Antenatal Registration Tetanus Toxoid Immunization Micronutrient Supplementation Treatment of Diseases and other Clean and safe delivery

Support to breast feeding Family Planning counseling

conditions

B.) Tetanus Toxoid Immunization

Do a quick check upon admission for emergency signs Make the woman comfortable Assess woman in labor Determine stage of labor Decide if woman can safely deliver

Give supportive care throughout labor Monitor and manage labor Monitor within 1 hr after delivery Educate and counsel on FP Inform, teach, counsel on:

Birth registration Importance of BF NBS Schedule of postpartum visits

Unconscious/ convulsions Vaginal bleeding Severe abdominal pain Looks very ill Severe headache with visual

disturbance Severe breathing difficulty Fever Severe vomiting

Antenatal Clean and safe obstetric Emergency obstetric care Family Planning

delivery

sick woman needs more nutrients and rest. Although pregnancy is a normal event, it may be an additional burden for her body. Her condition may become worse. A sick woman is more likely to have a miscarriage or a premature birth. A sick woman is more likely to become anemic and is prone to infection. A sick woman is more likely to give birth to a low-birth-weight baby.

 Ensure that she is physically ready Detect any medical problems that

need treatment Find out if she has to observe any special precautions during pregnancy and childbirth.

3 Cs of Home Delivery
Clean HANDS Clean SURFACE Clean CORD

Delay in
DECIDING to SEEK IDENTIFYING and medical Care REACHING APPROPRIATE Facility RECEIVING appropriate and adequate CARE at the FACILITY

Failure to recognize danger signs Unplanned/ Unwanted pregnancy

Distance Road Transport Communication

Lack of health care personnel Shortage of supply Health not prioritized

Delay in deciding to Delay in Delay in receiving seek medical care reaching facility adequate care at facility

BEmOC

REFERRAL LEVELS CEmOC

Perform six function of a BEmOC facility plus CS and Hysterectomy and give Blood transfusions

Give parenteral AB Give parenteral oxytocin Give parenteral anticonvulsants Perform manual removal of placenta Remove retained placental products Perform assisted vaginal delivery

Pillars of Family Planning:

Responsible parenthood Respect for life Birthspacing Informed choice

provide universal access to family planning information and services wherever and whenever these are needed

To

Reduce Reduce Reduce

deaths Reduce maternal deaths

infant deaths Neonatal deaths Under five

 Focus

service delivery to the urban and rural poor Reestablish the FP outreach program Strengthen FP provision in regions with high unmet needs Promote frontline participation of hospitals Mainstream modern natural family planning

when when

a woman is between 20 and 35 years old; a woman has not been pregnant for the last 2-3 years; when a woman has fewer than 4 children; when a woman has no illness that would place herself or her baby in danger; and when the couple wants to have a baby.

there

are more chances for the pregnancy to end in abortion or miscarriage; the woman is more likely to become anemic and malnourished. (prone to develop obstetrical complications such as prolonged labor and hemorrhage as well as gynecologic problems such as uterine prolapse) the baby has more chances of being born premature or with low birth weight. The incidence of stillbirths and fetal death will be higher.

1. The benefits of contraception

It saves mothers' and children's lives. It helps clients plan their pregnancies to

protect their health and that of their babies. It helps a couple provide a better life for their children. It improves quality of life by removing the fear of an unwanted pregnancy.

2. The different contraceptive methods available. Discuss:

description and use; effectiveness; advantages and disadvantages; and possible side-effects.

3. Where they can obtain specific family planning services Some clients will come directly to you for services. Others will only need information about the methods and how they are used, and others may need more explanation and encouragement.

 the the

age of the woman; woman's reproductive stage; the effectiveness of a method; the woman's health status; and personal considerations.

Infant and young child feeding Newborn screening Expanded program on immunization Management of Childhood illnesses Micronutrient supplementation Dental Health Early child development Child Health injuries

Overall objective: To improve the survival of infants and young children by improving their nutritional status, growth and development through optimal feeding Goal: Reduce child mortality rate by 2/3 by 2015

Objective: To improve health and nutritional status of infants and young children Outcome: To improve exclusive and extended breastfeeding and complementary feeding

 Initiate breastfeeding within 1 hr after birth Exclusive for the first 6 months of live Complemented at 6 months with appropriate

foods,

excluding milk supplements Extend breastfeeding up to 2 yrs and beyond 3 Es of Breastfeeding

Early breastfeeding Exclusive breastfeeding for the 1st 6 months Extend up to 2 years

 Timely Adequate Properly fed Safe

 Water is good for the thirst No drinks high in sugar Tea and coffee reduce iron

absorbed

from food Drinks should not replace foods or breastfeeding Children not receiving breastmilk need special attention

 Encourage

child to drink and eat with lots of patience Feed small amounts frequently Give foods that the child likes Give a variety of nutrient rich foods Continue to breastfeed

 Give extra breastfeeds Feed an extra meal Give an extra amount Use extra rich foods Feed with extra patience

 Breasfteeding

for 2 years or longer helps a child to develop and grow strong. Complementary feeding at 6 months helps a child grow well. Foods that are thick enough to stay in the spoon give more energy Animal-source foods help children grow strong Peas, beans, lentils, nuts and seeds are good Dark green leaves, yellow-coloured fruits and vegetables help a child have healthy eyes and fewer infections. Growing child needs 3 meals plus snacks. Growing child needs increasing amounts of foods Growing child needs to learn to eat. Encourage child to drink and eat during illness.

RA 9288 Ideally done 48th 72nd hour of life (1st 2 -3 days); also done 24 hours from birth Heel Prick, blood dried for 4 hours, transport within 24 hours to NSF Results in 7 days Positive screen means NEWBORN MUST BE SUBJECT TO CONFIRMATORY TESTS and FURTHER MANAGEMENT

Goal: To improve the quality of life of Filipinos through better nutrition, improved health and increased productivity

Vitamin Iron Iodine

STRATEGIES:
Food

PROGRAMS AND PROJECTS:

based interventions for sustained improvements in nutritional status Life-cycle approach Effective complementation of nutrition interventions with other services Geographical focus to needier areas

Micronutrient

supplementation Food fortification Essential maternal and child health service package Nutrition information, communication and education Home, school, and community food production Food assistance Livelihood assistance

VITAMIN A SUPPLEMENTATION

THREE CLASSIFICATIONS OF ORAL INTERVENTIONS

Preventive services Curative services Promotive services

 Oral examination Oral hygiene Pit and fissure sealant program Fluoride utilization program

 Permanent filling Gum treatment Atruamatic restorative treatment Extraction Treatment of post extraction

complications Drainage of localized oral abscess

Health

education activities

Overall Goal: Achieve Better Quality Life among Filipinos

Reducing maternal mortality rate Reducing child mortality Halting and reversing spread of HIV/AIDS Increasing access to reproductive health information and services

4 Major NCDs:

Cardiovascular diseases Cancer COPD Diabetes Mellitus

 Tobacco Smoking Physical inactivity Unhealthy diet

Comprehensive approach focused on primary prevention Community Based approach Integrated approach

KEY INTERVENTION STRATEGIES:

ROLES OF THE PHN IN NCD PREVENTION AND CONTROL:

Establishing program direction and infrastructure Changing Environments Changing lifestyle Reorienting health services

Health advocate Health educator Health care provider Community organizer Health trainer Researcher

HEALTH ADVOCATE
Inform

HEALTH EDUCATOR

people about rightness of cause Discuss nature of alternatives, content and consequences Support peoples right to make a choice and to act on the choice Influence public opinion

Inform people Motivate people Guide people into action

HEALTH CARE PROVIDER

COMMUNITY ORGANIZER
Raising

Health promotion and disease prevention Secondary level of care - relieve pain, etc Disability limitation and rehabilitation

level of awareness regarding NCDs Organizing and mobilizing community Influencing executive and legislative bodies for policies that favor a healthy environment

HEALTH TRAINER
Provides

RESEARCHER

technical assistance to auxiliary health workers Teaches and supervises on clinical management of noncommunicable diseases Records, reports, and utilization of health information related to NCDs

Conducts community assessments, epidemiological studies and intervention studies

RISK FACTOR ASSESSMENT

NATIONAL PREVENTION OF BLINDNESS PROGRAM

Cigarette smoking Nutrition/diet (ABC) Overweight/obesity Physical inactivity /Sedentary lifestyle Excessive alcohol drinking

VISION 2020: THE RIGHT TO SIGHT All Filipinos enjoy the right to sight by year 2020.

PRIORITY 5 PREVENTABLE/TREATABLE CONDITION:

MENTAL HEALTH
Four

Cataract Refractive errors and low vision Trachoma Onchocerciasis Childhood blindness

facets:

Defined burden Undefined burden Hidden burden Future burden

Nursing

Responsibilities:

Mental health promotion Prevention and control Rehabilitation Research and epidemiology

MAN

NT NME O NVIR E

A DI S E

T GEN EA

3 PREVENTIVE STRATEGIES:

MAJOR ENVIRONMENTAL HEALTH AND SANITATION PROGRAMS:

Change the peoples behavior Manipulate environment Increase mans resistance or immunity

Water sanitation Food sanitation Refuse and garbage disposal Hospital waste management program

MAN
3. Increase man`s immunity or resistance to disease agents 1. Change peoples behavior

NT NME O NVIR E

DI S

T GEN A ASE E

2. Prevent production of disease agents

WATER SUPPLY SANITATION PROGRAM APPROVED TYPES:

PROPER EXCRETA AND SEWAGE DISPOSAL PROGRAM

Level

I (Point source) protected well or developed spring Level II (Communal faucet or Stand posts) system composed of a source reservoir, piped distribution and communal faucet Level III ( Waterworks System or Individual House connections) system with a source, reservoir, a piped distributor network and household taps

Level

I Non water carriage and toilets requiring small amounts of water Level II On site toilet facilities with water-sealed and flush type Level III toilet facilities connected to septic tanks or to sewerage system to treatment plant

FOOD SANITATION
Four rights in Food safety Right source Right Preparation Right Cooking Right storage

RULE IN FOOD SAFETY

When in doubt, Throw it out !!!!