CHP 1 Flashcards
These are the vulnerable age group for common childhood diseases.
- Newborns
- Infants
- Children
Risk of infections is higher when:
- Not screened for metabolic disorder
- Not exclusively breastfed
- Not given with vitamin-based supplementation
- Unvaccinated
- Not properly managed when sick
What type of HEALTH care should be given to children ages 0-1?
- Maternal Health Care
- Essential Newborn Care
- Immunization
What type of NUTRITION care should be given to children ages 0-1?
- Maternalnutrition
- Iron supplementation
- Vitamin A
- Early & exclusive breastfeeding
- Complementary feeding
What type of ENVIRONMENT care should be given to children ages 0-1?
- Water
- Sanitation
- Hygiene promotion
- Oral Health
- Child injury prevention
- Treated bednets
- Smoke-free homes
What type of HEALTH care should be given to children ages 1-5?
- Immunization
- Deworming
- IMCI
What type of NUTRITION care should be given to children ages 1-5?
- Breastfeeding
- Complementary feeding
- Vitamin A
- Iron supplementation
- Iodized salt at home
What type of ENVIRONMENT care should be given to children ages 1-5?
- Water
- Sanitation
- Hygiene promotion
- Oral Health
- Child injury prevention
- Treated bednets
- Smoke-free homes
This is known as Philippine National Strategic Framework for Plan Development of Children. It also states that health is a critical and fundamental element in a child’s welfare.
CHILDREN’S HEALTH 25 or CHILD 21
What is the purpose of Children’s Health 25 or CHILD 21?
Planning programs and interventions that promote and safeguard the rights of Filipino children in 2025.
What is the goal of Children’s Health 25 or CHILD 21?
To achieve good health for all Filipino children by the year 2025.
A _______ is:
- Wanted, planned, and conceived by healthy parents carried to term by healthy mothers.
- Screened for congenital defects shortly after birth.
- Exclusively breastfed for at least 6 months of age up to 2 years and complementary food at about 6 months.
- Provided with safe, clean, and hygienic surroundings and protected from accidents, offered to equal access to quality curative, preventive, promotive health care services and health education.
- Regularly monitored for proper growth and development.
- Provide with adequate psychosocial and mental stimulation screen for disabilities and developmental delays in early childhood.
- Protected from discrimination, exploitation, and abuse.
- Empowered and enable to make decision regarding healthy lifestyle and behaviors.
Healthy Filipino Child
What is the main goal of Child Health Programs?
To reduce infant mortality to 15 deaths per 1000 live births (NOH 2017-2022).
PhilHealth benefit package for essential health services of the newborn during the first few days of life.
Newborn Care Package
This follows health practices to newborn care which have been proven to improve health outcomes of the baby.
Essential Newborn Care
What are the first 2 vaccines given to a newborn?
- Hepatitis B vaccine
- BCG vaccine
What can we do to improve health outcomes of the baby?
- Immediate drying of the baby
- Early skin-to-skin contact (“unang-yakap”)
- Timely cord clamping
- Non-separation of mother/baby for early breastfeeding initiation
- Eye prophylaxis
- Vitamin K supplemtation
- Weighing of the baby
- 1st dose of Hepatitis B vaccine
- 1st dose of BCG vaccine
This is a comprehensive newborn screening program.
Newborn Screening Test
If congenital disorders are left untreated this will lead to ___
Mental Retardation and/or Death
- Blood test done on the newborn after 24 to 72 hours after birth.
- Enables early detection and management of several congenital disorders, which may lead to mental retardation and/or death if untreated
R.A. No. 9288: Newborn Screening Act of 2004
Disorders NBS Program detects.
- Congenital Hypothyroidism (CH)
- Congenital Adrenal Hyperplasia (CAH)
- Phenylketonuria (PKU)
- Glucose-6-Phosphate Dehydrogenase (G6PD)
- Galactosemia (GAL)
- Maple Syrup Urine Disease (MSUD)
- This detects 28 disorders instead of 6.
- By 2030, all Filipino newborns are screened
- Strengthen quality of service and intensify monitoring and evaluation of NBS
- Sustainable financial scheme
- Strengthen patient management
Expanded Newborn Screening or NBS
This is to detect newborn congenital hearing loss.
R.A. No. 9709: Universal Newborn Hearing Screening and Intervention Act of 2009.
Early detection of hearing impairment avoids:
- Delay in language acquisition
- Poor communication skills
- Low education attainment and inadequate social skills
This measures how hearing nerve responds to sounds and can identify babies who have a hearing loss.
Automated Auditory Brainstem Response (AABR)
Sounds are played and a response is measured. If a baby hears normally, an echo is reflected back into the ear canal & is measured by the microphone.
Otoacoustic Emissions (OAE)
It has a goal to reduce child mortality and morbidity through optimal feeding of infants and young children and to improve health and nutrition status of infants and young children.
Infant and Young Child Feeding
What is the difference of Morbidity and Mortality?
- Morbidity is related to having an illness
- Mortality is about death rate
What type of diseases can Mothers avoid when they breastfed?
- Ovarian Cancer
- Breast Cancer
- Osteoporosis
Benefits of breastfeeding to mothers
- reduces woman’s risk of excessive blood loss after birth
- Delays pregnancy
- Reducing risk of ovarian and breast cancers and osteoporosis
Benefits of breastfeeding to infants
- provides nutritional complete food
- Strengthens the immune system
- Rehydrates and provide essential nutrients
- increase IQ points
Where is the form of milk produced?
Mammary glands
Form of milk produced by the mammary glands in late pregnancy and the few days after giving birth.
Thick, sticky, and yellowish
Colostrum or First Milk
Requires both public and private health institutions to promote rooming-in and to encourage, protect, and support the practice of breastfeeding
R.A. No. 7600: Rooming-in and Breastfeeding Act of 1992
- Expands the promotion of breastfeeding, amending the purpose of RA 7600
- Lactation periods for breastfeeding employees
- lactation stations in every private enterprise, government agencies, government-owned and controlled corporations
R. A. No. 10028: The Expanded Breastfeeding Promotion Act of 2009
This is to reduce under five and maternal deaths and address micronutrient needs of other population groups.
AO No. 2010-0010: Revised Policy on the Micronutrient Supplementation.
A package of micronutrient supplements in the right dosage, timing, frequency, and duration shall be provided to:
- 6 to 59 months old children
- Pregnant and lactating women
- Non-pregnant and non-lactating women of reproductive age (15 to 49 years old)
Mandatory fortification of staples to address micronutrient deficiencies of the Filipino diet.
R.A. No. 8976: Food Fortification Law of 2000
To promote and safeguard the rights of Filipino children and synchronize family, community, and national efforts toward the full realization of the rights of children
EO 310: Philippine National Strategic Framework for Plan Development for Children or CHILD 21
To address the issue of child injury.
AO 2006-0016: National Policy and Strategic Framework for Child Injury Prevention and Control
To ensure that infants/children and mothers have access to routinely recommended infant/childhood vaccines.
Expanded Program on Immunization (EPI)
When was Expanded Program on Immunization (EPI) established?
1976
To reduce the morbidity and mortality among children against the most common vaccine-preventable diseases (VPDs)
Expanded Program on Immunization (EPI)
What is the goal of Expanded Program on Immunization (EPI)?
To reduce the morbidity and mortality among children against the most common vaccine-preventable diseases (VPDs)
What is the decree for Universal Child Immunization (UCI)?
Presidential Decree 996 (1976)
Period of EPI acceleration
1986
What are the 6 basic vaccines?
- Tuberculosis
- Diphtheria
- Poliomyelitis
- Pertussis
- Measles
- Tetanus
Period of EPI excitement
1992-1997
Hepa B vaccine integration
RA 7846
Every Wednesday is immunization worldwide
Presidential Proclamation No. 147
- Measles elimination campaign was not 100% achieved
- Polio free target was not sustained
- Neonatal tetanus rate still remains high in some cities and provinces
Period of EPI challenges (1998-present)
Mandatory Infants and Children Act of 2011
R.A. No. 10152 (2010)
Strengthen immunization coverage of traditional vaccines and introduce new vaccines
DOH EPI Strategic Plan for 2016-2021
- biological preparation that improves immunity to a particular disease
- contains an agent that resembles a disease-causing microorganism
- made from weakened or killed forms of the microbe
Vaccine
- immunization
- simple, safe, and effective way of protecting people against harmful diseases - uses the body’s natural defenses to build resistance to specific infections and makes the immune system stronger
Vaccination
How does vaccines work?
- Recognize invading germ or Germ is introduced.
- Sparks immune response to produce antibodies.
- Antibodies fight off the germ it remembers if it invades again.
What is the target number of neonatal mortality?
12 deaths per 1000 live births
What is the target number for under 5 mortality?
25 deaths per 1000 live births
These are produced naturally by the immune system to fight disease.
Antibodies
This type of vaccine contains a version of the living microbe that has been weakened in the lab so it can’t cause disease.
Live Attenuated Vaccine (LAV)
What are some of the examples of Live Attenuated Vaccine (LAV)?
Vaccines for: measles, mumps, chickenpox
This type of vaccine is used to killing the disease-causing microbe with chemicals, heat, or radiation.
Inactivated Vaccines (killed antigen)
This type of vaccine transfects a specific antigen-coding DNA sequence into the cells of an organism as a mechanism to induce an immune response. It also dispense with both the whole organism and its parts.
DNA vaccines
What are some of the examples of Inactivated Vaccines (killed antigen)?
Vaccines for: Influenza, polio, Hepa A, rabies
What are some of the examples of DNA vaccines?
Vaccines for: Influenza, ZyCoV-D
This type of vaccine is a combination of weak and strong antigens in order for the host to be immune to the weak antigen. It is chemically linking a protein molecule with a tiny amount of the polysaccharide that makes up the cell coating of the bacterium.
Conjugate vaccines
What are the examples of Conjugate vaccines?
Haemophilus influenza Type B (Hib), meningococcal and pneumococcal conjugate vaccines
This type of vaccine talks about a “Vector” that refers to the virus or bacterium used as a carrier. Use an attenuated virus to introduce microbial DNA to cells of the body
Recombinant Vector Vaccines
What are some of the example of Recombinant Vector Vaccines?
DPT (Diphtheria, Pertussis, Tetanus)
This is use a toxin (harmful product) made by the germ that causes a disease.
Toxoid vaccine
What are the stages of vaccine development?
- Pre-clinical
- Phase 1
- Phase 2
- Phase 3
- Implementation
What happens to the pre-clinical stage?
Vaccine tested on animals to assess safety and see if it triggers an immune respons
What happens to the phase 1 stage?
- vaccine is given to a small number of volunteers to assess its safety
- confirm it generates an immune response
- determine the right dosage
In phase 2, how many volunteers are given vaccine for testing and are closely monitored?
usually given hundreds of volunteers
In phase 3, how many volunteers are given vaccine for testing?
thousands of volunteers
What happens to the phase 3 stage?
determines if vaccine is safe and effective against the disease it is degsigned to protect against
What happens to the implementation stage?
Regulators review the results to decide whether to approve the vaccine for use, licensing and manufacturing
They are responsible for vaccine approval and licensing in the Philippines
Bureau of Food and Drug Administration (BFAD)
What specific time is BCG vaccine given to a child?
After Birth
What specific time is Hepatitis B vaccine given to a child?
After Birth
What specific time is Pentavalent (DPT-Hep B-HiB) vaccine given to a child?
1 and half months old
2 and a half months old
3 and a half months old.
What specific time is Oral Polio (OPV) vaccine given to a child?
1 and half months old
2 and a half months old
3 and a half months old.
What specific time is Inactivated Polio (IPV) vaccine given to a child?
3 and half months old.