CHN Rle 13

FAMILY HEALTH
PROGRAM
JOHN PAUL N. REGANIT, MSN, LPT, RN
CLINICAL INSTRUCTOR
FAMILY HEALTH PROGRAM
ESSENTIAL HEALTH CARE PROGRAMS
FAMILY
1. Family HealthHEALTH
Program PROGRAM
2. Prevention and Control of Noncommunicable Diseases
(NDCs)
3. Prevention and control of Communicable disease
4. Environmental Health and Sanitation
5. Other priority health programs
• The DOH – Family Health Office is tasked to

operationalized 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.
The following are the family health programs:

1. Maternal Health Program
2. Family Planning Program
3. Child Health Program
4. Expanded Program Of Immunization
5. Nutrition Program
6. Oral Health Program
7. Other Health Program
MATERNAL & CHILD HEALTH

PROGRAM
MATERNAL HEALTH PROGRAM
WHO Philippines MCH Program works with local public health departments, community
based organizations, statewide organizations and other providers to provide and/or assure
quality health services are delivered to mothers, children, and families in the country.
The primary areas of work focus are:
1. Increasing healthy birth outcomes;
2. Promoting and assuring comprehensive primary care for children, from birth to 21 year
olds, including children with special health care needs;
3. Promoting healthy lifestyles among school-age youth, ages 6-21, including children with
special health care needs;
4. Promoting access to safe, healthy child care, including children with special health care
needs; and
5. Caring for the mother from pre-conception to birth.
OBJECTIVE
To improve the survival, health and well being of mothers and unborn child.
MATERNAL HEALTH SERVICES:
1. Antenatal Registration - pregnant women 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 women one month before delivery and 3 booster doses after
childbirth
3. Micronutrient Supplementation - Vitamin A and Iron supplement for the prevention of
anemia and Vit. A deficiency.
4. Treatment of diseases and other conditions - These is for the women who is
diagnosed as under the high risk
ANTENATAL REGISTRATION
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 until of pregnancy until

delivery
TETANUS TOXOID IMMUNIZATION – Both mother and child are protected against tetanus
and neonatl tetanus
MICRONUTRIENT SUPPLEMENTATION – to prevent anemia, Vitamin A deficiency and other
nutritional disorders.
VITAMINS DOSE SCHEDULE OF REMARKS

GIVING
VITAMIN A 10,000 IU 2x / Week Do not give Vitamin A
Starting on the 4th supplementation before the
month of ath month of pregancy.
pregnancy It might cause congenital
problems in the baby
Iron 60mg/400ug Daily
tablet
FAMILY PLANNING PROGRAM
Brief Description of Program
• A national mandated priority public health program to attain the country's
national health development: a health intervention program and an important
tool for the improvement of the health and welfare of mothers, children and other
members of the family.
• It also provides information and services for the couples of reproductive age to
plan their family according to their beliefs and circumstances through legally and
medically acceptable family planning methods.
The program is anchored on the following basic
principles
• Responsible Parenthood which means that each
family has the right and duty to determine the desired
number of children they might have and when they
might have them. And beyond responsible
parenthood is Responsible Parenting which is the
proper upbringing 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,.
• Informed Choice that is upholding and ensuring the rights of couples to determine
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
• In 2003, there are about 84 million Filipinos to grow annually at 2.36 percent and
expected to double in 29 years.
• The total fertility rate is at 3.5 children/ women
• The use of contraceptive increases gradually from 15.4% (1996) to 48.9% (2003)
44% of women got pregnant with their first child at the age of 20-24.
• In 2003, among married women, 48.8% use any form of contraceptive method and
51.1% do not use any form of contraceptive method at all.
GOAL:
• To provide universal access to family planning information and services wherever
and whenever these are needed.
• It aims to contribute to Reduce neonatal, infant, under-five and maternal deaths.
OBJECTIVES:
• To help couples and individuals achieve their desired family size within the context of
responsible parenthood and to improve their reproductive health to attain sustainable
growth.
• Ensure that quality FP services are available in DOH retained hospitals, LGU
managed health facilities and private sector.
TYPES OF FAMILY PLANNING
NATURAL ARTIFICIAL
• Standard Days Method • Condom
• Lactational Amennorhea Method • Injectables
• Basal Body Temperature • Oral Contraceptive Pills
• Billings Ovulation/Cervical Mucus Method • Intrauterine Device
• Symptothermal Method
PERMANENT
• Vasectomy
• Bilateral Tubal Ligation
NATURAL
a. STANDARD DAYS METHOD
• Is the most appropriate for women who usually have cycles between 26 and 32 days long.
• 95% effective
• Uses cycle beads to determine fertile days.
NATURAL
STEPS:
1. Count the first day of your menstrual
bleeding as DAY 1.
2. On days 1 to 7, you can have unprotected
intercourse.
3. On days 8 to 19, you should use a barrier
method or avoid intercourse.
4. From day 20 through the end of the cycle,
you can have unprotected intercourse.
NATURAL
NATURAL
b. LACTATIONAL AMENORRHEA METHOD (LAM)
• A temporary postpartum method of postponing
pregnancy based on the physiological infertility
experienced by breast-feeding mothers.
• The mother may ovulate but not menstruate while
breast-feeding.
• Advantage: Easily accomplished by all postpartum
lactating mothers
• 99.5% effective
NATURAL
c. BASAL BODY TEMPERATURE
• It 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.
• 99% effective
• Based on the fact that:
◦ Before the day of ovulation, a woman’s BBT falls about
half a degree.
◦ At the time of ovulation, her BBT rises a full degree
because of the influence of progesterone.
◦ This is maintained for the rest of her menstrual cycle.
NATURAL
c. BASAL BODY TEMPERATURE
NATURAL
d. BILLINGS OVULATION / CERVICAL MUCUS METHOD
• Abstaining from sexual intercourse during fertile (wet) days
of spinnbarkeit mucus and 3 days after the peak day.
• 97% effective
• Advantage: Can be used by healthy women with no known
diseases
• Disadvantage: Not so reliable
NATURAL
• During ovulation, cervical mucus is copious, thin, watery,
transparent, feels slippery and stretches at least 1 in
before strand breaks.
• The stretchability of the mucus is described by its
spinnbarkeit, having the raw egg white quality that is
easier for sperm to penetrate.
• After ovulation, the character of cervical mucus changes,
and under the influence of progesterone it becomes thick,
scant, and tacky; mucus doesn’t stretch when pulled
between the thumb and finger. Sperm typically cannot
NATURAL
NATURAL
NATURAL
e. SYMPTOTHERMAL METHOD
• It is the combination of Basal Body Temperature and
Billings method.
• 98% effective
NATURAL
e. SYMPTOTHERMAL METHOD
NATURAL
f. CALENDAR RHYTHM METHOD
• It is abstaining from coitus 3 or 4 days
before ovulation until 3 or 4 days after
ovulation.
• The woman determines the number of
days per menstrual cycle for 6 cycles.
NATURAL
g. COITUS INTERRUPTUS
• Method of contraception where couple proceeds with coitus
until moment of ejaculation and the man withdraws so that
the spermatozoa are emitted outside the vagina.
• Disadvantages:
 Presence of few spermatozoa in preejaculation fluid
 Lack of control
ARTIFICIAL
a. CONDOM
• A thin sheath of latex rubber made to fit on a man’s
erected penis, it prevent the passage of sperm into the
internal vagina
• ADVANTAGES
 Safe and has no hormonal effect
 Protects against microorganims
 Easily accessible
 Used in managing premature ejaculation
• DISADVANTAGES
 May cause allergy to latex
 May decrease sensation
 Interrupts the sexual act
 Requires man’s cooperation
ARTIFICIAL
b. INJECTABLES
• It contains synthetic hormone, progestin which suppresses
ovulation; thickens the cervical mucus thus making it
difficult for sperm to pass through
• Advantages:
 Reversible and no daily intake
 No sexual inference
 No estrogen related effects
 Doesn’t affect breastfeeding
• 99.95% effective
ARTIFICIAL
c. ORAL CONTRACEPTIVE PILLS
• Pill contains hormones: estrogen and progesterone,
taken daily to prevent conception.
• 99.7% effective
• Advantages:
 Safe, convenient and easy to use, 3% failure
 Reduces gynecological symptoms like painful
menstruation and reduce the risk of ovarian and
endometrial cancers
• Disadvantages:
 Has side effects like: nausea, dizziness, breast
tenderness, blurring of vision
 Suppresses lactation
ARTIFICIAL
c. INTRAUTERINE DEVICE
• A long term birth control method that is a small, T-shaped
plastic device that is wrapped in copper or contains
hormones.
• A plastic string is tied to the end of the IUD hangs down
through the cervix into the vagina.
• 99.4% effective and can last up to 10 years.
PERMANENT
a. VASECTOMY
• The vas deferens is blocked or cut, to prevent the passage
of sperm.
• 99.9% effective
• Birth control should be used until two negative sperm
reports have been examined
PERMANENT
b. BILATERAL TUBAL LIGATION (BTL)
• Involves the cutting or blocking of the 2 fallopian
tubes. 99.5% effective
• Advantages:
 Permanent method of contraception
 No repeated clinic visits
 Does not interfere with sex – result to increase
enjoyment
 No known side effects
CHILD HEALTH PROGRAM

• Newborns, infants and children are vulnerable age group for common childhood
diseases.
• To address problems, child health programs have been created and available in all
health facilities which includes:
 Infant and Young Child Feeding
 Newborn Screening (NBS)
 Expanded Program on Immunization (EPI)
 Management of Childhood Illnesses
 Micronutrient Supplementation
 Dental Health
 Early Child Development
 Child Health Injuries
• GOAL: Reduce morbidity and mortality rates for children 0 – 9 years with the
strategies necessary for program
INFANT AND YOUNG CHILD FEEDING
• There is global evidence that good nutrition in the early months and years of life
plays a very significant role, affecting not only the health and survival of infants and
children but also their intellectual and social development, resulting in life-long
impact on school performance and overall productivity.
• Breastfeeding, especially exclusive breastfeeding during the first half-year of life is
an important factor that can prevent infant and childhood morbidity and mortality
• Timely, adequate, safe and proper complementary feeding will prevent childhood
malnutrition.
• Importance of Breast feeding:
• Exclusive breast feeding is giving only breast milk to infants.
• This is recommended up to 6 months and can be extended up to 2 years.
• BENEFITS FOR THE INFANT
 A complete food for the infants
 Strengthen immune system thus preventing infections
 Increases IQ points
• BENEFITS FOR THE MOTHERS
 Reduces excessive blood loss after birth
 Natural method of delaying pregnancies
 Reduces the risk of infections ovarian and breast cancers
Laws that protects infant and young child feeding:
• Milk code (EO 51)
 Products covered by milk code consist of breast milk substitute, e.g. infant
formula, other milk products, bottlefed complementary foods
• Rooming-In Breastfeeding Act of 1992 (RA 7600)
 Requires both public and private institution to promote rooming-in, it encourage
and support the practice of breastfeeding
• Food Fortification Law (RA 8976)
 An act establishing the Philippine food fortification Program and for other
purpose
FOOD FORTIFICATION LAW
• is vital in the promotion of optimal health and to compensate for the loss of nutrients
during processing and storage of food.
• The law requires a mandatory food fortification of staple foods – rice, flour, edible
oil, and sugar and voluntary food fortification of processed food and food products.
(Vitamin A, Iron, Iodine)
• Fortification is “the addition of one or more essential nutrients to food, whether or
not it is normally contained in the food, for the purpose of preventing or correcting a
demonstrated deficiency of one or more nutrients in the population or specific
population groups”
NEWBORN SCREENING
Newborn Screening Act of 2004 (RA 9288).
• Newborn screening (NBS) is a public health program
aimed at the early identification of infants who are affected
by certain genetic/ metabolic/ infectious conditions.
• Early identification and timely intervention can lead to
significant reduction of morbidity, mortality, and associated
disabilities in affected infants.
• Newborn screening is ideally done on the 48th – 72nd hour
of life. However, it may also be done after 24 hours from
birth.
• A few drops of blood are taken from the baby’s heel,
blotted on a special absorbent filter card and then sent to
Newborn Screening Center (NSC).
NEWBORN SCREENING
DISORDERS TESTED FOR NEWBORN SCREENING
 CH (Congenital Hypothyroidism)
 CAH (Congenital Adrenal Hyperplasia)
 GAL (Galactosemia)
 PKU (Phenylketonuria)
 G6PD (Glucose-6-Phosphate Dehydrogenase)
 MSUD (Maple syrup urine disease)
NEWBORN SCREENING
 CH – results from lack or absence of thyroid hormone which is essential for the
physical and mental development of a child.
 CAH – is an endocrine disorder that causes severe salt loss, dehydration and
abnormally high levels of male sex hormones in both boys and girls
– If not detected and treated early, babies with CAH may die within 7-14 days.
 GAL – is a condition in which babies are 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.
NEWBORN SCREENING
 PKU – is a rare condition in which the baby cannot properly use one of the building
blocks of protein called phenylalanine.
– Excessive accumulation of phenylalanine in the blood causes brain damage.
 G6PD – is a condition where the body lacks the enzyme called G6PD.
– Babies with this deficiency may have hemolytic anemia resulting from exposure
to oxidative substances found in drugs, foods and chemicals.
NEWBORN SCREENING
 PKU – is a rare condition in which the baby cannot properly use one of the building
blocks of protein called phenylalanine.
– Excessive accumulation of phenylalanine in the blood causes brain damage.
 G6PD – is a condition where the body lacks the enzyme called G6PD.
– Babies with this deficiency may have hemolytic anemia resulting from exposure
to oxidative substances found in drugs, foods and chemicals.
 MSUD – is a rare genetic disorder characterized by deficiency of an enzyme complex
(branched-chain alpha-keto acid dehydrogenase)
– is a condition in which the body is unable to break down certain proteins.
NEWBORN SCREENING
EXPANDED NEWBORN SCREENING
The expanded newborn screening program increased the screening panel of disorders
from six (6) to more than twenty-eight.
ADMINISTERING RESPIRATORY MEDICATIONS
REFERENCES
Cuevas, F. et al., (2007). Public Health Nursing in the Philippines, 10th Edition
Department of Health (https://www.doh.gov.ph/)
ADMINISTERING
RESPIRATORY
MEDICATIONS
JOHN PAUL N. REGANIT, MSN, LPT, RN
CLINICAL INSTRUCTOR

CHN Rle 13

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

CHN Rle 13

Uploaded by

Copyright:

Available Formats

FAMILY HEALTH

ESSENTIAL HEALTH CARE PROGRAMS

• The DOH – Family Health Office is tasked to

The following are the family health programs:

MATERNAL & CHILD HEALTH

PRENATAL VISITS PERIOD OF PREGNANCY

THIRD VISIT During the third trimester

EVERY 2 WEEKS After 8 months until of pregnancy until

VITAMINS DOSE SCHEDULE OF REMARKS

CHILD HEALTH PROGRAM

You might also like