education sessions to partners like the Department of Education
(DepEd), Department of Social Welfare and Development (DSWD), and Technical Education
and Skills Development Authority (TESDA) where they can access education and livelihood
opportunities after delivery.
The Schuyler Center for Analysis & Advocacy (2008) states that it benefits society if mother
and aby are healthy; the mother is educated and able to care for her child; the child is prepared
for school; and the mother becomes economically independent. Further, the intervention must
try to reach out to the teen fathers, engage them to be part of the pregnancy and birth
experience, help them pursue education and employment to help them support their family,
and counsels them on relationships and parenting. These are precisely the outcomes that the
PYP is seeking to achieve.
An assessment conducted by the Health Policy Development Program in 2016 concluded that
the PYP meets most of the DOH’s Adolescent-Friendly Health Services standards - “The PYP
provides a clear link between demand generation strategies and service delivery. It supports teenage
mothers before, during and after delivery at different levels of the health system. The hospital where the
pregnant adolescent is compelled to deliver provides AYRH education, prenatal, natal and postnatal
PROGRAM FOR YOUNG PARENTS
Implementing Guidelines
care including birth-spacing and opportunities for a better future. It also collaborates with an Inter-local
Health Zone-SDN for demand generation and care for the teenage mothers.”
Objectives
The PYP emphasizes joint responsibility and involvement of the male partners, towards attaining
the following objectives:
1. Reduce rapid repeat pregnancy and births to women below 19 years old who have
already given birth (The Philippines' Department of Health encourages a gap of three to
five years between births.)
2. Promote facility-based deliveries, including availing of Philippine Health Insurance
Corporation (PHIC or PhilHealth) benefits for the mother and infant
3. Promote full breastfeeding for at least six (6) months
4. Increase contraceptive prevalence rates, particularly for long acting reversible
contraceptives (LARC)
Approach
The PYP emphasizes joint responsibility and gender sensitivity. It addresses young clients’
special needs for counseling and education, in addition to the usual weight and blood pressure
monitoring and laboratory examinations. Educational sessions were originally designed to
coincide with the required four (4) ante-natal and at least one (1) post-natal consultation visits.
Later on, the educational sessions were organized as follows:
Session 1 focused on recognition of danger signs and symptoms of pregnancy and
birth planning, including compliance with Philippine Health Insurance (PhilHealth)
requirements so that the mother and her infant can avail of benefits
Session 2 is on gender sensitization and healthy timing and spacing of births
through the use of long acting reversible methods of contraception (LARC). The
Philippines Department of Health (DOH) recommends an interval of three (3) to
five (5) years between pregnancy and child birth
Session 3 is about life skills and breastfeeding
Session 4 is an orientation on the education and livelihood programs of
development partners that teen clients may choose to avail of
Upon delivery, the young mother is initiated into breastfeeding and encouraged to breastfeed
exclusively for at least six (6) months.
PROGRAM FOR YOUNG PARENTS
Implementing Guidelines
Attendance in educational sessions is recorded in the client enrollment form in the facility. The
client is also given a card where her attendance is reflected. As an “incentive” for completing
the educational sessions, VisayasHealth is linking up the PYP Centers with institutions like the
Department of Education (DepEd), Department of Social Welfare and Development (DSWD),
and the Technical Education and Skills Development Authority (TESDA) for these agencies to
give PYP Clients “preferential access” to their services and programs. “Preferential access”
simply means that agencies give PYP clients’ priority in availing programs and services but that
slots can be opened to other interested parties, should no PYP client register within the given
period. This opportunity is extended to the partners or significant adult of PYP clients since
most of the time, young women come for check-up accompanied by their mothers or
husbands/ partners.
Ideally, young mothers should submit to ANC in the facility where they are supposed to
deliver, but inevitably, there will be those who will come ready to deliver or “straight to DR.”
There is need to reach out to them when they are in the early stages of labor and during the
immediate post partum (within 48 hours after delivery) to encourage them to accept family
planning, particularly long acting reversible contraceptives like the PP IUD and sub-dermal
implants.
Engagement Process
3. Organize the PYP Core Team (Please see Attachment C: Sample PYP Core Team
Composition).
4.3 Prepare Implementation Plan for the PYP (Please see Attachment E: Sample
Implementation Plan).
5. Organize and conduct training for PYP Team.
(Please see Attachment F: Sample Dealing with Adolescent Clients Training
Agenda).
6. Transform the designated area into an adolescent-friendly space. (Please see Attachment
G: DOH AFHS Standards Facility Monitoring Checklist).
7. Launch the PYP. (Please see Attachment H: Sample PYP Launch Program).
8. Operate the PYP. (Please see Attachment I: Teaching & Learning Process Guide for
PYP Educational Sessions).
9. Monitor and evaluate performance of the PYP (Please see Attachment J: Sample PYP
Data Matrix).
PROGRAM FOR YOUNG PARENTS
Implementing Guidelines
ATTACHMENTS
PROGRAM FOR YOUNG PARENTS
Implementing Guidelines
1. Data on teen-age pregnancy (pre-natal and delivery for January to December 2017 and January to June
2018.
Name of Facility:
Contact Person:
Address:
Telephone Number/s:
2017 2018
J F M A M J J A S O N D Total J F M A M J J A S Total
DELIVERIES
Total number of
deliveries
Deliveries to
women <19 y.o.
% of deliveries
NSVD
Total number of
NSVD
NSVD to
women <19 y.o.
% of NSVD
Caesarian Section
Total number of
CS deliveries
CS deliveries to
women <19 y.o.
% of CS
deliveries
Complications of Pregnancy Among Women <19 y.o.
Premature
Rupture of
Membrane
Infections (UTI,
etc.)
Post Partum
Haemorrhage
Pre-eclampsia
Fetal Outcome to Women <19 y.o.
Small for
Gestational Age
Adequate
Gestational Age
Aging by Ballards of Infants of Women <19 y.o.
Term
Preterm
Post Term
Presence/Absence of Factors
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Implementing Guidelines
YES NO Remarks
2. Expressed need of Specify name of champion; other prime movers
hospital
management to do
a program for
teenage mothers
YES NO Remarks
7. Availability of space If no space, possibility of dedicating time and area for the program
PROGRAM FOR YOUNG PARENTS
Implementing Guidelines
The Teen Moms Program was set up in the University of the Philippines - Philippine General
Hospital (UP-PGH) in 2000. It applies a multi-disciplinary approach to the multi-faceted problem
of teenage pregnancy, with team members coming from the Departments of Pediatrics, Obstetrics
and Gynecology (OB-Gyne), Social Work, Nutrition, and Education. Teen Moms advocates for
abstinence for those who are not sexually active and contraception for those who are sexually active
and may/may not yet have children. For those who already have children, the objective is to
postpone having another child/other children for at least two (2) years. Clients are encouraged and
assisted to continue their studies. They and their partners are helped to find work. Sexuality
education is a key intervention.
Service - Provide quality service for Teen Moms (OB-Gyne) and their children (Pediatrics).
Training - Give residents and consultants the opportunity to work with teenage clients
Research - Encourage the conduct of research on the adolescence stage
Since it was established in 2000, Teen Moms has been able to:
In view of the improved health outcomes attained over the past 13 years that it has been
implemented, VisayasHealth will adapt the Teen Moms Program in health facilities with high
volumes of deliveries in its project sites. Henceforth, this will be referred to as the Program for
Young Parents (PYP), to underscore the importance of involving men in the effort to address teen
pregnancy. PYP will:
PYP will:
Provide for "walk-in" clients who do not attend ante-natal consultations in the facility, but only
come to deliver. In the case of UP PGH, young mothers who submitted for ante-natal
consultation were enrolled in the Teen Moms Program and attended especially designed
educational sessions. The VisayasHealth experience has shown that there are many clients who
"walk-in" when they are about to deliver already. There is need to reach out to them when they
are in the early stages of labor and during the immediate post partum (within 48 hours after
delivery) to encourage them to accept family planning, particularly PP IUD.
Engage husbands or partners who accompany their wives/girlfriends when they deliver. In
general, accompanying persons are not allowed into the labor, delivery, and recovery rooms.
Most of the time, the accompanying persons wait in a designated area, doing nothing. Staff can
reach out to men at this time to encourage acceptance of a male method of contraception
(specifically, condoms) or -- if not -- support their wives' use of a contraceptive method.
Emphasize joint responsibility and gender sensitivity by calling it Program for Young Parents
(PYP).
Engage other significant adults (for example, mother, mother-in-law, guardian) by reaching out
to them also.
Emphasize exclusive breastfeeding for at least six (6) months.
Apply interactive educational sessions to reach out to teen moms, their partners, and significant
adults. The sessions will be designed in close coordination and cooperation with Region 8
facilities and will cover recognition of danger signs and symptoms; preparation of a birth plan
with the participation of their partner, including PhilHealth requirements; family planning;
exclusive breastfeeding; and the involvement of men, with emphasis on correct and consistent
use of condoms and joint responsibility
Objectives
1. Provide Region 8 stakeholders -- particularly the Eastern Visayas Regional Medical Center
(EVRMC) -- with the essential knowledge and information about the University of the
Philippines Philippine General Hospital (UP PGH) Teen Moms Program
2. Identify features of the Teen Moms Program that can be adapted in the Program for Young
Parents (PYP) in Region 8 facilities
3. Identify other possible partners in the implementation of the PYP, especially from the private
sector
4. Address specific ASRH concerns in the aftermath of the disaster
PROGRAM FOR YOUNG PARENTS
Implementing Guidelines
Pototan, Iloilo
PROGRAM FOR
YOUNG PARENTS (PYP)
PROGRAM FOR YOUNG PARENTS
Implementing Guidelines
CEBU PROVINCIAL HOSPITAL, DANAO CITY is located at the Northern part of Cebu Province
approximately 33 Kms from Cebu City. It has a total population of 127,647 (as of 2010). The catchment areas
compose of Danao City, Lilo-an, Compostela and Carmen, otherwise known as "DALICOMCAR" in the
Inter-local Health Zone, with the total catchment area population of 339,289(as of 2010).
CPH-DANAO CITY is a proposed 100-bed capacity Provincial Hospital, but currently the authorized bed
capacity is 50 beds, level I, PHIC accredited. At present, the hospital is in the process of upgrading to a level
II hospital, pending the availability of the requested equipment, as well as the completion of the construction
of the infrastructure.
General Objective
To provide comprehensive “one-stop shop” care to the pregnant adolescent, her partner, and infant
Specific Objectives
1. Provide comprehensive pre-natal, intra-partum (EINC) and post-natal care including immunization
(Tetanus Toxoid) to the pregnant adolescent
2. Provide ENC and post natal care, including immunization to the baby
3. Promote exclusive breastfeeding up to 6 months to women up to 19 years old
4. Reduce pregnancy among women 19 years old and below
5. Increase FP acceptance to prevent subsequent unplanned pregnancies
6. Promote active participation of patients’ support group (i.e. husbands/ partners/ parents/ guardians
/ peers) during pregnancy, care of the newborn and children and family planning
7. Prevent and manage STIs among pregnant adolescents and or partners
8. Conduct of Health Education including USAPAN
Proponents
Components
• Services
• Training
• Research ( future time)
Services
1. Medical
a. Obstetrical Care/Adolescent Health/Male partner participation
b. Medical/Pediatrics Care
2. Psychosocial
a. Counseling
b. Social Services
c. Women and Child Protection
d. Breastfeeding-support Group
e. Legal Services (PAO, Women's Desk)
3. Health and Parenting Education
4. Referral Services and Networking (i.e. Legal, Police, Social Services LGUs-BAKUD, Spiritual)
5. Nutrition/ Dietary Service
Training
• Objectives:
1. To enhance the skills of hospital staff and residents in dealing with health issues of young parents, in
management of pregnant adolescents, and in responding to their reproductive health needs
2. To develop skills of service providers, specifically the nurses, midwives and social workers in the
conduct of health education
• Proposed Training Program:
1. Dealing with Adolescent Clients
2. Gender
3. Adolescent Friendly Health Facility and Adolescent Job Aid
4. Conduct of Usapan
Research
• Objective: To encourage research on issues related to adolescent health such as teenage pregnancy
• Proposed topic:
1. Clinical Profiling of teen moms with pregnancy related complications
PROGRAM FOR YOUNG PARENTS
Implementing Guidelines
PYP PROTOCOL
Legend:
Pink – Obstetric Gynecology
Blue – Women and Children Friendly Center (Pink Room)
Orange – Training
Yellow – Pediatrics
Client arrives at CPH- Pregnant Teen presenting to Arrival of patient at OB/ER Arrival of the the teen
Danao registration counter WCPU with complaints (ie. mother with her sick child at
at OPD Lobby labor/vaginal the OPD/ER/Pedia Ward
bleeding/abdominal pain etc)
Patient’s chart is provided Enrolment to PYP Managing the complaints Identification if mother is
and forwarded to OPD below 19 y.o
Room 9
Identification if pregnant Conduct of Interview Admission of patient Enrolment of teen mother to
client is below 19 y.o the PYP
Enrolment to the PYP Physical Examination Enrolment of patient to the
PYP
Conduct of Laboratory Test
Counselling
Referral to local DSWD
PYP day is Tuesday. First time client who comes on Tuesday will be directed to proceed to PYP clinic along with the partner
or the accompanying person/s
Patient who comes on other days will be seen by OB resident at ER and OPD
Subsequent prenatal checkups will be conducted on Tuesdays at the PYP clinic/Postpartum check up together with babies
every Thursday
History taking and PE identification of obstetric and medical/ surgical problems
Referral to appropriate services to address specific non-obstetric problems
Routine prenatal labs and imaging
Immunization (Tetanus Toxoid)
Nutrition education and vitamin supplementation
Family Planning Counselling
Recording of all findings and recommendations on the patient’s chart
Provision of information on the danger signs of pregnancy
Agreement with Teen Mom on her follow-up activities
Provision of take home information and communication health materials
PROGRAM FOR YOUNG PARENTS
Implementing Guidelines
Health Assessment:
History
PE
Risk factors checklist
Treatment of medical problems
Referrals (Nutrition, Psycho, substance abuse, social worker, WCPU)
Step 5: Health Classes: these can be done at the PYP Center, OPD, OB ward
Family Planning *
Dental Care
Common Maternal Illnesses (warning signs of pregnancy) *
Unang Yakap
Birth Practices/Birth preparation including PHILHEALTH coverage orientation*
Newborn Care
Common Newborn Illnesses
Breastfeeding *
Personal Hygiene
Maternal and Infant Nutrition
Warning/ Danger signs of Maternal and Infant Illnesses
Healthy Lifestyle
Importance of Pre-natal Care
Importance of Immunization
STI
Newborn Screening
Breast Examination
Kangaroo Mother Care (KMC)
* PRIORITY TOPICS
PROGRAM FOR YOUNG PARENTS
Implementing Guidelines
Unang Yakap (EINC) At OB/ER, patients aged 19 and below admitted for abortion
or ectopic pregnancy, will be enrolled to the PYP Clinic
Time Bound Patients admitted at the OB/ER will be assessed by the ROD
Drying the newbon DDR cases not yet enrolled = enrol to PYP
Skin to skin contact Secure consent for PPFP from the parent if patient is FP
Acceptor
Early initiation of Breastfeeding Hygiene (Full body bath for selected patients) prior to
admission to the OB/ER
Timely cord clamping Admitting CTG
Baseline Labs
Non Time Bound Monitor progress of labor, serial FHT monitoring
Newborn Care Identify obstetric and non obstetric problems and refer
accordingly to approriate services
Ballard Scoring, anthropometric measurements, Delivery either by vaginal or abdominal route
bathing of infant at least 6 hours after birth
Ward follow-up rounds Essential intrapartum care
Discharge: BCG, Hepa B, NBS Initiation of PPFP
Postpartum care
Discharge IE
Discharge instructions
Discharge from hospital
Step 8: Gateway service: Exit from CPH-DANAO CITY and referral services to LGU
Healthy Pregnancy
Breastfeeding
Newborn & Infant Care
Immunization
Child Care & Positive Discipline
Personal Hygiene
Responsible Parenting
Gender Sensitization & Values Formation
Handling Finances
Trauma and Injury Preventions
Healthy Life Practices
Environmental Sanitation
Step 12: Personal Advancement and Development (linking-up with appropriate agencies)
Step 13: Conduct of peer group sessions in partnership with GOs and NGOs (Optional: subject to
the availability of NGOs in the city)
Step 14: Endorsement to appropriate services for preventive maintenance if above 19 Y/O
VisayasHealth Project
DEALING WITH ADOLESCENT CLIENTS TRAINING
For Samar Provincial Hospital & Tacloban City Hospital
27 to 30 March 2017
Standard 1. Adolescents in the catchment area of the facility are aware about the health services it
provides and find the health facility easy to reach and to obtain services from it.
Signages
Welcome Signage
Health Services
Clinical Guidelines
Documents
Registration logbook
containing the list of
clients who consulted
and were given services
PROGRAM FOR YOUNG PARENTS
Implementing Guidelines
Standard 2 “The services provided by health facilities to adolescents are in line with the accepted package of
health services and are provided on site or through referral linkages by well-trained staff effectively”.
Documents
Clinical management
guidelines and Adolescent
Job Aid are available
Individual Treatment
Records that shows the chief
complaint, findings on
examination, clinical
impression and management
of clients
Directory of organizations –
name, address, services
provided, contact number
and contact person
Referral forms
PROGRAM FOR YOUNG PARENTS
Implementing Guidelines
Standard 3“The health services are provided in ways that respect the rights of adolescents and their privacy
and confidentiality. Adolescents find surroundings and procedures of the health facility appealing and
acceptable”.
Item Self Assessment Assessment Team Recommendations
Facility
Patient flow from admission to
delivery of services including
the average time for each step
is posted in strategic places.
A policy to ensure
confidentiality is posted.
Policies to ensure privacy is
posted
Individual records are kept in
separate envelopes.
All records are kept in a safe
place, preferably in a separate
room or a filing cabinet with
lock and key.
There is a designated person
with access to the records.
There are designated admission
and waiting areas.
There are separate rooms for
consultation, treatment and
counseling. If there are limited
rooms, there are at least
curtains to separate each
provider.
There is a suggestion box.
Conversation between provider
and client cannot be heard by
others.
There are peer educators
assisting in clinic operations
and providing services
(lectures, counseling, etc)
Materials being used by the
adolescents in the facility
Documents
SOP for maintenance of facility
Policies and procedures to
ensure confidentiality
Policies and procedures to
ensure privacy
Protocol and procedures for
patient – provider interaction
Minutes of meetings of TWG
PROGRAM FOR YOUNG PARENTS
Implementing Guidelines
Standard 4. “An enabling environment exists in the community for adolescents to seek and utilize
the health services that they need and for the health care providers to provide the needed services”.
Item Self Assessment Assessment Team Recommendations
There are leaflets containing
the clinic schedule and
services which the
patients/community
members can bring home
and share to other
community members.
IEC materials on the
different programs /
services available (Example
IEC on maternal care,
family planning, etc). The
IEC materials should also
include the directory of
other
agencies/organizations
where the services can be
obtained.
Documents
IEC Plan
Copy of the Local
Development Plan
Advocacy Plan
Action Plan showing
different agency
participation – the name of
the agency,
resources/assistance they
will provide, the person’s
responsible
Accomplishment report
showing the services given
at the public health facility
as well as those given by
other agencies, individuals
and peer counselors
PROGRAM FOR YOUNG PARENTS
Implementing Guidelines
Jaime S. Bernadas, MD
Director
Department of Health Center for Health Development Region VII
Blessing of the Center for Young Fr. Emmanuel Cabahug
Parents Chaplain
Vicente Sotto Memorial Medical Center
National Anthem Pediatrics Department
Vicente Sotto Memorial Medical Center
Welcome Remarks Roque Antonio R. Paradela, MD, FPCS
Head of Medical Division
Vicente Sotto Memorial Medical Center
Overview of the Program for Young Ramon V. Najarro, MD
Parents Chief of Pediatrics
Vicente Sotto Memorial Medical Center
Messages Paulyn Jean B. Rosell-Ubial, MD, MPH
Assistant Secretary, Department of Health
NOTES:
Before each session, please review the reminders for facilitators found at the beginning of the resource materials:
1. DOH, NNC, UNICEF 2012 Gabay sa Pagpapasuso at Pagpapakain ng Sanggol at Bata (Infant and Young Child Feeding)
2. DOH, USAID, CHANGE 2014 Integrated Desk Flip Chart
Discussion guides for each visual are found in the panel facing the facilitator. Study the specific portions of the resource materials
that you will be discussing with your client/s in:
1. DOH, USAID, CHANGE 2014 Integrated Desk Flip Chart
2. DOH, WHO, AusAID, UNICEF 2011 Mother and Child Book
3. PHIC PhilHealth Circular No. 022-2014
5. Make sure that all participants are keeping up with the discussion.
15 minutes Birth Planning 1. Introduce the second topic of the session. Ask participants to group
into two (2) and list down the things that they should plan before
giving birth and post it in the wall:
In this activity, You will be group into two (ask the participants to count 1 & 2,
All number 1 will be group and all number 2 will also be grouped together)
Now, list down all the things that you should plan before giving birth (Ano ano
ang dapat mong paghandaan bago manganak?) and post it in the wall.
2. Ask the leader of the group to report and explain on the answers
they posted on the wall.
4. Give the participants the birth planning forms and ask them to fill
it out.
5. Make sure that all participants are keeping up with the discussion.
6. Emphasize:
Go to the hospital or health center immediately if you experience
any of these signs and symptoms.
8. Repeat:
Go to the hospital or health center immediately if you experience
any of these signs and symptoms.
NOTES:
Before each session, please review the reminders for facilitators found at the beginning of the resource materials:
1. DOH, NNC, UNICEF 2012 Gabay sa Pagpapasuso at Pagpapakain ng Sanggol at Bata (Infant and Young Child
Feeding)
2. DOH, USAID, CHANGE 2014 Integrated Desk Flip Chart
Discussion guides for each visual are found in the panel facing the facilitator. Study the specific portions of the resource
materials that you will be discussing with your client/s in:
1. DOH, USAID, CHANGE 2014 Integrated Desk Flip Chart
2. DOH, WHO, AusAID, UNICEF 2011 Mother and Child Book
18. Emphasize:
Family planning methods are safe and effective if correctly and
consistently practiced. There is a family planning that is right
for you and your particular family situation.
20. Repeat:
Family planning methods are safe and effective if correctly and
consistently practiced. There is a family planning that is right
for you and your particular family situation.
21. Make sure that all participants are keeping up with the
discussion.
NOTES:
1. Before each session, please review the reminders for facilitators found at the beginning of the resource materials:
PROGRAM FOR YOUNG PARENTS
Implementing Guidelines
2. DOH, NNC, UNICEF 2012 Gabay sa Pagpapasuso at Pagpapakain ng Sanggol at Bata (Infant and Young Child Feeding)
3. DOH, USAID, CHANGE 2014 Integrated Desk Flip Chart
Discussion guides for each visual are found in the panel facing the facilitator. Study the specific portions of the resource materials
that you will be discussing with your client/s in:
1. DOH, NNC, UNICEF 2012 Gabay sa Pagpapasuso at Pagpapakain ng Sanggol at Bata (Infant and Young Child Feeding)
2. DOH, USAID, CHANGE 2014 Integrated Desk Flip Chart
3. POPCOM 2016 SHAPE resource book
Time
Activity/Topic Instructions/Spiel
Allocation
5 minutes Opening Amenities Introductions
Introduce yourself and the other members of the PYP Team.
My name is _________ and with me are __________ and __________. We
are here to conduct this Usapan session with you.
Request participants to introduce themselves by stating their name,
age, number of children or pregnancies.
Request accompanying persons to also introduce themselves by
stating their name and relationship to the young mother.
Now, may we ask you to share some personal information about yourself, so that we
will get to know each other and be more comfortable with each other.
20 minutes Discussion on Life skills 24. Thank participants for sharing personal information with the group.
Thank you very much for sharing that information with us. We assure you that
we will not be sharing this information with anyone else.
3. Introduce the session topic and the activity for this session. If
possible request a POPCOM officer/ DSWD officer to discuss on
the topic of life skills.
Now, we will be having a short exercise on Life skills. We will divide the group into
smaller groups, please group yourself into 3 (if participants are 15 in total).
4. Give each group a copy of the case to read and study. Provide Meta
cards/ Manila paper and marker pens to the participants.
We will be giving you 10 minutes to read and discuss the case among your group.
Using the Meta cards/ Manila paper provided, please write down your insights
and answers to the case study. You will select a rapporteur in your group.
Time
Activity/Topic Instructions/Spiel
Allocation
C - Choose and decide the best alternative, the one with the most positive results and
least negative consequences;
T- Take action to implement your decision; things or activities to counteract negative
consequences or negotiate your decision.
Negotiating Skill – Since most decision usually affect other people, we need to
learn how to negotiate effectively, we need to talk with another person in order to come
to an agreement on something.
Refusal Skill – We need to be open to other ideas but some decisions we make
must remain non-negotiable; decision that put over safety, health and personal well-
being at risk. In some instances, there is a need to say NO or to refuse people who
would like to put us in risky situation.
20 minutes Discussion on Exclusive 1. Introduce the second topic and the activity for the session. Introduce
Breastfeeding the importance of breastfeeding.
The most valuable gift a mother can give is the gift of life. Second only to life is
sustenance in the form of breast milk. Only a mother can give birth and only a
mother can breastfeed, so it is of utmost importance for the mother to be supported
through her pregnancy, delivery, and the nurturing of the baby. Now, we will be giving
you Meta cards, please list down your thoughts and insights on the advantages of
exclusive breastfeeding and disadvantages on not practicing exclusive breastfeeding and
post it on the wall.
11. Emphasize:
Breast milk is BEST for baby. Breastfeed exclusively for the first
six (6) months.
12. Facilitator will ask the participants to choose partners for the return
demonstration
Okay, now let’s practice breastfeeding using the baby dolls provided. You will choose a
PROGRAM FOR YOUNG PARENTS
Implementing Guidelines
Time
Activity/Topic Instructions/Spiel
Allocation
partner and take turns to practice.
14. The facilitator will ask the participants on what they have learned on
the session then clarifies concerns if there are any
What have you learned on this session? Do you have any questions/ clarifications?
15. If there are no more questions/ concerns. Wrap up the session and
repeat emphasis:
Breast milk is BEST for baby. Breastfeed exclusively for the first
six (6) months.
16. Make sure that all participants are keeping up with the discussion.
19. After questions have been answered, thank participants for their
time and encourage visits to the PYP Center for any health
concerns, especially breastfeeding. Say:
Thank you all very much for taking the time to join us for this discussion. You know
our PYP Team members __________, __________, etc. You can come to see
them about your health concerns, especially about breastfeeding.
PROGRAM FOR YOUNG PARENTS
Implementing Guidelines