10 DOH PROGRAMS

Prepared by: DHONNALYN A. CABALLERO,

RN

1)National Safe Motherhood

Program
Target Clients pregnant women
- safety of the mother and the child
Services during the Pre-natal visits:
- Physical examination
- Laboratory examination (urinalysis &
hemoglobin det.)
- Giving of iron or ferrous sulfate
- Tetanus Toxoid Immunization
- Counseling on proper nutrition, prenatal &
neonatal care,proper hygiene, breastfeeding, early
psycho-social stimulation of the baby, etc.

IMPORTANCE OF PRE-NATAL
VISITS:

Early assessment & detection of high risk

factors
Early prevention, monitoring and
treatment of HR factors
Ensuring safe delivery and a healthy baby
Getting correct advise on proper care
during pregnancy, preparing for delivery.

Schedule of Pre-natal visits in the

health centers

1st

to 7th month once a

month
8th month twice a
month
9th month - weekly

Immunization schedule of Tetanus toxoid for

childbearing women of age, including
pregnant women

DOSE

SCHEDULE

TT 1

At first contact, or as early as possible

during preg.

TT 2

4 wks after TT 1

TT 3

6 to 12 mos. aftr TT2 or during subsequent

preg
1 to 3 yrs. After TT3 or during subsequent
preg
1 to 5 yrs. After TT4 or during subsequent
preg

TT 4
TT 5

Relationship b/w TT dose & duration of protection

Dose

Minimum
interval

% protected

Duration of
protection

TT1

TT2

4 wks

80 %(60-90)

3 yrs

TT3

6 months

95 %

5 yrs

TT4

1 yr

99%

10 yrs

TT5

1 yr

99%

Life long

 If

a mother has received 2 doses

of Tetanus Toxoid Immunization
she is considered FULLY
IMMUNIZED MOTHER (FIM)

High Risk Pregnancies

Too young less than 18 yrs. old
Too old - more than 34 years old
Too many more than 4 children
Too close less than 3 years interval
Getting pregnant while sick with chronic
diseases like TB or Malaria or with Iron
Deficiency.

2) Family Planning/ReproductiveHealth
Program

Target clients women of reproductive age

(WRAs) aged 15-49 years old.
Helping couples achieved their desired
family size in the context of responsible
parenthood.
Health intervention program of DOH to
promote overall health of women & children
Contributes to the reduction of maternal &
infant deaths in the country.

Services:
FP

counseling
Physical examination
Provision of FP methods using cafeteria
approach.

FP Methods
Permanent

( Vasectomy and Bilateral Tubal

Ligation)
Temporary ( pill, iud, dmpa/injectables,
condom, fertility awareness- based methods )

3) BREASTFEEDING TSEK

PROMOTION OF EXCLUSIVE
BREASTFEEDING
STRENGTHENED THE MILK CODE
(Executive Order No. 51)

a law which protects and promote

breastfeeding.

KEY POINTS:
It

is the most nutritious & the cheapest form of infant feeding.

Mothers milk contains colostrum which has antibodies that
protect the baby from sickness.
It is the best natural means of feeding, available anytime &
does not get spoiled.
Breast milk protects the baby against viruses, bacteria &
allergy.
Strengthens mother-child bonding because it:
Promotes the feeling of security in the child
Makes the child feel loved and wanted
Helps develop & heighten the childs senses
Frequent breastfeeding delays the return of menses & helps
to protect from another pregnancy.

COMMON PROBLEMS WITH BREASTFEEDING:

Engorged breast/mastitis
Soreness/swollen nipples
Inverted nipples.

4) Expanded Program on Immunization (EPI)

OBJECTIVE: To reduce morbidity & mortality

among infants and children caused by the

7 childhood immunizable diseases:
diptheria
pertussis
measles
hepatitis B
tetanus
tuberculosis
polio

Table 1.Routine Immunization

Vaccine

Age

Dosage

Route

Site

1.BCG

At
birth/sch.entrants

.05ml/.01ml

ID

R deltoid of the
arm/L deltoid(sch.)

2.DPT

6,10,14 wks

.5ml(3 doses)

IM

Upper outer portion

of the anterior thigh

-do-

IM

Upper outer portion

of the anterior thigh

3 drps(3
Doses)

oral

mouth

.5ml

SQ

Outer part of the

upper arm

3. Hep B
4. OPV
5.Measles

AT BIRTH
6, 10, 14
weeks
9 months

What is Fully Immunized Child

(FIC)

A Fully Immunized Child (FIC) in EPI

shall mean a child who has 1 BCG,3
DPT,3 OPV,3 Hepa B & 1 MV given
at the right intervals by the time he
reaches 12 months old (revised in
1996)
Wednesday

has been declared

nationwide as Immunization Day.

5) NATIONAL TUBERCULOSIS CONTROL

PROGRAM

Infectious disease usually affecting the

lungs caused by Mycobacterium
tuberculosis.
Transmitted from TB patients through
coughing
Most common sign is cough lasting for 2
weeks or more.
Diagnosed through sputum examination

Strategy: Directly Observed Treatment

Short
DOTS)

Course Chemotheraphy (TB-

What DOTS can do?

Will cure TB patients (high cure rate as high
as 95%)
Prevents new infections among children &
adults
Prevents resistance to Anti-TB Drugs
No hospitalization required
Saves money

6) LEPROSY CONTROL
PROGRAM
Disease

affecting the skin caused by Mycobacterium

Laprae or Leprosy Bacilli.
Early signs:
Changes in skin
Loss of feeling on the lesions of the skin
Decrease or even loss of sweating, and
hairgrowth over the skin lesions
Thickened or painful nerves in neck, forearm, near
elbow & at back of knees
Weakness of limbs

Treatment & Management of Leprosy

Multi-Drug Therapy
Benefits of Early Treatment:

Cured within a shorter period

Will not be able to infect other susceptible
members of the household
Prevent the progress of skin lesions in the
body.
Prevent nerve damage leading to
deformities.
Prevent relapse & resistance to drugs.

7) Cardio-Vascular Disease Control

Program
Healthy Life-Style Practices among Filipinos
thru the promotion of the following:

Anti-Smoking
Proper Diet
Regular Exercise
Iwas Stress
Activities:
Case finding BP Taking
Referral

8) Philippine Cancer Control Program

OBJECTIVE:
Morbidity and mortality rates from
cancer are reduced.
Cancer -largely considered a lifestyle
disease.
Males -lungs, liver and prostate
Females
- breast, cervix and lungs
Children
-leukemias, lymphomas

Services:
Counselling patient on:
- tobacco use cessation
- diet modification & moderate
alcohol consumption
Cancer screening
Breast Examination
Pap smear screening
Hepa B vaccination among infants

Establish support care program for cancer patients.

9) Diabetes Control
Program
Diabetes condition where there is poor
activity or decrease production of a hormone
called insulin resulting in an increase in blood
sugar.
4 out of 100 Filipinos are diabetics
Higher in urban than in rural areas
63% are unaware that they had diabetes
No known cure for diabetes.

4 Levels of Diabetes Prevention:

1) (-) risk (+) disease primordial
2) (+) risk (-) disease primary
( educated & encouraged in promoting &
maintaining healthy lifestyle)
3) (+) risk (+) disease secondary
( they will be educated on proper self-care
to
prevent complications)
4) (+) disease (+) complications tertiary
be provided with adequate access to
rehabilitation services & referrals to facilities
with specialist.

10) Dengue Control

Program
Dengue - a viral infection characterized by sudden onset of
fever which would last for 2 - 7 days.
Types of dengue:

dengue fever

dengue hemorrhagic fever

undifferentiated fever
Carriers:

1) Aedes Aegypti - primary vector of the disease

- prefers to breed indoor in artificial
container
2) Aedes Albopictus
- most common in rural areas
- secondary vector of dengue
- prefers to breed outside

PREVENTION AND CONTROL:

Environmental Management
Biological control
Chemical control
Personal protection
Space spray applications