NCM104 COMMUNITY HEALTH NURSING
Sustainable Economic Growth, Full And Productive
FAMILY HEALTH
COURSE OUTLINE: MIDTERM
1. Public Health Laws
2. Sustainable Development Goals
3. Family Health Programs
4. Millennium Development Goals
5. Several General Principles Which Apply in
Vaccinating Children
Public Health Laws
R.A 7305 – Magna Carta for Health Worker
R.A 8749 – Clean Air Act
R.A 9165 – Revised Law on Dangerous Drugs
R.A 10121 – Disaster Risk Reduction Management Act
R.A 10354 – Responsible Parenthood Act of 2012
R.A 7719 – National Blood Services Act
R.A 7432 – Senior Citizen 20% Discount
R.A 9502 – Act on Cheaper Medicine
R.A 7600 – Rooming-in and Breastfeeding Law
Family Health
R.A 1021 – Children’s Emergency Act of 2016
PD – 56 – Sanitation Code
R.A 6675 – Generic Drugs Act
R.A 10666 – Children’s Safety on Motorcycle Law of 2015
PD 603 – Children and Youth Welfare Code
R.A 11332 – Law on Notifiable Diseases
R.A 7875 – National Health Insurance Act
Family Health Office
R.A 9262 – Violence Against Women and Children
R.A 10152 – Mandatory Immunization Act of 2011
R.A 9211 – Tobacco Regulation
SUSTAINABLE DEVELOPMENT GOALS
Goal 1: End Poverty In All Its Forms Everywhere
Goal 2: End Hunger, Achieve Food Security And
Improves Nutrition, And Promote Sustainable
Agriculture
Goal 3: Ensure Healthy Lives And Promote Well-
Being For All At All Ages
Goal 4: Ensure Inclusive And Equitable Quality
Education
Goal 5: Achieve Gender Equality And Empower All
Women And Girls
Goal 6: Ensure Availability And Sustainable
Management Of Water And Sanitation For All
Goal 7: Ensure Access To Affordable, Reliable,
Sustainable, And Modern Energy For All.
Goal 8: Promote Sustained Inclusive And
Employment, And Decent Work For All
Goal 9: Build Resilient Infrastructure, Promote
Inclusive And Sustainable Industrialization, And
Foster Innovation
Goal 10: Reduce Inequality Within Among Countries
Goal 11: Make Cities And Human Settlements
Inclusive , Safe, Resilient, And Sustainable
Goal 12: Ensure Sustainable Consumption And
Production Patterns
Goal 13: Take Urgent Action To Combat Climate
Change And Its Impact
Goal 14: Conserve And Sustainably Use The
Oceans, Seas, And Marine Resources For
Sustainable Development
Goal 15: Protect, Restore, And Promote Sustainable
Use Of Terrestrial Ecosystems, Sustainably Manage
Forests, Combat Desertification, Halt And Reverse
Land Degradation, And Halt Biodiversity Loss
Goal 16: Promote Peaceful And Inclusive Societies
For Sustainable Development, Provide Access To
Justice For All And Build Effective, Accountable,
And Inclusive Institutions At All Levels
Goal 17: Strengthen The Means Of Implementation
And Revitalize The Global Partnership For
Sustainable Development
FAMILY HEALTH
 Health is the right of every human being
 It views healthcare of individuals within the
context of the family
 The term “family” is defined as the basic unit of
the community
 All members of the family are empowered to
maintain their health status.
 Concerned with the health of the mother and the
unborn, newborn, infant, child, adolescent and
youth, adult men and women, and older persons.
 Tasked to operationalize health programs geared
towards the health of the family
AIMS
- Improve survival health and well-being of mothers
and unborn through package of services for the
pre-pregnancy, prenatal, and post natal stage
- Reduce morbidity(presence of illness) and
mortality(death due to illness) roles for children
8-9 years old
- Reduce morbidity among Filipino adults and
improve their quality of life
- Reduce mortality from preventable cause among
adolescent and young people.
- Reduce morbidity among Filipino adults and
improve their quality of life.
- Reduce morbidity and mortality of older people
and improve their quality of life
Public health nurse have significant roles in ensuring the
health of the family.
Every effort has to be made to provide packages of health
NCM104 COMMUNITY HEALTH NURSING

ROLE OF PHN ABOUT FAMILY PLANNING METHODS:

 Provide counselling
 Provide packages of health services among
reproductive age group in all health facilities
FAMILY HEALTH PROGRAMS  Ensure availability of family health supplies and
Maternity Health Programs logistics for client
Child Health Program
Management Of Childhood Illness HEALTH FACILITIES:
Oral Health Program
Adult Men And Women Health Program  Expanded program on immunization
Philippine Reproductive Health  Infants and young child feeding
Family Planning Program  Micronutrient supplementation
Expanded Program On Immunization  Early child development
Nutrition Program  Newborn screening
Adolescent Health Program  Management on childhood illnesses
Adolescent Health Program  Dental health
Older Person Health Program  Child health injuries

INFANT AND YOUNG CHILD FEEDING

MATERNAL HEALTH PROGRAM
 Objective is to improve the survival of infants and
Tasked to reduce maternal mortality ratio by 3 quarters by young children by improving their nutritional
2015 to achieve its millennium development goals status, growth, and development through optimal
feeding

Maternal Mortality Ratio NATIONAL PLAN OF ACTION FOR 2006-2010 FOR

INFANT AND YOUNG CHILD FEEDING:
 Measures risk of dying from causes related to
pregnancy, childbirth, and puerperium Goal:
 Index of the obstetrical care needed and received - Reduce child mortality rate by 2/3 by 2015
by women in a community
Objective:
FAMILY PLANNING PROGRAM
- To improve health and nutrition status of infants
Aims: and young children.
- To improve exclusive and extended breastfeeding
 Reduce infant death and complementary feeding.
 Reduce neonatal death
 Reduce maternal death KEY MESSAGE ON INFANT AND YOUNG CHILD
 Reduce under 5 death FEEDING
Strategies:
 Initiate breastfeeding within 1 hour
 Focus services delivery to the urban and rural  Only breastmilk and nothing else
poor  Extended breastfeeding up to 2 years
 Reestablish family outreach program  Exclusive for 1st 6 months of life
 Program and implement CSR delivery  Complemented at 6 months with food, and
appropriate exclusive milk supplements
METHODS
 Importance of breastfeeding
Female sterilization Male sterilization
 Exclusive breastfeeding means giving a baby
pills Male condom
only breastmilk no other liquid or solids, not even
injectable Lactating amenorrhea
method (LAM) water.
Mucus,billings/ovulation Basal body temperature
Symptom thermal 2 day method FLUID NEEDS OF THE YOUNG CHILD
thermometer
Standard days method  Water is good for thirst. A variety of Pure juice
can be used also.
 Drinks that contain a lot of sugar may actually
Misconception about family planning method: make the child thirsty as their body has to deal
with extra sugar
 Some family planning methods causes abortion  Teas and coffee reduce the iron that is absorbed
 Using contraceptives will render couple’s sterility from foods
 Using contraceptive methods will result to lose
sexual desire
NCM104 COMMUNITY HEALTH NURSING
 Sometimes a child is thirsty during a meal, a
small drink will satisfy the thirst and they may
then eat more meal.
 Drink should not be replace food or breastfeeding
 Children who are not receiving breastmilk and
need special recommendation
LOW BIRTH WEIGHT BABIES
The term low weight (LBW) means a birth weight of less
than 2500 grams and this includes babies who are born
before term, and who are premature and babies who are
small for gestational age.
 At risk for infection
 Often very hungry
 Need breastfeed more often than larger babies so
their growth can catch up
 Common on premature babies and small for
gestational age
Premature Babies
 Have difficulty sucking effectively at first
 Can be fed on breastmilk by tube or cup and
helped to establish full breastfeeding later
BENEFITS OF BREASTFEEDING
To infants:
 Provide a nutritional of infants complete food
the young adult
 Strengthens immune system, preventing many
infections
 Safely dehydrates and provides essential
nutrients to a sick child
 Reduce infant’s exposure to infection
 Increase IQ points
To mother:
 Reduce woman’s risk of excessive blood loss
after birth
 Provide natural methods of delaying
pregnancies
 Reduce risk of ovarian and breast cancer and
osteoporosis
To household and community:
 Conserve funds that otherwise would be spent
on breastmilk, substitute, supplies and fuel to
prepare them
 Several medical cost to families and
government by preventing illness and by
providing immediate postpartum and
contraception
Complementary Feeding
 After 6 months of age, all babies require to eat
other foods complementary to breastmilk
(complementary foods)
Should be:
1. Timely – introduced when the need for energy
and nutrients exceed.
2. Adequate – provide sufficient energy, protein,
and micronutrients to meet a growing child’s
nutritional needs.
3. Safe – hygienically store and prepare and fed
with clean hands using clean utensils and not
bottle treats.
4. Properly fed – given consistent with a child’s
signal of hunger and that meal frequency and
feeding methods are suitable for the child’s age.
SEVERAL GENERAL PRINCIPLES WHICH APPLY IN
VACCINATING CHILDREN
 Moderate fever, malnutrition, mild respiratory
infection, cough, diarrhea, vomiting are not
contraindication to vaccination.
 One should immunize unless child is so sick that
needs to be hospitalized
 It is safe effective with mild side effects after
vaccination. Local reaction, fever and systematic
symptoms can result as part of normal immune
response
ABSOLUTE CONTRAINDICATION
DPT2 OR DPT3
 Child who has convulsions or shock within 3
days the previous dose.
 Vaccines containing whole cell pertussis
component should not be given to children with
an evolving neurological disease (uncontrolled
epilepsy of progressive encephalopathy)
Live vaccines such as BCG
 Not given to individuals who are
immunosuppressed due to malignant
disease(clinical AIDS), therapy with IMS agents,
or irradiation.
CONCEPT AND IMPORTANCE OF VACCINATION
Immunization
 Process by which vaccines are introduced to
body before infection occurs.
 Vaccines promote health and protect children
from disease
 Infants and newborns need to be vaccinated as
early age since they belong to vulnerable age
group, thus are susceptible to childhood illnesses.
EXPANDED PROGRAM ON IMMUNIZATION
Conceptualization and introduction of disease reduction
initiate in early 90s contributed to declined numerous
cases of immunization disease
4 MAJOR STRATEGIES
1. Sustaining high routine FIC coverage of at least
90% in all provinces and cities.
2. Sustaining polio free country for global utilization
3. Eliminating measles by 2008
4. Eliminating neonatal tetanus by 2008
NCM104 COMMUNITY HEALTH NURSING

VACCIN AGE PERCENTAG DURATION Disabilities and impairment in function increase with age
E INTERVA E OF and adversely affect the quality of life of older persons
L PROTECTIO
N ADULT WOMEN
TT1 Early as
pregnancy Leading cause of death among females
TT2 4 weeks 80% Infants born to
later mother will be  Degenerative and lifestyle-related in nature.
protected Goiter is most common
 Malignant neoplasm (2nd)
3 years
protection to ADULT MEN
mother
TT3 6 months 95% Infants born to
Accidents and injuries = 86.85%
later mother will be
protected Chronic and liver diseases = 86.39%
Gives 5 years Digestive diseases = 75.19%
of protection
TT4 1 year 99% Infants born to TB = 71.25%
later mother will be
protected COPD = 64.79%

Giver 10 CVD = 64.67%

years
protection to
mother
Mortality from all cause of female  3.9/100,000
TT5 1 year All Infants
later born to Male = 5.7/100,000
mother will be
protected ADOLESCENT HEALTH PROGRAM
Gives lifetime
protection to  Adolescence is defined as period between 10
mother and 20 years of age
 Youth refers to those who are between 15 and
24yrs old
 Young people refer to both age group, meaning
EPI ROUTINE SCHEDULE FOR IMMUNIZATION ages 10-24
- Every Wednesday

ROUTINE IMMUNIZATION FOR INFANTS

- Seven vaccine before a child’s first birthday

- Fully immunized if receives:
a. 1 dose of BCG
b. 3 doses of DPT
c. 3 doses of HB
d. 1 dose of measles

THE EPI TARGET DISEASE

- Vaccination among infants against 7 preventable

disease are: tuberculosis, diptheria, pertussis,
tetanus, poliomyelitis, measles, hepatitis

PHILIPPINE REPRODUCTIVE HEALTH

Philippines is one of signatory country to the International

Conference Plan of Action of Reproductive Health in Cairo
in 1994

OLDER PERSON

Leading cause of mortality

 Non-communicable disease or Degenerative

diseases