Community Health Nursing: Unit Title/S
Community Health Nursing: Unit Title/S
BSN 2-2
A.Y. 2021-2022
12/11/2021
[LECTURE]
UNIT TITLE/S
Agbayani, Domasin, Ereno, Lantin, Medina, Melitante, Mendoza, Pacheco, Paguirigan, Ramos, Trinidad (2021-2022)
→ IMCI management procedures use limited number of r.Treat or refer
essential drugs and encourage active participation of Provide prescribed treatment, home
caretakers in the treatment of children remedies, and teach mothers on how to
→ Counseling of caretakers on home care, correct feeding carry the treatments.
and giving of fluids, and when to return to clinic is an s. Counsel
essential component of IMCI Includes the teaching on what the food to
GENERAL GUIDELINES FOR CLASSIFYING THE CHILD’S give and when to do the follow-up
ILLNESSES t. Follow-up
→ PINK Describing what to do in the following check-
a. Child with any general danger sign needs URGENT up for the child to avoid the severity of
attention; complete the assessment and any pre- illness.
referral treatment immediately so referral is not EARLY ESSENTIAL INTRAPARTUM AND NEWBORN CARE
delayed (EEINC)
→ YELLOW → Aim to give a series of time-bound, chronologically
a. Classification needing specific medical treatment and ordered, standard procedures received by babies at birth
advice to ensure their survival
→ GREEN → Centered on 4 time-bound interventions, named as
a. It is not serious that in most cases the need of drugs follows:
is not required. Simple advice on home management o Immediate drying
is given and may require home made safe remedy Bathing newborns, an old practice, was
prohibited because of a high rate of
having hypothermia.
WHO recommends that newborns
should be bathed six hours after birth or
longer
Removing the Vernix caseosa (a
protective defense) of a newborn
increase the risk of E. coli and Group B
Strep infection.
o Skin-to-skin contact
If prohibited, this impairs not only the
bonding relationship but also the early
chance of the newborn getting warmth
and being breastfed
Decreases neonatal sepsis for it is an
early measure of hospital infection
control
o Proper cord clamping and cutting
No known benefit to newborns, but
many studies showed that these result
in hematologic diseases on term and
preterm newborns
[Table 1: Classification of treatment according to color] o Non-separation of the baby from mother and
breastfeeding initiation
Not separating the baby from the mother
at birth, promotes breastfeeding and
lessens the chance of having metabolic
disorders
→ Implementation of Essential Intrapartum and Newborn
Care (EINC) made a significant change in Filipino
newborns
o Decrease in admitting neonatal ICU by 50-75%,
neonatal sepsis by 70%, and neonatal deaths by
50% (DOH-EINC, 2013)
→ Coverage – Nationwide
→ Target Population: Newborn and Filipino pregnant women
Agbayani, Domasin, Ereno, Lantin, Medina, Melitante, Mendoza, Pacheco, Paguirigan, Ramos, Trinidad (2021-2022)
→ Maple Syrup Urine Disease (MSUD)
a. Inherited metabolic disorder
b. Could lead to brain damage, trauma, or dead
c. Named for the sweet odor of the urine of untreated
infant
→ Critical Congenital Heart Disease (CCHD)
→ Otoacoustic Emissions (OAE)
→ Auditory brain stem response (ABR)
POLICIES AND LAWS
→ RA 9288 or the Newborn Screening Act of 2004
→ DOH AO No. 2014-0045 or the Guidelines on the
Implementation of the Expanded Newborn Screening
Program
GOALS
→ To screen all Filipino newborns by 2030
→ To strengthen the quality of service, intensify the
GOALS
monitoring and evaluating the implantation
→ To promote breastfeeding → To sustain the financial scheme
→ To ensure optimal health service delivery to the mother → To strengthen patient management
and her child PARTNER INSTITUTIONS
→ To eliminate stereotyped newborn care practices like
→ National Technical Working Group on Newborn Screening
unnecessary suctioning and bathing
Program (NTWG- NBS)
PARTNER INSTITUTIONS
→ National Institutes of Health (NIH)
→ National Technical Working Group on Newborn Screening → NIH-Newborn Screening Reference Center (NIH-NSRC)
Program (NTWG- NBS) → DOH Epidemiology Bureau (EB)
→ National Institutes of Health (NIH) → DOH Health Facilities and Services Regulatory Bureau
→ NIH-Newborn Screening Reference Center (NIH-NSRC) (HFSRB)
→ DOH Epidemiology Bureau (EB) → DOH Health Facility Development Bureau (HFDB)
→ DOH Health Facilities and Services Regulatory Bureau → DOH National Center for Health Promotion (NCHP)
(HFSRB) → NIH - Institute of Human Genetics (NIH-IHG)
→ DOH Health Facility Development Bureau (HFDB) → Department of the Interior and Local Government (DILG)
→ DOH National Center for Health Promotion (NCHP) → Council for the Welfare of Children (CWC)
→ NIH - Institute of Human Genetics (NIH-IHG) → Philippine Health Insurance Corporation (PhilHealth)
→ Department of the Interior and Local Government (DILG)
→ Council for the Welfare of Children (CWC)
→ Philippine Health Insurance Corporation (PhilHealth)
NEWBORN SCREENING
→ Going on for 5 years since 1996 in the Philippines
→ Aims to provide early detection and management of
congenital disorders
→ Helps to lessen the causes of congenital disorders which
may hinder the development of mental ability, to mental
retardation and/or worst, death
→ Leads to disease prevention that affects the growth and
development of every Filipino newborn
→ National Comprehensive Newborn Screening System
(NCNBSS)
→ Coverage – Nationwide
→ Target Population: Filipino newborn
3 PARTS OF NEWBORN SCREENING
→ Blood Test (Heel Stick)
a. Viable blood sample only lasts from 24 to 48 hours
b. Beyond 48 hours, some diseases become
undetectable already
→ Hearing Screen
a. To determine hearing loss
→ Pulse Oximetry
a. In infant, used in palm or foot
COMMON NEWBORN SCREENING IN THE PHILIPPINES
→ Congenital Hypothyroidism (CH)
a. Affect 3000 of every 4000 babies
c. May develop to mental retardation and growth failure,
deafness, neurologic abnormalities
→ Congenital Adrenal Hyperplasia (CAH)
a. Affects 1 out of 5000 babies
→ Phenylketonuria (PKU)
→ Glucose-6-Phosphate Dehydrogenase (G6PD) deficiency
→ Galactosemia (GAL)
Agbayani, Domasin, Ereno, Lantin, Medina, Melitante, Mendoza, Pacheco, Paguirigan, Ramos, Trinidad (2021-2022)