COMMUNITY HEALTH NURSING 1.

Nurses should develop their own

method of expression and form in
DOH PROGRAMS RELATED TO FAMILY
record writing.
HEALTH
2. Written clearly, appropriately and
RECORDS IN FAMILY HEALTH NURSING
adequately.
Records
3. Contains facts based on observation,
 A permanent written conversion and action.
communication that documents
4. Select relevant facts and the
information relevant to a client’s
recording should be neat, complete
health care management.
and uniform.
Reports
5. Valuable legal documents and so it
 Are oral or written exchanges in should be handled carefully, and
information shared between accountable for.
caregivers or workers in a number of
6. Records should be written
ways.
immediately after an interview.
Importance and Uses
7. Records are confidential documents.
 Supply data that are essential for
8. Accurately dated, timed and signed.
program planning and evaluation.
9. Not include abbreviations, jargon,
 Provide the practitioner with data
meaningless phrases.
required for the application of
professional services for the TYPES OF RECORDS
improvement of family’s health.
Cumulative Records
 Tools of communication between
The system of using one record for
health workers, the family, and
home and clinic services in which home
other development personnel.
visits are recorded in blue and clinic visit in
 Effective health records show the red ink helps coordinate the services and
health problem in the family and saves the time.
other factors that affect health.
Family Records
 Indicates plan for the future.
All records, which relate to members of
 Help in the research for family, should be placed in a single family
improvement of the nursing care. folder. This gives the picture of the total
services and helps to give effective,
Principles of Record Writing
economic service to the family as a whole.
Health Records
Refer to forms on which information about  Are oral or written exchanges in
an individual and family is noted. information shared between
Information varies from socio-economic, caregivers or workers in a number of
psychological, environmental factors, etc. ways.
FIELD HEALTH SERVICES AND  Can be compiled daily, weekly,
INFORMATION SYSTEM (FHSIS) monthly, quarterly, and annually.
 To provide summary of data on Importance and Uses
health services delivery and selected
 To show the kind and quantity of
program accomplished indicators at
service rendered over to a specific
the barangay, municipality/city, and
period.
district, provincial, regional and
national levels.  To show the progress in reaching
goals.
 To provide data which when
combined with data from other  Aid in studying health conditions.
sources, can be used for program
 An aid in planning.
monitoring and evaluation purposes.
 To interpret the services to the
 To provide a standardized, facility
public and to other interested
level data base which can be
agencies.
accessed for a more in-depth
studies. TYPES OF REPORTS
 To ensure that the data reported to Oral Reports
the FHSIS are useful and accurate
These are given when an information
and are disseminated in a timely and
is for immediate use and not for
easy to use fashion.
permanency.
 To minimize the recording and
Written Reports
reporting burden at the service
delivery level in order to allow more These are written when the
time for patient care and promotive information is to be used by several
activities. personnel, which is more or less of
permanent value.
COMPONENTS
DOH Programs Related to Family
 Family Treatment Record
Health
 Target Client List
EXPANDED PROGRAM ON IMMUNIZATION
 Reporting Forms
PURPOSE
 Output Reports
Reports
To reduce mortality and morbidity among
children 0-11 month against the vaccine
preventable diseases.
SPECIFIC GOALS
(1) Sustain the polio-free status of the
country.
(2) Eliminate measles.
(3) Eliminate maternal and neonatal
tetanus.
(4) Control hepatitis b infections,
diphtheria, pertussis, extra-
pulmonary tuberculosis, meningitis/
invasive bacterial diseases and
severe diarrhea caused by the
rotavirus.
POLIO (Poliomyelitis)
• A highly contagious disease caused
when the poliovirus invades the
nervous system.
• Polio viruses primarily spread via
feces
TRANSMISSION
• Child excretes virus in feces, then
the virus transferred to objects from
hands, virus transmitted to another
child’s hands, virus ingested and
next cycle of infection begins.
SIGNS & SYMPTOMS
 Fever
 Fatigue
 Headache
 Vomiting
 Stiff neck
 Floppy arms or leg
Vaccination
One dose of Inactivated Polio Vaccine (IPV)
is introduced in the routine immunization
schedule in addition with three doses of
Oral Polio Vaccine (OPV) as a crucial step in
eliminating all forms of polio disease and in
securing a polio-free world.
TETANUS
• Also known as lockjaw, is a bacterial
infection characterized by muscle
spasms.
SIGN & SYMPTOMS
• Stiffness of the muscles
• Stiffness of the jaw
DIPHTHERIA
• A contagious disease caused by the
multiplication of the
Corynebacterium diphtheria germ
due to decrease in resistance.
SIGN & SYMPTOMS
• Sore throat
• Difficulty swallowing and breathing
• Headache
• Having a white membrane in the
throat
Tetanus and diphtheria vaccine
• will be given three times.
• First vaccination of TD: first visit to
the health center
• Second vaccination of TD: one
month after the 1st dose.
• Third vaccination of TD: six months
after the 2nd dose.
INTEGRATED MANAGEMENT OF
CHILDHOOD ILLNESS PROGRAM
IMCI is a major strategy for child survival,
healthy growth and development and is
based on the combined delivery of essential
interventions at community, health facility
and health systems levels. IMCI includes
elements of prevention as well as curative
and addresses the most common conditions
that affect young children.
Objectives of IMCI
• Reduce death and frequency and
severity of illness and disability.
• Contribute to improved growth and
development
● Rationale for an integrated approach
in the management of sick children
COMPONENTS
• Improving case management skills of
health workers
11- Day Basic Course for RHMs,
PHNs and MOHs
5 - Day Facilitators course
5 – Day Follow-up course for
IMCI Supervisors
 Improving  over-all health systems
 Improving family and community
health practices
● WHO?
 Sick children birth up to 2 months
(Sick Young Infant)
 Sick children 2 months up to 5 years
old (Sick child)
● STRATEGIES/PRINCIPLES OF IMCI?
● STRATEGIES/PRINCIPLES OF IMCI?
• All sick children aged 2 months up
to 5 years are examined
for GENERAL DANGER signs and all
Sick Young Infants Birth up to 2
months are examined for VERY
SEVERE DISEASE AND LOCAL
BACTERIAL INFECTION. These signs
indicate immediate referral or
admission to hospital.
• The children and infants are then
assessed for main symptoms. For
sick children, the main symptoms
include: cough or difficulty
breathing, diarrhea, fever and ear
infection. For sick young
infants, local bacterial infection,
diarrhea and jaundice. All sick
children are routinely assessed for
nutritional, immunization and
deworming status and for other
problems.
● STRATEGIES/PRINCIPLES OF IMCI?
• Only a limited number of clinical
signs are used
• A combination of individual signs
leads to
a child’s classification within one or
more symptom groups rather than a
diagnosis.
• IMCI management procedures use
limited number of essential drugs
and encourage active participation
of  caretakers in the treatment of
children
 • Counseling of caretakers on home
care, correct feeding and giving of
fluids, and when to return to clinic is
an essential component of IMCI
● BASIS FOR CLASSIFYING
THE CHILD’S ILLNESS
● BASIS FOR CLASSIFYING
THE CHILD’S ILLNESS
● IMCI CASE MANAGEMENT PROCESS
● Steps of the IMCI Case management
Process
The health worker should routinely do basic
demographic data collection, vital signs
taking, and asking the mother about the
child's problems. Determine whether this is
an initial or a follow-up visit. The health
worker then proceeds with the IMCI
process by checking for general danger
signs, assessing the main symptoms and
other processes indicated in the chart
below.
● DOH PROGRAMS
●  Early Essential Intrapartum
and Newborn care
(EINC)
● FRANCISCO DUQUE
o signed Administrative Order 2009-
0025 on DECEMBER 2009
o This administrative order mandates
the implementation of the Essential
Intrapartum Newborn Care (EINC)
Protocol and create the Unang
Yakap Campaign.
● EINC PRACTICES DURING
INTRAPARTUM
● Continuous maternal support
● Freedom of movement
● Non-drug pain relief
● Position of choice
● Spontaneous pushing in a semi-
upright position
● Active management of the third
stage of labor (AMTSL).
UNANG YAKAP
o A simple and evidence-based
interventions that may help in
ensuring the survival of all new-
borns and young infant. 
o This protocol is now practiced in
birthing centres and hospitals.
o Clear instructions that EINC protocol
will be performed immediately after
the delivery must be given by the
mother prior to giving birth.
IMMEDIATE DRYING
● Using a clean, dry cloth, thoroughly
dry the baby, wiping the eyes, head,
front and back, arms and legs.
SKIN-TO-SKIN CONTACT
● Place the new-born prone on the
mother’s abdomen or chest skin-to-
skin.
PROPER CORD CLAMPING AND CUTTING
●
• Clamp & cut the cord after cord
pulsations have stopped (typically at
1-3 minutes).
 • Put ties tightly around the cord at
2 cm & 5 cm from the newborn’s
abdomen.
• Cut between ties with sterile
instrument.
•Observe for oozing blood.
• Do not milk the cord towards the
newborn.
• After cord clamping, ensure
oxytocin 10 IU IM is given to the
mother
● NON-SEPARATION OF BABY FROM
MOTHER & BREASTFEEDING
INITIATION
● • Observe the newborn. Only when
the newborn shows feeding cues
(e.g., opening of mouth, tonguing,
licking, rooting), make verbal
suggestions to the mother to
encourage her newborn to move
toward the breast (e.g., nudging).
• Counsel on positioning &
attachment.
• When the baby is ready, advise the
mother to:
a. Make sure the newborn’s neck is
neither flexed nor twisted.
● b. Make sure the newborn is facing
the breast, with the newborn’s nose
opposite her nipple and chin
touching the breast.
c. Hold the newborn’s body close to
her body.
d. Support the newborn’s whole
body, not just the neck and
shoulders.
e. Wait until her newborn’s mouth is
opened wide.
f. Move her newborn onto her
breast, aiming the infant’s lower lip
well below the nipple.
● g. Look for signs of good attachment
and suckling:
− Mouth wide open
− Lower lip turned outward
− Baby’s chin touching breast
− Suckling is slow, deep with some
pauses
− If the attachment or suckling is not
good, try again and reassess. 
● Remember!
● Newborn Screening
(RA 9288)
● VISION
The National Comprehensive Newborn
Screening System envisions all Filipino
children will be born healthy and well, with
an inherent right to life, endowed with
human dignity; and reaching their full
potential with the right opportunities and
accessible resources
● MISSION
To ensure that all Filipino children will have
access to and avail of total quality care for
the optimal growth and development of
their full potential.
 ● GOAL
To reduce preventable deaths of all Filipino
newborns due to more common and rare
congenital disorders through timely
screening and proper management
● PROGRAM OBJECTIVES
By 2030, all Filipino newborns are screened;
Strengthen Quality of service and intensify
monitoring and evaluation of NBS
implementation; Sustainable financial
scheme; Strengthen patient management
● PROGRAM COMPONENTS
Operations / Systems and Network; Service
Delivery; Strengthen health
promotion/Alliance building for ENBS;
Efficient data management; Monitoring and
Evaluation; Financing Scheme
● TARGET POPULATION
● Filipino newborns
● POLICIES AND LAWS
W PKU is a rare condition in which the baby
● Republic Act 9288
● phenylalanine. Excessive accumulation of
NEWBORN SCREENING
● THREE PARTS TO NEWBORN
SCREENING
6 ● Effect if NOT SCREENED:
●   CONGENITAL
HYPOTHYROIDISM
(CH)
CH results  from lack or absences of thyroid
hormone which is essential for the physical
and mental development of a child.
● SEVERE MENTAL RETARDATION
● Effect if NOT SCREENED:
● CONGENITAL ADRENAL
HYPERPLASIA (CAH)
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.
● DEATH
● Effect if NOT SCREENED:
● GALACTOSEMIA (GAL)
GAL is a condition in which babies are
unable to process galactose, the sugar
present in milk.
● DEATH OR CATARACTS
● Effect if NOT SCREENED:
● PHENYLKETONURIA (PKU)
cannot properly use one of the building
blocks of proteins - the amino acid
phenylalanine in the blood causes brain
damage. 
● SEVERE MENTAL RETARDATION
● Glucose-6-Phosphate
Dehydrogenase (G6PD)
G6PD deficiency is a condition where the
body lacks the enzyme called  G6PD
(Glucose-6-Phosphate Dehydrogenase).
Babies with this deficiency may have
hemolytic anemia resulting from exposure
to oxidative substances found in drugs, food
and chemicals. 
● SEVERE ANEMIA, KERNICTERUS
● Effect if NOT SCREENED:
● Maple Syrup Urine Disease (MSUD)
An inherited disorder in which the body is
unable to process certain protein building
blocks (amino acids) properly.
● DEATH
● Effect if NOT SCREENED:
● Remember!
26
● •
IMPORTANCE
● ROLES OF THE RHU STAFF
● Advocacy for the newborn screening
of every baby. This starts during
pregnancy. The family is also advised
to start saving for the Php550.00
that is needed for the screening. The
saving must start during pregnancy.
● Sample collection
● Assures transport of specimen to
the nearest Newborn Screening
Facility within twenty-four (24)
hours following collection of the
sample
● Advise and counsel parents upon
receiving the screening results.
W ●
●
JUNE 1996
● AVAILABILITY RESULTS OF
NEWBORN SCREENING
W
W
H
• Sometimes called the “heel stick” or
“24-hour test”
• Uses a drops of blood
• Determines if a baby might have one
of many serious conditions.
• Uses a sensor
Determines the newborn if there is a
presence of certain heart conditions
• Uses earbuds or earphone
• Determines a newborn might be a
deaf or hard of hearing
OTOACOUSTIC EMISSIONS
AUTOMATED AUDITORY BRAINSTEM
RESPONSE
2 TYPES
● REFERENCES
● BEmONC
(BASIC EMERGENCY OBSTETRIC AND
NEWBORN CARE)
CEmONC
(COMPREHESIVE EMERGENCY
OBSTETRIC AND NEWBORN CARE)
BEmoNC – Basic emergency
obstetric and newborn care
(BEmONC) is a primary health care
 level initiative promoted in low- and 2. Complete Pre-Natal Package
middle-income countries to reduce
A. Provision of eight essential antenatal
maternal and newborn mortality
care services
1. Pre-pregnancy package of services
B. Promotion of exclusive
include the following provisions:
breastfeeding, newborn screening,
A. Micronutrient supplementation BCG and Hepatitis B birth dose
consisting of important minerals and immunization.
vitamins such as zinc, iodine,
C. Counselling
calcium, vitamin A capsules and iron
tablets D. Laboratory screening and medical
management of STI-HIV cases and
● o Iron folate 60 mg tablets 1 tablet
their complications.
daily
E. Counselling on Healthy Lifestyle
● o Vitamin A at least 5000 IU every
with focus on smoking cessation,
week (a daily multivitamin
healthy diet and nutrition, regular
supplement maybe taken as option
exercise, STI control HIV prevention
when the required vitamin A is not
and oral health.
available)
3.) Complete Childbirth Package
● o Promotion of use of iodized salt
● For the mother:
1. Pre-pregnancy package of services
include the following provisions: ● A. Monitoring vital signs and the
progress of labor using the
D. Provision of oral health services
partograph.
E. Counselling on STI/HIV/AIDS,
● B. Identification of early signs and
nutrition, personal hygiene, and the
symptoms and administration of
consequences of abortion
appropriate management of
F. STI screening using syndromic prolonged labor, hypertension,
approach abnormal presentation, bleeding.
G. Adolescent and youth health C. Active management of the third
services including peer and stage of labor.
professional counselling and RH
D. Provision of immediate post-partum
education
nursing care (prior to discharge from
H. Promotion of healthy lifestyle e the delivery room)
including advice relative to smoking
● • Perineal washing
cessation, healthy diet, regular
exercise and moderate alcohol ● • Changing of hospital gown
intake.
 ● • Checking vital signs ○ • BCG and first dose of
Hepatitis B Immunization
● • Rooming-in
○ • Newborn screening
4. ) Complete Post-Partum and Post-Natal
Package ● • Counselling on post-partum/post-
natal check-up, home care and
● For the mother:
immunization
● • Post-partum check up including
5.) Provision of other support services
identification of early signs and
symptoms of postpartum ● • Birth registration 19
complications like hemorrhage,
● • Safe blood
infection and hypertension.
● • Transportation and
● • Micronutrient supplementation,
communication
including iron and folate.
1. Pre-pregnancy care
● • Counselling on
A. a. Micronutrient supplementation
● • Proper Nutrition.
consisting of important minerals and
● • Benefits of exclusive vitamins such as zinc, iodine,
breastfeeding up to six months. calcium, vitamin A capsules and iron
tablets
● • Benefits of skin to skin
contact especially among B. Tetanus toxoid immunization
preterm babies. following the recommended
schedule.
● • Essential neonatal care
C. Family Planning
4. ) Complete Post-Partum and Post-Natal
Package D. Provision of oral health services

● For the baby: E. Counselling on STI/HIV/AIDS,

nutrition, personal hygiene, and the
● • Post-natal care required within 24 consequences of abortion
hours after birth includes
F. Laboratory screening for STIs
○ • Cord care
2.) Prenatal care package
○ • Breastfeeding
A. Provision of eight essential antenatal
○ • Vitamin K injection care services
○ • Eye prophylaxis B. Promotion of exclusive
○ • Delayed bathing until 6 breastfeeding, newborn screening,
hours of life
 BCG and Hepatitis B birth dose
immunization.
C. Counselling
D. Counselling on Healthy Lifestyle with
focus on smoking cessation, healthy
diet and nutrition, regular exercise,
STI control HIV prevention and oral
health. Counselling on Healthy
Lifestyle with focus on smoking
cessation, healthy diet and nutrition,
regular exercise, STI control HIV
prevention and oral health.
3.) Complete Childbirth Package
● For the mother:
● A. Monitoring vital signs and the
progress of labor using the
partograph.
● B. Identification of early signs and
symptoms and administration of
appropriate management of
prolonged labor, hypertension,
abnormal presentation, bleeding.
C. Active management of the third
stage of labor.
D. Provision of immediate post-partum
nursing care (prior to discharge from
the delivery room)
● • Perineal washing
● • Changing of hospital gown
● • Checking vital signs
● • Rooming-in in the case of non-
problematic cases
● Return to ward if baby is preterm
and needs to be confined at the
Newborn Intensive Care Unit (NICU).
Advice should be given relative to
breastfeeding schedules at the NICU.
● a. Parenteral administration of
oxytocin in the third stage of labor.
b. Parenteral administration of initial
dose of antibiotics.
c. Assisted vaginal delivery during
imminent breech delivery.
d. Manual removal of placenta.
e. Removal of retained placental
products.
f. Administration of loading dose of
steroids for premature labor.
g. Intravenous fluid administration,
blood volume expander and/or
blood transfusion.
h. Newborn resuscitation.
i. Treatment of neonatal sepsis.
j. Oxygen support for the newborn.
4. ) Complete Post-Partum and Post-Natal
Package
● Postpartum care package
● A. Post-partum check up including
identification of early signs and
symptoms of postpartum
complications such as hemorrhage,
infection and hypertension.
● B. Micronutrient supplementation,
including iron and folate
● C. Counselling on:
● • Nutrition
● • Exclusive breastfeeding up to six
months
• Essential neonatal care
• Special neonatal care for preterm
and “problematic babies”
● D. Laboratory screening and medical
management of STI-HIV cases and
their complications
● E. Provision of FP services including
contraception:
● bilateral tubal ligation
● (BTL), no-scalpel vasectomy (NSV)
and management of complications
● resulting from contraception.
● F. Prevention and management of
other diseases as indicated:
● • Hypertension
● • Diabetes
● • Anemia
● • Tuberculosis
● • Malaria
● • Schistosomiasis
● • STI/HIV/AIDS
● G. Counselling on post-partum/post-
natal check-up, home care and
immunization
● NUTRITION
● DOH PROGRAMS RELATED TO
FAMILY HEALTH
● NUTRITION
● DOH PROGRAMS RELATED TO
FAMILY HEALTH
● Nutrition
● Creating an enabling environment
through the participation of the
parents and caregivers themselves
as well as the Local Government
Units and other stakeholders to
focus on providing appropriate
interventions on the first 1,000 days
in life will ultimately lead to
decreased maternal and childhood
morbidity and mortality.
● Nutrition
● The Department of Health Regional
Office 6 conducted Garantisadong
Pambata (GP) Forum and
Conference at the Sarabia Manor
Hotel, Iloilo City last October 13,
2014. The objected was to provide
updates on the Expanded GP service
and to facilitate LGU planning for
advocacy and in sustaining the gains
of GP activities/services in the
provinces and cities.
● NUTRITION PROGRAM
● NUTRITION PROGRAM
Malnutrition remains to be a challenge in
the region despite of the decline in the
under five mortality rate. The decline of
breastfeeding, compounded by
inappropriate complementary feeding
practices, is a cause for alarm because of
the consequent under nutrition and risk for
childhood mortality and morbidity.
● OBJECTIVES
General Objective:
-The overall objective is to improve the
survival of infants and young children by
improving their nutritional status, growth
and development through optimal feeding.
Specific Objectives:  B. Complementary Feeding Practices (IYCF)
1. To raise awareness of the main
problems affecting infant and young
child feeding, identify approaches to
their solution, and provide a
framework of essential
interventions;
2. To create an environment that will
enable mothers, families and other
caregivers in all circumstances to
make and implement informed
choices about optimal feeding
practices for infants and young
children.
3. To increase commitment of the local
chief executives and other partners.
● PROGRAM COMPONENTS
PROGRAM COMPONENTS
A. Breastfeeding Practices (IYCF)  ● Based on the updated Guidelines on
● Exclusive Breastfeeding for the first
six months – Infants shall be
exclusively breastfeed for the first
six months of life to achieve
optimum growth and development.
Only breast-milk should be given
and no other food or drinks, not
even water. Vitamins and medicines
are permitted by physicians.
● Extended breastfeeding up to three
years  – Although volume of breast-
milk consumed declines as
complementary foods are added,
breast-milk contribute significantly
as it provides one third to two thirds
of average total energy intake
towards the end of first year.
● Appropriate complementary feeding
Infants shall be given appropriate
complementary foods at age six
months in order to meet their
evolving nutritional requirements.
This means that it should be given:
timely, adequate, safe, and properly
fed.
● Ensure access to appropriate
complementary foods – through
diversified approaches and use of
home-and community based
technologies.
● Use of locally available and culturally
acceptable foods
● Low-cost complementary foods
C. Micronutrient Supplementation
Micronutrient Supplementation, the
following are the priority targets for
micronutrient supplementation:
● Universal Vitamin A
supplementation shall continue to
be provided to infants and children
6-59 months of age. Vitamin A
supplementation shall be given to
children at risk, particularly those
with measles, persistent diarrhoea,
severe pneumonia and severely
malnourished children to help re-
establish body reserves of vitamin A
 and protect against severity of
infections and prevent
complications. Postpartum women
shall be given vitamin A capsule
within one month after delivery to
increase vitamin A concentration of
her breast-milk as well as vitamin A
status of their breastfed children.
Children with signs of xeropthalmia
shall be treated with vitamin A.
Children during emergencies shall be
given priority for vitamin A
supplementation following schedule
for high risk children.
● Iron Supplementation shall be
provided to pregnant and lactating
women and low birth weight babies
and children 6-11 months of age. In
addition, anaemic and underweight
children 1-5 years of age shall be
provided with iron supplements
including adolescent girls enrolled in
Grades 7-10.
● Iodine supplementation shall be
provided to women of reproductive
age group, school age children in
areas when the Urinary iodine
Excretion of less than 50 ug/L in
more than 20% of the population.
Priority will be given to all pregnant
women who do not have access to
iodized salt.
● Calcium Supplementation for
Pregnant Women shall be provided
to reduce the risk of developing
gestational hypertensive disorders
and associated health problems
thereby improving maternal and
new born health and nutrition
outcomes through provision of daily
calcium supplementation.
D.  Universal Salt Iodization
Families shall be encourage and educated
on the use of iodized salt in the preparation
of foods for older infants and young
children and even adults to prevent iodine
deficiency disorders which is prevalent in
Zamboanga Peninsula.
E.  Food Fortification
● Food fortification of staple foods like
oils and flour and salt to include
processed foods was undertaken to
ensure that older infants and young
children receive adequate amounts
of micronutrients.
F. Mother Baby Friendly Health Initiative
(MBFHI)
● To promote and support and protect
breastfeeding and Infant and Young
Child Feeding Practices in all health
facilities, and the need to transform
these facilities (government and
private-hospitals and Lying-in)
rendering maternal and new born
care services into Mother Baby
Friendly Health Institution.
G. Philippine Integrated Management of
Acute Malnutrition (PIMAM)
This aims to support the implementation
and expansion of quality treatment for
children suffering from the most severe and
acute form, of under nutrition which is
severe acute malnutrition (SAM). These
children with SAM are at most risk of dying
as a result of their under nutrition.
 ● MhGap
● Mental health Gap Action Program
me  To promote over-all wellness of all Filipinos,
● What is MhGap?
● MhGAP provides health planners,
policy-makers, and donors with a set
of clear and coherent activities and
programmes for scaling up care for
MNS disorders.
● Description
Mental health and well-being is a concern
of all. Addressing concerns related to MNS
contributes to the attainment of the SDGs. 
Through a comprehensive mental health
program that includes a wide range of
promotive, preventive, treatment and
rehabilitative services; 
• All individuals across the life course
especially those at risk of and
suffering from MNS disorders
• Integrated in various treatment
settings from community to facility
that is implemented from the
national to the barangay level;  interventions on mental health
• Backed with institutional support
mechanisms from different
government agencies and CSOs
To attain the highest possible level of health
for the nation because there is no Universal
Health Care without mental health.
● Vision
A society that promotes the well-being of all
Filipinos, supported by transformative
multi-sectoral partnerships, comprehensive
mental health policies and programs, and a
responsive service delivery network.
prevent mental, psychosocial, and
neurologic disorders, substance abuse and
other forms of addiction, and reduce
burden of disease by improving access to
quality care and recovery in order to attain
the highest possible level of health to
participate fully in society.
● Mission
OBJECTIVES
● To promote participatory
governance and leadership in
mental health
● To strengthen coverage of mental
health services through multi-
sectoral partnership to provide high
quality service aiming at best patient
experience in a responsive service
delivery network
● To harness capacities of LGUs and
organized groups to implement
promotive and preventive
● To leverage quality data and
research evidence for mental health
● To set standards for compliance in
different aspects of services
● Extreme Life Experience
● Substance Abuse and other Forms
of Addiction
● Wellness of Daily Living
● Mental and Neurologic Disorder
 ● Program 2001 The National Mental Health Pol
Components icy

● STATISTICS  ●

The World Health Organization (WHO) ● DOH Administrative Order No. 2016-

estimates that 0039 Revised Operational Framewor
k for a Comprehensive National
● 154 million people suffer from
Mental Health Program
depression
● Republic Act No. 11036 Mental
● million from schizophrenia
Health Act
● 877,000 people die by suicide every
● Calendar of Activities
year
● What is MhGap?
● 50 million people suffer from
epilepsy ● DOH
Other related health programs
● 24 million from Alzheimer’s disease
and other dementias ● Dental health program

● 15.3 million persons with drug use ● HEALTHY AND PRODUCTIVE

disorders  AGEING PROGRAM

● IN THE PHILIPPINES ● TOBACCO

● IN THE PHILIPPINES ● Its leaves undergoes drying and

● Based on Global Epidemiology on
Kaplan and Sadock’s Synopsis of
Psychiatry, 2015 and Kaufman’s
Clinical Neurology for Psychiatrists,
7th edition, 2013
I. Schizophrenia ---1% …..1 Million
II. Bipolar ---1% …. 1 Million
fermentation before being put in
tobacco products. Contains harmful
chemicals that are more toxic when
burnt.
● Smoked tobacco products include
cigarettes, cigars, bidis, and kreteks.
Some people also smoke loose
tobacco in a pipe.

III. Major Depressive Disorder     ---17% ● Chewed tobacco products include

…. 17 M chewing tobacco, snuff, dip, and
snus; snuff can also be sniffed.
IV. Dementia  ---    5% (of older than 65)
….. ● Mechanism of action:
V. Epilepsy   ---0.06% …. 600,000 ● Studies suggest that other chemicals
in tobacco smoke, such as
● DOH Administrative Order No.
8 series of
 acetaldehyde may enhance
nicotine’s effects on the brain.
● TOBACCO CONTROL LAWS AND
POLICIES
REPUBLIC ACT NO. 10643
"An Act to Effectively Instill Health
Consciousness Through Graphic Health
Warnings on Tobacco Products," Otherwise
known as
"The Graphic Health Warnings Law"
● TOBACCO CONTROL LAWS AND
POLICIES
REPUBLIC ACT NO. 10 3 51
An Act Restructuring the Excise Tax on
Alcohol and Tobacco Products By
Amending Sections 141, 142, 143, 144, 145,
8, 131 and 288 Of Republic Act No. 8424,
Otherwise known as The National Internal
Revenue Code Of 1997, as amended by
Republic Act No. 9334, and for other
purposes
● TOBACCO CONTROL LAWS AND
POLICIES
Republic Act No. 8424
This Act shall be cited as the "Tax Reform
Act of 1997“
to promote sustainable economic growth
through the rationalization of the Philippine
internal revenue tax system
● TOBACCO CONTROL LAWS AND
POLICIES
ADMINISTRATIVE ORDER
No. 2010- 0013
Requiring graphic health information on
tobacco product packages, adopting
measures to ensure that tobacco product
packaging and labelling do not promote
tobacco by any means that are false,
misleading, deceptive or likely to create an
erroneous impression, and matters related
thereto
● TOBACCO CONTROL LAWS AND
POLICIES
ADMINISTRATIVE ORDER
No. 2014- 0008
Rules and Regulations on Electronic
Nicotine Delivery System (ENDS) or
Electronic Cigarettes.
Under Republic Act (RA) No. 7394 or
the Consumer Act of the Philippines, "It is
the policy of the State to protect the
interest of the consumer, promote his
general welfare and to establish standards
of conduct for business and industry.
● TOBACCO CONTROL LAWS AND
POLICIES
Civil Service Issuances on Smoking
Prohibition (CSC MC No.17-2009) and on
Protection of the Bureaucracy Against
Tobacco Industry Interference (CSC-DOH
Joint MC 2010-01)
The Department's effort to establish
and maintain DOLE as a smoke-free
environment, and in support to the
observance of 31 May 2012 as "World No
Tobacco Day”.
● TOBACCO CONTROL LAWS AND
POLICIES
Smoking Prohibition based on 100% Smoke-
Free Environment Policy, Restrictions on
Interactions with the Tobacco Industry and
Imposition of Sanctions for Violation of the
Rule

Rules and Regulations Implementing R.A.

No. 9211, Otherwise Known as the
Tobacco Regulation Act of 2003
To institute a balanced policy
whereby the use, sale and advertisements
of tobacco products shall be regulated in
order to promote a healthful environment
and protect the citizens from the hazards of
tobacco smoke, and at the same time
ensure that the interests of tobacco
farmers, growers, workers and other
stakeholders are not adversely
compromised

● TOBACCO CONTROL LAWS AND

POLICIES

MEMORANDUM CIRCULAR Number 2009-

036
100% smoke free public utility vehicles
(PUVS) and public land transportation
terminals.

● TOBACCO CONTROL LAWS AND

POLICIES

REVENUE MEMORANDUM ORDER NO. 16-

2012