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ISOLATION TECHNIQUE IN THE HOME

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, sunlightand some chemical disinfectants is necessary.

3. The one caring for the sick should be provided with a gown that should beused only within the room.

4. Al discharges from the nose and throat of a communicable disease pt shouldbe carefully discarded.

5. Articles soiled with discharges should be boiled for 30 minutes beforewashing.

MAJOR ENVIRONMENTAL HEALTH AND SANITATION PROGRAMS

Water Supply Sanitation Program3 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 System3 Types of Approved Toilet Facilities:

Level 1 Level 2 Level 3

Non-water carriage toiletfacility:- Pit latrines- Reed Odorless EarthCloset- Bored-hole- Compost- Ventilated improved pitToilets requiring small

amount of water to washwaste into receivingspace- Pour flush- Aqua privies

On site toilet facilities of thewater carriage type withwater sealed and flushedtype with septic vault/tankdisposal facilities

Water carriage types oftoilet facilities connected toseptic tanks an/or tosewerage system totreatment plant.

FOOD SANITATION PROGRAM

4 RIGHTS IN FOOD SAFETY:1. Right Source

Always buy fresh meat, f ish, 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, cucumbe

and carrots.3. Right Cooking

Cook food thoroughly and ensure that the temperature on all pfood should reach 70 degrees centigrade

Eat cooked food immediately.4. Right Storage

All cooked foods should be left at room temperature for NOT moreHOURS to prevent multiplication of bacteria.

Store cooked foods carefully. Be sure to use tightly sealed constoring food.

RULE IN FOOD SAFETY: When in doubt, throw it out!

HOSPITAL WASTE MANAGEMENT PROGRAM

A Hospital Waste management program shall be prepared and imas a requirement for renewal /registration of licenses by hospitals.

Training of all hospital personnel involved in waste management essential part of hospital training program.

OTHER PRIORITY HEALTH PSENTRONG SIGLA MOVEMENT

SENTRONG SIGLA MOVEMENT:Goal: Better quality of life, quality healthObjective: Better and more effective collaboration between DOH and LGUDOH: Provider of technical and financial assistance packages for hincluding regulationLGU: Prime developers of heath systems and direst implementersprograms

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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 thefaciltiies (RHUs/hospitals)

at-risk pregnancies and mothers must be immediately referred to the nearestinstitution

untrained BAs who actively practice must be identified, trained andsupervised 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 SCLEAN SurfaceCLEAN Cord

3 FACTORS CONTRIBUTING TO PREGNANCY RELATED ILLNDEATH AMONG MOTHERS AND INFANTS1. too early pregnancy2. pregnancy before age 20 or after age 353. pregnancy after the 4th baby

NUTRITION PROGRAM

Goal: The improvement of the nutritional status and quality of life of the through the adoption of desirable dietary practices and healthy lifestyle.

WATER- most essential of all nutrients

FILIPINO PYRAMID

Fats= 1 servingProteins= 2-4 servingsFruits= 2-3 servingsVegetables =3-5 servingsCarbohydrates=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 ch

improve their growth and survival. Food Fortification

-Voluntary fortification of processed foods through the Sangkap Pinoy se

FAMILY PLANNING PROGRAM

Methods of Family Planning:I. Spacing

A. Hormonal Oral Contraceptives Injectables Inplants

B. Barrier IUD

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Condom Diaphragm, Cervical cap

C. Biologic- Lactation-Amenorrhea MethodD. Natural- Basal Body Temperature (BBT)

Sympto-thermal Cervical Mucus

ORAL CONTRACEPTIVES

first 21 pills have a combination of synthetic estrogen and progesteronehormones

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

Missed Pills: Late Start

1 day late starting the next package: Take 2 pills as soon as you remember and onepill 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 continueas 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, innerarm

prevents pregnancy by thickening the cervical mucus so that sperm cant getinto the uterus and by stopping ovulation

Effective contraception for three years. doesn't interfere with fertility once it's removed

DEPO-PROVERA: AN INJECTABLE CONTRACEPTIVE

drug very similar to progesterone, a hormone normally produced by theovaries 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.

INTRAUTERINE DEVICE (IUD)

a small object that is inserted through the cervix and placed in thprevent pregnancy

can last 1-10 years usually inserted during a menstrual period when the cervix is sl

and pregnancy is least likely recommended that women check their IUD after each period

CERVICAL CAP (FEMCAP)

A silicone cup inserted into the vagina to prevent pregnancy It is recommended that spermicide be added to increase the effec

this method. Lasts for up to two years acts by blocking the entrance to the uterus; spermicide acts by

immobilizing the sperm, preventing it from fertilizing the egg.II. Permanent (surgical/irreversible)A. Tubal Ligation - done in women; a 15 min. surgical procedure infallopian tubes are tied and cut to prevent passage of spermsB. Vasectomy - done in men, was deferens is tied and cut to block sperm

Garantisadong Pambata (GP)

Definition

Garantisadong Pambata is a biannual week long delivery of a

health services to children between the ages of 0-59 months o

purpose of reducing morbidity and mortality among under fives tpromotion of positive Filipino values for proper child g

development.

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Routine Health Services

Health Service Dosage Route ofAdministration

TargetPopulation

Vitamin Acapsule

200,000IU or 1capsule

100,000 IU

or cap or3 drops

Orally by drops 12-59months old,nationwide

9-12 months

old infants

FerrousSulfate

(25 mg.

Elemental Ironper ml; 30 ml.Bottle as taken

home medicine

withinstructions)

0.3ml(2-6

mos) once

a day

0.6ml(6-

11mos)

once a day

Orally by drops 2-11 monthsold infants in

Mindanao area,including

evacuation

centers inarmed conflict

areas.

RoutineImmunization

-BCG*

-DPT*

-OPV*

-AMV*

-Hepa B (if

available)

0.05ml

0.5ml

2 drops

0.5ml

0.5ml

Intradermal onright deltoid

Intramuscularlyon anterior thigh

Orally

Subcutaneously on

deltoid

Intramuscularly

Nationwide

0-11 mos

0-11 mos

0-11 mos

9-11 mos

0-11 mos

Dewormingdrug

(if available)

1 tabletas singledose

Orally 36-59natio

Weighing 0-59 natio

o The child should not have received megadose of Vit. A

recommended dosage within the past 4 weeks except if thmeasles or signs and symptoms of Vit A. deficiency.

o For any child between 12-23 months, who missed any of immunization, the health worker should give the child the

antigen to complete FIC and shall be recorded as such.

Garantisadong Pambata

Sangkap Pinoy

Vitamin A, Iron and Iodine

Sources: green leafy and yellow vegetables, fruits, liver, seafoosalt, pan de bida and other forti fied foods.

These micronutrients are not produced by the body, and must be t

food we eat; essential in the normal process of growth and develop

1. Helps the body to regulate itself2. Necessary in energy metabolism3. Vital in brain cell formation and mental development4. Necessary in the body immune system to protect the body f

infection.

5. Eating Sangkap Pinoy-rich foods can prevent and control: Protein Energy Malnutrition Vitamin A Deficiency

Iron Deficiency Anemia Iodine Deficiency Disorder

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Breastfeeding

Breast milk is best for babies up to 2 years old. Exclusive breastfeeding isrecommended for the first six months of life. At about six months, givecarefully selected nutritious foods as supplements.

Breastfeeding provides physical and psychological benefits for children andmothers as well as economic benefits for families and societies.

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 birth2. 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 andby providing immediate postpartum contraception.

Complimentary Feeding for Babies 6-11 Month

What are Complementary Foods?

1. foods introduced to the child at the age 6 months to supplement bre2. Given progressively until the child is used to three meals and

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 toof life.

2. The childs demands for food increases as he grows older andalone is not enough to meet his increased nutritional needs for ra

and development3. Breastmilk should be supplemented with other foods so that the ch

additional nutrients

4. Introduction of complementary foods will accustom him to newwill also provide additional nutrients to make him grow well

5. Breastfeeding, however, should continue for as long as the motherhas 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 vegetablesmashed beans, flaked fish/chicken/ground meat and oil.

2. Give mixture by teaspoons 2-4 times daily, increasing the teaspoons and number of feeding until the full recommended

consumed3. Give bite-sized fruit separately4. Give egg alone or combine with above food mixture