Family Health:

FAMILY-BASED SERVICE
 FAMILY HEALTH
Family is defined as the basic unit of the
community. All members of the family or are
empowered to maintain their health status.
They must be free from disease or infirmity
with no disabilities. In public health
perspective, the health of the family is
considered as whole and not individually.
The Family Health Office is tasked to
operationalized health programs/services
geared towards the health of the family.
 Aims of Family-Based Services
• Improve the survival, health and well-being of
mothers and the unborn through a package of
services for the pre-pregnancy, pre natal, natal
and post natal stages.
• Reduce morbidity and mortality rates for
children 0-9 years
• Reduce the mortality from the preventable
causes among adolescents and young people.
• Reduce morbidity and mortality among Filipino
adults and improve their quality of life.
• Reduce morbidity and mortality of older
persons and improve their quality of life.
 Family-Based Services:
Maternal Health Service
 Maternal Health Services
• Maternal health refers to the health of
women during pregnancy, childbirth and the
postpartum period. While motherhood is
often a positive and fulfilling experience, for
too many women it is associated with
suffering, ill-health and even death.
• The major direct causes of maternal
morbidity and mortality include
haemorrhage, infection, high blood
pressure, unsafe abortion, and obstructed
labour.
Strategic Thrust of Maternal Health Service
• Launch and implement the Basic Emergency
Obstetric Care strategy. BEmOC strategy
entails the establishment of facilities that
provide emergency obstetric care for every
125,000 population and which are located
strategically .
• Improve the quality of prenatal and postnatal
care.
• Reduce women’s exposure to health risks
through the institutionalized of responsible
parenthood and provision of approproate
health care package to all women of
reproductive age.
• LGUs, NGOs and other stakeholders must
advocate for health through resource
generation and allocation for health
services to be provided for the mother and
the unborn
 Maternal Health Service
• Antenatal Registration
• Tetanus Toxoid Immunization
• Micronutrient Supplementation
• Treatment of Diseases and Other Condition
• Clean and Safe Delivery
Family-Based Services:
Family Planning
 Family Planning Services
Family Planning allows individuals and
couples to anticipate and attain their desired
number of children and the spacing and
timing of their births. It is achieved through
use of contraceptive methods and the
treatment of involuntary infertility. A
woman’s ability to space and limit her
pregnancies has a direct impact on her health
and well-being as well as on the outcome of
each pregnancy.
 Aims and Goals of Family Planning
• To provide universal access to family
planning information and services wherever
and whenever these are needed
• Reduce infant deaths
• Reduce neonatal deaths
• Reduce under five deaths
• Reduce maternal deaths
 Objectives
• Addresses the need to help couples and
individuals achieve their desired family size
within the context of responsible
parenthood and improve their reproductive
health to attain sustainable development
• Ensures the FP services are available in DOH
retained hospitals, LGU managed health
facilities, NGOs, and private sectors
 Strategies
• Focus service delivery to the urban and rural
poor
• Reestablish the FP outreach program
• Strengthen FP provision in regions with high
unmet needs
• Promote frontline participation of hospitals
• Mainstreams modern natural family planning
• Promote and implement CSR strategy
 Family Planning Methods
% Effectiveness
Family Planning Method
Perfect Use Typical Use
•Female Sterilization 99.5% 99.5%
•Male Sterilization 99.9% 99.8%
•Pills 99.7% 92.0%
•Male Condom 98% 85%
•Injectibles 99.7% 97.0%
•Lactating Amenorrhea Method 99.5% 98%
•Mucus/Billings/Ovulation 97% 80%
•Basal Body Temperature 99% 80%
•Sympto-Thermal Method 90% 80%
•Standard Days Method 96.5% 86%
 Family-Based Services:
The Child Health Services
 Child Health Program
• Child health programs refers to services that took
care of the health of newborns, infants and children.
• Child health program have been created and
available in all health facilities
• Its main goal is to reduce morbidity and mortality
rates for children 0-9 years with the strategies
necessary for program implementation
Strategic Thrust of Child Health Program
• Develop local capacity to deliver the whole
range of essential health packages for
children
• Implement programs and projects that
favor disadvantaged populations.
• Apply the Reaching Every Barangay strategy
for immunization to reach every children.
• Intensify health education and information
campaigns at the ground level to increase
the proportion of the mothers practicing
behaviors that promote children’s health
• Enhance medical, nursing and midwifery
education with cost-effective life-saving
strategies.
• Pursue the implementation of laws and
policies for the protection of newborns,
infants and children.
 Family-Based Services:
Infant and Young Child Feeding
 Infant and young Child Feeding
• Breastfeeding is vital especially during the
first half-year life.
• It can prevent infant and childhood
morbidity and mortality.
• Timely, adequate, safe and proper
complementary feeding will prevent
childhood malnutrition.
 Objectives
• To improve health and nutrition status of
infants and young children
• 70% of newborns are initiated to
breastfeeding within one hour after birth.
• 60% of infants are exclusively breastfed up
to six months
• 90% of infants are started on
complementary feeding by 6months of age
• Median duration of breastfeeding is 18
months.
 Key Messages
• Initiate breastfeeding within 1 hour after
birth
• Only breast milk for the first 6months of life
(exclusive breastfeeding)
• Complemented at 6months with
appropriate foods, excluding milk
supplements.
• Extend breastfeeding up two years and
beyond.
 Benefits of Breastfeeding
• Provides a nutritional complete food for the
infant
• Strengthens the infants immune system,
preventing many infection.
• Safely rehydrates and provides essential
nutrients to a sick, especially to those
suffering from diarrheal diseases.
• Reduces the infants exposure to infection
• Increase IQ points
• Reduces woman’s risk of excessive blood
loss after birth
• Provides natural methods of delaying
pregnancies
• Reduces the risk of ovarian and breast
cancers and osteoporosis.
 Family-Based Services:
Expanded Program of Immunization
Expanded Program on Immunization
• Immunization is the process by which
vaccines are introduced into the body
before infection sets in.
• Vaccines are administered to induce
immunity thereby causing the recipient’s
immune system to react to the vaccine that
produce antibodies to fight infection
• Vaccines promote health and protect
children from disease-causing agents.
• Infants and newborns need to be vaccinated
at an early age since they belong to
vulnerable age group.
 Concept and Importance
• It is safe and immunologically effective to
administer all EPI vaccines on the same
at different site of the body.
• Measles vaccine should be given as soon
as the child is 9months old.
• Vaccination schedule should not be
restarted from the beginning even if the
interval between doses exceeded the
recommended interval.
• Moderate fever, malnutrition, mild
respiratory infection, D and V are not
contraindications
• DPT2 and DPT3 is contraindicated to child
who had convulsion or shock within
3days.
• Live vaccines (e.g., BCG) is contraindicated
to individuals who are
immunosuppressed.
• It is safe and effective with mild side effct
after vaccination.
• Use one syringe one needle per child
during vaccination.
 List of Vaccines
Vaccine Minimum age Number of Minimum interval
at 1st dose Doses between doses
Birth or
BCG anytime after 1
birth
DPT 6 weeks 3 4 weeks

OPV 6 weeks 3 4 weeks

At birth 6 weeks interval
from 1st dose;
Hepa B 3
8weeks interval
from 2 to 3 dose
nd rd

Measles 9 months
 Minimum % Duration of
Vaccine
age/interval Protection Protection
As early as
TT1 possible during
pregnancy
At least 4 weeks •Gives 3 years
TT2 later 80% of protection
to mother
At least 6 weeks •Gives 5 years
TT3 later 95% of protection
to mother
At least 1 year •Gives 10 years
TT4 later 99% of protection
to mother
At least 1 year •Gives lifetime
TT5 later 99% protection for
the mother
 Family-Based Services:
Management of Childhood Illnesses
Management of Childhood Illnesses

• Integrated Management of Childhood

Illnesses has been established to strengthen
the provision of comprehensive and
essential health package to the children.
Methods in Managing Childhood Illnesses
• Assess the patient – taking the history is
one way of getting information about the
disease condition.
• Classify the disease – a thorough
assessment supported with laboratory
results is necessary for clarification of
illness and confirmation of the disease.
• Treat the patient – treatment is a
curative method of treating disease.
• Counsel the patient – providing health
education to clients promotes health and
avoid risk of infection.
Family-Based Services:
Nutrition Program
 Nutrition Program
• Nutrition program is a service that provide
procedures that helps the family to get the
appropriate nutrition according to age.
• The goal of the nutrition program is to
improve quality of life of Filipinos through
better nutrition, improved health and
increased productivity.
 Strategies of Nutrition Program
• Food based interventions for sustained
improvements in nutritional status
• Life – cycle approach with strategic attention
to 0-3 years old children, adolescent females
and pregnant and lactating women
• Effective complementation of nutrition
intervention with other services
• Geographical focus to needier areas.
 Programs and Projects

• Micronutrient Supplementation
• Food Fortification
• Essential Maternal and Child Health
Service Package
• Nutrition information, communication
and education
• Home School and Community Food
Production
• Food Assistance
• Livelihood Assistance
 Family – Based Services:
Oral Health Program, Adolescent
Health Program, Adult Men and
Women, and The Older Person and
The Philippine Reproductive Health
 Other Family – Based Services
• Oral Health Program is made to reduce the
prevalence rate of dental carries and
periodontal disease.
• The Adult Men and Women, The Older
Person and Adolescent Health Program is
made to manage illness, counsel on
substance abuse, sexuality, and
reproductive tract infection, nutrition and
diet counselling, mental health, FP and
dental care.
• Phil. Reproductive Health is consist of the
following crucial elements:
• Family Planning
• Maternal and Child Health and Nutrition
• Prevention and Management of RTIs
including STIs and HIV/AIDS
• Adolescent Reproductive Health
• Prevention and Management of Abortion
and its Complication
• Prevention and Management of Breast and
Reproductive Tract CA and other
gynecological conditions
• Education and Counselling on Sexuality and
Sexual Health Mens Reproductive Health
and Involvement
• Violence Against Women and Children
• Prevention and Management of Infertility
and Sexual Dysfuction