ISOLATION TECHNIQUE IN THE HOME FOOD SANITATION PROGRAM CONSIDERATIONS: 1.

Articles used by the patient should not be mixed with the articles used by other family members. 2. Frequent hand washing and airing of beddings and other articles and disinfection of the room are imperative. Abundant use of soap, water, sunlight and some chemical disinfectants is necessary. 3. The one caring for the sick should be provided with a gown that should be used only within the room. 4. Al discharges from the nose and throat of a communicable disease pt should be carefully discarded. 5. Articles soiled with discharges should be boiled for 30 minutes before washing. MAJOR ENVIRONMENTAL HEALTH AND SANITATION PROGRAMS Water Supply Sanitation Program 3 Types of Approved Water Supply and Facilities: Level I-Point Source Level II-Communal faucet system or stand posts Level III-Waterworks system or individual house connections Proper Excreta and Sewage Disposal System 3 Types of Approved Toilet Facilities: Level 1 Level 2 Level 3 4 RIGHTS IN FOOD SAFETY: 1. Right Source Always buy fresh meat, fish, fruits and vegetables. Always look at the expiry date. Use water only from clean and safe sources 2. Right Preparation Avoid contact between raw foods and cooked foods. Always buy pasteurized milk and fruit juices. Wash vegetables well if to be eaten raw such as lettuce, cucumber, tomatoes and carrots. 3. Right Cooking Cook food thoroughly and ensure that the temperature on all parts of the food should reach 70 degrees centigrade Eat cooked food immediately. 4. Right Storage All cooked foods should be left at room temperature for NOT more then TWO HOURS to prevent multiplication of bacteria. Store cooked foods carefully. Be sure to use tightly sealed containers for storing food. RULE IN FOOD SAFETY: When in doubt, throw it out! HOSPITAL WASTE MANAGEMENT PROGRAM A Hospital Waste management program shall be prepared and implemented as a requirement for renewal /registration of licenses by hospitals. Training of all hospital personnel involved in waste management shall be an essential part of hospital training program. HEALTH PROGRAMS

Non-water carriage toilet On site toilet facilities of the Water carriage types of facility: water carriage type with toilet facilities connected to - Pit latrines water sealed and flushed septic tanks an/or to - Reed Odorless Earth type with septic vault/tank sewerage system to Closet disposal facilities treatment plant. - Bored-hole - Compost - Ventilated improved pit Toilets requiring small amount of water to wash waste into receiving space - Pour flush - Aqua privies

OTHER PRIORITY SENTRONG SIGLA MOVEMENT

SENTRONG SIGLA MOVEMENT: Goal: Better quality of life, quality health Objective: Better and more effective collaboration between DOH and LGUs DOH: Provider of technical and financial assistance packages for health care including regulation LGU: Prime developers of heath systems and direst implementers of health programs

What are the agencies that can apply for SSM? This program is intended for RHUs and Health Centers and not the hospitals. PUBLIC HEALTH PROGRAMS Maternal Care Program Strategies: A. Provision of Regular and Quality Maternal Care Services regular and quality pre-natal care hx-taking, utilization of HBMR (Home-Based Mothers Record) as a guide in the identification of risk factors PE: weight, height, BP-taking Perform head-to-toe assessment, abdominal exam Tetanus Toxoid Immunization Fe supplementation: given from 5th mo. of pregnancy to two months postpartum (100-120 mg orally/day for 210 days) Laboratory exam: 1. Heat-acetic acid test. 2. Benedicts test Oral/Dental exam Pre-natal counseling Provision of safe, delivery care all birth attendants shall ensure clean and safe deliveries at home or at the faciltiies (RHUs/hospitals) at-risk pregnancies and mothers must be immediately referred to the nearest institution untrained BAs who actively practice must be identified, trained and supervised by a personnel of the nearest BHS/RHU trained on maternal care. Provision of quality postpartum care Proper schedule of follow-up must be followed: 1st postpartum visit for home deliveries must be done within 2 4 hours after delivery -2nd, done at least 1 week after delivery -3rd, done 2- 4 weeks thereafter Attendants must be aware of the early signs, symptoms and complications. They should follow the 3 CLEANS: CLEAN HAND S CLEAN Surface CLEAN Cord

3 FACTORS CONTRIBUTING TO PREGNANCY RELATED ILLNESS AND DEATH AMONG MOTHERS AND INFANTS 1. too early pregnancy 2. pregnancy before age 20 or after age 35 3. pregnancy after the 4th baby NUTRITION PROGRAM Goal: The improvement of the nutritional status and quality of life of the population through the adoption of desirable dietary practices and healthy lifestyle. WATER- most essential of all nutrients FILIPINO PYRAMID Fats= 1 serving Proteins= 2-4 servings Fruits= 2-3 servings Vegetables =3-5 servings Carbohydrates=6-11 servings (eat more) Fluid= 8-12 servings (drink a lot) Programs and projects: Micronutrient Supplementation To address the health and nutritional needs of infants and children and improve their growth and survival. Food Fortification -Voluntary fortification of processed foods through the Sangkap Pinoy seal. FAMILY PLANNING PROGRAM Methods of Family Planning: I. Spacing A. Hormonal Oral Contraceptives Injectables Inplants B. Barrier IUD -

 Condom Diaphragm, Cervical cap C. Biologic - Lactation-Amenorrhea Method D. Natural - Basal Body Temperature (BBT) Sympto-thermal Cervical Mucus ORAL CONTRACEPTIVES

INTRAUTERINE DEVICE (IUD) a small object that is inserted through the cervix and placed in the uterus to prevent pregnancy can last 1-10 years usually inserted during a menstrual period when the cervix is slightly open and pregnancy is least likely recommended that women check their IUD after each period

first 21 pills have a combination of synthetic estrogen and progesterone hormones last 7 pills of a 28-day pack have no hormones and are called spacer pills Pill stops ovulation, preventing the ovaries from releasing eggs thickens cervical mucus, making it harder for sperm to enter the uterus

CERVICAL CAP (FEMCAP) A silicone cup inserted into the vagina to prevent pregnancy It is recommended that spermicide be added to increase the effectiveness of this method. Lasts for up to two years acts by blocking the entrance to the uterus; spermicide acts by killing and immobilizing the sperm, preventing it from fertilizing the egg. II. Permanent (surgical/irreversible) A. Tubal Ligation - done in women; a 15 min. surgical procedure in which the fallopian tubes are tied and cut to prevent passage of sperms B. Vasectomy - done in men, was deferens is tied and cut to block passage of sperm

Missed Pills: Late Start 1 day late starting the next package: Take 2 pills as soon as you remember and one pill each day after. Use a backup form of birth control for two weeks. 2 days late starting the next package: Take 2 pills per day for 2 days, then continue as usual. Use a backup form of birth control for two weeks. 3 or more days late starting the next package: Call the clinic for instructions. CONTRACEPTIVE INPLANTS soft capsules, about 1 inch long, under the skin in a womans upper, inner arm prevents pregnancy by thickening the cervical mucus so that sperm cant get into the uterus and by stopping ovulation Effective contraception for three years. doesn't interfere with fertility once it's removed

Garantisadong Pambata (GP) Definition

DEPO-PROVERA: AN INJECTABLE CONTRACEPTIVE drug very similar to progesterone, a hormone normally produced by the ovaries every month as part of the menstrual cycle prevents pregnancy for up to 3 months with each injection ("shot"). given as 1 shot in the buttock or upper arm first shot should be given within 5 days after the beginning of a normal menstrual period, and shots should be repeated every 3 months. good for 2 years unless no other form of birth control is right for you.

Garantisadong Pambata is a biannual week long delivery of a package of health services to children between the ages of 0-59 months old with the purpose of reducing morbidity and mortality among under fives through the promotion of positive Filipino values for proper child growth and development.

Routine Health Services

Health Service Dosage Route of Administration Target Population

Deworming drug
(if available)

1 tablet as single dose

Orally

36-59 mos, nationwide

Vitamin A capsule

200,000 IU or 1 capsule
100,000 IU or cap or 3 drops

Orally by drops

12-59 months old, nationwide

9-12 months old infants

Weighing

0-59 mos, nationwide

Ferrous Sulfate
(25 mg. Elemental Iron per ml; 30 ml. Bottle as taken home medicine with instructions) Routine Immunization -BCG* -DPT* -OPV* -AMV* -Hepa B (if available)

0.3ml(2-6 mos) once a day 0.6ml(611mos) once a day

Orally by drops

2-11 months old infants in Mindanao area, including evacuation centers in armed conflict areas. Nationwide

The child should not have received megadose of Vit. A above the recommended dosage within the past 4 weeks except if the child has measles or signs and symptoms of Vit A. deficiency. For any child between 12-23 months, who missed any of his routine immunization, the health worker should give the child the necessary antigen to complete FIC and shall be recorded as such.

Garantisadong Pambata
Sangkap Pinoy

0.05ml
0.5ml 2 drops 0.5ml 0.5ml

Intradermal on right deltoid Intramuscularly on anterior thigh Orally Subcutaneously on deltoid Intramuscularly

0-11 mos 0-11 mos 0-11 mos 9-11 mos 0-11 mos

Vitamin A, Iron and Iodine Sources: green leafy and yellow vegetables, fruits, liver, seafoods, iodized salt, pan de bida and other fortified foods. These micronutrients are not produced by the body, and must be taken in the food we eat; essential in the normal process of growth and development: 1. Helps the body to regulate itself 2. Necessary in energy metabolism 3. Vital in brain cell formation and mental development 4. Necessary in the body immune system to protect the body from severe infection. 5. Eating Sangkap Pinoy-rich foods can prevent and control: Protein Energy Malnutrition Vitamin A Deficiency Iron Deficiency Anemia Iodine Deficiency Disorder

Breastfeeding

Complimentary

Feeding

for

Babies

6-11

Months

Old

Breast milk is best for babies up to 2 years old. Exclusive breastfeeding is recommended for the first six months of life. At about six months, give carefully selected nutritious foods as supplements. Breastfeeding provides physical and psychological benefits for children and mothers as well as economic benefits for families and societies.

What are Complementary Foods? 1. foods introduced to the child at the age 6 months to supplement breastmilk 2. Given progressively until the child is used to three meals and in-between feedings at the age of one year. Why is there a Need to Give Complementary Foods? 1. breastmilk can be a single source of nourishment from birth up to six months of life. 2. The childs demands for food increases as he grows older and breastmilk alone is not enough to meet his increased nutritional needs for rapid growth and development 3. Breastmilk should be supplemented with other foods so that the child can get additional nutrients 4. Introduction of complementary foods will accustom him to new foods that will also provide additional nutrients to make him grow well 5. Breastfeeding, however, should continue for as long as the mother is able and has milk which could be as long as two years How to Give Complementary Foods for Babies 6-11 Months Old? 1. Prepare mixture of thick lugao/ cooked rice, soft cooked vegetables. Egg yolk, mashed beans, flaked fish/chicken/ground meat and oil. 2. Give mixture by teaspoons 2-4 times daily, increasing the amount of teaspoons and number of feeding until the full recommended amount is consumed 3. Give bite-sized fruit separately 4. Give egg alone or combine with above food mixture

Benefits: For infants 1. Provides a nutritional complete food for the young infant. 2. Strengthens the infants immune system, preventing many infections. 3. Safely rehydrates and provides essential nutrients to a sick child, especially to those suffering from diarrheal diseases. 4. Reduces the infants exposure to infection. For the Mother 1. Reduces a womans risk of excessive blood loss after birth 2. Provides a natural method of delaying pregnancies. 3. Reduces the risk of ovarian and breast cancers and osteoporosis. For the Family and Community 1. Conserves funds that otherwise would be spent on breast milk substitute, supplies and fuel to prepare them. 2. Saves medical costs to families and governments by preventing illnesses and by providing immediate postpartum contraception.