Key Points on Universal Health Care and Wellness Programs

TUNGO SA BAYANG MAGILIW - 8 The first wealth is health. - Ralph Waldo Emerson (May 25, 1803 April 27, 1882) American essayist, lecturer, and poet Ang Pangunahing Kayamanan ay Kalusugan 1 i-Pantawid eFDS 8

eFDS8 Ang Pangunahing Kayamanan ay Kalusugan 1. Health rights Mga karapatan sa kalusugan 2. Responsibilities of Pantawid members Mga tungkulin ng miyembro ng Pantawid 3. Why have a health check-up? Bakit kailangan magpa-checkup? 4. BHS Equipment Checklist 5. Community Scorecard (CSC) 2 i-Pantawid eFDS 8

UDHR Article 25 Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services Ang bawat tao'y may karapatan sa isang pamantayan ng pamumuhay na sapat para sa kalusugan at kagalingan ng kanyang sarili at ng kanyang pamilya, kasama na ang pagkain, pananamit, paninirahan at pagpapagamot at kinakailangang mga paglilingkod panlipunan i-Pantawid eFDS 8 3

UNIVERSAL HEALTH CARE - KALUSUGAN PANGKALAHATAN (KP) Para sa lahat na mamamayan Pagpapatupad ng Social Contract ni Presidente Aquino sa mamamayan tungkol sa kalusugan 2.1. GOALS/Layunin Strengthen PhilHealth Patibayin ang PhilHealth Improve the quality of hospitals and health care facilities Pabutihin ang kalidad ng ospital at ibang pasilidad pangkalusugan Achieve Millennium Development Goals (MDGs) Lahat ng miyembro ng Pantawid ay miyembro ng PhilHealth Bawasan ang namamatay na bata Pagbutihin ang kalusugan ng nanay 4 i-Pantawid eFDS 8

Mga Kondisyon upang makamit ang BENEPISYO Pumunta sa lokal na health center para sa check-up bago at pagkatapos manganak Magkaroon ng kahit isang check-up anim na linggo pagkatapos manganak 5 5 i-Pantawid eFDS 8

Mga Kondisyon upang makamit ang BENEPISYO Children 0-5 Years Old Visit the health center to avail immunization Pagbabakuna Have monthly weight monitoring and nutrition counseling for children aged 0 - 2 years old Magtimbang minsan kada buwan Have bi-monthly weight monitoring for 2 5 years old Magtimbang minsan kada 2 buwan Have management of childhood diseases for sick children Mabigyang lunas ang batang may sakit Children 6-18 Years Old Must receive deworming pills twice a year (through school) Magpurga sa paaralan 6 i-Pantawid eFDS 8

Prenatal Check-up Schedule Week Visit 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 Visit# Date of Visit Pregnant Household Member 1 Pre-natal Check-up Every 4 weeks until 28 weeks of pregnancy Every 2 weeks until 36 weeks of pregnancy Every week until 41 weeks Every few days until you give birth 1st Trimester 2 3 4 5 2nd Trimester Post-natal Check-up 24 hours after delivery 1 month after delivery, home visit 6 7 8 Tetanus Toxoid for Mothers 9 3rd Trimester Dose When Example Date Taken 10 1st trimester After one month After 6 months After 1 year After another year 1 2 3 4 5 January 1, 2013 February 1, 2013 August 1, 2013 August 1, 2014 August 1, 2015 11 12 37 13 38 14 39 15 40 41 7 i-Pantawid eFDS 8 Every day

Para manatiling malusog si baby Immunization Schedule At birth 6 weeks 10 weeks 12 weeks 9-12 months 12-15 months Pesos Illness avoided BCG Hepa B 200 350 300 Tuberculosis Liver Inflammation Muscle paralysis *see below Severe diarrhoea Measles *see below Polio Penta* 1 Rotavirus 1 Penta* 2 Rotavirus 2 Penta* 3 7,500 3,000 500 1,500 Measles MMR* * Pentavalent Vaccine Hepatitis B - liver inflammation H. Influenza B - flu Diptheria - respiratory illness Pertussis - whooping cough * MMR Total Value 13,350 Measles - skin rash Mumps - face swelling Rubella - like flu, skin rash Tetanus - muscle spasms, fatal The World Health Organization (WHO) recommends exclusive breastfeeding for the first six months of life, after which "infants should receive nutritionally adequate and safe complementary foods while breastfeeding continues up to two years of age or beyond. Benefits Higher immunity from infection, better mental health, lower risk of asthma, etc. i-Pantawid eFDS 8 8

Ang hustong paglaki ng bata 9 i-Pantawid eFDS 8

PRIMARY CARE PACKAGE Diagnostic Examination 1. Complete Blood Count 2. Urinalysis 3. Fecalysis 4. Sputum microscopy 5. Fasting blood sugar 6. Lipid profile 7. Chest Xray Primary Preventive Services 1. Consultation 2. Visual Inspection with Acetic Acid 3. Regular BP measurements 4. Breastfeeding program education 5. Periodic Clinical Breast Examination 6. Counseling for lifestyle modification 7. Counseling for smoking cessation 8. Body measurements 9. Digital Rectal Examination Drugs and Medicines for the following conditions 1. Asthma including nebulization services 2. Acute Gastroenteritis (AGE) with no or mild dehydration 3. Upper Respiratory Tract Infection URTI/Pneumonia mild and low risk 4. Urinary Tract Infection 10 i-Pantawid eFDS 8

BHS Equipment Checklist City/Mun Brgy Group Parent Leader(s) Date/Time Checklist (To be physically checked by the PL in BHS prior to eFDS cascading, one checkmark per row) Mayroon ngunit hindi umaandar Mayroon at umaandar Equipment Wala Remarks Sphygmomanometer (For blood pressure) Weighing scale for adults Weighing scale for infants Height measuring Equipment (fixed on stick or wall)

Community Scorecard (CSC) A participatory, community-based monitoring and evaluation tool Pamamaraan para makilahok sa pamamahala at pagsusuri That enables citizens to assess the quality of public services such as a health center, school, public transport, water, waste disposal systems, etc., seeking areas for improvement Pagsusuri ng kalidad ng serbisyo publiko kagaya ng para sa kalusugan, edukasyon, transportasyon, patubig, atbp. para mapabuti o mapaganda ito 12 i-Pantawid eFDS 8

Proseso ng Community Scorecard (CSC) 1. The CSC informs community members about Paguusapan ang available services in the community serbisyo publiko their entitlements to these services karapatan natin ukol sa serbisyo publiko 2. The CSC asks for users direct feedback about the quality, efficiency, and accessibility of these services Nagtatanong tungkol sa kalidad, husay at pagkarating ng serbisyo publiko, sa pagbibigay ng score 13 i-Pantawid eFDS 8

Proseso ng Community Scorecard (CSC) 3. Those providing the public service also rate their performance Ang tagapamahala sa serbisyo publiko ay nagbibigay alam din tungkol sa kalidad, husay at pagkarating ng kanilang serbisyo publiko 4. The service providers and their clients sit down and discuss the scorecard results and how to improve these Ang tagapamahala sa serbisyo publiko at ang tumatanggap ng serbisyo ay nakikipag-ugnayan tungkol sa resulta at paano mapaganda pa ang serbisyo publiko ---Interface Meeting--- 14 i-Pantawid eFDS 8

Health Services Community Scorecard We will review the health services provided by our LGU on specific attributes Susuriin natin ang tungkol sa serbisyo kalusugan ng ating bayan For each attribute, we will assign a score Magbibigay tugon sa bawat katangian Indicate reasons for the rating Maglagay ng detalya kung bakit ganun ang ibinigay na puntos at mga mungkahi para mapabuti ang puntos Gagawin ito para sa Rural Health Unit (RHU) at Barangay Health Station (BHS) i-Pantawid eFDS 8 15

Form TPM 5-V3. Rural Health Unit Scorecard Objective: To assess 4Ps members satisfaction with the specific health services and facilities of the Rural Health Unit as basis for engaging the health service providers. Responsibility for filling out: Assigned local CSO staff. Data source: All members (1 rating per PL group), and the Rural Health Service Provider (1 rating per personnel/doctor/nurse) When to fill out: This will be filled out on the 4th or 5th Month of i-Pantawid implementation for Batch 3 LGUs (please see schedule matrix). Barangay: City/Municipality: Data source (check one): Members Service Provider Name & signature of CSO staff in charge of this form: [Encircle only one answer.] Areas to be Rated 12 3 Province: Date prepared: 4 Reasons for Rating (in bullet form) Suggested Improvements (in bullet form) 1. Availability of doctor/s 1 2 3 4 2. Availability of nurse/s 1 2 3 4 3. Staff behavior/attitude 1 2 3 4 4. Availability of immunization 1 2 3 4 5. Availability and adequacy of basic medicines 1 2 3 4 6. Availability of basic laboratory test/s (Urinalysis, Fecalysis, Sputum Test) 1 2 3 4 7. Availability of birthing facilities 1 2 3 4 8. Condition of waiting area/s 1 2 3 4 9. Condition of comfort room/s 1 2 3 4 10. Availability of facilities for PWD (Ramp) 1 2 3 4 16 i-Pantawid eFDS 8 11. Overall RHU services 1 2 3 4

Form TPM 6-V3. Barangay Health Station Services Scorecard Objective: To assess 4Ps members satisfaction with the specific health services and facilities of the Barangay Health Station as basis for engaging the barangay health service providers. Responsibility for filling out: Assigned local CSO staff. Data source: All members (1 rating per group) and the BHS Service Providers (1 rating per BHS by midwife) When to fill out: This will be filled out on the 4th or 5th Month of i-Pantawid implementation for Batch 3 LGUs (please see schedule matrix). Barangay: City/Municipality: Data source (check one): Members Service Provider Name & signature of CSO staff in charge of this form: Score Card (To be rated by the members [one rating per PL group] during eFDS Cascading) [Encircle only one answer.] Areas to be Rated 12 4 3 Province: Date prepared: Reasons for Rating (in bullet form) Suggested Improvements (in bullet form) 1. Availability of midwife/nurse 1 2 3 4 2. Staff behavior/attitude 1 2 3 4 3. Availability of functional equipment 1 2 3 4 4. Availability of immunization 1 2 3 4 5. Condition of waiting area/s 1 2 3 4 6. Condition of comfort room/s 1 2 3 4 7. Overall BHS services 1 2 3 4 17 i-Pantawid eFDS 8

When health is absent, wisdom cannot reveal itself, art cannot manifest, strength cannot fight, wealth becomes useless, and intelligence cannot be applied. Herophilus (335-280 BC) Pag walang kalusugan, ang karunungan ay hindi maipapakita, ang sining ay hindi maihahayag, ang kalakasan ay hindi mailalaban, ang kayamanan ay walang kabuluhan at ang katalinuhan ay hindi magagamit. 18 i-Pantawid eFDS 8

BHS Equipment Checklist (BM7) City/Mun Brgy Group Parent Leader(s) Date/Time Checklist (To be physically checked by the PL in BHS prior to eFDS cascading, one checkmark ( ) per row) Mayroon ngunit hindi umaandar Mayroon at umaandar Equipment Wala Remarks Sphygmomanometer (For blood pressure) Weighing scale for adults Weighing scale for infants Height measuring Equipment (fixed on stick or wall)