CHN Gapuz

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1 COMMUNITY HEALTH NURSING BY: BY: LEA D. FOY-OS, FOY-OS, R.N. (MAN in progress)

HOW TO ANSWER QUESTIONS RELATED TO COMMUNITY HEALTH NURSING FOCUS ON THE FOLLOWING PRINCIPLES (H-E-A-L-T-H) HEALTH SCREENIN E!I ASSESSMENT OF RIS" FACTORS LEARN THE BASICS IN CHN THERA!E#TIC THERA!E#TIC DIET HERBAL MEDICINE HEALTH MODERN CONCE!T: O.L.O.F. o$ o$ in%i&i%'s, $*iies n% +o**'niies  F*iies $ro* e oer in+o*e gro'ps in+o*e gro'ps gro'ps re e ones *os/ ser&e%   OAL o$ !'0i+ He: to contribute to the most efective total development developmen t and development and lie lie o the individual and his society.

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ECO-SYSTEM in1'en+es e OLOF FACTORS: !oii+ Be&ior Here%i/ He +re %ei&er/ s/se* En&iron*en So+ioe+ono*i+ in1'en+e

Community Community He!t" Nu#$in%       

GOAL : !ro*oion o$ OLOF r' e+ing n% %ei&er/ o$ +re PHILOSOPHY : 0se% on e 2ORTH 3 DINITY o$ *n Primary FOCUS: He !ro*oion NURSES: eneriss Bse% on re+ogni4e% nee%s o$ +o**'niies, $*iies, gro'ps n% in%i&i%'s FAMILY : #ni o$ Ser&i+e HEALTH HEALTH TEACHING T EACHING : !ri*r/ responsi0ii/ o$ e +o**'ni/ He N'rse.

FI&E FOL' MISSION OF CHN 5. 6. 7. 8.

9.

He He  !r !ro*o o*oio ion n He He  !r !roe+ oe+i ion on He He  B Bn+ n+e Dise Dises se e !re& !re&en eni ion on . !ri* !ri*r r/ / pre& pre&en eni ion on 0. Se+o Se+on% n%r r/ / !re& !re&en eni ion on +. Teri erir r/ / !re& !re&en eni ion on So+i So+i  's 'si+ i+e e

RURAL HEALTH MI'WIFE #n%er e gener s'per&ision o$ e !HN  2or;s i e !HN in pnning n% e&'ing e ser&i+es  e Brng/ e&e  !ns $or +i&iies in e +ini+ BHS< $oo-'p in o*es n% =e% &isi in e +o**'ni/  Mo0ii4es +o**'ni/ $or e +ion 

UALIFICATIONS   

Su*e#+i$in% Pu,!i He!t" Nu#$e :  es FI>E YEARS e?perien+e e?perien+e s !HN Nu#$e In$t#uto# II : MAN, 7 /ers e?perien+e s CHN Re%ion! T#inin% Nu#$e: si? /ers n'rsing e?perien+e , ree o$ i+ in rining or N'rsing e%'+ion Re%ion! Nu#$e Su*e#+i$o# :  es FI>E YEARS e?perien+e in CHN, T2O /ers o$ i+ re in  s'per&isor/ posiion  Nu#$in% P#o%#m Su*e#+i$o#: Su*e#+i$o# :  es SE>EN SE>EN /ers in CHN rining rining C"ie Nu#$e:  es FI>E YEARS e?perien+e in CHN - 7 eier s s'per&isor or ssisn +ie$  n'rse

INVICTUS: I am the captain of my ship, the master of my destiny

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CHN CLINIC &ISIT 

!RE-CONS#LTATION !RE-CONS#LTATION CONFERENCE: CON FERENCE: CONF ERENCE:

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Cini+ H? ;ing

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Ens're pri&+/, s$e/ n% +o*$or o$ e pien ro'go' pro+e%'re !OST-CONS#LTATION:

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E?pin =n%ings 3 nee%e% +re

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>i signs !/si+ ssess*en L0 e?*s n% %o+'*enion MEDICAL E@AMINATION:

Re$er s nee%e% M;e ppoin*en $or ne? +ini+o*e &isi

HOME &ISIT !ro$ession ace-to-ace contact *%e  *%e 0/  n'rse o  pien or e $*i/ o pro&i%e ne+essr/ e +re +i&iies n% o $'rer in n o0e+i&e o$ e gen+/ So'% &e  !#R!OSE OBECTI>E  !nning $or  o*e &isi so'% *;e 'se o$  &i0e in$or*ion 0o' e pien n%  iser $*i/. $*i/. Frequency ! Hme "i#i$ A - ++epn+e o$ e $*i/ 3 0ii/ o re+ogni4e on nee%s 

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P O

- p/si+, ps/+oogi+ 3 e%'+ion nee%s - oer e gen+ies in&o&e%

P E

- !oi+/ o$  gi&en gen+/ - E&'e o$ ps ser&i+es gi&en o e $*i/

/AG TECHNIUE 

TOOL *;ing 'se o$ e p'0i+ p'0i+ e e 0g ro'g ro'g i+ i+ e n'rse %'ring %'ring e &isi &isi +n per$or* per$or* n'rsing pro+e%'res i ese n% %e$ness, %e$ness, s&ing s&ing i*e 3 eor  eor   e en% in &ie o$ ren%ering ee+i&e n'rsing +re.  !#BLIC HEALTH BA  esseni 3 in%ispens0e e'ip*en !RINCI!LES: 

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To To *ini*i4e i$ no o/ pre&en pre&en e spre% spre% o$ in$e+ion< in$e+ion< S&e TIME 3 EFFORT Spe+i +onsi%erion: HAND 2ASHIN Conens o$ e 0g: B! ppr's 3 seos+ope re +rrie% sepre/< Me%i+ines Me%i+ines in+'%e: in+'%e: 0e%ine, 0e%ine, G +oo, 0ene%i+s so'ion !+e se pper 0g o'si%e o$ or; re o pre&en +on*inion o$ +en re

INTRA&ENOUS THERAPY

 Re$ers o e inserion o$  nee%e+eer+nn' ino  &ein 0se% on p/si+ins rien pres+ripion 

ANSA! (Asso+iion o$ N'rsing Ser&i+e A%*inisrion o$ e !i) - ++re%iing 0o%/

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INDICATIONS

Minenn+e+orre+ion o$ %e/%rion in p? 'n0e o oere %e'e &o'*es o$ or 1'i% *e%i+ions<

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!rener n'riion A%*inisrion o$ %r'gs


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Boo% rns$'sion CONTRAINDICATIONS

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A%*inisrion o$ irrin 1'i%s%r'gs ro'g periper ++ess (e.g. So%i'* +ori%e< H/peroni+ possi'* +ori%e)

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'EPARTMENT 'EPARTMENT OF HEAL HEA LTH HEALTH

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>ISION He!t" o# !! Fi!i*ino$ Fi!i*ino$ (o!0) %THE LEADER OF HEALTH FOR ALL IN THE PHILIPPINES& 'ne() MISSION Enn+e ++essi0ii/ 3 'i/ o$ e +re o i*pro&e e 'i/ o$ i$e o$  Fiipinos, espe+i/ e poor (o%) Gu#ntee e1uit,!e2 $u$tin,!e n0 1u!ity "e!t" o# !! Fi!i*ino$2 e$*ei!!y t"e *oo#2 *oo#2 n0 to !e0 t"e 1ue$t 1ue$t o# e3e!!ene e3e!!ene in "e!t".4 (ne5)

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BASIC !RINCI!LES

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Ens're% 'ni&ers ++ess o 0si+ e ser&i+es

He 3 n'riion o$ &'ner0e gro'ps *'s 0e priorii4e%  !RIMARY STRATEIES S s'ppor o o+ e s/se* 3 $roniners A -- ss'rn+e o$ e +re I - in+rese% in+rese% in&es*en in&es*en $or !HC D -- %e& sn%r%s 3 o0e+i&es $or e %e& o$ o$ nion nion sn%r%s 3 o0e+i&es e PRIMARY HEALTH CARE Esseni e +re *%e 'ni&ers/ ++essi0e o in%i&i%'s 3 $*iies in e +o**'ni/ 0/  *ens ++ep0e o e*. OAL  He $or  Fiipinos 3 He in e Hn%s o$ e !eope 0/ e /er 6G6G. MISSION  To To srengen srengen e e +re s/se* 0/ 0/ in+resing in+resing oppor'niies oppor'niies 3 s'pporing s'pporing e +on%iions +on%iions erein peope i *nge eir on e +re.

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CONCE!T Core Strategy Strategy : !ARTNERSHI! 3 EM!O2ERMENT or%s SELF-RELIANCE

PHC om*onent$6e!ement$

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C

- CDD Conro o$ Co**'ni+0e Diseses

H

- He E%'+ion

E

- En&iron*en Sniion

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I

- I**'ni4ion I**'ni4ion

PHC o#ne#$tone$6Pi!!#$

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M

*'ise+or in;ges

A

A+i&e +o**'ni/ pri+ipion

U

#se o$ pproprie e+noog/

S

S'ppor *e+nis* *%e &i0e

PRIMARY HEALTH WOR7ERS iger e e&e e *ore 'i=e% 'i=e% e e personne personne 3 e *ore sopisi+e% sopisi+e% e e e  Te iger e *ore e'ip*en Con+ep: TEAM2OR"  TWO *e+e*#, &i!!%e6/HW$   rine% +o**'ni/ e or;ers, e '?ir/ &o'neers, r%iion 0ir  en%ns, eers Inte#me0ite Le+e!   pro$ession gro'p  HR'P CO-PAR


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COMMUNITY ORGANI8ING A +onin'o's pro+ess o$ reness 0'i%ing, orgni4ing n% *o0ii4ing +o**'ni/ *e*0ers or%s +o**'ni/ %e&eop*en. PHASES AN' ACTI&ITIES

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I. !RE-ENTRY !HASE !reprion o$ e s Sie see+ion II. ENTRY !HASE inegrion i e +o**'ni/ Co'res/ +s In$or*ion +*pigns I%eni=+ion I%eni=+ion o$ poeni e%ers III. CORE-RO#! FORMATION FORMATION 3 MOBILIJIN inegrion i +ore gro'p I>. ORANIJATION-B#ILDIN Orgni4ing Brrio He +o**iees Seing 'p +o**'ni/ orgni4ion >. CONSOLATION 3 E@!ANSION !HASE Neor;ing, in;ges I*pe*enion o$ i&eioo% proe+s %e&eoping se+on%r/ e%ers

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ALTERNATI&E ALTERNATI&E THERAPIES HER/AL ME'ICINES 9: "e#,! me0iine$ ,ein% 0+ote0 ,y t"e 'OH L LAGUN'I • U ULASIMANG /ATO • / /AWANG • / /AYA/AS • YER/A /UENA • Y • • • • •

S A N T A

SAM/ONG AMPALAYA NIYOG-NIYOGAN TSAANG GU/AT A7APUL7O

9. LAGUN'I o S S"IN DISEASES H HEADACHE o o A ASTHMA, CO#H, FE>ER R RHE#MATISM, S!RAIN, INSECT BITES o E ECJEMA o D DYSENTERY o ;. UL ULAS ASIM IMAN ANG G /ATO /ATO o # #ri+ +i% e?+reion ;. /AWANG o BHT: Bng $or HY!ERTENSION 3 TOOTHACHE <. /AYA/AS o DIARRHEA o

W ASHIN ASHIN OF 2O#NDS

o GARLE TO RELIE>E TOOTHACHE =. YE YER/ R/A A /UE UEN NA S S2OLLEN #MS o o ! !AIN I INSECT BITES o o T TOOTHACHE TOOTHACHE o M MENSTR#AL 3 AS !AIN o A ARTHRITIS o N NA#SEA 3 FAINTIN o D DIARRHEA >. SAM/ SAM/ON ONG G (A(A-''-A) A) o A ANTI-EDEMA o D DI#RETIC o A ANTI-#ROLITHIASIS ?. AMP AMPALAY LAYA Mi% Di0ees Mei's (NIDDM) o @. NIYU NIYUGG-NI NIY YOGAN OGAN o Ani-e*ii+: ASCARIASIS . TSAA TSAANG NG-G -GU/ U/A AT o STOMACHACHE


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TSAAG G!"AT DIARRHEA B. A7APUL7O o Ani-$'ng o o

INER ALE: si*'n INS INSEN EN: s*i *in n< i**'n *'ne 0oos oser< er< Toni oni+ E#CALY!T#S: E#CALY!T#S: ni-in1**ion< ni-in1** ion< se* inion LEMON RASS: se%i&e: +ne Remin0e#$ (/ONUS)  "oiing: re*o&e +o&er  #ne ;in% o$ pn $or e+ /pe o$ s?  o inse+i+i% inse+i+i%es es  !se +/ po n% pn pr %&o+e%  Sop in +se o$ 'nor% re+ions< see; +ons'ion i$ ss? no reie&e% $er 6-7 %oses

ACUPRESSURE KI !rin+ipe: r%iion Cinese *e%i+ine  'pon 0ir i$e energ/ eners e 0o%/ HEALTH: HEALTH: se o$ 0n+e o$ e YIN n% YAN YAN YIN: +o%, /ie%ing, /ie%ing, $e*inine, $e*inine, negi&e negi&e $or+e YAN: YAN: r*, r*, %o*ining *s+'ine posii&e posii&e $or+e $or+e !os're: L/ing %on< siing-'p Fre'en+/: #s'/ on+e  %/< or e&er/ $o'r o'rs 6-7?  ee; $or ose i +roni+ iness CONTRAINDICATIONS: !regnn+/ o F' so*+ o Cr%i+ i*ens o FOODS TO A>OID (%'ring re*en) o C +o%i+e% 0e&erges $oo% A +ooi+ 0e 0e&erges o ! pen's o S so'r $oo% o S se$oo% o o S s/ $oo% AHSHI POINTS !in$' spos no%es ;en s A+'press're poins TSUN MEASUREMENT MEASUREMENT 'se o$ e piens n%s=ngersp*s ACUPUNCTURE OAL: Mnip'ion o$ energ/ 1o ro'go' e 0o%/ $ooing  oro'g ssess*en 0/  pr+iioner HS#EH !OINTS:

Ano*i+ poins 0eing si*'e%

INDICATIONS: MOTION 0i$,i!itie$ ACUTE6CHRONIC PAIN • •

PRECAUTIONS PREGNANCY HEMOPHILIA ACUTE C&' • • • •

AROMATHERAPY USE OF ESSENTIAL OILS OF PLANTS TO TREAT SYMPTOMS Bse% on o$+or/ si*'i 'se% o ep 0n+e e DOSHAS DOSHAS: Me%iors 0eeen e p/sioogi+ 3 ps/+oogi+ pro+esses IN'ICATIONS INSOMNIA STRESSRELA@ATION IND#CE SLEE! • • •

REPU/LIC ACT NO. =;<


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6

T.A.M.A. OF 9BB@ (TRADITIONAL AND ALTERNATI>E MEDICINE ACT) C#ete0 PITAHC ((P-i*. P-i*. In#$i$u$e ! Tra/i$ina* 0 A*$erna$i+e Hea*$- Care ) $ienti #e$e#" D 0e+e!o*ment o t#0ition! D !te#nti+e "e!t" #e $y$tem t"t "+e im*t on *u,!i "e!t" #e.

'OH PROGRAMS MONTHLY MONTHLY HEALTH ACTI&ITIES ACTI&ITI ES  AN#ARY AN#ARY:

Cn+er Cons+io'sness 2ee;  FEBR#ARY:

Den He 2ee; Lepros/ Conro ee;  MARCH: 2o*ens He Mon B'rn In'r/ !re&enion Mon R0ies Areness Mon 2or% TB D/ (68)  A!RIL: rnis%ong !*0 2or% He D/ ()  MAY: Nion F*i/ !nning Mon Cer&i+ Cn+er Areness Mon S$e Moeroo% 2ee; (5G-5)  #NE: "i%ne/ Mon No s*o;ing *on Deng'e Areness Mon !rose Cn+er Areness Mon 2or% En&iron*en D/ (9)  #LY #LY: N'riion Mon Nion >o'nr/ Boo% Donion Mon Nion Disser !repre%ness Mon  A##ST: Nion L'ng Mon Sig-S&ing Mon F*i/ !nning D/ (5) Hospi s Ceners o$ 2eness 2ee; As* 2ee;  SE!TEMBER: Li&er Cn+er Areness Mon eneri+s Areness Mon  OCTOBER: E%er/ Fiipino 2ee; Nion Men He 2ee; Nion Ne0orn S+reening  NO>EMBER S'0sn+e A0'se !re&enion 2ee;  DECEMBER O!LAN I2AS !A!#TO" 2or% AIDS D/ (5) HEALTH ACTI&ITIES 5. F*i/ pnning Repro%'+i&e He 6. N'riion 7. 2o*ens He n% S$e Moeroo% 8. A%oes+en A%oes+en He 9. Bres$ee%ing: Mi; Co%e . Den He . Inegre% Mnge*en o$ Ci%oo% Inesses (IMCI) . Ne0orn s+reening . CDD: Conro o$ Dirre Diseses 5G. He !rogr*s $or O%er !erson 55. En&iron*en e 56. O++'pion He: In%'sri H/giene 57. Cr%io&s+'r Disese, >is' He


ra gapuz 58. 59. 5. 5. 5.

7

Cn+er, As*, CO!D Di0ees, Oseo, Arriis, M's+'os;ee Co**'ni/ Bse Re0iiion R0ies !iippine Regisr/ $or Dis0e% !ersons

REPRO'UCTI&E HEALTH  E?er+ise o$ repro%'+i&e rig i #e$*on$i,i!ity  >ISION Re*#o0uti+e "e!t" *#tie $  5y o !ie o# e+e#y mn D 5omn t"#ou%"out !ie OALS  7Es E&er/ pregnn+/ so'% 0e inen%e%  E&er/ 0ir so'% 0e e/  E&er/ se? + so'% 0e $ree o$ +oer+ion 3 in$e+ion  A - A+ie&e  %esire% $*i/ si4e FRAME2OR"  INTERNATIONAL Fo+'s on 2OMENS HEALTH #i*e o: K#ALITY OF LIFE  LOCAL Bo Men n% 2o*en< 0se% on is ee*ens Com ponents o $% $% Components 5. MATERNAL 3 CHILD HEALTH 6. FAMILY AMILY !LANNIN !LANNIN  7. !RE>ENTION 3 CONTROL OF RTI INCL#DIN STDsHI>AIDS 8. ADOLESCENT SE@#AL 3 RE!ROD#CTI>E HEALTH 9. !RE>ENTION OF ABORTION 3 MT OF ITS COM!LICATIONS . MENS RE!ROD#CTI>E HEALTH . !RE>ENTION OF RE!ROD#CTI>E TRACT CANCER 3 OTHER YNECOLOICAL !ROBLEMS . CO#NSELIN 3 ED#CATION FOR H#MAN SE@#ALITY . INFERTILITY MANAEMENT 5G. >IOLENCE AAINST 2OMEN (>A2) FAMILY PLANNING ouple&s belies' health and  !nning inen%e% o %eer*ine e n'*0er o$ +i%ren 0se% on  ccouple&s economic circumstances circumstances  !roper sp+ing o$ +i%

 i&ing 0ir  e rig ge n%  e rig i*e I*porn+e o$ F!  For e e o$ e *oer For e o$ e ne 0orne  For e e o$ e enire pro&i%ing  E?e+'i&e Or%er 5: +ree% e !F!! (!iippine F*i/ !nning !rogr*) AT!$A( )*  CER>ICAL M#C#S METHOD BILLINS O>#LATION o Sensions 3 *'+'s  BASAL BODY TEM!ERAT#RE TEM!ERAT#RE LACTATIONAL AMENORRHEA METHOD   SYMTO-THERMAL METHOD M;es 'se o$ e o*ns BBT, +er&i+ *'+'s  e &'& 3 oer signs o A%&nges o$ n'r F!  N no p/si+ si%e ee+s  E ee+ is re&ersi0e

 E en0es o*n o ;no *ore 0o' er 0o%/  C +n e% o er/ %ignosis o$ so*e g/ne+oogi+ %isor%er A$T+)+C+A( A$T+)+C+A( )*


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8

TEM!ORARY TEM!ORARY  ORAL CONTRACEPTI&ES CONTRACEPTI&ES +o*pose% o$ s/nei+ CONTRACEPTI&ES s/nei+ or*ones or*ones i+ i+ en en ;en ;en reg'r/, pre&ens pre&ens pregnn+/  IU' -- s* psi+ serie serie %e&i+e %e&i+e   is is inro%'+ion inro%'+ion ino ino e e'er's 'er's o opre&en pre&enpregnn+/. pregnn+/. pregnn+/.  'e*o-Me0#o3y*#o% 'e*o-Me0#o3y*#o%e$te#one e$te#one Aette ('MPA) ('MPA) ee+i&e ee+i&e $or 7 *ons *ons  Con%o*  Diprg* !ERMANENT  T'0 T'0 igion igion 0o+;ing o$ $opin '0es o pre&en sper* 3 egg  >se+o*/ /ing 3 +'ing o$ &s %e$eren+e

STATISTICS 5G e%ing e%ing +'ses: MORBIDITY 5. Dirre 6. Bron+iisBron+ioiis 7. !ne'*onis 8. In1'en4 9. H/perension . !TB . Diseses o$ e Her . Mri . Meses 5G. Ci+;enpo? 5G e%ing e%ing +'ses: MORTALITY 5. Diseses o$ e Her 6. Diseses o$ e &s+'r s/se* 7. !ne'*oni 8. Mignn neops* 9. A++i%ens . TB,  $or*s . CO!D . Di0ees Mei's Mei's . Oer %iseses o$ e respiror/ s/se* 5G. "i%ne/ Fi're MORTALITY * ong I**'ni40e MORTALITY *ong *ong I**'ni40e Diseses 5. Meses 6. Ten's Ten's 7. TB o$ *eninges *eninges 8. Diperi 9. Oer TB . A+'e poio*/eiis

MATERNAL MORTALITY: *in +'se 5. Nor* %ei&er/ n% oer +o*pi+ions r pregnn+/ o++'rring in e +o'rse o$ 0or, %ei&er/ n% pe'rperi'* 6. !IH H/perension H/perension 7. !ospr'* e*orrge 8. !regnn+/ i 0ori&e o'+o*e 9. He*orrge r pregnn+/

 !NE#MONIA: op e%ing +'se o$ +i% *ori/ E@!ECTANCY:  LIFE E@!ECTANCY: Me: .7 /o Fe*e: 6.5 /o STOP T/ T/ '.O.T.S. A !ri*er $or He 2or;ers

• Mos +o**on sign o$ TB: Co'g sing $or 6 ee;s • Bigges re o e+ono*i+ %e&eop*en in e !iippines. • 5 !re&en+e S'r&e/: *ore n 5 *iion Fiipinos Fiipinos re in$e+e% i TB n% GG, GGG TB +ses +ses re re +i&e/ spre%ing e %isese.


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9

ELEMENTS

•

Mi+ros+opes

•

Ani-TB %r'gs

•

He Cre !ro&i%ers Tre*en !rners

•

Reporing Boo;s

•

F'n%ing 3 S'ppor

u!ity $e#+ie t"#ou%" 'OTS

• S

- S+reening< s'per&ise sp''* +oe+ion

• E

- E?*inion o$ sp''* spe+i*ens

• R

- Re+or%ing, Reporing< Re$err

• >

- >er0i4e i !?  e e&e o$ is 'n%ersn%ing

• I

- Insr'+ e !? 3 T? prner on e i*porn+e o$ +o*pin+e

• C

- Co'nseing on Co*pin+e

• E

- Enigen +o**'ni/ 3 go& on DOTS

W"t 'OTS n 0o

• C're TB piens: +'re re 9 • !re&ens ne in$e+ions. (e&er/ TB +se i in$e+ 5G oers iin  /er) • !re&ens Resisn+e o ni-TB %r'gs • No ospii4ion re'ire% • S&es *one/ (2HO: e *os +os ee+i&e o$  e iner&enions) T" T, $egimen $egimen te%o#y

I

II

III

In0ition

Ne +ses () sp''*< Serio's/ i

Repses Fi'res

Ne +ses sp''* (-) 7?< !TB *ini*
Inten$i+e

RI!E 6 *os

RI!ES (6*os) RI!E (5 *o.)

RI! 6 *os

Minte-nne

RI 8 *os

RIE 9 *os

RI 6 *os

'u#tion

 *ons

 *ons

8 *ons

R,ie$ P.R.O. Pinoy Pinoy Re$*on$i,!e O5ne# o 'o% DOH pri*er

•

79G-8GG Fiipinos %ie o$ r0ies e&er/ /er.

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2HAT TO DO IF BITTEN BY A DO –

2s o'n% i**e%ie/ i sop 3 er.

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Cons'  e or;er  e neres e +ener.

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O0ser&e e %og $or 58 %/s $or n/ +nge in 0e&ior.

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I$ e %og +nno 0e o0ser&e% (sr/) or i$ s'spe+e% o 0e r0i%, +ons' /o'r p/si+in i**e%ie/ $or i**'ni4ion.

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I$ %og sos ss? o$ r0ies, i 's'/ %ies iin 7- %/s.

Pinoy Re$*on$i,!e Pet O5ne# P.R.O.

• H&e /o'r pe i**'ni4e% gins r0ies  7 *ons o% 3 e&er/ /er ere$er


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Cu##ent WHO Gui0e o# R,ie$ P#e D Po$t E3*o$u#e T3

• ener +onsi%erions in !os-e?pos're T?: – 2HO %&o+es e 'se o$ *o%ern &++ines $or !ET – A0n%on e pro%'+ion o$ BRAIN-TISS#E >ACCINES – I**e%ie sing1'sing 3 %isin$e+ion o$ e o'n% – Disin$e+ing i ETHANOL (GG*) or Io%ine in+'re – Rpi% %*inisrion o$ p'ri=e% Ig

TREATMENT TREATMENT MODALITIES MODALITIES CATEGORY

I

II Minor s+r+es 0rsions io' 0ee%ing i+;s on 0ro;en s;in

III Sin%!e6 mu!ti*!e t#n$0e#m! ,ite$2 $#t"e$2 ontmintion o muou$ mem,#ne 5it" $!i+

INDICATION

To'+ing, $ee%ing ni*s, i+; in+ s;in

N#RSIN INTER>ENTION

No e?p e?pos' os're re<< no T? T? #se &++i &++ine ne on one e #se Ig  &++i &++ine ne

A0mini$t#tion o RIG

• In=re ino e %ep o$ e o'n% 3 ro'n% e o'n% – An/ re*ining *o'n, %*iniser IM o %is pr (e.g. nerior ig)

• K'niies&o. O$ RI – 6G I#;g $or H'*n RI – 8G I#;g $or E'ine RI – I$ e ++'e% %ose is ins'P+ien o in=re  o'n%s, serie sine */ 0e 'se% o %i'e i 6 o 7 $o% o per*i oro'g in=rion.

Po$t e3*o$u#e T3 IM

• T2O IM s+e%'e s+e%'e $or *o%ern *o%ern &++ine &++ine • >++ine so'%n 0e ine+e% ino e g'e region • CLASSICAL 9 DOSE IM (QEssen regi*en) 5 %ose: 6 Deoi% %ose: %/s G, 7, , , 58 3 3 6 nero-er ig: +i%ren Po$t e3*o$u#e T3 IM

• ALTERNATI>E: ALTERNATI>E: e 6-5-5 regi*en 6 %oses: %/ G %eoi%, %eoi%, R 3 L 5 %ose : %eoi% on %/  5 %ose : on %/ 65 Po$t e3*o$u#e T3 Int#0e#m!

• E+ono*i+: 'se 5 * s/ringe 3 sor /po%er*i+ nee%es • 7 &++ines: – HDC> (H'*n Dipoi% Ce >++ine) RABI>AC – !>R> (!'ri=e% >ero+e >++ine) >ERORAB, IMO>A@, R0ies &ero – !CEC> (!'ri=e% Ci+; E*0r/o Ce >++ine) RABI!#R


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•  SITE ID METHOD: -G-8-G-5-5 $or 'se i HDC (R0i&+)< !CEC> (R0ip'r) – 2en no RI is &i0e in e*ergen+/ – For 'se: R0i&+ 3 R0ip'r R 0ip'r G.5* per ID sie R0ip'r

• 6 SITE ID: 6-6-6-G-5-5 $or 'se i: – !>R> (>eror0, (>eror0, I*o&?, R0ies >ero, TRC TRC &eror0) G.5* – !CEC> (R0ip'r) G.6*

ID *ini*'* &'e o$ 6.9I#*p'e

Cont#o! o Aute Re$*i#to#y Inetion (CARI) OBECTI>E: To 0e#e$e *neumoni mo#t!ity mon% un0e# +e$ '/// children die every year because o pneumonia STRATEGIES (TENA)

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Trining Trining o$ or;ers or;ers i e sn%r% sn%r% *nge*en *nge*en o$ ARI ARI

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En0e BH2 o i%eni$/ 3 re$er +ses $or re*en

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NO *o0ii4ion

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A%&o++/ n% So+i Mo0ii4ion

Contributory ), to *neumonia

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Moers $i're o re+ogni4e er/ ss?

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In%is+ri*ine 'se o$ ni0ioi+s

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No sn%r%i4e% *nge*en 0/ e or;ers

IMCI

Inte%#te0 Mn%ement o C"i!0"oo0 I!!ne$$

ASSESS D CLASSIFY THE SIC7 CHIL' AGE ; MONTHS UP TO > YEARS Chec0 or G11$A( DAG1$ S+GS

• &omit$ e+e#yt"in% • Con+u!$ion6$eiu#e • 'iu!ty 0#inin%6,#e$tee0in% • '#o5$ine$$6!et"#%y60i '#o5$ine$$6!et"#%y60iu!t u!t to 5en Assess CO#H DIFFIC#LTY DIFFIC#LTY BREATHIN BREATHIN

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Co'g %iP+'/ 0reing: HO2 LON

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Fs 0reing 0rei ng

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Ces In%ring

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Sri%or in +* +i%

COLOR SYSTEM PIN7 ROW $e+e#e !$$ition nee0$ imme0ite ttention n0 #ee##!


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An/ gener %nger SE>ERE !NE#MONIA or sign >ERY SE>ERE DISEASE

i&e =rs %ose o$ pproprie ni0ioi+s

Ces in%ring

i&e >i. A

Sri%or in +* +i%

Tre Tre e +i% +i% o pre&en pre&en o 0oo% s'gr Re$er #RENTLY o ospi

YELLOW ROW ROW nee0$ **#o*#it **#o*#ite e nti,ioti6 ot"e# t#etment FAST BREATHIN !NE#MONIA i&e n pproprie ni0ioi+ $or 9 %/s Sooe e ro 3 reie&e e +o'g i s$e re*e%/ A%&ise *oer en o re'rn i**e%ie/ Foo-'p in o %/s

GREEN ROW no nee0 o# $*ei me0i! t#etment $u" $ nti,ioti$ NO signs NO !NE#MONIA I$ +o'ging *ore n 7G %/s, O$ pne'*oni or &er/ re$er $or ssess*en se&ere %isese CO#H COLD Sooe e ro 3 reie&e e +o'g i s$e re*e%/ A%&ise *oer en o re'rn i**e%ie/ Foo-'p in 9 %/s i$ no i*pro&ing

!OSITI>E FAST BREATHIN  :-; mo$ ?:,*m >:,*m  ;mo$ J 9 y#  9->y6o =:,*m Age LESS THAN 6 MONTHS >ERY SE>ERE DISEASE o o SE>ERE !NE#MONIA NO !NE#MONIA CO#HCOLD o (1SS T%A 2 3#S4 # *1!3#+A 3AAG131T

• "eep 2ARM • Bres$ee% $re'en/ • Clear nose i it intereres 5ith eeding • Re'rn 'i+;/ i$: – Breing 0e+o*es FAST 3 DIFFIC#LT – Fee%ing 0e+o*es  pro0e* – Be+o*es SIC"ER 2 3#S- 61A$S4 *1!3#+A 3AAG131T o Ani0ioi+s $or FI>E DAYS o Moers o% o 0ring 0+; e +i% $er 6 %/s $or ressess*en erier i$ +on%iion orsens Home #e o C#T$+3#7A8#(1 BID $or FI>E DAYS


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*$#CA+1 *1+C+((+ OD $or FI>E DAYS DAYS (IM) 6 MOS (9;g) 6GG, GGG 'nis 6-56 MOS (-;g) 8GG, GGG 'nis 56 MOS- 9 YRS GG, GGG 'nis (5G-5 ;g)

C.'.'.

CONTROL OF 'IARRHEAL 'ISEASES

TY!ES OF DIARRHEA DIA RRHEA DIARRHEA AC#TE :  58DAYS o !ERSISTENT: 58 DAYS or *ore o DYSENTERY: Boo% in e soo< i or io' *'+'s o CLASSIFY DEHYDRATION

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SE&ERE 'EHY'RATION To To o$ e : A0nor*/ seep/ S'n;en e/es Drin;s poor/ S;in pin+ goes &er/ so/ T? !LAN C: Re$err Re$err o ospi ospi $or I>FUUU

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SOME 'EHY'RATION To To o$ e : Resess, irri0e S'n;en e/es THIRSTY: THIRSTY: %rin;s eger/ eger/ S;in pin+ goes 0+; T? !LAN B O.R.S: =rs 8o'rs $er ssess*en G-8*os 6GG-8GG* G-8*os 8-56*os 8GG-GG* 8-56*os 5-6 /rs GG-GG* 6-9/rs GG*-5L

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NO 'EHY'RATION Not enou%" $i%n$ to !$$iy $ome o# $e+e#e T? !LAN A i&e e?r 1'i%s 9G-5GG* $er e+ er/ soo (G-6/o) 5GG-6GG* (6 (6 /o 3 0o&e) s oere% (5G/o 3 0o&e) Conin'e $ee%ing Re'rn i$ i %nger signs

LEPROSY CONTROL PROGRAM % 9+(AT+S 9+(AT+S 9!T+S *$#G$A3& *$#G$A3 & MOT *#o!on%e0 $in-to-$in 0#o*!et !re&.Conro 3 Re0: 5. BC 6. A&oi% MOT 7. H/giene 8. A%e'e n'riion 9. He e%'+ion SCHISTOSOMIASIS CONTROL PROGRAM En0emi #e o Bi+o o S*r o Le/e o D&o PRE&ENTION

• !roper e?+re %ispos • Toie Toie $+iiies $+iiies • #se o$ $oore proe+ion • Mo'+i%es • En&iron*en sniion


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Dr'g o$ +oi+e: !RAJIK#ANTEL

MALARIA CONTROL PROGRAM NATIONAL SIT#ATION An &erge o$ 7 Fiipinos %ie %i/ %'e o *ri %espie go&ern*ens inensi=e% eors o +onro e o++'rren+e o$ e i*en. THREE +'ses o$ o$ Mri re*en re*en $i're $i're in e !iippin !iippines es o Dr'g resisn+e o Non-+o*pin+e Non-+o*pin+e o$ piens o De=+ien %r'g 0sorpion Oer resons: o Se$-*e%i+ion o Resoring o er0 re*e%ies o See;ing ep en e %isese is re%/ se&ere MOSTLY MOSTLY AFFECTED: MALE YO#N AD#LTS AD#LTS MOST >#LNERABLE RO#!S: !RENANT CHILDREN C#RRENT INITIATI>ES o0 $'n%ing o In$e+io's %isese +onro n% s'r&ein+e o !RORAM THR#ST T HR#ST:: >ISION:

– M!#i-#ee P"i!i**ine$ ,y t"e ye# ;:;:. MISSION: – To To e*poer e e e or;ers, or;ers, e pop'ion pop'ion r ris;, ris;, n%  +on+erne% +on+erne% o ei*ine ei*ine *ri *ri in e !iippines. OAL:

– Mri is ei*ine% s  p'0i+ e pro0e* in  en%e*i+ pro&in+es. STRATEGIES !ro&ision o$ er/ %ignosis n% pro*p re*en o !nning n% i*pe*enion o$ see+i&e 3 s'sin0e pre&eni&e *es'res o o Er/ %ee+ion, +onin*en, pre&enion o$ *ri epi%e*i+s MAOR CHALLENES

 I*pro&ing e *ngeri n% e+ni+ +p+iies o$ e MC!  2or;ing 0e/on% e e se+or o re+ o' o re*oe +o**'niies  E*poering e +o**'niies  ris;, in+'%ing e in%igeno's peope o 0e+o*e +i&e prners n% no 's pssi&e re+ipiens o$ e ser&i+es

 Dee+ing n% e?pn%ing er/ o +onro o'0re;s n% pre&ening is o++'rren+e  Co*0ing %r'g resisn+e MANAEMENT (*os'io-0orne) (*os 'io-0orne) (*os'io-0orne) A. PRE"ENTION !rop/+i+ %r'gs (e.g. Coro'ine, Me1o'ine) » CLEAN progr* o$ e DOH »

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C - +e*i+/ ree% *os'io nes

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L - r&e-eing =s

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E - En&iron*en sniion

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A - Ani-*os'io sops

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N - Nee* ree 1. CONTROL

- $'*igion

HI&6AI'S PRE&ENTION PROGRAM !RE>ENTION (-MASS) o M- *onog*/ *onog*/ o A &oi% pro*is+'o's +i&i/ o S- serii4ion serii4ion o S- s+reening o$ 0oo% %onors 8Cs o o

COM!LIANCE CO#NSELIN  ED#CATION


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CONTACT TRACIN CONDOMS N'rses Roe 5. !RE>ENTION 6. Cse =n%ing 7. S'ppori&e Cre o o

F#NCTIONS OF THE COMM#NITY HEALTH N#RSE IN COMM#NICABLE DISEASE CONTROL !RORAM o o o o o o

Assiss $*i/ in re+ogni4ing 3 so&ing e pro0e*s !ro&i%es n'rsing +re S'per&ision in re+ogni4ing nee% o *e%i+ +re re*en Re$err I.E.C. Co0ores ser&i+es

E3*n0e0 E3*n0e0 P#o%#m on Immunition O/KECTI&E mo#,i0ity D mo#t!ity *ong mo#t!ity *ong #e+en +i%oo% To To #e0ue t"e mo#,i0ity *ong in$ns n% +i%ren +'se% 0/ e #e+en +i%oo% +i%oo% i**'ni40e %iseses ELEMENTS (TICAS) o TARET TARET SETTIN SETTIN o I.E.C. o Co% +in ogisi+s *g o Assess*en 3 e&'ion o$ o&er per$or*n+e S'r&ein+e, s'%ies 3 reser+ o !RINCI!LES o Bse% on E!IDEMIOLOICAL SIT#ATION o Mss ppro+ o I**'ni4ion I**'ni4ion is  0si+ e e ser&i+e ser&i+e (i inegre% ino e e e s/se*) (i is inegre% !D  P#o+i0in% o# om*u!$o#y ,$i ,$i immunition o# innt$ D "i!0#en ,e!o5  y6o4 !resi%eni !ro+*ion No. Im*!ementin%  Unite0 Ntion$ %o! on Uni+e#$! C"i!0 Immunition R.A. 8 An t #e1ui#in% om*u!$o#y immunition %in$t He* / o# innt$ D "i!0#en ,e!o5 y6o4 LIGTAS TIGDAS 2334 LIGTAS TIGDAS Trge: Trge:  *os -  /o A s 0e &++ine% Min om*onent PMEC o !MEC- !i. Meses Ei*inion C*pign o In+'%es +o in'ing ro'ine &++inion o$ in$ns V  *ons o% $er LITAS TIDAS 6GG8 o M/ 0e repee% e&er/ 8 or 9 /ers o BA"#NADOORS: &++inion e* COMMON UESTIONS 3y child has been vaccinated against measles. +s she e,empted:  Ans: NO. is i in+rese er proe+ion $ro* *eses 3y child had measles previously. +s she e,empted:  Ans: NO. ere re *n/ *eses i;e %isese. Tis onW r*  +s there any overdose: Ans. NONE. Ani0o%ies in e 0oo% i+ pro&i%e proe+ion gins e %isese %e+rese s e +i% gros o%er  What 5ill happen to my child ater receiving the measles measles immuni;ation: immuni;ation: immuni;ation: Ans: NOTHIN, so*e %e&eop SLIHT FE>ER (5-6%/s) i&e !r+e*o  8 o'rs in+rese 1'i%s< res, seep T"e ROOMING-IN D /REASTFEE'ING ACT o 9BB; $A <=// A'&ANTAGES o ,#e$tee0in% o In$n-*ern 0on%ing o Firs pre&eni&e e *es're o e +i%  0ir


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e+ono*i+ o APPLICA/ILITY NSD: roo* in e  iin 7G *in: 2e in$ns regr%ess o$ AO o o 2i o 0ir eig 0' +n s'+; Cesren 2iin 7 o 8 o'rs $er 0ir o NSD o'si%e e insi'ions o I**e%ie/ on %*ission EEMPTIONS mot"e#$ 5"o #e Serio's/ i o T;ing T;ing *e%i+ions *e%i+ions +onrin%i+e% +onrin%i+e% o 0res$ee%ing 0res$ee%ing o >ioen ps/+oi+s o Oer +on%iions s %eer*ine% 0/ e %o+or o Com*!ite0 ,i#t"$ o Si+; 00/*oer or 0o o Bres$ee% =rs i: o EBM: e?presse% 0res *i; o 2e-n'rsing SIC7 INFANTS INFANTS Bres*i;, espe+i/ +oosr'*: gi&en s oere% Ne0orn: No pre+e $ee%s: Serie er '+ose er Mi; $or*' Ae*t,!e me0i! on0ition o# $u**!ement! ee0in% o

o

Spe+i *i; $or*': in0orn errors o$ *e0ois* +ose*i< pen/;eon'ri Conin'e 0res$ee%ing $or *i% o *o%ere *oers iness: Mri STD Di0ees CHD TB (-) sp''*

Te  DO NOT per*i roo*ing-in roo*ing-in 3 0res$ee%ing 0res$ee%ing  Serio's/ i (e+*psi, CHD +ss I>, se&ere in$e+ion)  T;ing T;ing *e%s *e%s +onrin%i+e% +onrin%i+e% o n'rsing n'rsing (e.g. ni+n+er) ni+n+er)  Bro*o+ripine  Ci*ei%ine  Cor*peni+o  Cori+oseroi%s: De?*esone  H/pnoi+s 3 se%i&es (Di4ep*)  Lii'* Tio'r+i  Tio'r+i  Reserpine  Se? or*ones: Esr%io, Si0esro

 Fres re$rigere% 'nserii4e% *i; +n 0e 'se% iin 68 o'rs  I$ o 0e $ro4en: GGF (-5GC) re$rigeror $ree4er: +n 0e ;ep $or  *on MIL7 CO'E EO >9 NOT !ERMITTED: #SE o$ pro$ession ser&i+es $or e+ing prenss in pro*oing 0rn%e% *i; pro%'+s Common ,#e$tee0in% *#o,!em  Bres engorge*en  Sore nippes

 Msiis ------Conin'e 0res $ee%ingUUU GMA >: DOH 'n%er;ing 'n%er;ing o ee+ e e SONA pe%ge pe%ge o$ !MA P#im#y %o! Ens're   A Aor%0e  S S$e  H Hig 'i/


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E

Ee+i&e Dr'gs 3 *e%s re /s &i0e, espe+i/ o e poor.

Sm*!e om*#ti+e *#ie  As*: SALB#TAMOL (>enoin >enorin) 5GG*+g %ose ? 6GG %oses !ri+e in pri&e o'es: ! 68.9 !ri+e in DOH ospi: !5.G !ri+e %ieren+e: .59 'oto#$ to t"e /##io$ P#o%#m P#o %#m DB 'oto#$ to t"e /##io$ P#o%  Depo/*en o$ %o+ors s R'r He !/si+ins o %o+oress *'ni+ipiies O/KECTI&ES  Ens're 'i/ e +re ser&i+es (%epresse%, *rgini4e%, 'n%erser&e% res) Ee+ +nges in e ppro+ o He Cre Dei&er/ 0/ e s;eo%ers in He  SENTRONG SIGLA M O&EMENT O&EMENT SSM OAL I*pro&e*en o$ e K'i/ o$ Ser&i+es pro&i%e% 0/ HEALTH CENTERS ro'g ++re%iion o$ e +eners  re 0e o pro&i%e ser&i+es ++or%ing o sn%r%s se 0/ e DOH AIM To To pro*oe &i0ii/ &i0ii/ o$ o$ 'i/ ser&i+es ser&i+es in e e +eners n% n% ospis ospis n% o *;e *;e ese ser&i+es ser&i+es ++essi0e o e&er/ Fiipino Min +o*ponen +o*ponen CERTIFICATION RECOGNITION PROGRAM 'e+e!o*$ n0 *#omote$ $tn0#0$ o# "e!t" i!itie$ FOUR PILLARS (-GAH) 5. K#ALITY ASS#RANCE !ILLAR 6. RANTS 3 TECHNICAL ASSISTANCE 7. HEALTH !ROMOTION 8. A2ARDS Stn0#0 !i$t e+!ution o o N'riion s'ppe*ens o En&iron*en e 3 sniion o F! o E!I o Disese S'r&ein+e CARI o o CDD Conro o$ STD o Cn+er Conro o

'ENTAL HEALTH PROGRAM &ISION A i$ei*e o$ or e n% no oo %e+/ $or e ne? generion. ENERAL OBECTI>E TO !RE>ENT 3 CONTROL CONTROL DENTAL DENTAL DISEASES AND AND CONDITIONS. CONDITIONS. STRATEIES SOCIAL MOBILIJATION Coor%inion 3 prnersip i se+or gro'ps Neor;ing Cp0ii/ 0'i%ing 3 or; &'e $or*ion Monioring $ee%0+; Operion reser+ s'%ies DIRECT SER>ICES Den He !ro*oion 3 A%&o++/ Den !re&eni&e !rog Den C'ri&e !rog Or Re0iiion S#!!ORT SER>ICES Den He !nning Trining Trining !rogr* !rogr* Den Reser+ !rog Monioring 3 E&'ion %San5 Mi*yn5 Si6i*y& !roe+ $or SOCIAL MOBILIJATION S soi+i ONE MILLION oo0r'ses $ro* +on+erne% +ii4ens ro'g %rop0o?es %rop0o?es RECI!IENTS: s+oo +i%ren in *rgini4e% *rgini4e% 3 %epresse% res AIM


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To To e*psi4e e i*porn+e i*porn+e o$ or or e in reion o o 0o%/ e e ---o in+rese p'0i+ reness on e pre&enion o$ +o**on %en %iseses.

NUTRITIONAL GUI'ELINES FOR FILIPINOS N#TRITION OAL Im*#o+ement o t"e nut#ition! $ttu$2 *#o0uti+ity D 1u!ity o !ie o t"e *o*u!tion2 t"#ou%" 0o*tion o 0e$i#,!e 0iet#y *#tie$ n0 "e!t"y !ie$ty!e #IDELINES 5. E &rie/ &rie/ o$ $oo% e&er/%/ 6. Bres$ee% in$ns e?+'si&e/ $ro* 0ir o 8- *os 7. Minin +i%rens nor* gro 8. Cons'*e =s, en*e, po'r/ or %ire% 0ens 9. E *ore &ege0es, $r'is 3 roo+rops . E $oo%s +oo;e% in e%i0e +oo;ing oi %i/ . Cons'*e *i;, *i; pro%'+s oer ++i'*-ri+ $oo%s . #se Io%i4e% ss 0' &oi% e?+essi&e in;e o$ s/ $oo% . E +en 3 s$e $oo% 5G. HEALTHY LIFESTYLE 3 OOD N#TRITION: . E?er+ise reg'r/ 0. No s*o;ing +. A&oi% +ooi+ 0e&erges N#TRIENTS C"emi! $u,$tne$ *#e$ent in t"e oo0 t"t ee* t"e ,o0y "e!t"y2 $u**!y mte#i!$ o# %#o5t" D #e*i# o ti$$ue$2 n0 *#o+i0e ene#%y #o 5o# D *"y$i! ti+itie$ >ITAMIN A o Nor* &ision o S;in e Bone 3 oo gro o !re&ens @ERO!HTHALMIA o THIAMINE o Reese o$ energ/ $ro* n'riens o Ner&e $'n+ioning !re&ens BERI-BERI o RIBOFLA>IN o S;in e o !re&ens +r+;ing 3 re%ness o$ *o' +orners o !re&ens DERMATITIS NIACIN o S'ppors s;in, ner&o's 3 %igesi&e s/se* o !re&ens pegr BIOTIN ENERY 3 AMINO ACIDS METABOLISM o S/nesis o$ FAT FAT g/+ogen o !ANTHOTHENIC ACID ENERY METABOLISM o FOLIC ACID o For*ion o$ DNA o For*ion o$ ne 0oo% +es (RBC) o !re&ens ne*i >i*in B56 o For*ion o$ ne +es o Minin ner&es +es o Me0ois* o$ $/ 3 *ino +i%s >ITAMIN C For*ion o$ proein, +ogen, 0one, ee +rige, s;in 3 s;in iss'e o o F+iies 0sorpion o$ IRON o In+reses resisn+e o in$e+ion o !re&ens SC#R>Y >ITAMIN D Mineri4ion o$ 0ones 0/ enn+ing ++i'* 0sorpion o >ITAMIN E Srong ANTI-O@IDANT o o !re&ens rerios+erosis For nor* i**'ne $'n+ion o >ITAMIN " o S/nesis o$ 0oo% +oing proein n%  0one proein  reg'es 0oo% ++i'* e&e MACRON#TRIENTS

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CHON 9:-9> &ITAMIN A SUPPLEMENTS 9;-< MOS POST PARTUM

SCHE'ULE

?-99MOS

i&e 5 %ose

5GG GGG I#

6GG GGG I#

6GG GGG I# iin 5 *on

i&e $er  *os Esp i$ ig ris; +on%iion presen

5GG GGG I#

6GG GGG I#

A$er %ei&er/ o$ e+ +i% on/

SCHE'ULE

&ITAMIN A 'EFICIENCY ?-99MOS 9;-< MOS

i&e o%/

5GG GGG I#

6GG GGG I#

i&e o*orro

5GG GGG I#

6GG GGG I#

i&e $er 6 ee;s

5GG GGG I#

6GG GGG I# IRON SUPPLEMENTS 'OSAGE

IRON REUIREMENTS   56 MOS

G. *g %i/

Ci%ren 56-9 *os

5 *g %i/

T3 o# i#on 0eieny Ci%ren G-9 *ons

7- *g;g 0o%/ eig %i/ IO'INE SUPPLEMENTATION

CHIL'REN :->B mont"$ IO'INE CAPSULE (;::m%) POTASSIUM POTASSIUM IO'ATE in oi! o#!!y one  ye# FLUORI'E (TOOTH 'ECAY) F!uo#i0e $o!ution **!ition o o

)#!$ applications ( ( ee; pr)

o o

7, , 5G n% 57 /o

LIGTAS /UNTIS ;::> CAMPAIGN GOAL To To in+rese e e &isi0ii/ &isi0ii/ o$ F! s n esseni esseni p'0i+ p'0i+ e ser&i+e, ser&i+e, n% o %r*i+/ %r*i+/ i*pro&e i*pro&e e e ++ess o$ *en, o*en n +o'pes o F! 3 s$e *oeroo% ser&i+es. !OINTERS 5. Ass'rn+e o$ o*ens s$e/ 6. A%&o+es o ssis Fiipino +o'pes o s'++ess$'/ pn eir $*iies 7. S pro&i%e pproprie ser&i+es 0se% on e +iens +oi+e o$ e $+iiies Se $or Fe0r'r/ o Mr+ 6GG9  Brings Pr*ion on o*ens +o-e' i*porn+e in nion 0'i%ing  !riorii4ing n% s'pporing e e*n+ipion o$ Fiipino o*ens ris;s (oo *n/, oo $re'en 3 'ns$e pregnn+/) "e/ s'++ess $e'res

o oo% +*pign pn 3 gen%er-+''re sensii&e IEC o Reisi+ rge +o&erge o A&i0ii/ &i0ii/ o$ %e'e ogisi+s 3 e e ser&i+es ser&i+es o Co*peen e +re pro&i%ers o Ee+i&e s'per&ision EN&IRONMENTAL SANITATION S'%/ o$  $+ors in *ns p/si+ en&iron*en, i+ */ e?er+ise  %eeerio's ee+ on is e e-0eing 3 s'r&i&. Fto#$ in!u0e0


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2 A  E R F I N I S H

20 2er sniion Air po'ion r0ge %ispos E?+re %ispos R%ioogi+ proe+ion Foo% sniion Insi'ion sniion Noise Inse+ro%en +o +onro Sre* po'ion Ho'sing

EN>IRONMENTAL HEAL HE ALTH TH SER>ICE  !ro*oion o$ e/ en&iron*en +on%iions  !re&enion o$ en&iron*en ree% %iseses  Tro'g Tro'g pproprie pproprie sniion sniion sregies sregies HEALTH D SANITATION Rne0 FIRST in FIRST in in t"e !e0in% !e0in% u$e$ u$e$ o o mo#,i0ity mon% t"e %ene#! *o*u!tion *o*u!tion PRESI'ENTIAL PROCLAMATION PROCLAMATION >?  >? SANITATION CODE OF THE !HILI!!INES

o o o o o

WATER WATER SUPPLY SUPPLY SANITA S ANITATION TION PROGRAM Appro&e% oie $+iiies A++ess o s$e 3 po0e H6O 2er 'i/ 3 *onioring s'r&ein+e 2eror;sers/se* #nppro&e% oie $+iiies

APPRO"ED APPRO"ED TYPES OF H23 SUPPLY LE&EL 9 POINT SOURCE

 !roe+e% e spring 5ith an outlet 

2io' %isri0'ion s/se* 59-69 o'seo%s 69G *eers: $res 'ser  8G-58G iers LE&EL II Commun! Fuet Sy$tem6 Stn0-*o$t Co*posiion 9. Sou# Sou#e e #e$ #e$e# e#+o +oi# i# ;. Pi*e0 Pi*e0 0i$t#i 0i$t#i,ut ,ution ion net5o# net5o#  <. Comm Commun un! ! u uet et 69* /: $res 8G-G iers+pi%/ A&e: 5GG o'seo%s 8- o'seo%s$'+e For r'r res i +'sere% o'ses LE&EL III Wte#5o#$ Sy$tem6 In0i+i0u! Hou$e Connetion$ Co*posiion 9. Sou# Sou#e e #e$ #e$e# e#+o +oi# i# ;. Pi*e0 Pi*e0 0i$t#i 0i$t#i,ut ,ution ion net5o# net5o#  <. Hou$ Hou$e" e"o! o!0 0 t*$ t*$ Re'ires *ini*'* ? %isin$e+ion For %ense/ pop'e% 'r0n res  

WATER PURIFICATION  FILTRATION se%i*ens  CHLORINATION ;is *i+roorgnis* $ori=+ion  FL#ORIDATION  BOILIN  9-5G *in'es $ro* 0oiing poin '#inin% 5te# $"ou!0 ,e #e*!e0 e+e#y ;= "ou#$ !A**$#>1D T6*1S #) %2/ S!**(6 'ou,tu! $ou#e$ !ie O!EN D# 2ELL o #NIM!RO>ED S!RIN o 2ELLS  nee% pri*ing o T"e ommunity mu$t e3e#t eo#t to on+e#t to **#o+e0 ty*e o 5te# $u**!y i!ity WATER QUALITY MONITORING SUR"EILLANCE 'ISINFECTION OF WATER SUPPLY Ne/ +onsr'+e% Repire%i*pro&e% er $+ii/ 2er so'r+es () 0+erioogi+/ Coniner %isin$e+ion o$ %rin;ing er +oe+e% $ro*:


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21 #pen dug 5ell !nimproved springs Surace 5ater

WATERWOR7S6WATER SYSTEM o 2ELL SITES: ppro& o Co*p/ o snir/ re'ire*ens o S'pp/ o$ s$e 3 po0e H6G o A%e'e press're 3 &o'*e in e er s/se* %isri0'ion ine PROPER ECRETA D SEWAGE 'ISPOSAL PROGRAM APPRO"ED APPRO"ED TYPES, TOILET FACILITIES FACILITIES LE&EL 9 Non-er +rrige oie $+ii/  !i rines  Ree% o%oress er +ose Toies Toies re'iring re'iring s* *o'n o$ H6G  !o'r 1's  A' pri&ies LE&EL II  2er-see%  F's /pe  Sepi+ &' n; %ispos $+iiies LE&EL III o 2er-+rrige /pe Sepi+ n;s o Seerge s/se* o re*en pns o o

 

FOO' SANITATION PROGRAM Inspe+ionppro& o$ $oo% so'r+es, +oniners, rnspor &ei+es Snir/ per*i He Ceri=+e $or $oo% n%ers Bnning o$ $oo% 'n= $or '*n +ons'*pion Ho'seo% sniion



HOSPITAL WASTE MGT PROG !repre 3 i*pe*en Hospi 2se Mg !rog. (H2M)

  

 #se o$ pproprie e+noog/ 3 in%igeno's *eris  Trining o$ personne personne  A%*in: !#BLIC INFO. CAM!AIN METHO' OF 'ISPOSAL  D#M!IN  B#RIAL  B#RNIN  INCINERATOR

THE A/CQS OF TRANSCULTURAL NURSING TRANSCULTURAL NURSING Re$ers o e s'%/ n% pr+i+e in n'rsing i+ is $o+'se% 'pon %ieren+es n% si*iriies *ong +''res i respe+ o '*n +re, e n% iness 0se% 'pon e peopes +''r &'es, 0eie$s n% pr+i+es n% o 'se is ;noe%ge ;noe%ge o pro&i%e +''r/ +''r/ spe+i=+ spe+i=+ or +''r/ +''r / +ongr'en n'rsing n'rsing +''r/ +re. GOAL To To pro&i%e +''r +''r/ / spe+i=+ +re. +re. +''r/ CULTURE Re$ers o nor*s n% pr+i+es o$  pri+'r gro'p  re erne% n% sre% n% g'i%e in;ing, %e+isions n% +ions. CULTURAL &ALUES Re$ers o e in%i&i%'s %esir0e or pre$erre% / o$ +ing or ;noing so*eing  is s'sine% o&er  perio% o$ i*e n% i+ go&erns +ions or %e+isions. C''r/ %i&erse n'rsing +re Re$ers e$ers o e &ri0i &ri0ii/ i/ o$ n'rsing n'rsing ppro+es ppro+es nee%e% nee%e% o pro&i% pro&i%e e +''r +''r/ / ppropr pproprie ie +re +re  in+orpores n in%i&i%'s +''r &'es, 0eie$s n% pr+i+es in+'%ing sensii&i/ o e en&iron*en $ro* i+ e in%i&i%' +o*es n% o i+ e in%i&i%' 'i*e/ re'rn. (Leininger, 59) ETHNOCENTRISM Te per+epion per+epion  ones ones on / is 0es en &ieing &ieing e or%. or%.


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RACE Re$ers o %ising'ising p/si+ $e'res s'+ s s;in +oor, 0one sr'+'re n% 0oo% gro'p. ETHNOGRAPHY ETHNOGRAPHY T"e $tu0y o o u!tu#e

WHO IS THE FILIPINO A++or%ing o: To*s An%res e Fiipino isX X Te i*pon%er0e i*pon%er0e 'ni/ 'ni/ n% 'ni'eness 'ni'eness o$ %i&erse %i &erse r+es, ri+ness ri+ness n% n% i%ios/n+rsies. i%ios/n+rsies. %i&erse X Te *on'*en o$ e M/s, e Spnir%s, Spnir%s, e A*eri+ns, A*eri+ns, e pnese, e Cinese, e Hin%'s, Hin%'s, e D'+ n% e Engis*n,  'nie% ino one. F - i$'< Fies oriene% I - *ii&e L - o&ing n% en%er (**0ing) I - ngeni's ngeni's ! - in I - n%e'e n% e'e n%e 'e iniii&e iniii&e iniii&e N - o %is+ipine %is+ipine O - riene% o: "prn,

;0''n, ;p/pn

2HOLISTIC, NON -D#ALISTIC AND S#BECTI>E

C#LT#RAL C#LT#RAL COM!ETENCE COM!E TENCE C''r +o*peen+e, +o*peen+e, ere$ore is o0ining +''r +''r in$or*ion n% en pp/ing  ;noe%ge. ;noe%ge. Tis o'% re'ire e n'rse o &e : 5. 6. 7.

AN #NDERSTANDIN OF O2N 2ORLD >IE2 FLE@IBILITY AND RES!ECT FOR OTHERS >IE2 !OINT A "NO2LEDE "NO2 LEDE OF C#LT#RALLY C#LT#RALLY INFL#ENCED HEALTH BEHA>IORS

E@AM!LES OF A!!LICATIONS OF TRANSC#LT#RAL N#RSIN CONCE!TS A  %*inisrion o$ *e%i+ions *'s ;e ino +onsi%erion so*e o$ e piens 0eie$s n% pr+i+es. E?*pes: •

Coi+s 's'/ i $s on As 2e%nes%/ n% oo% Fri%/ e?+ep $or si+; piens

•

M'si*s i $s %'ring R*%n

eo&s inesses-*e%i+ inesses-*e%i+ions ions re ++ep0e ++ep0e o e e e?en ne+essr/ ne+essr/    B  e $*iir i so*e %iseses i+ re +o**on in  spe+i=+ r+e. E?*pes:  A$ri+ns - si+;e +e ne*i, /perension  Asins  oseoporosis  B+;s  +er&i+ +n+er ($e*e) prose +n+er (*e)  eis  0res +n+er  2ies  esi+'r +n+er C - o**'ni+e proper/ n% 0e $*iir i +o**on +o**'ni+ion pr+i+es +ross +''res. E?*pes:  Asins  rre/ +o**'ni+e eir nee% $or ngesi+s sin+e e/ ere 'g se$ resrin.  Hispni+ o*en - %is+'ssions perining o e repro%'+i&e repro%'+i&e orgns i *e rei&es or e +re pro&i%ers re +onsi%ere% i*poie  M'si* o*en  pre$er o ; o $e*e %o+ors on *ers ree% o repro%'+i&e pro0e*s D - ier/ *o%i=+ions *'s 0e +onsi%ere% en pnning n'rsing +reU E?*pes:    

Cinese  +o% %essers (QYIN) re ser&e% $er s'rger/ E'ropens  *in *e is ser&e% 0/ *i%%/ n% is 's'/ $ooe% 0/ +oee eis  "oser %ie ( no *e n% %ir/ pro%'+s  e s*e i*e) M'si*  H %ie (no por;) HIS!ANICS


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!resen oriene% so+ie/ Mos re Coi+s Bo%/ p'*pness is i%e Dei&er/ o$  00/ is  o*ns o0 MIDDLE EASTERN COMM#NITY - E?pe+ o re+ei&e re*en s soon s possi0e - Mori/ re M'si*s - E*psis on person /giene n%  e/ %ie - !iens re o% on/ e OOD nes 0o' eir %isese - M/0e e*0rrsse% 0/ 'esions 0o' eir se?' +on+erns. - D'ring R*%n, *n/ piens resis ;ing *e%i+ions or eing %'ring %/i*e. BLAC" AMERICAN COMM#NITY - o% is &iee% s e so'r+e o$ 0o goo% e n% serio's iness

ASIANS - A e/ 0o%/ is  se o$

0n+e

5.Re+ogni4ing +ini+ %ieren+es *ong peope o$ %ieren eni+ n% r+i gro'ps. gro'ps. 6. Co**'ni+ion 7. Ei+s 8. Tr's ?ld/


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