Doh Policies and Guidelines

7/29/2019 Doh Policies and Guidelines

1/48

Department of Health

Guidelines and Policies


2/48

DOH

The Department of Health (DOH) holds the over-all technical authority on health as it is a national health policy-maker and regulatoryinstitution.

Basically, the DOH has three major roles in the health sector: (1) leadership in health; (2) enabler and capacity builder; and (3) administratorof specific services. Its mandate is to develop national plans, technical standards, and guidelines on health. Aside from being the regulator ofall health services and products, the DOH is the provider of special tertiary health care services and technical assistance to health providersand stakeholders.

While pursuing its vision, the DOH adheres to the highest values of work, which are:

Integrity The Department believes in upholding truth and pursuing honesty, accountability, and consistency in performing its functions.Excellence The DOH continuously strive for the best by fostering innovation, effectiveness and efficiency, pro-action, dynamism, and

openness to change.

Compassion and respect for human dignity Whilst DOH upholds the quality of life, respect for human dignity is encouraged by workingwith sympathy and benevolence for the people in need.

Commitment With all our hearts and minds, the Department commits to achieve its vision for the health and development of futuregenerations.

Professionalism The DOH performs its functions in accordance with the highest ethical standards, principles of accountability, and fullresponsibility.

Teamwork The DOH employees work together with a result-oriented mindset.

Stewardship of the health of the people Being stewards of health for the people, the Department shall pursue sustainable developmentand care for the environment since it impinges on the health of the Filipinos.

Together with its attached agencies, the DOH constituted of various central bureaus and services in the Central Office, Centers for HealthDevelopment (CHD) in every region, and DOH-retained hospitalsperforms its roles to continuously improve the countrys health caresystem.


3/48

Vision by 2030

A global leader for attaining better health outcomes, competitive andresponsive health care system, and equitable health financing.

Mission

To guarantee equitable, sustainable and quality health for all Filipinos,especially the poor, and to lead the quest for excellence in health.


4/48

National Objectives for Health 2011-2016

The Philippine Health Systems at a Glance

Universal Health Care (Kalusugan Pangkalahatan)

Financial Risk Protection Through National Health

Insurance Program. Improving Access to Quality Hospitals and HealthServices

Attaining Better Health Outcomes

Health Support Systems Implementation Arrangement for Kalusugan

Pangkalahatan


5/48

DOH PROGRAMS

Breastfeeding TSEK

On February 23, 2011, the Department of Health (DOH) launched theexclusive breastfeeding campaign dubbed Breastfeeding TSEK: (Tama, Sapat,Eksklusibo). The primary target of this campaign is the new and expectantmothers in urban areas.

This campaign encourages mothers to exclusively breastfeed their babiesfrom birth up to 6 months. Exclusive breastfeeding means that for the first sixmonths from birth, nothing except breast milk will be given to babies.

Moreover, the campaign aims to establish a supportive community, as wellas to promote public consciousness on the health benefits of breastfeeding.Among the many health benefits of breastfeeding are lower risk of diarrhea,pneumonia, and chronic illnesses.


6/48

Botika Ng Barangay (BnB)

I. What is Botika ng Barangay?

Botika ng Barangay (BnB) - refers to a drug outlet managed by a legitimate community organization (CO) / non-government organization(NGO) and/or the Local Government Unit (LGU), with a trained operator and a supervising pharmacist specifically established in accordance with thisOrder. The BnB outlet should be initially identified, evaluated and selected by the concerned Center for Health Development (CHD), approved by thePHARMA 50 Project Management Unit (PMU) and specially licensed by the Bureau of Food and Drugs (BFAD) to sell, distribute, offer for sale and/ormake available low-priced generic home remedies, over-the-counter (OTC) Drugs and two (2) selected, publicly-known prescription antibiotics drugs(i.e. Amoxicillin and Cotrimoxazole).

The establishment of the Botika ng Barangay (BnB) in the communities, including the insurgent areas, ensures accessibility of low-pricedgeneric over-the-counter drugs and eight (8) prescription drugs as recommended by the National Drug Formulary Committee. Under Memorandum #31 and its amendment, as much as 40 essential medicines that address common diseases can be made available in BnBs depending on the morbidityand mortality profiles of the community. And the policies surrounding the BnB (AO 144) ensure that such can be sustained in the medium term.

II. Objectives

The objectives of this Order are as follows:

To promote equity in health by ensuring the availability and accessibility of affordable, safe and effective, quality essential drugs to all, with priorityfor marginalized, underserved, critical and hard to reach areas.

To integrate all related issuances of the DOH that provides rules and regulations in the establishment and operations of BnBs; and

To define the roles and responsibilities of the different units of the DOH and other partners from the different sectors in facilitating and regulatingthe establishment of BnBs


7/48

Expanded Program on Immunization

Republic Act No. 10152MandatoryInfants and Children

Health Immunization Act of 2011Signed 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 .


8/48

The Expanded Program on Immunization (EPI) was established in 1976 to

ensure that infants/children and mothers have access to routinelyrecommended infant/childhood vaccines. Six vaccine-preventable diseases

were initially included in the EPI: tuberculosis, poliomyelitis, diphtheria,

tetanus, pertussis and measles.


9/48


10/48


11/48


12/48


13/48


14/48


15/48


16/48


17/48


18/48


19/48


20/48


21/48


22/48


23/48


24/48


25/48


26/48


27/48


28/48


29/48


30/48

Essential Newborn Care

The Child Survival Strategy published by the Department ofHealth has emphasized the need to strengthen health servicesof children throughout the stages. The neonatal period hasbeen identified as one of the most crucial phase in thesurvival and development of the child. The United NationsMillennium Development Goal Number 4 of reducing under

five child mortality can be achieved by the Philippineshowever if the neonatal mortality rates are not addressedfrom its non-moving trend of decline, MDG 4 might not beachieved.


31/48

Policy and Guideline IssuanceAdministrative Order 2009-0025 - Adopting Policies and Guidelines on Essential Newborn Care

Goals: To reduce neonatal mortality rates by 2/3 from 1990 levels

Objectives:

To provide evidence-based practices to ensure survival of the newborn from birth up to thefirst 28 days of life

To deliver time-bound core intervention in the immediate period after the delivery of thenewborn

To strengthen health facility environment for breastfeeding initiation to take place and forbreastfeeding to be continued from discharge up to 2 years of life

To provide appropriate and timely emergency newborn care to newborns in need ofresuscitation

To ensure access of newborns to affordable life-saving medicines to reduce deaths andmorbidity from leading causes of newborn conditions

To ensure inclusion of newborn care in the overall approach to the Maternal, Newborn,Child Health and Nutrition Strategy


32/48

Family Planning

A national mandated priority public health program to attain the country's national health development: ahealth intervention program and an important tool for the improvement of the health and welfare ofmothers, children and other members of the family. It also provides information and services for thecouples of reproductive age to plan their family according to their beliefs and circumstances through

legally and medically acceptable family planning methods.

The program is anchored on the following basic principles.

Responsible Parenthood which means that each family has the right and duty to determine the desirednumber of children they might have and when they might have them. And beyond responsible parenthoodis Responsible Parenting which is the proper ubringing and education of chidren so that they grow up tobe upright, productive and civic-minded citizens.

Respect for Life. The 1987 Constitution states that the government protects the sanctity of life. Abortionis NOT a FP method:

Birth Spacing refers to interval between pregnancies (which is ideally 3 years). It enables women torecover their health improves women's potential to be more productive and to realize their personalaspirations and allows more time to care for children and spouse/husband, and;

Informed Choice that is upholding and ensuring the rights of couples to determin the number andspacing of their children according to their life's aspirations and reminding couples that planning size oftheir families have a direct bearing on the quality of their children's and their own lives.


33/48

Mandate:

EO 119 and EO 102

Vision:

Empowered men and women living healthy, productive and fulfilling lives and exercising the right toregulate their own fertility through legally and acceptable family planning services.

Mission

The DOH in partnership with LGUs, NGOs, the private sectors and communities ensures theavailability of FP information and services to men and women who need them.


34/48

RA 10354- Responsible Parenthood and

Reproductive Health of 2012

>Delivery of RH and Repro health services and

information is at the core of implementation

of the mandate of RPRH Act.


35/48

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, measlesand dengue hemorrhagic fever) account for nearly half of these deaths and malnutrition is often the underlying condition. Effective and affordableinterventions 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 atcommunity, health facility and health systems levels. IMCI includes elements of prevention as well as curative and addresses the most commonconditions that affect young children. The strategy was developed by the World Health Organization (WHO) and United Nations Chil drens Fund(UNICEF).

In the Philippines, IMCI was started on a pilot basis in 1996, thereafter more health workers and hospital staff were capacitated toimplement 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


36/48

ASIN LAW

Republic Act 8172, An Act Promoting Salt Iodization Nationwideand for other purposes, Signed into law on Dec. 20, 1995

Food Fortification Law

Republic Act 8976, An Act Establishing the Philippine FoodFortification Program and for other purposes mandating

fortification of flour, oil and sugar with Vitamin A and flour and ricewith iron by November 7, 2004 and promoting voluntaryfortification through the SPSP, Signed into law on November 7, 2000


37/48

Newborn Screening

Republic Act 9288

Newborn screening (NBS) is a public health program aimed at the early identification ofinfants who are affected by certain genetic/metabolic/infectious conditions. Earlyidentification and timely intervention can lead to significant reduction of morbidity,mortality, and associated disabilities in affected infants. NBS in the Philippines started inJune 1996 and was integrated into the public health delivery system with theenactment of the Newborn Screening Act of 2004 (Republic Act 9288). From 1996 toDecember 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.


38/48

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 2004as it institutionalized the National NBS System, which shall ensure the following: *a+ that every baby born in the Philippines is offeredNBS; [b] the establishment and integration of a sustainable NBS System within the public health delivery system; [c] that all healthpractitioners are aware of the benefits of NBS and of their responsibilities in offering it; and [d] that all parents are aware of NBS andtheir responsibility in protecting their child from any of the disorders. The highlights of the law and its implementing rules andregulations are:

DOH is the lead agency tasked with implementing this law;

Any health practitioner who delivers or assists in the delivery of a newborn in the Philippines shall prior to delivery, inform parents orlegal guardians of the newborns the availability, nature and benefits of NBS;

Health facilities shall integrate NBS in its delivery of health services;

Creation of the Newborn Screening Reference Center at the National Institutes of Health and establishment and accreditation of NSCsequipped with a NBS laboratory and recall/follow up program;

Provision of NBS services as a requirement for licensing and accreditation, the DOH and the Philippine Health Insurance Corporation(PHIC)

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 inIloilo City; NSC-Mindanao in Davao City; and NSC-Central Luzon in Angeles City. The four NSCs provide laboratory and follow up servicesfor more than 3000+ health facilities


39/48

SMOKING CESSATION PROGRAM

The national smoking infrastructure is mandated by the Tobacco Regulations Act which orders theDepartment of Health to set up withdrawal clinics. As such DOH Administrative Order No. 122 s. 2003titled The Smoking Cessation Program to support the National Tobacco Control and Healthy LifestyleProgram 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


40/48

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 practicesapproved 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 ofthe World No Tobacco Day (WNTD) every 31st 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 andfacilitate the smoking cessation process.

.

. 4. Smoking Cessation Services


41/48

DAVAO CITY ORDINANCE (ANTI-SMOKING)

Ordinance No.0367-12,,series of 2012

>>>The New Comprehensive Anti-Smoking

Ordinance of Davao City


42/48

DENTAL HEALTH PROGRAM

The national government is primarily tasked to develop policiesand guideline for local government units. In 2007, the Departmentof Health formulated the Guidelines in the Implementation of OralHealth Program for Public Health Services (AO 2007-0007). Theprogram aims to reduce the prevalence rate of dental caries to 85%and periodontal disease by to 60% by the end of 2016. The programseeks to achieve these objectives by providing preventive, curative,and promotive dental health care to Filipinos through a lifecycleapproach. This approach provides a continuum of quality care byestablishing a package of essential basic oral health care (BOHC) forevery lifecycle stage, starting from infancy to old age.

The following are the basic package of essential oral healthservices/care for every lifecycle group to be provided either inhealth facilities, schools or at home.


43/48

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) threatencountries all over the world.

In 2003, SARS affected at least 30 countries with most of the countries from Asia. In response to its sudden and unexpected emergence,quarantine and isolation measures and rapid contract tracing were carried out. The Philippines was able to minimize the impact of SARSthrough effective information dissemination, risk communication, and efficient conduct of measures.

The unexpected and unusual increase in cases of meningococcal disease (meningococcemia as the predominant form) in the CordilleraAutonomous Region resulted to at least 50% of cases in the early stage of occurrence.

In 2009, the influenza A (H1N1) virus infection led to global epidemic, or most popularly known as pandemic. On June 11, 2009, a fullpandemic alert was declared by the World Health Organization (WHO).

However, some local health offices from many provinces were not able to respond effectively and rapidly. With the lack of stronglinkages and coordinating mechanisms, the Department of Health (DOH) hopes to further improve the functionality and effectiveness oflocal response systems.

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 furtherstrengthened .


44/48

MILLENIUM DEVELOPMENT GOALS_MDG

Sept.2000-world leaders adopted the UN Millenium

Declaration,committing their nations to a new global

partnership ..

1. >to reduce extreme poverty

2. >setting out a series of time-bounded targets-deadline 2015


45/48

MDG 1

>Eliminate extreme hunger and poverty

MDG 2

> Accessible Universal Policy Education

MDG 3

> Promote Gender Equality and Empower Women

MDG 4

> Reduce Child Mortality

MDG 5

> Improve Maternal Health


46/48

Goal 4: Reduce Child Mortality

Target -- Reduce by two-thirds, between 1990 and 2015,

the under-five mortality rate

Indicators

> Under-five mortality rate (UNICEF-WHO)

> Infant mortality rate (UNICEF-WHO)> Proportion of 1 year-old children immunized against

measles (UNICEF-WHO)


47/48

Goal 5: Improve Maternal Health

Target -- Reduce by three-quarters, between

1990 and 2015, the maternal mortality ratio

Indicators

> Maternal mortality ratio (UNICEF-WHO)> Proportion of births attended by skilled health

personnel (UNICEF-WHO)


48/48

GO4 HEALTH..

Doh Policies and Guidelines

Documents

Transcript of Doh Policies and Guidelines