Chapter 3

Core Competencies:
Ang BHW bilang Tagapagsulong
ng Primary Care

Bureau of Local Health Systems Development

 Mga Priority Areas ng Health Promotion

● Priority Area 1: Move More, Eat Right

● Priority Area 2: Be Clean, Live Sustainably
● Priority Area 3: Get Vaccinated
● Priority Area 4: Don’t Smoke, Lessen Alcohol, No To Drugs
● Priority Area 5: Care For Yourself, Care For Others
● Priority Area 6: Practice Safe Sex
● Priority Area 7: Do No Harm, Put Safety First

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 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Priority Area 5: ● Interactive Activities:

Care For Yourself, ○ 3 Minute Mindfulness Meditation
■ Objectives: Demonstrate deep breathing and mindfulness
Care For Others as an effective self care technique
■ Materials: DOH 3-minute Mindful Breathing Video
■ Procedure: Ask participants to settle down and find any
comfortable position. Play the video and follow the
guided instructions
■ Processing: Ask participants to reflect on how they felt
after the activity. You may also ask participants to identify
other forms of self-care they practice for their mental
health

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Priority Area 5: ● Interactive Activities:

Care For Yourself,
Care For Others

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Main Message
● Optimal mental wellbeing can be achieved
through the actions of everyone: people
taking care of themselves, people supporting
others, and the leaders making mental health
possible in the community
● Care for Yourself, Care for Others para sa
Healthy Pilipinas!

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Key Messages
● Self-care helps keep your mind working at its best. It’s
important to take time for yourself so that you can be
better for yourself and others.
● Let’s be there for each other! Supporting each other brings
our experiences together and allows us to be heard,
accepted and understood.
● It takes a community to raise mentally resilient individuals.
Instilling systems that are supportive of mental health
health enables the community to be healthier.

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Mental Health
● Ang priority area na ito ay sumasaklaw sa
pagtataguyod ng kalusugang pangkaisipan o
mental health sa komunidad, at paggabay sa
mga nasasakupan na nangangailangan ng
access sa mental health services.

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Mental Health
● Ang health o kalusugan ay hindi lamang ang kawalan ng sakit kundi isang
estado ng kumpletong pisikal, mental, at panlipunang kagalingan.

● Dahil dito, ang kalusugang pangkaisipan o mental health ay unti-unting

nakikilala bilang isang mahalagang aspeto ng kalusugan.

● Ayon sa Republic Act 11036 o Mental Health Act, ang mga serbisyong
mental health ay dapat kabilang sa mga basic health services na naibibigay
sa mga Pilipino hanggang sa lebel ng barangay.

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Mental Health
● Ang mga mental health problem ay hindi isang kondisyon lamang ng mga
may pribilehiyo at mayayaman.
● Ang sinumang miyembro ng komunidad, anuman ang kasarian, edad, o
katayuan sa lipunan, ay maaaring makaranas ng mga problema sa kalusugan
ng isip.
● Mahalaga rin na bigyang-diin na ang mga taong may mga problema sa
kalusugan ng isip ay nahihirapang kontrolin ang kanilang sarili, at maaaring
nangangailangan ng interbensyon ng komunidad.

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 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Mental Health
● Kasama sa mga kondisyon sa kalusugan ng isip ang depresyon at
pagkabalisa, at ang ilan ay maaaring humantong sa
pagpapakamatay o suicide.

● Ang mga pagtatangkang tapusin ang sariling buhay ay dumarami sa

mga kabataan sa mga nakaraang taon, kaya’t ang problema sa
kalusugan ng isip ay nangangailangan ng tulong ng buong
komunidad.

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 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Mental Health
● Ang suportang panlipunan ay isang mahalagang proteksyon laban sa
depresyon at pagkabalisa sa maraming edad, kultura, at mga risk factor.

● Para sa mga may mental health conditions, higit na mahalaga sa kanila ang
malaman na mayroon silang maaaring tawagan o lapitan sa oras ng
pangangailangan upang maitaguyod ang kalusugan ng isip at kagalingan
kaysa sa aktwal na pagtanggap ng materyal na bagay o suporta.

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Mental Health
● Ang mental health ay isang estado ng health o kagalingan kung
saan ang bawat indibidwal ay:
○ alam ang kanyang sariling potensyal
○ kayang harapin ang mga normal na stress sa buhay
○ kayang magtrabaho ng produktibo, at
○ nakapagbibigay ng kontribusyon sa komunidad.

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Mental Health
● Ang mga mental health disorders o sakit sa pag-iisip ay mga
kondisyon kung saan nagkakaroon ng pagbabago sa iniisip, mood, o
ugali gaya ng pagkabalisa o kawalan ng kakayahang mamuhay ng
normal.
○ Kabilang din dito ang mga kondisyong neurologic tulad ng epilepsy.

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Mental Health
● Ang mga mental health condition, sa kabilang banda, ay
nakakaapekto sa pag-iisip, pakiramdam, o pakikipag-ugnayan sa
lipunan ng tao ngunit hindi pa nakakaapekto sa pang-araw-araw ng
pamumuhay na katulad sa mental health disorder.
○ Ang mga ito ay hindi gaanong malala at may mas maikling
tagal, ngunit maaaring humantong sa mga sakit sa pag-iisip.

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Mental Health
● May iba't ibang sanhi ng problema at karamdaman sa mental health
○ biological - namamana, o mga pagbabago sa mga kemikal sa utak
○ sikolohikal - malubha o psychological trauma (emosyonal, pisikal, o
sekswal na trauma), maagang pagkawala ng mahal sa buhay
○ panlipunan o pangkapaligiran - pagkamatay o paghihiwalay ng mga
magulang, hindi maayos na pamilya, mababang pagpapahalaga sa
sarili, pagbabago ng trabaho o paaralan, pag-abuso sa droga

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Mental Health
● Ang mga taong may mental health condition ay nahaharap sa stigma at
diskriminasyon na nagpapalala sa kanilang kalagayan.
○ Ang stigma ay ang mga negatibo at mapanghusgang paraan kung saan ang
mga taong may mental health conditions ay nilalagyan ng label ng lipunan.
Stigma din ang tawag sa mga maling paniniwala tungkol sa mga taong may
sakit sa isip.
○ Negative labelling, name calling, at marginalization ay mga anyo ng stigma
○ Nagdudulot ng pangmatagalang epekto sa mga taong may sakit at
karamdaman sa pag-iisip, tulad ng pagkakaroon ng pakiramdam ng
kahihiyan, kawalan ng pag-asa, pagkabalisa, pag-aatubili na humingi o
tumanggap ng tulong, at takot.

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Mental Health
● Ang diskriminasyon ay ang paraan ng pagtrato sa mga taong may
sakit sa isip, sinasadya o hindi sinasadya, dahil sa stigma
○ Kabilang dito ang kawalang-galang, pagbubukod, pambu-bully,
pang-aaway, pangungutya at pagpapahiya..

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 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Mga Senyales at Sintomas ng mga Kondisyon sa Kalusugan ng Isip

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

● In Their Shoes: The trainer may ask participants what are the
prevalent misconceptions and stigmatizing behavior for mental
health and how persons with lived experience might feel with the
stigma they experience
● The trainer may introduce again the concept of MHPSS and
demonstrate Psychological First Aid
● The trainer may ask other participants to share self-care practices
● Suggested review questions

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Mental Health
● Ang kalusugan ng isip o mental health ay kasing halaga ng pisikal na
kalusugan. There is no health if there is no mental health.
● May mga maling paniniwala tungkol sa mental health na kailangang
itama ng mga BHW:
○ “Pinasok ng hangin.”
○ “Nalipasan ng gutom.”
○ “Nabarang”, “nakulam”
○ “Nabati”, “nausog”
○ “Mayaman lang ang nagkakasakit sa mental health.”
○ “Mahina ang pagkatao.”

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Bureau of Local Health System Development

Bureau of Local Health System Development
Bureau of Local Health System Development
Bureau of Local Health System Development
 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

● The trainer may ask the BHWs on the most common mental health
conditions that they encounter in the community
● Trainer can ask BHWs to identify local groups which advocate for
mental health
● BHWs may be engaged on community mental health activities and in
emergencies
● If their household catchment areas have confirmed or suspected
mental health conditions, they may refer it to the health center

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Priority Area 5: ● Role Playing Scenario:

Care For Yourself, ○ Magkaibigan si Marites at si Marisol. Malungkot si
Marisol at hindi tumitigil ang pag-iyak dahil sa stress
Care For Others
sa trabaho. Pagalit na sinasabi ni Marites kay Marisol
na “Ano ba yan ang hina mo naman! Ang bilis mo
naman umiyak. Baka bukas mag suicide ka na ha?”.

Bilang BHW, paano mo itatama si Marites?

Bureau of Local Health System Development

 Mga Priority Areas ng Health Promotion
Learning Activity Analysis: Technical Slides Demonstration Practical Application

Priority Area 5: ● Role Playing Scenario:

Care For Yourself, ○ Checklist for Facilitators:
■ Non-verbal cues (eye contact, body language,
Care For Others
posture, etc.)
■ Empathy
■ Active listening
■ Use of open ended questions
■ Respect (non-discriminatory, non-judgmental,
etc.)
■ Root cause analysis (social determinants of
health, financial capacity, etc.)

Bureau of Local Health System Development

 Thank you!
Bureau of Local Health System
Development