NCM 104: COMMUNITY HEALTH NURSING (Lecture)

TOPIC: NATIONAL HEALTH PROGRAMS OF THE DOH – Family Health Services

FAMILY HEALTH PROGRAMS

• 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.

A. MATERNAL HEALTH PROGRAM

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 centers.
• The home-based maternal record (HBMR) is prepared and retained by the
mother and serves as her “passport” to appropriate health care.
• The HBMR is a card designed to facilitate the easy recording and
interpretation of comprehensive information on the health status of a
woman before her first pregnancy, during the current pregnancy, delivery,
postpartum and neonatal periods and during two subsequent pregnancies.

Ideal frequency of Prenatal visits during the duration of Pregnancy

Prenatal Visits Period of Pregnancy
First visit As early as possible before 4 months during the
1st trimester
Second visit During the second trimester
Third visit During the third trimester
Every 2 weeks After 8th month of pregnancy until delivery

2. Tetanus Diphtheria (Td) immunization – for the prevention of tetanus and diphtheria in
pregnant women or

Vaccine When to give Dose Site Duration of

protection
On first contact with the health
Td1 care system or as soon as possible 0.5 mL Deltoid 0
during pregnancy
Td2 At least 4 weeks after Td1 0.5 mL Deltoid 1 – 3 years
6 months after Td2 or during
Td3 0.5 mL Deltoid At least 5 years
subsequent pregnancy
At least 1 year after Td3 or during
Td4 0.5 mL Deltoid At least 10 years
subsequent pregnancy
At least 1 year after Td4 or during For all childbearing
Td5 subsequent pregnancy 0.5 mL Deltoid years and possibly
longer

3. Macronutrient and Micronutrient supplementation – Vitamin A, folic acid and Iron

supplement for the prevention of anemia and Vitamin A deficiency.
• Standard prescription of Iron/folate supplements for Filipino women is twice
a day (60 mg/tablet) starting on the 5th month of pregnancy up to 2 months
postpartum or for a period of 210 days.
• Vitamin A: 10,000 IU during the 1st prenatal visit in the 1st trimester and
throughout the pregnancy.

4. Treatment of diseases and other conditions – These is for the women who is diagnosed
as under the high risk pregnancy category.

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
N C M 1 0 4 _ M i d t e r m s _ as of 08/30/2020 _ vjgasat MODULE|CHN 1
 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:
a) 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
b) Establishing core knowledge base and support systems that facilitate the delivery of
quality maternal and newborn health services in the country.

PROGRAM COMPONENTS
Local Delivery of the Maternal-Newborn Service Package
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
Component A
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.
National Capacity to Sustain Maternal-Newborn Services
1. Operational and Regulatory Guidelines
a. Identification and profiling of current Family Planning
users and identification of potential Family Planning
clients and those with unmet need for Family Planning
(permanent or temporary methods)
b. Mainstreaming Family Planning in the regions with high
unmet need for Family Planning
c. Development and dissemination of Information,
Component B
Education Communication materials
d. Advocacy and social mobilization for Family Planning

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

B. FAMILY PLANNING PROGRAM

• 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 method planning methods.

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:
1. 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.
N C M 1 0 4 _ M i d t e r m s _ as of 08/30/2020 _ vjgasat MODULE|CHN 2
 2. Ensure that quality family planning services are available in DOH retained hospitals,
LGU managed health facilities and private sector.

Basic Principles:
1. Responsible parenthood
2. Respect for life
3. Birth spacing
4. Informed choice

TYPES OF FAMILY PLANNING

NATURAL
Standard days Method • Most appropriate for women who usually have cycles
between 26 and 32 days long.
• Uses cycle beads to determine fertile days.
Lactational • A temporary postpartum method of postponing pregnancy
Amenorrhea Method based on the physiological infertility experienced by
breastfeeding mothers.
Basal Body • Used to identify the fertile and infertile period of a woman’s
Temperature cycle by daily taking and recording the rise and fall in body
temperature during and after ovulation.
Billings • Abstaining from sexual intercourse during fertile days of
Ovulation/Cervical spinnbarkeit mucus and 3 days after the peak day.
Mucus Method
Symptothermal • A combination of basal body temperature and billings
Method method.
Rhythm Method • Calendar method
• Abstaining from coitus 3 or 4 days before ovulation until 3 or
4 days after ovulation.
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.
ARTIFICIAL
Barrier methods (e.g. • A thin sheath of latex rubber made to fit on a man’s erected
Condom) penis, it prevents the passage of sperm into the internal
vagina.
Injectables • Contains synthetic hormone, progestin which suppresses
ovulation; thickens the cervical mucus making it difficult for
sperm to pass through.
Oral contraceptive pills • Pill contains hormones, estrogen and progesterone taken
daily to prevent conception.
REVERSIBLE
Intrauterine • Small, flexible plastic devices that are inserted into the
contraceptive device woman’s uterus. The most common IUDs contain copper,
(IUD) and they work by preventing sperm from reaching an egg.
Contraceptive • Inserted under the skin of a woman’s upper arm and
implants provide continuous, highly effective pregnancy protection
for 3 to 5 years, depending on the type of implant.
PERMANENT
Vasectomy • The vas deference is blocked or cut, to prevent the passage
of sperm.
Bilateral tubal ligation • Involves the cutting of blocking of the fallopian tubes.

Important things to Consider:

• Personal values
• Ability to use method correctly
• How method will affect enjoyment
• Financial factor
• Status of couple’s relationship
• Prior experience
• Future plans

C. CHILD HEALTH PROGRAMS

Goal: Reduce morbidity and mortality rates for children 0-9 years with the strategies necessary
for program.

1. INFANT AND YOUNG CHILD FEEDING PROGRAM

N C M 1 0 4 _ M i d t e r m s _ as of 08/30/2020 _ vjgasat MODULE|CHN 3

 • 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.

B – Best for babies

R – Reduce incidence of allergens
E – Economical
A – Antibodies present
S – Stool inoffensive (golden yellow)
T – Temperature is always ideal
F – Fresh milk never goes off
E – Emotional bonding
E – Easy once established
D – Digested easily
I – Immediately available
N – Nutritionally optimal
G – Gastroenteritis greatly reduced

Laws that Protects Infant and Young Child Feeding

Milk Code (EO 51)
Rooming-in Breastfeeding
Act of 1992 (RA 7600)
Food Fortification Law (RA
8976)
Products covered by milk code consist of breast milk
substitute, such as infant formula, other milk products, bottle-
fed complementary foods
Requires both public and private institution to promote
rooming-in, it encourages and supports the practice of
breastfeeding
An act establishing the Philippine Food Fortification Program
and other purpose.

Fortification is the addition of one or more essential nutrients

to food, whether or not it is normally contained I the food,
for the purpose of preventing or correcting a demonstrated
deficiency of one or more nutrients in the population or
specific population groups.

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 and Iodine).

2. NATIONAL IMMUNIZATION PROGRAM

• The National Immunization Program is used interchangeably with the
Expanded Program on Immunization (EPI) that originally focused on
preventing vaccine-preventable diseases in children.
• The EPI was launched in July 1976 by the Department of Health in
cooperation with WHO and UNICEF.
• Goal: To reduce the morbidity and mortality among children, adolescents
and senior citizens against the most common vaccine-preventable
diseases.
• Principles: (1) Prevention is better than cure; (2) Immunization is still the most
cost-effective public health strategy in reducing and preventing illness and
death.
• Immunization is the process by which vaccines are introduced into the
body. Vaccines are administered to induce immunity thereby causing the
recipient’s immune system to react to the vaccines that produce antibodies
to fight the disease.
• Republic Act 10152 or the “Mandatory Infants and Children Health
Immunization Act” of 2011 signed by former Pres. Benigno Aquino III in July
26, 2010 mandates the basic immunization for children under 5 including
other types of disease determined by the Department of Health.
• Republic Act 7846 is the Compulsory Hepa-B Immunization among infants
and children less than 8 years old and other laws and policies for the
protection of infants to be pursued.
• AO No. 39 s. 2003 – “Policies on the Nationwide Implementation of the
Expanded Program on Immunization”

N C M 1 0 4 _ M i d t e r m s _ as of 08/30/2020 _ vjgasat MODULE|CHN 4

 • A Fully Immunized Child (FIC): receives one dose of BCG and Hepa-B at
birth, 3 doses of OPV, 3 doses of PENTA and 1 dose of anti-measles vaccine
before the child’s first birthday.
• A Completely Immunized Child (CIC) is a child who has completed
vaccination AFTER first birthday.

Strategies:
a) Conduct of Routine Immunization for infants/children/women through
the Reaching Every Barangay (REB) strategy.
b) Supplemental Immunization Activity (SIA)
c) Strengthening vaccine-preventable diseases surveillance
d) Procurement of adequate and potent vaccines and needles and
syringes to all health facilities nationwide

Vaccine Minimum age Number Minimum interval Indication

at 1st dose of doses between doses
BCG Protection from TB
Birth or any
1 meningitis and other TB
time after birth
infections
Reduces the chance of
being infected and
Hepa-B vaccine At birth 1
becoming a carrier of
Hepatitis B
Protection against
Pentavalent Diphtheria, Pertussis,
vaccine (DPT- 6 weeks 3 4 weeks Hepatitis B and
HepB-Hib) Haemophilus influenza
type B
Oral polio vaccine 3 Protection against
6 weeks 4 weeks
(OPV) poliomyelitis
14 weeks Protection against
Inactivated Polio (Given at the poliomyelitis
1
Virus vaccine (IPV) same time with
OPV3)
Pneumococcal Protection against
Conjugate 6 weeks 3 4 weeks Pneumonia
Vaccine (PCV 13)
Protection against
diarrhea caused by
Rotavirus vaccine 6 weeks 2 4 weeks
severe forms of rotavirus
disease
Anti-measles Prevents death,
vaccine (AMV): 9 months 1 malnutrition and
MCV 1 protection from measles
MMR (Measles, Protection against
mumps, rubella) 12 - 15 months 1 measles, mumps, and
vaccine: MCV2 rubella virus

VACCINES FOR OTHER POPULATION:

a) Human papillomavirus vaccine (HPV): this is given to female children aged 9 – 10 years old in
priority provinces only (Apayao, Abra, Mt. Province and Ifugao)
b) Pneumococcal Polyvalent Vaccine (PPV23): for protection against Pneumonia for (indigent)
Senior Citizens
c) Flu vaccine: for protection against Influenza for (indigent) Senior Citizens

Vaccine Dose Route Administration site

BCG 0.05 mL ID Left deltoid
Hepa-B vaccine 0.5 mL IM Outer mid-thigh
Pentavalent vaccine 0.5 mL IM Right upper thigh
OPV 2 drops Oral Mouth
IPV 0.5 mL IM Left upper thigh
Rotavirus vaccine 1.5 mL Oral Mouth
MCV 1 0.5 mL SC Deltoid
MCV 2 0.5 mL SC Deltoid
Left upper thigh (2 finger
PCV 13 0.5 mL IM
width below IPV site)
HPV 0.5 mL IM Left deltoid

N C M 1 0 4 _ M i d t e r m s _ as of 08/30/2020 _ vjgasat MODULE|CHN 5

 General Contraindications of Vaccinations:
a) Prior allergic reactions to the same or related vaccine
b) Lives vaccines (OPV, BCG, and anti-measles) are not to be administered
in the following situations: in immunosuppressive therapy,
immunodeficiency disorders, leukemia, lymphoma or generalized
malignancy
c) Acute illness with fever above 38OC. Postpone until recovery has
occurred

False Contraindication to Vaccination:

a) Allergy or asthma (except if there is a known allergy to specific
component of the vaccine)
b) Any minor illness such as respiratory tract infection or diarrhea with
temperature below 38.5OC
c) Family history of adverse events following immunizations
d) Family history of convulsions, seizures or fits
e) Treatment with antibiotics
f) Known or suspected HIV infection with no signs and symptoms
g) Signs and symptoms of AIDS, except as noted above
h) Child being breastfed
i) Chronic illnesses such as chronic diseases of the heart, lung, kidney or liver
j) Stable neurological conditions, such as Cerebral Palsy or Down’s
Syndrome
k) Premature or low birth weight
l) Recent or imminent surgery
m) Malnutrition
n) History of jaundice at birth

COLD CHAIN
• A system to ensure the potency, the safety of vaccines during distribution to the point of use.

VACCINE COLD CHAIN MANAGEMENT

Vaccine Special considerations Storage
Use tuberculin syringe only. Discard 6
BCG +2 to +8OC, never freeze
hours after reconstitution
Hepa-B Birth dose is very important +2 to +8OC, never freeze
Not to be given above 2 years old;
Pentavalent may be administered with OPV and +2 to +8OC, never freeze
PCV13
OPV Very sensitive to heat -15 to -25OC
MCV1 Discard 6 hours after reconstitution +2 to +8OC
MCV2 Discard 6 hours after reconstitution +2 to +8OC
1st dose not to be given to infants more
than 15 weeks old; 2nd dose not to be
Rotavirus vaccine +2 to +8OC, never freeze
given to infants more than 32 weeks
old
May be co-administered with OPV,
Rota and Penta provided that
PCV13 separate syringes and site will be used. +2 to +8OC, never freeze
Not to be given if febrile with
temperature more than 39OC

3. INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS (IMCI)

• IMCI is an integrated approach to child health that focuses on the well-
being of the whole child. IMCI aims to reduce death, illness and disability,
and to promote improved growth and development among children under
five years of age. IMCI includes both preventive and curative elements that
are implemented by families and communities as well as by health facilities.
• The strategy includes three main components:
• Improving case management skills of health care staff.
• Improving overall health systems
• Improving family and community health practices

• In health facilities, the IMCI strategy promotes the accurate identification of

childhood illnesses in outpatient settings, ensures appropriate combined
treatment of all major illnesses, strengthens the counselling of caretakers,
and speeds up the referral of severely ill children. In the home setting, it

N C M 1 0 4 _ M i d t e r m s _ as of 08/30/2020 _ vjgasat MODULE|CHN 6

 promotes appropriate care seeking behaviors, improved nutrition and
preventative care, and the correct implementation of prescribed care.

Steps in the IMCI Case Management Process:

1. Asses the child’s illness
2. Classify the illness based on signs
3. Identify treatment
4. Treat the child
5. Counsel the caretaker
6. Follow-up

4. BEmoNC/CEmoNC

• A capable private facility or an appropriately upgraded

public health facility that is either an RHU and/or its satellite
BHS or hospital capable of performing the following
emergency functions:
1. Parenteral administration of oxytocin in the third
stage of labor
2. Parenteral administration of loading dose of anti-
convulsant
Basic Emergency
3. Parenteral administration of initial dose of antibiotic
Obstetrics and Newborn
4. Performance of assisted deliveries in imminent
Care (BEmONC) provider
breech
5. Removal of retained placental products
6. Manual removal of retained placenta
7. Neonatal emergency interventions: newborn
resuscitation, provision of warmth and referral
8. Blood transfusion services
9. IUD and Voluntary Surgical Contraception (VSC)
services
• A tertiary level regional hospital or medical center,
provincial hospital or an appropriately upgraded district
hospital. It can also be a capable privately operated
medical center.
• It is capable of performing emergency obstetric functions
Comprehensive as in BEmONC provider facilities, as well as the following:
Emergency Obstetrics and 1. Provides surgical delivery (cesarean section)
Newborn Care (CEmONC) 2. Blood bank transfusion services
provider 3. Highly specialized obstetric interventions
4. Emergency neonatal care: newborn resuscitation,
treatment of neonatal sepsis/infection, and
oxygen support
5. Antenatal administration of (maternal) steroids for
threatened premature delivery.

D. NUTRITION PROGRAM
• The Philippine Plan of Action for Nutrition (PPAN) 2017-2022 is an integral part of the
Philippine Development Plan 2017-20200. It is consistent with the Duterte Administration
10-point Economic Agenda, the Health for All Agenda of the Department of Health
(DOH), the development pillar of malasakit (protective concern), pagababgo
(change or transformation), and kaunlaran (development), and the vision of Ambisyon
2040. It factors in and considers country commitments to the global community as
embodied in the 2030 Sustainable Development Goals, the 2025 Global Targets for
Maternal, Infant and Young Child Nutrition, the 2014 International Conference on
Nutrition.

PROGRAM
1. Infant and young child feeding
2. Integrated Management of
Acute Malnutrition
N C M 1 0 4 _ M i d t e r m s _ as of 08/30/2020 _ vjgasat
PROJECT/COMPONENT
Health systems support
Community-based health and nutrition support
Maternity Protection and Improving Capacities of
Workplaces on Breastfeeding
Establishment of breastfeeding places is non-
health establishments
Enforcement of the Milk Code
Enhancement of Facilities and provision of services
Building of capacity of local implementers
MODULE|CHN 7
 Supplementary feeding of pregnant women
Supplementary feeding of children 6-23 months
3. National Dietary
old
Supplementation Program
Supplementary feeding of school children
Food plants for producing supplementary foods
In schools
4. National Nutrition Promotion In communities
Program for Behavior Change In the workplace
Resource center
5. Micronutrient supplementation In health units
(Vitamin A, iron-folic acid, In schools
multiple micronutrient powder, Communication support
zinc)
Rice fortification with iron
6. Mandatory food fortification
Flour fortification with iron and vitamin A
(technology development,
Cooking oil fortification with vitamin A
capacity building, regulation and
Sugar fortification with vitamin A
monitoring, promotion )
Salt iodization
Capacity building for mainstreaming nutrition
7. Nutrition in emergencies
protection in emergencies
Health Food Environment
8. Overweight and obesity
Promotion of healthy lifestyle
management and prevention
Weight Management Intervention (for overweight
program
and obese individuals)

Common Nutritional Problems of Public Health Importance:

1. Protein-Energy Malnutrition (PEM)
a) Marasmus – is a result of prolonged starvation and is associated with
severe wasting with classical signs of “old man’s face”
b) Kwashiorkor – the main sign of this condition is the presence of pitting
edema in the legs and feet can also affect the hands and face. The face
is characterized as “moon face” likely due to edema, hair is described as
flag-sign, because of alternating depigmentation, the skin lesion called
“flaky paint dermatosis.”
2. Iron-deficiency Anemia
3. Vitamin A Deficiency Disorders
4. Iodine Deficiency Disorders
5. Overweight and obesity

E. ORAL HEALTH PROGRAM

Goal: Attainment of improved quality of life through promotion of oral health and quality of
oral health care.

Objectives:
1. To increase proportion of Orally Fit Children (OFC) under 6 years old to 12% by 20% by
2020.
2. To control oral health risks among the young people
3. To improve the oral health conditions of pregnant women by 20% and older persons
by 10% ever year till 2016

F. ESSENTIAL HEALTH PACKAGES FOR THE ADOLESCENT, ADULT MEN AND WOMEN AND OLDER
PERSONS
1. ADOLESCENT HEALTH AND DEVELOPMENT PROGRAM
Vision: The AHDP envisions a country with well-informed, empowered, responsible
and health 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:
• Nutrition
• National Safe Motherhood
• Family Planning
• Oral Health
N C M 1 0 4 _ M i d t e r m s _ as of 08/30/2020 _ vjgasat MODULE|CHN 8
 • National Immunization Program
• Dangerous Drugs Abuse Prevention and Treatment
• Harmful Use of Alcohol
• Tobacco Control
• Mental Health
• Violence and Injury Prevention
• Women and Child Protection
• HIV/STI

2. HEALTH AND WELLNESS PROGRAM FOR SENIOR CITIZEN

Vision: A country where all Filipino senior citizens are able to live an improved quality
of life through a healthy and productive aging.

Mission: Implementation of a well-designed program that shall promoted the health

and wellness of senior citizens and improve their quality of life in partnership with
other stakeholders and sectors.

Objectives:
1. To ensure better health for senior citizens through the provision of focused
service delivery packages and integrated continuum of quality care in
various settings.
2. To develop patient-centered and environment standards to ensure safety
and accessibility of all health facilities for the senior citizens.
3. To achieve equitable health financing to develop, implement, sustain,
monitor and continuously improve quality health programs accessible to
senior citizens.
4. To enhance the capacity of health providers and other stakeholders
including senior citizens group in the implementation of health programs for
senior citizens.
5. To establish and maintain a database management system and conduct
researches in the development of evidence-based policies for senior
citizens.
6. To strengthen coordination and collaboration among government
agencies, non-government organizations, partner agencies and other
stakeholders involved in the implementation of programs for senior citizens.

Program Components:
• The policy, standards and regulation component shall develop a unified
patient-centered and supportive environment standards to ensure safety
and accessibility of senior citizens to all health facilities and to promote
health ageing in order to prevent functional decline among senior citizens.
• The Health Financing component shall promote health financing schemes
and other funding support in all concerned government agencies and
private stakeholders to provide programs that are accessible to senior
citizens.
• The Service Delivery component shall ensure access of senior citizens to
essential geriatric health services including preventive, promotive,
treatment, and rehabilitation services from the national to the local level.
• The Human Resources for Health component shall capacitate the health
care providers in both national and local government to be able to
effectively provide technical assistance and implement the program for
senior citizens.
• The Health Information component shall establish an information
management system and maintain a repository of data.
• The Governance for Health component shall coordinate and collaborate
with the local government units and other stakeholders to ensure an
effective and efficient delivery of health services at the hospital and
community level.

G. MENTAL HEALTH GAP ACTION PROGRAM (mhGAP)

The WHO Mental Health Gap Action Program (mhGAP) aims at scaling up services for mental,
neurological and substance use disorders for countries especially with low- and middle-
income. The program asserts that with proper care, psychosocial assistance and medication,
tens of millions could be treated for depression, schizophrenia, and epilepsy, prevented from
suicide and begin to lead normal lives– even where resources are scarce.

N C M 1 0 4 _ M i d t e r m s _ as of 08/30/2020 _ vjgasat MODULE|CHN 9

 Objectives:
1. To reinforce the commitment of governments, international organizations, and other
stakeholders to increase the allocation of financial and human resources for care of
Mental, Neurological and Substance abuse (MNS) disorders.
2. To achieve much higher coverage with key interventions in the countries with low and
lower middle incomes that have a large proportion of the global burden of MNS
disorders.

Strategies: This program is grounded on the best available scientific and epidemiological
evidence on priority conditions. It attempts to deliver an integrated package of
interventions, and takes into account existing and possible barriers to scaling up care.

References:

Adolescent Health and Development Program: Department of Health website. Adolescent Health and
Development Program | Department of Health website. (2018). https://www.doh.gov.ph/Adolescent-
Health-and-Development-Program.

Dalauta, R. (2010, March 28). DOH Programs. SlideShare. https://www.slideshare.net/randzthinks/doh-programs.

Health and Wellness Program for Senior Citizen: Department of Health website. Health and Wellness Program for
Senior Citizen | Department of Health website. (2018). https://www.doh.gov.ph/Health-and-Wellness-
Program-for-Senior-Citizen.

Implementing Health Reforms Towards Rapid Reduction in Maternal and Neonatal Mortality (2009).
https://www.doh.gov.ph/sites/default/files/publications/maternalneonatal.compressed.pdf.

Integrated Management of Childhood Illness (IMCI). (2017, October 4).

https://www.who.int/maternal_child_adolescent/topics/child/imci/en/.

Maglaya, A. S. (2009). Nursing Practice in the Community. Argonauta Corporation.

National Nutrition Council. PHILIPPINE PLAN OF ACTION FOR NUTRITION 2017-2022 A call to urgent action for
Filipinos and its leadership.
https://www.nnc.gov.ph/phocadownloadpap/userupload/ateo/final_PPAN2017_2022Executive
Summary.pdf.

National Safe Motherhood Program: Department of Health website. (2018, October 17).
https://www.doh.gov.ph/national-safe-motherhood-program.
Oral Health Program: Department of Health website. Oral Health Program | Department of Health website.
https://www.doh.gov.ph/oral-health-program.

Reyala, J. P. (2000). Community Health Nursing Services in the Philippines. Prepared and published by the
Community Health Nursing Section, National League of Philippine Government Nurses, Inc.

U.S. National Library of Medicine. Mental Health Gap Action Programme. mhGAP: Mental Health Gap Action
Programme: Scaling Up Care for Mental, Neurological and Substance Use Disorders.
https://www.ncbi.nlm.nih.gov/books/NBK310854/.

Prepared by:
NCM 104/CHN (Theory) Lecturers

N C M 1 0 4 _ M i d t e r m s _ as of 08/30/2020 _ vjgasat MODULE|CHN 10