The document outlines the Department of Health's (DOH) current efforts, status, and directions regarding achieving Millennium Development Goals 4 and 5 in the Philippines. It discusses programs established to improve maternal and child health, including emergency obstetric care facilities, integrated service packages, training programs, and monitoring systems. It notes accomplishments, ongoing challenges, and a proposed approach to scaling up family planning and maternal, newborn and child health programs through collaboration with partners.
The document outlines the 4 core steps of Essential Newborn Care (ENC) which are: 1) Immediate drying of the newborn, 2) Skin-to-skin contact between mother and newborn, 3) Properly timed cord clamping and cutting between 1 to 3 minutes after birth, and 4) Non-separation of newborn and mother for early breastfeeding initiation and rooming-in. These simple steps can prevent at least half of newborn deaths without additional costs to families or hospitals.
Integrated Management of Childhood Illness (IMCI) Lalit Kumar
Integrated Management of Childhood Illness (IMCI) is a cost-effective approach
Integrated Management of Childhood Illness (IMCI) - Focuses on the child and not on the illness
Nursing informatics is a nursing specialty that applies computer and information science to support nurses. It aims to improve health by optimizing information management. As technology has advanced, the role of nurses as knowledge workers has evolved, requiring informatics competencies. Nursing informatics roles and specialization help nurses access and utilize necessary information to provide safe patient care.
Presntation by Zorayda E. Leopando, MD, MPH
Professor of Family and Community Medicine University of the Philippines Manila at the WHO/TNO/Dutchgovernment Congres 'Connecting Health and Labour' 29 - 1 December 2012
The document provides information on various public health programs and initiatives by the Department of Health in the Philippines. It includes the DOH health calendar for 2010 which lists important health awareness dates throughout the year focused on topics like cancer, kidney disease, tuberculosis, and more. It also discusses the maternal and child health program which aims to reduce maternal and child mortality rates through interventions like prenatal care, immunizations, nutrition supplementation, and clean and safe deliveries. Key aspects of family planning counseling are outlined as well, emphasizing the importance of informed choice and addressing clients' individual needs and circumstances.
Nursing Case study nsvd normal spontaneous deliverypinoy nurze
The document provides details about a case of normal spontaneous vaginal delivery (NSVD). It describes the four stages of labor: stage 1 involves cervical dilation from 0-10 cm over 3 phases; stage 2 is the pushing stage until the baby is delivered; stage 3 involves delivery of the placenta; and stage 4 is the recovery period. It then provides a nursing case study of a 15-year old patient who experienced an unwanted pregnancy from rape and underwent NSVD, including assessments, orders, and progression of labor and recovery.
The document discusses community health nursing and its key principles. Community health nursing focuses on promoting health and preventing disease for communities, families, and individuals. It aims to provide nursing care for all groups, especially the vulnerable and marginalized. Community health nurses act as generalists and work across multiple sectors to empower clients and improve health through health education and promotion efforts.
This document discusses several models and frameworks related to nursing informatics. It describes Graves and Corcoran's model which views nursing informatics as the linear progression from data to information to knowledge. It also outlines Schwirian's model focusing on identifying information needs and Turley's model defining nursing informatics at the intersection of nursing science, computer science, and information science. Additionally, it discusses the Data-Information-Knowledge model and Benner's Novice to Expert model as applied to nursing informatics. Finally, it introduces several specific models for the Philippine healthcare ecosystem, the patient medical record, and terminology standards.
integrated management of neonatal and childhood illnesses, Dr KRBdrkulrajat
The document discusses the Integrated Management of Neonatal and Childhood Illness (IMNCI) strategy. It was developed to address the major causes of child mortality, which are pneumonia, diarrhea, malaria, measles and malnutrition. IMNCI aims to improve the case management skills of health workers, strengthen the health system, and promote better family and community health practices. The key components of IMNCI include guidelines for assessing, classifying, treating and counseling children under 5 with common illnesses. It takes an integrated approach to address the overall health needs of children rather than focusing on single diseases.
This document discusses the socio-economic problems of infertility. It defines infertility as the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year. Reasons for infertility include hormonal imbalances, reproductive organ issues, and medication side effects. Infertile couples experience social withdrawal over time as failed pregnancy attempts cause increased sadness and unwillingness to share problems. Treatment costs are also a major economic problem, ranging from tens of thousands to over $100,000 per cycle depending on the procedures. Developing countries tend to view infertility more negatively from a social perspective compared to Western nations.
Nursing informatics theories, models, and frameworksJoseph Lagod
Nursing informatics is an established and growing specialty area in nursing that employs information technologies. It combines nursing science, computer science, and information science. Nursing informatics helps manage and communicate data, information, and knowledge to support decision-making by patients, nurses, and other providers. The goal is to improve care through the effective use of information technology.
Oral rehydration therapy (ORT) is a treatment for dehydration caused by diarrhea that involves drinking a mixture of water, glucose, and salts. While it reduced child mortality from diarrhea, its use stagnated in the 2000s with 1.5 million deaths per year still occurring. Issues included a misalignment between demand and supply for oral rehydration solution (ORS) packets as well as poor logistical execution at the country level where ORS did not reach rural populations as intended. Opportunities exist to improve product design, packaging, marketing, and distribution systems to better drive ORT utilization.
History of nursing informatics in the philippinesshakiamarie
Nursing informatics is a relatively new field in the Philippines that follows the development of biomedical informatics. Some key events in its history include the Philippine Nurses Association participating in developing health information standards in 1999, the launch of a health informatics master's program in 2005, and the formation of the Philippine Nursing Informatics Association in 2010. Nursing informatics aims to help nurses keep up with increasing use of technology in healthcare, but faces challenges in customizing international curriculum to local needs and gaining recognition as a specialty.
This document provides an overview of Integrated Management of Childhood Illnesses (IMCI) training developed by Dr. Hassan Ali Indhoy. It discusses the steps health workers should take when a sick child is brought to the clinic, including greeting the mother, asking about the child's problems, and determining if it is an initial or follow-up visit. It then covers several common childhood illnesses like cough, difficult breathing, diarrhea, malaria, measles and their classification and treatment approaches within the IMCI framework. The goal is to train health workers to properly assess, classify, treat or refer children based on the IMCI guidelines.
Importance of Nursing Informatics in the Health Care Delivery System with the...aubreyannesaa
This document discusses the importance of nursing informatics in healthcare delivery in the Philippines. It defines nursing informatics as integrating nursing science with information management and analytical sciences to identify, define, manage and communicate patient data. Nursing informatics provides information to patients, nurses and other providers to aid health development using current IT trends. While still developing, nursing informatics in the Philippines follows biomedical informatics and aims to enhance clinical decision making and access to patient information through electronic documentation and monitoring. It applies to all nursing areas like documentation, electronic medical records, and reminders to improve efficiency and reduce errors.
In obstetrics, Leopold maneuvers are a common and systematic way to determine the position of a fetus inside the woman's uterus; they are named after the gynecologist Christian Gerhard Leopold. They are also used to estimate term fetal weight.
The aim of Leopold maneuvers is to determine the fetal presentation and position by systematically palpating the gravid abdomen.
ctto Marie Belen Tamayor - Leopold's Maneuver, Miss Marie's presentation provided the slides that explain Leopold's maneuver.
postpartum period Is the period beginning immediately after the birth of a child and extending for about six weeks.
The World Health Organization (WHO) describes the postnatal period as the most critical and yet the most neglected phase in the lives of mothers and babies; most deaths occur during the postnatal period
It is the time after birth, a time in which the mother's body, including hormone levels and uterus size, returns to a non-pregnant state.
Postpartum Nursing Physical Assessment
Physical Assessment is necessary to identify individual needs or potential problems
Explain to pt purposes of the examination.
obtain her consent.
Record your findings and report results to the mother.
Avoid exposure to body fluids.
Teach pt as you assess – use every opportunity since there is limited time.
The family assessment document summarizes a community health nurse's home visit with the Mabatid family. The nurse conducted an initial assessment of the family, collecting information on their structure, socioeconomic factors, environment, and health. Key issues identified were improper waste disposal and a large mosquito presence. The nurse prioritized these problems and created a family nursing care plan focused on educating the family on proper waste segregation and disposal. The activity reinforced the important role community health nurses play in preventive care, health education, and addressing issues at their source within families and communities.
This document contains 20 multiple choice questions about neonatology. The questions cover topics like the benefits of breastfeeding, nutritional requirements for formula-fed infants, indications for soy formula, composition of breastmilk versus cow's milk, Apgar scoring of newborns, fetal development, newborn transition after birth, newborn resuscitation, and assessment of gestational age.
The Philippine Health Agenda 2016-2022 aims to achieve three guarantees: universal health insurance, a functional service delivery network, and services for all life stages and diseases. It outlines strategies to advance health promotion, cover all Filipinos against financial health risks, harness human resources, invest in health data and technology, increase accountability and transparency, improve responsiveness to patients, and elicit multi-sectoral support for health. The agenda seeks to attain health-related UN Sustainable Development Goals by 2022.
This document outlines the Duterte administration's health agenda to achieve universal health coverage in the Philippines. The key goals are to:
1) Establish functional service delivery networks to ensure access to quality health services.
2) Attain and sustain universal health insurance to protect Filipinos from health-related financial risks.
3) Protect Filipinos from the triple burden of disease through guaranteed health services and community interventions.
Medical Governance and Health Policy in the PhilippinesAlbert Domingo
An overview of key concepts and present trends in medical governance, health policy, and health sector reform in the Philippines, presented by Dr. Albert Domingo at the De La Salle Health Sciences Institute - College of Medicine on Sep. 26, 2013 for the subject "Perspectives in Medicine".
Includes the broad concept of medical governance as applied to various settings, from the point of care between provider and client/patient, to national and global health systems. Also touches on the practice of evidence-based healthcare as applied to the scale-up of innovations necessary to accelerate reform implementation, with grounding in the operational realities of implementation arrangements faced by sector managers on a day-to-day basis.
Suggested Citation:
Domingo, Albert Francis E. "Medical Governance, Health Policy, and Health Sector Reform in the Philippines: An Overview of Key Concepts and Present Trends." De La Salle Health Sciences Institute (DLSHSI). DLSHSI College of Medicine, Dasmarinas, Cavite. 26 Sep. 2013. Lecture.
The healthcare system in the Philippines has a decentralized structure with the Department of Health as the apex regulatory authority. It follows a pyramidal organization with primary care provided at rural health units and barangay health stations. While the country faces a double burden of communicable and non-communicable diseases, it spends a low percentage of its GDP on healthcare and faces challenges in meeting its Millennium Development Goals. Improving infrastructure, implementing health insurance programs, and strengthening community healthcare initiatives are priorities to enhance access and health outcomes across the population.
This document provides an overview of community health programs in the Philippines. It discusses key concepts in community health including primary health care, determinants of health, and the levels of the health care system. It also outlines several specific health programs implemented by the Department of Health in the Philippines, including programs focused on adolescents, breastfeeding promotion, cancer control, and diabetes control. The overall goal of the health programs is to improve health outcomes by reducing mortality and morbidity rates through prevention and early treatment initiatives.
The document discusses maternal and child health nursing. It aims to ensure the health of expectant and nursing mothers as well as healthy children. Key aspects covered include prenatal care, tetanus immunization, micronutrient supplementation, clean and safe delivery practices both at home and in health facilities, and postpartum care. Emergency obstetric and newborn care are also addressed through strategies like BEmONC and CEmONC. The philosophy of maternal and child health nursing is presented as being community-centered, research-based, and protecting family rights.
The document discusses Service-Optimized Network Architecture (SDN) and its goal of enabling flexible network infrastructure designs that provide high performance, scalability, availability, security, flexibility, and manageability. It defines SDN methodology as consisting of core design components and microarchitectures. It then provides an example case study of applying the SDN methodology to design an email service, outlining the business requirements, functional requirements, service-level objectives, product/component selection, mapping of components to domains, selection of design patterns, and logical architecture diagrams.
- Support implementation of national plans
- Fill gaps in service delivery
- Support social mobilization
Partner:
- Participate in planning and review
- Joint problem solving
- Share resources
Watchdog:
- Advocate for equity and quality
- Monitor progress and challenges
- Hold government and partners accountable
Innovator:
- Pilot new approaches
- Generate evidence
- Share learning
Convener:
- Bridge sectors and levels
- Foster multi-stakeholder coordination
- Build consensus
The key is finding the right balance
Being chosen as one of the best practices of VSMMC to be presented during the 2nd DOH National Staff Meeting, the Program for Young Parents is a collaborative project to address the health needs of pregnant adolescents and provide comprehensive "one-stop shop" care for the pregnant adolescent, her partner and her infant.
Being Informed is Half the Battle Won
The incidence of breast cancer among South African women is increasing with women having a one in 29 lifetime risk of being diagnosed and the most common cancer in women of all races and ethnicities. With such alarming rates, it places so many women at risk and so we urge all women to go for regular screening and also find ways to lower your cancer risk.
The overall goal of CANSA’s campaign is to improve women’s health and well-being by encouraging women to ensure they have the knowledge to put in place their own risk reduction measures. Through its campaign, CANSA is providing access to information that enables people to make healthy lifestyle choices. CANSA also encourages screening and early detection.
Read more:
http://www.cansa.org.za/being-informed-is-half-the-battle-won/
Dengue prevention control ro7 presentationbenchhood
This document provides regional data on dengue cases and prevention efforts in Central Visayas, Philippines. It reports dengue incidence data from 2012 and 2013, including the number of cases and deaths in each division. The primary vector of dengue virus, Aedes aegypti, is described in detail, including its life cycle, morphology, breeding habits, and role in epidemics. The document outlines a plan for regional larvicide drives using temephos to target and eliminate Aedes aegypti larvae in water containers, with the goal of reducing dengue transmission.
The document provides a health system review of the Philippines that includes 3 sections. It begins with an introduction that describes the country's geography, demographics, economy, politics, and health status. Secondly, it examines the organization and governance of the health system, including its history, decentralization, planning, information management, and regulation. Finally, it analyzes the system's financing through sources of revenue, expenditures, and payment mechanisms. The review aims to describe the key components of the Philippines' health system and reforms.
The document discusses the Philippine primary health care system and family health programs. It outlines the goals of maternal health, family planning, child health, immunization, and nutrition programs to improve health outcomes. The key objectives are to reduce morbidity and mortality rates and improve survival, health, and well-being of family members.
The document provides an overview of newborn screening in the Philippines. It discusses the objectives of newborn screening and the role it plays in identifying five metabolic disorders in newborns: congenital hypothyroidism, congenital adrenal hyperplasia, galactosemia, phenylketonuria, and G6PD deficiency. It describes the procedures for newborn screening, including the heel prick method used to collect a blood sample, as well as the potential complications that can arise if the disorders are not detected and treated promptly.
The document summarizes the history and implementation of primary health care (PHC) in the Philippines. It discusses the definition of PHC according to the WHO and how it was adopted in the Philippines. It then outlines the different periods of PHC implementation: pre-devolution, institutionalization, and devolution. Under each period, it describes the various approaches, innovations, and mechanisms used to promote PHC in the country. It concludes by noting some of the challenges faced in fully implementing PHC.
Chronic diseases are the leading cause of death in the US. Managed care organizations implement disease management programs like smoking cessation programs to help prevent chronic diseases and lower costs. These programs aim to eliminate risk factors for disease such as smoking and provide incentives, care management, and access to services to help patients quit smoking. Quality of care is evaluated through structure, process and outcomes to ensure these programs are effective.
This is an informative presentation, providing an introduction to smoking cessation. Included: photos of smoking vs. non-smoking twins, healthy / disease free lungs vs. a smoker's lungs, video clips on the effects of smoking, including unseen dangers of smoking. Click on various images throughout the presentation for links to videos and websites. For more information on quitting smoking, please visit www.lung.org, or www.smokefree.gov.
This document provides information on various diseases, health conditions, and advisories on health promotion from the Philippines Department of Health. It includes overviews of specific diseases like cancer, hepatitis, influenza, and more, with details on causes, symptoms, treatment and prevention. The document also contains advisories on seasonal health issues, blood donation, and general health tips.
Global partnerships in health innovation (1)Ted Herbosa
The document discusses plans for achieving Universal Health Coverage in the Philippines by 2016. Key points include:
- Expanding PhilHealth coverage to insure an additional 5.6 million poor and near-poor families and improving benefit packages.
- Scaling up preventive health programs, deploying more health workers, and upgrading health facilities to ensure all Filipinos have access to quality care.
- The total additional funding needed from 2013-2016 is estimated to be PHP 137.2 billion to fully implement Universal Health Coverage.
Maximizing the Impact Of Global Fund Investments by Improving the Health of W...theglobalfight
Dr. Viviana Mangiaterra, Senior Technical Coordinator for Maternal, Newborn and Child Health and Health Systems Strengthening at the Global Fund to Fight AIDS, Tuberculosis and Malaria, discusses service delivery integration for the three diseases, Global Fund partnerships and strengthened training and representation of women in Country Coordinating Mechanisms.
Impact of decentralization on immunization services in kenyaJSI
- The REC (Reaching Every District) approach implemented in Kenya effectively reduced the number of unvaccinated children in targeted districts by empowering districts to plan and monitor their own immunization services. This community-engaged approach promoted partnerships between districts, health workers, and communities.
- Using phone contacts to trace immunization defaulters in four western Kenya districts proved feasible. It significantly reduced dropout rates and revealed that most defaulters were not truly lost but had received vaccines elsewhere. Competing tasks were a main reason for defaulting.
- Proper planning and funding mechanisms like the HSSF could support scaling up cost-effective approaches like using phone contacts that engage communities and increase access to immunization.
AWA Experts 2015 Meeting_eMTCT Best Bractices Presentation NigeriaAIDS Watch Africa
The document summarizes Nigeria's efforts to integrate HIV counseling and testing (HCT) services into its Maternal Newborn & Child Health (MNCH) Week program. Key points include:
- Over 200,000 pregnant women received integrated HCT and MNCH services in six states, exceeding targets. The program identified over 1,400 HIV-positive women.
- The initiative leveraged existing MNCH structures at health facilities and engaged communities to increase access to HCT, especially for hard-to-reach groups.
- Successes included improved testing coverage, linkages to care, and health-seeking behaviors. Challenges included late test kit arrivals and staffing issues.
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Making Quality Healthcare Affordable to Low Income GroupsIDS
This is a presentation on the Hygeia Community Health Plan Model that was given to a meeting hosted by Future Health Systems in Abuja in January 2009 www.futurehealthsystems.org.
The document discusses family planning and reproductive health in Nepal. It provides background on family planning, objectives and policies, targets, and major activities in FY 2075/76. Key achievements include modern contraceptive prevalence reaching 39% nationally, with the highest in Province 2 at 46%. New acceptors of spacing methods increased over the previous year, with the highest number in Province 5. The total fertility rate target is to reduce to 2.1 births per woman by 2030.
The document discusses family planning and reproductive health in Nepal. It provides background on family planning, objectives and policies, targets, and major activities in FY 2075/76. Key achievements include modern contraceptive prevalence reaching 39% nationally, with the highest in Province 2 at 46%. New acceptors of spacing methods increased in 2075/76 compared to previous years. The total fertility rate target for 2030 is 2.1 births per woman.
Jennifer Mason, Senior Advisor for FP/HIV Integration for USAID's Office of Population and Reproductive Health describes the agency's approach to integrating family planning services with HIV health services and provides country examples of integration practices.
Aine Carroll, National Director of Clinical Strategy & Programmes, HSEInvestnet
The document discusses the challenges of clinical leadership in Ireland and reforming the health system. It outlines why reform is needed, including improving service delivery through integrated models of care. It summarizes some of the achievements of Ireland's National Clinical Programmes in reducing wait times and lengths of stay for various conditions. It also discusses some of the problems within the current system like lack of integration and the need for reform of the clinical strategy and programmes division.
The document summarizes several HIV/AIDS programs implemented by World Vision across multiple countries in Africa. It discusses key strategies used such as community mobilization, capacity building, and task shifting. Specific interventions discussed include PMTCT, pediatric HIV care, male circumcision, and programs to support orphans and vulnerable children. Results showed improved access to services, increased testing and treatment adherence, and reduced loss to follow up. Lessons highlighted the importance of integrated service delivery, community ownership, and long-term commitment to sustain programs.
Integrating nutrition into health systems: opportunities and challengesTransform Nutrition
This presentation by Shams El Arifeen, iccdr,b was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
The document discusses Nepal's National Safe Motherhood Programme, which aims to reduce maternal and neonatal mortality. It does this by addressing the three key delays that can impact obstetric emergencies - delay in seeking care, reaching care, and receiving care. The programme promotes birth preparedness, encourages institutional deliveries, and expands emergency obstetric services. It has made progress through policies, training more skilled birth attendants, and revising plans like the Safe Motherhood and Neonatal Health Long Term Plan. The Aama Programme provides cash incentives for institutional deliveries and antenatal care to increase utilization of maternal health services. Evaluations found the incentives increased institutional delivery rates, though issues like false reporting need to be addressed
The Solomon Islands HiT determines that the country’s health system has significant weaknesses but also considerable strengths. Despite the range and difficulty of issues facing policy-makers in the Solomon Islands, there have been significant achievements in health, including considerable progress in advancing population health status. The performance of the health system is positive, achieving high coverage, high satisfaction levels, and steady progress on health outcomes. Nonetheless, the country faces important health challenges that could undermine development gains made to date
The National Health Policy of 1983 aimed to provide comprehensive primary health care services through a network of health centers with referrals and specialty services. It focused on nutrition, health education, and maintaining drug quality. The 2002 policy realized disparities in health facilities and sought to reduce inequities and allow disadvantaged groups fairer access to services. It proposed increasing health expenditure to 6% of GDP to improve infrastructure and address shortfalls. The National Population Policy of 2000 aimed to bring fertility rates to replacement levels by 2010 through addressing unmet needs, increasing education, and promoting the small family norm.
The document discusses India's RMNCH+A (Reproductive, Maternal, Newborn, Child Health + Adolescence) strategy. It outlines the history and evolution of family welfare programs in India. The current goals are to reduce infant mortality, maternal mortality, and total fertility rate by 2017. The strategy focuses on providing a continuum of care through various levels of the health system across different life stages. Key interventions include reproductive health services, antenatal care, skilled birth attendance, postnatal care, and improving health systems and monitoring. The strategy aims to strengthen primary healthcare and community participation to improve maternal and child health outcomes across India.
as part of the IFPRI-Egypt Seminar Series- funded by the United States Agency for International Development (USAID) project called “Evaluating Impact and Building Capacity” (EIBC) that is implemented by IFPRI.
Procurement System in Health in the PhilippinesTed Herbosa
The document discusses the healthcare system and procurement processes in the Philippines. It describes the Philippine health system, which includes both private and public sectors, as well as the government procurement system for medicines and health supplies. It also discusses efforts to achieve universal healthcare coverage through expanding insurance, improving access to quality care including essential medicines, and partnerships between public and private organizations to improve health infrastructure and services. Examples of public-private partnership projects to modernize and build healthcare facilities are also provided.
This document provides an overview of Malaysia's national eHealth strategy. It discusses the transformation of Malaysia's healthcare system and the role of information and communication technologies (ICT) in improving healthcare delivery and outcomes. Some key points include:
- ICT can help enable a more efficient, equitable healthcare system by facilitating integrated care, data sharing, and patient empowerment.
- MOH has implemented various healthcare IT systems but faces challenges around integration, infrastructure, skills, and funding.
- The proposed eHealth strategy and 11th Malaysia Plan initiatives aim to strengthen ICT governance, develop interoperable systems, build workforce capacity, and foster collaboration to support health system transformation.
Similar to Department of Health Program Directions and Priorities Towards MDGs 4 and 5 (20)
Supporting Private Providers and Public-Private Partnerships for Maternal and...Michelle Avelino
Presentation of Michelle Gardner of the Private Sector Mobilization for Family Health Project-Phase 2 (PRISM2) of the USAID at the PhilHealth Maternal, Newborn and Child Health Summit
This document summarizes a maternal, newborn and child health summit. It identifies gaps in healthcare delivery such as lack of trained healthcare workers, poor working conditions, and lack of access points. Projects from various organizations aim to address these gaps. There are also issues with maldistribution of healthcare workers and incentives. The document emphasizes not overanalyzing problems and copying solutions from others. Coordination between different levels of government is key. It identifies priority areas and populations to focus on and asks if stakeholders are committed to improving healthcare.
Maternal, Newborn and Child Health: A Global PerspectiveMichelle Avelino
Presentation of Jacqueline F. Kitong, M.D., MPH, technical officer for Maternal and Child Health and Nutrition, World Health Organization at the PhilHealth Maternal, Newborn and Child Health Summit
Local health system stengthening mr takenaka jicaMichelle Avelino
This document discusses ILHZ based supportive supervision (SSV), lessons learned from implementing it in Leyte and Ormoc, Philippines. The key points are:
1. SSV involves hospital staff conducting quarterly visits to RHUs to monitor skills and provide feedback, strengthening relationships between hospital and RHUs.
2. Benefits of SSV include improved referral systems and motivation among RHU staff to improve services. Challenges include attitudes towards supervision and logistical issues.
3. Lessons learned are that careful planning, stakeholder buy-in, regular monitoring, and linkage between supervision and planning are important for success of the SSV approach. When implemented well, SSV can help ensure training
IMAP Initiative to Improve Maternal and Child Health CareMichelle Avelino
Presentation of Ms. Patricia Gomez
Integrated Midwives Association of the Philippines, Inc. (IMAP) at the PhilHealth Maternal, Newborn and Child Health Summit
This document outlines the Zuellig Family Foundation's Community Health Partnership Program which aims to improve governance, health systems, and institutions to improve maternal and child health outcomes. The program involves training municipal mayors, health officers, and civic leaders (called "Municipal Health Leaders") to strengthen their understanding of health and initiate local health programs. Selection criteria for participating municipalities include needing improved health outcomes and commitment from local leaders. The program has shown success in reducing maternal mortality ratios in participating municipalities and aims to expand its model through a new partnership with the Department of Health.
Attaining Millennium Development Goals 4 and 5 through Kalusugang Pangkalahat...Michelle Avelino
Presentation of Dr. Francisco Z. Soria, Jr., officer-in-charge and vice president, Quality Assurance Group of the Philippine Health Insurance Corporation at the PhilHealth Maternal, Newborn and Child Health Summit
Older Person's (OPs) Needs in Times of EmergenciesMichelle Avelino
ACCESS Health International-Philippines invited Mr. Francis Kupang, Executive Director of the Coalition of Services of the Elderly, to share his presentation on "Older Person's (OPs) Needs in Times of Emergencies."
Mr. Kupang here talks about their experience in caring with and for the elderly during Typhoon Ondoy with the hope of applying the lessons they learned in preparing our communities to care for the elderly in times of disaster.
A presentation given by Dinky Soliman at the CON ASK: Forum on HR1109, Possibilities and Challenges organized by Ateneo School of Government (Pugadlawin,Kaya Natin! and Poder), Simbahang Lingkod ng Bayan, Political Science Dept. ADMU; Sanggunian, The Assembly,Development Society,OSCI, ADSA and OSA
Safety should always come first when it comes to medical operations involving the use of a Huber needle. Disposable safety Huber needles are useful in this situation. A secure and effective method of accessing and delivering medication to a patient's port is provided by these single-use devices. But it might be difficult to choose the best option when there are so many on the market. We've put up the best advice to selecting the ideal disposable safety Huber needle so you can make an educated choice.
Definition of mental health nursing, terminology, classification of mental disorder, ICD-10, Indian Classification, Personality development, defense mechanism, etiology of bio psychosocial factors,
principles underlying microarray technology, explores the various types of mi...bniranjan0010
This PowerPoint presentation is designed to help students gain a comprehensive understanding of microarrays. It delves into the fundamental principles underlying microarray technology, explores the various types of microarrays, and provides a detailed overview of the procedures involved in their use. Additionally, the presentation examines the advantages and disadvantages of microarrays, offering a balanced perspective on their utility. Finally, it highlights the wide range of applications for microarray technology, showcasing its significance in various scientific and medical fields.
The Revolutionary Nature of Needleless Double Transfer Spikes in HealthcareNanchang Kindly Meditech
It's likely that you have witnessed medical personnel using needles to transmit fluids or medicines if you have ever visited a hospital or other healthcare facility. But as technology advances, needleless double transfer spikes are becoming more and more common and revolutionizing the delivery of healthcare.
These are the class of Drugs that are used to treat and prevent cardiac arrhythmias by blocking ion channels involved in cardiac impulse generation and conduction. Class I drugs like quinidine and procainamide block sodium channels to prolong the action potential duration, while Class IB drugs like lignocaine shorten repolarization. Class III drugs like amiodarone block potassium channels to prolong the action potential. Calcium channel blockers like verapamil inhibit calcium influx. Other drugs include adenosine for paroxysmal supraventricular tachycardia, beta blockers for supraventricular arrhythmias, and atropine for bradycardias. Adverse effects vary between drugs but include arrhythmias, heart block and QT prolong
Report Back from ASCO 2024: Latest Updates on Metastatic Breast Cancer (MBC)....bkling
Join Dr. Kevin Kalinsky, breast oncologist and researcher from Emory Winship Cancer Institute, to learn about the latest updates from The American Society of Clinical Oncology (ASCO) annual meeting 2024.
Co-Chairs, Hussein Tawbi, MD, PhD, and Prof. Christian Blank, MD, PhD, discuss melanoma in this CME activity titled “Deploying the Immune GAMBIT Against Melanoma: Guidance on Advances and Medical Breakthroughs With ImmunoTherapy.” For the full presentation, downloadable Practice Aids, and complete CME information, and to apply for credit, please visit us at https://bit.ly/4edfNpE. CME credit will be available until July 5, 2025.
THE MANAGEMENT OF PENILE CANCER. PowerPointBright Chipili
This PowerPoint includes all the relevant information and science about penile cancer and its management. Information is based on Campbell 12th edition and EAU 2024 updated guidelines.
Interventional radiology is a medical specialty that uses imaging techniques, such as X-rays, CT scans, and ultrasound, to guide minimally invasive procedures to diagnose and treat a variety of conditions. These procedures can be an alternative to open surgery, often resulting in shorter recovery times for patients.
Are you ready to reap the benefits of this best magnesium supplement now? Visit us today to learn more about its health and vitality benefits.
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TEST BANK Physical Examination and Health Assessment 9th Edition by Carolyn J...rightmanforbloodline
TEST BANK Physical Examination and Health Assessment 9th Edition by Carolyn Jarvis, All Chapters 1 - 32 Full Complete.pdf
TEST BANK Physical Examination and Health Assessment 9th Edition by Carolyn Jarvis, All Chapters 1 - 32 Full Complete.pdf
Human blood has a hydrogen ion concentration [H+ ] of 35 to 45 nmol/L and it is essential that its concentration is maintained within this narrow range.
Hydrogen ions are nothing but protons which can bind to proteins and alter their characteristics.
All the enzymes present in the body are proteins and an alteration in these enzyme systems can change the homeostatic mechanisms of the body.
Hence, a disturbance in acid-base balance can result in malfunction of the various organ systems.
The normal pH of blood is 7.35-7.45.
Acidosis is defined as a pH Less than 7.35.
Conversely, when the pH is more than 7.45, alkalosis is said to exist.
Acidosis and alkalosis are of two types each: respiratory and metabolic.
An increase in carbon dioxide (CO2 ) levels increases the plasma [H+ ] and decreases the pH (respiratory acidosis).
Similarly, a decrease in plasma carbon dioxide levels reduces the [H+ ] and increases the pH (respiratory alkalosis).
A decrease in [HC03 -] reduces the pH and is called metabolic acidosis.
Similarly, an increase in [HC03 -] increases the pH and produces metabolic alkalosis.
The pH is regulated in the human body mainly by two organs: the respiratory system and the renal system.
The arterial carbon dioxide levels are regulated by the respiratory system.
Any increase in carbon dioxide levels stimulates the respiratory centre in the medulla thus augmenting respiration, alveolar ventilation and elimination of extra CO2 levels.
A decrease in CO2 levels may reduce the stimulus to breathe and cause hypoventilation.
This response is limited by hypoxia as the hypoxic drive stimulates the patient to maintain respiration.
Respiratory response to changes in CO2 level occurs very fast.
The plasma bicarbonate levels are regulated by the kidneys.
Any decrease in [HC03 -] stimulates the kidney to retain and synthesise bicarbonate.
High [HC03 -] results in elimination of more bicarbonate in urine.
In general, the pulmonary response to a change in acid-base status is faster and occurs immediately.
However, renal regulation takes time, a few hours to days.
Kidneys filter and reabsorb all the bicarbonate in the urine.
When necessary, kidneys can also produce extra bicarbonate through the glutamine pathway.
When an acid-base disorder occurs, the initial disturbance that occurs is termed the primary disorder.
The body attempts to normaliZe the pH by certain compensatory mechanisms resulting in a secondary disorder, e.g. primary metabolic acidosis results in an increase in hydrogen ions and a consequent decrease in bicarbonate ions.
To compensate for this, the patient hyperventilates and reduces the arterial carbon dioxide levels, thus moving the pH back to normal ( compensatory respiratory alkalosis )
2. Outline of the
Presentation
Current efforts
Status of MDG 4 and MDG 5
Policy and program directions on public health
programs using the Maternal Newborn, Child Health
and Nutrition strategy
Challenges and plan of action
4. Established Emergency Obstetric
and Newborn Care in select facilities
identified 1784 facilities
1443 RHUs (476 BHSs)
341 hospitals
1232 (69%) are staffed by a trained team of health
professionals
identified 252 facilities to provide Comprehensive
Emergency Obstetric and Newborn Care, mostly
Regional Hospitals and Medical Centers, including
provincial hospitals
5. Integrated Service Package for Women, Mothers
and Newborns
•Integration of FP with other MNCHN services
eg. FP- ANC/ EPI integration
Postpartum IUD insertion
• Facility based deliveries
6. Developed a system for training health
providers
DJFMH
University Hospital
Training Unit Administrative
Unit
TRAINING INSTITUTIONS
RH WOMEN
NB
SERVICE PROVIDERS
CLIENTS
NCDPC HHRDB
Established 29
Training Centers
Trained 1445 of
2444(59%)
Health Teams
on BEmONC
Skills
8. Developed a system for maternal death
reporting and review
Reporting
System
Review
System
Community: C/WHT
Facility: BEmONC and
CEmONC Teams
PHO: PRT Secretariat
PROVINCIAL REVIEW
TEAM
PHO: PRT Secretariat
Assuring Data Quality to Improve the System
*MNDRS
9. • Maternal and Neonatal Death Reporting
System (with IMS-DOH)
• submission of data thru the use of SMS technology
• The system aims to address immediate reporting of
maternal and neonatal death.
• Initial sites : Centers for Health Development
o Metro Manila
o CALABARZON
o MIMAROPA (Marinduque, Oriental and Occidental Mindoro
10. Adolescent Health
•Training of Trainers on comprehensive management on adolescent health(13
regions started rolling out, regions need trainings);
•Leaders for health and health advocates training for out of school youth (street
children of Metro Manila (86) and indigenous people (Mangyans, 100) and
(Dumagat,100)) (total px -286);
•Peer educators training for in-school adolescents (NCR 300px)
•Program implementation review integrating catch up immunization program for
adolescents (using MMR and Td) nationwide; Joint Memorandum Circular
signing(DOH, DepEd and NYC) on CSE and Adolescent immunization program
•National Adolescent Immunization Program (August. 2013)
•Drafting Guidelines for Adolescent Health Package with Philhealth and other
partners.
•National Awareness Campaign on Preventing Teen Pregnancy
11. Expanded Program on
Immunization / Vaccines
2,011,194 fully immunized children
(given complete doses of
BCG+OPV+DPT+Hepa+Measles)
Rotavirus vaccination for diarrhea
for 700,000 poor children
Pneumonia vaccines for 700,000
poor children
Influenza and Pneumococcal
vaccines for 1.1 million Senior
Citizens
What has DOH accomplished?
12. Family Health
17 CHDs; 33 DOH Hospitals, 81 provinces and
41 independent cities accessed grants for
MNCHN activities worth PHP167 million
Procured P400M worth of FP commodities
37 Hospitals provided with Voluntary Surgical
Contraception funding worth PHP37 million
PHP 11,836,000 was used to procure FP Kits
(BTL, NVS) for FP training
Vit A supplement provided to 1,186,356 infants;
9,450,553 children; and 2,616,000 postpartum
women
Provided iron to 586,811 low birthweight infants
and 2,655 children
Provided micronutrient powder to
182,951 infants and 365,902 children
Trained providers on FP CBT 1, FP CBT 2 etc.
What has DOH accomplished? 2
13. Family Health
50% of hospitals providing maternity and
child health services are certified MBFHI
60% of municipalities/cities have at least
one functional IYCF support group (4,010
BF/IYCF support groups at the
municipal/city/barangay level);
50% of workplaces have lactation units
and/or implementing nursing/lactation
breaks
55% (71/129) cities, 17% mun.
(263/1522), 28% provinces (23/80)
passed local ordinance/resolutions that
adopts IYCF recommendations
(23/80)provincial governments
What has DOH accomplished? 2
14. Community Health Teams
(CHTs)
44,009 CHTs (164,456
members) trained and deployed
2,999,707 NHTS households
nationwide visited
What has DOH accomplished? 3
15. Specific Policies Issued in Support
of FP/MNCHN
• AO 2008-0036 (MNCHN AO)
• AO 2009-0025 (ENC Protocol)
• DM 2011-0117 (MNCHN MOP)
• AO 2012 – 009 (FP AO)
• AO2013-0013 (Adolescent Health Policy)
• RPRH Law and IRR - under SQAO by SC
• Various PHIC circulars on accreditation and FP/MNCHN
benefit packages
• AO No. 2010-0010 – Micronutrient Supplementation Guidelines;
AO No. 2007-0045 – Zinc Guideline; DM No. 2011-0303 –
Micronutrient Powder
16. What do we want to achieve?
• Reduce unmet need for modern FP affecting 6M women, of which
2M are poor
• Reduce unmet need for FBD affecting 850,000 women of which
722,000 are poor
• Reduce unmet need for full immunization affecting 367,000 children
of which 21, 232 are poor
• Reduce unmet need for Vit A supplementation affecting 981,000
children of which 394,353 are poor
• Ensure that newborns are given EINC
• Upgrade health facilities to improve quality of care for at least 5.2M
NHTS poor families
• Sustain the deployment of at least 50,000 CHTs to serve poor
families
• Train all midwives etc
18. Antenatal Care Coverage hardly increased in
the past five years
78% of pregnant women have at least 4
ANC visits.
2015
TARGET:
85%
19. Skilled attendance and facility based births
increased , but why is MMR still increasing?
11 percentage points
increase in Facility
Delivery
2015
TARGET:
85%
20. Facility Delivery and Skilled Health Professional
Assistance at Birth
as of end 2012, PHO Reports
23. Frequency of Postnatal Care Received by Mothers within first
week of delivery
FHS 2011: NSO, DOH, USAID
84% of women received postnatal care
during first week after delivery.
2015 TARGET: 85%
24. INFANT AND UNDER-FIVE MORTALITY
(2003 – 2011)
FHS 2011: NSO, DOH, USAID
MDG Targets
for 2015
(26.7 and 19)
are
ACHIEVABLE
29. Family Planning Method FPS 2006 FHS 2011
Any Method 50.6 48.9
Any Modern Method 35.9 36.9
Pill 16.6 19.8
Female Sterilization 10.4 8.6
IUD 4.1 3.1
Injectables 2.8 3.4
Male condom 1.6 1.2
Other Modern 0.3 0.8
Any traditional 14.8 12
OCPs are most preferred method; LAPM use declined
31. As of Dec 2012
Less than a third of RHUs are MCP
accredited
33. SUSTAINABLE FINANCING CALLS FOR:
1. Rationale investments to cause the
PHILHEALTH ACCREDITATION of
facilities
2. Revenue retention – share for health
workers, CHTs
3. Allow user fee collection from non-poor
clients.
34. Make Safe Blood Available
• Implement fully the National Voluntary
Blood Program.
• Establish a Safe Blood Supply Network in
every city and province.
• Make blood easily, readily accessible
35. Referral Network
Set up an Efficient Referral Network within ILHZs
and Province with the following in place:
› Emergency Transport on stand-by in every facility that
provide BEmONC 24/7.
• Can be for free or fee
– Properly maintained government owned ambulance
– Privately owned vehicles : MOA with public transport groups
for conveyance of referred cases
› Efficient Communication System to allow the referring
doctor to make endorsements to the referral hospital
› National Referral Manual of Operations
36. Ensure health teams competence
• Encourage LGUs to allow their staff to
undergo training on basic emergency
obstetrics and newborn care .
• post training evaluation
37. Conduct Maternal Death Reviews
• Strengthen and support Provincial and
City Review Teams.
• Conduct MDR at least once per 3
months
– Assist LGUs identify systemic gaps
– Assist LGUs address these gaps
40. Extent of CHT deployment varies widely
across areas
I II
III
IV
Source: CHDs as of August 2012
41. Access to safe deliveries in RHUs is
uneven across areas
I II
III IV
Source: HPDP Survey of Selected Government Health Facilities as of
August 2012
42. Access to surgical services in district and sub-provincial
hospitals is inadequate
I II
III IV
Source: HPDP Survey of Selected Government Health Facilities as of
43. Other Challenges
• Logistics management capacity that needs to be
strengthened
• Inadequate number of trained providers on
FP/MNCHN
• Delay in CHT deployment; limited effect on health
care use
• Limited functionality of service delivery networks;
mechanisms to formally engage private sector
providers need to be established
44. Proposed Approach to Scaling up
FP/MNCHN under KP
• Focus on poor households, starting with CCT/4Ps
• Tap Family Development Sessions (FDS) as entry point to
reach families
• Utilize Parent Leaders (PLs) and other volunteers to engage
families
• Conduct needs assessment and planning by making use of
available survey data and local information
• Estimate and match demand with supply of services,
including partnering with private sector
• Introduce innovations (health vouchers, outreach)to facilitate
use of services by families
• Engage local technical assistance partners (i.e. NGOs) to
help the LGUs and CHD execute the scale up strategy
45. Proposed collaboration with partners
• Updating of clinical standards and protocols
• Capacity building of health providers on IPCC, FP CBT 1 and
2
• Capacity building for midwives, nurses etc , including
mechanism for certification
• Strengthening logistics and supply-chain management
• Enhancement of CHT functions and support to deployment
• Improving monitoring and evaluation of programs including
compliance of facilities to EINC implementation
• Development of policies and guidelines including
management of prematurity and prevention of prematurity
complications
• Conduct of implementation research