Xavier University – Ateneo de Cagayan

College of Nursing

A Ward Class on DOH Programs submitted

In partial fulfillment of the requirements
Of NCM 105 RLE

Submitted To:

Mr. Joseph Rosalio Roque, RN

Submitted By:

Anggam, Christine Angeli

Bendijo, Vi Alfred
Cagas, Ediza Nanell
Casinillo, Jesse Charmaine
Casino, Kram Onisac
de las Alas, Gerard Christopher Alex
Decena, Stacy Lenn
Dinero, Jeannie-Ann
Elsisura, Mafel Jo-An
Paano, Theresa Eleanor
Pelpinosas, Maverick Jones
Ringia, Jamela
Soriano, Saidee Kriszl
Yu, Meg Leslie

December 9, 2010
Essential Newborn Care

The Department of Health embarked on Essential Newborn Care , a new program to

address neonatal deaths in the country. Under the umbrella of the Unang Yakap
Campaign, Essential Newborn Care is an evidenced based strategic intervention aimed
at improving newborn care and helping cub neonatal mortality. The ENC Protocol is a
step-by-step guide for health workers and medical practitioners issued by the
Department of Health for implementation under Administrative Order 2009-0025.

What are these step-by-step interventions?

Immediate drying
Using a clean, dry cloth, thoroughly dry the baby, wiping the face, eyes, head,
front and back, arms and legs.

Uninterrupted skin-to-skin contact

Aside from the warmth and immediate bonding between mother and child, it has
been found that early skin-to-skin contact contributes to a host of medical benefits such
as the overall success of breastfeeding/colostrum feeding, stimulation of the mucosa—
associated lymphoid tissue system, and colonization with maternal skin flora that can
protect the newborn from sepsis and other infectious disease and hypoglycemia.

Proper cord clamping and cutting

Waiting for up three minutes or until the pulsations stop is found to reduce to
chances of anemia in full term and pre-term babies. Evidence also shows that delaying
cord clamping has no significant impact on the mother.

Non-separation of the newborn from the mother

The earlier the baby breastfeeds, the lesser the risk of death. Keeping the baby
latched on to the mother will not only benefit the baby (see skin-to-skin contact) but will
also prevent doing unnecessary procedures like putting the newborn on a cold surface
for examination (thereby exposing the baby to hypothermia), administering glucose
water or formula and foot printing (which increases risk of contamination from ink pads)
and washing (the WHO standard is to delay washing up to 6 hours; the vernix protects
the newborn from infection).

Post-natal care required within 24 hours after birth also includes:

Cord care Delayed bathing until 6 hours of life
Breastfeeding BCG and first dose of Hepatitis B
Vitamin K injection Immunization
Eye prophylaxis Newborn screening

The Essential Newborn Care Package aims to reduce newborn mortality rate from 13
deaths (2006 FPS, NSO) to 10 per 1000 live births by 2015.
Doctors to the Barrios (DTTB)

What is the objective of the program?

a. To ensure quality health care service to depressed, marginalized and underserved

areas through the deployment of competent and community-oriented doctors.
b. To effect changes in the approach to health care delivery by the stakeholders in
health.

How can the LGU avail of the program?

The Center for Health Development (CHDs), through the Human Resource
Development Unit (HRDU) shall submit to the HHRDB a list of areas qualified to be
recipients of a DTTB. This shall be supported with the written request in the form of a
resolution passed by the Local Health Board and the Sanguniang Bayan approved by
the Local Chief Executive.

What are the qualifications of a DTTB volunteer.

The minimum requirements for applicants to the program shall be the following:
a. Licensed Doctor of Medicine
b. Bonafide Filipino citizen
c. Physically and mentally fit
d. Certified to be of good moral character
e. Willing to work in depressed and hard to reach areas for two (2) years
f. Interested in community health
g. Not more than 50 years old

What are the available areas for deployment? What is the category of this areas?

The following areas will be given priority:

a. Depressed, unserved/underserved, hard to reach and critical 5th and 6th class
municipalities without doctors for at least two(2) years.
b. Depressed, unserved/underserved, hard to reach and critical 5th and 6th class
municipalities with MHO/RHP on study leave.
c. 3rd and 4th class municipalities needing additional doctors to achieve the doctor to
population. (1:20,000)

What are the benefits of a DTTB volunteer?

The DTTB shall receive the following:

a. Receive a salary equivalent of salary grade 24 (P24,000.00+++)
b. Representation Allowance
c. Magna Carta for Health Workers
d. Continuing Medical Education
e. Opportunity to travel
f. Opportunity to Postgraduate studies

What is the scope of the program.? How can the hospitals avail of the program?

The program is for all government hospitals, national or local , which are
requesting for augmentation of their Medical Specialist II cadre and replacement of their
Medical Officer III items undergoing training.

What is the objective of the program?

The general objective is to provide the country with competent Medical Human
Resource who will render quality medical care to patients.
The specific objectives are:
a. To provide Medical Officer III replacements for provincial and district hospitals who
are sending their service residents for training.
b. To augment the Medical Specialist human resource needed in government/public
hospitals.
c. To provide items for residency training to identified physicians who have rendered
government service.

Who are qualified to avail of physicians items under the program?

a. For the Medical Officer III items, Local Government Hospitals who are sending their
permanent medical staff for training, other government physicians who have rendered
substantial services for the country and those government representatives endorsed by
public officials for meritorious accomplishments.
b. For Medical Specialist that will augment the medical specialty needs of a government
hospitals, they must be Filipino Citizen, Fellow/Diplomate of the relevant accredited
specialty society or board eligible as endorsed by the accredited specialty society.

What is the basis for distributing/allocating and re-allocating of Medical Pool item?

a. On geographical location : far-flung or hard to reach areas in the catchment of the

DOH hospitals as determined by the CHDs and approved by the Undersecretary of
Health.
b. On Hospital Development Plan: Hospital Development Plan of the health facility
concerned in consonance with the National Hospital Development Plan.

How many years can a hospital avail of DOH medical pool items?

a. For Medical Specialist II, it is renewable yearly for a maximum of three(3) years. The
renewal shall be based on satisfactory performance. Within the period of three(3) years
the recipient hospitals shall device measures on how to provide a regular hospital item
for possible absorption of the medical specialist after its termination.
b. For Medical Officer III, that is being used for replacing LGU physicians, it is
renewable yearly corresponding to the length of the residency training program of the
doctor being replaced. For specialty training , it is renewable yearly corresponding to the
specified training program requirements where the trainee is undergoing training.

FOURmula One

What is FOURmula ONE for Health?

FOURmula ONE for Health is the implementation framework for health sector
reforms in the Philippines for the medium term covering 2005-2010. It is designed to
implement critical health interventions as a single package, backed by effective
management infrastructure and financing arrangements. This document provides the
road map towards achieving the strategic health sector reform goals and objectives of
FOURmula ONE for Health from the national down to the local levels. FOURmula ONE
for Health engages the entire health sector, including the public and private sectors,
national agencies and local government units, external development agencies, and civil
society to get involved in the implementation of health reforms. It is an invitation to join
the collective race against fragmentation of the health system of the country, against the
inequity of healthcare and the impoverishing effects of ill-health. With a robust and
united health sector, we can win the race towards better health and a brighter future for
generations to come.

Fourmula One for Health Goals and Objectives

Over-all Goals:
The implementation of FOURmula ONE for Health is directed towards achieving the
following end goals, in consonance with the health system goals identified by the World
Health Organization, the Millennium Development Goals, and the Medium Term

Philippine Development Plan:

* Better health outcomes;
* More responsive health system; and
* More equitable healthcare financing.

General Objective:
FOURmula ONE for Health is aimed at achieving critical reforms with speed, precision
and effective coordination directed at improving the quality, efficiency, effectiveness and
equity of the Philippine health system in a manner that is felt and appreciated by
Filipinos, especially the poor.

Specific Objectives:

Fourmula One for Health will strive, within the medium term, to:
* Secure more, better and sustained financing for health;
* Assure the quality and affordability of health goods and services;
* Ensure access to and availability of essential and basic health packages; and
* Improve performance of the health system

The Drug Price Reference Index (DPRI)

The prevailing high cost and wide price variation of drugs impede the access of the
greater majority of Filipinos to timely and quality healthcare. Many essential drugs are
unaffordable to the average Filipino, thereby depriving them of health by curtailing
treatment, prevention, and control of illnesses.

It all begins with the public knowing the right price of their medicines at any given
time. This is what a revitalized PhilHealth is Drug Price Reference Index
(DPRI) provides as a service to the Filipino citizenry.

Working under Health Secretary Francisco Duque III ís framework of FOURmula

One for Health (F1), both agencies have worked together with other public agencies,
private and international organizations, consumer groups and the academe to achieve
price transparency and to disseminate this vital information to the public. The DPRI was
developed to help answer the need of the Filipino to have access to affordable and
quality drugs. As the largest purchaser of health care, PhilHealth can help make
essential drugs and health care available and affordable. Through the DPRI, PhilHealth
and DOH aim to promote drug price transparency, rational and fair drug pricing, and
rational drug use. This initial listing of prices shall inform the public of the price range for
a select number of essential drugs. PRICE TRANSPARENCY will be the initial step to
empowering consumers and improving their accessibility to drugs. The consumer is
encouraged to refer to this list when making decisions on drug purchases. Empowered
with this information, the public shall be able to demand for lower drug prices.

Adolescent and Youth Health and Development Program (AYHDP)

In line with the global policy changes on adolescents and youth, the DOH created
the Adolescent and Youth Health and Development Program (AYHDP) which is lodged
at the National Center for Disease Prevention and Control (NCDPC) specifically the
Center for Family and Environmental Health (CFEH). The program is an expanded
version of Adolescent Reproductive Health (ARH) element of Reproductive Health
which aims to integrate adolescent and youth health services into the health delivery
systems.
The DOH, with the participation of other line agencies, partners from the medical
discipline, NGOs and donor agencies have developed a policy on adolescent and youth
health as well as complementary guidelines and service protocol to ensure young
peoples’ health needs are given attention.
The Program shall mainly focus on addressing the following health concerns
regardless of their sex, race and socioeconomic background:
* Growth and Development concerns Nutrition Physical, mental and emotional status
* Reproductive Health Sexuality Reproductive Tract Infection (STD, HIV/AIDS)
Responsible Parenthood Maternal & Child Health
* Communicable Diseases Diarrhea, Dengue Hemorrhagic Fever, Measles, Malaria,
etc.
* Mental Health Substance use and abuse
* Intentional / non-intentional injuries Disability
Other issues and concerns such as vocational, education, social and
employment needs where the DOH has no direct mandate nor control, shall be
coordinated closely with other concerned line agencies, and NGOs.

Vision:
Well-informed, empowered, responsible and healthy adolescents and youth.

Mission:
Ensure that all adolescent and youth have access to quality health care services in an
adolescent and youth friendly environment.

Goal:
The total health, well being and self esteem of young people are promoted.

Health Status Objectives:

* reduce the mortality rate among adolescents and youth

Risk Reduction Objectives:

* reduce the proportion of teenage girls (15-19 years old) who began child bearing to
3.5 % (baseline-7% in 1998 NDHS)
* increase the health care – seeking behavior of adolescents to 50% (baseline: still to be
established)
* increase the knowledge and awareness level of adolescent on fertility, sexuality and
sexual health to 80% (baseline: still to be established)
* increase the knowledge and awareness level of adolescents on accident and injury
prevention to 50% (baseline: still to be established) Services and Protection Objectives:
* increase the percentage of health facilities providing basic health services including
counseling for adolescents and youth to 70%. (baseline- still to be established)
* establish specialized services for occupational illnesses, victims of rape and violence,
substance abuse in 50% of DOH hospitals
* integrate gender-sensitivity training and reproductive health in the secondary school
curriculum.
* Establish resource centers or one stop shop for adolescents and youth in each
province.

Guiding Principles:
1. Involvement of the youth
The AYHDP shall involve the young people in the design, planning
implementation, monitoring and evaluation of activities and program to ensure that it is
acceptable, appealing and relevant to them. In so doing, they become part of the
solution rather than the problem. Further, it:
(1) favors the acquisition of valuable skills including interpersonal skills,
(2) gives young people self confidence,
(3) promotes individual self esteem and competence, and
(4) contributes to a sense of belonging.

2. Rights Based Approach

In all aspects of program implementation, the promotion of young peoples’ rights shall
be applied. This is to ensure protection of adolescent and youth against neglect, abuse
and exploitation and guaranteeing to them their basic human rights including survival,
development and full participation in social, cultural, educational and other endeavors
necessary for their individual growth and well being.

3. Diversity of adolescents needs and problems

The program shall recognize the diverse characteristic and needs of adolescents in
different situations. Their concerns and perception vary by demographic and socio-
economic characteristics, sex and circumstances. But even how diverse the problems
are, oftentimes they have common roots, its underlying causes are closely connected
and the solutions are similar and interrelated. They are addressed most effectively by a
combination of intervention that promote healthy development.

4. Gender & health perspective

A gender perspective shall be adopted in all processes of policy formulation,
implementation and in the delivery of services, especially sexual and reproductive
health. This perspective will act upon inequalities that arise from belonging to one sex or
the other, or from the unequal power relation between sexes. Adolescents have distinct
and complex gender differences in behavior patterns, socialization process and
expected roles in family, community and society. A gender gap exist in terms of
opportunities in education and employment and access to health services. Girls are
often victims of traditional, discriminatory and harmful practices, including sexual abuse
and exploitation. Besides, their individual development needs are also neglected
because of the persistent and stereotypical roles that they are expected to perform. On
the other hand, young boys can be particularly vulnerable, such as those in situations in
armed conflict or crises. Adults often perpetuate traditional gender roles that trap young
people in high – risk behavior. They can therefore play a major role in helping them
change their attitudes and prevent exploitation of adolescents.

Program Strategies:
The DOH shall adopt a two pronged inextricably linked and overarching strategies:
* To Promote healthy development among young adults by building their life coping
skills; promoting positive values and by creating a safe and supportive environment for
their growth and development;
* To prevent and respond to adolescent health problems through provision of adequate,
accurate and timely information about their health, rights and other issues and through
the availability of integrated, quality and gender sensitive adolescent health services
that will bring about positive behavior and healthy lifestyle.
1. Service provision The program shall ensure the access and provision of quality
gender responsive biomedical and psychosocial services. Eventually, these will
contribute to the reduction of maternal, infant, child and young peoples’ morbidity and
mortality, ensure the quality of life of the families and communities; and promote total
health and well being of Filipino adolescents and youth.
2. Education and Information
Early education and information sharing for adolescents and service information
providers: the parents, teachers, communities, church, health staff, media and NGOs on
adolescent health concerns and an intensified and responsive counseling services
geared towards adolescent health shall be done. This aims to increase knowledge and
understanding of a particular health issue, and with the explicit intention of motivating
the young people to adopt healthy behavior and to prevent health hazards such as
unwanted pregnancies, STDs, substance use / abuse, violent behavior and nutritional
deficiencies.
3. Building skills
Adolescents and youth shall have life skills training to enable them to deal effectively
with the demands and challenges of everyday life. It refers to skills that enhance
psychosocial development, decision making and problem solving; creative and critical
thinking; communication and interpersonal relations , self awareness, coping with
emotions and causes of stress. Examples of these skills are:
* Self care skills eg. how to plan and prepare healthy meals or ensure good personal
hygiene and appearance. * Livelihood skills eg. how to obtain and keep work.
* Skills for dealing with specific risky situations eg. how to say no when under peer
pressure to use drug. Further, life skills shall be integrated in the training module for
health workers as well as in the school curricula. On the other hand, service providers,
parents and teachers shall also be equipped with competencies to influence behavior of
adolescents and promote healthy development and prevent health problems.
4. Promoting a safe and supportive environment
A safe and supportive environment is part of what motivates young people to make
healthy decisions. It refers to an environment that:
(1) nurtures and guides young people towards healthy development;
(2) provides the least trauma, excessive stress, violence and abuse;
(3) provides a positive close relationship with family, other adults and peers;
(4) provides specific support in making individual responsible behavior choices. While
intervention should now focus on the action that will facilitate growth and development
and encourage adolescents and youth to practice healthy behavior, the following major
aspects of social environment have to be considered:
1. Relationship with families, service providers and significant others.
Adults contribute to a supportive climate for behavioral choices through positive
relationship. They can substantially enrich the lives of young people through their
fundamental role as parents and care-givers
2. Social norms and cultural practices
This involve what people typically do in all areas of life and peoples expectation of
others. These forces usually shape the lives of young people thus it is important to take
note of the attitudes and practices that are harmful to them. Attitudes and norms
concerning (a)early marriage, (b)sexual behavior among young people, (c)access to
information about sexuality may need to be addressed.
3. Mass Media and entertainment
The media is a very important component in influencing social norms that encourage
adolescent to make responsible health behavior choices. It also provides great potential
to communicate and mobilize community support on adolescent health issues.
4. Policies and legislation
Promoting policies and legislation for adolescent health can ensure young people have
the opportunities and services they need to promote and protect their own health.
5. Monitoring and Evaluation
This is to ensure the smooth implementation of the program. Regular monitoring and
evaluation will be conducted to identify the status, issues, gaps and recommendations.
A scheme shall be developed which will include indicators, monitoring tools and
checklist. Monitoring will be through conduct of field visits, consultative meeting and
program implementation review.
6. Resource mobilization

The Department of Health have prepared a 10 year work plan for AYHDP. The
budgetary requirements will be sourced out from national and international donor
agencies. Advocacy with LGUs, other GOs and NGOs shall be conducted on sharing of
existing resources where AYHDP will be integrated.

Botika Ng Barangay (BnB)

The Botika ng Barangay (BnB) refers to a drug outlet managed by a legitimate

community organization (CO/non-government organization (NGO) and/or the Local
Government Unit (LGU), with a trained operator and a supervising pharmacist
specifically established in accordance with Administrative Order No. 144 s.2004. The
BnB outlet should be initially identified, evaluated and selected by the concerned Center
for Health Development (CHD), approved by the National Drug Policy-Pharmaceutical
Management Unit (NDP-PMU 50), and specifically licensed by the Bureau of Food and
Drugs (BFAD) to sell, distribute, offer for sale and/or make available low-priced generic
home remedies, over-the-counter (OTC) drugs and two (2) selected, publicly-known
prescription antibiotic drugs (i.e. Amoxicillin and Cotrimoxazole).
The BnB program aims to promote equity in health by ensuring the availability
and accessibility of affordable, safe and effective, quality, essential drugs to all, with
priority for marginalized, underserved, critical and hard to reach areas.

Promotion of Breastfeeding program / Mother and Baby Friendly Hospital

Initiative (MBFHI)

Realizing optimal maternal and child health nutrition is the ultimate concern of the
Promotion of Breastfeeding Program. Thus, exclusive breastfeeding in the first four (4)
to six (6) months after birth is encouraged as well as enforcement of legal mandates.
The Mother and Baby Friendly Hospital Initiative (MBFHI) is the main strategy to
transform all hospitals with maternity and newborn services into facilities which fully
protect, promote and support breastfeeding and rooming-in practices. The legal
mandate to this initiative are the RA 7600 (The Rooming-In and Breastfeeding Act of
1992) and the Executive Order 51 of 1986 (The Milk Code). National assistance in
terms of financial support for this strategy ended year 2000, thus LGUs were advocated
to promote and sustain this initiative. To sustain this initiative, the field health personnel
has to provide antenatal assistance and breastfeeding counseling to pregnant and
lactating mothers as well as to the breastfeeding support groups in the community;
there should also be continuous orientation and re-orientation/ updates to newly hired
and old personnel, respectively, in support of this initiative.

Philippine Cancer Control Program

The Philippine Cancer Control Program, begun in 1988, is an integrated
approach utilizing primary, secondary and tertiary prevention in different regions of the
country at both hospital and community levels. Six lead cancers (lung, breast, liver,
cervix, oral cavity, colon and rectum) are discussed. Features peculiar to the Philippines
are described; and their causation and prevention are discussed. A recent assessment
revealed shortcomings in the Cancer Control Program and urgent recommendations
were made to reverse the anticipated ‘cancer epidemic’. There is also today in place a
Community-based Cancer Care Network which seeks to develop a network of self-
sufficient communities sharing responsibility for cancer care and control in the country.

Diabetes

Diabetes is a serious chronic metabolic disease characterized by an increase in blood

sugar levels associated with long term damage and failure or organ functions, especially
the eyes, the kidneys, the nerves, the heart and blood vessels.
How does one become a diabetic?
Diabetes occurs when insulin is not adequately produced by the pancreas. It also
happens when the body cannot properly use insulin.
Insulin is a hormone necessary for the proper utilization of sugar by muscles, fat and
liver.
What are the complications of diabetes?
In diabetics, blood sugar reaches a dangerously high level which leads to complications.
Blindness
Kidney failure
Stroke
Heart Attack
Wounds that would not heal
Impotence

What are the types of diabetes?

Type 1 – Insulin dependent diabetes
Develops during childhood or adolescence and affects about 10% of all diabetic
patients. Sufferers require a lifetime of insulin injection for survival since their pancreas
cannot produce insulin.
Type 2 – Non-insulin dependent diabetes

How will you know if you are a diabetic?

If you urinate frequently, experience excessive thirst and unexplained weight loss.
If your casual blood sugar (plasma glucose) level is higher than 200mg/dl.
If you have fasting plasma glucose level of not more than 126mg/dl.
If you have any these symptoms, especially if you are overweight or hypertensive, you
should see your doctor right away for proper guidance and treatment.

Who are at risk of diabetes?

children of diabetics
obese people
people with hypertension
people with high cholesterol levels
people with sedentary lifestyles

What can you do to control your blood sugar?

1. Diet Therapy
Avoid simple sugars like cakes and chocolates. Instead have complex carbohydrated
like rice, pasta, cereals and fresh fruits.
Do not skip or delay meals. It causes fluctuations in blood sugar levels.
Eat more fiber-rich foods like vegetables.
Cut down on salt.
Avoid alcohol. Dietary guidelines recommend no more than two drinks for men and no
more than one drink per day for women.
2. Exercise
Regular exercise is an important part of diabetes control.
Daily exercise . . .
Improves cardiovascular fitness
Helps insulin to work better and lower blood sugar
Lowers blood pressure and cholesterol levels
Reduces body fat and controls body weight Exercise at least 3 time a week for ate least
30 minutes each session. Always carry quick sugar sources like candy or softdrink to
avoid hypoglycemia (low blood sugar) during and after exercise.
3. Control your weight
If you are overweight or obese, start weight reduction by diet and exercise. This
improves your cardiovascular risk profile.
It lowers your blood sugar
It improves your lipid profile
It improves your blood pressure control
4. Quit smoking.
Smoking is harmful to your health. 5. Maintain a normal blood pressure.
Since having hypertension puts a person at high risk of cardiovascular disease,
especially if it is associated with diabetes, reliable BP monitoring and control is
recommended. See your doctor for advice and management.
If there is no improvement in blood sugar what advice can I expect my doctor to give?
There are drug therapies using oral hypoglycemic agents. Your doctor can prescribe
one or two agent, depending on which is appropriate for you.
1. Sulfonylurea – Glibenclamide, Gliclazide, Glipizide, Glimepiride, Repaglinide
2. Biguanide – Metformin
3. Alpha-glucosidase Inhibitors – Acarbose
4. Thiazolidindione – Troglitazone, Rosiglitazone, Proglitazone. Remember
If you have the classic symptoms of diabetes:
See your doctor for blood sugar testing
Start dieting
eat plenty of vegetables
avoid sweets such as chocolates and cakes
cut down on fatty foods
Exercise regularly
If you are obese, try to lose some weight
Avoid alcohol drinking and stop smoking
If you are hypertensive, consult your doctor for advice and management

Dengue Control Program

One of the major health problems during rainy season is the incidence of Dengue
Hemorrhagic Fever. It occurs in all age groups. This disease (transmitted by Aedes, a
day-biting mosquito) is preventable but is prevalent in urban centers where population
density is high, water supply is inadequate (resulting to water storage and a good
breeding place for the vector), and solid waste collection and storing are also
inadequate.
The thrust of the Dengue Control Program is directed towards community-based
prevention and control in endemic areas.
Major strategy is advocacy and promotion, particularly the Four O’clock Habit which was
adopted by most LGUs. This is a nationwide, continuous and concerted effort to
eliminate the breeding places of Aedes aegypti. Other initiatives are the dissemination
of IEC materials and tri-media coverage.

Dental Health Program

Comprehensive Dental Health Program aims to improve the quality of life of the people
through the attainment of the highest possible oral health. Its objective is to prevent and
control dental diseases and conditions like dental caries and periodontal diseases thus
reducing their prevalence.
Targeted priorities are vulnerable groups such as the 5-12 year old children and
pregnant women. Strategies of the program include social mobilization through
advocacy meetings, partnership with GOs and NGOs, orientation/updates and
monitoring adherence to standards.
To attain orally fit children, the program focuses on the following package of activities:
oral examination and prophylaxis; sodium fluoride mouth rinsing; supervised tooth
brushing drill; pit and fissure sealant application; a-traumatic restorative treatment and
IEC. The Program also integrates its activities with the Maternal and Child Health
Program, the Nutrition Program and the Garantisadong Pambata activities of the
WHSMP.

Emerging Disease Control Program

Emerging infectious diseases are newly identified and previously unknown infections
which cause public health problems either locally or internationally. These include
diseases whose incidence in humans has increased within the past two decades or
threatens to increase in the near future.

Environmental Health
Environmental Health is concerned with preventing illness through managing the
environment and by changing people's behavior to reduce exposure to biological and
non-biological agents of disease and injury. It is concerned primarily with effects of the
environment to the health of the people.
Program strategies and activities are focused on environmental sanitation,
environmental health impact assessment and occupational health through inter-agency
collaboration. An Inter-Agency COmmittee on Environmental Health was created by
virute of E.O. 489 to facilitate and improve coordination among concerned agencies. It
provides the venue for technical collaboration, effective monitoring and communication,
resource mobilization, policy review and development. The Committee has five sectoral
task forces on water, solid waste, air, toxic and chemical substances and occupational
health.
Vision:
Health Settings for All Filipinos
Mission:
Provide leadership in ensuring health settings
Goals:
Reduction of environmental and occupational related diseases, disabilities and deaths
through health promotion and mitigation of hazards and risks in the environment and
worksplaces.
Strategic Objectives:
1. Development of evidence-based policies, guidelines, standards, programs and
parameters for specific healthy settings.
2. Provision of technical assistance to implementers and other relevant partners
3. Strengthening inter-sectoral collaboration and broad based mass participation for the
promotion and attainment of healthy settings
Key Result Areas:
Appropriate development and regular evaluation of relevant programs, projects, policies
and plans on environmental and occupational health
Timely provision of technical assistance to Centers for Health Development (CHDs) and
other partners
Development of responsive/relevant legislative and research agenda on DPC
Timely provision of technical inputs to curriculum development and conduct of human
resource development
Timely provision of technically sound advice to the Secretary and other stakeholders
Timely and adequate provision of strategic logistics
Components:
Inter- agency Committee on Environmental Health
IACEH Task Force on Water
IACEH Task Force on Solid Waste
IACEH Task Force on Toxic Chemicals
IACEH Task Force on Occupational Health
Environmental Sanitation
Environmental Health Impact Assessment
Occupational Health

Expanded Program on Immunization

Children need not die young if they receive complete and timely immunization. Children
who are not fully immunized are more susceptible to common childhood diseases. The
Expanded Program on Immunization is one of the DOH Programs that has already been
institutionalized and adopted by all LGUs in the region. Its objective is to reduce infant
mortality and morbidity through decreasing the prevalence of six (6) immunizable
diseases (TB, diphtheria, pertussis, tetanus, polio and measles)
Special campaigns have been undertaken to improve further program implementation,
notably the National Immunization Days (NID), Knock Out Polio (KOP) and
Garantisadong Pambata (GP) since 1993 to 2000. This is being supported by
increasing/sustaining the routine immunization and improved surveillance system.

Family Planning
Brief Description of Program
A national mandated priority public health program to attain the country's national health
development: a health intervention program and an important tool for the improvement
of the health and welfare of mothers, children and other members of the family. It also
provides information and services for the couples of reproductive age to plan their family
according to their beliefs and circumstances through legally and medically acceptable
family planning methods.
The program is anchored on the following basic principles.
* Responsible Parenthood which means that each family has the right and duty to
determine the desired number of children they might have and when they might have
them. And beyond responsible parenthood is Responsible Parenting which is the proper
ubringing and education of chidren so that they grow up to be upright, productive and
civic-minded citizens.
* Respect for Life. The 1987 Constitution states that the government protects the
sanctity of life. Abortion is NOT a FP method:
* Birth Spacing refers to interval between pregnancies (which is ideally 3 years). It
enables women to recover their health improves women's potential to be more
productive and to realize their personal aspirations and allows more time to care for
children and spouse/husband, and;
* Informed Choice that is upholding and ensuring the rights of couples to determin the
number and spacing of their children according to their life's aspirations and reminding
couples that planning size of their families have a direct bearing on the quality of their
children's and their own lives.
E. Intended Audience:
Men and women of reproductive age (15-49) years old) including adolescents
F. Area of Coverage:
Nationwide
G. Mandate:
EO 119 and EO 102
H. Vision:
Empowered men and women living healthy, productive and fulfilling lives and exercising
the right to regulate their own fertility through legally and acceptable family planning
services.
I. Mission
The DOH in partnership with LGUs, NGOs, the private sectors and communities
ensures the availability of FP information and services to men and women who need
them.
J. Program Goals:
To provide universal access to FP information, education and services whenever and
wherever these are needed.
K. Objectives
General:
To help couples, individuals achieve their desired family size within the context of
responsible parenthood and improve their reproductive health.
Specifically, by the end of 2004:
Reduce
* MMR from 172 deaths 100,000 LB in 1998 to less than 100 deaths/100,000 LB
* IMR from 35.3 deaths/1000 livebirths in 1998 to less than 30 deaths/1000 live births
* TFR from 3.7 children per woman in 1998 to 2.7 chidren per woman
Increase:
* Contraceptive Prevalence Rate from 45.6% in 1998 to 57%
* Proportion of modern FP methods use from 28>2% to 50.5%
L. Key Result Areas
1. Policy, guidelines and plans formulation
2. Standard setting
3. Technical assistance to CHDs/LGUs and other partner agencies
4. Advocacy, social mobilization
5. Information, education and counselling
6. Capability building for trainers of CHDs/LGUs
7. Logistics management
8. Monitoring and evaluation
9. Research and development
M. Strategies
I. Frontline participation of DOH-retained hospitals
II. Family Planning for the urban and rural poor
III. Demand Generation through Community-Based Management Information System
IV. Mainstreaming Natural Family Planning in the public and NGO health facilities
V. Strengthening FP in the regions with high unmet need for FP: CAR, CHD 5, 8, NCR,
ARMM
VI. Contraceptive Interdependence Initiative
N. Major Activities
I. Frontline participation of DOH-retained hospitals
* Establishment of FP Itinerant team by each hospital to respond to the unmet needs for
permanent FP methods and to bring the FP services nearer to our urban and rural poor
communities
* FP services as part of medical and surgical missions of the hospital
* Provide budget to support operations of the itenerant teams inclduing the drugs and
medical supplies needed for voluntary surgical sterilization (VS) services
* Partnership with LGU hospitals which serve as the VS site
II. Family Planning for the urban and rural poor
* Expanded role of Volunteer Health Workers (VHWs) in FP provision
* Partnership of itenerant team and LGU hospitals
* Provision of FP services
III. Demand Generation through Community-Based Management Information System
* Identification and masterlisting of potential FP clients and users in need of PF services
(permanent or temporary methods)
* Segmentation of potential clients and users as to what method is preferred or used by
clients
IV. Mainstreaming Natural Family Planning in the public and NGO health facilities
* Orientation of CHD staff and creation of Regional NFP Management Committee
* Diacon with stakeholders
* Information, Education and counseling activities
* Advocacy and social mobilization efforts
* Production of NFP IEC materials
* Monitoring and evaluation activities
V. Strengthening FP in the regions with high unmet need for FP: CAR, CHD 5, 8, NCR,
ARMM
* Field of itinerant teams by retained hospitals to provide VS services nearer to the
community
* Installation of COmmunity Based Management Information System
* Provision of augmentation funds for CBMIS activities
VI. Contraceptive Interdependence Initiative
* Expansion of PhilHealth coverage to include health centers providing No Scalpel
Vasectomy and FP Itenerant Teams
* Expansion of Philhealth benefit package to include pills, injectables and IUD
* SOcial Marketing of contraceptives and FP services by the partner NGOs
* National Funding/Subsidy
VIII. Development /Updating of FP CLinical Standards
IX. Formulation of FP related policies/guidelines. E.g. Creation of VS Outreach team by
retained hospitals and its operationalization, GUidelines on the Provision of VS
services, etc.
X. Production and reproduction of FP advocacy and IEC materials
XI. Provision of logistics support such as FP commodities and VS drugs and medical
supplies
O. Other Partners
1. Funding Agencies
* United States Agency for International Development (USAID)
* United Nations Funds for Population Activities (UNFPA)
* Management Sciences for Health (MSH)
* Engender Health
* The Futures Group
2. NGOs
* Reachout foundation
* DKT
* Philippine Federation for Natual Family Planning (PFNFP)
* John Snow Inc. - Well Family Clinic
* Phlippine Legislators Committee on Population Development (PLPCD)
* Remedios Foundation
* Family Planning Organization of the Philippines (FPOP)
* Institute of Maternal and CHild HEalth (IMCH)
* Integrated Maternal and CHild Care Services and Development, Inc.
* Friendly Care Foundation, Inc.
* Institute of Reproductive Health
3. Other GOs
* Commission on Population
* DILG
* DOLE
* LGUs

Food and Waterborne Diseases Prevention and Control Program

Profile:
Food and Waterborne Diseases (FWBDs) are among the most common causes of
diarrhea. In the Philippines, diarrheal diseases for the past 20 years is the number one
cause of morbidity and mortality incidence rate is as high as 1,997 per 100,000
population while mortality rate is 6.7 per 100,000 population. From 1993 to 2002,
FWBDs such as cholera, typhoid fever, hepatitis A and other food poisoning/foodborne
diseases were the most common outbreaks investigated by the Department of Health.
Also, outbreaks from FWBDs can be very passive and catastrophic. Since most of these
diseases have no specific treatment modalities, the best approach to limit economic
losses due to FWBDs is prevention through health education and strict food and water
sanitation.
The Food and Waterborne Disease Prevention and Control Program (FWBDPCP)
established in 1997 but became fully operational in year 2000 with the provision of a
budget amounting to PHP551,000.00. The program focuses on cholera, typhoid fever,
hepatitis A and other foodborne emerging diseases (e.g. Paragonimiasis). Other
diseases acquired through contaminated food and water not addressesd by other
services fall under the program.
Human Resources for Health Network
The Human Resources for Health Network (HRHN) is a multi-sectoral organization in the
Philippines that is composed of government agencies and non-government
organizations with the aim of addressing and responding to HRH issues and problems.
The Department of Health (DOH) spearheaded the creation of this network which was
formally established during its launching and signing of the Memorandum of
Understanding among its member organizations last October 25, 2006.
Prior to the creation of the HRHN, the DOH together with the World Health Organization
(WHO) developed the Human Resources for Health Master Plan (HRHMP). The
HRHMP serves as a conceptual framework and road map that will support HRH
development and management in the Philippines. Included in the HRHMP is the creation
of a network of different organizations with stake on HRH that will facilitate the
implementation of programs, projects and activities needing multi-sectoral coordination.
Hence the HRHN was conceived to achieve such purpose and to ensure that the
HRHMP will be able to attain its goals.

Knock Out Tigdas

“Knock-out Tigdas 2007” is a sequel to the 1998 and 2004 “Ligtas Tigdas” mass
measles immunization campaign. All children 9 months to 48 months old ( born October
1, 2003 – January 1,2007) should be vaccinated against measles from October 15 -
November 15, 2007 , door-to-door. All health centers, barangay health stations,
hospitals and other temporary immunization sites such as basketball court, town plazas
and other identified public places will also offer FREE vaccination services during the
campaign period.
Other services to be given include Vitamin A Capsule and deworming tablet.
Knockout Tigdas for the period of the Barangay and SK Elections
Executive Order No. 663
Promotional materials
What is “Knock-out Tigdas (KOT) 2007?
“Knock-out Tigdas 2007” is a sequel to the 1998 and 2004 “Ligtas Tigdas” mass
measles immunization campaigns. This is the second follow-up measles campaign to
eliminate measles infection as a public health problem.
What is the over-all objective of the Knock-out Tigdas?
The Knock-out Tigdas is a strategy to reduce the number or pool of children at risk of
getting measles or being susceptible to measles and achieve 95% measles
immunization coverage. Ultimately, the objective of KOT is to eliminate measles
circulation in all communities by 2008.
What does measles elimination mean?
Measles elimination means:
1. Less than one (1) measles case is confirmed measles per one million population.
2. Detects and extracts blood for laboratory confirmation from at least 2 suspect
measles cases per 100,000 populations.
3. No secondary transmission of measles. This means that when a measles case
occurs, measles is not transmitted to others.
Who should be vaccinated?
All children between 9 months to 48 months old ( born October 1, 2003 – January
1,2007) should be vaccinated against measles.
When will it be done?
Immunization among these children will be done on October 15-November 15, 2007.
How will it be done?
Vaccination teams go from door-to-door of every house or every building in search of
the targeted children who needs to be vaccinated with a dose of measles vaccines,
Vitamin A capsule and deworming drug.
All health centers, barangay health stations, hospitals and other temporary
immunization sites such as basketball court, town plazas and other identified public
places will also offer FREE vaccination services during the campaign period.
My child has been vaccinated against measles. Is she exempted from this vaccination
campaign?
No, she is not. A previously vaccinated child is not exempted from the vaccination
campaign because we cannot be sure if her previous vaccination was 100% effective.
Chances are a vaccinated child is already protected, but no one can really be sure.
There is 15% vaccine failure when the vaccine is given to 9 months old children. We
want to be 100% sure of their protection.
What strategy will be used during the campaign?
It is a door-to-door strategy. The team goes from one-household to another in all areas
nationwide.
My child had measles previously, is he exempted in this campaign?
There are many measles-like diseases. We cannot be sure exactly what the child had,
especially if the illness occurred years ago. Anyway, the vaccination will not harm a
child who already had measles. The effect will also be like a booster vaccination. The
previously received measles immunization has formed antibodies, with the booster shot
it will strengthened the said antibodies.
Is there any overdose, if my child receives this booster immunization?
Antibodies in the blood which provide protection against disease decrease as the child
grows older. Booster vaccinations are needed to raise protection again. Measles
vaccination during the said campaign will be a booster vaccination for a previously
vaccinated child. The child’s waning internal protection will increase. The child will not
harm because there is no vaccine overdose for the measles vaccine. The measles
vaccine is even known to enhance overall immunity against other diseases.
What will happen to my child after receiving the measles immunization?
Normally, the child will have slight fever. The fever is a sign that the child’s vaccine is
working and is helping the body develop antibodies against measles.
The best thing to do when the child has fever is to give him paracetamol every four (4)
hours. Give him plenty of fluids and breastfeed the child. Ensure that the child has
enough rest and sleep.
What will happen after the “Knock-out Tigdas 2007”?
To interrupt measles circulation by 2008, ALL children ages 9 months will continue to
routinely receive one dose of the measles vaccine together with the vaccines the other
disease of the childhood like polio, diphtheria, pertussis, etc. All children with fever and
rashes have to be listed and tested to verify the cause of the infection.
ALL 18 months old children will be given a second dose of measles immunization to
really ensure that these children are protected against measles infection.
What other services will be given?
Vitamin A capsule will be given to all children 6 months to 71 month old and deworming
tablet to 12 months to 71 months old nationwide.
Additional messages:
Once the child is vaccinated, the posterior upper left earlobe will be marked with gentian
violet, so do not try to remove for the purpose of validation.
Houses will also be marked, so do not erase.
“I heard that there are cases where the child who was vaccinated who became seriously
ill or died. Is this true?
Measles vaccine is very safe. Minor reactions may occur such as fever but in an already
immunizes child, this may not occur. The most serious and RARE adverse event
following immunization is anaphylaxis which is inherent on the child, not on the
vaccines.

Leprosy Control Program

Leprosy Control Program envisions to eliminate Leprosy as a human disease by 2020
and is committed to eliminate leprosy as a public health problem by attaining a national
prevalence rate (PR) of less than 1 per 10,000 population by year 2000. Its elimination
goals are: reduce the national PR of <1 case per 10,000 population by year 1998 and
reduce the sub-national PR to <1 case per 10,000 population by year 2000. Kilatis Kutis
Campaign.
Program thrust is towards finding hidden cases of leprosy and put them on Multi-Drug
Therapy (MDT), emphasizing the completion of treatment within the WHO prescribed
duration.
Strategies are case-finding, treatment, advocacy, rehabilitation, manpower development
and evaluation.

Malaria Awareness Month - November 2007

Malaria is a disease caused by protozoan parasites called Plasmodium. It is usually
transmitted through the bite of an infected female Anopheles mosquito. Malaria may
also be transmitted through the following:
Transfusing blood that is positive for malaria parasites
Sharing of IV needles (especially among IV drug users)
Transplacenta (transfer of malaria parasites form an infected mother to her unborn
child)

Vitamin A Supplementation
Policy on Vitamin A Supplementation Program
* The Philippine government is committed to virtually eliminate VAD
* ECCD Law: DOH role is to ensure Vitamin A supplementation
* Administrative Order No. 3-A, s. 2000: Guidelines of Vitamin A and Iron
Supplementation
* Therapeutic supplementation: all cases of VAD
* Preventive supplementation:
1. Universal - children 6-59 months
2. Regular/routine - Pregnant and Lactating women, High-risk children
3. Supplementation during emergencies

Food Fortifcation
The Food Fortification program is the government's response to the growing
micronutrient malnutrition, which is prevalent in the Philippines for the past several
years.
Food Fortification is the addition of Sangkap Pinoyor micronutrients such as Vitamin A,
Iron and/or Iodine to food, whether or not they are normally contained in the food, for
the purpose of preventing or correcting a demonstrated deficiency with one or more
nutrients in the population or specific population groups.
Sangkap Pinoy or micronutrients are vitamins and minerals required by the body in very
small quantities. These are essential in maintaining a strong, healthy and active body;
sharp mind; and for women to bear healthy children.
Nutrition surveys since 1993 have been showing increasing prevalence of micronutrient
malnutrition, particularly that of Vitamin A Deficiency Disorder (VADD) and Iron
Deficiency Anemia (IDA) among children and women of reproductive age, who are the
most at-risk groups to micronutrient malnutrition.

Garantisadong Pambata
Garantisadong Pambata (GP) is a campaign to support the various health programs to
reduce childhood illnesses and deaths by promoting positive child care behaviours.
GP is a program of the Department of Health in partnership with the Local Government
Units (LGUs) and other government and non-government organizations.

Newborn Screening
Basic Information about Newborn Screening
What are the disorders included in the Newborn Screening Package?
1. Congenital Hypothyroidism (CH)
CH results from lack or absence of thyroid hormone, which is essential to growth of the
brain and the body. If the disorder is not detected and hormone replacement is not
initiated within (4) weeks, the baby's physical growth will be stunted and she/he may
suffer from mental retardation.
2. Congenital Adrenal Hyperplasia (CAH)
CAH is an endocrine disorder that causes severe salt lose, dehydration and abnormally
high levels of male sex hormones in both boys and girls. If not detected and treated
early, babies may die within 7-14 days.
3. Galactosemia (GAL)
GAL is a condition in which the body is unable to process galactose, the sugar present
in milk. Accumulation of excessive galactose in the body can cause many problems,
including liver damage, brain damage and cataracts.
4. Phenylketonuria (PKU)
PKU is a metabolic disorder in which the body cannot properly use one of the building
blocks of protein called phenylalanine. Excessive accumulation of phenylalanine in the
body causes brain damage.
5. Glucose-6-Phosphate Dehydrogenase Deficiency (G6PD Def)
G6PD deficiency is a condition where the body lacks the enzyme called G6PD. Babies
with this deficiency may have hemolytic anemia resulting from exposure to certain
drugs, foods and chemicals.
What is Newborn Screening?
Newborn Screening (NBS) is a simple procedure to find out if your baby has a
congenital metabolic disorder that may lead to mental retardation and even death if left
untreated.
Why is it important to have Newborn Screening?
Most babies with metabolic disorders look normal at birth. One will never know that the
baby has the disorder until the onset of signs and symptoms and more often ill effects
are already irreversible.
When is Newborn Screening done?
Newborn screening is ideally done on the 48th hour or at least 24 hours from birth.
Some disorders are not detected if the test is done earlier than 24 hours. The baby must
be screened again after 2 weeks for more accurate results.
How is Newborn Screening done?
Newborn screening is a simple procedure. Using the hell prick method, a few drops are
taken from the baby's heel and blotted on a special absorbent filter card. The blood is
dried for 4 hours and sent to the Newborn Screening Laboratory. (NBS Lab).
Who will collect the sample for Newborn Screening?
A physician, a nurse, a midwife or medical technologist can do the newborn screening.
Where is Newborn Screening Available?
Newborn screening is available in practicing health institutions (hospitals, lying-ins,
Rural Health Units and Health Centers). If babies are delivered at home, babies may be
brought to the nearest institution offering newborn screening.
When is the Newborn Screening results available?
Newborn screening results are available within three weeks after the NBS Lab receives
and tests the samples sent by the institutions. Results are released by NBS Lab to the
institutions and are released to your attending birth attendants or physicians. Parents
may seek the results from the institutions where samples are collected.
A negative screen mean that the result of the test is normal and the baby is not suffering
from any of the disorders being screened.
In case of a positive screen, the NBS nurse coordinator will immediately inform the
coordinator of the institution where the sample was collected for recall of patients for
confirmatory testing.
What should be done when a baby has a positive newborn screening result?
Babies with positive results should be referred at once to the nearest hospital or
specialist for confirmatory test and further management. Should there be no specialist in
the area, the NBS secretariat office will assist its attending physician.
Disorder Effect Effect if SCREENED and
Screened SCREENED treated
CH (Congenital
Severe Mental Retardation Normal
Hypothyroidism)
CAH (Congenital Adrenal
Death Alilve and Normal
Hyperplasia)
GAL (Galactosemia) Death or Cataracts Alive and Normal
PKU (Phenylketonuria) Severe Mental Retardation Normal
G6PD Deficiency Severe Anemia, Kernicterus Normal
Help us save the 33,000 babies affected annually by any of this disorders.

Occupational Health Program

Vision/Mission Statement
Health for all occupations in partnership with the workers, employers, local government
authorities and other sectors in promoting self-sustaining programs and improvement of
workers' health and working environment.
Program Objectives and TargetsTo promote and protect the health and well being of the
working population thru improved health, better working conditions and workers'
environment.Priority TargetsUnderserved/small scale and high risk groups in
industryOccupational Health ProgramsIndustrial HygieneGeneral Objective
To promote and protect the health and safety of workers in industry
Specific Objectives
To develop the capabilities and competencies of field health personnel in industrial
Hygiene
To formulate policies, standards, regulations and guidelines on Occupational Health and
Sanitation for industrial workers
To provide technical assistance on health and safety measures to protect the workers
from occupational hazards/stresses in the work environment
Strategies/Activities
Policy development
Manpower development
Promotion of Industrial Hygiene consciousness among target groups
Provision of Industrial Hygiene instruments for monitoring in selected regions
Inspection of workers
Monitoring
Special investigations
Advocacy thru the "Healthy Workplace Campaign"
Intersectoral linkages
Occupational Toxicology
General Objectives:
To promote the health and well being of workers exposed to hazardous substances in
small scale/non-institutional industries and to institute appropriate intervention
measures among workers with occupationally-related illnesses
To reduce morbidity and mortality of occupationally related poisonings Specific
Objectives
To develop training programmes/post graduate courses for medical and allied personnel
To establish a mechanism for toxicovigilance/surveillance of work-related poisonings
To establish an integrated system of monitoring, reporting and evaluation of all
occupationally-related poisonings
Develop an information databank on occupational toxicology and hazardous chemical
substances used in industry
Recommends codes of practices/intervention measures including detoxification to
minimize adverse effects of hazardous chemicals
Conduct research studies to establish baseline data for biological exposures,
epidemiological and applied studies
Undertake social mobilization/advocacy activities among target sectors in non-
institutional industries
Provide timely and accurate health advisories to target clienteles Strategies/Activities
Health surveillance and monitoring
Orientation seminars and training
Information campaign in coordination with local leaders
Advocacy and NetworkingHealthy Workplace Campaign
Launched in 1995 as a multi-sectoral health promotion strategy to build supportive
environments thru advocacy, networking and community action
Top 25 Healthy workplaces awarded by Pres. Fidel V. Ramos at Malacañang in 1996
1998 awardees honored by the First Lady Dr. Loi Ejercito at Malacañang, August, 1998

Pinoy MD Program
"Gusto kong Maging Doktor"
A Medical Scholarship Grant for Indigenous People, Local Health Workers, Barangay
Health Workers, Department of Health Employees or their children. This is a joint
program of the Department of Health (DOH), Philippine Charity Sweepstakes Office
(PCSO), and several State Universities and Medical Schools.

Persons with Disabilities

Rationale & Significance

The Constitution of the Republic of the Philippines recognizes every Filipino citizen’s
right to health. Recognizing this basic constitutional right, the government has worked to
ensure that the role and contributions of Filipinos with disabilities in nationbuilding are
given the appropriate attention by the international community. Last July 31, 2002, the
Philippines issued a statement and assured the internatonal community that the country
will recognize the protection and promotion of the Rights and Dignity of PWDs. The
Philippines was the main sponsor of resolution 56/115 on the “Implementation of the
World Programme of Action Concerning Disabled Persons: Towards a society for all
inthe 21st Century.”
National policies had been put in place to address the problems of disabled persons.
The Accessibility Law or Batasang Pambansa No. 844 was passed to increase the
mobility and access of a group of disabled persons to jobs and recreational facilities.
Republic Act No.7277, otherwise known as, “An Act Providing for the Rehabilitation,
Self-Development, and Self-Reliance of Disabled Persons and Their Integration into the
mainstream of Society and for Other Purposes,” was passed in September 1995. The
implementing rules and regulations of this Act required the Department of Health to
establish a “national registration and reporting system” for specific types of disabilities.
With the frontline services of the Department of Health devolved to the local government
units, the final implementation of this Act now rests with the Local Government Units
(LGUs). The LGUs had also been empowered to implement the Community-Based
rehabilitation (CBR) for PWDs by Executive Order 437, dated June 21, 2005. Hence the
PRPWD can now serve as a spring board for executing the CBRP.
Materials & Methods
The tool used in the PRPWD was a Personal Information Sheet (PIS) developed by the
Classifications and Standards Work Group for the PRPWD. The technique used in
collecting the data was the survey. The case definitions, procedures and practices of
that survey was contained in the first version of the Manual of Operations for the
PRPWD. The PIS were collated at the Municipal or City Health Office, where a
summary table for gender, age and locality was generated using a calculator. The
tables were either hand carried or sent by snail mail to the Provincial Health Office by
the Health Officer or
through the Department of Health’s Local Representatives who sent the provincial
summaries to the regions, thence the national office. A national summary was produced
using a calculator at the National Office.
Results
Last day for closing the 2004 Registry was April 6, 2005. The results of the registration
of PWDs are in Tables 1, 2, and 3.In 2004, a total of 508,270 PWDs registered,
representing 12% of the estimated 8.4 million PWDs. Two CHDs were not included due
to difficulties in data processing at the National Office.

National TB Control Program

The rising incidence of tuberculosis has economic repercussions not only for the
patient’s family but also for the country. Eighty percent of people afflicted with
tuberculosis are in the most economically productive years of their lives, and the
disease sends many self-sustaining families into poverty. The rise in the incidence of
tuberculosis has been due to the low priority accorded to anti-tuberculosis activities by
many countries. The unavailability of anti-TB drugs, insufficient laboratory networking,
poor health infrastructures, including a lack of trained health personnel, have also
contributed to the rise in the incidence of the diseases.
According to the World Health Organization, the Philippines ranks fourth in the world for
the number of cases of tuberculosis and has the highest number of cases per head in
Southeast Asia. Almost two thirds of Filipinos have tuberculosis, and up to five million
people are infected yearly in our country.
In 1996, WHO introduced the Directly Observed Treatment Short Course (DOTS) to
ensure completion of treatment.
The DOTS strategy depends on five elements for its success: Microscope, Medicines,
Monitoring , Directly Observed Treatment, and Political Commitment). If any of these
elements are missing, our ability to consistently cure TB patients slips through our
fingers.

BIBLIOGRAPHY

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2010 from http://portal.doh.gov.ph/about_doh/profile.
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7, 2010 from http://www.lawphil.net/administ/doh/doh.html#top

Department of Health. (2010). Health Programs. Retrieved on December

5, 2010 from www.doh.gov.ph/program

Department of Health. (2010). Health Programs. Retrieved on December

4, 2010 from http://www.doh.gov.ph/programs/tigdas.html

Department of Health. (2010). Health Programs. Retrieved on December

7, 2010 from http://www.doh.gov.ph/node/1299.html

Department of Health. (2010). Health Programs. Retrieved on December

6, 2010 from http://www.doh.gov.ph/programs/malaria.html

Department of Health. (2010). Health Programs. Retrieved on December

6, 2010 from http://www.doh.gov.ph/healthadvisories/leprosy.html