dong Pambata Edited
-
Upload
joe-anne-maniulit-msn-rn -
Category
Documents
-
view
286 -
download
0
Transcript of dong Pambata Edited
-
8/8/2019 dong Pambata Edited
1/39
Garantisadong
PambataGroup 3
Subgroup 4
N-404
-
8/8/2019 dong Pambata Edited
2/39
-
8/8/2019 dong Pambata Edited
3/39
What is Garantisadong Pambata?
Garantisadong pambata,also known as GP, is acampaign instituted by theDepartment of Health, in
partnersh
ip with
th
e localgovernment units and othergovernment and non-government organizationswhich supports variousprograms to reduce
childhood illnesses anddeaths by promotingpositive child carebehaviors.
-
8/8/2019 dong Pambata Edited
4/39
Importance
This program ensures that all children below fiveyears old receive health services needed by
them to be
healt
hy. C
hildren w
ho missed t
heroutine health services and those living in the
remote areas are given special attention duringGP week.
-
8/8/2019 dong Pambata Edited
5/39
About the Program
Launched in 2009 byHealth SecretaryFransisco Duque III
GP 2009 campaign: 9ways to save your Child
To reduce the estimated82,000 age 5 and belowwho die each year
Includes 9 essential c
hildsurvival packages in all
local government units
-
8/8/2019 dong Pambata Edited
6/39
The Nine Ways under
Garantisadong Pambata1) skilled attendance by health
professionals during pregnancy,delivery and immediate postpartum;
2) care of the newborn;
3) breastfeeding and complementary
feeding;4) micronutrient supplementation and
deworming;
5) immunization of children andmothers;
6) integrated management of sickchildren;
7) child injury prevention and control;8) birth spacing, and;
9) proper personal hygiene.
-
8/8/2019 dong Pambata Edited
7/39
GP in Pampanga
Provincial Health Office (PHO) chiefErnesto Santos said Friday allhealth units in Pampanga have set"Garantisadong Pambata," a drive toaddress Vitamin A deficiency in
ch
ildren. Santos said the first phase of theprogram, conducted twice a yearhas been slated from April 13 to 20in all barangay health centers,government-owned hospitals, andmunicipal health offices.
OIC: Zenaida Cimafranca Includes all of the 9 methods listed
perviously
-
8/8/2019 dong Pambata Edited
8/39
Recent Statistics
INFANT MORTALITY RATE
Infant mortality rate: total: 20.56 deaths/1,000 live births
male: 23.17 deaths/1,000 live births
female: 17.83 deaths/1,000 live births (2009 est.) With the current statistics as of 2010, the Philippines is
ranked 103 in the list of 221 countries under comparison.Of this list, the country currently with the highest infantmortality rate is Angola with 180.21 deaths, and the
lowest is Singapore with a rate of 2.31.
-
8/8/2019 dong Pambata Edited
9/39
Infant Mortality Rate
-
8/8/2019 dong Pambata Edited
10/39
Leading Causes ofInfant Mortality
Include:1. Bacterial sepsis of newborn
2. Respiratory distress of newborn3. Pneumonia
4. Disorders related to short gestation and lowbirth weight, not elsewhere classified
5. Congenital Pneumonia6. Congenital malformation of the heart8. Other congenital malformation9. Intrauterine hypoxia and birth asphyxia10.Diarrhea and gastro-enterities of presumedinfectious origin
-
8/8/2019 dong Pambata Edited
11/39
Other Stats
In terms of malnutrition (height for age) for childrenunder five years of age, the country currently ranks at 43out of 144 countries, with a percentage of 32.1% with thelatest statistic at 1998
The country is also ranked 43 out of 125 countries interms of infants who are exclusively breast fed from 0 6 months with a score of 37, in which the score isequivalent to countries such as India, Guinea-Bissau,and Macedonia. (Ranged from 1998 2002, the mostrecent statistics)
Vitamin A Supplementation Coverage for children ages 6 59 months sets the Philippines with a score of 84 anda ranking of 34 out of 57 countries included in thesurvey.
-
8/8/2019 dong Pambata Edited
12/39
According to NSO
-
8/8/2019 dong Pambata Edited
13/39
According to NSO
-
8/8/2019 dong Pambata Edited
14/39
According to NSO
-
8/8/2019 dong Pambata Edited
15/39
The GP Services
giving vitamin A capsule (VAC) supplements to all 6-59 month oldchildren
Catch-up immunization (for children who missed the routineimmunization like BCG, DPT, OPV, and Measles)
Distribution of iron supplements to infants and pregnant women.
Promotion of positive caregiving behaviors, such as: Exclusive breastfeeding of infants from 0-6 months old
Feeding infants with micronutrient rich complementary foods starting at6 months old.
Using iodized salt daily
Buying and eating fortified foods
Brushing of teeth properly and regularly Letting children play with only safe toys
Not smoking in the presence of children
-
8/8/2019 dong Pambata Edited
16/39
When the Program is Implemented
This program iscelebrated orimplemented twice everyyear. Including one weekin April and one week inOctober. In 2001, GPweek was celebratedthroughout the countryon October 15-19. InPampanga, it wascelebrated last April 13-20, 2009.
-
8/8/2019 dong Pambata Edited
17/39
Why City Governments should
support GP The GP program improves Child survival andSafe Motherhood through the followingmeans:
it lowers infant and child deaths protects children from common illnesses, including
pneumonia, diarrhea, and measles.
lowers the risks of maternal deaths
lowers the health cost for fewerhealth complications
and illnesses
improves the vitamin A status among children
Reduces anemia in children, mothers, and infants.
-
8/8/2019 dong Pambata Edited
18/39
What local city governments can do
to support th
e program Lead the GP success
Endorse the program
directly to barangay
chairmen, teachers,church leaders,
Sangguniang Bayan
members, and Other
Government and Non-
Government
executives
-
8/8/2019 dong Pambata Edited
19/39
Programs Under GP
Vitamin A sa Linggo Ng GarantisadongPambata
Tigdas
Dengue Fever
Ang Karagdagang Pagkain Sa Gatasng Ina
Ang Karagdagang ironKakulangan sa Bitamin A
Ang Fortified Na Mga Pagkain
Ang Pagpabakuna sa Bata
Ligtas Na Laruan sa Mga Batang 0-5taong Gulang
Ang wastong pagsesepilyo Kalusugan para sa ngipin ng mga bata
Diarr hea o Pagtatae
-
8/8/2019 dong Pambata Edited
20/39
Vitamin A Sa Linggo ng GP
A program wherein the Health Centers of
each Barangay, along with the aid of the
Department of Health throughout the
Philippines will give Vitamin A to all
children between the ages 0 to 5 years
old.
-
8/8/2019 dong Pambata Edited
21/39
The Vitamin A program
In this program, the DOH and Health Centers
emphasize the benefits and importance of the
children receiving Vitamin A Capsule
supplementation. These benefits include: The strengthening of the immune system of children
to fight infection
Reduction of the possibility of death due to illness or
infection. For better vision
For clearer skin
-
8/8/2019 dong Pambata Edited
22/39
Kakulangan Sa Vitamin A
This is another program which focuses oneducating mothers on the importance of givingvitamin A to their children. In terms of iron andvitamin A supplementation, the nation has
reached percentages of 63.3% to 76%respectively. Vitamin A deficiency in children may cause the child
to:
Have a weak immune system
Be prone to infections and conditions such asmeasles, diarrhea, pneumonia, and malnutrition.
Die due to illness or infection
-
8/8/2019 dong Pambata Edited
23/39
Reasons why Vitamin A Deficiency may
exist in children
Not feeding the child colostrum
Not breastfeeding executively until the child is
six months (use of mixed feeding or bottle
feeding)
Not giving foods which are rich in Vitamin A. Slow absorption or fast metabolism of vitamin
A during moments of the childs illness.
-
8/8/2019 dong Pambata Edited
24/39
Signs exclusive of Vitamin A Deficiency
having difficulty seeing in the dark, orhavingmatang manok
The white part of the eyes are not clear, andcan be described as having soap suds orbula ng sabon
Breakdown of vision until eventually blindness
occurs Children with malnutrition, measles, and
diarrhea.
-
8/8/2019 dong Pambata Edited
25/39
Prevention of Vitamin A Deficiency for children ages 0-5 years
Feeding colostrum
Exclusive breastfeeding until 6 months of age
Eating Vitamin A rich foods such as: Eggs, liver, milk, cheese, dilis, and alimango.
Green leafy vegetables and leaves of vegetables including: the leavesof sweept potato, gabi, malungay, kangkong, alugbati, saluyot, andpetsay.
Yellow fruits and vegetables, includeing: ripe mango, carrots, pumpkin(kalabasa), and tomato
Following the set schedule for the vitamin A doses at the health
center to ensure th
at th
e ch
ild is receiving th
e appropriate amountsof the vitamin to avoid illness or complications from deficiency.
-
8/8/2019 dong Pambata Edited
26/39
Ang Karagdagan Pagkain sa Gatas
ng Ina
giving ofhealthy complementary foodalong side with the breastmilk of themother for children who are 6 months of
age and older the calorie and nutritional needs of the
child have increased and breastmilk is notenough to sustain the growing child
gradual introduction of food at least threetimes or more
-
8/8/2019 dong Pambata Edited
27/39
Go, Glow, and Grow Foods
Go Foods: Foods which give the child strength and energy so theycan move, crawl, and stand. Examples of these foods include rice,lugaw, potatoes, and sweet potatoes
Growfoods: Foods which contain protein, which aid in thedevelopment of the childs body so that he can grow bigger and
taller. Examples include fish
, meat, and eggs GlowFoods : These are foods which are rich in vitamins andminerals and help in the fortification of the childs immune system sothat he may not get sick often. Examples of this type of food include:green leafy vegetables and fruits
Oil and Fats: these type of food (in moderate amounts of course)also aid in ensuring the child has enough energy and at the same
time assists the body in the utilization of vitamin A.
-
8/8/2019 dong Pambata Edited
28/39
Other Focuses of the Program
Washing the hands with soap and water before thepreparation
Washing all utensils to be used with soap and water
Mixing lugaw or soft rice with pieces of fish or meat andgreen leafy vegetables that have been cooked with oil.
Small feedings until the child will become accustomed toeating at least three times a day.
For each meal, it is important that the meal have oil,
gata, or fats. Foods should be given after the child is breastfed.
-
8/8/2019 dong Pambata Edited
29/39
Ang Karagdagang Iron
This program focuses on children who are within the ages of two top eleven months that areless than 2,500 grams or 2.5 kilograms at thetime of their birth. For children who are lacking in
iron, some of their symptoms show that they are: prone to being weak orhaving a weak body
get sick easily
are pale
have no appetite or small appetite only.
have difficulty resting well during naps and at night.
have slower thought processes.
perform poorly at school
-
8/8/2019 dong Pambata Edited
30/39
What is Implemented
Iron supplementation of pregnant women, as well aseating foods which are within the Go, Grow, and Glowcategories.
Exclusive breastfeeding for babies until 6 months of age.
Giving of colostrums to the child
Feeding the child foods which are rich in iron such as :liver, meat, eggs, and monggo beans. These foodsshould also be given along side with vitamin C so thatthe iron will be absorbed well.
Avoiding the giving of tea and coffee as this hinders theabsorption of iron
-
8/8/2019 dong Pambata Edited
31/39
Ang Karagdagan Iodine
Iodine is a major factor in thegrowth and the development of achild. A lack of iodine in the dietcan lead to slow growth anddevelopment of both the bodyand mental processes. A childwhich is lacking in Iodine maydevelop goiter as a result of thedeficiency. In this program, theprimary focus is the utilization ofIodized salt in the preparation ofthe food of children to preventthis disease. According to recentstatistics (FNRI-NSS, 2003) theprevelance ofIodine DeficiencyDisorders has decreased amongschool children from 35.8% in1998 to 11.1% in 2003.
-
8/8/2019 dong Pambata Edited
32/39
Foods with Sangkap Pinoy Seal
These are foods whichhaveadded sustenance fromSangkap Pinoy including theaddition of Vitamin A, Iron, andIodine to foods. Sangkap Pinoyare foods which provide for thenormal growth of the child, thedevelopment of the childsmental processes, prevention ofanemia, and the strengtheningof the immune system to fightinfection from the child hooddiseases. The usage of fortifiedproducts is at 52.7% (2003) ofhouseholds with at least oneproduct with a Sangkap PinoySeal at home.
-
8/8/2019 dong Pambata Edited
33/39
Sources of Sangkap Pinoy
Green Leafy vegetables
Yellow fruits and vegetables
Liver Seafoods
Foods which are fortified by iodized salt
Other foods including :Meat, fish, andfoods whichhave the sangkap pinoy seal
at stores, groceries and supermarkets
-
8/8/2019 dong Pambata Edited
34/39
Foods with the Seal
These foods typically include various brands of foods,from juices to snacks, and canned goods. Someexamples may include: 555 sardines
Star margarine Tang Juice
Lucky Me instant Mami
Pipo Chips
Nico Chips
Foods with the sangkap pinoy seal ensure that they havebeen tested and approved as healthy by the Departmentof Health because of the presence of iron, vitamin A, andiodine in the food.
-
8/8/2019 dong Pambata Edited
35/39
Universal Supplementation of
Vitamin ATarget Preparation Dose/Duration Remarks
Infants 6-11 months 100,000 IU 1 dose only One Capsule is given anytime
during the said months,
but usually at 9 months
with measles
immunization.
Children 21-71 months 200,000 IU 1 capsule every six months --
Pregnant Women 10,000 IU 1 Cap of 10,000 twice a week Not given to those already
taking pre-natal vitamins
or multivitamins with
Vitamin A. Given from
4th month of pregnancy
until delivery.
-
8/8/2019 dong Pambata Edited
36/39
Supplemental Vitamin A to children
with Existing DiseasesTarget/ Illness Preparations Dose/ Duration
For Measles:
-Infants (6-11mo.)
-Preschool (12-71 mo)
100,000 IU
200,000 IU
One Capsule given upon diagnosis
regardless of last VAC.
Severe Pneumonia/ Persistant Diarrhea/
Malnutrition-Infants 6-11 mo
100,00 IU On Capsule upon diagnosis unless last
VAC dosage is less than 4 weeks.
Malnutrition
School Age (6-12 y.o)
200,00 IU On Capsule upon diagnosis unless last
VAC dosage is less than 4 weeks.
Xeropthalmia
6-11 months
12-59 months
100,000 IU
200,000 IU
Should be given immediately upon
diagnosis1 cap given the next day ,
and 1 cap/2weeks after
-
8/8/2019 dong Pambata Edited
37/39
Universal Iron Supplementation
Target Population Preparations Dose/ Duration
Pregnant Women 1 tablet, once a day for 6 months (180
days) during pregnancy period or 2
tablets (120mg) if prenatal
consultations are done during the
2nd and 3rd trimester.
A dose of 800 mcg is still safe for
pregnant women.
Lactating Women 1 tablet, once a day for 3 months or 90
days after delivery.
--
Low Birth Weight 0.3 ml (15mg/0.6 preparation) once a day
to start at two months of age until 6
months when complementary foods
are given.
--
Infants 6-11 months 0.6ml once a day for 3 months --
Children 1- 5 years For 30 mg/5ml, 1 tbsp OD for 3 months
or 30 mg once a week for six
months with supervised
administration.
--
-
8/8/2019 dong Pambata Edited
38/39
Iodine Supplementation
Targets Preparation Dose/ Duration
Women 15-45 years old Iodized oil Capsule with 200mg Iodine 1 capsule for one year
Children of School Age Iodized Oil Capsule with 200 mg iodine 1 capsule for one year.
-
8/8/2019 dong Pambata Edited
39/39
THANKYOU
?!?!?!