Family Health Book (English)

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Uswag Pamilya Lambo Probinsya
Family Health Book(English).indd1 1
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Title
TABLE OF CONTENTS
Pahina
A-1 A-2 A-3 A-4 B-1 B-2 to 7 B-8 to 12 B-13 to 15 C-1 C-2 to 13 C-14 to 19 C-20 to 22 C-23 to 24 D-1 D-1 D-2 D-3 D-4 D-5 D-6 D-7 to 11
A. Emergency Contacts Compostela Mabini Maco Montevista B. Health Messages A healthy family is a shared responsibility A planned family is a healthy family Healthy pregnancies lead to healthy babies Healthy children make healthy families C. Health Use Plans Family Emergency Plan Sick Child Plan Well Baby Plan Birth Plan Reproductive Health Plan D. List of Health Providers Per Municipality Mabini Maco Compostela Montevista Pantukan Nabunturan Tagum Directory of Health Providers Sponsors Other Infomation PhilHealth Guide Mother and Child Book
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SPONSORS
FHB Steering Committee

Provincial Government of Compostela Valley Governor Arturo Chiongkee Uy Hon. Ruben R. Flores, SP Chairperson for Health Hon. Ma. Carmen Zamora Apsay, SP Chairperson for Women and Children Dr. Renato B. Basaes, Provincial Health Officer Dr. Daphne Estigoy-Panganiban, FHB Coordinator, PHO Municipal Mayors Mayor Reynaldo Castillo, Compostela Mayor Hadji Amir Munoz, Mabini Mayor Arthur Carlos Voltaire Rimando, Maco Mayor Teopista Jauod, Montevista
Other Partners
District Representatives Rep. Manuel Way Kurat Zamora, Compostela Valley, 1st District Rep. Rommel Amatong, Compostela Valley, 2nd District Department of Health Dr. Paulynn Jean Rosell-Ubial, Assistant Secretary, FIMO Dr. Teogenes F. Baluma, Regional Director, CHD-Davao Region Mrs. Ma. Theresa C. Requillo, FHB Coordinator, CHD-Davao Region PhilHealth Atty. Reynaldo Capangpangan, First Vice President for Mindanao Mr. Dennis Adre, Assistant Vice President for Philhealth Regional Office XI Mr. Christopher R. Molina, Chief Social Insurance Officer, Compostela Valley Philhealth Service Office
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Our Family
FAMILY
Family No.
Mothers Name: Birth date (mm/dd/yy): Fathers Name: Birth date (mm/dd/yy): Birth Order 1 2 3 4 5 6 7 8 Occupation: Sex Birth date Occupation:
Name of Child
(M/F)
(mm/dd/yy)
Familys Contact Number(s): Familys Health Navigator: Address: Contact Number(s): GMP Hour: every (day) at (hour)
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Our Family
FAMILY
Family No.
Mothers Name: Birth date (mm/dd/yy): Fathers Name: Birth date (mm/dd/yy): Birth Order 1 2 3 4 5 6 7 8 Occupation: Sex Birth date Occupation:
Name of Child
(M/F)
(mm/dd/yy)
Familys Contact Number(s): Familys Health Navigator: Address: Contact Number(s): GMP Hour: every (day) at (hour)
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A. Emergency Contacts
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This is a list of names and contacts for emergencies. Please post this list where everybody at home can see it easily.
In case of health emergencies, you may contact the following:*

COMPOSTELA
Barangay Gabi Siocon New Alegria Contact Person Brgy. Capt. Pedro A. Loroo Brgy. Capt. Felipe Vibora Brgy. Capt. Alex J. Lendio c/o Mayor Reynaldo Q. Castillo MPDC & EM Network Chairperson Agripino Gunida Brgy. Capt. Aurelio Agsoy Brgy. Capt. Mario Doa Brgy. Capt. Marleen B. Ib-ib Brgy. Capt. Venerando T. Ocampo Brgy. Capt. Harry C. Cabiling Brgy. Capt. Ramon Eyas Brgy. Capt. Rogelio P. Econar Brgy. Capt. Margarito Alcos, Jr. Brgy. Capt. Jaime E. Paulo Kagawad Sote M. Matibag Brgy. Capt. Wilfredo C. Ang Brgy. Capt. Rolando B. Lomigo Brgy. Capt. Jornalito Calimpo Contact Number 09197522382 09298722153 09103735583 09193565438 09285667956 09075737321 09108261281 09207771283 09208451227 09286090066 09104256110 09077584908 09107519328 09296297899 09264508282 09099535927 09077073077
Aurora Mapaca Maparat Bagongon San Miguel Mangayon Osmea Ngan Tamia Panansalan Poblacion Lagab San Jose
*Information in this booklet is updated as of March 4, 2009
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MABINI
Barangay Poblacion-Brgy. Cuambog Del Pilar San Antonio Pindasan Pangibiran Tagnanan Cabuyoan Cadunan Panamin (Golden Valley) Contact Person Brgy. Capt. Randy R. Opisan Brgy. Capt. Bibiano F. Bunayog Brgy. Capt. Elias A. Morilla Brgy. Capt. Ray S. Nebria Brgy. Capt. Wilson A. Monceda Brgy. Capt. Nestor Sevillano c/o Rolando Y. Oliva (Sec.) Brgy. Capt. Florencio B. Felisilda Brgy. Capt. Jose L. Collera Brgy. Capt. Isabelo D. Perez, Jr. Contact Number 09266929741 09107597085 09284611510 09102093447 09072865726 09077489102 09078021288 09287151398 09289882833 Radio Brgy. Anitapan (radio base call sign - Shoreline) 09264184929 radio base call sign - Shoreline
Libudon Anitapan
Brgy. Capt. Rando S. Masig Brgy. Capt. Aurelia E. Sasutil
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Poblacion Anibongan Anislagan Binuangan Bucana Calabcab Concepcion Dumlan Elizalde Gubatan Hijo Kinuban Langgam Lapu-lapu Libay-libay Limbo Lumatab Magangit Mainit Malamodao
Barangay
Contact Person
MACO
Brgy. Capt. Nick D. Alaba Brgy. Capt. Antonio A. Ang Brgy. Capt. Pacita B. Obeja Brgy. Capt. Reynaldo C. Rimando Brgy. Capt. Enrique P. Ricafort Brgy. Capt. Rodrigo B. Talabangga Brgy. Capt. Heracleo M. Langahin Brgy. Capt. Pedro A. Atablanco Brgy. Capt. Climaco A. Abelleja Brgy. Capt. Pablo O. Antipuesto Brgy. Capt. Amador S. Deporkan Brgy. Capt. Analen R. Ruiz Brgy. Capt. Carmen C. Mira Kagawad Rosa E. Clarin Brgy. Capt. Virginia N. Ayonan Brgy. Capt. Olegario W. Dagohoy Brgy. Capt. Wilfredo R. Collano Brgy. Capt. Andres C. Benaning Brgy. Capt. Arsenio T. Onlos Brgy. Capt. Noemi F. Gadong
Manipongol Mapaang Masara New Asturias New Barili New Leyte New Visayas Panangan Pangi Panibasan Panoraon San Juan San Roque Sangab Tagbaros Taglawig Teresa
Brgy. Capt. Elesio S. Endriga Brgy. Capt. Ricardo T. Gelicame Sr. Brgy. Capt. Glen T. Timosan Brgy. Capt. Pablito P. Cailing Brgy. Capt. Rogelio M. Parilla Brgy. Capt. Maria Cecilia C. Neri Brgy. Capt. Roger C. Gutierrez Brgy. Capt. Dominador T. Dagsangan Brgy. Capt. Gregorio A. Ramos Brgy. Capt. Julito T. Nacorda Brgy. Capt. Fidel T. Barillo Brgy. Capt. Rufino M. Dalanan Brgy. Capt. Raymundo T. Ceniza Brgy. Capt. Reynaldo P. Tagway Brgy. Capt. Ernesto N. Caasi Brgy. Capt. Rembert O. Delumbar Brgy. Capt. Wenefredo V. Mangubat
09198427327 09298013020 09107762458 09059250903 09103854882 09057746168 09089434444 09062139466 09167575042 09094587741 09079734162 09158439405 09262111068 09276962359 09285325927 09263968235 09057120770 09078027286 09198026173 09075617325 09067724406 handheld radio call sign 02 X-ray / Maco municipality call sign (Morning Glory) 09296426758 09096690385 09262382092 09206178970 09058747891 09198451728 09103448979 09293054763 09263642459 09275290541 09207949904 09197518888 09173759469 09099172386 09066866389 09098730717 09263417951
Contact Number
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MONTEVISTA
Barangay Poblacion-San Jose Linoan San Vicente Banagbanag Lebanon New Visayas Dauman New Dalaguete Camantangan Bankerohan Sur Concepcion New Cebulan Bankerohan Norte Mayaon Canidkid New Calape Tapia Camansi Banglasan Prosperidad Contact Person Brgy. Capt. Eutropio S. Jayectin Brgy. Capt. Romeo L. Quiones Brgy. Capt. Nilo L. Aleria Brgy. Capt. Nelo B. Lagura Brgy. Capt. Clarito T. Tagupa Brgy. Capt. Randy B. Montalba Brgy. Capt. Eleazar C. Ngoho Brgy. Capt. David A. Lumiguid Brgy. Capt. Rolando S. Garcia Brgy. Capt. Leochan I. Tenorio Brgy. Capt. Joefrey S. Poliquit Brgy. Capt. Felipe G. Bermudez Jr. Brgy. Capt. Jose Q. Salinas Brgy. Capt. Adelino B. Jimena Brgy. Capt. Glorito P. Mahumas Brgy. Capt. Bernardo P. Consarba Brgy. Capt. Simporiano T. Remedios Brgy. Capt. Joselito S. Abucejo Brgy. Capt. Casiano S. Pelier Brgy. Capt. Rodrigo H. Paderanga Contact Number 09058746836 09293288007 09099317091 09169858761 09184345149 09198448651 09169693085 09283266581 09075536969 09298867863 09059424412 09098682798 09215032615 09078027104 09093135779 09095275549 09192055194 09285686177 09184524414 09202076534
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Uswag Pamilya, Lambo Probinsya Giya sa Maayong Panglawas (GMP)

Dear ____________________, Thank you for using the Giya sa Maayong Panglawas. This GMP contains health information for you and your family. It tells you about important health risks and sicknesses that mothers and children face and how you can avoid them. Mothers, your life and and your childs life can be in danger IF: You do not have proper prenatal care; You deliver without the help of a midwife, nurse or doctor; and You or your child does not have proper care after delivery. You can avoid these risks if you practice family planning; have prenatal care; deliver with the help of a midwife, nurse or doctor; and have your children immunized. The Giya sa Maayong Panglawas (GMP) helps you decide what health services are right for you and your family. Together with your GMP navigator, (_______________________________________), you can decide what your health needs are and make plans for your familys health. Your GMP navigator can also refer you to health facilities and contacts in case of emergency. We would like to know how you feel about the GMP and how helpful it has been to you. If you have questions, suggestions or complaints, please call: Dr. Daphne Estigoy-Panganiban GMP Coordinator, Compostela Valley Provincial Health Office Provincial Capitol, Nabunturan Telepono: (084)376-0141; Email: gmpcomval@gmail.com Thank you, The Provincial Health Office Compostela Valley
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B. Health Messages
This section contains important health messages that both of you should know for your familys health, for example: If you plan to have a baby; If you plan to space or limit your children; If you are pregnant; or If you want to bring your child for check-up.
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A HEALTHY FAMILY IS A SHARED RESPONSIBILITY

Men and women should share responsibility for the health of their family. As a husband, you can become an active partner in enhancing your familys well-being when you: Openly communicate with your wife in choosing the appropriate FP method to use. Help her plan for her pregnancy and delivery, including preparation for emergencies. Support your wife during pregnancy by going with her for her prenatal and postnatal visits. Become aware of the danger signs when your wife is pregnant or when your newborn baby is sick, and get care for her or your baby if needed. Encourage your wife to breastfeed. Ensure that all your children are immunized.
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A PLANNED FAMILY IS A HEALTHY FAMILY
Family planning allows you to properly time and space your pregnancies. Timely spacing of children will help your body fully recover as well as prevent pregnancy and delivery complications.
Go to your midwife, nurse or doctor IF:

You want to space your pregnancy and use a family planning method. You are thinking of becoming pregnant. You are pregnant. You missed your menstrual period and suspect that you are pregnant.
TIMING AND SPACING OF PREGNANCY

Avoid getting pregnant if you are below 18 years old, or if you are more than 35 years old. These are the ages when there are more chances of complications during pregnancy and delivery. Wait at least three years before getting pregnant again. It takes about three years for you to go back to how your body health was before you were pregnant.
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FAMILY PLANNING METHODS Modern Natural Family Planning (NFP) Methods

Modern NFP methods are used to plan or prevent pregnancies by identifying the womans fertile period. These methods do not require the use of drugs, surgical procedures or devices to promote or prevent conception. Natural family planning is recommended for couples that can postpone intercourse when the woman is fertile. Consult your midwife, nurse or doctor to know the suitable method for you.
Breastfeeding method (Lactational Amenorrhea Method or LAM) After you give birth, there is a period where the chances of getting pregnant are low. It is effective only if your period has not yet returned and your baby only receives breast milk for the first six months, without water, milk formula, juice, other liquids, and food. Thermometer Method In this method, your body temperature is used to tell you (the woman) if you are ovulating. You can get pregnant during unprotected sex at that time. Its effectiveness depends on correctly taking your body temperature.
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Modern Natural Family Planning (NFP) Methods Cervical mucus method This method requires you (the woman) to observe the consistency of your cervical mucus to know when you are fertile. You can get pregnant during unprotected sex at that time.
Sympto-thermal Method This method is a combination of the thermometer and cervical mucus methods, and relates to other symptoms felt during the menstrual cycle.
Standard Days Method This works best if your menstrual cycle is between 26 and 32 days long. It specifies days within your cycle when you should avoid unprotected sex. The beads help you remember the safe period for intercourse.
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Other Modern Family Planning Methods

Other modern family planning methods prevent pregnancy by using drugs, devices or surgical procedures. You can use these methods even if you have sex during your fertile period. Consult your midwife, nurse or doctor to know the suitable method for you.
Contraceptive Pills
They contain hormones that prevent pregnancy when taken daily. If you are breastfeeding, there are pills that may be suitable for you.
Condom
This rubber barrier prevents semen from entering your (the womans) body. It also prevents transmission of sexually transmitted infections.
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Other Modern Family Planning Methods
Injectable hormones
This method also contains hormones that prevent pregnancy when you (the woman) are injected every three months. It is safe to use even when breastfeeding.
Intra-Uterine Device (IUD)

This method uses a small and flexible device placed inside your womb to prevent pregnancy. IUDs can be used continuously for up to 8 to 10 years with only periodic check-ups required.
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LIMITING THE NUMBER OF YOUR CHILDREN THROUGH PERMANENT FAMILY PLANNING METHODS If both of you do not want any more children, you may consider other family planning methods that are permanent.
Bilateral Tubal Ligation (for women)

This is a permanent method involving surgery of the womans tube where the egg cell passes through.
Non-Scalpel Vasectomy (for men)

This is a permanent method that involves surgery of the mans tube where the sperm cells pass through. This method will not affect your virility.
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HEALTHY PREGNANCIES LEAD TO HEALTHY BABIES
The health of your baby depends on having a healthy pregnancy. A healthy pregnancy begins with a healthy mother. Hence, it is important to take care of your health before, during and after pregnancy.
PRENATAL CARE
Visit your midwife, nurse or doctor for prenatal check-up, nutritional advice and other health matters that concern you and your baby. It is all the more important to visit your health provider IF: You are less than 49 tall-- your delivery may be difficult. Your pregnancy is your 4th (or more) childthe chances of hemorrhage or difficult delivery may be higher. You are pregnant too soon (less than three years interval) the chances of having complications may be higher. You had a previous caesarean section (CS)--you may need another CS operation. You had three consecutive miscarriages or had a stillborn baby in the pastyou may need additional tests or treatment. You have (or think you have) tuberculosis, heart disease, diabetes, bronchial asthma or goiterit may worsen your pregnancy. When you are pregnant, have at least four prenatal checkups At least one visit during the first three months (first trimester); At least one visit in the next three months (second trimester); and At least two visits in the last three months (last trimester). During consultations, bring the Mother and Child Book found in this GMP.
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DANGER SIGNS DURING PREGNANCY

Immediately seek medical attention at the hospital nearest you if you experience any of the following: Swelling of the legs, hands and/or face Severe headache, dizziness, blurring of vision Vaginal bleeding Pale skin Vomiting Convulsion Difficulty in breathing Fever and chills Too weak to get out of bed Severe abdominal pain Foul-smelling vaginal discharge Watery vaginal discharge Painful urination Absence of or decrease in babys movement inside the womb.
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NEED FOR SKILLED BIRTH ASSISTANCE DURING DELIVERIES

During delivery, it is important for you to: Be assisted by a midwife, nurse or doctor, who can readily manage possible complications during delivery.
IN CASE OF EMERGENCY:
Know whom to call for help. Call immediately. - See emergency contacts in Booklet A.
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DANGER SIGNS AFTER DELIVERY

It is important that your midwife, nurse or doctor see you within 12 hours after delivery. Immediately seek medical attention if you experience any of the following: Severe or continuous headache Pale skin Fever Foul-smelling vaginal discharge Difficulty in urination Pain in the genital area Vaginal discharge (e.g., pus) Breast inflammation Difficulty in breathing Heavy bleeding (more than 2 fully soaked pads within 20 minutes after delivery)
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NEWBORN DANGER SIGNS

Immediately bring your newborn to the nearest facility if you notice any of the following danger signs anytime during the first month of age: Difficulty in feeding (feeds less than 5 times in 24 hours) Pus in the eyes Yellowing of the skin Convulsion (rolling of eyeballs, stiffening of arms and legs, etc.) Foul-smelling discharge from the cord Fever Body rashes
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HEALTHY CHILDREN MAKE HEALTHY FAMILIES
You can prevent common child illnesses. Some ways include breastfeeding, proper hygiene, giving supplements like vitamin A and zinc, and vaccination against TB, diphtheria, whooping cough, tetanus, measles and hepatitis B.
DIARRHEA
Diarrhea can lead to dehydration. Severe dehydration can kill your child. If you see the following danger signs, bring your child to a health facility immediately: Sunken fontanelles (bumbunan) Skin fails to return when released after being pinched Pale skin Dry lips and mouth Child refuses to eat or take in fluids Irritability and persistent crying Diarrhea is bloody or very frequent
If your child has diarrhea: Give plenty of the right liquids Oresol, breast milk, and fruit juices. Ask your midwife, nurse or doctor about giving zinc supplements.
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COUGH, COLDS AND PNEUMONIA

Most children with coughs or colds will get better on their own. However, if the cough and colds worsen and the child is breathing faster than normal (more than 50-60 breaths per minute for babies one year old or younger; and more than 40 breaths per minute for children aged 1-4 years) or with great difficulty, your child may have pneumonia. Bring your child to a health facility immediately for treatment. To prevent your child from getting cough and colds: Immunize your child against measles, whooping cough, tetanus, diphtheria, tuberculosis and hepatitis B. Breastfeed your baby for the first six months of life, without water, milk formula, juice, other liquid, and food. This will increase your babys defense against infection.
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COUGH, COLDS AND PNEUMONIA (continued from previous page)

To prevent your child from getting cough and colds: Practice frequent hand washing. Ask people to cover their mouth and nose when coughing and sneezing. Seek early and appropriate treatment. This will prevent frequent infections from becoming prolonged and will prevent deaths.
To help improve symptoms of pneumonia: Make sure that there is enough fresh air that flows in the room. Keep the child away from cigarette smoke and fumes.
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C. Health Use Plans

Know and plan for your familys health needs. This section helps you identify your health needs and make a health plan. Your GMP Navigator can help you complete your HEALTH USE PLAN and can refer you to the appropriate providers. The health use plans include: Family emergency plan Sick child plan Well baby plan Birth plan Reproductive health plan
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FAMILY EMERGENCY PLAN

Part I: To be filled out by the couple with the assistance of the Navigator
Preferred Provider for Emergency care:
Minimum Consultation Fee:
B Caring for the Family during consults/emergency:

Caregiver:
Relationship:
C IN CASE OF EMERGENCY
Contact Person/s:
Contact Nos.:
Vehicle for Transport:
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SICK CHILD PLAN

Name of Child: (Last name, First name)
Date of Birth (MM/DD/YY)
Name of Mother: (Last name, First name) Name of Father: (Last name, First name) Name of Navigator:(Last name, First name)
Age: (in years) Age: (in years) GMP Family No.:
B Health goals:
[ ] to bring child for early treatment of illnesses needing medical attention [ ] family to have nutrition counseling [ ] to receive Vitamin A supplementation/deworming every 6 months
C Common illnesses/accidents that needs immediate medical attention:

[ ] high fever > 2 days [ ] convulsion [ ] watery diarrhea [ ] bloody diarrhea [ ] frequent cough/colds [ ] others______________ [ ] malnutrition [ ] severe vomiting [ ] nose bleeding [ ] difficulty in breathing [ ] laceration/deep wounds
[ ] fall/accidents [ ] snakebite/animal bite [ ] burn [ ] poisoning [ ] presence of parasites
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Part II: To be filled out by the health provider (midwife, nurse or doctor)
Provider (Indicate Name of Midwife, D Healthor Doctor): Nurse Date of Consult:
E DIAGNOSIS/FINDINGS:
PLAN
Date of Follow-up
SCHEDULE OF VITAMIN A SUPPLEMENTATION
Due Date
Dose
Date Given
SCHEDULE OF DEWORMING
Due Date
Drug/Dose
Date Given
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PhilHealth benefits can be availed by the family if the child consulted or was admitted in an accredited facility.
H Philhealth Claims, if applicable

Documents needed For automatic deduction: Duly accomplished PhilHealth Claim Form 1 (original) Clear copy of Member Data Record (MDR). If dependent - patient is not listed yet in the MDR, submit applicable proof of dependency. For Direct Filing/Reimbursement: PhilHealth Claim Form 2 (to be filled up by the hospital and attending physicians) Official receipts or hospital and doctors waiver Operative record for surgical procedures performed
Submit to
When to submit/ff up
Billing section
Prior to discharge from hospital/clinic
nearest PhilHealth Office
within 60 days after discharged from hospital
EXPECTED DATE OF COMPLETION OF THIS PLAN: ___________.
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SICK CHILD PLAN

B Health goals:

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PLAN
Date of Follow-up
Due Date
Dose
Date Given
Due Date
Drug/Dose
Date Given
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Submit to
Billing section
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SICK CHILD PLAN

B Health goals:

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PLAN
Date of Follow-up
Due Date
Dose
Date Given
Due Date
Drug/Dose
Date Given
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Submit to
Billing section
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SICK CHILD PLAN

B Health goals:

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PLAN
Date of Follow-up
Due Date
Dose
Date Given
Due Date
Drug/Dose
Date Given
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Submit to
Billing section
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WELL BABY PLAN

B Health goals:
[ ] to receive BCG, 3 doses OPV, 3 doses DPT, 3 doses Hepa B, measles before reaching the age of 1 year [ ] to receive Vitamin A supplementation every 6 months
C Health Provider (midwife, nurse or doctor):
Date of Consult:
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SCHEDULE OF IMMUNIZATION Vaccine BCG DPT 1 DPT 2 DPT 3 OPV 1 OPV 2 OPV 3 Hepa B-1 Hepa B-2 Hepa B-3 Measles Recommended Age of Vaccination Within 24 hours of birth At six weeks At 10 weeks At 14 weeks At six weeks At 10 weeks At 14 weeks Within 24 hours of birth At six weeks of age At 10 weeks or at 9 months At 9 months VITAMIN A SUPPLEMENTATION Dose Given Actual Date Given Due Date Actual Date Vaccinated
Due Date
Remarks
EXPECTED DATE OF COMPLETION OF THIS PLAN: ___________
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WELL BABY PLAN

B Health goals:
Date of Consult:
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Due Date
Remarks
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WELL BABY PLAN

B Health goals:
Date of Consult:
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Due Date
Remarks
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BIRTH PLAN
Name of Mother: (Last name, First name)
Age: (in years)
Name of Husband: (Last name, First name)
Age: (in years)
Name of Navigator:(Last name, First name)
GMP Family No.:
Referred to Health Provider: (indicate name of Midwife, Nurse or Doctor)
Scheduled date of consult: (MM/DD/YY)
Reason for referral: [ ] for pre-natal services [ ] for postpartum care [ ] for newborn care
Health goals: (pls. check) [ ] to have monthly pre-natal check up ( at least 4 visits); [ ] at least 1 visit during the1st trimester; [ ] at least 1 visit during the 2nd trimester; [ ] at least 2 visits in the 3rd trimester [ ] to receive postpartum care [ ] to receive FP counselling/services
To have baby delivered by: [ ] physician [ ] nurse [ ] midwife [ ] to have our baby receive newborn screening [ ] to deliver in a health facility [ ] others, pls. specify: __________
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C Provider for Prenatal/Post-partum care:
Date of 1st PNC visit: (MM/DD/YY)
D PLEASE FILL OUT ALL SECTIONS OF THE MOTHER & CHILD BOOK, to include:
*Birth Plan (page 13 in the Mother & Child Book) *Who will deliver my baby? *How much should I prepare? *Where will I deliver? *Who will accompany me? *Who will take care of the children? *Other relevant information about pregnancy preparation and special concerns *preparation for giving birth (page 14) *warning signs during pregnancy (page 4)
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PhilHealth benefits can be availed by the family if the mother consulted or was admitted in an accredited facility.
E Philhealth Claims, if applicable

Documents needed For automatic deduction: Duly accomplished PhilHealth Claim Form 1 (original) Clear copy of Member Data Record (MDR). For Direct Filing/Reimbursement: PhilHealth Claim Form 2 (to be filled up by the hospital and attending physicians) Official receipts or hospital and doctors waiver Operative record for surgical procedures performed Babys birth certificate (LCR authenticated)
Submit to
Billing section
Prior to discharge from hospital/lying-in clinic
within 60 days after delivery
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REPRODUCTIVE HEALTH PLAN

Name of Mother: (Last name, First name) Name of Husband: (Last name, First name) Name of Navigator:(Last name, First name) Referred to: (indicate name of Midwife, Nurse or Doctor) Scheduled date of Consult: (MM/DD/YY)
Age: (in years) Age: (in years) GMP Family No.: Reason for referral: [ ] for FP counseling [ ] for FP services
Health goals: (pls. check) [ ] to space pregnancy every ___ years [ ] to limit the number of our children to ___
Health provider (midwife, nurse or doctor):
Date of Initial Visit: (MM/DD/YY)
D Modern Family Planning Method of Choice (pls. check)

Natural Methods [ ] Basal Body Temperature [ ] Cervical Mucus [ ] Symptothermal [ ] Breastfeeding method/LAM [ ] Standard Days
Other Modern Methods [ ] Pills [ ] Injectable/DMPA [ ] Condom [ ] IUD [ ] Bilateral Tubal Ligation [ ] Non-scalpel Vasectomy
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Schedule of FP services/ resupply of commodities Date of Follow-up Commodities/Services Needed Date Provided/ Purchased
PhilHealth benefits can be availed of by the family if the bilateral tubal ligation, IUD insertion or vasectomy was done in an aaccredited facilty.
F Philhealth Claims, if applicable

Documents needed For automatic deduction: Duly accomplished PhilHealth Claim Form 1 (original) Clear copy of Member Data Record (MDR). For Direct Filing/Reimbursement: PhilHealth Claim Form 2 (to be filled up by the hospital and attending physicians) Official receipts or hospital and doctors waiver Operative record for surgical procedures performed Babys birth certificate (LCR authenticated)
Submit to
Billing section
Prior to discharge from hospital/lying-in clinic
within 60 days after delivery
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D. List of Health Providers Per Municipality

Know which providers to seek care from. This section provides a list of providers where you can seek health care, available services, cost of consultation and status of PhilHealth accreditation. Prices of services may change without prior notice.
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MUNICIPALITY OF MABINI*
Facilities Rural Health Unit of Mabini Available Maternal & Child Health Services Family Planning Prenatal Care Well Baby and Sick Child Care (including Immunization) Cost Free Consultation; FP counseling and vasectomy Free Counseling Free Consultation; Free BCG, OPV, DPT, Hepa B and measles vaccines Philhealth accreditation Covers OPB
MUNICIPALITY OF MACO*
Facilities Alo Medical Clinic Diaz Medical Clinic Available Maternal & Child Health Services Well Baby and Sick Child Care (including Immunization) Family Planning Prenatal Care Well Baby and Sick Child Care (including Immunization) Family Planning Prenatal Care Well Baby and Sick Child Care (including Immunization) Family Planning Cost PhP 150 PhP 220 PhP 220 PhP 220 PhP 125 PhP 275 PhP 200 Free Consultation; FP counseling and vasectomy Free Consultation Free Consultation; Free BCG, OPV, DPT, Hepa B and measles vaccines PhP 200 PhP 200 Philhealth accreditation None None
Sebumpan Acupuncture and Medical Clinic Rural Health Unit of Maco
None
Prenatal Care Well Baby and Sick Child Care (including Immunization)
OPB reaccreditation ongoing; TB DOTS accreditation ongoing
Alaba Emergency Clinic
Accreditation will lapse in April 2009
* Information in this booklet is updated as of March 5, 2009.
D-1
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MUNICIPALITY OF COMPOSTELA*
Facilities Basalo Medical Clinic Rural Health Unit of Compostela Available Maternal & Child Health Services Family Planning Prenatal Care Well Baby and Sick Child Care (including Immunization) Family Planning Cost PhP 150 PhP 62.50 PhP 150 Free consultation and FP counseling; Bilateral tubal ligation (PhP 100) Free Consultation Free consultation; Free BCG, OPV, DPT, measles and Hepa B; syringe for the vaccines (PhP10) PhP 70 PhP 70 PhP 3,500 (Php 500 only for Philhealth members) PhP 100 PhP 100 PhP 100 PhP 120 PhP 9,500 to 12, 500 PhP 2,500 to 7,000 for Philhealth members PhP 120 to 180 Philhealth accreditation None Covers OPB
24/7 Family Care and Maternity Clinic
Family Planning Prenatal Care Normal Delivery Well Baby and Sick Child Care (including Immunization) Family Planning Prenatal Care Normal Delivery Well Baby and Sick Child Care (including Immunization) Family Planning Prenatal Care Normal Delivery
None
Dr. Julio Layug Medical Clinic & Hospital
None
St. James Hospital
Covers in-patient services (Level 1)
Well Baby and Sick Child Care (including Immunization)
D-2
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MUNICIPALITY OF MONTEVISTA*
Facilities Andres Medical Clinic Rural Health Unit of Montevista Available Maternal & Child Health Services Family Planning Prenatal Care Well Baby and Sick Child Care (including Immunization) Family Planning Prenatal Care Well Baby and Sick Child Care (including Immunization) Compostela Valley Provincial Hospital Family Planning Cost PhP 100 PhP 70 PhP 62.50 Free Consultation; FP counseling and vasectomy Free Consultation Free Consultation; Free BCG, OPV, DPT, Hepa B and measles vaccines Free Consultation; FP counseling; vasectomy (PhP 4,000); BTL (PhP 4,000) Note: Philhealth covers vasectomy and BTL costs Free Consultation PhP 3,000 Note: Philhealth covers PhP 1,700 for medicine; 850 for lab/supplies; 2,000 for delivery fee; and 2,500 for delivery facility services PhP 7,000 to 10,000 Free Consultation; Free BCG, OPV, DPT, Hepa B and measles vaccines PhP 700 Note: Philhealth covers PhP 500 Philhealth accreditation None
None
Covers in-patient services (Level 2)
Prenatal Care Normal Delivery
Complicated Delivery (CS) Well Baby and Sick Child Care (including Immunization) Newborn Screening
D-3
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MUNICIPALITY OF PANTUKAN*
Facilities Taga Medical Clinic Available Maternal & Child Health Services Family Planning Prenatal Care Well Baby and Sick Child Care (including immunization) Family Planning Prenatal Care Well Baby and Sick Child Care (including immunization) Family Planning Prenatal Care Normal Delivery Cost Philhealth accreditation None
PhP200 PhP200
Rural Health Unit of Pantukan
None
Pantukan District Hospital
Rural Health Unit of Kingking
Well Baby and Sick Child Care (including immunization) Family Planning Prenatal Care Well Baby and Sick Child Care (including immunization)
Free consult Free consult PhP 4,000; PhP1,300 for Philhealth members PhP50 Free consult Free consult Free consult; Free BCG, OPV, DPT, Hep-B and measles vaccines
Covers in-patient services (Level 1); MCP
None
D-4
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MUNICIPALITY OF NABUNTURAN*
Facilities Layug Specialist Clinic Polinar Medical Clinic Available Maternal & Child Health Services Prenatal Care Well Baby and Sick Child Care (including immunization) Prenatal Care Well Baby and Sick Child Care (including immunization) Cost PhP150 (check-up/ consult) PhP170 P150 (check-up) BCG,OPV,DPT and measles vaccines are also available from P300 to PhP1,200 per vaccine per shot PhP150 PhP150 PhP150 Free Consultation; Free Vasectomy and FP Counseling Free Consultation Free Consultation; Free BCG,OPV,DPT, measles, and Hep-B vaccines Free consult PhP 20 PhP 3,500 (500 only for PhilHealth members) Normal delivery (only): PhP 3,500 PhP 150 (pedia check-up/ consultation) Php50 Normal delivery package: PhP9,000 (PhP 4,500 only for Philhealth members); Normal delivery only: PhP 6,250 PhP100 Philhealth accreditation None None
Tirol-Calamba Medical Clinic Rural Health Unit of Nabunturan
Family Planning Prenatal Care Well Baby and Sick Child Care (including immunization) Family Planning
None
Covers OPB; TB-DOTS
Prenatal Care Well Baby and Sick Child Care (including immunization)
BHS-Poblacion South Well Family Midwife Clinic
Family Planning Prenatal Care Family Planning Prenatal Care Normal Delivery
None Covers MCP
Well Baby and Sick Child Care (including immunization) Nabunturan Doctors Hospital Prenatal Care Normal Delivery
Re-accreditation ongoing
Well Baby and Sick Child Care (including immunization)
D-5
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TAGUM*
Facilities Available Maternal & Child Health Services Family Planning Cost Free consultation; BTL services available at PhP 1,125; Free Vasectomy PhP50 Normal delivery package: PhP 4,500 (2,500 only for PhilHealth members) PhP5,000 PhP50 Philhealth accreditation
Davao Regional Hospital
Prenatal Care Normal Delivery
Covers in-patient services (Level 3); MCP
Complicated Delivery (CS) Well Baby and Sick Child Care (including immunization)
D-6
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DIRECTORY OF HEALTH PROVIDERS

MABINI Health Facility Rural Health Unit of Mabini Address/Clinic Hours/Contact No. Cuambog (Poblacion), Mabini Clinic Hours: 8:00am-5:00pm, Monday-Friday Tel: 0918-4780199 (Dr. Bernaliza Gesim)
MACO Health Facility Alo Medical Clinic Address/Clinic Hours/Contact No. 1235 Poblacion, Maco 24 hours/Monday-Friday Contact No.: (084) 370-2168 (Dr. Emilio Alo Jr.) 1254 Poblacion, Maco Clinic hours: Monday-Sunday; 8:00am - 6:00pm Contact No.: 0921-8329288 (Dr. Beverly Diaz) Poblacion, Maco Clinic hours: 7:30am - 5:30pm Contact No.: (084) 3702128 Binuangan, Maco Clinic Hours: 8:00am - 12:00am 1:00pm - 5:00pm; Monday-Friday Contact No.: (084) 370-2331 Poblacion, Maco Open 7 days a week, 24 hrs a day Contact Nos.: 0928-499-8551; 0927-401-3012; 0918-908-0470; 0926-332-5671 (Dr. Millar Alaba)
Diaz Medical Clinic
Sebumpan Acupuncture and Medical Clinic Rural Health Unit of Maco
Alaba Emergency Clinic
D-7
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COMPOSTELA Health Facility Basalo Medical Clinic Address/Clinic Hours/Contact No. P-1 Poblacion, Compostela Clinic Hours: 8:00am-5:00pm, Monday-Friday On call at night and holidays Contact: 09198728034 (Dr. Dominic Basalo) Poblacion, Compostela Clinic Hours: 8:00am-5:00pm, Monday-Friday Contact Nos.: 0918-926-0863; 0918-559-1054(Yolinda de Mesa); 0928-327-5946 (Dr.Kay); 0919-830-0061(Loida Cruz) Galenzoga Bldg., Magsaysay St. Purok 9 Open 7 days a week, 24 hrs a day Contact No.: 0921-638-9579 (Julie Durano) P-2 J. P. Laurel St., Poblacion Open 7 days a week, 24 hrs a day Contact No.: 0909-417-2005 (Dr. Florinda Layug) 1333 J.P. Laurel St., Poblacion, Compostela Open 7 days a week, 24 hrs a day Contact No.: 0928-335-7631(Emma Beron)
Rural Health Unit of Compostela
24/7 Family Care and Maternity Clinic Dr Julio Layug Medical Clinic and Hospital St. James Hospital
D-8
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MONTEVISTA Health Facility Andres Medical Clinic and Hospital Address/Clinic Hours/Contact No. 982 Molave St., Purok 6 Poblacion, Montevista Clinic Hours: 24 hours a day/7 days a week Contact No.: 0929-8688944 (Dr. William Andres) San Jose, Poblacion, Montevista Clinic Hours: 8:00am-12:00 noon/ 1:00-5:00pm, Monday-Friday Contact No.: 0919-3106239 (Liza Alcaraz) Bankerohan Sur, Montevista Open 7 days a week, 24 hrs a day
Rural Health Unit of Montevista
Compostela Valley Provincial Hospital
PANTUKAN Health Facility Taga Medical Clinic Address/Clinic Hours/Contact No. Purok San Francisco, Kingking Clinic Hours: 8:00am-5:00pm, Monday-Saturday Contact No.: (084) 372-0435, 0909-460-6865 (Dr. Salustina Taga) Kingking (Poblacion), Pantukan Clinic Hours: 8:00am-5:00pm, Monday-Friday Kingking (Poblacion), Pantukan Open 7 days a week, 24 hrs a day Contact No.: (084) 372-0335; 0928-4115264 (Dr. Hornido)
Rural Health Unit of Pantukan Pantukan District Hospital
D-9
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NABUNTURAN Health Facility Layug Specialist Clinic Address/Clinic Hours/Contact No. Poblacion, Nabunturan Clinic Hours: 7:30am-12:00 noon/ 1:30pm-5:00pm, Monday-Saturday Contact No.: (048) 3760745 (Dr. Rodrigo Layug) P-13 L.C. Arabejo Bldg. Poblacion, Nabunturan Clinic hours: Monday & Friday: 3:00pm-6:00pm; Tuesday 8:00am-5:00pm; Saturday: 8:00am-2:00pm; Wednesday & Thursday - By appoinment Tel.: 0910-2219608 (Dr. Armando Polinar) 816 L. Arabejo Avenue, Nabunturan Clinic Hours: 9:00am-12:00noon; 3:00pm-5:00pm Monday to Saturday (Saturday-morning only) Tel.: 0928-5033554 (Dr. Marie Pat Tirol-Arabejo) Purok 18, Poblacion, Nabunturan Clinic hours: Monday-Friday; 8am-12nn and 1pm-5pm Tel.: (084) 3761092 (Dr. Daniel Robillos) P-14, Poblacion, Nabunturan 7 days a week, 24 hrs a day Tel.: 0910-6349859 (Rejean Diaz) Poblacion, Nabunturan Open 7 days a week, 24 hrs a day
Polinar Medical Clinic
Tirol-Calamba Medical Clinic
Rural Health Unit of Nabunturan
BHS-Poblacion South Poblacion, Nabunturan Nabunturan Well Family Midwife Clinic Nabunturan Doctors Hospital
D-10
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TAGUM Health Facility Davao Regional Hospital Address/Clinic Hours/Contact No. Apokon, Tagum City Open 24 hrs a day, 7 days a week Contact No.: (084) 400-3347 (trunkline) For assistance, please inquire at the Public Information and Assistance Desk (PIAD)
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The FAMILY JOURNAL

Month of Name of Family: Purok/Barangay: Name of Navigator: Schedule of GMP Hour:
Date of Visit Family Member Present [ ] Husband [ ] Wife [ ] others, specify: Activity
Remarks ((Notes/Questions/ Agreements/Comments)
[ ] Health Risk Assessment [ ] Formulation of HUP: [ ] Emergency Plan [ ] Sick Child Plan [ ] Well Baby Plan [ ] Birth Plan [ ] RH Plan [ ] Follow-up completion of HUP [ ] Others, specify ____________
[ ] Husband [ ] Wife [ ] others, specify:
4/2/09 1:18:12 PM
The FAMILY JOURNAL

Month of Name of Family: Purok/Barangay: Name of Navigator: Schedule of GMP Hour:
Date of Visit Family Member Present [ ] Husband [ ] Wife [ ] others, specify: Activity
Remarks ((Notes/Questions/ Agreements/Comments)
4/2/09 1:18:12 PM

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