Child Health and Development Strategic Plan Year 2001-2004

Children's Health 2025, a subdocument of CHILD 21, realizes that health is a critical and fundamental element in
children's welfare. However, health programs cannot be implemented in isolation from the other component that
determine the safety and well being of children in society. Children's Health 2025, therefore, should be able to integrate
the strategies and interventions into the overall plan for children's development.

Health Status Objectives

1. Reduce infant mortality rate to 17 deaths per 1,000 live births

2. Reduce mortality rate among children 1-4 years old to 33.6% per 1000 livebirths
3. Reduce the mortality rate among adolescents and youths by 50%

Risk Reduction Objectives

1. Increse the percentage of fully immunized children to 90%

2. Increase the percentage of infants exclusively breastfed up to six months to 30%
3. Increase the percentage of infants given timely and proper complementary feeding at six months to 70%
4. Increase the percentage of mothers and caregivers who know and practice home management of childhood
illness to 80%
5. Reduce the prevalence of protein-energy malnutrition among school-age children
6. Increase the health care-seeking behavior of adolescents to 50%

Services and Protection Objectives

1. Ensure 90% of infants and children are provided with essential health care package
2. Increase the percentage of health facilities with available stocks of vaccines and esential drugs and
micronutrients to 80%
3. Increase the percentage of schools implementing school-based health and nutrition programs to 80%
4. Increase the percentage of health facilities providing basic health services including counseling for adolescents
and youth to 70%

CHD Scorecard
CHD Scorecard shall reflect performance of the CHD as extension producers of the DOH in its mandate and function of
steering and leading the national health system. Performance indicators shall include extent and quality of goods and
services desired by the local health systems in the regional coverage area, and prescribed by DOH management, along
the 4 main strategies of F1. Performance indicators shall also include satisfaction of clients with CHD services and
products.

Committee of Examiners for Undertakers and Embalmers

Embalming is the funeral custom of cleaning and disinfecting bodies after death. It has been part of the funeral parlors
so with our lives. For the past decades, embalming has been undergoing profound transformational events, not only in
the Philippines but worldwide. Today, embalming is also considered an art. It is done to preserve the dead body from
natural decomposition and for restoration for a more pleasing appearance. Likewise, the procedure is significant for
restoration of evidences such as in medico-legal cases.

These changes were made possible by the multitudes of forces converging in the national as well as the local levels, which
is impacting on the quality of embalming practice in the country. Embalmers today should therefore, be looked up to,
because of the significant manifold tasks they are rendering including the counseling assistance they are providing the
bereaved parties.
Objective:

The Department of Health (DOH) created the CEUE to regulate embalming practice in the country. The creation was
made possible by Presidential Decree (PD) No. 856 "Code of Sanitation of the Philippines" Chapter XXI "Disposal of Dead
Persons" and Executive Order No. 102 s. 1999 "Rationalization and Streamlining Plan of the DOH".

Strategies:

To ensure that only qualified individuals enter the regulated profession and that the care and services which the
embalmers provide are within the standards of practice, the DOH-CEUE created:

7. Department Memorandum No. 2008-0009 - Designation of DOH Human Resource Development Units (DOH-HRDUs) as
Coordinators for Embalmers Program" to facilitate immediate response to queries and complaints regarding the
embalming practice.

8. CEUE Resolution No. 2008-001 - Accredited Training Institutions and Training Providers for Embalmers for CY 2008-
2011 to regulate existing and potential training providers and training institutions for embalmers for the enhancement
and maintenance of its professional standards.

9. CEUE Resolution No. 2008-002 - Extension of Moratorium as per CEUE Resolution No. 2007-001.

10. CEUE Resolution No. 2007-001 - Moratorium on the Non-renewal of Licenses of Embalmers for the past five (5) years
and over with the aim of providing chance to licensed embalmers who were unable tio renew their licenses for the past
five years and over.

11. Administrative Order No. 2007-0020 - Policies and Guidelines for the Accreditation of Training Institutions, Training
Programs and Training Providers for Embalmers in the Philippines with the aim of institutionalizing the continuing
education program for embalmers in the country. Hence, to ensure the maintenance of efficient, ethical and technical,
moral and professional standards in its practice, taking into account the quality of care to be rendered to respective
clientele. At the same time, the regulation ensures the global competitiveness of the Filipino embalmers.

Chapter XXI "Disposal of Dead Persons" mandate the CEUE to monitor and enforce quality standards of embalming practice
in the Philippines and exercise the powers necessary to ensure the maintenance of efficient, ethical and technical, moral
and professional standards in its practice, taking into account the quality of care to be rendered to respective clientele.
At the same time, the regulations ensure the global competitiveness of the Filipino embalmers.

Committee of Examiners for Massage Therapy (CEMT)

The Department of Health created the Committee of Examiners for Massage Therapy (CEMT) to regulate the practice of
massage therapy in accordance to the provisions of the Sanitation Code of the Philippines (PD 856) and Executive Order
No. 102 s. 1999, Reorganization and Streamlining of the Department of Health. It provides the CEMT the function to
ensure that only qualified individuals enter the regulated profession and that the care and services which the massage
therapists provide are within the standards of practice.

Strategies:

To ensure that only qualified individuals enter the regulated profession and that the care and services which the massage
therapists provide are within the standards of practice, the DOH-CEMT created:

Chapter XIII "Massage Clinics and Sauna Establishments mandate the CEMT to monitor and enforce quality standards of
massage therapy practice in the Philippines and exercise the powers necessary to ensure the maintenance of efficient,
ethical and technical, moral and professional standards in its practice, taking into account the quality of care to be
rendered to respective clientele. At the same time, the regulations ensure the global competitiveness of the Filipino
massage therapists.

Emerging and Re-emerging Infectious Disease Program

Emerging and re-emerging infections (e.g., SARS, meningococcemia, Avian Influenza or bird flu, A (H1N1) virus
infection) threaten countries all over the world.
Efforts to prepare for emerging infections with potential for causing high morbidity and mortality are being done by the
program. Applicable prevention and control measures are being integrated while the existing systems and
organizational structures are further strengthened

Goal: Prevention and control of emerging and re-emerging infectious disease from becoming public health
problems.

Objectives:

The program aims to:

1. Reduce public health impact of emerging and re-emerging infectious diseases; and

2. Strengthen surveillance, preparedness, and response to emerging and re-emerging infectious diseases.

Program Strategies:

The DOH, in collaboration with its partner organizations/agencies, employs the key strategies:

1. Development of systems, policies, standards, and guidelines for preparedness and response to emerging
diseases;

2. Technical Assistance or Technical Collaboration;

3. Advocacy/Information dissemination;

4. Intersectoral collaborations;

5. Capability building for management, prevention and control of emerging and re-emerging diseases that may
pose epidemic/pandemic threat; and

6. Logistical support for drugs and vaccines for meningococcemia and anti-viral drugs and vaccine for
Pandemic Influenza Preparedness.

Environmental Health
Environmental Health is concerned with preventing illness through managing the environment and
by changing people's behavior to reduce exposure to biological and non-biological agents of disease
and injury. It is concerned primarily with effects of the environment to the health of the people.
Program strategies and activities are focused on environmental sanitation, environmental health impact assessment and
occupational health through inter-agency collaboration.
Goals
Reduction of environmental and occupational related diseases, disabilities and deaths through health promotion and
mitigation of hazards and risks in the environment and worksplaces.
Strategic Objectives
1. Development of evidence-based policies, guidelines, standards, programs and parameters for specific healthy
settings.
2. Provision of technical assistance to implementers and other relevant partners
3. Strengthening inter-sectoral collaboration and broad based mass participation for the promotion and
attainment of healthy settings
Essential Newborn Care
Goals: To reduce neonatal mortality rates by 2/3 from 1990 levels

Objectives:

1. To provide evidence-based practices to ensure survival of the newborn from birth up to the first 28 days of life
2. To deliver time-bound core intervention in the immediate period after the delivery of the newborn
3. To strengthen health facility environment for breastfeeding initiation to take place and for breastfeeding to be
continued from discharge up to 2 years of life
4. To provide appropriate and timely emergency newborn care to newborns in need of resuscitation
5. To ensure access of newborns to affordable life-saving medicines to reduce deaths and morbidity from leading
causes of newborn conditions
6. To ensure inclusion of newborn care in the overall approach to the Maternal, Newborn, Child Health and
Nutrition Strategy

Food and Waterborne Diseases Prevention and Control Program

The program covers diseases of a parasitic, fungal, viral, and bacteria in nature, usually acquired through the ingestion
of contaminated drinking water or food. The more common of these diseases are bacterial in nature, the most common
of which are typhoid fever and cholera. These two organisms had been the cause of major outbreaks in the Philippines
in the last two years. Parasitic organisms are also an important factor, among them capillariasis, Heterophydiasis, and
paragonimiasis, which are endemic in Luzon, Visayas, and Mindanao. Cysticercosis is also a major problem since it has
a neurologic component to the illness. The approaches to control and prevention is centered on public health
awareness regarding food safety as well as strengthening treatment guidelines.

Goal and Objectives:

The program aims to:

1. Prevent the occurrence of food and waterborne outbreaks through strategic placement of water purification
solutions and tablets at the regional level so that the area coordinators could respond in time if the situation
warrants;

2. Procure Intravenous Fluid solutions, venosets and IV cannula for adult and pediatric patients in diarrheal
outbreaks and to be stockpiles at the 17 Centers for Health Development (CHD) and the Central Office for
emergency response to complement the stocks of HEMS;

3. Place first line and second line antimicrobial and anti-parasitic medicines such as albendazole and
praziquantel at selected CHDs for outbreak mitigation as well as emergency stocks at the DOH warehouse
located at the Quirino Memorial Medical Center (QMMC) compound;

4. Increase public awareness in preventable food-borne illnesses such as capillaria, which is centered on
unsafe cultural practices like eating raw aquatic products;

5. Increase coordination between the National Epidemiology Center (NEC) and Regional epidemiology
surveillance Unit (RESU) to adequately respond to outbreaks and provide technical support;

6. Procure Typhidot-M diagnostic kits for the early detection and treatment of typhoid patients;

7. Procure Typhoid vaccine and oral cholera vaccine to reduce the number of cases seen after severe flooding;

8. Provide training to local government unit (LGU) laboratory and allied medical personnel on the Accurate
laboratory diagnosis of common parasites and proper culture techniques in the isolation of bacterial food
pathogens; and

9. Provide guidance to field medical personnel with regard to the correct treatment protocols vis-à-vis various
parasitic, bacterial, and viral pathogens involved in food and waterborne diseases.
 Garantisadong Pambata
Comprehensive and integrated package of services and communication on health, nutrition and environment for children
available everyday at various settings such as home, school, health facilities and communities by government and non-
government organizations, private sectors and civic groups.

Objectives:

 ›Contribute to the reduction of infant and child morbidity and mortality towards the attainment of MDG 1 and 4.
 ›Ensure that all Filipino children, especially the disadvantaged group (GIDA), have equitable access to affordable
health, nutrition and environment care

Human Resource for Health Network

The Department of Health (DOH) spearheaded the creation of Human Resource for Health Network (HRHN), which is a
multi-sectoral organization composed of government agencies and non-government organizations. The network seeks
to address and respond to human resource for health (HRH) concerns and problems.

Vision: Collaborative partnerships for a better, more responsive and globally competitive HRH

Mission: The HRHN is a multi-sectoral organization working effectively for coordinated and collaborative action in the
accomplishment of each member organization’s mandate and their common goals for HRH development to address the
health service needs of the Philippines, as well as in the global setting.

Values: Upholds the quality and quantity of HRH for the provision of quality health care in the Philippines.

Objectives:

The objectives of the HRHN are as follows:

1. Facilitate implementation of programs of the HRHMP that would entail coordination and linkage of concerned
agencies and organizations;

2. Provide policy directions and develop programs that would address and respond to HRH issues and
problems;

3. Harmonize existing policies and programs among different government agencies and non-government
organizations;

4. Develop and maintain an integrated database containing pertinent information on HRH from production,
distribution, utilization up to retirement and migration; and

5. Advocate HRH development and management in the Philippines.

Health Development Program for Older Persons - (Bureau or Office:

National Center for Disease Prevention and Control )
Cognizant of its mandate and crucial role, the Philippine Department of Heallth (DOH) formulated the
Health Care Program for Older Persons (HCPOP) in 1998. The DOH HCPOP (presently renamed
Health Development Program for Older Persons) sets the policies, standards and guidelines for local
governments to implement the program in collaboration with other government agencies, non-
government organizations and the private sector.

The program intends to promote and improve the quality of life of older persons through the establishment and provision
of basic health services for older persons, formulation of policies and guidelines pertaining to older persons, provision
of information and health education to the public, provision of basic and essential training of manpower dedicated to
older persons and, the conduct of basic and applied researches.

Target Population/Clients

1. Older persons (60 years and above) who are:

a. Well and free from symptoms
b. Sick and frail
c. Chronically ill and cognitively impaired
d. In need of rehabilitation services
2. Health workers and caregivers
3. LGU and partner agencies

Health Development Program for Older Persons - R.A. 7876 (Senior Citizens
Center Act of the Philippines)
This is freaking law hehehehehe

Health Development Program for Older Persons (Global Movement for

Active Ageing (Global Embrace 1999))
The Global Movement for Active Ageing, which was conceived by the World Health
Organization (WHO), will need the collaboration of many different partners from all over
the world. Active ageing is the capacity of the people, as they grow older to lead productive
and healthy lives in their families, societies and economies.

Objectives:

1. To inspire, to inform, to promote health and to provide enjoyment and good company.
2. Moreover, it will link the local project to a global community of similar concerns and people from all over the world.

The Global Movement will be a network for all those interested in moving policies and practice towards Actives Ageing.
It will provide models and ideas for programme and projects that promote active ageing.
The key messages of the Global Movement are:

1. CELEBRATE –
Celebrate ageing ; getting older is good; the alternative dying prematurely is not

2. A SOCIETY FOR ALL

Active ageing is key for older persons continuing to contribute to society; all dimensions for being active should be
taken into account : the physical, mental, social, and spiritual

3. INTEGENERATIONAL SOLIDARITY
Older persons should not be marginalized: reflecting the theme of the UN International Year of Older Persons, “towards
a society for all ages”

Health Development Program for Older Persons - R.A. 7432 (An Act to
Maximize the Contribution of Senior Citizens to Nation Building, Grant
Benefits and Special Privileges)
Consonant with these constitutional principles the following are the declared policies of this Act:

a) To motivate and encourage the senior citizens to contribute to nation building;

b) To encourage their families and communities they live with to reaffirm the valued Filipino tradition of caring
for the senior citizens.
In accordance with these policies, this act aims to:

1) Establish mechanism whereby the contribution of the senior citizens are maximized;

2) Adopt measures whereby our senior citizens are assisted and appreciated by the community as a whole;

3) Establish a program beneficial to the senior citizens, their families and the rest of the community that they
serve.

Health and Well-being of Older Persons

One of the provisions of RA 9994 or the Expanded Senior Citizens act of 2010 is for the DOH to administer free
vaccination against the influenza virus and pneumococcal diseases for indigent senior citizens. The DOH in
coordination with local government units (LGUs), NGOs and POs for senior citizens shall institute a national health
program and shall provide an integrated health service for senior citizens. It shall train community – based health
workers among senior citizens health personnel to specialize in the geriatric care and health problems of senior
citizens.

Iligtas sa Tigdas ang Pinas

A Door-to-Door Measles-Rubella (MR) Immunization Campaign Vaccinating All Children, 9 months
to below 8 years old From April 4 to May 4, 2011

The lower the coverage, the faster is the accumulation of unimmunized susceptible infants, resulting in measles
outbreaks in different areas of the Philippines. Laboratory confirmed measles cases continued to be reported all over
the country, which indicates uninterrupted circulation of measles virus transmission resulting to illness and deaths
among children.

Mass measles immunization campaigns provide a “second opportunity” to “catch missed children”, but these are done
every 2-3 years interval and therefore not enough to prevent seasonal outbreaks from occurring in areas with low
immunization coverage. The administration of a 2nd dose of measles containing vaccines on a routine schedule will
provide this “second opportunity” at an earlier time and ensure the protection against measles of infants/children who
failed to be protected during the first dose.

As a response to interrupt the transmission of the measles virus and prevent a potential large measles outbreak to
occur, there is an urgent need to conduct a measles supplemental immunization activity this April 2011. All children
ages 9-95 months old nationwide should be given a dose of measles-rubella vaccine through a door-to-door vaccination
campaign. Unlike previous campaign, a measles-free certification will be issued to city/province meeting all the criteria
of (1) all barangays passed the RCA with no missed child and 95% and above house marking accuracy; (2) there are no
measles cases for the next 3 months after the campaign and (3) measles surveillance indicators have met the national
standards.

Inter Local Health Zone

An ILHZ is defined to be any form or organized arrangement for coordinating the operations of an array and hierarchy
of health providers and facilities, which typically includes primary health providers, core referral hospital and end-
referral hospital, jointly serving a common population within a local geographic area under the jurisdictions of more
than one local government.

ILHZ, as a form of inter-LGU cooperation is established in order to better protect the public or collective health of their
community, assure the constituents access to a range of services necessary to meet health care needs of individuals,
and to manage their limited resources for health more efficiently and equitably.

For these to happen, existing ILHZs in the country must strengthen their operations and sustain their functionality.
Regardless of the organizational nature of each ILHZ, whether these are formally organized, informally organized or
DOH-initiated, the overall aim is to make each ILHZ functional in order to perform its abovementioned purposes and
tasks.
It must be recognized that a good inter-LGU coordination in health is one that secures health benefits for the people
living in LGUs that are coordinating with one another. A functional ILHZ therefore is to be viewed as one that provides
health benefits to its individual residents and to the zone population as a whole. The ILHZ functionality is defined
mainly by observable zone-wide health sector performance results in terms of:

(i) improved health status and coverage of public health intervention of the zone population;

(ii) access by everyone in the zone to quality care; and

(iii) efficiency in the operations of the inter-local health services.

Integrated Management of Childhood Illness (IMCI)

One million children under five years old die each year in less developed countries. Just five diseases (pneumonia,
diarrhea, malaria, measles and dengue hemorrhagic fever) account for nearly half of these deaths and malnutrition is
often the underlying condition. Effective and affordable interventions to address these common conditions exist but they
do not yet reach the populations most in need, the young and impoverish.

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, and
 Contribute to improved growth and development

Components of IMCI

 Improving case management skills of health workers

11-day Basic Course for RHMs, PHNs and MOHs

5 - day Facilitators course

5 – day Follow-up course for IMCI Supervisors

 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, measlesand 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)

Strategies/Principles of IMCI

 All sick children aged 2 months up to 5 years are examined for GENERAL DANGER signs and all Sick Young
Infants Birth up to 2 months are examined for VERY SEVERE DISEASE AND LOCAL BACTERIAL INFECTION. These
signs indicate immediate referral or admission to hospital
 The children and infants are then assessed for main symptoms. For sick children, the main symptoms include:
cough or difficulty breathing, diarrhea, fever and ear infection. For sick young infants, local bacterial infection,
diarrhea and jaundice. All sick children are routinely assessed for nutritional, immunization and deworming
status and for other problems
 Only a limited number of clinical signs are used
 A combination of individual signs leads to a child’s classification within one or more symptom groups rather than
a diagnosis.
 IMCI management procedures use limited number of essential drugs and encourage active participation
of caretakers in the treatment of children
 Counseling of caretakers on home care, correct feeding and giving of fluids, and when to return to clinic is an
essential component of IMCI

BASIS FOR CLASSIFYING THE CHILD’S ILLNESS (please see enclosed portion of the IMCI Chartbooklet) The child’s
illness is classified based on a color-coded triage system:

PINK- indicates urgent hospital referral or admission

YELLOW- indicates initiation of specific Outpatient Treatment

GREEN – indicates supportive home care

Steps of the IMCI Case management Process

The following is the flow of the iMCI process. At the out-patient health facility, the health worker should routinely
do basic demographic data collection, vital signs taking, and asking the mother about the child's problems. Determine
whether this is an initial or a follow-up visit. The health worker then proceeds with the IMCI process by checking for
general danger signs, assessing the main symptoms and other processes indicated in the chart below.

Take note that for the pink box, referral facility includes district, provincial and tertiary hospitals. Once admitted,
the hospital protocol is used in the management of the sick child.
Knock Out Tigdas 2007
Knock-out Tigdas 2007” is a sequel to the 1998 and 2004 “Ligtas Tigdas” mass measles immunization
campaign. All children 9 months to 48 months old ( born October 1, 2003 – January 1,2007) should be
vaccinated against measles from October 15 - November 15, 2007 , door-to-door. All health centers,
barangay health stations, hospitals and other temporary immunization sites such as basketball court, town
plazas and other identified public places will also offer FREE vaccination services during the campaign
period.
Other services to be given include Vitamin A Capsule and deworming tablet.

Leprosy Control Program

Vision: Empowered primary stakeholders in leprosy and eliminated leprosy as a public health problem by 2020

Mission: To ensure the provision of a comprehensive, integrated quality leprosy services at all levels of health care

Goal: To maintain and sustain the elimination status

Objectives:

The National Leprosy Control Program aims to:

 Ensure the availability of adequate anti-leprosy drugs or multiple drug therapy (MDT).
 Prevent and reduce disabilities from leprosy by 35% through Rehabilitation and Prevention of Impairments
and Disabilities (RPIOD) and SelfCare.
 Improve case detection and post-elimination surveillance system using the WHO protocol in selected LGUs.
 Integration of leprosy control with other health services at the local level.
 Active participation of person affected by leprosy in leprosy control and human dignity program in
collaboration with the National Program for Persons with Disability.
 Strengthen the collaboration with partners and other stakeholders in the provision of quality leprosy
services for socio-economic mobilization and advocacy activities for leprosy.

LGU Scorecard

The performance indicators in the LGU Scorecard are a subset of the Performance Indicator Framework (PIF) of the ME3.
The performance indicators measure basic intermediate outcomes and major outputs of health reform programs,
projects and activities (PPAs).

There are 46 performance indicators in the LGU Scorecard categorized in two sets (Set I and Set II). The two sets of
performance indicators are the following:

Set I is composed of 27 outcome indicators mostly representing intermediate outcomes that can be assessed every year
(See Annex 1: Data Definitions for Set I Indicators in LGU Scorecard). Set II is composed of 27 output indicators
representing major thrusts and key interventions for the four reform components of service delivery, regulation,
financing, and governance. They are mostly composed of health system reform outputs. These indicators are assessed
only every 3-5 years, since these require more time and more resources to set up. The equity dimensions of these
indicators are not measured (See Annex 2: Data Definitions for Set II Indicators in LGU Scorecard).

Set I performance indicators of the LGU Scorecard are standardized as to numerators, denominators, multipliers and
data sources. The definition of performance indicators is consistent with the Department of Health FHSIS data
dictionary. The other references used in defining performance indicators in the LGU Scorecard are PhilHealth data
definitions and WHO definitions of indicators. The standardization of performance indicators guarantees consistency of
data across various LGUs and across years of implementation. It also facilitates the automation of the LGU Scorecard
collection and publication of results.

The sources of data utilized for the LGU Scorecard are the institutional data sources in the Department of Health. The
availability of data on an annual basis was an important consideration for inclusion of Set I performance indicators in
the LGU Scorecard.

Licensure Examinations for Paraprofessionals Undertaken by the

Department of Health
When is the licensure examination?

Massage Therapist – every 1st week of June and December

Embalmers – every 1st week of March and September

Malaria Control Program

Malaria is a parasite-caused disease that is usually acquired through the bite of a female Anopheles mosquito. It can be
transmitted in the following ways: (1) blood transfusion from an infected individual; (2) sharing of IV needles; and (3)
transplacenta (transfer of malaria parasites from an infected mother to its unborn child).

This parasite-caused disease is the 9th leading cause of morbidity in the country. As of this year, there are 58 out of 81
provinces that are malaria endemic and 14 million people are at risk. In response to this health problem, the
Department of Health (DOH) coordinated with its partner organizations and agencies to employ key interventions with
regard to malaria control.

Vision: Malaria-free Philippines

Mission: To empower health workers, the population at risk and all others concerned to eliminate malaria in the
country.

Goal: To significantly reduce malaria burden so that it will no longer affect the socio-economic development of
individuals and families in endemic areas.

Objectives:

Based on the 2011-2016 Malaria Program Medium Term Plan, it aims to:
 1. Ensure universal access to reliable diagnosis, highly effective, and appropriate treatment and
preventive measures;

2. Capacitate local government units (LGUs) to own, manage, and sustain the Malaria Program in their
respective localities;

3. Sustain financing of anti-malaria efforts at all levels of operation; and

4. Ensure a functioning quality assurance system for malaria operations.

Program Strategies:

The DOH, in coordination with its key partners and the LGUs, implements the following interventions:

1.Early diagnosis and prompt treatment

Diagnostic Centers were established and strengthened to achieve this strategy. The utilization of these
diagnostic centers is promoted to sustain its functionality.

2. Vector control

The use of insecticide-treated mosquito nets, complemented with indoor residual spraying, prevents
malaria transmission.

3. Enhancement of local capacity

LGUs are capacitated to manage and implement community-based malaria control through social
mobilization.

National Filariasis Elimination Program

The World Health Assembly in 1997 declared “Filariasis Elimination as a priority” and followed by WHO’s call for global
elimination. A sign of the DOH’s commitment to eliminate the disease, the program’s official shift from control to
elimination strategies was evident in an Administrative Order #25-A,s 1998 disseminated to endemic regions. A major
strategy of the Elimination Plan was the Mass Annual Treatment using the combination drug, Diethylcarbamazine Citrate
and Albendazole for a minimum of 2 years & above living in established endemic areas after the issuance from WHO of
the safety data on the use of the drugs. The Philippine Plan was approved by WHO which gave the government free supply
of the Albendazole (donated b y GSK thru WHO) for filariasis elimination. In support to the program, an Administrative
Order declaring “November as Filariasis Mass Treatment Month was signed by the Secretary of Health last July 2004 and
was disseminated to all endemic regions.

Vision: Healthy and productive individuals and families for Filariasis-free Philippines

Mission: Elimination of Filariasis as a public health problem thru a comprehensive approach and universal access to
quality health services

Goal: To eliminate Lymphatic Filariasis as a public health problem in the Philippines by year 2017

General Objectives: To decrease Prevalence Rate of filariasis in endemic municipalities to <1/1000 population.
Specific Objectives:

The National Filariasis Elimination Program specifically aims to:

1. Reduce the Prevalence Rate to elimination level of <1%;

2. Perform Mass treatment in all established endemic areas;

3. Develop a Filariasis disability prevention program in established endemic areas; and

4. Continue surveillance of established endemic areas 5 years after mass treatment.

Program Strategies:

STRATEGY 1. Endemic Mapping

STRATEGY 2. Capability Building

STRATEGY 3. Mass Treatment (integrated with other existing parasitic programs)

STRATEGY 4. Support Control

STRATEGY 5. Monitoring and Supervision

STRATEGY 6. Evaluation

STRATEGY 7. National Certification

STRATEGY 8. International Certification

Management Being Used:

1. Selective Treatment – treating individuals found to be positive for microfilariae in nocturnal blood
examination.

Drug: Diethylcarbamazine Citrate

Dosage: 6 mg/kg body weight in 3 divided doses for 12 consecutive days (usually given after meals)

2. Mass Treatment – giving the drugs to all population from aged 2 years and above in all established
endemic areas.

Drug: Diethlcarbamazine Citrate (single dose based on 6 mg/kg body wt) plus Albendazole 400mg
given single dose given once annually to people 2 yrs & above living in established endemic areas

3. Disability Prevention thru home-based or community-based care for lymphedema & elephantiasis
cases. Surgical management for hydrocele patients.

National Rabies Prevention and Control Program

Rabies is considered to be a neglected disease, which is 100% fatal though 100% preventable. It is not among the
leading causes of mortality and morbidity in the country but it is regarded as a significant public health problem
because (1) it is one of the most acutely fatal infection and (2) it is responsible for the death of 200-300 Filipinos
annually.

Vision: To Declare Philippines Rabies-Free by year 2020

Goal: To eliminate human rabies by the year 2020

Program Strategies:

To attain its goal, the program employs the following strategies:

1. Provision of Post Exposure Prophylaxis (PEP) to all Animal Bite Treatment Centers (ABTCs)

2. Provision of Pre-Exposure Prophylaxis (PrEP) to high risk individuals and school children in high
incidence zones

3. Health Education

Public awareness will be strengthened through the Information, Education, and Communication
(IEC) campaign. The rabies program shall be integrated into the elementary curriculum and the
Responsible Pet Ownership (RPO) shall be promoted. In coordination with the Department of
Agriculture, the DOH shall intensify the promotion of dog vaccination, dog population control, as well as
the control of stray animals.

In accordance with RA 9482 or “The Rabies Act of 2007”, rabies control ordinances shall be
strictly implemented. In the same manner, the public shall be informed on the proper management of
animal bites and/or rabies exposures.

4. Advocacy

The rabies awareness and advocacy campaign is a year-round activity highlighted on two
occasions – March as the Rabies Awareness Month and September 28 as the World Rabies Day.

5. Training/Capability Building

Medical doctors and Registered Nurses are to be trained on the guidelines on managing a
victim.

6. Establishment of ABTCs by Inter-Local Health Zone

7. DOH-DA joint evaluation and declaration of Rabies-free islands

Newborn Screening
Republic Act 9288

Newborn screening (NBS) is a public health program aimed at the early identification of infants who are affected by certain
genetic/metabolic/infectious conditions. Early identification and timely intervention can lead to significant reduction of
morbidity, mortality, and associated disabilities in affected infants. NBS in the Philippines started in June 1996 and was
integrated into the public health delivery system with the enactment of the Newborn Screening Act of 2004 (Republic Act
9288). From 1996 to December 2010, the program has saved 45 283 patients. Five conditions are currently screened:
Congenital Hypothyroidism, Congenital Adrenal Hyperplasia, Phenylketonuria, Galactosemia, and Glucose-6-Phosphate
Dehydrogenase Deficiency.

Current Status of NBS Implementation in the Philippines

Newborn Screening Legislation

NBS was integrated into the public health delivery system with the enactment of Republic Act 9288 or Newborn Screening
Act of 2004 as it institutionalized the ‘National NBS System’, which shall ensure the following: [a] that every baby born
in the Philippines is offered NBS; [b] the establishment and integration of a sustainable NBS System within the public
health delivery system; [c] that all health practitioners are aware of the benefits of NBS and of their responsibilities in
offering it; and [d] that all parents are aware of NBS and their responsibility in protecting their child from any of the
disorders. The highlights of the law and its implementing rules and regulations are:

1. DOH is the lead agency tasked with implementing this law;

2. Any health practitioner who delivers or assists in the delivery of a newborn in the Philippines shall prior to
delivery, inform parents or legal guardians of the newborns the availability, nature and benefits of NBS;
3. Health facilities shall integrate NBS in its delivery of health services;
4. Creation of the Newborn Screening Reference Center at the National Institutes of Health and establishment and
accreditation of NSCs equipped with a NBS laboratory and recall/follow up program;
5. Provision of NBS services as a requirement for licensing and accreditation, the DOH and the Philippine Health
Insurance Corporation (PHIC)
6. Inclusion of cost of NBS in insurance benefits

Currently, there are four Newborn Screening Centers (NSCs) in the country: NSC-National Institutes of Health in Manila;
NSC- Visayas in Iloilo City; NSC-Mindanao in Davao City; and NSC-Central Luzon in Angeles City. The four NSCs provide
laboratory and follow up services for more than 3000+ health facilities.

DOH, its partners and major stakeholders remain aggressive in identifying strategies to intensify awareness in the
communities and increase coverage among home deliveries. Among the recent efforts to increase the newborn screening
coverage are appointment of full-time Regional NBS Coordinators; opening more G6PD Confirmatory Laboratories;
partnership with midwives organizations; and production of information materials targeting different groups of health
workers and professionals.

National HIV/STI Prevention Program

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.

National Dengue Prevention and Control Program

The National Dengue Prevention and Control Program was first initiated by the Department of Health (DOH) in 1993.
Region VII and the National Capital Region served as the pilot sites. It was not until 1998 when the program was
implemented nationwide. The target populations of the program are the general population, the local government units,
and the local health workers.

Vision: Dengue Risk-Free Philippines

Mission: To improve the quality of health of Filipinos by adopting an integrated dengue control approach in
the prevention and control of dengue infection.

Goal: Reduce morbidity and mortality from dengue infection by preventing the transmission of the virus
from the mosquito vector human.

Objectives:

The objectives of the program are categorized into three: health status objectives; risk reduction objectives; and
services & protection objectives.

Health Status Objectives:

 Reduce incidence from 32 cases/100,000 population to 20 cases/100,000 population;

 Reduce case fatality rate by <1%; and
 Detect and contain all epidemics.

Risk Reduction Objectives:

 Reduce the risk of human exposure to aedes bite by House index of <5 and Breteau index of 20;
 Increase % of HH practicing removal of mosquito breeding places to 80%; and
 Increase awareness on DF/DHF to 100%.

Services & Protection Objectives:

 Establish a Dengue Reference Laboratory capable of performing IgM capture ELISA for Dengue Surveillance;
 Increase the % of 1° and 2° government hospitals with laboratory capable of platelet count and hematocrit; and
 Ensure surveillance and investigation of all epidemics.

National Prevention of Blindness Program

overnment Mandates and Policies :

 Administrative Order No. 179 s.2004: Guidelines for the Implementation of the National Prevention of Blindness
Program
 Department Personnel Order No. 2005-0547: Creation of Program Management Committee for the National
Prevention of Blindness Program

Subcommittees: Refractive Error/Low Vision, Childhood Blindness, Cataract

 Proclamation No. 40 declaring the month of August every year as “Sight Saving Month”

Vision: All Filipinos enjoy the right to sight by year 2020

Mission: The DOH, Local Health Unit (LGU) partners and stakeholders commit to:

1. Strengthen partnership among and with stakeholder to eliminate avoidable blindness in the Philippines;
2. Empower communities to take proactive roles in the promotion of eye health and prevention of blindness;
3. Provide access to quality eye care services for all; and
4. Work towards poverty alleviation through preservation and restoration of sight to indigent Filipinos.

Goal: Reduce the prevalence of avoidable blindness in the Philippines through the provision of quality eye care.

The program has the following objectives:

General Objective No. 1: Increase Cataract Surgical Rate from 730 to 2,500 by the year 2010

Specific:

1. Conduct 74,000 good outcome cataract surgeries by 2010;

2. Ensure that all health centers are actively linked to a cataract referral center by 2008;
3. Advocate for the full coverage of cataract surgeries by Philhealth;
4. Establish provincial sight preservation committees in at least 80% of provinces by 2010;
5. Mobilize and train at least one primary eye care worker per barangay by 2010;
6. Mobilize and train at least one mid-level eye care health personnel per municipality by 2010;
7. Improve capabilities of at least 500 ophthalmologists in appropriate techniques and technology for
cataract surgery;
8. Develop quality assurance system for all ophthalmology service facilities by 2008; and
9. Ensure that 76 provincial,16 regional and 56 DOH retained hospitals are equipped for appropriate technology
for cataract surgery.

Future Plan/Action:

 Development of Service Package for Prevention Blindness Program

 Development of Clinical Practice Guidelines for Prevention Blindness Program
 Development of Strategic Framework and a Five Year Strategic Plan for Prevention Blindness Program (2012-
2016)
 Continue conduct of promotion and advocacy activities and partnership with National Committee for Sight
Preservation, Specialty Societies and other stakeholders on PBP
 Creation of PBP Registry System
 Ensure the implementation of the National Prevention of Blindness Program

Occupational Health Program

Vision/Mission Statement
 Health for all occupations in partnership with the workers, employers, local
government authorities and other sectors in promoting self-sustaining programs and
improvement of workers' health and working environment.
Program Objectives and Targets
To promote and protect the health and well being of the working population thru improved health, better working
conditions and workers' environment.
Province-wide Investment Plan for Health (PIPH)
A five year medium term plan prepared by F1 convergence provinces using the Fourmula One for Health framework to
improve the highly decentralized system; financing, regulation, good governance and service delivery

The five year province-wide investment plan for health is an important evidence-based platform for local health system
management and a milestone in DoH engagement at the local level.

PIPH was adopted on a pilot basis by 16 provinces in 2007, followed by 21 more in 2008, including six provinces from
the Autonomous Region of Muslim Mindanao (ARMM). In 2009, 44 provinces and eqight cities have completed their
own five year plans.

Philippine Medical Tourism Program

Vision:

"The global leader in providing quality health care for all through universal health care"

Mission:

To ensure that the Philippines is globally competitive through implementation of quality standards in both public and
private sector.

Goal:

1. The local Global Health Care industry will contribute a noticeable and quantifiable amount to the Philippine economy
and improvement in the quality of life.

2. Increase the number of institutions offering advanced medical services suitable for Global HealthCare, the generation
of jobs in the Medical Services industry and other related industries, thereby increasing the productivity of the workforce
and enabling it to expand and upgrade.

3. Attract increased numbers of visitors from other countries availing of medical services and at the same time ensure
that quality of those currently offering services suitable for Global Health Care is on the same level as with globally-
recognized standards, and making these services equitably available for both Medical Travellers and local patients.

Objectives:

1. To increase competitiveness by compliance to recognized bodies that implement national and international healthcare
organization accreditation

2. Institutionalize policies and enact legislation for high level quality healthcare and patient safety standards in all health
facilities

3. Continue collaboration with national government agencies, LGUs, private sector organizations and academe involved
in quality healthcare and patient safety, international medical travel and wellness services, retirement, trade and tourism

4. Continue advocacy in all regions of the country on quality healthcare and patient safety, international medical travel
and wellness services, retirement, trade and tourism through quad media approach, capacity building activities and
collaborative participation in international forum and conferences
Provision of Potable Water Program (SALINTUBIG Program - Sagana at
Ligtas na Tubig Para sa Lahat)
he program aims to contribute to the attainment of the goal of providing potable water to the entire country and the
targets defined in the Philippine Development Plan 2011-2016 Millennium Development Goals (MDG), and the Philippine
Water Supply Sector Roadmap and the Philippine Sustainable Sanitation Roadmap. To attain this objective, One Billion
and Five Hundred Million Pesos (Php 1,500,000,000) is appropriated to the DOH through Item B.I.a of the 2011 General
Appropriations Act (GAA). The appropriation is a grant facility for LGU to develop infrastructure for the provision of
potable water supply.

A. OBJECTIVES

1. To increase water service for the waterless population

2. To reduce incidence of water-borne and sanitation related diseases

3. To improved access of the poor to sanitation services

B. TARGETS

1. Increased water service for the waterless population by 50%

2. Reduced incidence of water-borne and sanitation related diseases by 20%

3. Improved access of the poor to sanitation services by at least 10%

4. Sustainable operation of all water supply and sanitation projects constructed, organized and supported by the
Program by 80%.

Persons with Disabilities

Vision: Improve the total well-being of Person with Disabilities (PWD)
Mission: The Department of Health, as the focal organization, shall ensure the development, implementation,
and monitoring of relevant and efficient health programs and systems for PWDs that are available, affordable, and
acceptable.

Goals and Objectives:

This Order defines and establishes the strategic and operational framework for the development, implementation and
monitoring of an effective, and efficient, promotive, preventive, curative, rehabilitative and palliative health services
from conception, birth, growth, maturity and in terminal phase in the life of PWD’s

Strategic Goals: International Development Organizations (INGOs)

 American Leprosy Missions

 World Health Organization
 Australian Agency for International Development (AusAID)
 Christoffel Blindenmission (CBM)
 JICA Expert
 Unicef

 Strategic Objectives:
 The strategic objectives of the program are as follows:
  1. Develop an integrated national health and human rights program and local models to serve the special
health needs;
 2. Pursue the implementation and monitoring of laws and policies for PWD such as the accessibility law,
human rights, and other related laws;
 3. Ensure that the health facilities and services are equitable, available, accessible, acceptable, and affordable
to PWD through the development and implementation of essential health package that is suitable to their special
needs and enrollment of into the National Health Insurance Program;
 4. Initiate and strengthen collaboration and partnership among stakeholders to improve the facilities
devoted to the management and rehabilitation of PWD and upgrade the capabilities of health professional and
frontline workers to cater to their special needs; and
 5. Continue and fast-track the registration of PWD in order to generate data for accurate planning and
implementation of programs. The Philippine Registry for Persons with Disability will be continued, monitored,
and evaluated and developed into an information system that will be incorporated into currently used health
service information system.

Rural Health Midwives Placement Program (RHMPP) / Midwifery

Scholarship Program of the Philippines (MSPP)
The Philippines’ maternal and infant morbidity and mortality rates have been marked despite its efforts to assist local
government units for the past decade. An important factor identified was the lack of trained healthcare providers
particularly, in the far flung areas of the country. This hinders the recognition of basic obstetric needs and delivery of
quality health service to the community.

To intensify the country’s capacity in the provision of quality health service to the people, the Department of Health (DOH)
has adopted the facility-based basic emergency obstetric care strategy. The midwives, being the frontline healthcare
providers, have been identified by the DOH to serve as the link between health service delivery and the community in the
reduction of maternal and neonatal morbidity and mortality.

The RHMPP aims to provide competent midwives to areas that have not performed well in terms of facility-based deliveries,
fully immunized child and contraceptive prevalence rates, hence, improve facility-based health services. By augmenting
health staff to selected government units, the DOH may improve maternal and child health and attain the Millennium
Development Goals (MDGs).

In order to ensure a constant supply of competent midwives and to deliver their services to the people in dire need, the
DOH created the MSPP that aims to produce competent midwives from qualified residents of priority areas.

Schistosomiasis Control Program

Long term infections can result to severe development of lesions, which can lead to blockage of blood flow. The
infection can also cause portal hypertension, which can make collateral circulation, hence, redirecting the eggs to other
parts of the body.

Schistosomiasis is still endemic in 12 regions with 28 provinces, 190 municipalities, and 2,230 barangays.
Approximately 12 million people are affected and about 2.5 million are directly exposed.

Goal: To reduce the disease prevalence by 50% with a vision of eliminating the disease eventually in all
endemic areas

Objectives:

The Schistosomiasis control Program has the following objectives:

1. Reduce the Prevalence Rate by 50% in endemic provinces; and

2. Increase the coverage of mass treatment of population in endemic provinces.

Program Strategies:
The Schistosomiasis Control Program employs the following key interventions:

1. Morbidity control: Mass Treatment

2. Infection control: Active Surveillance

3. Surveillance of School Children

4. Transmission Control

5. Advocacy and Promotion

Its enabling activities include; linkaging and networking; policy guidelines and CPGs; institutional capacity building;
competency enhancement of frontline service provider; and monitoring and supervision.

Soil Transmitted Helminth Control Program

Vision: Healthy and Productive Filipinos in the 21st Century

Mission: To reduce the morbidity and mortality due to STH infections.

Goals/Objectives

The program aims to reduce the prevalence of STH infection to below 50.0% among the 1-12 years old children by 2010
and lower STH infection among adolescent females, pregnant women and other special population group.

Stakeholders/Beneficiaries:

The DOH is the lead agency in the deworming of children while the Department of Education (DepEd) is in charge of
deworming all children aged 6-12 years old enrolled in public schools (Grade 1-VI). Deworming is done by teachers
under the supervision of school nurses or any health personnel.

Targets and Doses

1. Children aged 1 year to 12 years old

For children 12 – 24 months old

Albendazole - 200 mg, single dose every 6 months. Since the preparation is 400mg, the tablet is halve and can be
chewed by the child or taken with a glass of water

Or

Mebendazole - 500 mg, single dose every 6 months

For children 24 months old and above

Albendazole - 400 mg, single dose every 6 months

Or
Mebendazole - 500 mg, single dose every 6 months

Note: If Vitamin A and deworming drug are given simultaneously during the GP activity, either drug can be given first.

2. Adolescent females

It is recommended that all adolescent females who consult the health be given anthelminthic drug

Albendazole 400 mg once a year

Or

Mebendazole 500 mg once a year

3. Pregnant women

It is recommended that all pregnant women who consult the health be given anthelminthic drug once in the
2nd trimester of pregnancy.

In areas where hookworm is endemic:

Where hookworm prevalence is 20 – 30%

Albendazole 400 mg once in the 2nd trimester

Or

Mebendazole 500 mg once in the 2nd trimester

Where hookworm prevalence is > 50%, repeat treatment in the 3rd trimester

4. Special groups, e.g., food handlers and operators, soldiers, farmers and indigenous people

Selective deworming is the giving of anthelminthic drug to an individual based on the diagnosis of current infection.
However, certain groups of people should be given deworming drugs regardless of their status once they consult the
health center.

Special groups like soldiers, farmers, food handlers and operators, and indigenous people are at risk of morbidity
because of their exposure to different intestinal parasites in relation to their occupation or cultural practices.

For the clients who will be dewormed selectively, treatment shall given be anytime at the health centers.

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 31 st of May and
the World No Tobacco Month every June.

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

Urban Health System Development (UHSD) Program

In developing countries, the rapid rate of urbanization has outpaced the ability of governments to build essential
infrastructure for health and social services. Among many features of urbanization in developing countries include
greater population densities and more congestion, concentrated poverty and slum formation, and greater exposure to
risks, hazards and vulnerabilities to health (eg. violence, traffic injuries, obesity, and settlement in unsafe areas). The
concentration of risks is seen in the poorest neighborhoods resulting to health inequities.

From the above, it will require more than the provision and use of health services to improve the health of urban
populations. UHSD must help cities address the challenges of rapid urbanization brought about by the interplay of
different social determinants of health.

II. UHSD GOALS AND OBJECTIVES

A. Goals
1. To improve Health System Outcomes Urban Health Systems shall be directed towards achieving the following
goals: (i) Better Health Outcomes; (ii) More equitable healthcare financing; and (iii) Improved responsiveness and client
satisfaction.
2. To influence social determinants of health The DOH must help influence social determinants of health in urban
settings, with focused application on urban poor populations particularly those living in slums.
3. To reduce health inequities Urban Health Systems Development seeks to narrow the disparity of health outcome
indicators between the rich and the poor.

B. General objective: To address the Urban Health challenge

C. Specific objectives:
1. To establish awareness on the challenges of Urban Health;
2. To initiate inter-sectoral approach to Urban Health Systems Development; and
3. To guide LGUs to develop sustainable responses to the Urban Health challenge
Unang Yakap (Essential Newborn Care: Protocol for New Life)
Many initiatives, globally and locally, help save lives of pregnant women and children. Essential Newborn Care (ENC) is
one.

ENC is a simple cost-effective newborn care intervention that can improve neonatal as well as maternal care. IT is an
evidence-based intervintion 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.

Violence and Injury Prevention Program

The program was the offshoot of Administrative Order No. 2007-0010 National Policy on Violence and Injury Prevention
which was issued in 2007. After seven years in January 2014, said AO was further enhanced thru the issuance of AO
2014-0002 Revised National Policy on Violence and Injury Prevention which serves as the overarching Administrative
Order of different policies concerning violence and injuries and shall include the service delivery mechanism and the
well-defined roles and responsibilities of the Department of Health and other major players. The program aims to
reduce mortality, morbidity and disability due to the following intentional and unintentional injuries:

1) road traffic injuries

2) interpersonal violence including bullying, torture and violence against women and children

3) falls

4) occupational and work-related injuries

5) burns and fireworks-related injuries

6) drowning

7) poisoning and drug toxicity

8) animal bites and stings

9) self-harm / suicide

10) sports and recreational injuries

For a comprehensive approach, the program shall coordinate with other programs like the Child Injury Prevention
Program, Violence Against Women and Children Program and other DOH Offices such as the Health Facility
Development Bureau, Health Emergency and Management Bureau, among others, solicit active representation from
public and private stakeholders that are involved in violence and injury prevention.

VIP Program Objectives

1. To reduce the number of deaths from violence and injuries

2. To reduce disability caused by violence and injury

 3. To enhance capacity of CHDs and other stakeholders in the prevention of violence and
injury

4. To develop & implement evidence-based policies, standards and guidelines in the

prevention of violence and injury

5. To strengthen collaboration with stakeholders in the prevention violence and injury

6. To ensure reliable, timely, and complete data and researches on violence and injury

7. To advocate for alternative health financing schemes for trauma care

Women's Health and Safe Motherhood Project

The Philippines has committed to the United Nation millennium declaration that translated into a roadmap a set of goals
that targets reduction of poverty, hunger and ill health. In the light of this government commitment, the Department of
Health is faced with a challenge: to champion the cause of women and children towards achieving MDGs 4 (reduce child
mortality), 5 (improve maternal health) and 6(combat HIV/AIDS, malaria and other diseases). Pregnancy and child birth
are among the leading causes of death, disease and disability in women of reproductive age in developing countries. The
Philippine government commitment to the MDGs is, among others, a commitment to work towards the reduction of
maternal mortality ratios by three-quarters and under-five mortality by two-thirds by 2015 at all cost.

Confronted with the challenge of MDG 5 and the multi-faceted challenges of high maternal mortality ratio, increasing
neonatal deaths particularly on the first week after birth, unmet need for reproductive health services and weak maternal
care delivery system, in addition to identifying the technical interventions to address these problems, the DOH with
support from the World Bank decided to focus on making pregnancy and childbirth safer and sought to change
fundamental societal dynamics that influence decision making on matters related to pregnancy and childbirth while it
tries to bring quality emergency obstetrics and newborn care to facilities nearest to homes. This moves ensures that those
most in need of quality health care by competent doctors, nurses and midwives have easy access to such care.

Project Development Objectives and Indicators

The Project contributes to the national goal of improving women’s health by:

1. Demonstrating in selected sites a sustainable, cost-effective model of delivering health services access of
disadvantaged women to acceptable and high quality reproductive health services and enables them to safely attain their
desired number of children.

2. Establishing the core knowledge base and support systems that can facilitate countrywide replication of project
experience as part of mainstream approaches to reproductive health care within the Kalusugan
Pangkalahatan framework.

Project Components

Component A: Local Delivery of the WHSM – Service Package

This component supports LGUs in mobilizing networks of public and private providers to deliver the integrated WHSM-
SP. In such project site, the following are currently being undertaken:

1. Establishment of Critical Capabilities to Provide Quality WHSM Services through the organization and operation of a
network of Service Delivery Teams consisting of:

a. Women’s Health Teams

b. BEmONC Teams

c. CEmONC Teams
 d. Itinerant Teams

2. Establishment of Reliable Sustainable Support Systems for WHSM Service Delivery:

a. Drug and Contraceptive Security

b. Safe Blood Supply

c. Behavior Change Interventions

d. Sustainable financing of local WHSM services and commodities

Component B: National Capacity

1. Operational and Regulatory Guidelines (Manual of Operations)

2. Network of Training Providers

3. Monitoring, Evaluation, Research and Dissemination

Women and Children Protection Program

The Aquino Health Agenda (AHA): Achieving Universal Health Care for All Filipinos embodied in Administrative Order No.
2010-0036, dated December 16, 2010 states that poor Filipino families “have yet to experience equity and access to
critical health services.” A.0. 2010-0036 further recognizes that the public hospitals and health facilities have suffered
neglect due to the inadequacy of health budgets in terms of support for upgrading to expand capacity and improve quality
of services.

AHA also states “the poorest of the population are the main users of government health facilities. This means that the
deterioration and poor quality of many government health facilities is particularly disadvantageous to the poor who needs
the services the most.”

In 1997, Administrative Order 1-B or the “Establishment of a Women and Children Protection Unit in All Department
of Health (DOH) Hospitals” was promulgated in response to the increasing number of women and children who consult
due to violence, rape, incest, and other related cases.

II. GOALS AND OBJECTIVES

GOAL: To institutionalize and standardize the quality of service and training of all women and children protection
units.

GENERAL OBJECTIVES:

1. Establish at least one women and children protection unit in every province;

2. Ensure that all health facilities have competent and trained gender-responsive professionals who will coordinate the
services needed by women and children victims of violence;

3. Standardize and maintain the quality of health care services rendered by all women and children protection units;

4. Ensure the sustainability of women and children’s protection unit programs through appropriate organizational and
budgetary support;

5. Create and maintain a centralized and harmonized database for all reports submitted by the different women and
children protection units.