DOH PROGRAMS RELATED TO

FAMILY HEALTH
 • The Expanded Program on
Immunization (EPI) was established in
1976 to ensure that infants/children
A. and mothers have access to routinely
EXPANDED recommended infant/childhood
PROGRAM vaccines. Six vaccine-preventable
ON diseases were initially included in the
EPI: tuberculosis, poliomyelitis,
IMMUNIZATI diphtheria, tetanus, pertussis and
ON measles. In 1986, 21.3% “fully
(EPI) immunized” children less than
fourteen months of age based on the
EPI Comprehensive Program review.
PD 996
• Providing for compulsory basic
immunization for infants and children
below 8 years old.

Mandates:
• Republic Act No. 10152“Mandatory
Infants and Children Health
Immunization Act of 2011 Signed by
President Benigno Aquino III in July 26,
2010. The mandatory includes basic
immunization for children under 5
including other types that will be
determined by the Secretary of Health.
Preventable Diseases
and Age to be given
  BCG given at the earliest possible
age protects against the possibility
of infection from other family
member
 An early start with DPT reduces
Reason why the chance of severe pertussis.
vaccines is given  The extent of protection against
polio is increased the earlier the
as early as OPV is given.
 An early start of hepatitis B
possible reduces the chance of being
infected and becoming a carrier.
 At least 80% of measles can be
prevented by immunization at this
age.
 • A system used to maintain the potency of a
vaccine from the time of manufacture to the time
it is given to the child or the pregnant woman.
1. Storage of vaccines should not exceed:
 6 months at the regional level
 3 months at the provincial level / district level

Cold
 1 month at the main health centers (with
refrigerators)
 Not more than 5 days at health center
1. Transport of vaccines; use transport boxes of

Chain vaccine carriers

2. Handling of vaccines: once opened or
reconstituted, vaccines must be placed in a special
cold pack during immunization sessions
3. DISCARD:
 BCG vaccines after 4 hours
 Pentavalent, Polio, measles, and tetanus toxoid
vaccines after 8 hours or at the end of a working
day.
 Administration of Vaccines
Vaccine Dose Route of Administration Site of Administration
BCG Infant 0.05 ml Intradermal Right Deltoid region of the arm
Bacille Calmette-      

Guérin School entrants 0.10 ml Intradermal Left Deltoid region of the arm
 
Hepatitis B 0.5 ml Intramuscular Upper, outer portion of the
thigh
Pentavalent 0.5 ml Intramuscular Upper, outer portion of the
thigh
Oral Poilo Vaccine 2 drops or depending on  Oral  by Mouth
manufacturer’s instruction
Inactivated Polio Vaccine 0.5 ml Intramuscular Upper, outer portion of the
thigh
  0.5 ml Subcutaneous Outer part of the upper arm
Measles
Tetanus Toxoid 0.5 ml Intramuscular Deltoid Region of the upper
arm
 Tetanus Toxoid Immunization Schedule for
Women
Vaccine Minimum Time Interval Percent Duration of Protection
Protection
TT1 As early during pregnancy as    
possible
TT2 At least 4 weeks or one month    Infants will be protected from neonatal
later 80 tetanus
 Gives 3 years protection for the mother
TT3 At least 6 months later 95  Infants will be protected from neonatal
tetanus
 Gives 5 years protection for the mother
TT4 At least 1 year later 99  Infants will be protected from neonatal
tetanus
 Gives 10 years protection for the mother
TT5 At least 1 year later 99  All infants born to that mother will be
protected.
 Gives lifetime protection for the mother
C. BemONC/CEmONC
• The Maternal Health Program

• The Philippine is tasked to reduce the maternal mortality ratio (MMR) by three quarters
by 2015 to achieve its millennium development goal.

Maternal Mortality Ratio

• measures the risk of dying from causes related to pregnancy, childbirth and puerperium.
• it is an index of the obstetrical care needed and received by women in a community.

“ The overall goal of the program is to improve the survival, health and well being of
mothers and unborn through a package of services for the pre pregnancy, pre natal, natal
and post natal stages”.
The Strategic Thrusts for 2005-2010
includes:

• Launch and implement the Basic Emergency Obstetric

Care (BEMOC) strategy in coordination with the DOH.
• Improve the quality of prenatal and post natal care
• Reduce women’s exposure to health risks
• LGU’s, NGOs and other stakeholders must advocate
for health
Basic Emergency Obstetric and Newborn
Care
• 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.
 Comprehensive Emergency Obstetric and
Newborn Care
• a. Caesarian section
• b. Blood transfusion
• c. Management of newborn complications
 Overview
• The Philippine Family Planning Program is a
national program that systematically provides
information and services needed by women of

FAMILY reproductive age to plan their families according

to their own beliefs and circumstances.

PLANNIN Goals and Objectives

G • Universal access to family planning information,
education and services.
PROGRAM
Mission
• To provide the means and opportunities by which
married couples of reproductive age desirous of
spacing and limiting their pregnancies can realize
their reproductive goals.
 NATURAL METHODS
• a. Calendar or Rhythm
Method
TYPES OF • b. Basal Body Temperature
Method
METHODS
• c. Cervical Mucus Method
• d. Sympto-Thermal Method
• e. Lactational Amennorhea
 A. Chemical Methods
ARTIFICIA 1. Ovulation
L suppressant such as
METHODS PILLS
2. Depo-Provera
3. Spermicidals
4. Implant
B. Mechanical Methods
1. Male and Female Condom
2. Intrauterine Device
3. Cervical Cap/Diaphragm

C. Surgical Methods
1. Vasectomy
2. Tubal Ligation
 Warning Signs
Pills
• Abdominal pain (severe)
• Chest pain (severe)
• Headache (severe)
• Eye problems (blurred vision, flashing lights, blindness)
• Severe leg pain (calf or thigh)
• Others: depression, jaundice, breast lumps
IUD
• Period late, no symptoms of pregnancy, abnormal bleeding or spotting
• Abdominal pain during intercourse
• Infection or abnormal vaginal discharge
• Not feeling well, has fever or chills
• String is missing or has become shorter or longer
Injectables BTL
• Dizziness • Fever
• Severe headache • Weakness
• Heavy bleeding • Rapid pulse
• Persistent abdominal pain
• Vomiting
Vasectomy
• Dizziness
• Fever
• Pus or tenderness at
• Scrotal blood clots or incision site
excessive swelling
• Amenorrhea