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 this Order. The BnB outlet should be
initially identified, evaluated and selected by the concerned Center for Health Development (CHD), approved by
the PHARMA 50 Project Management Unit (PMU) and specially licensed by the Bureau of Food and Drugs (BFAD)
to sell, distribute, offer for sale and/or make 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-priced generic 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 morbidity and 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:
1. To promote equity in health by ensuring the availability and accessibility of affordable, safe and effective, quality essential
drugs to all, with priority for marginalized, underserved, critical and hard to reach areas.
2. To integrate all related issuances of the DOH that provides rules and regulations in the establishment and operations of
BnBs; and
3. To define the roles and responsibilities of the different units of the DOH and other partners from the different sectors in
facilitating and regulating the establishment of BnBs.
III. Status of the Program
Variants of the BnBs include Botika Binhi (funded by the members of the Peso for Health with counterpart from the local
government unit), Health Plus (funded by the GTZ), Botika sa Parokya (funded by DOH and Office of the President) and the Botika
ng Bayan (BNB) express under PITC/ PITC Pharma Inc. At present, about 16,350 BnB outlets have been established in the country.
The initial target was to establish 1 BnB to serve 3 adjacent Barangays. However, due to the immensity of Barangays, and the need
for more than 1 BnB in some poor adjacent barangays to better provide for the service, the target were changed to 1:1.
Since absorptive capacity for the DOH-CHDs to establish BnBs is also limited due to resource and time constraints, the initial
phasing of the target to achieve 1:1 is being done. Thus, for the next two (2) years, the target would be initially 1:2 except for
select areas that have high poverty incidence, conflict or Geographically isolated areas, and the like where the target would be
1:1.
Sourcing of medicines for the initial seed capital of these medicines is done through PITC Pharma Inc.
Issuances about Botika ng Barangay
Issuances Date Title
Department
Memorandum No.
2011-0022
January 26,
2011
Moratorium on the Establishment of Botika ng Barangay
(BnB) Nationwide
Department
Memorandum No.
2010-0033
February
12, 2010
Submission of Reports for the Impact Assessment of
Maximum Drug Retail Price (MDRP) / Government
Department
Memorandum No.
2008-0038
February
21, 2008
Amendment to Memorandum No. 31 s. 2003 dated 17
February 2003 re: Drugs to be sold in Botika ng Barangays
(BnBs)
Department
Memorandum
No. 2005-0046
April 5,
2005
Utilization of Slow-Moving Pharma 50 Botika ng Barangay
(BnB) Drugs and Medicines
Administrative
Order No. 2005-
0011
April 4,
2005
Supplemental Guidelines to Administrative Order No. 144
series 2004, entitled: "Guidelines for the Establishment
and Operations of Botika ng Barangays (BnB) and
Pharmaceutical Distribution Network (PDNs)" relative to
the inclusion of other drugs which are classified as
Prescription Drugs and other related matters
Department
Memorandum
No. 118 s. 2004
November
22, 2004
Botika ng Barangay Performance Monitoring Reports and
Routine Schedule of Submissions
Administrative
Order No. 144 s.
2004
April 14,
2004
Guidelines for the Establishment and Operations of Botika
ng Barangays (BnB) and Pharmaceutical Distribution
Network (PDNs)
Memorandum No.
31 s. 2003
February
17, 2003
Drugs to be sold in Botika ng Barangays (BnBs)

Breastfeeding TSEK
On February 23, 2011, the Department of Health (DOH) launched the exclusive breastfeeding campaign dubbed
Breastfeeding TSEK: (Tama, Sapat, Eksklusibo). The primary target of this campaign is the new and expectant mothers in urban
areas.
This campaign encourages mothers to exclusively breastfeed their babies from birth up to 6 months. Exclusive
breastfeeding means that for the first six months from birth, nothing except breast milk will be given to babies.
Moreover, the campaign aims to establish a supportive community, as well as 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.
Blood Donation Program
Republic Act No. 7719, also known as the National Blood Services Act of 1994, promotes voluntary blood donation to provide
sufficient supply of safe blood and to regulate blood banks. This act aims to inculcate public awareness that blood donation is a
humanitarian act.
The National Voluntary Blood Services Program (NVBSP) of the Department of Health is targeting the youth as volunteers in its
blood donation program this year. In accordance with RA No. 7719, it aims to create public consciousness on the importance of blood
donation in saving the lives of millions of Filipinos.
Based from the data from the National Voluntary Blood Services Program, a total of 654,763 blood units were collected in
2009. Fifty-eight percent of which was from voluntary blood donation and the remaining from replacement donation. This year, particular
provinces have already achieved 100% voluntary blood donation. The DOH is hoping that many individuals will become regular voluntary
unpaid donors to guarantee sufficient supply of safe blood and to meet national blood necessities.
Mission:
y Blood Safety
y Blood Adequacy
y Rational Blood Use
y Efficiency of Blood Services
Goals:The National Voluntary Blood Services Program (NVBSP) aims to achieve the following:
1. Development of a fully voluntary blood donation system;
2. Strengthening of a nationally coordinated network of BSF to increase efficiency by centralized testing and processing of blood;
3. Implementation of a quality management system including of Good Manufacturing Practice GMP and Management Information System
(MIS);
4. Attainment of maximum utilization of blood through rational use of blood products and component therapy; and
5. Development of a sound, viable sustainable management and funding for the nationally coordinated blood network.

Child Health and Development Strategic Plan Year 2001-2004
Introduction

The Philippine National Strategic Framework for lan Development for CHildren or CHILD 21 is a strategic framework
for planning programs and interventions that promote and safegurad the rights of Filipino children. Covering the
period 2000-2005, it paints in broad strokes a vision for the quality of life of Filipino children in 2025 and a roadmap
to achieve the vision.
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.
Children's Health 2025 contains both mid-term strategies, which is targeted towards the year 2004, while long-term strategies are
targeted by the year 2025. It utilizes a life cycle approach and weaves in the rights of children. The life cycle approach ensures that the
issues, needs and gaps are addressed at the different stages of the child's growth and development.
The period year 2002 to 2004 will put emphasis on timely diagnosis and management of common diseases of childhood as well
as disease prevention and health promotion, particularly in the fields of immunization, nutrition and the acquisisiton of health lifestyles.
Also critical for effective pallning and implementation would be addressing the components of the health infrastructure such as human
resource development, quality assurance, monitoring and disease surveillance, and health information and education.
The successful implementation of these strategies will require collaborative efforts with the other stakeholdres and also implies
integration with the other developmental plan of action for children.
Vision
A healthy Filipino child is:
y Wanted, planned and conceived by healthy parentsCarried to term by healthy motherBorn into a loving, caring. stable family capable
of providing for his or her basic needsDelivered safely by a trained attendant
y Screened for congenital defects shortly after birth; if defects are found, interventions to corrrect these defects are implemented at
the appropriate time
y Exclusively breastfed for at least six months of age, and continued breasfeeding up to two yearsIntroduced to compementary foods
at about six months of age, and gradually to a balanced, nutritious dietProtected from the consequences of protein-calorie and
micronutirent deficiencies through good nutrition and access to fortified foods and iodized salt
y Provided with safe, clean and hygienic surroundings and protected from accidentsProperly cared for at home when sick and brought
timely to a health facility for appropriate management when needed.Offered equal access to good quality curative, preventive and
promotive health care services and health education as members of the Filipino society
y Regularly monitored for proper growth and development, and provided with adequate psychosocial and mental stimulationScreened
for disabilities and developmental delays in early childhood; if disabilities are found, interventions are implemented to enabled the
child to enjoy a life of dignity at the highest level of function attainable
y Protected from discrimination, exploitation and abuse
y Empowered and enabled to make decisions regarding healthy lifestyle and behaviors and included in the formulation health policies
and programsAfforded the opportunity to reach his or her full potential as adult
Current Situation
Deaths among children have significantly decreased from previous years. In the 1998 NDHS, the infant mortality rate was 35 per
1000 livebirths, while neonatal death rate was 18 deaths per 1000 livebirths. Among regions IMR is highest in Eastern Visayas and lowest
in Metro Manila and Central Visayas. Death is much higher among infants whose mothers had no antenatal care or medical assistance at
the time of delivery. Top causes of illness among infants are infectious diseases (pneumonia, measles, diarrhea, meningitis, septicemia),
nutritional deficiencies and birth-realted complications.
The probability of dying between birth and five years of age is 48 deaths per 1000 livebirths. The top five leading causes of
deaths (which make up about 70%) of deaths in this age group) are pneumonia, diarrhea, measles, meningities and malnutrition. About 6%
die of accidents i.e. submersion, foreign bodies, and vehicular accidents.
The decline in mortality rates may be attributed partly to the Expanded Program of Immunization (EPI), aimed to reduce infant
and child mortality due to seven immunizable diseases (tuberculosis, diptheria, tetanus, pertussis, poliomyelities, Hepatitis B and
measles).
The Philippines has been declared as polio-free druing the Kyoto Meeting on Poliomyelities Eradication in the Western Pacific
Region last October 2000. This. however, is not a reason to be complacent. The risk of importing the poliovirus from neighboring
countries remains high until global certification of polio eradication. There is an urrgent need for sustained vigilance, which includes
strengthening the surveillance system, the capacity for rapid response to importation of wild poliovirus, adequate laboratory containment
of wild poliovirus materials, and maintaining high routine immunization until global certification has been achieved.
Malnutrition is common among children. The 1998 FNRI survey show that three to four out of ten children 0-10 years old are
underweight and stunted. The prevalence of low vitamin A serum levels and vitamin A deficiency even increased in 1998 compared to
1996 levels as reported by FNRI. Vitamin A supplementation coverage reached to more than 90%, however, a downward trend was evident
in the succeeding years from as high as 97% in 1993 to 78% in 1997.
Breastfeeding rate is 88% (NSO 2000 MCH Survey), with percentage higher in rural areas (92%) than in urban areas (84%).
Exclusive breastfeeding increased from 13.2% to 20% among children 4-5 mos of age (NDHS).
Several strategies were utilized to omprove child health. THe Integrated Management of Childhood Illness aims at reducing
morbidity and deaths due to common chldhood illness. The IMCI strategy has been adopted nationwide and the process of integration
into the medical, nursing, and midwifery curriculum is now underway.
The Enhanced Child Growth strategy is a community-based intervention that aims to improve the health and nutritional status of
children through improved caring and seeking behaviors. It operates through health and nutrition posts established throughout the
country.
Gaps and Challenges
Many Local Health Units were not adequately informed about the Framework for Children's Health as well as the policies. There is a
need to disseminate the two documents, CHILD 21 and Children's Health 2025 to serve as the template for local planning for childrens
health. There is also the need to update and reiterate the policies on children's health particularly on immunization, micronutrient
supplementation and IMCI.
LGUs experienced problems in the availability of vaccines and essential drugs and micronutrients due to weakness in the
procurement, allocation and distribution.
Pockets of low immunization coverage is attributed largely to the irregular supply of vaccines due to inadequate funds. Moreover,
there is a need to revitalize the promotion of immunization.
Goal
The ultimate goal of Children's Health 2025 is to achieve good health for all Filipino children by the year 2025.
Medium-term Objectives for year 2001-2004
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%
Strategies and Activities
* Enhance capacity and capability of health facilities in the early recognition, management and prevention of common childhood illness
This will entail improvements in the flow of services in the implementing faciities to ensure that every child receive the essential services
for survival, growth and development in an organized and efficient manner. Facilities should be equipped with the essential instruments,
equipment and supplies to provide the services. Health providers shall have the knowledge and skills to be able to provide quality services
for children. Existing child health policies, guidelines and standards shall be reviewed and updated, and new ones formulated and
disseminated to guide health providers in the standard of care.
* Strengthening community-based support systems and interventions for children's health
Notable community-based projects and interventions, such as the health and nutrition posts, mother support groups, community
financing schemes shall be replicated for nationwide implementation. Model building and dissemination of best practices from pilot sites
has proven effective in generating support and adoption in other sites. More of these shall be initiated particularly for developing
interventions to increase care-seeking and prevention of malnutrition in children.
* Fostering linkages with advocacy groups and professional organizations and to promote children's health
Collaboration with the nongovernment sector and professional groups shall:
* Conduct national campaigns on children's health
* Conduct and support national campaigns for children
* Initiate and support legislations and researches on children's health and welfare
* Development of comprehensive monitoring and evaluation system for child health programs and projects
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
Rationale
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:
1. CEUE Resolution No. 2011-001 - Three Year Transition Period for Compliance of Administrative Order No. 2010-0033.
2. Memorandum dated August 10, 2010 - to the Centers for Health Development (CHDs) Human Resource Development Units (HRDUs)
regarding Updates on the Committee of Examiners for Undertakers and Embalmers (CEUE) Program.
3. Administrative Order No. 2010-0033 - Revised Implementing Rules and Regulations of PD 856 Chapter XXI Governing Disposal of Dead
Persons
4. CEUE Resolution No. 2010-001 - Adoption of the Code of Ethics for Embalmers in the Philippines
5. CEUE Resolution No. 2009-001 - Creation of the Committee for Continuing Embalmers Education Council (CEEC)
6. CEUE Resolution No. 2008-001 - Conduct of Licensure Examination for Embalmers in Centers for Health Development (CHDs) to conduct
a simultaneous licensure examination in the Central Office and the CHDs with a minimum of 50 examinees for cost effectiveness.
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.
12. Department Circular No. 2007-0139 - Reiteration on the observance of precautionary measures in the disposal of dead persons.
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.
Program Status
Nationwide information dissemination of the following:
y Administrative Order No. 2010 - 0033 (Disposal of Dead Persons)
y Curriculum for licensure examinations
y Manuals for Licensure Examinations
y Code of Ethics
1. March 25, 2011 - National Capital Region
2. May 3, 2011 - Visayas Region (Iloilo City)
3. May 13, 2011 - Mindanao Regions (Cagayan de Oro City)
4. June 30, 2011 - Butuan City (upon request)
5. August 25, 2011 - Aklan (upon request)

Committee of Examiners for Massage Therapy (CEMT)
Rationale
Traditional medicine throughout the world recognizes the significance of therapeutic massage in managing stress, illness or chronic
ailments. Massage therapy is considered the oldest method of healing that applies various techniques like fixed or movable pressure,
holding, vibration, rocking, friction, kneading and compression using primarily the hands and other areas of the body such as the
forearms, elbows or feet to the mascular structure and soft tissues of the body.
Massage therapy can lead to significant biochemical, physical, behavioral and clinical changes in massage as well as the person giving the
massage. It contributes to a higher sense of general well-being. Recognizing this, many healthcare professionals have begun to
incorporate massage therapy as a complement to their routine clinical care. Efficacy of massage therapy in patient ranges from pretern
neonates to senior citizens. Although the country has the training standards and regulations through the Technical Education and Skills
Development Authority (TESDA), it lacks control / regulations over the training institutions, thus, anyone who calls himself/herself a
massage therapist is one, regardless of training or experience.
Objective:
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:
1. CEMT Resolution No. 2011-001 - Three-Year Transition Period for Compliance to Administrative Order No. 2010-0034.
2. Memorandum dated August 10, 2010 - to the Centers of Health Development (CHDs) Human Resource Development Units (HRDUs)
regarding Updates on the Committee of Examiners for Massage Therapy (CEMT) Program
3. Administrative Order No. 2010-0034 - Revised Implementing Rules and Regulations of PD 856 Chapter XIII Governing Massage
Clinics and Sauna Establishments
4. CEMT Resolution No. 2010-001 - Adoption of the Code of Ethics for Massage Therapists in the Philippines.
5. CEMT Resolution No. 2009-001 - Creation of Committee for Continuing Massage Therapy Education Council (CMTEC)
6. CEMT Resolution No. 2008-001 - Conduct of Licensure Examination for Massage Therapists in Centers for Health Development
(CHDs) to conduct a simultaneous licensure examination in the Central Office and the CHDs with a minimum of 50 examinees for
cost effectiveness.
7. Department Memorandum No. 2008-0009 - Designation of DOH Human Resource Development Units (DOH-HRDUs) as
Coordinators for Massage Therapy Program to facilitate immediate response to queries and complaints regarding the massage
therapy practice.
8. CEMT Resolution No. 2008-001 - Accredited training institutions and training providers for massage therapists for CY 2008-2011
to regulate existing and potential training providers and training institutions for massage therapists for the enhancement and
maintenance of its professional standards.
9. CEMT Resolution No. 2008-002 - Extension of Moratorium as per CEMT Resolution No. 2008-001
10. CEMT Resolution No. 2008-001 - Moratorium on the Non-Renewal of Licenses for Embalmers for the past five (5) years and over
with the aim of providing chance to licensed embalmers who were unable to renew their licenses for the past five years and over
11. Administrative Order No. 2008-0031 - Policies and Guidelines for the Accreditation of Training Institutions, Training Programs and
Trainining Providers for Massage Therapists in the Philippines with the aim of institutionalizing the continuing education program
for massage therapists 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 massage therapists.
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.
Program Status
Nationwide information dissemination of the following:
y Administrative Order No. 2010-0034 (Massage Clinics and Sauna Establishments)
y Curriculum for Licensure Examinations
y Manuals for Licensure Examinations
y Code of Ethics
1. March 25, 2011 - National Capital Region
2. May 3, 2011 - Visayas Regions (Iloilo City)
3. May 13, 2011 - Mindanao Region (Cagayan de Oro City)
4. June 30, 2011 - Butuan City (upon request)
5. August 25, 2011 - Aklan (upon request)
Dental Health Program
Oral disease continues to be a serious public health problem in the Philippines. The prevalence of dental caries on permanent
teeth has generally remained above 90% throughout the years. About 92.4% of Filipinos have tooth decay (dental caries) and 78%
have gum diseases (periodontal diseases) (DOH, NMEDS 1998). Although preventable, these diseases affect almost every Filipino at
one point or another in his or her lifetime.

Table 1: Prevalence of the Two Most Common Oral Diseases by Year, Philippines
YEAR Prevalence
Dental Caries Peridontal Disease
1987 93.9% 65.5%
1992 96.3% 48.1%
1998 92.4% 78.3%

The oral health status of Filipino children is alarming. The 2006 National Oral Health Survey (Monse B. et al, NOHS 2006)
investigated the oral health status of Philippine public elementary school students. It revealed that 97.1% of six-year-old children suffer
from tooth decay. More than four out of every five children of this subgroup manifested symptoms of dentinogenic infection. In addition,
78.4% of twelve-year-old children suffer from dental caries and 49.7% of the same age group manifested symptoms of dentinogenic
infections. The severity of dental caries, expressed as the average number of decayed teeth indicated for filling/extraction or filled
permanent teeth (DMFT) or temporary teeth (dmft), was 8.4 dmft for the six-year-old age group and 2.9 DMFT for the twelve-year-old
age group (NOHS 2006).
Table 2 - Dental caries Experience (Mean DMFT/dmft), per age groups, Philippines

Age in
Years
NMEDS
1982
NMEDS
1987
NMEDS
1992
NMEDS
1998
NMEDS
2006
6 8.4 dmft
12 6.39 5.52 5.43 4.58 2.9
15-19 8.51 8.25 6.3
35-44 14.18 14.82 14.42 15.04

Filipinos bear the burden of gum diseases early in their childhood. According to NOHS, 74% of twelve-year-old children suffer
from gingivitis. If not treated early, these children become susceptible to irreversible periodontal disease as they enter adolescence and
approach adulthood.
In general, tooth decay and gum diseases do not directly cause disability or death. However, these conditions can weaken
bodily defenses and serve as portals of entry to other more serious and potentially dangerous systemic diseases and infections.
Serious conditions include arthritis, heart disease, endocarditis, gastro-intestinal diseases, and ocular-skin-renal diseases. Aside from
physical deformity, these two oral diseases may also cause disturbance of speechsignificant enough to affect work performance,
nutrition, social interactions, income, and self-esteem. Poor oral health poses detrimental effects on school performance and
mars success in later life. In fact, children who suffer from poor oral health are 12 times more likely to have restricted-activity days
(USGAO 2000). In the Philippines, toothache is a common ailment among schoolchildren, and is the primary cause of absenteeism
from school (Araojo 2003, 103-110). Indeed, dental and oral diseases create a silent epidemic, placing a heavy burden on Filipino
schoolchildren.

VISION: Empowered and responsible Filipino citizens taking care of their own personal oral health for an
enhanced quality of life
MISSION: The state shall ensure quality, affordable, accessible and available oral health care delivery.
GOAL: Attainment of improved quality of life through promotion of oral health and quality oral health care.

OBJECTIVES AND TARGETS:
1. The prevalence of dental caries is reduce
Annual Target : 5% reduction of the prevalence rate every year
2. The prevalence of periodontal disease is reduced
Annual Targets : 5% reduction of the prevalence rate every year
3. Dental caries experience is reduced
Annual Target : 5% reduction of the mean dmft/DMFT for 5/6 years old and 12 years old children every year
4. The proportion of Orally Fit Children (OFC) 12-71 months old is increased
Annual Targets : Increased by 20% yearly

The national government is primarily tasked to develop policies and guideline for local government units. In 2007, the
Department of Health formulated the Guidelines in the Implementation of Oral Health Program for Public Health Services (AO 2007-
0007). The program aims to reduce the prevalence rate of dental caries to 85% and periodontal disease by to 60% by the end of 2016.
The program seeks to achieve these objectives by providing preventive, curative, and promotive dental health care to Filipinos through
a lifecycle approach. This approach provides a continuum of quality care by establishing a package of essential basic oral health care
(BOHC) for every lifecycle stage, starting from infancy to old age.
The following are the basic package of essential oral health services/care for every lifecycle group to be provided either in
health facilities, schools or at home.

LIFECYCLE
TYPES OF SERVICE
(Basic Oral Health Care Package)
Mother(Pregnant Women)
**
y Oral Examination
y Oral Prophylaxis (scaling)
y Permanent fillings
y Gum treatment
y Health instruction
Neonatal and Infants
under 1 year old**
y Dental check-up as soon as the first tooth erupts
y Health instructions on infant oral health care and advise on
exclusive breastfeeding
Children 12-71 months
old **
y Dental check-up as soon as the first tooth appears and every
6 months thereafter
y Supervised tooth brushing drills
y Oral Urgent Treatment (OUT)
- removal of unsavable teeth
- referral of complicated cases
- treatment of post extraction complications
- drainage of localized oral abscess
y Application of Atraumatic Restorative Treatment (ART)
School Children (6-12
years old)
y Oral Examination
y Supervising tooth brushing drills
y Topical fluoride theraphy
y Pits and Fissure Sealant Application
y Oral Prophylaxis
y Permanent Fillings
Adolescent and Youth
(10-24 years old)**
y Oral Examination
y Health promotion and education on oral hygiene, and
adverse effect on consumption of sweets and sugary
beverages, tobacco and alcohol
Other Adults (25-59 years
old)
y Oral Examination
y Emergency dental treatment
y Health instruction and advice
y Referrals
Older Person (60 years
old and above)**
y Oral Examination
y Extraction of unsavable tooth
y Gum treatment
y Relief of Pain
y Health instruction and advice

STRATEGIES AND ACTION POINTS:
1. Formulate policy and regulations to ensure the full implementation of OHP
a. Establishment of effective networking system (Deped, DSWD, LGU, PDA, Fit for School, Academe and others)
b. Development of policies, standards, guidelines and clinical protocols
- Fluoride Use
- Toothbrushing
- Other Preventive Measures
2. Ensure financial access to essential public and personal oral health services
a. Develop an outpatient benefit package for oral health under the NHIP of the government
b. Develop financing schemes for oral health applicable to other levels of care ( Fee for service, Cooperatives, Network with HMOS)
c. Restoration of oral health budget line item in the GAA of DOH Central Office
3. Provide relevant, timely and accurate information management system for oral Health.
a. Improve existing information system/data collection (reporting and recording dental services and accomplishments )
- setting of essential indicators
- development of IT system on recording and reporting oral health service accomplishments and indices
- Integrate oral health in every family health information tools, recording books/manuals
b. Conduct Regular Epidemiological Dental Surveys every 5 years
4. Ensure access and delivery of quality oral health care servicesa.
a. Upgrading of facilities, equipment, instruments, supplies
b. Develop packages of essential care/services for different groups (children, mothers and marginalized groups)
-revival of the sealant program for school children
- toothbrushing program for pre-school children
- outreach programs for marginalized groups
c. Design and implement grant assistance mechanism for high performing LGUs
- Awards and incentives
- Sub-allotment of funds for priority programs/activities
d. Regular conduct of consultation meetings, technical updates and program implementation reviews with stakeholders
5. Build up highly motivated health professionals and trained auxilliaries to manage and provide quality oral health care
a. Provision of adequate dental personnel
b. Capacity enhancement programs for dental personnel and non-dental personnel

Current FHSIS Indicators/parameters:
a) Orally Fit Child (OFC) Proportion of children 12-71 months old and are orally fit during a given point of time. Is defined
as a child who meets the following conditions upon oral examination and/or completion of treatment a) caries- free or carious
tooth/teeth filled either with temporary or permanent filling materials, b) have healthy gums, c) has no oral debris, and d) No
handicapping dento-facial anomaly or no dento-facial anomaly that limits normal function of the oral cavity
b) Children 12-71 months old provided with Basic Oral Health Care (BOHC)
c) Adolescent and Youth (10-24 years old) provided with Basic Oral Health care (BOHC)
d) Pregnant Women provided with Basic oral Health Care (BOHC)
e) Older Persons 60 years old and above provided with Basic Oral Health Care (BOHC)

Policy/Standards/Guidelines formulated/developed:
a. AO. 101 s. 2003 dated Oct. 14, 2003 National Policy on Oral Health
b. AO 2007-0007 Dated January 3, 2007 Guidelines In The Implementation Of Oral Health Program For Public Health
Services In The Philippines
c. AO 4-s.1998 Revised Rules and Regulations and Standard Requirements for Private School Dental services in the
Philippines
d. AO 11-D s. 1998 Revised Standard Requirements for Hospital Dental services in the Philippines
e. AO 3 s. 1998 - Revised Rules and Regulations and Standard Requirements for Occupational Dental services in the
Philippines
f. AO 4-A s. 1998 Infection Control Measures for Dental Health Services
Trainings/Capacity Enhancement Program:
a. Basic Orientation Course on Management of Public Health Dentist
The training program was designed with the Public Health Dentists (PHDs) as the main recipients of the Basic Course
on the Management of Oral Health Program. The training is expected to provide an in-depth understanding of the
different roles and functions of the PHDs in the management and delivery of Public Health Services. A training module
was developed for the basic course.
Researches:
a. National Monitoring Evaluation Dental Survey (NMEDS).
The Department of Health (DOH) has been conducting nationwide surveys every five years (1977, 1982, 1987, 1992, and
1998) to determine the prevalence of oral diseases in the Philippines. Data gathered provide continuous information that
enables planners to update data used in planning, implementation and evaluation of existing oral health programs. The
latest NMEDS was conducted in 2011. Results will be available on the 1
st
quarter of 2012.
Existing Working Group for Oral Health:
National Technical Working Group (TWG) on Oral Health (DPO 2005-1197)
Member Agencies: Department of Health (NCDPC, HHRDB, NCHP)
DOH- Center for Health Development for NCR, Central Luzon and Calabarzon
Philippine Dental Association
Department of Education
Up- College of Public Health
Department of Interior and Local Government
Department of Social Welfare and Development
Local Government Units ( Makati, Quezon City)
Print materials:
1. Leaflets (Malakas ang dating Buo ang Ngipin) for Children, Adolescent, Pregnant Women and Older Person
2. Training Module on Basic Course on Management of Oral Health Program
Non-Government Organization Major Partners:
Philippine Dental Association
Fit for School, Inc.
Program Managers/Coordinators:
Dr. Manuel F. Calonge
Chief Health Program Officer
National Oral Health Program Coordinator
National Center for Disease Prevention and Control
Department of Health
Manila, Philippines
(632) 651-7800 loc. 1726-1730
E-Mail : mfcalonge@yahoo.com

REGIONAL DENTAL COORDINATORS
REGION
CHD DENTAL
COORDINATORS
CHD FOR CORDILLERA
BGMC Compound, Baguio City
(CAR)

Dr. Flora B. Pelingen
dayemanfbp@yahoo.com
CHD FOR ILOCOS
San Fernando, La Union
(Region 1)
Dr. Artemio R. Licos
licosddm@yahoo.com
CHD FOR CAGAYAN VALLEY
Tuguegarao, Cagayan
(Region 2)
Dr. Josefino Flores
jess1958@yahoo.com
CHD FOR CENTRAL LUZON
San Fernando, Pampanga
(Region 3)
Dr. Blessilda Sanchez
bdsanch@yahoo.com
CHD FOR SOUTHERN TAGALOG
(Calabarzon-A)
Project 4, Quezon City
(Region 4)
Dr. Edwina Go
Dr_edwina_go@yahoo.com
CHD FOR SOUTHERN TAGALOG
(Mimaropa-B)
Project 4, Quezon City
Dr. Maria Gracia S. Gabriel
dental.chd4b@yahoo.com
CHD FOR BICOL
Lagaspi City, Albay
(Region 5)
Dr. Elena Cortez
drelenacortez@yahoo.com
CHD FOR WESTERN VISAYAS
Mandurriao, Iloilo City
(Region 6)
Dr. Clodualdo B. Divinagracia Jr.
drcdjr_10@yahoo.com
CHD FOR CENTRAL VISAYAS
Cebu City
(Region 7)
Dr. Expedito Medalla/Dr. Phillip Yray
Jr.
paddymedalla@yahoo.com.ph

CHD FOR EASTERN VISAYAS
Tacloban City
(Region 8)
Dr. Ma. Vilma Estorba
Mavill7@yahoo.com.ph
CHD FOR ZAMBOANGA PENINSULA
Zamboanga City
(Region 9)
Dr. Manuel Isagan
09172063878
CHD FOR NORTHERN MINDANAO
Carmen, Cagayan de Oro City
Dr. Fe Paler
febpaler_52@yahoo.com.ph
(Region 10)
CHD FOR DAVAO REGION
Bajada, Davao
(Region 11)
Dr. Memory Padua
mems_bryan@yahoo.com
Ms. Ma. Theresa Ronquillo
matetrequillo@yahoo.com
CHD SOCCKSARGEN
Cotabato City
(Region 12)
Dr. Anna Liza Alo
annaliza71@yahoo.com
CHD FOR CARAGA
Butuan City
(CARAGA)
Dr. Ma. Carmela Mary Beltran
Maria_carmelamary@yahoo.com
CHD FOR METRO MANILA
Welfareville Subd., Mandaluyong City
(NCR)
Dr. Alexander Alberto
09158801332

AUTONOMOUS REGION FOR MUSLIM
MINDANAO
(ARMM)
Cotabato City
Dr. Shalmalynne Ampatuan
Shall_dent@yahoo.com.ph

Diabetes Mellitus Prevention and Control Program
Diabetes Mellitus, a chronic disabling disorder, becomes a major public health problem as it is one of the top ten leading causes of
mortality in the country.
In accordance with the 42
nd
World Health Assembly Resolution on Diabetes Mellitus and the Republic Act No. 8191 or the National
Diabetes Act of 1996, the Department of Health (DOH) implemented a nationwide Diabetes Mellitus Prevention and Control Program. It
shall aim to reduce morbidity and mortality from diabetes and its complications. It utilizes all levels of preventive care in the community
and hospital settings.
Program Strategies/Components:
The program has five components health promotion and education, manpower development and capabilities strengthening, service
delivery, monitoring/evaluation, and research.
1. Health Promotion and Education
Intersectoral collaboration is necessary to educate the public on the nature and extent of diabetes, including its risks factors,
complications and the need for early detection and management.
2. Manpower Development and Strengthening of existing diabetes management capabilities
Continuing training and education shall be provided to core trainers and implementers. This also includes strengthening of existing
diabetes treatment/management capabilities of medical clinics.
3. Service delivery/Integration of diabetes prevention and control at the community level
The program shall provide for the integration and provision of services at the lowest possible level of community health care
interventions, from primary to tertiary prevention.
4. Monitoring/Evaluation
A periodic process and impact evaluation shall be conducted every year and five years thereafter and/or depending on the need of the
program.
5. Research
The program shall support research/studies in the clinical, behavioral, and epidemiological areas.
Partner Organizations/Agencies:
Aside from the DOH, the following institutions take part in achieving the goals of the program:
y Diabetes Philippines
y Diabetes Center (Philippines Center for Diabetes Education Foundation)
y Institute for Studies on Diabetes Foundation , INC (ISDFI)
y Philippine Society of Endocrinology and Metabolism (PSEM)
y Philippine Association of Diabetes Educators (PADE)
y American Association for Clinical Endocrinology (AACE), Phil Chapter
y Association of Diabetes Nurse Educators Philippines (ADNEP)
y Association of Municipal Health Officers of the Philippines (AHMOP)
y Department of Education (DepEd)
y (Philippine) Food and Drug Authority (FDA)
y Food and nutrition Research Institute (FNRI)
y Nutritionists and Dieticians Association of the Philippines (NDAP)
y Philippine Academy of Family Physicians (PAFP)
y Philippine Association of Medical Technologists (PAMET)
y Philippine College of Occupational Medicine (PCOM)
y Philippine College of Physicians
y Philippine Heart Association (PHA)
y PhilHealth (NON-VOTING)
y Philippine Lipid and Atherosclerosis Society (PLAS)
y Philippine Medical Association (PMA)
y Philippine Obstetrics and Gynecology Society (POGS)
y Philippine Pediatric Society (PPS)
y Philippine Society of Hypertension (PSH)
y Philippine Society Of Nephrology (PSH)

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.
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 SARS
through 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 Cordillera
Autonomous 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 full
pandemic 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 strong linkages
and coordinating mechanisms, the Department of Health (DOH) hopes to further improve the functionality and effectiveness of local
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 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.

Partner Organizations/Agencies:
The following organizations/agencies take part in achieving the goal of the program:
y World Health Organization (WHO)
y United Nations Childrens Fund (UNICEF)
y Department of Interior and Local Government (DILG)
y Department of Education (DepEd)
y United States Agency for International Development (USAID)
y Asian Development Bank (ADB)
y Philippine Health Insurane Corporation (PhilHealth)
y Department of Agriculture-Bureau of Animal Industry (DA-BAI)

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. An Inter-Agency COmmittee on Environmental Health was created by virute of E.O. 489 to
facilitate and improve coordination among concerned agencies. It provides the venue for technical collaboration, effective monitoring and
communication, resource mobilization, policy review and development. The Committee has five sectoral task forces on water, solid
waste, air, toxic and chemical substances and occupational health.

Vision
Health Settings for All Filipinos
Mission
Provide leadership in ensuring health settings
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
Key Result Areas
y Appropriate development and regular evaluation of relevant programs, projects, policies and plans on environmental and
occupational health
y Timely provision of technical assistance to Centers for Health Development (CHDs) and other partners
y Development of responsive/relevant legislative and research agenda on DPC
y Timely provision of technical inputs to curriculum development and conduct of human resource development
y Timely provision of technically sound advice to the Secretary and other stakeholders
y Timely and adequate provision of strategic logistics
Components
y Inter- agency Committee on Environmental Health
y IACEH Task Force on Water
y IACEH Task Force on Solid Waste
y IACEH Task Force on Toxic Chemicals
y IACEH Task Force on Occupational Health
y Environmental Sanitation
y Environmental Health Impact Assessment
y Occupational Health

Essential Newborn Care
Profile/Rationale of the Health Program
The Child Survival Strategy published by the Department of Health has emphasized the need to strengthen health services of children
throughout the stages. The neonatal period has been identified as one of the most crucial phase in the survival and development of the
child. The United Nations Millennium Development Goal Number 4 of reducing under five child mortality can be achieved by the
Philippines however if the neonatal mortality rates are not addressed from its non-moving trend of decline, MDG 4 might not be achieved.
Vision and Mission: None to mention as these are inclusive in the MNCHN Strategy and NOH 2011-2016
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
Stakeholders:
1. Both public and private sector at all levels of health service delivery providing maternal and newborn services
2. Health Professional Organizations and their member health professionals
a. Pediatricians/neonatalogists of the Philippine Pediatric Society (PPS) and the Philippine Society of Newborn Medicine
(PSNbM)
b. Obstetrician-Gynecologists of the Philippine Obstetrical and Gynecological Society (POGS)
c. Perinatologists of the Perinatal Association of the Philippines, Inc., (PAPI)
d. Anesthesiologists and obstetric anesthesiologists of the Philippine Society of Anesthesiologists (PSA) and the Society for
Obstetric Anesthesia of the Philippines (SOAP),
e. Family medicine specialists of the Philippine Academy of Family Physicians (PAFP)
f. Nurses, Maternal and child nurses, intensive care nurses of the Philippine Nurses Association and its affiliate nursing
societies
g. Midwives of the Integrated Midwives of the Philippines (IMAP), Philippine League of Government and Private Midwives,
Inc. (PLGPMI), Midwives Foundation of the Philippines (MFP) and Well Family Midwives Clinic

3. Government regulatory bodies e.g. Professional Regulations Commission
4. Academe - professors and instructors from members schools and colleges of:
a. Association of Philippine Medical Colleges (APMC)
b. Association of Deans of Philippine Colleges of Nursing (ADPCN)
c. Association of Philippine Schools of Midwifery

5. Hospital, health care administrator and infection control associations
a. Philippine Hospital Association (PHA)
b. Private Hospitals Association of the Philippines (PHAP)
c. Philippine College of Hospital Administrators
d. Philippine Hospital Infection Control Society

6. Local government units - local chief executives and LGU legislative bodies
Beneficiaries:
a. Newborns all over the country
b. Parents
c. communities
Program Strategies:
1. Health Sector Reform
a. Policy and Guideline Issuance
i) Administrative Order 2009-0025 - Adopting Policies and Guidelines on Essential Newborn Care - December 1,
2009
ii) Clinical Pocket Guide on Essential Newborn Care
b. Aquino Health Agenda and Achieving Universal Health Care - Administrative Order 2010-0036
c. PhilHealth Circular 2011-011 dated August 5, 2011 on Newborn Care Package
d. Development of Operationalization of Essential Newborn Care Protocol in Health Facilities
2 Identification of Centers of Excellence
- Adoption of essential newborn care protocol(including intrapartum care and the MNCHN Strategy)
3. Curriculum Reforms
- Curriculum integration of essential newborn care (including intrapartum care and the MNCHN Strategy) in undergraduate
health courses
- Integration and revision of board exam questions in licensure examinations for physicians, nurses and midives
4. Social Marketing
- Development of social marketing tools - Unang Yakap MDG 4 & 5

Major Activities and its Guidelines:
a. Conduct of one-day orientation-workshop on essential newborn care (including intrapartum care and the MNCHN
Strategy)
b. Regional MNCHN Conference for CHDs and LGUs including DOH-retained hospitals and LGU hospitals

b. Current Status of the Program
A. What have been achieved/done
1. Policy was issued in December 1, 2009
2. DOH/WHO Scale-up Implementation was done in 11 hospitals
3. Advocacy Partners Forum on essential newborn care (including intrapartum care and the MNCHN Strategy)
4. One-day orientation-workshop on essential newborn care (including intrapartum care and the MNCHN Strategy) among health
workers in different health facilities
5. Inclusion of dexamethasone and surfactant as core medicines in the essential medicines list for children in the Philippine
National Formulary

B. Statistics
Early outcomes of EINC implementation has shown reduction on neonatal deaths in select DOH-retained hospitals including deaths from
neonatal sepsis and complicatons of prematurity

Partner organizations/agencies:
y National Nutrition Council
y Population Commission
y WHO
y UNICEF
y UNFPA
y AusAID
y USAID
y health professional and academic organizations mentioned above.

Family Planning
Brief Description of Program
A national mandated priority public health program to attain the country's national health development: a health intervention program
and an important tool for the improvement of the health and welfare of mothers, children and other members of the family. It also
provides information and services for the couples 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.
y Responsible Parenthood which means that each family has the right and duty to determine the desired number of children they
might have and when they might have them. And beyond responsible parenthood is Responsible Parenting which is the proper
ubringing and education of chidren so that they grow up to be upright, productive and civic-minded citizens.
y Respect for Life. The 1987 Constitution states that the government protects the sanctity of life. Abortion is NOT a FP method:
y Birth Spacing refers to interval between pregnancies (which is ideally 3 years). It enables women to recover their health improves
women's potential to be more productive and to realize their personal aspirations and allows more time to care for children and
spouse/husband, and;
y Informed Choice that is upholding and ensuring the rights of couples to determin the number and spacing of their children
according to their life's aspirations and reminding couples that planning size of their families have a direct bearing on the quality of
their children's and their own lives.
Intended Audience:
Men and women of reproductive age (15-49) years old) including adolescents
Area of Coverage:
Nationwide
Mandate:
EO 119 and EO 102
Vision:
Empowered men and women living healthy, productive and fulfilling lives and exercising the right to regulate their own fertility through
legally and acceptable family planning services.
Mission
The DOH in partnership with LGUs, NGOs, the private sectors and communities ensures the availability of FP information and services to
men and women who need them.
Program Goals:
To provide universal access to FP information, education and services whenever and wherever these are needed
Objectives
General
To help couples, individuals achieve their desired family size within the context of responsible parenthood and improve their reproductive
health. Specifically, by the end of 2004:
Reduce
y MMR from 172 deaths 100,000 LB in 1998 to less than 100 deaths/100,000 LB
y IMR from 35.3 deaths/1000 livebirths in 1998 to less than 30 deaths/1000 live births
y TFR from 3.7 children per woman in 1998 to 2.7 chidren per woman
Increase
y Contraceptive Prevalence Rate from 45.6% in 1998 to 57%
y Proportion of modern FP methods use from 28>2% to 50.5%
Key Result Areas
1. Policy, guidelines and plans formulation
2. Standard setting
3. Technical assistance to CHDs/LGUs and other partner agencies
4. Advocacy, social mobilization
5. Information, education and counselling
6. Capability building for trainers of CHDs/LGUs
7. Logistics management
8. Monitoring and evaluation
9. Research and development

Strutegles
1. Frontline participation of DOH-retained hospitals
2. Family Planning for the urban and rural poor
3. Demand Generation through Community-Based Management Information System
4. Mainstreaming Natural Family Planning in the public and NGO health facilities
5. Strengthening FP in the regions with high unmet need for FP: CAR, CHD 5, 8, NCR, ARMM
6. Contraceptive Interdependence Initiative

Major Activities
I. Frontline participation of DOH-retained hospitals
y Establishment of FP Itinerant team by each hospital to respond to the unmet needs for permanent FP methods and to
bring the FP services nearer to our urban and rural poor communities
y FP services as part of medical and surgical missions of the hospital
y Provide budget to support operations of the itenerant teams inclduing the drugs and medical supplies needed for
voluntary surgical sterilization (VS) services
y Partnership with LGU hospitals which serve as the VS site
II. Family Planning for the urban and rural poor
y Expanded role of Volunteer Health Workers (VHWs) in FP provision
y Partnership of itenerant team and LGU hospitals
y Provision of FP services
III. Demund Generutlon through Communlty-Bused Munugement Informutlon System
y Identification and masterlisting of potential FP clients and users in need of PF services (permanent or temporary
methods)
y Segmentation of potential clients and users as to what method is preferred or used by clients
IV. Mainstreaming Natural Family Planning in the public and NGO health facilities
y Orientation of CHD staff and creation of Regional NFP Management Committee
y Diacon with stakeholders
y Informutlon, Educutlon und counsellng uctlvltles
y Advocacy and social mobilization efforts
y Production of NFP IEC materials
y Monitoring and evaluation activities
V. Strengthening FP in the regions with high unmet need for FP: CAR, CHD 5, 8, NCR, ARMM
y )leld of ltlnerunt teums by retulned hospltuls to provlde VS servlces neurer to the communlty
y Installation of COmmunity Based Management Information System
y Provision of augmentation funds for CBMIS activities
VI. Contraceptive Interdependence Initiative
y Expansion of PhilHealth coverage to include health centers providing No Scalpel Vasectomy and FP Itenerant Teams
y Expansion of Philhealth benefit package to include pills, injectables and IUD
y Social Marketing of contraceptives and FP services by the partner NGOs
y National Funding/Subsidy
VIII. Development /Updutlng of )3 CLlnlcul Stundurds
IX. Formulation of FP related policies/guidelines. E.g. Creation of VS Outreach team by retained hospitals and its operationalization,
GUidelines on the Provision of VS services, etc.
X. Production and reproduction of FP advocacy and IEC materials
XI. Provision of logistics support such as FP commodities and VS drugs and medical supplies

Other Partners
1. Funding Agencies
y United States Agency for International Development (USAID)
y Unlted Nutlons )unds for 3opulutlon Actlvltles (UN)3A)
y Management Sciences for Health (MSH)
y Engender Health
y The Futures Group
2. NGOs
y Reachout foundation
y DKT
y Philippine Federation for Natual Family Planning (PFNFP)
y John Snow Inc. - Well Family Clinic
y Phlippine Legislators Committee on Population Development (PLPCD)
y Remedios Foundation
y Family Planning Organization of the Philippines (FPOP)
y Institute of Maternal and Child Health (IMCH)
y Integrated Maternal and Child Care Services and Development, Inc.
y Friendly Care Foundation, Inc.
y Institute of Reproductive Health
3. Other GOs
y Commission on Population
y DILG
y DOLE
y LGUs



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--vis various parasitic, bacterial,
and viral pathogens involved in food and waterborne diseases.

Beneficiaries/Target Population:
The Food and Waterborne Disease Control Program targets individuals, families, and communities residing in affected areas nationwide.
For parasitic infections, endemic areas are more common.
Strategies/Management:
Case monitoring is maintained through the Philippine Integrated Disease Surveillance and Response (PIDSR) framework of NEC and the
sentinel sites of the RESU. To add to that, quarterly reports of the regional coordinators supplement the data and the regular updating
from NEC Outbreak Surveillance.
Outbreaks are being prevented though public education in print and radio stations. The need for safe food and water intake by adequate
cooking and boiling of drinking water is inculcated to the public.
Multi-drug resistant cases of typhoid are monitored through reports from the hospital sentinel site and the data from the Research
Institute of Tropical Medicines Antibiotic Resistance & Surveillance Program.
Partner Organizations/Agencies:
The following organizations and agencies take part in the achievement of program objectives:
y University of the Philippines-National Institutes of Health (UP-NIH)
y Department of Agriculture-National Meat Inspection Service (DA-NMIS)
y Asia Centric Disease Bureau
y World Health Organization-Western Pacific Regional Office (WHO-WPRO)
y World Health Organization-Southeast Asia Regional Office (WHO-SEARO)






Food Fortification Program
Objectives:
1. To provide the basis for the need for a food fortification program in the Philippines: The Micronutrient Malnutrition Problem
2. To discuss various types of food fortification strategies
3. To provide an update on the current situation of food fortification in the Philippines

Fortification as defined by Codex Alimentarius
the addition of one or more essential nutrients to food, whether or not it is normally contained in the food, for the purpose of preventing
or correcting a demonstrated deficiencyof one or more nutrients in the population or specific population groups
Vitamin A, Vitamin A Deficiency (VAD) and its Consequences
y Vitamin A - an essential nutrient as retinol needed by the body for normal sight, growth, reproduction and immune competence
y Vitamin A deficiency - a condition characterized by depleted liver stores & low blood levels of vitamin A due to prolonged
insufficient dietary intake of vit. A followed by poor absorption or utilization of vit. A in the body
y VAD affects childrens proper growth, resistance to infection, and chances of survival (23 to 35% increased child mortality),
severe deficiency results to blindness, night blindness and bitots spot
Prevalence of Vitamin A Deficiency:
1993, 1998, 2003, 2008
(DOST FNRI, NNS)
Physiological State 1993 1998 2003 2008
6 months - 5 yrs. 35.3 38.0 40.1 15.2
Pregnant 16.4 22.2 17.5 9.5
Lactating 16.4 16.5 20.1 6.4
WHO Cut off Point to be considered a public health problem = >15%
Iron and Iron Deficiency Anemia (IDA) and its consequences
y Iron - an essential mineral and is part of hemoglobin, the red protein in red blood cells that carries oxygen from the lungs to the
cells
y Iron Deficiency Anemia - condition where there is lack of iron in the body resulting to low hemoglobin concentration of the blood
y IDA results in premature delivery, increased maternal mortality, reduce ability to fight infection and transmittable diseases and low
productivity
Prevalence of anemia by age, sex and physiologic state: Philippines, 2008

Source: NNS:FNRI

Iodine and Iodine Deficiency Disorders (IDD)
y Iodine -a mineral and a component of the thyroid hormones
y Thyroid hormones - needed for the brain and nervous system to develop & function normally
y Iodine Deficiency Disorders refers to a group of clinical entities caused by inadequacy of dietary iodine for the thyroid hormone
resulting into various condition e.g. goiter, cretinism, mental retardation, loss of IQ points
Progress in the Philippines towards the Elimination of IDD, 1998-2008
Indicator Goal*
Achievements
1998 2003 2008
Proportion of Households using Iodized Salt, % >90 9.7 56.0 81.1
Median Urinary Iodine, ug/L
6-12 yrs. 100-200 71 201 132
Lactating Women 100-200 - 111 81
Pregnant Women 150-249 - 142 105
Proportion < 50g/L, %
< 20
6-12 yrs. 35.8 11.4 19.7
Lactating Women - 23.7 34.0
Pregnant Women - 18.0 25.8
*ICC-IDD 2007
Policy on Food Fortification
y ASIN LAW
Republic Act 8172, An Act Promoting Salt Iodization Nationwide and for other purposes, Signed into law on Dec. 20, 1995
y Food Fortification Law
Republic Act 8976, An Act Establishing the Philippine Food Fortification Program and for other purposes mandating fortification of flour,
oil and sugar with Vitamin A and flour and rice with iron by November 7, 2004 and promoting voluntary fortification through the SPSP,
Signed into law on November 7, 2000
Status of the Philippine Food Fortification Program
Status and Recommendations for the Sangkap Pinoy Seal Program
y There are 139 processed food products with SangkapPinoySeal with 83% with vitamin A, 29% with iron and 14% with iodine (2008)
y 37% of the products are snack foods
y Most of the products FDA analyzed are within the standard
y Based on 2003 NNS Households awareness of SPS- and FF-products is 11% and 14%, respectively, in 2008 awareness is 11.6%
y Although awareness is low, usage of SPS-products is 99.2%
Recommendations:
y Review voluntary fortification standards as standards were developed prior to mandatory fortification
y Conduct in-depth analysis of the coverage of SangkapPinoySeal of the 2008 NNS
y Update list of Sangkap Pinoy Seal products as some companies have stopped using the seal in their products
y Intensify promotions of Sangkap Pinoy Seal
Status and Recommendation on Flour Fortification with Vitamin A and Iron
Status:
y Based on FDA monitoring all local flour millers are fortifying with vitamin A and iron
y 94% and 92% of all samples tested by FDA in 2009 were fortified with vitamin A and iron respectively while 77% and 99% were
fortified with vitamin A and iron respectively. In 2010 decrease in vitamin A due to non-fortified imported and market samples flour.
y 58% of samples from local mills for vitamin A and 67% of imported flour for iron were fortified according to standards.
Recommendations:
y Review fortificantsfor iron and possible other micronutrients to be added to wheat flour
y Continue monitoring wheat fortification
y Assist flour millers to improve quality of fortification
y Need to show impact of flour fortification
Status and Recommendations on Mandatory Fortification of Refined Sugar with Vitamin A
Status:
y Non fortification by industry due to the unresolved issue of who will bear the cost of fortification brought about by the
quedansystem of transferable certificates of sugar ownership.
y Lack of premix production
y Fortification of refined sugar would benefit mainly those in the high income group.
Recommendations:
y Continue discussions with sugar industry to explore a compromise for fortification ie. fortification of washed sugar
y Review policy on mandatory fortification of refined sugar
Status and Recommendations on Rice Fortification with Iron
Status:
y NFA is fortifying 50% of its rice in 2009 and 2010
y With the non fortification of NFA rice, private sector has an excuse for non fortification of its rice.
y There is limited commercial/private sector iron rice premix and iron fortified rice production and distribution mostly in Mindanao
(Region XII and XI) with Gen San having the only commercial iron rice premix plant in the Philippines and Davao City implementing
mandatory rice fortification in food outlets
y NFA conducted communications campaign for its iron fortified rice thru the so called I-rice campaign though issues remain on the
acceptability of its product
Recommendation:
y Review of mandatory fortification of rice with iron
Status and Recommendations on Cooking Oil Fortification with Vitamin A
Status:
y Based on the samples analyzed by FDA in 2009 and 2010, more than 90% are fortified (91% in 2009 and 94% in 2010)
y Samples monitored were labeled and packed
y FDA is not monitoring "takal"
Recommendations:
y To increase frequency of monitoring by FDA and other agencies such as PCA and LGUs, to ensure all oil refiners and repackersare
monitored at least once a year
y Monitoring of takal oil, use of test kit
y Monitoring imported oil, FDA and BOC to coordinate
y Review policy of mandatory fortification of oil to possibly limit to those mostly used by at risk population (coconut and palm oil)
Status and Recommendations on Salt Iodization
Status:
y Based on the 2008 NNS, 81.1% of households were positive for iodine using Rapid Test Kit (RTK)
y In the same survey for Region III, 55.7% were positive for RTK but only 34.2% and 24.2% have iodine content >5ppm and >15ppm
respectively using WYD Tester
y For FDA monitoring in 2010, 88% were >5ppm while 44% were >15ppm
y FDA started implementing localization of ASIN Law with General Santos City as the 1stto have a MOA with FDA on localization
Recommendation:
y FDA to expand localization of ASIN Law
y Set up iodine titration for testing iodine in salt
y Continue to intensify monitoring particularly imported and takal salt
Food Fortification Day Theme 2010:
EO 382 declares November 7 as the National Food Fortification Day

Garantisadong Pambata
The Mandate: A.O. 36, s2010
Aquino Health Agenda (AHA): Achieving Universal Health Care for All Filipinos
Goal
y Achievement of better health outcomes, sustained health financing and responsive health system by ensuring that all Filipinos, esp.
the disadvantaged group (lowest 2 income quintiles) have equitable access to affordable health care
Universal Health Care
Strategies:
y Financial risk protection.
y Improved access to quality hospitals and facilities
y Attainment of health-related MDGs by:
y Deploy CHTs to actively assist families in assessing and acting on their health needs
y Utilize life cycle approach in providing needed services: FP, ANC, FBD, ENC, IPP, GP for 0-14 years old
y Aggressive promotion of healthy lifestyle change
y Harness strengths of inter-agency and intersectoralcooperation with DepEd, DSWD and DILG
EXPANDED 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:
y Contribute to the reduction of infant and child morbidity and mortality towards the attainment of MDG 1 and 4.
y Ensure that all Filipino children, especially the disadvantaged group (GIDA), have equitable access to affordable health, nutrition
and environment care.
Rationale for the New GP Design












Partner Agencies:
y Department of Education
y Department of Social Welfare & Development
y Department of Interior and Local Government
y Department of Health
y USAID
y UNICEF
y World Health Organization
y Save the Children
y Fit for School
y World Vision
y Plan Foundation
y Philippine Dental Association
GP Services Package
Age by
Year
Health Nutrition Environment
0-1
Maternal health care
Essential newborn care
Immunization
Maternalnutrition
Iron supplementation
Vitamin A
Early &exclusive
breastfeeding
Complementary feeding
Water
Sanitation
Hygiene
promotion
Oral health
Child injury
prevention
Treated bednets
Smoke-free
homes
1-5
Immunization
Deworming
IMCI
Breastfeeding
Complementaryfeeding
Vitamin A
Iron supplementation
Iodized salt at home
6-10
Deworming
Booster immunization
(Screening)
Proper nutrition
Iodized salt at home

11-14
Deworming
Booster immunization
(Screening)
Physical activity
(Healthy lifestyle)
Proper nutrition
Iron supplementation
Iodized salt at home



Vitamin A Supplementation
Policy remains the same for giving Vitamin A capsules:
Routine:
- every 6 months for 6-59 months preschoolers
Therapeutic:
- 1 capsule upon diagnosis regardless of when the last dose of VAC for preschoolers with measles
- 1 capsule upon diagnosis except when child was given Vitamin A was given less than 4 weeks for preschoolers with
severe pneumonia, persistent diarrhea, severely underweight
- 1 capsule immediately upon diagnosis, 1 capsule the next day and another capsule after 2 weeks after for preschoolers with
xerophthalmia
( Please refer to your MOP for other target groups)
Recording/Reporting:
y FHSIS Records and Reports
y GP Forms submitted to NCDPC thru CHDs
y April preschoolers 6-59 months given VAC from November of past year to April of the current year October
preschoolers 6-59 months given
y VAC from May to October
Core Messages per Gateway Behavior
MAGPASUSO
(Newborn to 6 mos) Pasusuhin ng gatas ni Nanay lang
(6 mos to 2 years old) Magpasuso at bigyan ng (mga masustansiyang ibat-ibang pagkain) ibang pagkain (pampamilyang pagkain).
Bumili/ Gumamit ng mga produktong may SANGKAP PINOY seal sa pagluluto.
MAGPABAKUNA
Siguraduhing kumpletoang bakuna ni baby bago siya magdiwang ng unang kaarawan.
Pabakunahan ng MMR ang mga batang 1 taon hanggang 1 taon at 3 buwan. Ito ay laban sa tigdas, beke at rubella (German Measles)
MAGBITAMINA A
Siguraduhing mabigyan (mapatakan) ng Bitamina A kada anim (6) na buwan ang inyong mga anak na edad 6 na buwan hanggang 5 taon
MAGPURGA
Siguraduhing mapurga ang inyong mga anak na edad 1 hanggang 12 na taong gulang kada anim na buwan.
GUMAMIT NG PALIKURAN
Gumamit ng kubeta o palikuran sa pagdumi at pagihi.
MAGSIPILYO
Wastong pagsisipilyo ng ngipin ng dalawang beses sa isang araw, lalo na bago matulog.
MAGHUGAS NG KAMAY
Maghugas ng kamay bago kumain at matapos gumamit ng kasilyas. Ugaliin din ang paghuhugas ng kamay matapos maglaro o humawak
ng maduduming bagay.


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.
HRHN was formally established during the launching and signing of the Memorandum of Understanding among its member agencies and
organizations held on October 25, 2006. This network was grounded on the Human Resources for Health Master Plan (HRHMP) developed
by the DOH and the World Health Organization (WHO). The HRHN was conceived to implement programs and activities that require multi-
sectoral coordination.

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 organizations 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.
Projects:
During its first year of implementation, the HRHN has the following priority projects and activities:
1. Review and Harmonization of HRH Related Policies;
2. Development of HRHN Website;
3. Conduct of Capability Building Activities; and
4. Conduct of the National HRH Forum.

Health Development Program for Older Persons - (Bureau or Office: National Center
for Disease Prevention and Control )
Bureuu or Offlce: Nutlonul Center for Dlseuse 3reventlon und Control
Program Briefer
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
Area of Coverage
Nationwide
Mandate
International:
y Vienna International Plan of Action on Ageing
y General Assembly Resolutions
Local:
y Philippine Constitution (Article XIII, Section XI)
y Republic Act 7876 - Senior Citizens Center Act of the Philippines
y Republic Act No. 7432 - An Act to Maximize the Contribution of Senior Citizens to Nation Building, Grant Benefits and Special
Privileges and for Other Purposes
y Proclamation No. 470 - Declaring the 1st week of October every year as "Elderly Filipino Week"
y Philippine Plan of action for Older Persons (1999-2004)
Vision
Healthy ageing for all Filipinos.
Goal
A healthy and productive older population is promoted.
Health Development Program for Older Persons - R.A. 7876 (Senior Citizens Center
Act of the Philippines)
REPUBLIC ACT NO. 7876
AN ACT ESTABLISHING A SENIOR CITIZENS CENTER IN ALL CITIES AND MUNICIPALITIES OF THE PHILIPPINES, AND
APPROPRIATING FUNDS THEREFOR.
Sec. 1. Title. This Act shall be known as the "Senior Citizens Center Act of the Philippines."
Sec. 2. Declaration of Policy. It is the declared policy of the State to provide adequate social services and an improved quality of life for
all. For this purpose, the State shall adopt an integrated and comprehensive approach towards health development giving priority to
elderly among others.chan robles virtual law library
Sec. 3. Definition of Terms. (a) "Senior citizens," as used in this Act, shall refer to any person who is at least sixty (60) years of age.
(b) "Center," as used in this Act, refers to the place established by this Act with recreational, educational, health and social programs and
facilities designed for the full enjoyment and benefit of the senior citizens in the city or municipality.
Sec. 4. Establishment of Centers. There is hereby established a senior citizens center, hereinafter referred to as the Center, in every city
and municipality of the Philippines, under direct supervision of the Department of Social Welfare and Development, hereinafter referred to
as the Department, in collaboration with the local government unit concerned.
Sec. 5. Functions of the Centers. The centers are extensions of the fourteen (14) regional offices of the Department. They shall carry
out the following functions:
(a) Identify the needs, trainings, and opportunities of senior citizens in the cities and municipalities;chan robles virtual law library
(b) Initiate, develop and implement productive activities and work schemes for senior citizens in order to provide income or otherwise
supplement their earnings in the local community;
(c) Promote and maintain linkages with provincial government units and other instrumentalities of government and the city and municipal
councils for the elderly and the Federation of Senior Citizens Association of the Philippines and other non-government organizations for
the delivery of health care services, facilities, professional advice services, volunteer training and community self-help projects; and
(d) To exercise such other functions which are necessary to carry out the purpose for which the centers are established.
Sec. 6. Center Workers. The Secretary of the Department of Social Welfare and Development (DSWD) may designate social workers from
the Department as the workers of the centers: Provided, however, That the Secretary may appoint other personnel who possess the
necessary professional qualifications to work efficiently with the elderly of the community.
The Secretary may also call upon private volunteers who are responsible members of the community to provide medical, educational and
other services and facilities for the senior citizens.
Sec. 7. Qualification/Disqualification. A senior citizen who suffers from a contagious disease, or who is mentally unfit or unsound or
whose actuations are inimical to other senior citizens as determined by the DSWD on the basis of an appropriate certification by a
qualified government or private volunteer physician, may be denied the benefits provided in the Center. However, the center shall refer
the senior citizen concerned to the appropriate government agency for the needed medical care or confinement.
Sec. 8. Exemptions of the Center. The Center shall be exempted from the payment of customs duties, taxes and tariffs on the
importation of equipment and supplies used actually, directly and exclusively by the Center pursuant to this Act, including those donated
to the Center.
Sec. 9. Rules and Regulations. Withinsixty (60) days from the approval of this Act, the DSWD, in coordination with other government
agencies concerned, shall issue the rules and regulations to effectively implement the provisions of this Act. Any violation of this section
shall render the concerned official(s) liable under Republic Act No. 6713, otherwise known as the "Code of Conduct and Ethical Standards
for Public Officials and Employees" and other existing administrative and/or criminal laws.
Sec. 10. Coordination of Government Agencies. The DSWD, in coordination with the Department of Health and other government
agencies and local government units, shall assist in the effective implementation of this Act and provide the necessary support services.
Sec. 11. Appropriations. The amount necessary to carry out the provisions of this Act shall be included in the General Appropriations
Act of the year following its enactment into law and every year thereafter.
The sum necessary for the continuous operation of the centers shall be subsidized in part by the DSWD and in part by the local
government units concerned.
Sec. 12. Repealing or Amending Clause. All laws, decrees, executive orders, and rules and regulations, which are not consistent with
this Act, are hereby modified, amended or repealed accordingly.chan robles virtual law library
Sec. 13. This Act shall take effect fifteen (15) days after its publication in two (2) newspapers of general circulation.
Approved: February 14, 1995
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.
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
What is the Global Embrace 1999?
The Global Embrace, which will mark simultaneously the launching of Global Movement for Active Ageing 1999 International Year for
Older Persons, is exactly as the title implies, a series of walk events embracing the globe: in time zone after time zone, ageing will be
celebrated in cities around the world, through these walk events. The walk will start in countries in the Pacific, where the date line marks
the start of a new day.
Thus, the first walk will be in New Zealand .. followed by Australia, then Japan, Korea, China, Thailand, the Philippines, Indonesia and
India.. Always at a set time, a group of cities, within the same time zone, will be starting their celebrations. Eventually, they will reach the
Middle East, Africa, Europe, the America, until the very last locations will close the day and embrace. The Global embrace is a round the
clock around the world party which every country is invited.
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.
Target date : October 2, 1999 (Saturday)
Target Pop. : General population
Target venue : Quezon Memorial Circle, Quezon City (Metro Manila) simultaneous with La Union (Luzon), Metro Cebu (Visayas), and Metro
Davao (Mindanao)
As there are still negative stereotype associated with old age in many societies, a participatory event that promotes a positive image of
ageing will assist in dissipating these stereotypes. This is a necessary precondition both for allowing the aged to make a contribution to
the world as well as for building a harmonious global community and an intergenerational society.
A. 2 The Message
Kami ay para sa KSP ( Kalusugan Sa Pagtanda or Healthy Ageing)
Ageing is a NORMAL, dynamic process and NOT a DISEASE. It is the inevitable alternative to PREMATURE DEALTH. It can prevent or delay
many disabling conditions that often accompany ageing through healthy lifestyle such as proper diet,
exercise, avoidance of untoward stress, smoking and alcohol.
A. 3 The Walk Event
The World Health Organization (WHO) Ageing and Health Programme has launched initiatives that encourage healthy ageing globally. To
assist in the promotion, an annual celebration on October 2 (Saturday) as designated by the United Nation and mandated by law shall
recognize the International Year of Older Persons (IYOP)
These celebratory event will be held at the Quezon Memorial Circle, Quezon City, 3 p.m. till midnight
A. 4 Target Population
Since the walk event promotes healthy ageing there is NO SPECIFIC TARGET POPULATION. Everybody (All ages) are encouraged to
participate in the walk. There is NO competitive aspect to the event that people at all levels of physical
activity are encouraged to take part. The primary aim is to promote intergenerational exchanges.
Infant and Young Child Feeding (IYCF)
I. Profile/Rationale of the Health Program
A global strategy for Infant and Young Child Feeding (IYCF) was issued jointly by the World Health Organization (WHO) and the United
Nations Childrens Fund (UNICEF) in 2002, to reverse the disturbing trends in infant and young child feeding practices. This global
strategy was endorsed by the 55th World Health Assembly in May 2002 and by the UNICEF Executive Board in September 2002
respectively.
In 2004, infant and young child feeding practices were assessed using the WHO assessment protocol and rated poor to fair. Findings
showed four out of ten newborns were initiated to breastfeeding within an hour after birth, three out of ten infants less than six months
were exclusively breastfed and the median duration of breastfeeding was only thirteen months. The complementary feeding indicator was
also rated as poor since only 57.9 percent of 6-9 months children received complementary foods while continuing to breastfed. The
assessment also found out that complementary foods were introduced too early, at the age of less than two months. These poor practices
needed urgent action and aggressive sustained interventions.
To address these problems on infant and young child feeding practices, the first National IYCF Plan of Action was formulated. It aimed to
improve the nutritional status and health of children especially the under-three and consequently reduce infant and under-five mortality.
Specifically, its objectives were to improve, protect and promote infant and young child feeding practices, increase political commitment
at all levels, provide a supportive environment and ensure its sustainability. Figure 1 shows the identified key objectives, supportive
strategies and key interventions to guide the overall implementation and evaluation of the 2005-2010 Plan of Action. The main efforts
were directed towards creating a supportive environment for appropriate IYCF practices. The approval of the National Plan of Action in
2005 helped the Department of Health (DOH) and its partners, in the development of the first (1st) National Policy on Infant and Young
Child Feeding. Thus on May 23, 2005, Administrative Order (AO) 2005-0014: National Policies on IYCF was signed and endorsed by the
Secretary of Health. The policy was intended to guide health workers and other concerned parties in ensuring the protection, promotion
and support of exclusive breastfeeding and adequate and appropriate complementary feeding with continued breastfeeding. (1)
GUIDING PRINCIPLES
The IYCF Strategic Plan of Action upholds the following guiding principles:
1. Children have the right to adequate nutrition and access to safe and nutritious food, and both are essential for fulfilling their right to
the highest attainable standard of health. (5)
2. Mothers and Infants form a biological and social unit and improved IYCF begins with ensuring the health and nutritional status of
women. (5)
3. Almost every woman can breastfeed provided they have accurate information and support from their families, communities and
responsible health and non-health related institutions during critical settings and various circumstances including special and emergency
situations.(5)
4. The national and local government, development partners, non-government organizations, business sectors, professional groups,
academe and other stakeholders acknowledges their responsibilities and form alliances and partnerships for improving IYCF with no
conflict of interest.
5. Strengthened communication approaches focusing on behavioral and social change is essential for demand generation and community
empowerment.
GOAL, MAIN OBJECTIVE, OUTCOMES AND TARGETS
GOAL:
Reduction of child mortality and morbidity through optimal feeding of infants and young children
MAIN OBJECTIVE:
To ensure and accelerate the promotion, protection and support of good IYCF practice
OUTCOMES:
By 2016:
y 90 percent of newborns are initiated to breastfeeding within one hour after birth;
y 70 percent of infants are exclusively breastfeed for the first 6 months of life; and
y 95 percent of infants are given timely adequate and safe complementary food starting at 6 months of age.
TARGETS:
By 2016:
y 50 percent of hospitals providing maternity and child health services are certified MBFHI;
y 60 percent of municipalities/cities have at least one functional IYCF support group;
y 50 percent of workplaces have lactation units and/or implementing nursing/lactation breaks;
y 100 percent of reported alleged Milk Code violations are acted upon and sanctions are implemented as appropriate;
y 100 percent of elementary, high school and tertiary schools are using the updated IYCF curricula including the inclusion
of IYCF into the prescribed textbooks and teaching materials; and
y 100 percent of IYCF related emergency/disaster response and evacuation are compliant to the IFE guidelines.
II. Target beneficiaries of the program are infants (0-11 months) and young children (12 to 36 months years old or 1 to 3 years
old)
III. Action/Work Plan

KEY INTERVENTION SETTINGS AND SERVICES

STRATEGIES, PILLARS AND ACTION POINTS
STRATEGY1: Partnerships with NGOsand GOs in the coordination and implementation of the IYCF Program
1.1 Formalize partnerships with GOs and NGOs working on IYCF program coordination and implementation
a. Strengthen the TWG to allow it to effectively coordinate the GOs and NGOs working for the IYCF Program
The national TWG will remain but will be strengthened. It shall be constituted by: NCDPC as Chair, FHO as secretariat and
representatives from NCDPC,FHO, NCHP, FDA, DJFMH, DSWD,CWC, NNC, ILO, WHO and UNICEF. This time, members of theTWG will be
tasked to focus participation to the intervention setting where it ismost relevant.
The TWG shall be reporting regularly to the Service Delivery Cluster Head. At the Regional level, the Regional Coordinators from the
above offices shall collaborate in the implementation of the IYCF Program. To ensure that GO and NGO IYCF partners work
together, the composition of the TWGs and AD Hoc committees shall be made up of representatives from the government and non-
government sectors and the Ad Hoc Committees shall be chaired by the relevant agency where the intervention setting belongs.
At the provincial, municipal and barangay levels the existing Coordinating Committees which has an interagency composition
shall be the coordinating arm of the IYCF Program. This is where the participation of non-government entities will be facilitated.
Mechanisms for coordination shall be devised to build a strong foundation for partnership between the LGU, the Coordinating
Committees and local NGOs or private entities.
A memorandum of agreement (MOA) shall be executed between DOH and other agencies invited to become members of the TWG.
b. Organize functional Intervention Setting Committees (this is the same as the ad-hoc committee)
The years covered by this action plan will be marked with many developmental activities in all the intervention settings.
The TWG shall create a committee for each of the intervention setting. The committees shall be chaired by the relevant agency/ office.
Other government and non-government agencies will be invited to the committees relevant to their mandate.
c. Return the MBFHI responsibility from NCHFD to NCDPC
The National Policy on IYCF created in 2005 has affirmed the MBFHI responsibility to NCHFD. Since MBFHI is now under the umbrella of
the IYCF Program, it is in a better position to consolidate efforts towards MBFHI compliance. Thus the return of the MBFHI responsibility
from NCHFD to NCDPC shall be pursued. The collaboration of NCHFD is still needed though as it has a direct hand on health facility
development. At NCDPC the integration of IYCF in the MNCHN Action Plan shall be worked out in all aspects of the program and at the
different levels of implementation.
d. Augment human resource complement of NCDPC- FHO, IYCF program
NCDPC-FHO as the secretariat of the TWG and supervising and supporting the IYCF Program will not be able to effectively carry out the
technical, management and administrative roles and responsibilities without additional human resource. Funds shall be allotted for job
orders for this purpose.
e. Programmed contracting out of activities to organizations outside of DOH
To achieve the objectives and targets of the IYCF program, it shall be implemented simultaneously in the different intervention
settings and at a faster pace. This is a gargantuan task considering the extent of the developmental work, the management
requirements, and the mobilization of the IYCF network and the sourcing of funds for implementation.
Organizations and consultants that possess the expertise and the commitment to the IYCF program will be contracted out for
complex activities that require time and effort beyond the capacity of the TWG and the Ad Hoc committees. These contracts shall be
arranged based on need and awarded based on merit.
STRATEGY 2: Integration of key IYCF action points in the MNCHN Plan of Action/Strategy
2.1 Institutionalize the IYCF monitoring and tracking system for national, regional and LGU levels
a. Institutionalize the collection of PIR Data and generate annual performance report
The established IYCF data set that are being collected during PIRs shall be further reviewed, revised as appropriate and institutionalized
through a Department Circular and in collaboration with the other programs in the FHO.
An IYCF Program annual performance report shall be generated at the end of every year based on the PIR data, the consolidated
data from the unified monitoring and related data coming from research and studies as appropriate. Reports on the performance of
developmental activities shall be collected as part of the data base and to be reported as needed to the Service Delivery Cluster Head.
b. Maximize the use of the unified monitoring tool
The CHDs through its Regional Coordinators shall be required to use and consolidate the unified monitoring tool. A simple data
management program shall be developed to facilitate the consolidation of data extracted from monitoring. Reports shall be required
two weeks after the end of every quarter.
c. Collaborate with the National Epidemiology Center (NEC) and Information Management Service (IMS) regarding IYCF data
The current records and reports being collected by the DOH Field Health Information System will remain as the main source of data from
health facilities. However, collaboration with NEC and IMS to improve data quality and include data on complementary feeding is
essential.
2.2 Participation of the IYCF Focal person in MNCHN planning and monitoring activities
a. Designate the IYCF Focal Person as a regular member of the team working for the development and implementation of the
MNCHN Strategy
The IYCF Focal Person shall ensure that the IYCF action points become an agenda of the MNCHN Strategy and thus ultimately the
IYCF services forms a part of the integrated services for mothers and children. In the MNCHN planning and monitoring, the IYCF Focal
Person shall help ensure that in the multitude of activities, critical IYCF action points and indicators are not overlooked.
STRATEGY 3: Harnessing the executive arm of government to implement and enforce the IYCF related legislations and regulations
(EO 51, RA 7200 and RA 10028)
3.1 Consultation mechanism with the IAC and DOJ for the enforcement of the Milk Code and with other relevant GOs for other IYCF related
legislations and regulation
a. Devise and implement a consultation mechanism to bring together the IAC, DOJ and other relevant GOs for IYCF related legislations
and regulations
The Committee for Industry Regulation shall devise and implement a consultation mechanism to facilitate the implementation and
enforcement of IYCF related laws and regulations. This will require participation of higher levels of authority in the GOs.
The goal of the consultation mechanisms is to develop activities that will focus on facilitating the process of monitoring of compliance
and enforcement of IYCF related laws and regulations not only at the national level but also at regional and local levels and in the five
IYCF intervention settings.
3.2 Support Civil Society in the implementation and enforcement of IYCF related laws and regulations
a. Institutionalize enforcement of MBFHI compliance in the regulatory function of the DOH
The inclusion of the MBFHI requirements in the unified licensing/accreditation benchmarks of the BHFS and the Licensing Offices shall
be pursued more vigorously in collaboration with BHFS and the Licensing offices of the CHDs. These offices are in a better position to
enforce compliance in relation to their regulatory function and in their power to promulgate penalties for violations.
b. Review and improve the processing of reports on violations on the Milk Code
The handling of reports on violations shall be reviewed for thoroughness and timeliness from the time a report is submitted up to the
final decision rendered on a case. Problematic areas and bottlenecks shall be identified and threshed out. Measures to ensure that all
reports on violations are acted upon shall be devised.
To ensure speedy resolution of cases, it is necessary to set deadlines on the processing of reports on violations.
c. Invite the Professional Regulatory Board as a resource agency of the IAC
Apart from companies who are actively marketing breastmilk substitutes, health professionals who have direct access and influence
on pregnant and postpartum women are also among the most common violators of the law. The PRC as the legal authority that regulates
the practice of the medical and allied professions can contribute to the development and enforcement of the IACs regulatory function.
d. Augment human resource of FDA as secretariat of the IAC
The current load of violations cases being processed and the fulfillment of other responsibilities with regards to the Milk Code at FDA
require a full time legal officer who will also assist the CHDs. Furthermore, the strengthened monitoring of compliance to the Milk
Code will result in a surge on violation reports. FDA should be prepared to process such reports. An additional full time legal officer and
an administrative/ clerical staff is required to facilitate and help speed up the process.
e. Engage professional societies to come-up with measures for self monitoring and regulation
Monitoring of overt advertisements and marketing of breast milk substitutes is a persistent challenge. Monitoring of compliance
to the Milk Code among health workers and medical and allied professional organizations is much more difficult. Promotion of
breast milk substitutes is more personal and concealed.
The medical and allied professional societies are strong and active bodies that foster organizational development and discipline among
its members. An advocating stance over a punitive approach may be the more prudent initial approach in this environment. There
will be dialogue, negotiations and forging of agreements to push the Milk Code and other policies on IYCF. The professional societies will
be engaged to participate in the development of the monitoring scheme within their ranks and in health facilities. They are a good
resource in the development of schemes for MBFHI and related technical matters. Working arrangements/contracts may be forged to
seal responsibilities and partnerships.
Representatives from the professional societies will constitute the Speakers Bureau which will be organized for the information
dissemination/awareness campaign on the Milk Code, the Expanded Breastfeeding Promotion Act and the Policies on IYCF.
STRATEGY 4: Intensified focused activities to create an environment supportive to IYCF practices
4.1 Modeling the MBF system in the key intervention settings in selected regions
a. Set up Models of MBFHI and MNCHN implementation in key strategic hospitals and referral networks
Regional Hospitals and selected private hospitals shall be developed as models of MBFHI and MNCHN implementation to help
create an impact and to serve as showcases for other health facilities.
If these hospitals are currently training facilities for obstetrics and pediatrics residency program, the MBFHI environment will
certainly add value to the training.
An itinerant team will facilitate the development of the hospital models. The team will be composed of an Obstetrician with
training/background on MNCHN, Pediatrician with training/background on Lactation Management/Essential Newborn Care, Nurse
trainer for breastfeeding counseling, Senior IYCF Program person with administrative background who can deal with arrangements
and coordination with hospitals and local governments and who can be a trainer and an administrative assistant who will facilitate
administrative matters. The team will facilitate the activities leading to the organization and maintenance of the MBFHI in the
hospitals. This shall include planning, setting up of operational details and physical structures when needed, training/coaching
of personnel, keeping records and completing reports and self assessment.
Regional hospitals shall be developed for IYCF capacity building. Trainings at Regional Hospitals shall be conducted in
collaboration with the CHDs. This is so that training is de-centralized and monitoring and evaluation can be done more
frequently at the provincial and municipal levels.
b. Establish protocols/standards on how to set-up and maintain MBF workplaces and integrated in the standards for healthy
workplace
The IYCF Program shall focus on the enforcement of the Expanded Breastfeeding Promotion Act of 2009 which mandates workplaces to
establish lactation stations and/or grant breastfeeding breaks. Guidelines for the establishment and maintenance of MBF workplace
shall be developed. It will learn from lessons of already established and successful MBF workplace. In as much as standards for the
healthy workplace are already established, the MBF guidelines shall be integrated into those standards.
The establishment of MBF workplaces initiated in factories shall be scaled up and efforts shall be expanded to include government and
private offices in line with Expanded Breasfeeding Act. The current collaboration partners in the workplace setting may also need to be
expanded to promote the establishment of the MBF workplace in government and private offices. With the multitude of
workplaces scattered throughout the country, the expansion may require outsourcing of organizations to continue the MBF workplace
efforts.
c. Enhance the primary, secondary and tertiary education curricula on IYCF
The enhancement of the primary, secondary and tertiary education curricula on IYCF shall be pursued. If necessary, a review of the
curriculum will be done prior to the enhancement. Apart from the curriculum enhancement, training materials, books and teachers
guide shall also be updated.
The initial collaboration for the enhancement of the primary, secondary and tertiary education curricula shall take place at the
central office of DepEd (Bureau of Elementary Education and Bureau of Secondary Education) and TESDA. The enhanced curriculum,
training materials, books and teachers guide shall be field tested province-wide in three selected provinces, evaluated and further
enhanced before a national implementation.
d. Develop policy on IYCF in emergencies (IFE) and guidelines on the management of malnutrition, and IYCF in special medical
conditions for the community
A clear policy on IYCF is necessary to allow the program to define the guidelines that can be easily followed by GOs, NGOs and LGUs
once such situations arise. The policy/guidelines shall address among others the issue of milk donations. Guidelines on the Community
Management of Malnutrition, IYCF in special medical conditions such as errors of metabolism or HIV positive mothers shall also be
developed for implementation.
Camp managers and organized local nutrition clusters shall be oriented on the IFE guidelines.
Disaster prone areas will be prioritized in the orientation. Training/orientation shall be a collaborative effort between the IYCF Program,
HEMS and the NDCC.
4.2 Creation of a Regional and National incentive and awarding systems for the most outstanding IYCF champions in the different sectors
of society
a. Review and update the existing awarding system
The current awarding system shall be reviewed. The search protocol shall be further refined to allow a wider search. The organization
of the search committees in the local and national levels shall be formalized. Funds for the awards shall be ensured.
b. Establish a recognition system for health facilities complying with EO51, RA10028 and the MBFHI National Policy
Set up an annual recognition system for facilities, establishments complying with relevant IYCF legislations and regulations. The benefits
provided for by the Milk Code to compliant health facilities shall be reviewed and improved/established parallel with the development of
the incentive scheme for the Expanded Breastfeeding Promotion Act. Procedures for claiming benefits shall be established and made
accessible in collaboration with PhilHealth, BIR and other relevant government offices.
4.3 Allocate/Raise /Seek resources for IYCF Research activities that document best practices in the Philippines
a. Carry out an inventory of best practices on IYCF Identify best IYCF practices by allowing every province
in the country to identify exemplary or creative activities
on IYCF that boosted program services/performance. Validate the reports through CHDs and select the best practices for documentation
and publication.
b. Allocate resources and conduct IYCF related researches focusing on the documentation and measure of impact of noble experiences
and interventions
The documentation of IYCF best practices is considered a critical area that allows the development of models/ references for appropriate
IYCF protocols and guidelines for implementation. Field personnel who are able to establish and provide successful models of IYCF
services are often deficient in resources and skills to document the efforts. Resources to conduct IYCF related researchers, focusing
on the documentation and measure of impact of noble experiences and interventions, will have to be allocated.
STRATEGY 5: Engaging the Private Sector and International Organizations to raise funds for the scaling up and support of the
IYCF program
5.2 Setting up of a fund raising mechanism for IYCF with the participation of International Organizations and the Private Sector
a. Set-up the fund raising mechanism
The development and sustainability of IYCF activities partly depends on the availability of resources. At the national level, where many
developmental activities will take place, the regular sources of funds are not sufficient. At the local levels, the poorer more
problematic areas have the least resources to promote, protect and support good IYCF practices. It is critical for the IYCF Program to
determine and actively source budgetary and other resource requirements. The availability of resources will guide the scale
and prioritization of IYCF activities in the annual operational planning.
To augment the funds for the IYCF program, a funding mechanism/body that will serve as a fund raising arm for the elimination of child
malnutrition shall be established.
The effort should be able to explore and proceed with the development of a funding mechanism that can encourage public-private
partnership and ensure resources to initiate and sustain critical interventions nationwide. The arena of fund raising is not within the
expertise of DOH, and it will be important to discuss with the international and national partners on the most suitable mechanism
that can help attain such important goal.
PILLAR 1: Capacity Building
Capacity building shall take different forms and intensity in accordance to the requirement of the intervention settings.
In health facilities, training on Lactation Management and Counseling shall continue. A system for regular in- service or refresher
training to address the fast turnover of health staff in hospitals and to provide necessary program updates shall be put in place.
Staggered training and self- enforcing programs may also be devised to improve access to training when warranted. Periodic evaluation
shall be incorporated into the system to ensure effectiveness and efficiency of the trainings.
The Milk Code monitors at FDA, CHDs and local levels shall be trained on the latest guidelines to help ensure that provisions on
regulation and enforcement in the RIRR of the Milk Code are closely adhered to. The monitors should be prepared to handle incidents of
actual violation of the code during inspection/monitoring. The local monitors shall be equipped with user friendly monitoring tools.
The competencies of teachers and administrators to teach the new IYCF updated curriculum and to appreciate the importance of MBF
environment shall be enhanced. A training/seminar program on IYCF for teachers/ administrators will be developed. A core of teacher
trainers in every region will be developed and organized to conduct the training/seminars nationwide.
IV. Status of the Program
A REVIEW FROM 2005 TO 2010

Objectives and Targets set in
Status of Achievement Remarks
2005-2010
OBJECTIVE 1: TO IMPROVE,
PROTECT AND PROMOTE
APPROPRIATE INFANT AND
YOUNG CHILD FEEDING
PRACTICES CHILD FEEDING
PRACTICES


- 70% of newborns initiated to
breastfeeding within 30
minutes
53.5% (NDHS 08) 40.7%(NDHS 1998)
- 80% of 0-6 months infants
are exclusively breastfed
34% (NDHS 2008) 33.5%(NDHS 2003)
- 50% of infants are
exclusively breastfed for 6
months
22.2% (NDHS 2008) 16.1%(NDHS 2003)
- median duration of
breastfeeding is 18 months
15.1months (NDHS 2008)
13 months (NDHS
1998)
- 90% of 6- <10 months infants
are given timely, adequate and
safe complementary foods
58% (NDHS 2008) 57.9%(NDHS 2003)
- 95% of children 6 months
to 59 months received
Vitamin A
75.9% (NDHS 2008)

76% (NDHS 2003)
NDHS 2008 and 2003
data refers to those
that received
vitamin A in the past
6 months from the
interview
- 70% of low birth weight babies
and iron deficient 6 months to
less than 5 years received
complete dose of iron
supplements
37% of children age 6-59
months received iron
supplements in the seven
days before the survey
(NDHS 2008)

78.3% of children 6-59
months consumed foods
rich in iron in the past
24 hours from the time of
the survey
72.8% of 6-59
months received
iron drops /
syrup (not specified
if complete dose,
MCHS 2002)
- 80% of pregnant women
have at least 4 prenatal visits
77.8% (NDHS 2008) 67.5% (MCHS 2002)
- 80% of pregnant women
received complete dose of iron
supplements
82.4% (NDHS 2008)
82% (not specified if
complete dose,
MCHS 2002)
- 80% of lactating women
received vitamin A capsule
45.6% (NDHS 2008)
44.6% (NDHS 2003)
NDHS 2003 and 2008
data represents the
% of women that
received Vitamin A
dose during post-
partum
- 80% of household using
iodized salt
41.9% (NDHS
2008)
81.1% household positive
for iodine in salt (NDHS
2008)
38%, household
using iodized salt
and
56.4% household
positive for iodine in
salt (NNS 2003)
OBJECTIVE 2: TO INCREASE
POLITICAL COMMITMENT
AT DIFFERENT LEVELS OF
GOVERNMENT,
INTERNATIONAL
ORGANIZATIONS, NON-
GOVERNMENT
ORGANIZATIONS, PRIVATE
SECTOR, PROFESSIONAL
GROUPS , CIVIL SOCIETY,
COMMUNITIES AND FAMILIES

- Approved and widely
disseminated National Infant
and Young Child Feeding Policy
IYCF Policy approved May
25, 2005 and disseminated
to all Regions and LGUs.

- Approved multi-sectoral
National
IYCF Plan of Action
IYCF Plan of Action 2005-
2010 approved.

- IYCF policy enhancement for
emerging issues
AO 2007-0017: Guidelines
on the Acceptance and
Processing of Local and
Foreign Donations During
Emergency and Disaster
Situations was signed May
28, 2007.

- Increase number of
organizations actively involved
in IYCF
New groups were active in
supporting activities on IFE
mostly during the post-
Active organizations
include Latch, La
Leche League, Save
Ondoy interventions and in
relation to breastfeeding
support.
the Children, Plan
International and
Arugaan.
- Increase budget for IYCF
From 1 million pesos in
2005 to 20 million pesos in
2010.


Additional funds were
secured by the Joint
program on MDG-F,
wherein UN Agencies
(Unicef, FAO, ILO
and WHO) with NNC and
DOH, started implementing
key IYCF interventions.

Additional funds for
IYCF were secured
since April 2007, the
start of the AHMP
with intensive IYCF
training.

September 2009,
signing of the JP for
Ensuring Food
Security and
Nutrition for
Children 0-24
months in the
Philippines, funded
by the
Government of
Spain through the
MDG Achievement
Fund.
OBJECTIVE 3: PROVIDE
SUPPORTIVE ENVIRONMENT
THAT WILL ENABLE PARENTS,
MOTHER, CAREGIVERS,
FAMILIES AND COMMUNITIES
TO IMPLEMENT OPTIMAL
FEEDING PRACTICES FOR
INFANTS AND YOUNG CHILD

PROGRAMME MANAGEMENT
- Functional IYCF Program
authority and responsibility
flow at the national, regional
and LGU level
National TWG active and
11/12
Regions confirmed having
established a TWG.


At the LGU level 7/80
provinces,
9/120 cities and 175/1425
municipalities have passed a
resolution/ordinance in
support of IYCF.
Data as of Dec 2009.
Although the
national TWG is
considered active,
the collaboration
between agencies
can be considered
deficient.
- Existing local committees
functioning as IYCF committees
No available data
INSTITUTIONAL SUPPORT
- 1,426 currently certified
MBF hospitals sustained 10
steps
AO 2007-0026:
Revitalization of the MBFHI
in Health Facilities with
Maternity Services was
signed and endorsed on July
10, 2007.


PhilHealth Circular No. 26 S-
2005: Requirement for
Accredited Hospitals to be
Mother- Baby Friendly
was issued on October 11,
2005.
Within 2 years after
the issuance of COC,
0/47 hospitals
applied for
accreditation to
become MBF based
on the new
standards and
requirements.
- 300 additional hospitals/lying-
in certified as MBF
Only 47/1487 have received
a COC
since 2007

- 100% of hospitals roomingin
their newborns
No available data
- All offices of government
agencies who are members of
the IYCF IAC will be MBF
RA 10028: Expanded
Breastfeeding Promotion
Act of 2009 was enacted on
March 16, 2010.
RA 10028 set the
standards to
becoming MBF.
- At least one model workplace
per province/city certified as
MBF
6/16 Regions reported that
there are at least 88
breastfeeding friendly
workplaces.

- At least one model IYCF
resource center 1 province and
1 city in each region
No resource center
established

- At least 3 IYCF model
barangay/
municipality per province and
city
10/16 Regions reported that
there are at least 2159
breastfeeding support
groups at the barangay
level.

- Functional milk bank in all
medical centers
Milk bank is functional in 3
Medical
Centers: PGH, DJFMH and
PCMC
RA 10028
encourages other
Medical
Centers to set up
their own milk bank.
IMPROVING SYSTEMS
- 100% of national, regional and
LGU health facilities have
integrated IEC on IYCF into
regular MCH services with
clearly stated protocols on how
to provide key IYCF
Based on monitoring visits
and reports from CHDs,
public health facilities have
ensured the integration.
No available data on
private health
facilities.
- Functional and effective Milk
Code
Monitoring system
Only 4/13 Regions reported
some sort of Milk Code
monitoring activities.

At the FDA, from 2007 to
2009, there were 67 reports
of violations and only 3/13
Regions reported filing a
complaint for the alleged
violations.

- Institutionalize facility IYCF
MIS
system in place by end of 2009
Draft tool developed and
used in two key instances.
No institutionalization yet.

-Improving skills of health
manpower
28,063/34,298 staff were
trained on
IYCF Counseling.
NCDPC and NNC
combined report
- Available national / regional
IYCF
trainers
16/17 Regions reported
conduct of training on IYCF.

- Active IYCF Speakers Bureau No available data
- Available IYCF counselors in
50%
of health facilities
28,063/34,298 staff were
trained on
IYCF Counseling.
NCDPC and NNC
combined report.
- At least 10 Filipino health
professionals internationally
accredited as breastfeeding
counselors by the International
Board of Lactation Consultants
Examiners
DOH focused on
capacitating health workers
on Counseling and Lactation
Management.
With the support of
NNC.
- A lactation specialist is
available in tertiary hospitals
9/13 Regions reported
having trained a total of
1485 hospital based health
workers on Lactation
No denominator
available.
Management with the
support of DJFMH,
NCDPC,CHDs and NNC.
- Improved curricula for IYCF
of medical / nursing / midwifery
schools
In June 2010 a workshop on
integration/updating of
good IYCF practice into the
medical, nursing, midwifery
and nutrition curricula was
conducted.
The process of
integration is on-
going.
- Inclusion of breastfeeding in
elementary education
RA 10028: Expanded
Breastfeeding Promotion
Act of 2009 mandates the
integration.
RA 10028 was
enacted on March
16,
2010. The IRR is yet
to be signed.
- Community level support
systems and services
10/16 Regions reported that
there are at least 2,159
barangay level BF support
groups and more than 40 BF
friendly public places.
As of Dec 2009.

RA 10028 will help
boost the number of
breastfeeding
friendly public
places.
- 100% of target communities
with functional community level
monitoring system of IYCF
practices and changes
No available data
- At least 50% of city and
poblacion municipalities with
adequate number of trained
IYCF peer counselors
10/16 Regions reported that
there are at least 2,159 BF
support groups at the
barangay level.

- At least one functional BF /
IYCF support group in
poblacions and selected
communities
10/16 Regions reported that
there are at least 2,159 BF
support groups at the
barangay level.


OBJECTIVE 4: ENSURE
SUSTAINABILITY OF
INTERVENTIONS TO IMPROVE,
PROTECT AND PROMOTE
INFANT AND YOUNG CHILD
FEEDING

- Functional self assessment
health facility tools for IYCF in
certified MBFH and main health
centers
Tool Drafted. Not yet
institutionalized.

- Annual progress reports of
status of implementation of
Milk Code, Rooming In and
Breastfeeding Act, ASIN Law,
Food Fortification and ECCD
Law / IYCF Policy
1st IYCF PIR: 2007

2nd IYCF PIR: 2009

- IYCF integrated into Philippine
Plan of Action for Nutrition and
annual planning and health
monitoring systems at all levels
IYCF integrated in PPAN
2005-2010. PIR was
conducted last quarter of
2010.
Key result of
integration was the
intensive training on
IYCF Counseling in
AHMP target areas.
- Periodic feedback of IYCF
status during annual
conventions of health
professionals/Leagues of
Provinces/ Cities/Municipalities
and Barangays
Regular Presentations are
offered by DOH on IYCF
status (2005:
1st presentation during
National
Convention Liga Ng
Barangay)


Partner Organizations/agencies
NGO Partners:
Local:
y Employers Confederation of the Philippines
y Trade Union Congress of the Philippines
y Beauty, Brains and Breastfeeding
y ARUGAAN
y Action for Economic Reforms
y Save Baby e-group
y Philippine Pediatric Society
y Philippine Obstetric and Gynecology Society
y Philippine Academy of Family Physicians Inc.
y Philippine Society of Newborn Medicine
y Philippine Society of Pediatric Gastroenterology
y Philippine Neonatology Society
y Philippine Society of Obstetric Anesthesiologist
y Philippine Academy of Lactation Consultant
y Perinatal Association of the Philippines
y Philippine Medical Association
y Integrated Midwives Association of the Philippines
y Maternal and Child Nurses Association of the Philippines
y Philippine Nurses Association
y National League of Philippine Government Nurses Inc.
y Malls: SM , NCCC
y Union of Local Authorities of the Philippines
y CODHEND
Government Partners:
y Department of Labor and Employment
y Department of Social Welfare and Development
y Department of Justice
y Department of Trade and Industry
y Department of Local Government
y Food and Drug Administration
y National Nutrition Council
y Council for the Welfare of Children
y Department of Education
y Commission on Higher Education
y Nutrition Council of the Philippines
International Organizations:
y World Health Organization
y UNICEF
y PLAN International
y Helen Keller International
y Save the Children-US
y World Vision

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 Philippines has committed to eliminate measles in 2012, the target year agreed upon with the other countries in the Western Pacific
Region. Three (3) mass measles immunization campaigns were conducted in 1998, 2004 and 2007, achieving 95% coverage in each
round. In contrast, the annual coverage for routine measles vaccination given to infants ages 9-11 months never reached the target of at
least 95%. The highest coverage ever attained is 92% and the lowest coverage was 67% (1987 DOH EPI Report).
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:
Replication of Exemplary
Replication: Sharing Good Practices and Practical Solutions to Common Problems
By virtue of Administrative Order No. 2008-0006, dated January 22, 2008, the DOH has adopted the integration of replication strategies
in its operation.
Replication is learning from and sharing with others exemplary practices that are proven and effective solutions to common and similar
problems encountered by local government units, with the least possible costs and effort. The underlying principle of replication is to
avoid reinventing the wheel and benefiting from already tested solutions.
LGUs can share lessons learned from practices that work, as well as share experiences systematically. A structured organized process of
replicating, including proper dissemination of validated exemplary practices and making Lakbay Arals more meaningful and useful, help
ensure the chances of achieving best results. Replication makes learning more interesting and exciting as one gets to see the model
and its benefits firsthand.
Criteria for Selecting Exemplary Health Practices
1. LGU-initiated solutions initiated to address one or
more health issues or problems encountered.
2. High level of sustainability
y Consistent with existing health policies
y LGU support
y Had been in place for more than three ears
y Widely participated and supported by the communities
y Adopted as a permanent structure or program with
regular budgetary support
y Adopted as a permanent structure or program with
regular budgetary support
y Community representation in decision making bodies
and committees
3. Simple and doable so that they can be
replicated within one year and a half or less.
4. Cost effective and cost efficient
y Mobilization and utilization of indigenous
resources
y Minimal support from external sources
5. Positive results on the beneficiaries and
communities.
Other important factors to consider:
y Consistency with the thrusts or priorities of the
Department of Health
y Willingness of the Host LGU to share its practice to
others
y Demand for the practice from other LGUs


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 Childrens 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
y Reduce death and frequency and severity of illness and disability, and
y Contribute to improved growth and development
Components of IMCI
y 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
y Improving over-all health systems
y 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,
measles and 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
y 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
y 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
y Only a limited number of clinical signs are used
y A combination of individual signs leads to a childs classification within one or more symptom groups rather than a diagnosis.
y IMCI management procedures use limited number of essential drugs and encourage active participation of caretakers in the
treatment of children
y 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 CHILDS ILLNESS (please see enclosed portion of the IMCI Chartbooklet) The childs 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.
THE INTEGRATED CASE MANAGEMENT PROCESS


Knock Out Tigdas 2007

Knock-out Tigdas Logo
.nock-out Tlgdus 2007 ls u sequel to the 1998 und 2004 Llgtus Tlgdus muss meusles lmmunlzutlon cumpulgn. All chlldren 9 months to 48
months old ( born October 1, 2003 Junuury 1,2007) should be vucclnuted ugulnst meusles from October 15 - November 15, 2007 , door-to-
door. All heulth centers, burunguy heulth stutlons, hospltuls und other temporury lmmunlzutlon sltes such us busketbull court, town pluzus und
other ldentlfled publlc pluces wlll ulso offer )5EE vucclnutlon servlces durlng the cumpulgn perlod.
Other servlces to be glven lnclude Vltumln A Cupsule und dewormlng tublet.
.nockout Tlgdus for the perlod of the Burunguy und S. Electlons
Executlve Order No. 663
3romotlonul muterluls
Whut ls .nock-out Tlgdus (.OT) 2007?
.nock-out Tlgdus 2007 ls u sequel to the 1998 und 2004 Llgtus Tlgdus muss meusles lmmunlzutlon cumpulgns. Thls ls the second follow-
up meusles cumpulgn to ellmlnute meusles lnfectlon us u publlc heulth problem.
Whut ls the over-ull ob|ectlve of the .nock-out Tlgdus?
The .nock-out Tlgdus ls u strutegy to reduce the number or pool of chlldren ut rlsk of gettlng meusles or belng susceptlble to meusles und
uchleve 95% meusles lmmunlzutlon coveruge. Ultlmutely, the ob|ectlve of .OT ls to ellmlnute meusles clrculutlon ln ull communltles by 2008.
Whut does meusles ellmlnutlon meun?
Meusles ellmlnutlon meuns:
1. Less thun one (1) meusles cuse ls conflrmed meusles per one mllllon populutlon.
2. Detects und extructs blood for luborutory conflrmutlon from ut leust 2 suspect meusles cuses per 100,000 populutlons.
3. No secondury trunsmlsslon of meusles. Thls meuns thut when u meusles cuse occurs, meusles ls not trunsmltted to others.
Who should be vucclnuted?
All chlldren between 9 months to 48 months old ( born October 1, 2003 Junuury 1,2007) should be vucclnuted ugulnst meusles.
When wlll lt be done?
Immunlzutlon umong these chlldren wlll be done on October 15-November 15, 2007.
How wlll lt be done?
Vucclnutlon teums go from door-to-door of every house or every bulldlng ln seurch of the turgeted chlldren who needs to be vucclnuted wlth u
dose of meusles vucclnes, Vltumln A cupsule und dewormlng drug.
All heulth centers, burunguy heulth stutlons, hospltuls und other temporury lmmunlzutlon sltes such us busketbull court, town pluzus und other
ldentlfled publlc pluces wlll ulso offer )5EE vucclnutlon servlces durlng the cumpulgn perlod.
My chlld hus been vucclnuted ugulnst meusles. Is she exempted from thls vucclnutlon cumpulgn?
No, she ls not. A prevlously vucclnuted chlld ls not exempted from the vucclnutlon cumpulgn becuuse we cunnot be sure lf her prevlous
vucclnutlon wus 100% effectlve.
Chunces ure u vucclnuted chlld ls ulreudy protected, but no one cun reully be sure. There ls 15% vucclne fullure when the vucclne ls glven to 9
months old chlldren. We wunt to be 100% sure of thelr protectlon.
Whut strutegy wlll be used durlng the cumpulgn?
It ls u door-to-door strutegy. The teum goes from one-household to unother ln ull ureus nutlonwlde.
My chlld hud meusles prevlously, ls he exempted ln thls cumpulgn?
There ure muny meusles-llke dlseuses. We cunnot be sure exuctly whut the chlld hud, especlully lf the lllness occurred yeurs ugo. Anywuy, the
vucclnutlon wlll not hurm u chlld who ulreudy hud meusles. The effect wlll ulso be llke u booster vucclnutlon. The prevlously recelved meusles
lmmunlzutlon hus formed untlbodles, wlth the booster shot lt wlll strengthened the suld untlbodles.
Is there uny overdose, lf my chlld recelves thls booster lmmunlzutlon?
Antlbodles ln the blood whlch provlde protectlon ugulnst dlseuse decreuse us the chlld grows older. Booster vucclnutlons ure needed to rulse
protectlon uguln. Meusles vucclnutlon durlng the suld cumpulgn wlll be u booster vucclnutlon for u prevlously vucclnuted chlld. The chllds
wunlng lnternul protectlon wlll lncreuse. The chlld wlll not hurm becuuse there ls no vucclne overdose for the meusles vucclne. The meusles
vucclne ls even known to enhunce overull lmmunlty ugulnst other dlseuses.
Whut wlll huppen to my chlld ufter recelvlng the meusles lmmunlzutlon?
Normully, the chlld wlll huve sllght fever. The fever ls u slgn thut the chllds vucclne ls worklng und ls helplng the body develop untlbodles
ugulnst meusles.
The best thlng to do when the chlld hus fever ls to glve hlm purucetumol every four (4) hours. Glve hlm plenty of flulds und breustfeed the
chlld. Ensure thut the chlld hus enough rest und sleep.
Whut wlll huppen ufter the .nock-out Tlgdus 2007?
To lnterrupt meusles clrculutlon by 2008, ALL chlldren uges 9 months wlll contlnue to routlnely recelve one dose of the meusles vucclne
together wlth the vucclnes the other dlseuse of the chlldhood llke pollo, dlphtherlu, pertussls, etc. All chlldren wlth fever und rushes huve to be
llsted und tested to verlfy the cuuse of the lnfectlon.
ALL 18 months old chlldren wlll be glven u second dose of meusles lmmunlzutlon to reully ensure thut these chlldren ure protected ugulnst
meusles lnfectlon.
Whut other servlces wlll be glven?
Vltumln A cupsule wlll be glven to ull chlldren 6 months to 71 month old und dewormlng tublet to 12 months to 71 months old nutlonwlde.
Addltlonul messuges:
y Once the chlld ls vucclnuted, the posterlor upper left eurlobe wlll be murked wlth gentlun vlolet, so do not try to remove for the purpose
of vulldutlon.
y Houses wlll ulso be murked, so do not eruse.
I heurd thut there ure cuses where the chlld who wus vucclnuted who becume serlously lll or dled. Is thls true?
Meusles vucclne ls very sufe. Mlnor reuctlons muy occur such us fever but ln un ulreudy lmmunlzes chlld, thls muy not occur. The most
serlous und 5A5E udverse event followlng lmmunlzutlon ls unuphyluxls whlch ls lnherent on the chlld, not on the vucclnes.

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

Beneficiaries:
The NLCP targets individuals, families, and communities living in hyperendemic areas and those with history of previous cases.
Global Strategy
(2006-2010)
NLCP Strategy
(2011-2016)
MDG& NOH
Universal Health
Care
(Kalusugang
Pangkalahatan)
y Sustain leprosy control in
all endemic countries
y Provision of
Quality Leprosy
services at all
levels
y Governance
for Health
y Strengthen routine &
referral service
y Health System
Strengthening
y Service
Delivery
y Ensure high quality
diagnosis, case
management, recording
& reporting in all
endemic communities
y Capability building of an
efficient, effective,
accessible human and
facility resources
y Policy,
Standards &
Regulations
y Establish the
Sentinel Surveillance
System to monitor Drug
Resistance
y Develop policies/
guidelines/ sentinel
sites/referral centers
(Luzon,Visayas &
Mindanao)
y Human
Resources for
Health
y Develop procedures/
tools that are
home/community-
based, integrated and
locally appropriate for
Self Care/POD,
rehabilitation services
(CBR)
y Collaborate with
NEC/RESU/ PESU / MESU
y Health
Information

y NLAB, NCCL
y Health
Financing
y RA 7277- Rights of PWD
& Caregivers

y BP 34- Accessibility &
Human Rights Law

y PhilHealth Insurance
Package













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.
Malaria Control Program
malaria_thumb.jpg
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 9
th
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.
Beneficiaries:
The Malaria Control Program targets the meager-resourced municipalities in endemic provinces, rural poor residing near breeding areas,
farmers relying on forest products, indigenous people with limited access to quality health care services, communities affected by armed
conflicts, as well as pregnant women and children aged five years old and below.
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.

Program Accomplishments:
For the development of health policies, the Malaria Medium Term Plan (2011-2016) is already in its final draft while the Malaria Monitoring
and Evaluation Framework and Plan is being drafted. The Malaria Program is being monitored in six provinces as the Philippine Malaria
Information System is being reviewed and enhanced.
In strengthening the capabilities of the LGUs, trainings are conducted. These include: series of Basic and Advance Malaria Microscopy
Training; Malaria Program Management Orientation and Training for the rural health unit (RHU) staff; and Data Utilization Training. Also,
there are the Clinical Management for Uncomplicated and Severe Malaria and the Malaria Epidemic Management.
Lastly, health services are leveraged through the provision of anti-malaria commodities.
Partner Organization/Agencies:
The following organizations/agencies take part in achieving the goals of Malaria Control Program:
y Pilipinas Shell Foundation, Inc, (PSFI)
y Roll Back Malaria (RBM); World Health Organization (WHO)
y Act Malaria Foundation, Inc
y Field Epidemiology Training Program Alumni Foundation, Inc. (FETPAFI)
y Research Institute of Tropical Medicine (RITM)
y University of the Philippines-College of Public Health (UP-CPH)
y Philippine Malaria Network
y Australian Agency for International Development (AusAID)
y Asia Pacific Malaria Elimination Network (APMEN)
y Malaria Elimination Group (MEG)
y Local Government Units (LGUs)