Duque, MD Responsible for improvement of health centers and health services
DOH Secretary ICV Informed Choice and Voluntarism RA 6713 Code of Conduct and Ethical Standars .. NIMFA B. TORRIZO, MD, MPH RA 3573 Mandates to report Communicable Diseases Regional Director IV RA 9711 Food and Drug Administration RA 9485 Anti-Red Tape Act of 2007 SULPICIA D. ABAMONGA, MD, MPA RA 7160 The Local Government Code DOH Provincial Officer RA 6425 Dangerous Drug Act DMO V RA 9165 The New Dangerous Drug Act of 2002 PD No. 651 Registration of all births within 30 days following delivery ELLENIETTA HMV N. GAMOLO, MD, MPH, CESE RA 8749 Clean Air Act of 2000 Medical Specialist IV PD No. 856 Code on Sanitation OIC, Chief Local Health Support Division RA 6675 Genetics Act of 1988 RA 7305 Magna Carta for Public Health Nurses JUCEL Q. ARNADO, RN, MN RA 7432 Senior Citizens Act DMO IV RA 8172 Salt Iodization Act (ASIN LAW) RA 7277 Magna Carta for PWDs PDOHO Provincial Department of Health Office AO No. 2005-0014 National Policies on Infant and Young Child Feeding LHSD Local Health Support Division EO 51 (Milk Code) Philippine Code of Marketing of Breast Milk Substitutes Under LGU RA 7600 Rooming In and Breastfeeding Act of 1992 New name called Local Health Systems Development RA 7875 National Health Insurance Act NVBDP National Voluntary Blood Donation Program RA 8976 Food Fortification Law Green Passed AO No. 2006-0012 Revised Implementing Rules and Regulations of EO 51 or Milk Yellow Average Code Red Failed AO 2010-0036 Aquino Health Agenda Act UHC Universal Health Care AO 2008-0029 Implementing of AHA (Implementing Health Response for Rapid FIQ Filipino Income Quintiles Reduction of Maternal and Neonatal Mortality) Act NHTS-PR National Household Targeting System for Poverty Reduction RA 9262 Violence Against Women PIDSR Philippine Integrated Disease Surveillance and Response RA 10354 Responsible Parenthood/RH Law VIA Visual Inspection with Acetic Acid RA 10152 Mandatory Infant and Child Health Immunization Act of 2011 ISO International Standard Organization RA 7305 Magna Carta for Health Workers NTO Neglected Tropical Disease RA 1082 Rural Health act Schistosomiasis AO 2006-0015 Hepa B Immunization for Children below 8 yo Filariasis RA 4226 - Licensing Intestinal Helminths MDG Millennium Development Goals: KB para sa KP Kapit Bisig para sa Kalusugan Pangkalahatan 1. Eradicate extreme poverty and hunger (DSWD) MCP Maternal Care Package 2. Achieve universal primary education (DEPED) NCP Newborn Care Package 3. Promote gender equality and empower women (DILG) BUB Bottom Up Budgetting 4. Reduce child mortality (DOH) FGD Focus Group Discussion 5. Improve Maternal Health (DOH) 5-in-1 RHU MCP, TB, DOTS, Out-Patient Benefit(TSEKAP), NBS (screen 28 diseases), 6. Combat HIV, AIDS, Malaria and other diseases (DOH) Anti-Rabies accredited 7. Ensure environmental sustainability (DENR) CAMPOLA Cotrimoxazole, Amoxicillin, Mefenamic Acid, Paracetamol, Oresol, 8. Develop a global Partnership for development Lagundi, Vit. A 6 Instruments/Pillars of KP: DOTS Direct Observe Treatment Short-course 1. Health Financing NIP National Immunization Program 2. Service Delivery New name of EPI 3. Policy, Standards and Regulation Immunizations for Senior Citizens included 4. Health Human Resource PD 8775 Penalty for Improper Waste Disposal 5. Health Information RA 8423 Traditional and Alternative Health Care 6. Governance for Health RA 4073 Home Treatment of Leprosy 3 Goals of Formula1: EPI Expanded Program on Immunization 1. Better health outcome 2. Equitable health financing 6 preventable diseases: 3. More responsive health system 1. TB 3 THRUSTS: 2. Poliomyelitis 1. Financial Risk Protection through expansion of enrollment of benefit 3. Diphtheria delivery of the National Health Insurance Program 4. Tetanus 2. Improve access to quality health facilities 5. Pertussis 3. Achieving health-related Millennium Development Goals 6. Measles Universal Health Care (UHC) NBB No Balance Billing TSEKAP Tamang Serbisyo Para sa Kalusugang Pampamilyang Pilipino Kalusugang Pangkalahatan (KP) MAP Medical Assistance Program The provision to every Filipino of the highest possible quality of health HLGP Health Leadership Governance Program care that is accessible, efficient, equitably distributed, adequately CPR Contraceptive Prevalence Rate funded, fairly financed and appropriately used by an informed and Current User/Total Population x 12.325% empowered public EFHSIS Electronic Field Health Services Information System Aims to ensure that every Filipino shall receive affordable and quality FDS Family Development Session health benefits. This involves providing adequate resources health GIDA Geographically Isolated and Disadvantaged Area human resources, health facilities, and health financing HSP Health Service Provider 4 Es of a Well Performing Local Health System: ITR Individual Treatment Record 1. Effective TCL Target Client List 2. Efficient FBD Facility Based Delivery 3. Equitable pro-poor, fair in financing and utilization SBA Skilled Birth Attendant 4. Empowering active ownership, participation and transparent devision- REDCOP Renal Disease Control Program making NTP National Tuberculosis Program MNCHN Maternal Newborn Child Health Nutrition IMCI Integrated Management of Childhood Illnesses HFEP Health Facility Enhancement Program Community Health Team (CHT) Types of LOCHIA: One way to achieve health-related MDGs 1. Rubra (Red, 1-3 days) Are groups of volunteers, who will assist families with their health needs, -blood + mucus + decidua/small clots provide health information and facilitate communication with other 2. Serosa (Pink, 4-10 days) health providers blood + mucus + leukocytes DOH National: 3. Alba (White, 10-14 days) VISION by 2030 A global leader for attaining better health outcomes, -mucus competitive and responsive health care system, and equitable health WHO: Tobacco Control Policy (MPOWER) financing Monitor tobacco use and prevention policies MISSION To guarantee equitable, sustainable, and quality health for all Protect people from tobacco smoke Filipinos, especially the poor, and to lead the quest for excellence in Offer help to quit tobacco use health Warn about dangers of tobacco Holds the overall technical authority on health as its national health Enforce bans of tobacco advertising promotion and spoinsorship policy maker and regulatory institution Raise taxes on tobacco ISO 9001-2008 DOH Region 10: LEOPOLDS MANUEVER: VISION A center of excellence committed to Local Health System 1st: Fundal Grip Development to attain quality health care Determine size and shape MISSION Build health worker capabilities to better influence local 2nd: Lateral Grip governance for health, stir the entire health system towards the Location of fetal back (firm and smooth) promotion of health and well-being of its constituents and provide 3rd: Pawlicks Grip quality, efficient , equitable and accessible health care through a strong Fetal part is lying above the inlet or lower abdomen multi-sectoral collaborative and coordinative strategy 4th: Pelvic Grip TOP 10 Leading Cause of MORTALITY in the Philippines Locate fetus brow 1. Heart Disease Fetal altitude and degree of fetal extension into the pelvis 2. Vascular System Disease Hospital HI-5 (4 Major Initiatives) 3. Malignant Neoplasm 1. Alagang Pinoy Brand (Branding) 4. Accidents 2. Strengthening the Service Delivery Netwrk 5. Pneumonia 3. Kapit Bisig para sa KP 6. Tuberculosis 4. Ensuring all availability of drugs and medicine in support of NBB 7. Unclassified cough 8. DM 4 Pillars of FAMILY PLANNING: 9. Perinatal conditions 1. Responsible Parenthood 10. 2. Respect for life Dengue 4Ss 3. Birth spacing at 3 years 1. Search and Destroy 4. Informed choice 2. Self Protection Nutrition Program 3. Seek early advice ASIN Law: RA 8172 (Salt Iodization Nationwide) 4. Say yes to fogging Food Fortification : RA 8976 BLOOD Typing and Compatibility Vitamin A: Child 100,000 IU (Blue), Postpartum 200,000 IU (Red) Blue: blood type A (Receive: A and O; Donate: A and AB) DOHROX Retained Hospitals: Yellow: blood type B (Receive: B and O; Donate B and AB) 1. NMMC CDO Blue and Yellow: AB (Receive: all blood type: Donate: AB) 2. Amai Pakpak Marawi City, LDS No Reaction: 0 (Receive: O; Donate: all blood type) 3. Mayor Hilarion A Ramiro Sr Regional Traiining and Teaching Hospital White: RH+ Ozamiz No Reaction: RH- NEWBORN Screening: Mechanisms of Labor (E D F IR E ER E) First: 1996 Engagement Early detection of diseases (28 diseases) Descent 6 tests: P550 Flexion 28 test: P1500 Internal Rotation Disorders: Extension 1. G6PD hemolytic anemia External Rotation 2. Congenital Hypothyroidism Expulsion 3. Congenital Adrenal Hyperplasia 5 Elements of TUBERCULOSIS 4. Galactosemia 1. Smear Microscopy available 5. Phenylketonuria 2. Drug supply is uninterrupted 6. Maple Syrup Urine Disease 3. Patients drug intake is supervised High Impact 5 a strategy which aims to produce the greatest improvements in 4. Program is monitored health outcomes and the highest impact on priority vulnerable population 5. Political will RAIDERS Reach and Innovate Desired Rational Score Pregnancy Complications: TSISMIS Tama Sigurado Makabuluhang Information System 1st Trimester CHAT Community Health Action Team 1. Miscarriage Maternal Mortality: 2. Ectopic Pregnance 1. Postpartum Hemorrhage 2nd Trimester 2. Pulmonary Embolism 1. Hydatidiform Mole 3. Hypertensive Disorders 2. Premature Cervical Dilatation 4. Abortion 3rd Trimester 5. Placental Retention 1. Placenta Previa 6. Septicimia 2. Preterm Labor 7. Abruptio Placenta 3. Abruption Placenta 8. Placenta Previa Signs of Pregnancy: Infant/Child Moratality: Presumptive (Subjective) weak 1. Pneumonia Probable (Objective) stronger 2. Congenital Abnormalities Positive (Absolute sign) 3. Sepsis Newborn 4. Prematurity Unqualified 5. Malnutrition 6. Diarrhea/Gastroenteritis DOH Values Integrity Basic Emergency Obstetric and Newborn Care (BEmONC) Compassion and respect for humanity 1. Parenteral administration of oxytocin in 3rd stage of labor Commitment 2. Parenteral administration of loading dose of anticonvulsants Excellence 3. Initial dose of antibiotics Professionalism 4. Performance of assisted deliveries Teamwork 5. Removal of retained products of conception Stewardship 6. Manual removal of retained placenta Emergency newborn interventions: Direct sputum smear microscopy (DSSM) is the primary diagnostic 1. Newborn resuscitation method adopted by the NTP among such individual 2. Treatment of neonatal sepsis/infection Chest X ray is used to complement bacteriologic testing in making a 3. Oxygen support diagnosis Comprehensive Emergency Obstetric and Newborn Care (CEmONC) Tuberculin skint test (TST) is a basic screening tool for TB infection 1. Six signals obstetric functions among children using purified protein derivative (PPD) tuberculin 2. Blood banking and transfusion services solution to trigger a delayed hypersensitivity reaction among those 3. Highly specialized obstetric interventions previously infected. Emergency newborn interventions: 0 14 years old TB in children 1. BEmONC + Management of low birth weight/preterm 15 years old and above TB (Adult) newborn Presumptive TB (old term: Symptomatic TB) any person whether adult 2. Other specialized newborn services or child with signs and/or symptoms suggestive of TB whether Early initiation of breastfeeding after birth within 90 minutes of life pulmonary or extra-pulmonary, or those with chest x-ray findings suggestive of active TB. 3 delays of maternal death: 1. Making decision 2. Transportation Classification based on bacteriological status: 3. Referral Hospital Prenatal (4 ANC Visits): Bacteriologically confirmed (positive DSSM and/or positive Gene 1st Tri: 84 days Xpert) 2nd Tri: 85-189 days 3rd Tri: 190 days onwards Clinically Diagnosed (negative DSSM, positive chest X-ray, or diagnosed Health Use Plan (HUPs): by a physician without any diagnostic procedures) Form 1: Household Profiling Form 2A: Newborn (0-28 days) Classification based on anatomical site: Form 2B: Infant (29days to >1yo) Form 2C: Child (1-5yo) Pulmonary TB (PTB) - lungs Form 2D: Pregnant Extrapulmonary TB (EPTB) sites other than lungs Form 2E: Postpartum Form 2F: Family Planning Category of Treatment: Form 2G: Chronic Cough (>7 days) Category I Pulmonary TB, New (whether BC or CD); EPTB, New (Except National Target: CNS/bones or joints); Treatment Regimen: 2HRZE/4HR Contraceptive Prevalence Rate: 65% Category II Previously treated drug susceptible TB (pulmonary or Maternal Death: 52/100,000 Pop. extrapulmonary-except CNS/bones or joints); Treatment Regimen: Infant Death: 19/1,000 Pop. 2HRZES/1HRZE/5HRE Malnutrition: 17.3% Category Ia Extra-pulmonary TB, new (CNS/bones or joints); Treatment EPI: 95% Regimen: 2HRZE/10HR Maternal/EPI: TPx2.7% Category IIa Previously treated drug susceptible EPTB (CNS/Bones, or Infant Mortality Rate: joints); Treatment Regimen: 2HRZES/1HRZE/9HRE (# of deaths below 1yo/total # of livebirths)(1000) Schedule of Follow-up DSSM for Category I patients Skilled Birth Attendant: Category I (DSSM positive) 2nd month, 5th month, 6th month (# of LB attended by SBA/# of LB)(100) Category I (DSSM negative) 2nd month only Facility Based Delivery: Category II 3rd month, 5th month, 8th month (# of total FBD/# of LB)(100) Crude Death Rate: Sustainable Development Goals (SDG) mid year population x 100 Maternal Mortality: 15 Years 17 Goals 169 Targets 230 Indicators Maternal Birth/Maternal Death NTP Target by 2016 1 NO POVERTY 7 Targets, 12 Indicators END POVERTY IN ALL ITS FORMS 90% - Case Detection Rate All Forms (CDR) EVERYWHERE 61% - Notification Rate of MDR 75% - TB case treatment success rate of MDR TB case 2 ZERO HUNGER 8 Targets, 14 Indicators END HUNGER, ACHIEVE FOOD SECURITY Formula: AND IMPROVED NUTRITION AND PROMOTE SUSTAINABLE AGRICULTURE CDR = Total Pop x 0.00311 (96%) Cure Rate (90%) = (# of patient cured x 100)/(# of patient enrolled) 3 GOOD HEALTH AND WELL-BEING 13 Targets, 26 Indicators ENSURE HEALTHY TSR = (# of patient cured/treatment completion of all forms)/(# of patient enrolled LIVES AND PROMOTE WELL-BEING FOR ALL AT ALL AGES all form) x 100 Additional Notes for NTP: 4 QUALITY EDUCATION 10 Targets, 11, Indicators ENSURE INCLUSIVE AND 1. Administrative Control = 1st line of defense EQUITABLE QUALITY EDUCATION AND PROMOTE LIFELONG LEARNING 2. Environmental Control = 2nd line of defense OPPORTUNITIES FOR ALL 3. Respiratory Protection Control = 3rd line of defense Target by 2016: 5 GENDER EQUALITY 9 Targets, 14 Indicators ACHIEVE GENDER EQUALITY AND 90% Case Detection Rate (CDR), all forms EMPOWER ALL WOMEN AND GIRLS 90% Treatment Success Rate, all forms Notification Rate of MDR-TB: 61% of estimated MDR among notified 6 CLEAN WATER AND SANITATION 8 Targets, 11 Indicators ENSURE AVAILABILITY 75% TB Case Treatment Success Rate of MDR-TB Cases AND SUSTAINABLE MANAGEMENT OF WATER AND SANITATION FOR ALL
7 AFFORDABLE AND CLEAN ENERGY 5 Targets, 6 Indicators ENSURE ACCESS TO
AFFORDABLE, RELIABLE, SUSTAINABLE AND MODERN ENERGY FOR ALL under 5 mortality to at least as low as 25 per 1,000 live births 8 DECENT WORK AND ECONOMIC GROWTH 12 Targets, 17 Indicators PROMOTE - End the epidemics of AIDS, tuberculosis, malaria, and neglected tropical SUSTAINED, INCLUSIVE AND SUSTAINABLE ECONOMIC GROWTH, FULL AND diseases, and combat hepatitis, water-borne diseases, and other PRODUCTIVE EMPLOYMENT AND DECENT WORK FOR ALL communicable diseases by 2030 - Reduce by one-third pre-mature mortality from non-communicable 9 INDUSTRY INNOVATION AND INFRASTRUCTURE 8 Targets, 12 Indicators BUILD diseases by 2030 RESILIENT INFRASTRUCTURE, PROMOTE INCLUSIVE AND SUSTAINABLE - Strengthen prevention and treatment of substance abuse, including INDUSTRIALIZATION AND FOSTER INNOVATION narcotic drug abuse and harmful use of alcohol - Halve the number of global deaths and injuries from road traffic 10 REDUCED INEQUALITIES 10 Targets, 11 Indicators REDUCE INEQUALITY accidents by 2020 WITHIN AND AMONG COUNTRIES THE DUTERTE HEALTH AGENDA 11 SUSTAINABLE CITIES AND COMMUNITIES 10 Targets, 15 Indicators MAKE All for Health towards Health for All CITIES AND HUMAN SETTLEMENT INCLUSIVE, SAFE, RESILIENT AND SUSTAINABLE 2015-2030: Sustainable Development Goals 12 RESPONSIBLE CONSUMPTION AND PRODUCTION 11 Targets, 13 Indicators Reduce Maternal Mortality ENSURE SUSTAINABLE CONSUMPTION AND PRODUCTION PATTERNS End preventable deaths of newborn and children End AIDS, TB, Malaria, and NTDs. Combat Hepatitis, water-borne and 13 CLIMATE ACTION 5 Targets, 7 Indicators TAKE URGENT ACTION TO COMBAT other communicable diseases CLIMATE CHANGE AND ITS IMPACTS Reduce premature mortality from NCDs Strengthen the prevention and treatment of substance abuse 14 LIFE BELOW WATER - 10 Targets, 10 Indicators CONSERVE AND SUSTAINABLY Reduce the number of global deaths and injuries from road traffic USE THE OCEANS, SEAS AND MARINE RESOURCES FOR SUSTAINABLE accidents DEVELOPMENT Ensure universal access to RH Services Achieve universal health coverage 15 LIFE ON LAND 12 Targets, 14 Indicators PROTECT, RESTORE AND PROMOTE Reduce deaths from hazardous substances and pollution SUSTAINABLE USE OF TERRESTRIAL ECOSYSTEMS, SUSTAINABLY MANAGE FORESTS, Our Goals: COMBAT DESERTIFICATION, AND HALT AND REVERSE LAND DEGRADATION AND FINANCIAL PROTECTION Filipinos, especially the poor are protected HALT BIODIVERSITY LOSS from high cost of health care HEALTH OUTCOMES Filipinos attain the best possible health outcomes 16 PEACE, JUSTICE AND STRONG INSTITUTIONS 12 Targets, 23 Indicators with no disparity PROMOTE PEACEFUL AND INCLUSIVE SOCIETIES FOR SUSTAINABLE DEVELOPMENT, RESPONSIVENESS Filipinos feel respected, valued, and empowered in PROVIDE ACCESS TO JUSTICE FOR ALL AND BUILD EFFECTIVE, ACCOUNTABLE AND all of their interaction with the health system INCLUSIVE INSTITUTIONS AT ALL LEVELS Our Values & Objectives: EQUITABLE & INCLUSIVE Filipinos, especially vulnerable populations 17 PARTNERSHIPS FOR THE GOALS 19 Targets, 25 Indicators STRENGTHEN THE are able to access services with least financial, cultural and geographical MEANS OF IMPLEMENTATION AND REVITALIZE THE GLOBAL PARTNERSHIP FOR barriers SUSTAINABLE DEVELOPMENT HIGH QUALITY & COMPREHENSIVE Filipinos are able to demand full range of quality and compassionate services that are at par with global Comparison of the MDGs and SDGs clinical and non-clinical standards MDGs SDGs EFFICIENT & SUSTAINABLE Filipinos are able to continuously get the most health from resources allocated (efficient and cost-effective) Number of 8 17 TRANSPARENT & PARTICIPATORY Filipinos are able to make informed Goals choices with respect to their health/care and participate in local and Number of 21 169 national discourse Targets Our Commitment: Number of 60 230 Filipino families are entitled to Indicators Comprehensive range of services that protect everyone at all ages and all General Social Economic growth, social inclusion & stages scope/focus environmental protection Receive coordinated, appropriate, quality and respectful care Target Developing countries, Entire world (rich and poor) Financial freedom when availing of health care services particularly the poorest The government is committed to Formulation Produced by a group of Result of consultation process Guarantee services that provide CARE FOR ALL LIFE STAGES & ADDRESS experts among: THE TRIPLE BURDEN OF DISEASES - 193 UN Member States Ensure these services are accessible in functional SERVICE DELIVERY - Civil society NETWORK - Other stakeholders Sustainably finance these services through UNIVERSAL HEALTH COVERAGE GOAL 3 Good Health and Well-being CARE FOR ALL LIFE STAGES & ADDRESS THE TRIPLE BURDEN OF DISEASES Some of the Targets: - Reduce global maternal mortality ration to less than 70 per 100,000 live All Life Stages births by 2030 Neonatal Care, Infant and Underfive Child Care, Adolescent Health, Adult Health, - End preventable deaths of newborns and children under 5 years of age Maternal Care, Care for Older Persons by 2030, aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and Communicable Diseases Health Promotion and Healthy Lifestyles for nutrition, physical activity, 100% commodities for Disease Free Zones tobacco and alcohol control Prevent infection and its spread with early diagnosis and complete TSEKAP + outpatient drugs (including cancers, rare diseases, metabolic treatment disorders, mental health drugs) for the poorest Surveillance and contact tracing Disease of Industrialization Injuries, mental health (including suicide prevention), drug abuse Non communicable Diseases rehabilitation Capacity building and community-based interventions Service Delivery Networks (SDN) CLOSE TO & FELT BY THE PEOPLE ACCESS TO ALL LEVELS OF CARE AND GATEKEEPING IN THE SDN ADEQUATELY PREPARED RESPOSIVE AND RESILIENT IN TIMES OF SERVICES AT PAR WITH CLINICAL & NON-CLINICAL STANDARDS EMERGENCY AND DISASTER CLIENT-CENTERED & CULTURALLY-SENSITIVE Universal Health Insurance PHILHEALTH as THE GATEWAY TO FREE SERVICES Every Filipino as member No balance billing for the poor; defined co-pay for others MAIN BUYER OF SERVICES ON BEHALF OF 100M FILIPINOS Primary, outpatient, inpatient services Outpatient drugs, catastrophic cases Main revenue source of providers
ACHIEVE
Our Strategy - ACHIEVE
A Advance primary care, quality & cost effectiveness
C Cover all Filipinos with comprehensive health financing H Harness Health Human Resource for productivity I Invest in digital health and data E Enforce standards, accountability and transparency V Value clients and patients E Elicit multistakeholder support for health