Family Based Service

8/9/2019 Family Based Service

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FamilyFamily HealthHealth::

FAMILYFAMILY--BASED SERVICEBASED SERVICE


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FAMILY HEALTH

Family is defined as the basic unit of the

community. All members of the family or are

empowered to maintain their health status.

They must be free from disease or infirmitywith no disabilities. In public health

perspective, the health of the family is

considered as whole and not individually.

The Family Health Office is tasked tooperationalized health programs/services

geared towards the health of the family.


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Aims of Family-Based Services

Improve the survival, health and well-being ofmothers and the unborn through a package of

services for the pre-pregnancy, pre natal, natal

and post natal stages.

Reduce morbidity and mortality rates for

children 0-9 years

Reduce the mortality from the preventable

causes among adolescents and young people. Reduce morbidity and mortality among

Filipino adults and improve their quality of life.

Reduce morbidity and mortality of older

persons and improve their quality of life.


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Maternal Health Services Maternal health refers to the health of

women during pregnancy, childbirth and the

postpartum period. While motherhood is

often a positive and fulfilling experience, for

too many women it is associated with

suffering, ill-health and even death.

The major direct causes of maternal

morbidity and mortality include

haemorrhage, infection, high bloodpressure, unsafe abortion, and obstructed

labour.


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Strategic Thrust of Maternal Health Service

Launch and implement the Basic Emergency

Obstetric Care strategy. BEmOC strategy

entails the establishment of facilities that

provide emergency obstetric care for every

125,000 population and which are located

strategically .

Improve the quality of prenatal and postnatal

care.

Reduce womens exposure to health risksthrough the institutionalized of responsible

parenthood and provision of approproate

health care package to all women of

reproductive age.


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LGUs, NGOs and other stakeholders must

advocate for health through resource

generation and allocation for health

services to be provided for the motherand the unborn


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Maternal Health Service

Antenatal Registration

Tetanus Toxoid Immunization

Micronutrient Supplementation

Treatment of Diseases and Other Condition

Clean and Safe Delivery


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Family-Based Services:Family Planning


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Family Planning Services

Family Planning allows individuals andcouples to anticipate and attain their desired

number of children and the spacing and

timing of their births. It is achieved through

use of contraceptive methods and thetreatment of involuntary infertility. A

womans ability to space and limit her

pregnancies has a direct impact on her health

and well-being as well as on the outcome ofeach pregnancy.


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Aims and Goals of Family Planning

To provide universal access to familyplanning information and services wherever

and whenever these are needed

Reduce infant deaths

Reduce neonatal deaths

Reduce under five deaths

Reduce maternal deaths


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Objectives

Addresses the need to help couples andindividuals achieve their desired family size

within the context of responsible

parenthood and improve their reproductive

health to attain sustainable development Ensures the FP services are available in DOH

retained hospitals, LGU managed health

facilities, NGOs, and private sectors


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Family Planning Methods

Family Planning Method % EffectivenessPerfect Use Typical Use

Female Sterilization 99.5% 99.5%

Male Sterilization 99.9% 99.8%

Pills 99.7% 92.0%Male Condom 98% 85%

Injectibles 99.7% 97.0%

Lactating Amenorrhea Method 99.5% 98%

Mucus/Billings/Ovulation 97% 80%Basal Body Temperature 99% 80%

Sympto-Thermal Method 90% 80%

Standard Days Method 96.5% 86%


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Family-Based Services:

The Child Health Services


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Child Health Program

Child health programs refers to services that took

care of the health of newborns, infants and children.

Child health program have been created and

available in all health facilities Its main goal is to reduce morbidity and mortality

rates for children 0-9 years with the strategies

necessary for program implementation


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Strategic Thrust of Child Health Program

Develop local capacity to deliver the whole

range of essential health packages for

children

Implement programs and projects that

favor disadvantaged populations. Apply the Reaching Every Barangay strategy

for immunization to reach every children.

Intensify health education and information

campaigns at the ground level to increasethe proportion of the mothers practicing

behaviors that promote childrens health


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Enhance medical, nursing and midwifery

education with cost-effective life-saving

strategies.

Pursue the implementation of laws andpolicies for the protection of newborns,

infants and children.


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Family-Based Services:Infant and Young Child Feeding


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Infant and young Child Feeding

Breastfeeding is vital especially during thefirst half-year life.

It can prevent infant and childhood

morbidity and mortality.

Timely, adequate, safe and proper

complementary feeding will prevent

childhood malnutrition.


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Objectives

To improve health and nutrition status of

infants and young children

70% of newborns are initiated to

breastfeeding within one hour after birth.

60% of infants are exclusively breastfed upto six months

90% of infants are started on

complementary feeding by 6months of age

Median duration of breastfeeding is 18

months.


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Key Messages

Initiate breastfeeding within 1 hour after

birth

Only breast milk for the first 6months of life

(exclusive breastfeeding)

Complemented at 6months withappropriate foods, excluding milk

supplements.

Extend breastfeeding up two years and

beyond.


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Benefits of Breastfeeding

Provides a nutritional complete food for the

infant

Strengthens the infants immune system,

preventing many infection.

Safely rehydrates and provides essentialnutrients to a sick, especially to those

suffering from diarrheal diseases.

Reduces the infants exposure to infection

Increase IQ points

Reduces womans risk of excessive blood

loss after birth


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Provides natural methods of delayingpregnancies

Reduces the risk of ovarian and breast

cancers and osteoporosis.


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Family-Based Services:Expanded Program of Immunization


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Concept and Importance

It is safe and immunologically effective to

administer all EPI vaccines on the same

at different site of the body.

Measles vaccine should be given as soon

as the child is 9months old. Vaccination schedule should not be

restarted from the beginning even if the

interval between doses exceeded the

recommended interval. Moderate fever, malnutrition, mild

respiratory infection, D and V are not

contraindications


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DPT2 and DPT3 is contraindicated to child

who had convulsion or shock within

3days.

Live vaccines (e.g., BCG) is contraindicated

to individuals who are

immunosuppressed.

It is safe and effective with mild side effct

after vaccination.

Use one syringe one needle per child

during vaccination.


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List of VaccinesVaccine Minimum age

at 1st

dose

Number of

Doses

Minimum interval

between doses

BCG

Birth or

anytime after

birth

1

DPT6 weeks

3 4 weeks

OPV6 weeks

3 4 weeks

Hepa B

At birth

3

6 weeks interval

from 1st dose;

8weeks intervalfrom 2nd to 3rd dose

Measles9 months


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VaccineMinimum

age/interval

%

Protection

Duration of

Protection

TT1

As early as

possible during

pregnancy

TT2

At least 4 weeks

later 80%

Gives 3 years

of protection

to mother

TT3

At least 6 weeks

later 95%

Gives 5 years

of protection

to mother

TT4

At least 1 year

later 99%

Gives 10 years

of protection

to mother

TT5

At least 1 year

later 99%

Gives lifetime

protection for

the mother


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Family-Based Services:Management of Childhood Illnesses


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Management of Childhood Illnesses

Integrated Management of Childhood

Illnesses has been established to strengthen

the provision of comprehensive and

essential health package to the children.


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Methods in Managing Childhood Illnesses

Assess the patient taking the history is

one way of getting information about the

disease condition.

Classify the disease a thorough

assessment supported with laboratory

results is necessary for clarification of

illness and confirmation of the disease.

Treat the patient treatment is a

curative method of treating disease. Counsel the patient providing health

education to clients promotes health and

avoid risk of infection.


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FamilyFamily--Based Services:Based Services:Nutrition ProgramNutrition Program


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Nutrition Program

Nutrition program is a service that provide

procedures that helps the family to get the

appropriate nutrition according to age.

The goal of the nutrition program is to

improve quality of life of Filipinos through

better nutrition, improved health and

increased productivity.


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Programs and Projects

Micronutrient Supplementation

Food Fortification

Essential Maternal and Child Health

Service Package Nutrition information, communication

and education

Home School and Community Food

Production

Food Assistance

Livelihood Assistance


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Family Based Services:

Oral Health Program, Adolescent

Health Program, Adult Men andWomen, and The Older Person and

The Philippine Reproductive Health


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Other Family Based Services

Oral Health Program is made to reduce the

prevalence rate of dental carries and

periodontal disease.

The Adult Men and Women, The Older

Person and Adolescent Health Program ismade to manage illness, counsel on

substance abuse, sexuality, and

reproductive tract infection, nutrition and

diet counselling, mental health, FP anddental care.

Phil. Reproductive Health is consist of the

following crucial elements:


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Family Planning

Maternal and Child Health and Nutrition

Prevention and Management of RTIsincluding STIs and HIV/AIDS

Adolescent Reproductive Health

Prevention and Management of Abortionand its Complication

Prevention and Management of Breast and

Reproductive Tract CA and other

gynecological conditions Education and Counselling on Sexuality and

Sexual Health Mens Reproductive Health

and Involvement


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Violence Against Women and Children

Prevention and Management of Infertility

and Sexual Dysfuction

Documents

Family Based Service