Sec. Francisco T.

Duque, MD Responsible for improvement of health centers and health services

DOH Secretary ICV Informed Choice and Voluntarism
RA 6713 Code of Conduct and Ethical Standars ..
NIMFA B. TORRIZO, MD, MPH RA 3573 Mandates to report Communicable Diseases
Regional Director IV RA 9711 Food and Drug Administration
RA 9485 Anti-Red Tape Act of 2007
SULPICIA D. ABAMONGA, MD, MPA RA 7160 The Local Government Code
DOH Provincial Officer RA 6425 Dangerous Drug Act
DMO V RA 9165 The New Dangerous Drug Act of 2002
PD No. 651 Registration of all births within 30 days following delivery
ELLENIETTA HMV N. GAMOLO, MD, MPH, CESE RA 8749 Clean Air Act of 2000
Medical Specialist IV PD No. 856 Code on Sanitation
OIC, Chief Local Health Support Division RA 6675 Genetics Act of 1988
RA 7305 Magna Carta for Public Health Nurses
JUCEL Q. ARNADO, RN, MN RA 7432 Senior Citizens Act
DMO IV RA 8172 Salt Iodization Act (ASIN LAW)
RA 7277 Magna Carta for PWDs
PDOHO Provincial Department of Health Office AO No. 2005-0014 National Policies on Infant and Young Child Feeding
LHSD Local Health Support Division EO 51 (Milk Code) Philippine Code of Marketing of Breast Milk Substitutes
Under LGU RA 7600 Rooming In and Breastfeeding Act of 1992
New name called Local Health Systems Development RA 7875 National Health Insurance Act
NVBDP National Voluntary Blood Donation Program RA 8976 Food Fortification Law
Green Passed AO No. 2006-0012 Revised Implementing Rules and Regulations of EO 51 or Milk
Yellow Average Code
Red Failed AO 2010-0036 Aquino Health Agenda Act
UHC Universal Health Care AO 2008-0029 Implementing of AHA (Implementing Health Response for Rapid
FIQ Filipino Income Quintiles Reduction of Maternal and Neonatal Mortality) Act
NHTS-PR National Household Targeting System for Poverty Reduction RA 9262 Violence Against Women
PIDSR Philippine Integrated Disease Surveillance and Response RA 10354 Responsible Parenthood/RH Law
VIA Visual Inspection with Acetic Acid RA 10152 Mandatory Infant and Child Health Immunization Act of 2011
ISO International Standard Organization RA 7305 Magna Carta for Health Workers
NTO Neglected Tropical Disease RA 1082 Rural Health act
Schistosomiasis AO 2006-0015 Hepa B Immunization for Children below 8 yo
Filariasis RA 4226 - Licensing
Intestinal Helminths MDG Millennium Development Goals:
KB para sa KP Kapit Bisig para sa Kalusugan Pangkalahatan 1. Eradicate extreme poverty and hunger (DSWD)
MCP Maternal Care Package 2. Achieve universal primary education (DEPED)
NCP Newborn Care Package 3. Promote gender equality and empower women (DILG)
BUB Bottom Up Budgetting 4. Reduce child mortality (DOH)
FGD Focus Group Discussion 5. Improve Maternal Health (DOH)
5-in-1 RHU MCP, TB, DOTS, Out-Patient Benefit(TSEKAP), NBS (screen 28 diseases), 6. Combat HIV, AIDS, Malaria and other diseases (DOH)
Anti-Rabies accredited 7. Ensure environmental sustainability (DENR)
CAMPOLA Cotrimoxazole, Amoxicillin, Mefenamic Acid, Paracetamol, Oresol, 8. Develop a global Partnership for development
Lagundi, Vit. A 6 Instruments/Pillars of KP:
DOTS Direct Observe Treatment Short-course 1. Health Financing
NIP National Immunization Program 2. Service Delivery
New name of EPI 3. Policy, Standards and Regulation
Immunizations for Senior Citizens included 4. Health Human Resource
PD 8775 Penalty for Improper Waste Disposal 5. Health Information
RA 8423 Traditional and Alternative Health Care 6. Governance for Health
RA 4073 Home Treatment of Leprosy 3 Goals of Formula1:
EPI Expanded Program on Immunization 1. Better health outcome
2. Equitable health financing
6 preventable diseases:
3. More responsive health system
1. TB
3 THRUSTS:
2. Poliomyelitis
1. Financial Risk Protection through expansion of enrollment of benefit
3. Diphtheria
delivery of the National Health Insurance Program
4. Tetanus
2. Improve access to quality health facilities
5. Pertussis
3. Achieving health-related Millennium Development Goals
6. Measles
Universal Health Care (UHC)
NBB No Balance Billing
TSEKAP Tamang Serbisyo Para sa Kalusugang Pampamilyang Pilipino Kalusugang Pangkalahatan (KP)
MAP Medical Assistance Program The provision to every Filipino of the highest possible quality of health
HLGP Health Leadership Governance Program care that is accessible, efficient, equitably distributed, adequately
CPR Contraceptive Prevalence Rate funded, fairly financed and appropriately used by an informed and
Current User/Total Population x 12.325% empowered public
EFHSIS Electronic Field Health Services Information System Aims to ensure that every Filipino shall receive affordable and quality
FDS Family Development Session health benefits. This involves providing adequate resources health
GIDA Geographically Isolated and Disadvantaged Area human resources, health facilities, and health financing
HSP Health Service Provider 4 Es of a Well Performing Local Health System:
ITR Individual Treatment Record 1. Effective
TCL Target Client List 2. Efficient
FBD Facility Based Delivery 3. Equitable pro-poor, fair in financing and utilization
SBA Skilled Birth Attendant 4. Empowering active ownership, participation and transparent devision-
REDCOP Renal Disease Control Program making
NTP National Tuberculosis Program
MNCHN Maternal Newborn Child Health Nutrition
IMCI Integrated Management of Childhood Illnesses
HFEP Health Facility Enhancement Program
Community Health Team (CHT) Types of LOCHIA:
One way to achieve health-related MDGs 1. Rubra (Red, 1-3 days)
Are groups of volunteers, who will assist families with their health needs, -blood + mucus + decidua/small clots
provide health information and facilitate communication with other 2. Serosa (Pink, 4-10 days)
health providers blood + mucus + leukocytes
DOH National: 3. Alba (White, 10-14 days)
VISION by 2030 A global leader for attaining better health outcomes, -mucus
competitive and responsive health care system, and equitable health WHO: Tobacco Control Policy (MPOWER)
financing Monitor tobacco use and prevention policies
MISSION To guarantee equitable, sustainable, and quality health for all Protect people from tobacco smoke
Filipinos, especially the poor, and to lead the quest for excellence in Offer help to quit tobacco use
health Warn about dangers of tobacco
Holds the overall technical authority on health as its national health Enforce bans of tobacco advertising promotion and spoinsorship
policy maker and regulatory institution Raise taxes on tobacco
ISO 9001-2008
DOH Region 10: LEOPOLDS MANUEVER:
VISION A center of excellence committed to Local Health System 1st: Fundal Grip
Development to attain quality health care Determine size and shape
MISSION Build health worker capabilities to better influence local 2nd: Lateral Grip
governance for health, stir the entire health system towards the Location of fetal back (firm and smooth)
promotion of health and well-being of its constituents and provide 3rd: Pawlicks Grip
quality, efficient , equitable and accessible health care through a strong Fetal part is lying above the inlet or lower abdomen
multi-sectoral collaborative and coordinative strategy 4th: Pelvic Grip
TOP 10 Leading Cause of MORTALITY in the Philippines Locate fetus brow
1. Heart Disease Fetal altitude and degree of fetal extension into the pelvis
2. Vascular System Disease Hospital HI-5 (4 Major Initiatives)
3. Malignant Neoplasm 1. Alagang Pinoy Brand (Branding)
4. Accidents 2. Strengthening the Service Delivery Netwrk
5. Pneumonia 3. Kapit Bisig para sa KP
6. Tuberculosis 4. Ensuring all availability of drugs and medicine in support of NBB
7. Unclassified cough
8. DM 4 Pillars of FAMILY PLANNING:
9. Perinatal conditions 1. Responsible Parenthood
10. 2. Respect for life
Dengue 4Ss 3. Birth spacing at 3 years
1. Search and Destroy 4. Informed choice
2. Self Protection Nutrition Program
3. Seek early advice ASIN Law: RA 8172 (Salt Iodization Nationwide)
4. Say yes to fogging Food Fortification : RA 8976
BLOOD Typing and Compatibility Vitamin A: Child 100,000 IU (Blue), Postpartum 200,000 IU (Red)
Blue: blood type A (Receive: A and O; Donate: A and AB) DOHROX Retained Hospitals:
Yellow: blood type B (Receive: B and O; Donate B and AB) 1. NMMC CDO
Blue and Yellow: AB (Receive: all blood type: Donate: AB) 2. Amai Pakpak Marawi City, LDS
No Reaction: 0 (Receive: O; Donate: all blood type) 3. Mayor Hilarion A Ramiro Sr Regional Traiining and Teaching Hospital
White: RH+ Ozamiz
No Reaction: RH- NEWBORN Screening:
Mechanisms of Labor (E D F IR E ER E) First: 1996
Engagement Early detection of diseases (28 diseases)
Descent 6 tests: P550
Flexion 28 test: P1500
Internal Rotation Disorders:
Extension 1. G6PD hemolytic anemia
External Rotation 2. Congenital Hypothyroidism
Expulsion 3. Congenital Adrenal Hyperplasia
5 Elements of TUBERCULOSIS 4. Galactosemia
1. Smear Microscopy available 5. Phenylketonuria
2. Drug supply is uninterrupted 6. Maple Syrup Urine Disease
3. Patients drug intake is supervised High Impact 5 a strategy which aims to produce the greatest improvements in
4. Program is monitored health outcomes and the highest impact on priority vulnerable population
5. Political will RAIDERS Reach and Innovate Desired Rational Score
Pregnancy Complications: TSISMIS Tama Sigurado Makabuluhang Information System
1st Trimester CHAT Community Health Action Team
1. Miscarriage Maternal Mortality:
2. Ectopic Pregnance 1. Postpartum Hemorrhage
2nd Trimester 2. Pulmonary Embolism
1. Hydatidiform Mole 3. Hypertensive Disorders
2. Premature Cervical Dilatation 4. Abortion
3rd Trimester 5. Placental Retention
1. Placenta Previa 6. Septicimia
2. Preterm Labor 7. Abruptio Placenta
3. Abruption Placenta 8. Placenta Previa
Signs of Pregnancy: Infant/Child Moratality:
Presumptive (Subjective) weak 1. Pneumonia
Probable (Objective) stronger 2. Congenital Abnormalities
Positive (Absolute sign) 3. Sepsis Newborn
4. Prematurity Unqualified
5. Malnutrition
 6. Diarrhea/Gastroenteritis DOH Values
Integrity
Basic Emergency Obstetric and Newborn Care (BEmONC) Compassion and respect for humanity
1. Parenteral administration of oxytocin in 3rd stage of labor Commitment
2. Parenteral administration of loading dose of anticonvulsants Excellence
3. Initial dose of antibiotics Professionalism
4. Performance of assisted deliveries Teamwork
5. Removal of retained products of conception Stewardship
6. Manual removal of retained placenta
Emergency newborn interventions: Direct sputum smear microscopy (DSSM) is the primary diagnostic
1. Newborn resuscitation method adopted by the NTP among such individual
2. Treatment of neonatal sepsis/infection Chest X ray is used to complement bacteriologic testing in making a
3. Oxygen support diagnosis
Comprehensive Emergency Obstetric and Newborn Care (CEmONC)
Tuberculin skint test (TST) is a basic screening tool for TB infection
1. Six signals obstetric functions
among children using purified protein derivative (PPD) tuberculin
2. Blood banking and transfusion services
solution to trigger a delayed hypersensitivity reaction among those
3. Highly specialized obstetric interventions
previously infected.
Emergency newborn interventions:
0 14 years old TB in children
1. BEmONC + Management of low birth weight/preterm
15 years old and above TB (Adult)
newborn
Presumptive TB (old term: Symptomatic TB) any person whether adult
2. Other specialized newborn services
or child with signs and/or symptoms suggestive of TB whether
Early initiation of breastfeeding after birth within 90 minutes of life
pulmonary or extra-pulmonary, or those with chest x-ray findings
suggestive of active TB.
3 delays of maternal death:
1. Making decision
2. Transportation Classification based on bacteriological status:
3. Referral Hospital
Prenatal (4 ANC Visits): Bacteriologically confirmed (positive DSSM and/or positive Gene
1st Tri: 84 days Xpert)
2nd Tri: 85-189 days
3rd Tri: 190 days onwards Clinically Diagnosed (negative DSSM, positive chest X-ray, or diagnosed
Health Use Plan (HUPs): by a physician without any diagnostic procedures)
Form 1: Household Profiling
Form 2A: Newborn (0-28 days) Classification based on anatomical site:
Form 2B: Infant (29days to >1yo)
Form 2C: Child (1-5yo) Pulmonary TB (PTB) - lungs
Form 2D: Pregnant Extrapulmonary TB (EPTB) sites other than lungs
Form 2E: Postpartum
Form 2F: Family Planning Category of Treatment:
Form 2G: Chronic Cough (>7 days) Category I Pulmonary TB, New (whether BC or CD); EPTB, New (Except
National Target: CNS/bones or joints); Treatment Regimen: 2HRZE/4HR
Contraceptive Prevalence Rate: 65% Category II Previously treated drug susceptible TB (pulmonary or
Maternal Death: 52/100,000 Pop. extrapulmonary-except CNS/bones or joints); Treatment Regimen:
Infant Death: 19/1,000 Pop. 2HRZES/1HRZE/5HRE
Malnutrition: 17.3% Category Ia Extra-pulmonary TB, new (CNS/bones or joints); Treatment
EPI: 95% Regimen: 2HRZE/10HR
Maternal/EPI: TPx2.7% Category IIa Previously treated drug susceptible EPTB (CNS/Bones, or
Infant Mortality Rate: joints); Treatment Regimen: 2HRZES/1HRZE/9HRE
(# of deaths below 1yo/total # of livebirths)(1000) Schedule of Follow-up DSSM for Category I patients
Skilled Birth Attendant: Category I (DSSM positive) 2nd month, 5th month, 6th month
(# of LB attended by SBA/# of LB)(100) Category I (DSSM negative) 2nd month only
Facility Based Delivery: Category II 3rd month, 5th month, 8th month
(# of total FBD/# of LB)(100)
Crude Death Rate: Sustainable Development Goals (SDG)
mid year population x 100
Maternal Mortality: 15 Years 17 Goals 169 Targets 230 Indicators
Maternal Birth/Maternal Death
NTP Target by 2016 1 NO POVERTY 7 Targets, 12 Indicators END POVERTY IN ALL ITS FORMS
90% - Case Detection Rate All Forms (CDR) EVERYWHERE
61% - Notification Rate of MDR
75% - TB case treatment success rate of MDR TB case 2 ZERO HUNGER 8 Targets, 14 Indicators END HUNGER, ACHIEVE FOOD SECURITY
Formula: AND IMPROVED NUTRITION AND PROMOTE SUSTAINABLE AGRICULTURE
CDR = Total Pop x 0.00311 (96%)
Cure Rate (90%) = (# of patient cured x 100)/(# of patient enrolled) 3 GOOD HEALTH AND WELL-BEING 13 Targets, 26 Indicators ENSURE HEALTHY
TSR = (# of patient cured/treatment completion of all forms)/(# of patient enrolled LIVES AND PROMOTE WELL-BEING FOR ALL AT ALL AGES
all form) x 100
Additional Notes for NTP: 4 QUALITY EDUCATION 10 Targets, 11, Indicators ENSURE INCLUSIVE AND
1. Administrative Control = 1st line of defense EQUITABLE QUALITY EDUCATION AND PROMOTE LIFELONG LEARNING
2. Environmental Control = 2nd line of defense OPPORTUNITIES FOR ALL
3. Respiratory Protection Control = 3rd line of defense
Target by 2016: 5 GENDER EQUALITY 9 Targets, 14 Indicators ACHIEVE GENDER EQUALITY AND
90% Case Detection Rate (CDR), all forms EMPOWER ALL WOMEN AND GIRLS
90% Treatment Success Rate, all forms
Notification Rate of MDR-TB: 61% of estimated MDR among notified 6 CLEAN WATER AND SANITATION 8 Targets, 11 Indicators ENSURE AVAILABILITY
75% TB Case Treatment Success Rate of MDR-TB Cases AND SUSTAINABLE MANAGEMENT OF WATER AND SANITATION FOR ALL

7 AFFORDABLE AND CLEAN ENERGY 5 Targets, 6 Indicators ENSURE ACCESS TO

AFFORDABLE, RELIABLE, SUSTAINABLE AND MODERN ENERGY FOR ALL
 under 5 mortality to at least as low as 25 per 1,000 live births
8 DECENT WORK AND ECONOMIC GROWTH 12 Targets, 17 Indicators PROMOTE - End the epidemics of AIDS, tuberculosis, malaria, and neglected tropical
SUSTAINED, INCLUSIVE AND SUSTAINABLE ECONOMIC GROWTH, FULL AND diseases, and combat hepatitis, water-borne diseases, and other
PRODUCTIVE EMPLOYMENT AND DECENT WORK FOR ALL communicable diseases by 2030
- Reduce by one-third pre-mature mortality from non-communicable
9 INDUSTRY INNOVATION AND INFRASTRUCTURE 8 Targets, 12 Indicators BUILD diseases by 2030
RESILIENT INFRASTRUCTURE, PROMOTE INCLUSIVE AND SUSTAINABLE - Strengthen prevention and treatment of substance abuse, including
INDUSTRIALIZATION AND FOSTER INNOVATION narcotic drug abuse and harmful use of alcohol
- Halve the number of global deaths and injuries from road traffic
10 REDUCED INEQUALITIES 10 Targets, 11 Indicators REDUCE INEQUALITY accidents by 2020
WITHIN AND AMONG COUNTRIES
THE DUTERTE HEALTH AGENDA
11 SUSTAINABLE CITIES AND COMMUNITIES 10 Targets, 15 Indicators MAKE All for Health towards Health for All
CITIES AND HUMAN SETTLEMENT INCLUSIVE, SAFE, RESILIENT AND SUSTAINABLE
2015-2030: Sustainable Development Goals
12 RESPONSIBLE CONSUMPTION AND PRODUCTION 11 Targets, 13 Indicators Reduce Maternal Mortality
ENSURE SUSTAINABLE CONSUMPTION AND PRODUCTION PATTERNS End preventable deaths of newborn and children
End AIDS, TB, Malaria, and NTDs. Combat Hepatitis, water-borne and
13 CLIMATE ACTION 5 Targets, 7 Indicators TAKE URGENT ACTION TO COMBAT other communicable diseases
CLIMATE CHANGE AND ITS IMPACTS Reduce premature mortality from NCDs
Strengthen the prevention and treatment of substance abuse
14 LIFE BELOW WATER - 10 Targets, 10 Indicators CONSERVE AND SUSTAINABLY Reduce the number of global deaths and injuries from road traffic
USE THE OCEANS, SEAS AND MARINE RESOURCES FOR SUSTAINABLE accidents
DEVELOPMENT Ensure universal access to RH Services
Achieve universal health coverage
15 LIFE ON LAND 12 Targets, 14 Indicators PROTECT, RESTORE AND PROMOTE Reduce deaths from hazardous substances and pollution
SUSTAINABLE USE OF TERRESTRIAL ECOSYSTEMS, SUSTAINABLY MANAGE FORESTS, Our Goals:
COMBAT DESERTIFICATION, AND HALT AND REVERSE LAND DEGRADATION AND
FINANCIAL PROTECTION Filipinos, especially the poor are protected
HALT BIODIVERSITY LOSS
from high cost of health care
HEALTH OUTCOMES Filipinos attain the best possible health outcomes
16 PEACE, JUSTICE AND STRONG INSTITUTIONS 12 Targets, 23 Indicators
with no disparity
PROMOTE PEACEFUL AND INCLUSIVE SOCIETIES FOR SUSTAINABLE DEVELOPMENT,
RESPONSIVENESS Filipinos feel respected, valued, and empowered in
PROVIDE ACCESS TO JUSTICE FOR ALL AND BUILD EFFECTIVE, ACCOUNTABLE AND
all of their interaction with the health system
INCLUSIVE INSTITUTIONS AT ALL LEVELS
Our Values & Objectives:
EQUITABLE & INCLUSIVE Filipinos, especially vulnerable populations
17 PARTNERSHIPS FOR THE GOALS 19 Targets, 25 Indicators STRENGTHEN THE
are able to access services with least financial, cultural and geographical
MEANS OF IMPLEMENTATION AND REVITALIZE THE GLOBAL PARTNERSHIP FOR
barriers
SUSTAINABLE DEVELOPMENT
HIGH QUALITY & COMPREHENSIVE Filipinos are able to demand full
range of quality and compassionate services that are at par with global
Comparison of the MDGs and SDGs clinical and non-clinical standards
MDGs SDGs EFFICIENT & SUSTAINABLE Filipinos are able to continuously get the
most health from resources allocated (efficient and cost-effective)
Number of 8 17
TRANSPARENT & PARTICIPATORY Filipinos are able to make informed
Goals
choices with respect to their health/care and participate in local and
Number of 21 169
national discourse
Targets
Our Commitment:
Number of 60 230
Filipino families are entitled to
Indicators
Comprehensive range of services that protect everyone at all ages and all
General Social Economic growth, social inclusion &
stages
scope/focus environmental protection
Receive coordinated, appropriate, quality and respectful care
Target Developing countries, Entire world (rich and poor)
Financial freedom when availing of health care services
particularly the poorest
The government is committed to
Formulation Produced by a group of Result of consultation process
Guarantee services that provide CARE FOR ALL LIFE STAGES & ADDRESS
experts among:
THE TRIPLE BURDEN OF DISEASES
- 193 UN Member States
Ensure these services are accessible in functional SERVICE DELIVERY
- Civil society
NETWORK
- Other stakeholders
Sustainably finance these services through UNIVERSAL HEALTH
COVERAGE
GOAL 3 Good Health and Well-being
CARE FOR ALL LIFE STAGES & ADDRESS THE TRIPLE BURDEN OF DISEASES
Some of the Targets:
- Reduce global maternal mortality ration to less than 70 per 100,000 live
All Life Stages
births by 2030
Neonatal Care, Infant and Underfive Child Care, Adolescent Health, Adult Health,
- End preventable deaths of newborns and children under 5 years of age
Maternal Care, Care for Older Persons
by 2030, aiming to reduce
neonatal mortality to at least as low as 12 per 1,000 live births and
Communicable Diseases Health Promotion and Healthy Lifestyles for nutrition, physical activity,
100% commodities for Disease Free Zones tobacco and alcohol control
Prevent infection and its spread with early diagnosis and complete TSEKAP + outpatient drugs (including cancers, rare diseases, metabolic
treatment disorders, mental health drugs) for the poorest
Surveillance and contact tracing Disease of Industrialization
Injuries, mental health (including suicide prevention), drug abuse
Non communicable Diseases rehabilitation
Capacity building and community-based interventions
Service Delivery Networks (SDN) CLOSE TO & FELT BY THE PEOPLE
ACCESS TO ALL LEVELS OF CARE AND GATEKEEPING IN THE SDN ADEQUATELY PREPARED RESPOSIVE AND RESILIENT IN TIMES OF
SERVICES AT PAR WITH CLINICAL & NON-CLINICAL STANDARDS EMERGENCY AND DISASTER
CLIENT-CENTERED & CULTURALLY-SENSITIVE
Universal Health Insurance
PHILHEALTH as
THE GATEWAY TO FREE SERVICES
Every Filipino as member
No balance billing for the poor; defined co-pay for others
MAIN BUYER OF SERVICES ON BEHALF OF 100M FILIPINOS
Primary, outpatient, inpatient services
Outpatient drugs, catastrophic cases
Main revenue source of providers

ACHIEVE

Our Strategy - ACHIEVE

A Advance primary care, quality & cost effectiveness

C Cover all Filipinos with comprehensive health financing
H Harness Health Human Resource for productivity
I Invest in digital health and data
E Enforce standards, accountability and transparency
V Value clients and patients
E Elicit multistakeholder support for health