Thursday, September 15, 2016

How is Zika, Chikungunya & Dengue Infection Prevented?

DOH: Poor Philippine Provinces Prone to Disasters | DOH: Critical Inteventions with Great Improvements in Health Outcomes | Secretary Janette P. Loreto-Garin

Search and Destroy


  • Cover the drums, pails, and other waste containers at all times
  • Clean and replace the water in flower vases once a week
  • Cover the holes around the house with soil and sand
  • Remove or pierce old tires that are being used as roof support, also those tires placed around the house that might hold water
  • Flip-over empty bottles, jars, tin cans and other items that can collect and hold water
  • Clean and remove water on dish racks and other household items that can hold water


Self-protection Measures


  • Use mosquito repellants to avoid mosquito bites
  • Use mosquito nets when sleeping at daytime
  • Wear long sleeves or clothes that will protect your skin from mosquito bites

Poor Philippine Provinces Prone to Disasters | DOH

Critical Interventions with Great Improvements in Health Outcomes | Secretary Janette P. Loreto-Garin | DOH: Attaining the MDGs through Hi-5

Rio Magpantay MD named three categories to identify what provinces should be prioritized to know what should be the focused critical interventions:

Category 1: Provinces with High Poverty Magnitude


  • Provinces where opportunities for growth may be present but the poor are unable to participate in the growth process; the list shows provinces with the biggest number of poor families:

Region 1: Pangasinan
Region 4A: Quezon
Region 5: Camarines Sur
Region 6: Negros Occidental
Region 6: Iloilo
Region 7: Cebu
Region 8: Leyte
Region 9: Zamboanga Del Sur
Region 11: Davao Del Sur
ARMM: Sulu

Critical Interventions with Great Improvements in Health Outcomes | DOH

Secretary Janette P. Loreto-Garin MD | DOH: Attaining the MDGs through Hi-5 | UHC Hi-5 DOH: Strategies and Activities

The Department of Health (DOH) has translated the Aquino Health Agenda into Universal Health Care (UHC) or Kalusugang Pangkalahatan (KP) through the High Impact Five (Hi-5) Plan.

Hi-5 responds and focuses on five critical UHC interventions such as maternal care, infant care, under five children, HIV/ AIDS and establishing service delivery network that have high impact on health, prioritizing the poor, providing tangible outputs with synchronized nationwide implementation of activities.

"Infants and under-five children are the concerns in MDG 4 wherein the DOH and local government units need to implement more unified and intensified strategies in addressing child health concerns para mapababa ang mortality rate at maiwasan ang common diseases," declared Dr. Rio Mapantay, formerly Director of the Health Promotion & Communication Services and currently Director of DOH-Region 4A, when asked about Hi-5.

Hi-5 aims to produce the greatest improvements in health outcomes and the highest impact on the priority and vulnerable populations, which focus on five critical Universal Health Care interventions.

Promoting facility-based delivery and regular prenatal check-ups among pregnant women are critical interventions and the basic solutions in reducing the maternal mortality, according to health authorities.

Friday, September 9, 2016

Secretary Janette P. Loreto-Garin MD

DOH: Attaining the MDGs through Hi-5 | UHC Hi-5 DOH: Strategies and Activities | DOH Programs: What is Hi-5?

Original Article Title

Hi-5 Perspectives: A daughter, a mother, and a leader


She is one of the defenders of women and children's rights and welfare.

  • She is one of those who push for more improvement in the country's implementation of laws in support of these rights.


Her academic foundation prepared her to thread the path of public health service through legislative reforms.

  • She graduated cum laude with a degree of Bachelor of Science in Medical Technology at the Divine Word University in Tacloban City.
  • She became an academic scholar and a consistent topnotcher of the Dean's List of the St. Luke's College of Medicine and a Silver Medalist in Master of Business Administration in Health at the Ateneo Graduate School of Business.


She was elected Representative of the 1st District of Iloilo to the House of Representatives in 2004.

  • In her first term as a legislator, she was elected as the first Filipino board member of the Parliamentary Network on the World Bank (PNoWB).
  • In her second term, she served as the Deputy Majority Leader of the House of Representatives and was also then the Senior Vice-Chair of the Committee on Population and Family Affairs, as well as the Committee on Health.
  • As a legislator, she steadfastly advocated on various health and women's issues.


These experiences led her to recognize the situation of women, children, and elderly and the less privileged in our society, and to commit herself to use the political power conferred by the people to push for health measures that would help Filipinos enjoy a better quality of life.

Her performance in Congress facilitated recognition from various government sectors and NGOs where she became a most sought after speaker, resource person, debater, and lecturer, both in the Philippines and abroad.

  • She then became a Board Member of the Philippine Legislators on Community and Population Development and became a regular presenter to the Asian Forum of Parliamentarians on Population and Development.
  • Further exposure in the International Community prompted her to be chosen by Women Deliver, a New York-based organization, as one of the Top 100 Inspiring People of the World, together with several prominent world leaders.


Recently, she was appointed Secretary of the Department of Health after a previous appointment as Acting Secretary and before that as Undersecretary for the Women, Children, and Family Health Cluster of the Department.

  • Her shift from the legislative to the executive branch of government equips her with experience, wit and tested dedication to make a difference.


But even as she served as a counselor and a defender of women's and children's rights in congress and as a Secretary of Health, she is above all a daughter and a mother.

When asked who her women role models are, she replied, "Lahat tayo may role model, at ang sa akin, ang nanay ko na si Asuncion Petilla Loreto at ang mother-in-law ko na si Mayor Nimfa Serag Garin. Silang dalawa ang aking naging inspirasyon. Makikipaglaban talaga sila kapag alam nilang hindi na tama o ilegal. Kung ano ako ngayon ay reflection kung ano sila. I am continuously persevering to do my best in whatever undertakings because I want them to always be proud of me."

She disclosed that her young daughter is one of the main reasons why she pushed for the RH bill that is now already a law known as Republic Act 10354 - The Responsible Parenthood and Reproductive Health Act of 2012.

"Ang gusto ko para sa anak ko at sa kanyang henerasyon, at sa mga susunod pa na henerasyon na makaranas sila ng mataas na kalidad ng pamumuhay sa pamamagitan ng pagkakaroon ng kumpleto at maayos na pamilya. Naniniwala ako na isa sa mga susi upang makamit ito sa pamamagitan ng RA 10354 dahil ang probisyon nito ay direktang magtataguyod sa samahan ng pamilya, hindi lamang physically kundi pati na rin psychologically at financially. At kung titingnan natin ito in a bigger picture, ang batas na ito ay may magandang epekto sa buong bansa na magbibigay ng malaking oportunidad para sa pag-unlad. Sa lahat ng batas na pinangungunahan ng inyong lingkod, gusto ko na ang RH law ang aking maging legacy sa aking anak at sa kanyang henerasyon."

As RA 10354 now includes responsible parenthood, she has also an advice for the parents since the widespread presence of globalization and the internet is now in its peak.

  • "Mas mahirap para sa panahon ngayon na magpalaki ng bata at ihulma para maging mas mabuting tao. Una, ang mga bata nagayon ay napakalaki at npakadali ng access sa mga impormasyon. Ang padidisiplina sa kanila ay mas kailangan pa ng creativity o extra effort kumpara sa panahon namin noon. Dapat ding maging responsable ang mga magulang sa pagkokontrol sa kanilang mga anak na maaring magdulot ng pagkamulat nila sa karahasan na posibleng makasira ng mabuting pag-uugali."


As Secretary of Health, she walks the talk.

  • She provided for the full funding for family planning commodities, as support to the RH law, including capacity building, and training of health care providers to enable them to offer a wide range of choices to couples who want to plan their family size.


To ensure the health of children and the elderly, she made certain that the immunization services for preventable diseases among these age groups will be given free to the poor such as vaccines for flu, pneumonia, the human papilloma virus, and inactivated polio vaccine in addition to the routine vaccine given to infants.

While the world is celebrating the approval of the first Dengue vaccine, she made sure that the Philippines is the first country to vaccinate its children against dengue, a major feat in the medical world.

  • It is a giant step to have this kind of intervention as it will have a big impact in the prevention and reduction of the high prevalence of dengue cases in the country.


And as the steady progress of globalization, industrialization, and fast-paced lifestyle contribute to the prevalence of non-communicable diseases, she initiated the national registration and monitoring of patients with hypertension and diabetes through provision of maintenance medicines to improve compliance and health outcomes.

  • Hypertension and Diabetes Clubs were established wherein the registry of diagnosed patients was developed for regular updating at health centers.
  • A monthly supply of hypertension and diabetes drugs such as amlodipine, losartan, metoprolol and metformin are also given to members.


She is one of the legislators who pushed for the passage of the Sin Tax Law that promotes health by discouraging vices and at the same time, collects more revenues for health care services.

  • Also, her term saw the implementation of the Graphic Health Warning Law that requires graphic images of ill health effects placed prominently in the cigarette packs.


Her pre-emptive stance against the Ebola Virus and MERS-CoV also stirred different government agencies to prevent the entry of the said threatening and emerging diseases.

With less than two years in her tenure as secretary of health, she has accomplished a lot of things and leaves a lasting legacy.

A woman with astounding wit, exquisite charisma and indulgent hand...she is Health Secretary Janette P. Loreto Garin.

Reference

Health Beat Special Edition: Official Publication of the Department of Health. Philippines. 2015

Attaining the MDGs through Hi-5 | DOH

UHC Hi-5 DOH: Strategies and Activities | DOH Programs: What is Hi-5? | Guidelines Applicable to PMA-Sponsored CME

Millenium Development Goals

The Philippines is one of the 189 United Nations (UN) member-countries that adopted the Millenium Declaration in 2000, which embodies eight Millenium Development Goals (or MDGs) with specific and interrelated goals which set to

  • eradicate extreme poverty and hunger, 
  • achieve unviersal primary education, 
  • promote gender equality and empower women, 
  • reduce child mortality, 
  • improve maternal health, 
  • combat HIV/AIDS, 
  • malaria and other diseases, 
  • ensure environmental sustainability 
  • and develop a global partnership for development


Universal Health Care or Kalusugang Pangkalahatan High Impact Five

The Department of Health (DOH) through its Universal Health Care (UHC) or Kalusugang Pangkalahatan (KP) High Impact Five (Hi-5) strategy that aims to intensify regional operations, converge in priority poverty programs/ areas and to implement model plans on key high impact interventions in order to bridge the gap and reduce barriers to access health care, reduce social exclusion and work towards universal coverage of delivering health services to Filipinos.

  • It is one of the lead agencies appointed to meet these set of goals, giving emphasis on the health related ones.
  • Moreover, MDGs significantly represent global partnership between the poor and the support of the developed countries.


Strategy

In order to attain these goals, DOH launched its Hi-5 last June 2015 that focuses on Maternal Health Care, Infant Care, Child Care, HIV/AIDS, and Service Delivery Network which specifically target different MDGs, specifically the MDGs 4,5, and 6.

  • This strategy aims to produce the greatest improvement in health outcomes especially in 43 priority provinces, within 15 months, with harmonized nationwide implementation of activities.
  • These were developed through the collaborative efforts of the Regional Directors with technical inputs from DOH Central Office program managers and other stakeholders and experts.


Results of the MDG

Apparently from the day it was incepted, significant improvements were made focusing on achieving its health-related MDGs.

  • The Philippines was able to achieve its MDG 4 by reducing infant and under-five mortality rates by two-thirds, between 1990 and 2015, according to the latest data from the 1990 Technical Working Group on Maternal and Child Mortality, Philippine Statistics Authority-National Statistical Coordination Board; National Demographic and Health Survey (NDHS) (1993, 1998, 2003, 2008); NSO Family Planning Survey 2006. 
  • The Family Health Survey 2011 reveal that the number of infant and under-five deaths continued to decrease from 2006 to 2011.
  • In 2006, the number of infant deaths was at 24 per 1,000 live births and under-five deaths at 32 per 1,000 live births.
  • In 2011, deaths decreased to 22 and 30 per 1,000 live births, respectively.


Maternal Mortality Ratio

However, meeting MDG 5, that is reducing the maternal mortality ratio (MMR) by three quarters, between 1990 and 2015, is highly improbable.

  • Achieving it will require stronger political will focusing on women and children's rights and needs and more collaborative efforts between different key players and stakeholders.
  • Based on the data given by either the National Statistics OFfice surveys or Field Health Services Information System on MMR, there is no progress in recent years.
  • Even though it is unlikely for a pregnant woman to die in a birthing facility, only 55 percent are delivered in facilities.
  • Furthermore, there is also a rising trend in teenage pregnancy, although there is reduction in total fertility rate for the past years.


Malaria

Subsequently, MDG 6 showed progress in reversing the incidence of malaria.

  • According to data from the Philippines Fifth Progress Report-Millenium Development Goals by the National Economic and Development Authority and United Nations Development Programme published in 2014, twenty-seven provinces have been declared as malaria free in 2012 from only 13 provinces in 2004.


Tuberculosis

In the same way, prevalence and mortality rates associated with tuberculosis (TB) have reduced considerably.

  • Though it still remains as one of the leading causes of sickness and deaths in our country, significant developments have been materialized in increasing case detection and treatment process.
  • According to a 2007 study, the Philippines achieved a TB case detection rate of 75 percent, exceeding the WHO target of 70 percent and making TB services readily available and accessible in remote and poor communities through the Directly Observed Therapy Short Course or DOTS.
  • It's a simple way to monitor or directly observe patients take their anti-TB medicines daily by a relative or a health worker.
  • The Philippines' DOTS treatment success is at around 88 percent, which is higher than the WHO target of 85 percent.


HIV/AIDS

On the other hand, according to the Philippine HIV and AIDS registry of the National Epidemiology Center, the number of new HIV cases has been increasing and is rapidly changing, citing that the cases doubled from 2011 compared with 2013, and cases from 2,349 to 4,814 respectively.

  • Furthermore, low testing rate amonf the country's key populations is one of the key factors of the mentioned rising trend.


With the increasing number of HIV/AIDS cases, more efforts must be done in halting this global burden.
  • Many factors should be addressed such as reducing the stigma of HIV/AIDS patients, and increasing the public's awareness of the disease and giving emphasis on screening and treatment process which are free and confidential.
  • Some infected patients who refuse to seek medical intervention pose danger to people whom they get in sexual contact with.
  • So far despite not achieving all target goals, our country has been consistent in its progressive trajectory towards attaining these MDGs.
  • Researchers noted that there are still more rooms for improvement, what we need is a stronger more collaboration from all sectors, at the national and local levels, and strategic partnership with international organizations


End of MDG

As the end of MDGs came to end its term last 2015, it paved the way for more ambitious goals, giving birth to 17 Sustainable Development Goals or SDGs with 169 targets.

  • These goals bring the momentum generated by the MDGs to address the root causes of poverty and the universal need for development that works for all people.


Reference

Health Beat Special Edition: Official Publication of the Department of Health. Philippines. 2015