Family Health Resource Unit

8/8/2019 Family Health Resource Unit

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MATERNAL AND CHILD CARE /RESPONSIBLE PARENTHOOD

General Objective: After 30mins. Of varied teaching methodologies the

students will be able to gain basic knowledge about

Family Health programs in the Philippines.

Specific Objective Content Time Allotment Methodology Resources/Materials Ev

Enumerate and give the

purpose of the packages

and services available toevery woman before and

after pregnancy.

a. Antenatal Registration

*This is one way to guide her in pregnancy care to make

her prepare for child birth.

1st visit- As early in pregnancy as possible before fourmonths or during the 1st trimester.

2ndvisit- During the 2nd Trimester3rdvisit- During the 3rd Trimester

Every 2 weeks- After the 8th month of pregnancy till

delivery.

b. Tetanus Toxoid Immunization

*To protect baby and mother from deadly diseases.

C. Micronutrient Supplementation*Is a vital for pregnancy. Necessary to prevent anemia,

vitamin A Defieciency and other nutritional disorders.Vit A- 2 times a week starting at the 4th week of

pregnancy

Iron-60/400mg ug tablet, Daily

D. Treatment of diseases and other conditions

*Treatment of conditions that may endanger the heath andgive complication to the pregnancy of mother.

E. Clean and staff delivery.

-Reporting -manila paper

-marker

-time

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*The presence of a skilled birth attendance will ensure

hygiene during labor and delivery.

Some necessary steps to follow during labor, childbirthand immediate post partum includes the ff :

1. Do a quick check upon admission for emergency signs.2.Make the woman comfortable

3. Assess the woman during labor.4. Determine the stage of labor.

5. Decide if the woman can safely deliver.6. Give supportive care throughout labor.

7. Monitor and manage labor.

8. Monitor closely within one hour after delivery and give

supportive care.9. Continue care after one hour postpartum. Keep watch

closely for atleast 2 hours.10. Educate and counsel on FP and provide FP to method

if available and decision was made by a woman.11. Inform, teach and counsel woman on important MCH

messages.*Birth Registration

*Importance of BF*Newborn screening for babies delivered in RHU or athome within 48 hours up to 2 weeks after birth.

*Schedule when to return for consultation for post partum

visits.

F. Support to Breast feeding.*Teach the importance of breastfeeding.

G. Family Planning Counseling.

*Teach couples the importance of FP and inform the right

choice of FP.

delivery

d. dental

3. This is

babies anfrom dea

a. tetanusimmuniz

b. vitamic. prenata

d. steriliz

4.All areplanning

except :a. male s

b. injectac. counse

d. two da

5. It reduovarian acancers a

osteopor

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b. househc. mother

d. comm

6. These

misconceFamily P

Methods


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The Family Planning

Program

The Goal of FPP

Enumerate objectives of

FPP

Give the different

strategies adopted toachieve goal and

objectives such as:

Give the different Family

planning methods defineeach and give 2-3

advantages anddisadvantages.

*Is to provide universal access to family planning

information and services, whenever and wherever these

are needed.

*Reduce infant deaths*Neonatal Deaths

*under-five deaths*Maternal deaths

*addresses the need to help couples and individuals

achieve their desired family size within the context of

responsible parenthood and improve their reproductive

heath to attain sustainable development.*ensure that quality FP services are available in DOH

retained hospitals, LGU managed health facilities, NGOsand private sector

*Focus service delivery to the urban and rural poor

*Reestablish the FP outreach program.*Strengthen FP provision in regions with high unmet

needs.*Promote frontile participation of hospitals..*Mainstream modern natural family planning.

*Promote and implement CSR strategy.

1.Female Sterilization

-Provides permanent contraception for woman. Cutting orblocking the two fallopian tubes.

Advantages:a. Permanent method of contraception

b. does not interfere with sex.

c. No effect on breastfeeding.Disadvantages:

A. Complications of surgery: infection or bleeding at the

a. some f

methods

abortionb. using c

will rendsterile

c. a and bd. none o

7. What i

the Natio

Action?

a. Reducmortality

by 2015b. Reduc

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c. Reducmorbidit

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by 2015

8.Micron

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incision site.

B. Requires an operating setup

C. Permanent- reversal surgery is difficult.

2.Male sterilization-Method in which the vas deferens is tied or cut. Also

know as vasectomy.Advantages:

A, very effective 3months after procedure.B. can be performed in a clinic, easy to perform.

C. No apparent long time health risk

Disadvantages:

A, it may be uncomfortable due to slight pain.B, Reversibility is difficult and expensive

C, Bleeding may result due to hematoma in scrotum.

3.Pill:-contains hormones estrogen and progesterone taken

daily to prevent contraceptionAdvantages:

A, Safe and provenB, Makes menstrual cycle occur regularly and predictable.C. Reversible, rapid return to fertility

Disadvantages:

A, often not used correctly, towering its effectiveness.B, May pose heath risk for some women

C, Can suppress lactation

4.Male Condom-Thin sheath of latex rubber made to fit on a mans erect

penis to prevent the passage of sperm.

Advantages:A, Safe and has no hormonal effect.

B, Protects against microorganisms causing STIs/HIV

9. These

who usua

misconcefamily pl

methods a. person

knowledb. person

proper trac. people

inexperie

d. people

updated ofamily pl

methods

10. It is aof natura

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between are counsfrom sex

on days 8

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11.All ar

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Disadvantages:

-May cause allergy to people who are sensitive to latex or

lubricant.-Decrease sensation

5.Injectables

-Contains hormone that thickens cervical hormone thatmakes sperm have a difficulty to pass.

Advantages:-Reversible

-No need for daily intake

Disadvantage:

6.LAM

7.Mucus/Billings/Ovulation

-Abstaining from sexual intercourse during fertile days toprevent pregnancy.

How is it used:-Recording of menstruation

-Inspecting underwear for mucus-Recording the most fertile observation/characteristics atthe end of the day.

8.Basal Body Temperature-Checking rise of temperature during and after ovulation

Advantages:A, Very effective

DisadvantageA, requires to take temp every day and record it. Hustle

9.Sympto-thermal method:-STH method is identifying the fertile and infertile days of

the menstrual cycle as determined through a combination

which on

process o

a. Male Sb. LAM

c. Basal BTempera

d.MicronSupplem

12.All ar

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13.Two wa.cervicaan indica

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State several

misconceptions aboutFamily Planning Methods

with corresponding proof.

of observations made on the cervical mucus, bbt and other

signs of ovulation

10.Two Day Method.

-Is a simple fertility awareness based m ethod of FP thatinvolves.

A, cervical secretions as an indicator of fertilityB, women checking the presence of secretions everyday.

11.Standard days method.

-A new method of natural family planning in which all

users with menstrual cycles between 26-32 days are

counseled to abstain form sexual intercourse on days 8-19to avoid pregnancy

Advantages.A,No health related side effects

B, No need for counting chart.C, Increases self awareness and knowledge of human

reproduction.Disadvantages:

Cannot be used by women who usually have menstrualcycle between 26 and 32 days long.

1. Some Family Planning method causes abortion.

-This is not true. Abortion is termination of pregnancy,while, Family Planning prevents pregnancy through the

use of contraceptives, and abstinence during fertileperiods, blocking of tubes, all of which prevent the

meeting of egg and sperm.2. Using contraceptives will render couples sterile.

-When couples use temporary methods such as fertility

awareness based methods and contraceptives such as pills,IUD, injectables and condoms which are used for birth

spacing, when pregnancy is desired, a couple can stop

Examina

c. child h

d. Expanon immu

15. Comp

foods shoa.Timely

b. Adequc. Precise

d. Proper

16. Whatencourag

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a.Feed smfrequentl

b.both Ac.A only

d. both Acorrect.

17.LAM

a. lactatioAmenno

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18:What


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Enumerate the roles of aPublic Health Nurse on

Family Planning Program

State the Child Health

Programs

using the contraceptive method and they can have children

again.

3. Using contraceptives method will result to loss ofsexual desire.

- Sex drive or sexual desire varies from person to person.In general, use of contraceptives does not affect an

individuals sexual desire.

1. Provide counseling among the clients will help increaseFP acceptors and avoid defaulters

2. Provide packages of health services among

reproductive age group in all health facilities

-family planning-MCHN

-Management of reproductive tract infections includingSTIs/HIV/AIDS

-Violence against women-Management of breast and other reproductive Cancers

3.Ensure the availability of FP supplies and logistics frothe client

Newborns, infants and children are vulnerable age group

for common childhood diseases. To address problems,

child health programs have been created and available inall health facilities which includes:

-Infant and Young Child Feeding-Newborn Screening

-Expanded Program on Immunization-Management on Childhood Illness

-Micronutrient Supplementation

-Dental Health-Early Child Development

Child Health Injuries

breastfee

a. 1

b. 1c. 1

d. 1

19:TT3 iwomen:

a. al

b. a

l

c. a4

d. a6

20. Low-

means a bthan:

a. 2,200

b. 2,500 c. 2,700

d, 2,300


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State the GOAL of Child

Health Program

Enumerate the strategicthrust to reach the goal of

the Child Health Program

Overview of Infant and

Young Child Feeding

Reduce morbidity and mortality rates for children 0-9

years with the strategies necessary fro program

implementation.

1. Develop local capacity to deliver the whole range ofessential health packages for children.

2. Implement programs and projects that favordisadvantaged populations.

3. Apply the Reaching Every Barangay (REB) strategy forimmunization to reach every child.

4. Intensify heath education and information campaigns at

the ground level to increase the proportion of mothers

practicing behavior that promote childrens health.5. Enhance medical, nursing and midwifery education with

cost- effective life-saving strategies such as the IntegratedManagement of Childhood Illness and the Basic

Emergency Obstetric Care.6. Pursue the implementation of laws and policies of

newborns, infants and children.

There is global evidence that good nutrition in early

months and years of life plays a very significant role,affecting not only the health and survival of infants and

children but also their intellectual and social development,

resulting in life-long impact on school performance andoverall productivity. Breastfeeding, especially exclusive

breastfeeding during the first half-year of life is animportant factor that can prevent infant and childhood

morbidity and mortality. Timely, adequate, safe andproper complementary feeding will prevent childhood

malnutrition.

To reverse the disturbing trends in infant and young child

feeding practices, a Global Strategy for Infant and Young


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State the overall objectiveof the IYCF

State the National Plan of

Action for 2005 -2010 for

IYCF

State the definition of

Exclusive Breastfeeding

and ComplimentaryBreastfeeding

Child Feeding (IYCF) was issued jointly by the World

Health Organization (WHO) and UNICEF in 2002, as

endorsed by consensus in the 55th World Health Assemblyin May 2002 and the UNICEF Executive Board in

September 2002.

To improve the survival of infants and young children byimproving their nutritional status, growth and

development through optimal feeding.

Goal

-Reduce Child Mortality Rate by 2/3 by 2015

Objective

-To improve health and nutrition status of infants andyoung children.

Outcome

-To improve exclusive and extended breastfeeding andcomplementary feeding.

Specific Objectives-70% of newborns are initiated to breastfeeding within one

hour after birth

-60% of infants are exclusive breastfed up to 6 months-90% of infants are started on complementary feeding by 6

months of age-Median duration of breastfeeding is 18 months

Key Messages on Infant

-Initiate breastfeeding within 1 hour after birth

-Exclusive for the first 6 months of lifeComplemented at 6 months with appropriate foods,

excluding milk supplements


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State the importance ofbreastfeeding

State the benefits ofbreastfeeding

-Extend breastfeeding up to two years and beyond

Exclusive breastfeeding means giving a baby only breastmilk and no other liquids or solids, not even water. Drops

or syrups consisting of vitamins, mineral supplements ormedicines are permitted.

Breastfeeding for infants has many psychological benefits

fro children and mother as well as economic benefits forfamilies and societies.

To infants:-Provides a nutritional complete food for the young infant

-Strengthens the infants immune system, preventingmany infections.

-Safely rehydrates and provides essential nutrients to asick child, especially to those suffering from diarrheal

diseases.-Reduces the infants exposure to infection

-increase IQ points

To mother

-Reduces womans risk of excessive blood loss after birth

-Provides natural methods of delaying pregnancies-reduces the risk of ovarian and breast cancers and

osteoporosis

To Household and the community-Conserve funds that otherwise would be spent on breast

milk substitute, supplies and fuel to prepare them

-Saves medical cost to families and government bypreventing illnesses and by providing immediate

postpartum and contraception


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Discuss aboutComplementary Feeding

Define low birth weight

babies

State the fluid needs of a

young child

After 6 months of age, all babies require other foods tocomplement breast milk- we call this complementary

foods. When complementary foods are introducedbreastfeeding should still continue fro up to two years of

age or beyond.

Complementary foods should be :-Timely- meaning that they are introduced when the need

for energy and nutrients exceeds what can be provided

through exclusive and frequent breastfeeding

-Adequate meaning that they provide sufficient energy,protein and micronutrients to meet a growing childs

nutritional needs.-Safe- meaning that they are hygienically stored an

prepared and fed with clean hands using clean utensils andnot bottles and teats.

-Properly fed- meaning that they are given consistent witha childs signals of hunger and that meal frequency and

feeding methods are suitable for the childs age.

The term low birth weight means a birth weight of less

than 2,500 grams. This includes babies who are born

before term and who are premature and babies who aresmall for gestational age.

-Water is good for thirst. A variety of pure juices can be

used also.-Drinks that contain a lot of sugar may actually make the

child thirstier as their body has to deal with the extra

sugar. Fizzy drinks(sodas) are not suitable for youngchildren

-Teas and coffee reduce the iron that is absorbed from


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Discuss how to feed a

child who is ill

Discuss how to feed a

child during recovery

State the importance of

breast milk andbreastfeeding as well as

the DOs and DONTs inbreasfeeding

foods. If they are given, they should not be given at the

same time as food or within 2 hours before or after food.

Sometimes a child is thirsty during a meal. A small drinkwill satisfy the thirst and they may then eat more of their

meal.-Drinks should not replace foods or breastfeeding.

-Remember that children who are not receiving breastmilk need special attention and special recommendations

-encourage the child to drink and eat with lots of patience

-feed small amounts frequently

-give foods that the child likes-give a variety of nutrient rich foods

-continue to breastfed often ill children breastfeed morefrequently

-give extra breastfeeds

-feed an extra meal-give an extra amount

-use extra rich foods

-feed with extra patience

-Breast milk is the best food fro the baby from birth up to

6 months.

It meets all the food and fluid needs of the baby

from birth up to 6 months-Give colostrum to the baby.

-Do not give plain water, sugared water, chewed stickyrice, herbal preparations or starve the baby while waiting

for the milk to come in.

-Give only beast milk and no other food to your baby frombirth up to 6 months.


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State the key messages onfeeding babies over six

months old

State the laws that protectsinfant and young child

feeding

-Breastfeed as often as the baby wants, day and night.

-use both breasts alternately at each feeding,

-After one breast is emptied, offer first the breast that hasnot been emptied in the next feeding.

1. Breastfeeding for 2 years or longer helps a child

develops and grows strong and healthy.

2. Starting other foods in addition to breast milk at 6complemented months helps a child to grow well.3. Foods that are thick enough to stay in the spoon give

more energy to the child.

4. Animal- source foods are especially good for children to

help them grow strong and lively.5. Peas, beans, lentils, nuts and seeds are also good for

children.6. Dark green leafy leaves and yellow coloured fruits and

vegetables helps a child to have healthy eyes end fewerinfections

7. A growing child needs three meals plus snacks: givevariety of foods.

8. A growing child needs increasing amounts of foods.

9. A growing child needs to learn to eat, encourage andgive helpwith lots of patience.

10. Encourage children to drink and eat during illness and

provide extra food after illness to help them recoverquickly.

1. Milk Code (EO 51 )- products covered by Milk Code

consist of breast milk substitutes, including infantformula,; other milk products, foods and beverages,

including bottle fed complementary foods

2. The rooming- In and Breastfeeding Act of 1992 requires

both public and private health institutions to promote


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Tetanus Toxoid

Immunization

TT1 Vaccine

TT2 Vaccine

TT3 Vaccine

TT4 Vaccine

TT5 Vaccine

rooming-in and to encourage, protect, and support the

practice of breastfeeding. It targets the creation of an

environment where basic physical, emotional andpsychological needs of mothers and infants are fulfilled

through the practice of rooming-in and breastfeeding.

3. Food Fortification Law or An Act of establishing the

Philippine Food Fortification Program and for OtherPurposes Food Fortification Law (Republic Act 8976)

passed by Congress in 2002 declares as a policy that food

fortification is vital in the promotion of optimal health and

to compensate for the loss of nutrients due to processing

and or storage of food.

Is important for women to prevent tetanus in both motherand the baby. When two doses or TT injection given in

one month interval between each does during pregnancyor even before pregnancy period the baby is protected

against neonatal tetanus.

Is given as early as possible during pregnancy

Is given 4 weeks after pregnancy. 80% protected and have

a time of 3years protection for the mother. Infants born to

the mother will be protected from neonatal tetanus.

Is given after 6 months after pregnancy, 95% protectedand a time of 5years protection for the mother

Is given after 1year after pregnancy, 99% protected. Gives

10years of protection for the mother.

Is given after 1 year and beyond, 99% protected. Gives life

time protection for the mother. Both mother and child will


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be protected.

Family Health Resource Unit

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