DOH-PROGRAMS.pdf

EXPANDEDPROGRAMINIMMUNIZATION
• The EPI was established in 1976 to ensure that
infants/children and mothers have access to routinely
recommended infant/childhood vaccines.
• Six vaccine-preventable diseases were initially included in
the EPI: tuberculosis, poliomyelitis, diphtheria, tetanus,
pertussis and measles.
• In 1986, 21.3% “fully immunized” children less than fourteen
months of age based on the EPI Comprehensive Program
review.

• Over-all Goal: To reduce the morbidity and mortality
among children against the most common vaccine-
preventable diseases.
• Specific Goals:
1. To immunize all infants/children against the most common
vaccine-preventable diseases.
2. To sustain the polio-free status of the Philippines.
3. To eliminate measles infection.
4. To eliminate maternal and neonatal tetanus
5. To control diphtheria, pertussis, hepatitis b and German measles.
6. To prevent extra pulmonary tuberculosis among children.

• Mandates:
Republic Act No. 10152 “Mandatory Infants and Children
Health Immunization Act of 2011
Signed by President Benigno Aquino III in July 26, 2010. The
mandatory includes basic immunization for children under 5
including other types that will be determined by the Secretary
of Health.

• Strategies:
• Conduct of Routine Immunization for Infants/Children/Women
through the Reaching Every Barangay (REB) strategy
• Supplemental Immunization Activity (SIA)
• Strengthening Vaccine-Preventable Diseases Surveillance
• Procurement of adequate and potent vaccines and needles
and syringes to all health facilities nationwide

• Polio Eradication:
• The Philippines has sustained its polio-free status since October
2000.
• Declining Oral Polio Vaccine (OPV) third dose coverage since
2008 from 91% to 83%. A least 95% OPV3 coverage need to be
achieved to produce the required herd immunity for
protection.
• Acute Flaccid Paralysis (AFP) reporting rate has decreased
from 1.44 in 2010 to 1.38 in 2011. Only regions III, V and VIII
have achieved the AFP rate of 2/100,000 children below 15
years old. (Source: NEC, DOH). A decreasing AFP rate means
we may not be able to find true cases of polio and may
experience resurgence of polio cases

• Measles Elimination:
• Conducted 4 rounds of mass measles campaign: 1998, 2004, 2007
and 2011.
• Implemented the 2-dose measles-containing vaccine (MCV) in 2009
MCV1 (monovalent measles) at 9-11 months old
MCV2 (MMR) at 12-15 months old.
• Implemented and strengthened the laboratory surveillance for
confirmation of measles. Blood samples are withdrawn from all
measles suspect to confirm the case as measles infection.

• VACCINES
• Bacillus Calmette Guerin (BCG)
• Diphtheria, Pertussis, Tetanus (DPT) Vaccine
• Oral Polio Vaccine (OPV)
• Hepatitis B Vaccine
• Measles Vaccine (Monovalent)
• Measles, Mumps, Rubella (MMR) Vaccine
• Rotavirus and Pneumococcal vaccines

• Future Plan/ Action
• Strengthening the Cold Chain to support the Immunization
Program
• Capacity Building for Health Workers for the Introduction of New
Vaccines
• Advocacy for the financial sustainability for the newly introduced
vaccines for expansion.
• Development of the comprehensive multi-year plan for
immunization program.

NATIONALTBCONTROLPROGRAM(NTP)
• Vision
• TB -free Philippines
• Mission
• To reduce TB burden (TB incidence and TB mortality)
• To achieve catastrophic cost of TB-affected households
• To responsively deliver TB service

• Program Components
• Health Promotion
• Financing and Policy
• Human Resource
• Information System
• Regulation
• Service Delivery
• Governance
• Target Population / Client
• Presumptive TB and TB affected households
• Area of Coverage
• Nationwide

• Partner Institutions
• Department of Health: Food and Drug Administration, Bureau of
Quarantine
• Other Government: DepEd, DSWD, DILG (BJMP), DOJ (BuCor),
PIA, DOLE
• Non Government Organizations: PhilCAT, PBSP
• International Organizations: WHO, USAID, GFATM, ICRC, HIVOS-
KNCV
• Policies and Laws
• RA 10767 : Comprehensive TB Elimination Plan Act of 2016

• Strategies, Action Points and Timeline
2017-2022 Philippine Strategic TB Elimination Plan
• Activate communities and patient groups to promptly access quality TB
services
• Collaborate with other government agencies to reduce out-of-pocket
expenses and expand social protection programs
• Harmonize local and national efforts mobilize adequate and competent
human resources
• Innovate TB information generation and utilization for decision making
• Enforce standards on TB care and prevention and use of quality products
• Value clients and patients through integrated patient-centered TB services
• Engage national, regional and local government units/ agencies on multi-
sectoral implementation of TB elimination plan

• Program Accomplishments and Status
2019 WHO Global TB Report (Cohort of 2018)
• Estimate TB Burden : Mortality 24/100,000 Incidence 554/100,000
• Total Notified Cases: 382,543
• Treatment Coverage: 63%
• Treatment Success Rate, All Forms (2017) : 91%
• Treatment Success Rate, MDR/RRTB (2016) 58%
• Calendar of Activities
• March 24 - World TB Day Commemoration
• August - Lung Month Celebration

• March 24 - World TB Day
Commemoration
• August - Lung Month
Celebration

EMERGINGANDRE-EMERGINGINFECTIOUS
DISEASEPROGRAM
• In the recent past, the Philippines has seen many
outbreaks of emerging infectious diseases and it
continues to be susceptible to the threat of re-emerging
infections such as leptospirosis, dengue,
meningococcemia, tuberculosis among.
• The current situation emphasizes the risks and highlights
the need to improve preparedness at local, national
and international levels for against future pandemics.
• New pathogens will continue to emerge and spread
across regions and will challenge public health as never
before signifying grim repercussions and health burden.
These may cause countless morbidities and mortalities,
disrupting trade and negatively affect the economy.

DISEASEPROGRAM
• There are several social determinants contributing to the
emergence of novel infectious diseases and resurgence of
controlled or eradicated infectious diseases in our country.
• These contributing factors are namely:
• (1) Demographic factors like the population distribution and density,
• (2) international travel/ tourism and increased OFWs,
• (3) Socio-economic factors and
• (4) Environmental factors.
• The latter includes our country’s vulnerability to disasters, increased
livestock production, man- made ecological changes or industries
and lastly the urbanization which encroach and destroy the animal
habitats.

DISEASEPROGRAM
• Emerging and Re-emerging Infectious Diseases are
unpredictable and create a gap between
planning and concrete action.
• To address this gap, there is a need to come up
with proactive systems that would ensure
preparedness and response in anticipation to
negative consequences that may result in
pandemic proportions of diseases.
• Proactive and multi- disciplinary preparedness must
be in place to reduce the impact of the public the
health threats.

DISEASEPROGRAM
• Vision
• A health system that is resilient, capable to prevent, detect and
respond to the public health threats caused by emerging and re-
emerging infectious diseases
• Mission
• Provide and strengthen an integrated, responsive, and
collaborative health system on emerging and re-emerging
infectious diseases towards a healthy and bio-secure country.
• Goal
• Prevention and control of emerging and re-emerging infectious
disease from becoming public health problems, as indicated by
EREID case fatality rate of less than one percent

DISEASEPROGRAM
• Program Strategies
The EREID Strategies are:
• Policy Development
• Resource Management and Mobilization
• Coordinated Networks of Facilities
• Building Health Human Resource Capacity
• Establishment of Logistics Management System
• Managing Information to Enhance Disease Surveillance
• Improving Risk Communication and Advocacy

DISEASEPROGRAM
• Target Population/ Client
All ages; Citizen of the Philippines
• Area of Coverage
Philippines and it’s international borders
DOH Central and Regional Bureau’s/Offices, Other Government
and Non-Government Offices, Medical Societies, Academe,
Developmental Partners (World Health Organization, FAO-OIE,
CDC, GPP-Canada)

DISEASEPROGRAM
• Executive Order No. 168 - Creating the Inter-Agency Task Force
for the Management of Emerging Infectious Diseases in the
Philippines
• Administrative Order No. 10 s. 2011 - Creating the Philippine Inter-
Agency Committee on Zoonosis, Defining Its Powers, Functions,
Responsibilities, Other Related Matters and Providing Funds Thereof

DISEASEPROGRAM
• Other Related Issuances/ Guidelines
1. Administrative Order no. 2012-0022 - National Policy for the
Implementation of on International Health Regulation and Asia Pacific
Strategy for Emerging Diseases in the Philippines
2. Department Memorandum No. 2017- 2558 - Creation of Functional
Groups for the National EREID Program
3. Department Personnel Order No. 2005-1585 - Creation of a Management
Committee on Prevention and Control of Emerging and Re-emerging
Infectious Diseases (DOHMC-PCREID)
4. Department Memorandum No. 2017 - 0348 - Interim Technical Guidelines,
Standards and other Instructions in the Implementation of Enhanced
Human Avian Flu Surveillance, Management, and Infection Control in the
Health Care Setting
5. Department Memorandum No. 2016 - 0169 - Interim Guidelines on the
Clinical Management of Zika Virus Infection

DISEASEPROGRAM
• Other Related Issuances/ Guidelines
6. Department Memorandum No. 2014 - 0257 - Preparedness and Response
Plan for the Prevention and Control of Ebola Virus Disease
7. Department Memorandum No. 2014 - 0075 - Interim Guidelines on the
Preparedness and Response to MERS-CoV
8. Department Memorandum No. 2009 - 0144 - Technical Guidelines,
Standards and other Instructions for Reference in the Pandemic Response
to Influenza A H1N1
9. Department Memorandum No. 2009-0250 - Interim Guidelines on the
Prevention of Leptospirosis through the use of Prophylaxis in Areas affected
by Floods
10.Department Memorandum No. 2005-0021 - Case Guidelines on the
Management and Control of Meningococcal Disease

DISEASEPROGRAM
• Strategies, Actions Points
To achieve this goal within the medium term, with a benchmark of less than
one percent EREID case fatality rate, the EREID Program Strategic Investment
Plan highlights the seven Strategic Priorities, each with the following goals:
1. Policy Development: Establish updated, relevant, and implementable
policies on EREID providing the overall direction in implementing the
different Program components for all the network of health providers and
facilities.
2. Resource Management and Mobilization: Effectively manage and
mobilize available resources from the DOH and partners both local and
international needed in EREID detection, preparedness, and response.
3. Coordinated Networks of Facilities: Organize adequate and efficient
systems of coordination among network of facilities both public and
private needed in EREID detection, preparedness, and response within the
context of integrated health service delivery system at national and sub-
national levels.

DISEASEPROGRAM
• Strategies, Actions Points
4. Building Health Human Resource Capacity: Health care professionals skilled,
competent and motivated in detection, prevention and management of
EREID cases, with provision of supervised psychosocial support and risk
communication at the national and sub-national levels.
5. Establishment of Logistics Management System: Manage the systems of
procurement and distribution of logistics for EREID detection, preparedness and
response under each mode of disease transmission.
6. Managing Information to Enhance Disease Surveillance: Improve case
detection and surveillance of EREID to prevent and or minimize its entry and
spread and to mitigate the possible impact of widespread community and
national transmission.
7. Improving Risk Communication and Advocacy: Institute a risk communication
and advocacy system that is factual, timely and context relevant implemented
at the national and sub-national levels.

DISEASEPROGRAM
• Program Accomplishments/ Status
Policy Development and Review:
• Zika Guidelines finalized and approved ; Avian Influenza Guidelines updated
• Formation of the EREID Technical Working Group ; Experts Panel and EREID
Management Group
• Development of the Situational Analysis of EREID in the Philippines
• Development of the EREID Manual of Operations for Preparedness and Response
• Development of the EREID 5- Year Strategic/ Investment Plan
• Active Participation in the finalization of the IRR of PhilCZ (AO No. 10)
• Community Simulation Exercise –CALABARZON (Oct 2017)
• Initial drafts of the Regional Preparedness and Response Plans (18) ; Initial drafts
of the provincial Preparedness and Response plans (5) -CALABARZON

DISEASEPROGRAM
Resource Management and Mobilization:
• Program Implementation Review (PIR) (February 2017)
• Strategic Plan / Risk Communication Workshop (May 2017)
• Health Promotion / M&E Tool Workshop (Sept 2017)
• Participation in the Marawi Intervention
• Co-handling / assistance to BAI on the Avian Influenza (H5N6) outbreak
• Funding/ Sub- allotments to all regional offices ; RITM and 5 SNLs
• Strengthened collaboration with DOH bureaus, government agencies, medical
societies, academe, civil organizations and societies

DISEASEPROGRAM
Network of Facilities and Stakeholders:
• CBCP, Schools, AFP and LGU ; 7 TWG meetings conducted
• Medical societies as active (PIDSP, PISMD and PAFP)
• Academe collaboration started with UP Manila and NIH
• Philhealth, FAO and OIE, UP Manila, PGH as partners
• Regional EREID Forums : Region V, Region VI, Region IV A
• Field Visit : Region VI (RO, Hospital, RHU and LGU)

DISEASEPROGRAM
Logistic Management System:
• Procurement of PPE (Personal Protective Equipment); Doxycycline;
Oseltamivir;
• Pre-positioning EREID supplies to all regional offices (18) ; RITM and Sub
National Laboratories (SNLs)
Risk Communication and Advocacy:
• Risk Communication Guidelines (per mode of transmission) –May 2017
• IEC, media placements, FB, advisories on Zika, Leptospirosis, Avian
Influenza and JE
• Health Promotion Plan – Oct 2017

DISEASEPROGRAM
WAYS FORWARD – 2018
• Consolidation of all Regional preparedness plans and assistance to advocate to their
Regional Directors and LCEs
• Strengthening of the Rapid Response Team (RRT) – Regional, Provincial and LGU levels
• Strengthened collaboration with HEMB, HPCS, EB, RITM and other partner DOH bureaus and
private institutions
• Institutionalize the ONE HEALTH Paradigm (animal, human and environmental health) in the
EREID operational framework and activities
• Integration of strategies addressing the emerging infectious diseases and the public health
emergencies as in APSED III 2017 proposal
• IHR Joint External Evaluation Tool (JEE)
• Development of EREID National Policy and Program Monitoring Tool
• MOP dissemination thru Training Modules / Capacity Enhancement (18 ROs)
• One Health Strategy Workshops
• Interim Clinical Guidelines/ Policies - Review and Updating
• Field Support Visits / Annual Partners’ / Stakeholders’ Forum

SMOKINGCESSATIONPROGRAM
• The use of tobacco continues to be a major cause of health problems
worldwide. There is currently an estimated 1.3 billion smokers in the world, with
4.9 million people dying because of tobacco use in a year. If this trend
continues, the number of deaths will increase to 10 million by the year 2020,
70% of which will be coming from countries like the Philippines. (The Role of
Health Professionals in Tobacco Control, WHO, 2005)
• The national smoking infrastructure is mandated by the Tobacco Regulations
Act which orders the Department of Health to set up withdrawal clinics. As
such DOH Administrative Order No. 122 s. 2003 titled The Smoking Cessation
Program to support the National Tobacco Control and Healthy Lifestyle
Program allowed the setting up of the National Smoking Cessation Program.

• Vision:
• Reduced prevalence of smoking and minimizing smoking-related health
risks.
• Mission:
• To establish a national smoking cessation program (NSCP).
• Objectives:
The program aims to:
1. Promote and advocate smoking cessation in the Philippines; and
2. Provide smoking cessation services to current smokers interested in
quitting the habit.

• Program Components:
The NSCP shall have the following components:
1. Training
• The NSCP training committee shall define, review, and regularly
recommend training programs that are consistent with the good clinical
practices approved by specialty associations and the in line with the rules
and regulations of the DOH.
• All DOH health personnel, local government units (LGUs), selected schools,
industrial and other government health practitioners must be trained on
the policies and guidelines on smoking cessation.
2. Advocacy
• A smoke-free environment (SFE) shall be maintained in DOH and
participating non-DOH facilities, offices, attached agencies, and retained
hospitals. DOH officials, staff, and employees, together with the officials of
participating non-DOH offices, shall participate in the observance and
celebration of the World No Tobacco Day (WNTD) every 31st of May and
the World No Tobacco Month every June.

• Program Components:
3. Health Education
• Through health education, smokers shall be assisted to quit their habit and
their immediate family members shall be empowered to assist and
facilitate the smoking cessation process.
4. Smoking Cessation Services
• PRIMARY: Risk assessment/ Risk screening; Assess for Tobacco Use
• SEC/TERTIARY: Quit Clinic, Managing withdrawal syndromes; Use of
Nicotine Replacement therapy
5. Research and Development
• Research and development activities are to be conducted to better
understand the nature of nicotine dependence among Filipinos and to
undertake new pharmacological approaches.

• Partner Organizations:
• The following institutions take part in achieving the goals of the program:
• LUNG CENTER OF THE PHILIPPINES
• PHILIPPINE COLLEGE OF CHEST PHYSICIAN
• PHILIPPINE GENERAL HOSPITAL
• WORLD HEALTH ORGANIZATION
• PHILIPPINE ACADEMY OF FAMILY PHYSICIANS
• PHILIPPINE MEDICAL ASSOCIATION
• FRAMEWORK CONVENTION ON TOBACCO CONTROL
• PSYCHOLOGICAL ASSOCIATION OF THE PHILIPPINES
• SEVENTH DAY ADVENTIST
• PHILIPPINE AMBULATORY PEDIATRIC ASSOCIATION
• PHILIPPINE PSYCHIATRIC ASSOCIATION
• METROPOLITAN MANILA DEVELOPMENT AUTHORITY

LIFESTYLE-RELATEDDISEASES
• Description
• Non-communicable diseases (NCDs) include cardiovascular
conditions (hypertension, stroke), diabetes mellitus,
lung/chronic respiratory diseases and a range of cancers
which are the top causes of deaths globally and locally.
These diseases are considered as lifestyle related and is
mostly the result of unhealthy habits.
• Behavioral and modifiable risk factors like smoking, alcohol
abuse, consuming too much fat, salt and sugar and physical
inactivity have sparked an epidemic of these NCDs which
pose a public threat and economic burden.

• Vision
A Philippines free from the avoidable burden of NCDs
• Mission
Ensure sustainable health promoting environments and
accessible, cost-effective, comprehensive, equitable and
quality health care services for the prevention and control of
NCDs, and guided by the principle of “Health in All, Health by
All, Health for All” whereas Health in All refers to Health in All
Policies, Health by All involves the whole-of-government and the
whole-of-society and the Health for All captures the KP
(Kalusugan Pangkalahatan) or the Universal Health Care (UHC).

• Objectives
1. To raise the priority accorded to the prevention and control of non-
communicable diseases in national, regional and local health and
development plans
2. To strengthen leadership, governance, and multisectoral actions for the
prevention and control of non-communicable diseases
3. To reduce modifiable risk factors for non-communicable diseases and
underlying social determinants through creation of health-promoting
environments
4. To strengthen health systems and increase access to quality medicines,
products and services, especially at the primary health care level, towards
attainment of universal health coverage
5. To promote and support research and development for the prevention and
control of non-communicable diseases
6. To monitor the trends and determinants of non-communicable diseases and
evaluate progress in their prevention and control

• Program Components
1. Cardiovascular Disease
2. Diabetes Mellitus
3. Cancer
4. Chronic Respiratory Disease

1. AO No. 2011-0003 or The National policy on Strengthening the Prevention and
Control of Chronic Lifestyle Related Non-Communicable Diseases
2. AO No. 2012-0029 or The Implementing Guidelines on the Institutionalization of
Philippine Package of Essential NCD Interventions (PhilPEN) on the Integrated
Management of Hypertension and Diabetes for Primary Health Care Facilities
3. AO No. 2013 – 0005 or The National Policy on the Unified Registry Systems of the
Department of Health (Chronic Non-Communicable Diseases, Injury Related
Cases, Persons with Disabilities, and Violence Against Women and Children
Registry Systems)
4. AO 2015-0052: “National Policy on Palliative & Hospice Care in the Philippines
5. AO 2016-0001: “Revised Policy on Cancer Prevention and Control Program
6. AO 2016 – 0014 - Implementing Guidelines on the Organization of Health Clubs
for Patients with Hypertension and Diabetes in Health Facilities

• Conceptual Framework

• Program Accomplishments/Status
1. Finalization of the Philippine Multi-sectoral Strategic Plan for the
Prevention and Control of NCDs (2017 – 2025)
2. The Philippine Package of Essential NCD Intervention for the integrated
management of hypertension and diabetes is being implemented
nationwide. This is being supplemented by developing the DOH
Hypertension and Diabetes Health Clubs in primary health care facilities
which will ensure continuity of care and provision of NCD drugs. A registry
of hypertensives and diabetics was also developed and is maintained by
the department.
3. Training on Diabetes management using Insulin for Regional Offices and
LGUs

• Program Accomplishments/Status
4. Provision of NCD drugs through the Medicine Access Programs (Breast
Cancer, Childhood Cancer, Colon and Rectum Cancer, Insulin, NCD
maintenance medicines for hypertension and diabetes)
5. Training on cervical cancer screening using visual inspection using
acetic acid (VIA) among health care workers started in 2013 and on-
going. Monitoring of trained institutions started in 2014.
6. NCD indicators are integrated in existing DOH current performance
reporting systems like Field Health Service Information System, Local
Government Unit scorecard
7. DOH support for proposed legislative bills focusing on addressing the
harmful effects of alcohol consumption, and integrating palliative and
hospice care into the health care system

 Goiter Awareness Week
 National Cancer Consciousness Week
 Philippine Heart Month
 International Childhood Cancer Day
 Hypertension Awareness Month
 Cervical Cancer Consciousness Month
 International Thyroid Awareness Week
 World No Tobacco Day
 National No Smoking Month
 Nutrition Month
 Thyroid Cancer Awareness Week
 Obesity Awareness and Prevention Week
 Breast Cancer Awareness Month
 World Diabetes Day

 Health Justice Philippines
 WHO Philippines
 National Nutrition Council
 Philippine Society of Endocrinology, Diabetes and Metabolism
 Philippine Heart Association
 Philippine Academy of Family Physicians
 Philippine Cancer Society, Inc.
 Philippine College of Physicians
 Philippine Thyroid Association
 Philippine College of Chest Physicians
 Philippine Society of Nuclear Medicine
 UP College of Public Health
 UP National Institutes of Health
 UP Philippine General Hospital
 Philippine Coalition for the Prevention and Control of Non Communicable Diseases

DENGUEPREVENTIONANDCONTROL
PROGRAM
• Background
 Dengue is the fastest spreading vector-borne disease in the world
endemic in 100 countries·
 Dengue virus has four serotypes (DENV1, DENV2, DENV3 and
DENV4)
 First infection with one of the four serotypes usually is non-severe or
asymptomatic, while second infection with one of other serotypes
may cause severe dengue.
 Dengue has no treatment but the disease can be early
managed.
 The five year average cases of dengue is 185,008; five year
average deaths is 732; and five year average Case Fatality Rate is
0.39 (2012-2016 data).

PROGRAM
• BACKGROUND
 Dengue is the fastest spreading vector-borne disease in the world endemic in
100 countries·
 Dengue virus has four serotypes (DENV1, DENV2, DENV3 and DENV4)
 First infection with one of the four serotypes usually is non-severe or
asymptomatic, while second infection with one of other serotypes may cause
severe dengue.
 Dengue has no treatment but the disease can be early managed.
 The five year average cases of dengue is 185,008; five year average deaths is
732; and five year average Case Fatality Rate is 0.39 (2012-2016 data).
• TRANSMISSION
 Dengue virus is transmitted by day biting Aedes aegypti and Aedes albopictus
mosquitoes.

PROGRAM
• DENGUE CASE CLASSIFICATION AND LEVEL OF SEVERITY
A. dengue without warning signs
A.1 suspect dengue
a previously well individual with acute febrile illness of 1-7 days duration plus two of the
following: headache, body malaise, retro-orbital pain, myalgia, arthralgia, anorexia,
nausea, vomiting, diarrhea, flushed skin, rash (petechial, Hermann’s sign)
A.2 probable dengue
a suspect dengue case plus laboratory test: Dengue NS1 antigen test and atleast CBC
(leukopenia with or without thrombocytopenia) or dengue IgM antibody test (optional)
A.3 confirmed dengue
a suspect or probable dengue case with positive result of viral culture and/or Polymerase
Chain Reaction (PCR) and/or Nucleic Acid Amplification Test- Loop Mediated
Amplification Assay (NAAT-LAMP) and/ or Plaque Reduction Neutralization Test (PRNT)

PROGRAM
• DENGUE CASE CLASSIFICATION AND LEVEL OF SEVERITY
B. dengue with warning signs
a previously well person with acute febrile illness of 1-7 days plus any of the following:
abdominial pain or tenderness, persistent vomiting, clinical signs of fluid accumulation
(ascites), mucosal bleeding, lethargy or restlessness, liver enlargement, increase in
haematocrit and/or decreasing platelet count
C. severe dengue
• severe plasma leakage leading to
• shock (DSS)
• fluid accumulation with respiratory distress
• severe bleeding
• as evaluated by clinician
• severe organ impairment
• Liver: AST or ALT ≥ 1000
• CNS: e.g. seizures, impaired consciousness
• Heart:and other organs (i.e. myocarditis, renal failure)

PROGRAM
• PHASES OF DENGUE INFECTION
• Febrile Phase
• Usually last 2-7 days
• Mild haemorrhagic manifestations like petechiae and mucosal
membrane bleeding (e.g nose and gums) may be seen.
• Monitoring of warning signs is crucial to recognize its progression to
critical phase.

PROGRAM
• Critical Phase
• Phase when patient can either improve or deteriorate.
• Defervescence occurs between 3 to 7 days of illness. Defervescence is known as
the period in which the body temperature (fever) drops to almost normal
(between 37.5 to 38°C).
• Those who will improve after defervescence will be categorized as Dengue
without Warning Signs, while those who will deteriorate will manifest warning signs
and will be categorized as Dengue with Warning Signs or some may progress to
Severe Dengue.
• When warning signs occurs, severe dengue may follow near the time of
defervescence which usually happens between 24 to 48 hours.

PROGRAM
• Recovery Phase
• Happens in the next 48 to 72 hours in which the body fluids go back to
normal.
• Patients’ general well-being improves.
• Some patients may have classical rash of “isles of white in the sea of red”.
• The White Blood Cell (WBC) usually starts to rise soon after defervescence
but the normalization of platelet counts typically happens later than that
of WBC.

PROGRAM
• MANAGEMENT (based on patient type)
• Group A- patients who may be sent home
These are patients who are able to:
• Tolerate adequate volumes of oral fluids
• Pass urine every 6 hours
• Do not have any of the warning signs particularly when the
fever subsides
• Have stable haematocrit

PROGRAM
• Group B- patient who should be referred for in-hospital management
Patients shall be referred immediately to in-hospital management if they
have the following conditions:
• Warning signs
• Without warning signs but with co-existing conditions that may make dengue or
its management more complicated ( such as pregnancy, infancy, old age,
obesity, diabetes mellitus, hypertension, heart failure, renal failure, chronic
haemolytic diseases such as sickle- cell disease and autoimmune diseases, etc.)
• Social circumstances such as living alone or living far from health facility or
without a reliable means of transportation.
• The referring facility has no capability to manage dengue with warning signs
and/or severe dengue.

PROGRAM
• Group C- patient with severe dengue.requiring emergency treatment and
urgent referral
These are patients with severe dengue who require emergency treatment
and urgent referral because they are in the critical phase of the disease
and have the following:
• Severe plasma leakage leading to dengue shock and/or fluid
accumulation with respiratory distress;
• Severe haemorrhages;
• Severe organ impairment (hepatic damage, renal impairment,
cardiomyopathy, encephalopathy or encephalitis)
Patients in Group C shall be immediately referred and admitted in the
hospital within 24 hours.

PROGRAM
• Vision: A dengue free Philippines
• Mission: Ensure healthy lives and promote well-being for all at all ages
• Goal: To reduce the burden of dengue disease
• Objectives
1.) To reduce dengue morbidity by atleast 25% by 2022
2.) To reduce dengue mortality by atleaset 50% by 2022
3.) To maintain Case Fatality Rate (CFR) to < 1% every year.

PROGRAM
• PROGRAM COMPONENTS
1. Surveillance
• Case Surveillance through Philippine Integrated Disease Surveillance and
Response (PIDSR)
• Laboratory-based surveillance/ virus surveillance through Research
Institute for Tropical Medicine (RITM) Department of Virology, as national
reference laboratory, and sub-national reference laboratories.
• Vector Surveillance through DOH Regional Offices and RITM Department
of Entomology

PROGRAM
2. Case Management and Diagnosis
• Dengue Clinical Management Guidelines training for hospitals.
• Dengue NS1 RDT as forefont diagnosis at the health center/ RHU level.
• PCR as dengue confirmatory test available at the sub-national and
national reference laboratories.
• NAAT-LAMP as one of confirmatory tests will be available at district
hospitals, provincial hospitals and DOH retained hospitals.

PROGRAM
3. Integrated Vector Management (IVM)
• Training on Vector Management, Training on Basic Entomology for
Sanitary Inspector, Training on Integrated Vector Management (IVM) for
health workers.
• Insecticide Treated Screens (ITS) as dengue control strategy in schools.
4. Outbreak Response
• Continuous DOH augmentation of insectides such as adulticides and
larvicides to LGUs for outbreak response.

PROGRAM
5. Health Promotion and Advocacy
• Celebration of ASEAN Dengue Day every June 15
• Quad media advertisement
• IEC materials
6. Research

PROGRAM
• STRATEGIES
Enhanced 4S Strategy
• S - earch and Destroy
• S - eek Early Consultation
• S - elf Protection Measures
• S - ay yes to fogging only during outbreaks

PROGRAM
• LINKS TO PROGRAM POLICIES AND GUIDELINES
1. AO 2016-0043
Guidelines for the nationwide Implementation of Dengue Rapid Diagnostic Test
2. AO 2012-006
Revised Dengue Clinical Management Guidelines
3. AO 2001-0045
Guidelines on the Application of Larvicides on the Breeding Sites of Dengue
Vector Mosquitoes in Domestic Water

PROGRAM
• LINKS TO PROGRAM POLICIES AND GUIDELINES
4. DM 2017-0353
Implementation Guidelines for Initial Implementation of Nucleic Acid
Amplification Assay - Loop Mediated Isothermal Assay (LAMP) as One of Dengue
Confirmatory Tests to Support Dengue NSI RDT
5. DM 2015-0309
Reactivation of Dengue Fast Lanes and Continuing Improvement of Systems for
Dengue Case Management and Services
6. DM 2014-0112
Technical Guidelines, Standards and other Instructions for Reference in the
Implementation of Sentinel-based Active Dengue Surveillance

PHILIPPINECANCERCONTROLPROGRAM
• Cancers figure among the leading causes of morbidity and
mortality worldwide, with approximately 14 million new cases and
8.2 million cancer related deaths in 2012 (WHO).
• More than 60% of world’s total new annual cases occur in Africa,
Asia and Central and South America. These regions account for
70% of the world’s cancer deaths (WHO). It is expected that
annual cancer cases will rise from 14 million in 2012 to 22 within
the next 2 decades (WHO)

• In response to this growing and alarming epidemic of cancer,
there is a need to revisit and strengthen the Philippine Cancer
Control Program which started in 1990 through Administrative
Order No. 89-A s. 1990, amending A.O. No. 188-A s. 1973.
• Hence, the National Cancer Control Committee (NCCC)
developed the National Cancer Prevention and Control Action
Plan (NCPCAP) 2015-2020.

• The National Cancer Prevention and Control Action Plan 2015-2020 shall
cover the following key areas of concern:
• Policy and Standards Development
• Development of “National Policy on the Integration of Palliative and Hospice Care into the
Philippine Health Care System”
• Development and Operationalization of National Cancer Prevention and Control Website
and Social Media Sites
• Development of “Comprehensive National Policy on Cancer Prevention and Control”
• Establishment of National Cancer Center and Strategic Satellite Cancer Centers
• Expansion of PhilHealth Z Benefit Package Coverage to Other Cancers
• PhilHealth Z-Benefit Package for catastrophic diseases (breast, prostate, cervical
cancers and childhood acute lymphocytic leukemia) is an in-patient package which
includes mandatory diagnostics, operating room expenses, doctor/professional fees,
room and board, and medicines.

• Advocacy and Promotions
A. Cancer Awareness Campaigns
1. National Cancer Consciousness Week January
2. Colon and Rectal Cancer Awareness Month March
3. Cancer in Children Awareness Month April
4. Cervical Cancer Awareness Month May
5. Prostate Cancer Awareness Month June
6. Lung Cancer Awareness Month August
7. Liver Cancer Awareness Month September
8. Breast Cancer Awareness Month October
9. Cancer Pain Awareness Month November
B. Partnership with DepEd, CHED, DOLE-Bureau of Working Conditions, and Civil Service
Commission

• Capacity Building and Resource Mobilization
• Training of Trainers on Cervical Cancer Prevention and Control
• Training of Trainers on Palliative and Hospice Care
• Training of Trainers on Patient Navigation Program

• The National Cancer Prevention and Control Action Plan 2015-2020
shall cover the following key areas of concern:
• Service Delivery
• Availability of Free Cervical Cancer Screening in all trained RHUs
• Availability of cryotherapy equipment in every province (81 provinces)
• Availability and accessibility of screenings for selected cancers in all
trained RHUs
• School-based HPV vaccination of 9 to 13-year-old females
• Hepatitis B vaccination for all health workers nationwide

• The National Cancer Prevention and Control Action Plan 2015-2020
shall cover the following key areas of concern:
• Information Management and Surveillance
• Establishment of National Cancer Registry (hospital- and population-based)
• Development and Operationalization of Cancer Helpline (including
Telemedicine)
• Research and Development
• Establishment of National Research and Development Program for Cancer
Control
• Research: Study on the Socio-Economic Burden and Impact Assessment of
Cancer in the Philippines
• Determination of Cancer Incidence in the Philippines 2008-2013

• VISION: Comprehensive Cancer Care and Optimized Cancer Survival in
2025
• MISSION: To reduce the impact of cancer and improve the wellbeing of
Filipino people with cancer and their families
• OBJECTIVES / GOALS
1. To reduce premature mortality from cancer by 25% in 2025
2. To ensure relative reduction of the following risk factors for cancer:
• 10% harmful use of alcohol
• 10% physical inactivity
• 30% tobacco use
3. To guarantee the availability of the following services for selected population:
• Selected cancer screening
• Human Papilloma Virus and Hepatitis B vaccination
• Access to palliative care
• Drug therapy and counseling

• ROLES AND FUNCTIONS OF NATIONAL CANCER CONTROL COMMITTEE
1. Set the roadmap of National Cancer Prevention and Control Program (NCPCP)
2. Plan, establish and implement policies, guidelines and standards throughout the continuum
of holistic health care (preventive, promotive, curative, rehabilitative and palliative)
3. Advise / recommend upgrading of existing cancer management facilities in the country
4. Coordinating body for all cancer works in the country
5. Ensure the implementation of NCPCP down to the grassroots level
6. Establish and carry out an effective nationwide cancer education program / dissemination
7. Provide technical and financial support on cancer prevention, early detection, treatment
and palliative care
8. Establish and carry out effective training program
9. Ensure the collection and analysis of data from registry and surveillance
10.Implement, monitor and evaluate the NCPCP regularly through implementation review and
impact evaluation
11.Empower and engage all the stakeholders to actively work on and participate in on various
areas of NCPCP
12.Endorse support for researchers in the clinical, epidemiological, public health and
knowledge management areas and in collaboration with international institutes
13.Others that may be identified and approved by the Secretary of Health

UNANGYAKAP
• Essential Newborn Care (ENC) is one of the many initiatives,
globally and locally, help save lives of pregnant women and
children
• ENC is a simple cost-effective newborn care intervention that
can improve neonatal as well as maternal care.

UNANGYAKAP
• It is an evidence-based intervention that:
• emphasizes a core sequence of actions, performed methodically
(step -by-step);
• is organized so that essential time bound interventions are not
interrupted; and
• fills a gap for a package of bundled interventions in a guideline
format.

NEWBORNSCREENINGPROGRAM
• Newborn screening (NBS) is an essential public health strategy that
enables the early detection and management of several
congenital disorders, which if left untreated, may lead to mental
retardation and/or death.
• Early diagnosis and initiation of treatment, along with appropriate
long-term care help ensure normal growth and development of
the affected individual.
• It has been an integral part of routine newborn care in most
developed countries for five decades, either as a health directive
or mandated by law. In the Philippines, it is a service available
since 1996.

• Program Objectives:
By 2030, all Filipino newborns are screened; Strengthen quality
of service and intensify monitoring and evaluation of NBS
implementation; Sustainable financial scheme; Strengthen patient
management
• Target Population: Filipino newborns
• Area of Coverage: Nationwide

• National Technical Working Group on Newborn Screening Program (NTWG- NBS)
• National Institutes of Health (NIH)
• NIH-Newborn Screening Reference Center (NIH-NSRC)
• DOH Epidemiology Bureau (EB)
• DOH Health Facilities and Services Regulatory Bureau (HFSRB)
• DOH Health Facility Development Bureau (HFDB)
• DOH National Center for Health Promotion (NCHP)
• NIH - Institute of Human Genetics (NIH-IHG)
• Department of the Interior and Local Government (DILG)
• Council for the Welfare of Children (CWC)
• Philippine Health Insurance Corporation (PhilHealth)

• Policies and Laws:
 RA 9288 or the Newborn Screening Act of 2004
 DOH AO No. 2014-0045 or the Guidelines on the
Implementation of the Expanded Newborn Screening Program

• Strategies, Action Points and Highlights
Ensuring Efficient Operations, Systems and Networks
Management
Expanding Package of Services and Delivery Network
Enhancing Health Promotion and Advocacy
Optimizing Health Information Management Systems for
Expanded Newborn Screening
Strengthen Monitoring and Evaluation
Establishing Sustainable Financing Scheme

INTEGRATEDMANAGEMENTOF
CHILDHOODILLNESSES(IMCI)
• The Integrated Management of Childhood Illness strategy has been introduced
in an increasing number of countries in the region since 1995. IMCI is a major
strategy for child survival, healthy growth and development and is based on
the combined delivery of essential interventions at community, health facility
and health systems levels.
• IMCI includes elements of prevention as well as curative and addresses the
most common conditions that affect young children. The strategy was
developed by the World Health Organization (WHO) and United Nations
Children’s Fund (UNICEF).
• In the Philippines, IMCI was started on a pilot basis in 1996, thereafter more
health workers and hospital staff were capacitated to implement the strategy
at the frontline level.

• Objectives of IMCI
• Reduce death and frequency and severity of illness and disability
• Contribute to improved growth and development
• Components of IMCI
• Improving case management skills of health workers
• Improving over-all health systems
• Improving family and community health practices

• Rationale for an integrated approach in the management of sick
children
• Majority of these deaths are caused by 5 preventable and treatable
conditions namely: pneumonia, diarrhea, malaria, measles and
malnutrition.
• Three (3) out of four (4) episodes of childhood illness are caused by these five
conditions
• Most children have more than one illness at one time. This overlap means
that a single diagnosis may not be possible or appropriate.

• Who are the children covered by the IMCI protocol?
• Sick children birth up to 2 months (Sick Young Infant)
• Sick children 2 months up to 5 years old (Sick child)

INTEGRATEDMANAGEMENTOFCHILDHOOD
ILLNESSES(IMCI)

HIV/STIPREVENTIONPROGRAM
• Objective:
Reduce the transmission of HIV and STI among the Most At Risk
Population and General Population and mitigate its impact at the
individual, family, and community level.

Program Activities:
With regard to the prevention and fight against stigma and discrimination,
the following are the strategies and interventions:
1. Availability of free voluntary HIV Counseling and Testing Service;
2. 100% Condom Use Program (CUP) especially for entertainment establishments;
3. Peer education and outreach;
4. Multi-sectoral coordination through Philippine National AIDS Council (PNAC);
5. Empowerment of communities;
6. Community assemblies and for a to reduce stigma;
7. Augmentation of resources of social Hygiene Clinics; and
8. Procured male condoms distributed as education materials during outreach.

Program Accomplishments:
• As of the first quarter of 2011, the program has attained particular targets for
the three major final outputs: health policy and program development;
capability building of local government units (LGUs) and other stakeholders;
and leveraging services for priority health programs.
• For the health policy and program development, the Manual of Procedures/
Standards/ Guidelines is already finalized and disseminated. The ARV
Resistance surveillance among People Living with HIV (PLHIV) on Treatment is
being implemented through the Research Institute for Tropical Medicine (RITM).
Moreover, both the Strategic Plan 2012-2016 for Prevention of Mother to Child
Transmission and the Strategic Plan 2012-2016 for Most at Risk Young People
and HIV Prevention and Treatment are being drafted.

Program Accomplishments:
• With regard to capability building, the Training Curriculum for HIV
Counseling and Testing is already revised. Twenty five priority LGUs
provided support in strengthening Local AIDS councils. as of March
2011, there were already 17 Treatment Hubs nationwide.
• Lastly, for the leveraging services, baseline laboratory testing is being
provided while male condoms are being distributed through social
Hygiene Clinics. A total of 1,250 PLHIV were provided with treatment
and 4,000 STI were treated.

Partner Organizations/Agencies:
• The following organizations/agencies take part in achieving the goal of the National
HIV/STI Prevention Program:
• Department of Interior and Local Government (DILG)
• Philippine National AIDS Council (PNAC)
• Research Institute for Tropical Medicine (RITM)
• STI/AIDS Cooperative Central Laboratory (SCCL)
• World Health Organization (WHO)
• United States Agency for International Development (USAID)
• Pinoy Plus Association
• AIDS Society of the Philippines (ASP)
• Positive Action Foundation Philippines, Inc. (PAFPI)
• Action for Health Initiatives (ACHIEVES)
• Affiliation Against AIDS in Mindanao (ALAGAD-Mindanao)
• AIDS Watch Council (AWAC)

Partner Organizations/Agencies:
• Family Planning Organization of the Philippines (FPOP)
• Free Rehabilitation, Economic, Education, and Legal Assistance Volunteers
Association, Inc. (FREELAVA)
• Philippine NGO council on Population, Health, and Welfare, Inc. (PNGOC)
• Leyte Family Development Organization (LEFADO)
• Remedios AIDS Foundation (RAF)
• Social Development Research Institute (SDRI)
• TLF share Collectives, Inc.
• Trade Union Congress of the Philippines (TUCP) Katipunang Manggagawang
Pilipino
• Health Action Information Network (HAIN)
• Hope Volunteers Foundation, Inc.
• KANLUNGAN Center Foundation, Inc. (KCFI)
• Kabataang Gabay sa Positibong Pamumuhay, Inc. (KGPP)

MENTALHEALTHPROGRAM
Mission
To promote over-all wellness of
all Filipinos, prevent mental,
psychosocial, and neurologic
disorders, substance abuse
and other forms of addiction,
and reduce burden of disease
by improving access to quality
care and recovery in order to
attain the highest possible
level of health to participate
fully in society.

MENTALHEALTHPROGRAM
Objectives
• To promote participatory governance and leadership in mental
health
• To strengthen coverage of mental health services through multi-
sectoral partnership to provide high quality service aiming at best
patient experience in a responsive service delivery network
• To harness capacities of LGUs and organized groups to
implement promotive and preventive interventions on mental
health
• To leverage quality data and research evidence for mental
health
• To set standards for compliance in different aspects of services

MENTALHEALTHPROGRAM
Program Components
1. Wellness of Daily Living
• All health/social/poverty reduction/safety and security programs and the like are
protective factors in general for the entire population
• Promotion of Healthy Lifestyle, Prevention and Control of Diseases, Family wellness
programs, etc
• School and workplace health and wellness programs
2. Extreme Life Experience
• Provision of mental health and psychosocial support (MHPSS) during personal and
community wide disasters
3. Mental Disorder
4. Neurologic Disorders
5. Substance Abuse and other Forms of Addiction
• Provision of services for mental, neurologic and substance use disorders at the
primary level from assessment, treatment and management to referral; and
provision of psychotropic drugs which are provided for free.
• Enhancement of mental health facilities under HFEP

MENTALHEALTHPROGRAM
Partner Institutions
• NGAs ( DOLE, DSWD, DepEd, Tesda, CHED, DILG)
• NGOs (WHO, PPA, PAP, PNA, PLAE, AWIT Foundation, WAPR, NGF)
Policies and Laws
• DOH Administrative Order No. 8 series of 2001 The National Mental
Health Policy
• DOH Administrative Order No. 2016-0039 Revised Operational
Framework for a Comprehensive National Mental Health Program
• Republic Act No. 11036 Mental Health Act

MENTALHEALTHPROGRAM
Strategies, Action Points and Timeline
• Governance
• Service coverage
• Advocacy
• Evidence
• Regulation

MENTALHEALTHPROGRAM
Program Accomplishments/Status
 Passage of the Republic Act No. 11036 dataed June 20, 2018
"An Act Establishing a National Mental Health Policy for the
Purpose of Enhancing the Delivery of Integrated Mental
Health Services, Promoting and Protecting the Rights of
Persons Utilizing Psychiatric, Neurologic and Psychosocial
Health Services, Appropriating Funds Therefore and for Other
Purposes"
 DOH Administrative Oreder No. 2016-0039 dated October 28,
2016 " Revised Operational Framework for a Comprehensive
National Mental Health Program"
 National Mental Health Program Strategic Plan 2018-2022
 Harmonized MHPPS Training Manual

MENTALHEALTHPROGRAM
Program Accomplishments/Status
 Development of the Implementing Rules and Regulation of
the RA No. 11036 also known as The Mental Health Act
 Conduct of the Advocacy Activities such as 2nd Public Health
Convention on Mental Health, Observance of the World
Health Day, World Suicide Prevention Day, National Mental
Health Week and Mental Health Fairs
 Training on Mental Health Gap Action Programme
 Conduct of The National Prevalence Survey on Mental Health
 Establishment of the Medicine Access Program for Mental
Health

MENTALHEALTHPROGRAM
Calendar of Activities
 September 10 - World Suicide
Prevention Day
 October 10 -World Mental
Health Day
 2nd Week of October -
National Mental Week

HEALTHANDWELLNESSPROGRAMFOR
SENIORCITIZENS
 In support of the RA 9257 (The Expanded Senior Citizens Act of 2003) and
the RA 9994 (Expanded Senior Citizen Act of 2010), the Department of
Health issued Administrative Orders for health implementors to undertake
and promote the health and wellness of senior citizens as well as to
alleviate the conditions of older persons who are encountering
degenerative diseases.

SENIORCITIZENS
HWPSC intends to provide the following:
 focused service delivery packages and integrated continuum of
quality care,
 patient-centered and environment standard to ensure safety and
accessibility for senior citizens,
 equitable health financing,
 capacitated health providers in the implementation of health
programs for senior citizens,
 data base management, and
 strengthened coordination and collaboration with other
stakeholders involved in the implementation of programs for senior
citizens.

SENIORCITIZENS
Vision
 A country where all Filipino senior citizens are able to live an
improved quality of life through a healthy and productive aging.
Mission
 Implementation of a well-designed program that shall promote the
health and wellness of senior citizens and improve their quality of life
in partnership with other stakeholders and sectors.

SENIORCITIZENS
Objectives
 To ensure better health for senior citizens through the provision of
focused service delivery packages and integrated continuum of
quality care in various settings.
 To develop patient-centered and environment standards to ensure
safety and accessibility of all health facilities for the senior citizens.
 To achieve equitable health financing to develop, implement,
sustain, monitor and continuously improve quality health programs
accessible to senior citizens.

SENIORCITIZENS
Objectives
 To enhance the capacity of health providers and other
stakeholders including senior citizens group in the implementation of
health programs for senior citizens.
 To establish and maintain a database management system and
conduct researches in the development of evidence-based
policies for senior citizens.
 To strengthen coordination and collaboration among government
agencies, non-government organizations, partner agencies and
other stakeholders involved in the implementation of programs for
senior citizens.

SENIORCITIZENS
 Department of Geriatric Services (formerly known as the National
Center for Geriatric Health) of Jose R. Reyes Memorial Medical
Center
 Institute for Aging of UP Manila
 Philippine College of Geriatric Medicine
 Philippine Health Insurance Corporation
 Department of Social Welfare and Development
 Coalition of Services of the Elderly
 Association of Department of Health Retired Employees

SENIORCITIZENS
Policies and Laws
 Madrid International Plan of Action on Aging
 Regional Framework for Action on Aging and health in the Western Pacific
2014-2019
 The 1987 Philippine Constitution
 Aquino Health Agenda
 Philippine Plan of Action for Senior Citizens (2012-2016)
 Republic Act No. 9257 – “An Act Granting Additional Benefits and
Privileges to Senior Citizens amending for the purpose of Republic Act no.
7432, otherwise known as “An Act to Maximize the Contribution of Senior
Citizens to Nation Building, Grant benefits and Special Privileges and for
Other Purposes”
 Republic Act No. 9994 – “An Act Granting Additional Benefits and
Privileges to Senior Citizens, Further Amending Republic Act no. 7432”

SENIORCITIZENS
Strategies, action Points and Timeline
 Participatory Governance for health through the life course
 Strengthened Service Delivery for older populations
 Advocacy and Promotion of healthy aging
 Evidence-based Decision Making

SENIORCITIZENS
Program Accomplishments/ Status
 Provision of influenza and pneumococcal vaccine
 Wellness camp for senior citizens
 Elderly Filipino week (Walk for Life) Celebration
Calendar of Activities
Presidential Proclamation No. 470, series of 1994 declares the First
Week of October of every year as Elderly Filipino Week (Linggong
Katandaang Pilipino) Celebration

NATIONALFAMILYPLANNINGPROGRAM
Vision
 For Filipino women and men achieve their desired family size and
fulfill the reproductive health and rights for all through universal
access to quality family planning information and services.
Mission
 In line with the Department of Health FOURmula One Plus strategy
and Universal Health Care framework, the National Family Planning
Program is committed to provide responsive policy direction and
ensure access of Filipinos to medically safe, legal, non-abortifacient,
effective, and culturally acceptable modern family planning (FP)
methods.

Objectives
 To increase modern Contraceptive Prevalence Rate (mCPR)
among all women from 24.9% in 2017 to 30% by 2022
 To reduce the unmet need for modern family planning from 10.8% in
2017 to 8% by 2022

Program Components
 Component A: Provision of free FP Commodities that are medically safe, legal,
non-abortifacient, effective and culturally acceptable to all in need of the FP
service:
 Forecasting of FP commodity requirements for the country
 Procurement of FP commodities and its ancillary supplies
 Strengthening of the supply chain management in FP and ensuring of adequate FP
supply at the service delivery points
 Component B: Demand Generation through Community-based Management
Information System:
 Identification and profiling of current FP users and identification of potential FP clients
and those with unmet need for FP (permanent or temporary methods)
 Mainstreaming FP in the regions with high unmet need for FP
 Development and dissemination of Information, Education Communication materials
 Advocacy and social mobilization for FP

Program Components
 Component C: Family Planning in Hospitals and other Health Facilities
 Establishment of FP service package in hospitals
 Organization of FP Itinerant team for outreach missions
 Delivery of FP services by hospitals to the poor communities especially Geographically
Isolated and Disadvantaged Areas (GIDAs):
 Provision of budget support to operations by the itinerant teams including logistics and
medical supplies needed for voluntary surgical sterilization services
 FP services as part of medical and surgical missions of the hospital
 Partnership with LGU hospitals for the FP outreach missions
 Component D: Financial Security in FP
 Strengthening PhilHealth benefit packages for F
 Expansion of PhilHealth coverage to include health centers providing No Scalpel
Vasectomy and FP Itinerant 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

 Local Government Units
 Civil Society Organizations
 Non-Government Organizations
 Private Sector
 Faith-based Organizations
 Development Partners

Policies and Laws
 Republic Act No. 10354: Responsible Parenthood and Reproductive
Health Act of 2012 (RPRH Law)
 Executive Order No. 12, s. 2017: Attaining and Sustaining “Zero
Unmet Need for Modern Family Planning” Through the Strict
Implementation of the Responsible Parenthood and Reproductive
Health Act, Providing Funds Therefor, and for other Purposes
 Administrative Order 2017-0005: Guidelines in Achieving Desired
Family Size through Accelerated and Sustained Reduction in Unmet
Need for Modern Family Planning Methods
 Administrative Order 2016-0005: National Policy on the Minimum
Initial Service Package (MISP) for Sexual and Reproductive Health
(SRH) in Emergencies and Disasters

Policies and Laws
 Administrative Order 2017-0002: Guidelines on the Certification of
Free Standing Family Planning Clinics
 Department Order 2017-0345: Guidelines on the Forecasting,
Procurement, Allocation and Distribution of Modern Family Planning
Commodities
 Administrative Order 2015-0006: Inclusion of Progestin Subdermal
Implant as One of the Modern Methods Recognized by the National
Family Planning Program.
 Administrative Order 2014-0042: Guidelines on the Implementation
of Mobile Outreach Services for Family Planning
 Department Memorandum 2015-0384: Establishment of the Family
Planning Logistics Hotline

INFANTANDYOUNGCHILDFEEDING(IYCF)
 A global strategy for Infant and Young Child Feeding (IYCF) was issued
jointly by the World Health Organization (WHO) and the United Nations
Children’s Fund (UNICEF) in 2002, to reverse the disturbing trends in
infant and young child feeding practices. This global strategy was
endorsed by the 55th World Health Assembly in May 2002 and by the
UNICEF Executive Board in September 2002 respectively.
 It aimed to improve the nutritional status and health of children
especially the under-three and consequently reduce infant and under-
five mortality. Specifically, its objectives were to improve, protect and
promote infant and young child feeding practices, increase political
commitment at all levels, provide a supportive environment and
ensure its sustainability.

GUIDING PRINCIPLES
 The IYCF Strategic Plan of Action upholds the following guiding
principles:
 1. Children have the right to adequate nutrition and access to
safe and nutritious food, and both are essential for fulfilling their
right to the highest attainable standard of health. (5)
 2. Mothers and Infants form a biological and social unit and
improved IYCF begins with ensuring the health and nutritional
status of women. (5)
 3. Almost every woman can breastfeed provided they have
accurate information and support from their families,
communities and responsible health and non-health related
institutions during critical settings and various circumstances
including special and emergency situations.(5)

GUIDING PRINCIPLES
 The IYCF Strategic Plan of Action upholds the following guiding
principles:
 4. The national and local government, development partners,
non-government organizations, business sectors, professional
groups, academe and other stakeholders acknowledges their
responsibilities and form alliances and partnerships for improving
IYCF with no conflict of interest.
 5. Strengthened communication approaches focusing on
behavioral and social change is essential for demand
generation and community empowerment.

GOAL:
 Reduction of child mortality and morbidity through optimal
feeding of infants and young children
MAIN OBJECTIVE:
 To ensure and accelerate the promotion, protection and
support of good IYCF practice

OUTCOMES:
By 2016:
 90 percent of newborns are initiated to breastfeeding within
one hour after birth;
 70 percent of infants are exclusively breastfeed for the first 6
months of life; and
 95 percent of infants are given timely adequate and safe
complementary food starting at 6 months of age.

TARGETS:
By 2016:
 50 percent of hospitals providing maternity and child health services are
certified MBFHI;
 60 percent of municipalities/cities have at least one functional IYCF support
group;
 50 percent of workplaces have lactation units and/or implementing
nursing/lactation breaks;
 100 percent of reported alleged Milk Code violations are acted upon and
sanctions are implemented as appropriate;
 100 percent of elementary, high school and tertiary schools are using the
updated IYCF curricula including the inclusion of IYCF into the prescribed
textbooks and teaching materials; and
 100 percent of IYCF related emergency/disaster response and evacuation
are compliant to the IFE guidelines.

ADVANTAGES OF BREASTFEEDING:
B- est for babies
R- educes incidents of allergies
E- conomical
A- ntibodies, present (Colostrum)
S- tool inoffensive
T- emperature always correct
F- resh
E- motional bonding
E-asy once established
D- igested easily
I- mmediately available
N- utritionally balanced
G- astroenteritis, reduced

FOODFORTIFICATIONPROGRAM
Objectives:
1. To provide the basis for the need for a food
fortification program in the Philippines: The
Micronutrient Malnutrition Problem
2. To discuss various types of food fortification
strategies
3. To provide an update on the current situation
of food fortification in the Philippines

Fortification as defined by Codex Alimentarius
“the addition of one or more essential nutrients to food, whether
or not it is normally contained in the food, for the purpose of
preventing or correcting a demonstrated deficiencyof one or
more nutrients in the population or specific population groups”

Vitamin A, Vitamin A Deficiency (VAD) and its
Consequences
• Vitamin A - an essential nutrient as retinol needed by the body
for normal sight, growth, reproduction and immune competence
• Vitamin A deficiency - a condition characterized by depleted
liver stores & low blood levels of vitamin A due to prolonged
insufficient dietary intake of vit. A followed by poor absorption or
utilization of vit. A in the body
• VAD affects children’s proper growth, resistance to
infection, and chances of survival (23 to 35% increased child
mortality), severe deficiency results to blindness, night blindness
and bitot’s spot

Iron and Iron Deficiency Anemia (IDA) and its
consequences
• Iron - an essential mineral and is part of hemoglobin, the red
protein in red blood cells that carries oxygen from the lungs to
the cells
• Iron Deficiency Anemia - condition where there is lack of iron in
the body resulting to low hemoglobin concentration of the
blood
• IDA results in premature delivery, increased maternal mortality,
reduce ability to fight infection and transmittable diseases and
low productivity

Iodine and Iodine Deficiency Disorders (IDD)
• Iodine -a mineral and a component of the thyroid hormones
• Thyroid hormones - needed for the brain and nervous system to
develop & function normally
• Iodine Deficiency Disorders refers to a group of clinical entities
caused by inadequacy of dietary iodine for the thyroid hormone
resulting into various condition e.g. goiter, cretinism, mental
retardation, loss of IQ points

Policy on Food Fortification
• ASIN LAW
• Republic Act 8172, “An Act Promoting Salt Iodization
Nationwide and for other purposes”, Signed into law on Dec.
20, 1995
• Food Fortification Law
• Republic Act 8976, “An Act Establishing the Philippine Food
Fortification Program and for other purposes” mandating
fortification of flour, oil and sugar with Vitamin A and flour and
rice with iron by November 7, 2004 and promoting voluntary
fortification through the SPSP, Signed into law on November 7,
2000

Food Fortification Day
• EO 382 declares November 7 as the National Food
Fortification Day

DOH-PROGRAMS.pdf

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