DOH Programs

• What does RMNCAHN stand for in DOH Programs?


  Reproductive, Maternal, Newborn, Child, and Adolescent Health and Nutrition
• What is the purpose of the National Objectives of Health (NOH) 2023-2028?


  To enable individuals to be healthy
• What document guides the National Objectives of Health?


  AO 2002-0038
• What are the key components of the DOH Maternal Childbirth Programs?


  • Illegal to give birth at home
  • C-section and OB Care (CemONC and BEmONC)
  • Safe Motherhood Program
  • Service Delivery Network
  • Stop maternal mortality due to birth
• What do CemONC and BEmONC stand for?


  Comprehensive Emergency Obstetric and Newborn Care, Basic Emergency Obstetric and Newborn Care
• What is the goal of the Safe Motherhood Program?


  To stop maternal mortality due to childbirth
• What is the purpose of Newborn Screening?


  To identify disorders that can lead to mental retardation or death
• What is included in the PhilHealth newborn care package?


  Routine newborn care, BCG, and Vitamin K injection
• What law guides the Newborn Screening program?

  RA 92888
• When was the IRR for RA 92888 signed?


  October 5, 2004
• Who can perform sample collection for Newborn Screening?


  Trained physicians, medical technologists, nurses, and midwives
• Why is monitoring and follow-up important in Newborn Screening?


  To ensure timely treatment of confirmed disorders
• What disorders are screened in Newborn Screening?

  • Congenital Adrenal Hyperplasia (CAH)
  • Congenital Hypothyroidism (CH)
  • Phenylketonuria (PKU)
  • Galactosemia (Gal)
  • G6PD Deficiency
  • Maple Syrup Urine Disease (MSUD)
  • Expanded Newborn Screening includes:
  • Organic Acid Disorders
  • Fatty Acid Disorders
  • Hemoglobinopathies
  • Amino Acid Disorders
• What is the significance of early treatment for disorders identified in Newborn Screening?


  Many disorders are reversible if treated on time
• What can happen if a newborn is not screened?


  Severe mental retardation or even death
• When should Newborn Screening be performed?


  Immediately after 24 hours of birth
• What is the price for Newborn Screening?


  P1750
• What is the preferred method for collecting Newborn Screening samples?


  Heel prick method
• How many blood disks are needed for Basic Newborn Screening?


  1. 10 disks
• How many blood disks are needed for Expanded Newborn Screening?


  10-12 disks
• How should samples for Newborn Screening be dried?


  Horizontally on a drying rack at room temperature for at least 4 hours
• What are the key laws related to breastfeeding in the Philippines?

  • RA 7600: Rooming-in and Breastfeeding Act
  • RA 10028: Expanded Breastfeeding Promotion Act of 2009
  • EO 51: National Code of Marketing of Breastmilk Substitutes
• What is the purpose of the National Program of Immunization?


  • To provide mandatory immunization for infants and children
  • To cover vaccine-preventable diseases
  • To ensure health and safety of children
• What is the old law related to immunization?

  PD 996
• What is the Mandatory Infants and Children Health Immunization Act of 2011?


  RA 10152
• What does AO 2021-0045 provide guidelines for?


  Conduct of catch-up routine immunization for children
• What are the vaccine-preventable diseases covered by the National Program of Immunization?

  • Tuberculosis (TB)
  • Diphtheria, Tetanus, Pertussis
  • Poliomyelitis
  • Measles
  • Mumps
  • Rubella
  • Hepatitis B
  • HIB
• What is the purpose of the Immunization Card?


  To track immunizations received by a child
• What are adverse reactions to immunization?


  Any untoward effect occurring after immunization
• What is a permanent contraindication to vaccination?


  Severe allergic reaction to a vaccine component
• What are temporary contraindications to vaccination?


  Pregnancy and immunosuppression
• What is the significance of the first 1000 days for mother and child?


  • Optimal nutrition and care are crucial
  • Pregnancy lasts 270 days
  • First year lasts 365 days
  • Second year lasts 365 days
• What is the purpose of micronutrient supplementation?


  • To combat major micronutrient deficiencies
  • Includes Vitamin A, Iron, and Iodine
• What is the role of Vitamin A?


  Maintaining normal vision and integrity of epithelial tissues
• What can happen with Vitamin A toxicity?


  It can accumulate due to being fat-soluble
• What are the symptoms of Vitamin A deficiency?


  Night blindness, conjunctival xerosis, Bitot's spots, corneal xerosis, keratomalacia
• What is the dosage of Vitamin A for infants aged 6 months to 1 year?


  100,000 IU
• What is the dosage of Vitamin A for children aged 12 to 59 months?


  200,000 IU
• What is the focus of the Adolescent Health Program?


  • Overlap with reproductive health program
  • Addresses issues related to teenage pregnancy
• What is the significance of the first 1000 days in child development?


  It is crucial for optimal nutrition and care