dong Pambata Edited

8/8/2019 dong Pambata Edited

1/39

Garantisadong

PambataGroup 3

Subgroup 4

N-404


2/39


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.


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.


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


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.


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


8/39

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.


9/39

Infant Mortality Rate


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


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.


12/39

According to NSO


13/39

According to NSO


14/39

According to NSO


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


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.


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.


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


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


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.


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


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


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.


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.


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.


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


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.


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.


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


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


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.


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.


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


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.


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.


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


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.

--


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.


39/39

THANKYOU

?!?!?!

dong Pambata Edited

Documents

Transcript of dong Pambata Edited