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1. CHAPTER 13 –
NEWBORN & CHILD
HEALTH SERVICES

2. Birth and Newborn Services (28 days)
R.A 8980 – aka “Early Childhood Care Development”
- refers to the full range of health, nutrition, education and social services programs that provide
for the holistic needs of young children from birth to 6 years of age to promote their optimum
growth and development.
1. Early initiation of Breastfeeding (BF).
2. EBF for the first 6 months.
3.Extended BF for 2 years and beyond.
4. Appropriate Complementary Feeding (CF)
5. Micronutrient Supplementation
6. Universal Salt Iodization
7. Food Fortification

3. Related Laws and Policies in BF
R.A 7600 – Rooming In and Breastfeeding Act
EO 51 – Milk Code
RA 10028 – Expanded Breastfeeding Promotion Act of 2009
A.O 2005 – 0014 – National Policies on Infant and Child
Feeding

4. NEWBORN SCREENING
R.A 9288 – aka “Newborn Screening Act”
Newborn Screening Test
- is a simple procedure ideally done as early as after 24 hours after
initial BF but not later than 3 days from the time of delivery.
- newborns in ICU may be tested within 7 days of age.
- Purpose: FOR EARLY DETECTION TO PREVENT COMPLICATIONS such
as; MENTAL RETARDATION AND DEATH

5. NEWBORN HEARING SCREENING TEST
R.A 9709 – aka “Universal Newborn
Hearing Screening and Intervention Act
of 2009”.
- aims for the early detection of
congenital hearing loss and referral for
early intervention.
- This law requires that all newborns
should be screened prior to discharge
from the hospital.

6. National Immunization Program (NIP)
Goals:
1. To immunize all infants against vaccine preventable diseases.
2. To sustain polio-free status of the Philippines.
3. To eliminate measles infections.
4. To eliminate maternal and neonatal tetanus.
5. To control Diphtheria, Pertussis, Hepatitis B infection and German
Measles
6. To prevent extrapulmonary tuberculosis among children

9. Care of the injection site
1. Keep the area clean and dry.
It is OK to bathe your child as usual. Carefully
pat the area dry after washing.
2. A wound dressing with gauze may be used
if the area starts to ooze.
3. Use a sterile alcohol swab to clean the area
if required.
4. Do not apply ointment, antiseptic creams,
or sticking plasters (e.g. Band-Aids).

11. Current name is MCV1 &
MCV2
IPV1
IPV2 (Routine)
IPV2 (catchup)
Nageentry dito kapag ang bata
ay lampas ng 12 months.
Rotavirus Vaccine 1 ½ months

12. Birthdate
ng baby:
June 1,
2022
(06/01/22)
PENTA1 –
07/13/22
OPV 1 –
07/13/22
PCV1 –
07/13/22
PENTA2 –
08/10/22
OPV2 –
8/10/22
PCV2 –
08/10/22
PENTA3 –
09/07/22
OPV3 –
09/07/22
IPV1 –
09/07/22
PCV3 –
09/07/22

13. MMR
(old
name)
MCV –
new
name
MCV1 –
03/01/23
IPV2
(routine)
03/01/23

14. MCV2 – 06/01/23
FULLY IMMUNIZED CHILD
- It is an overall program
indicator to assess the
proportion of full
complement of
immunization during
the 1st year of life
(WHO).
- 1 dose of BCG
- 3 doses of PENTA
- 3 doses of OPV
- 2 doses of MCV

15. Francis Del Castillo
46 cm
2500 gms
SF BHS
SAN FRANCISCO
06/15/2022
7/27/22
7/27/22
7/27/22
8/24/22
8/24/22
8/24/22
9/21/22
9/21/22
9/21/22
9/21/22 3/15/23
3/15/23 06/15/23
IPV2 (Catch up)

16. Related Policies and Laws
PD 996 – providing compulsory basic immunization for infants and children below 8 years old.
R.A 10152 of 2011 – Mandatory Infants and Children Health Immunization Act of 2011 for
children up to 5 years of age and inclusions of new vaccines: Hepatitis B, Mumps, Rubella,
Haemophilus Influenza type B (Hib).
- repealed PD 996
- legal basis of the NIP
Presidential Proclamation No. 6 of 1996 – Implementing a United Nations Goal on Universal
immunity by 1990; and designating Wednesdays as Immunization Day

17. DOH Recommendations on temperature
storage and duration of biologicals:
1. Proper vaccine storage
2. “First Expiry, First Out” (FEFO) Principle
3. Vaccine Vial Monitor

18. 4. Shake Test
DOH Recommendations on temperature
storage and duration of biologicals:

19. NUTRITION PROGRAM
GOAL: to improve quality of life through better nutrition, improve health and increase
productivity.
Components:
1. Complementary Feeding – starts at 6 months

20. Requirements in
giving
Complementary
Feeding:

21. NUTRITION PROGRAM
2. Micronutrient
Supplementation –
administration of
concentrated source of a
nutrient, either singly or
combination.
- recommended for children
0-59 months old, pregnant
and lactating women or
those within the ages of 15 –
49 years old.

22. Major micronutrient deficiencies
1. Vitamin A Deficiency – aka Xeropthalmia
2. Iron Deficiency Anemia (IDA)
3. Iodine Deficiency Disorder (IDD)

23. NUTRITION PROGRAM
3. Food Fortification – addition of micronutrients to food during
production and preparation.
-the Sangkap Pinoy Seal is placed on the label of fortified foods
following a color coded scheme:
• Green – Vit. A
• Yellow – Iron
• Pink - Iodine

24. NUTRITION PROGRAM
4. Deworming Program
- Deworming of children ages 1 – 12 years old is done every 6 months.
- Parental consent is needed.
- as PHN, you must assess the following contraindications:
1. Serious illness
2. Abdominal Pain
3. Diarrhea
4. History of hypersensitivity
5. Severe Malnutrition

25. Recommended dose for deworming
children:
AGE ALBENDAZOLE 400 mg/tab Mebendazole 500 mg/tab
12 -23 months ½ tab 1 tab
24 – 59 months 1 tab 1 tab
Common Adverse effects of deworming and corresponding
management:
ADVERSE EFFECTS MANAGEMENT
Local Sensitivity Give antihistamine
Mild abdominal pain Give antispasmodic
Diarrhea Give ORS
Erratic worm migration Pull out worms from mouth or nose or
from other orifices

26. Related Laws and Policies
R.A 8172 – Asin Law – primarily aims to help contribute in eliminating iodine
deficiency in the population through the use of iodized salt in food preparation.
P.D No. 491 – declared July as Nutrition Month and created the National
Nutrition Council
E.O 382 – declared Dec. 7 as National Food Fortification Day
R.A 8976 – aka “Philippine Food Fortification Act of 2009”

27. Integrated Management of Childhood
Illnesses
- is a case management process for a first -
level facility such as clinics, health center,
rural health units or an outpatient
department of the hospital.
- can be used by HCPs who see sick children
age 1 week up to 5 years.
- the IMCI guidelines describe how to care for
a child who is brought to the clinic with an
illness, or for a scheduled follow up visit to
check the child’s progress.

28. ELEMENTS:
1. ASSESS - check for the DANGER SIGNS!
2. CLASSIFY – Child’s illness is categorized using color-coded triage system.
Pink – Urgent treatment and Referral
Yellow – Specific Medical Treatment and advice
Green – Simple advice on home management.
3. IDENTIFY – After classifying all conditions, specific treatments should be identified.
4. TREATMENT – Provide practical management instructions including teaching the mother or caregiver how to
give oral drugs, how to feed and give fluids during illness and how to treat local infections at home.
5. COUNSEL – Assess feeding, including assessment of of BF practices and counsel to solve any feeding problem
found.
6. FOLLOW-UP CARE – When a child is brought back to the clinic as requested, give follow-up care and if, necessary
reassess the child for new problem.

31. ADOLESCENT HEALTH

34. RELATED POLICIES & LAWS:
1. R.A 11166 – Philippine HIV & AIDS Policy Act
2. A.O No. 2013–0013 - National Policy and Strategic Framework on
Adolescent Health and Development.
3. House Bill No. 4742& 1888 – has been filed in Congress to prevent
educational institutions from suspending, expelling and dismissing
pregnant students.

35. References:
https://www.youtube.com/watch?v=PLk3Yfj3lM8
https://www.youtube.com/watch?v=AkvmBwmw-s0
https://www.youtube.com/watch?v=U8p41Kf02YQ
https://www.who.int/data/gho/indicator-metadata-registry/imr-details/3376
https://www.who.int/publications/i/item/9789241506823
https://www.youtube.com/watch?v=P8wCk8FU7_o
https://www.who.int/publications/m/item/vaccine-vial-
monitor
https://www.facebook.com/radyomosanutrisyon/photos/pcb.2
756892124320855/2756891044320963/

36. References:
https://doh.gov.ph/health-programs/adolescent-health-development-program
https://www.barangaybatasan.com/popcom-and-unpfs-u4u-awes-batasan-hills-youth/
https://www.google.com/search?q=U4U&tbm=isch&ved=2ahUKEwi55q-
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Community & PHN 2nd Philippine Edition by Nies and McEwen
Adapting Editor: Earl Francis Sumile, PhD, RN