Cph Midterms 1

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• 1978

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WHO and UNICEF sponsored the PHC in Alma Ata, Russia during the Alma Ata conference

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Health for all by year 2000 and beyond

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• Goal PRIMARY HEALTH CARE (PHC)

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• 1979

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internationally replicated the conference in Geneva, Switzerland

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•1984, LOI 949

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approves for the legalization or implementation of PHC in the Philippines

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• 1993 Dr. Juan Flavier

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DOH: Health for all Filipinos was advocated by

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• 2000 Dr. Romualdez

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, Health for all Filipinos by

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WHO

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• PHC as defined by ___ is an essential health care made universally accessible to IFC

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Community based

Accessible

Acceptable

Sustainable

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•It is a strategy aimed to provide essential HC that is:

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1. Acceptable

2. Affordable

3. Sustainable

4. Accessible

5. Available

6. Attainable

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CHARACTERISTICS OF PHC:

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1. Community based

2. Utilized Multi-Sectoral Approaches

3. Utilized people empowerment

4. Utilized appropriate technologies

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CONCEPTS OF PRIMARY HEALTH CARE

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1. Training of health workers

2. Creation of botika sa baryo and botika sa health center

3. Herbal plants

4. Oresol

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4 CONTRIBUTION OF PHC TO DOH AND ECONOMY

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1. Grassroot/Village

2. Intermediate

3. First line personnel

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TRAINING OF HEALTH WORKERS (LEVELS OF TRAINING)

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1. Grassroot/Village

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includes the traditional birth attendance (TBA) or “Hilots” who attends to delivery, barangay health volunteers (BHV) and Barangay Health Workers (BHW)

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Non professionals

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didn’t undergo formal training, receive no salary but are given incentive in the form of honorarium from the local government since 1993.

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2. Intermediate

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these are professionals including the 8 members of the PHW’s

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3. First line personnel

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the specialist (oncologist, cardiologist, nephrologist)

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A.RA 6675: GENERICS ACT OF 1988

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Implementing “Oplan walang reseta program

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Alfredo Bengson

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Father of Generics Act:

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Generic name

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ingredients of drugs expected to provide therapeutic value

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b.RA 9165:

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NEW DANGEROUS ACT (old RA 6425) : NEEDS S2 licensed and prescription pad

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 Brand name

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name given by the manufacturer

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-Co-trimoxazole (trimethoprim [TMP] and Sulfamethoxazole [SMX])

Amoxicillin/ Ampicillin

-Rifampicin (RIF)

Isoniazid (INH)

Pyrazinamide (PZA)

-Paracetamol

-Oresol

-Nifedifine

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8 Commonly available generics in Botika sa baryo and Botika sa Health Care:

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1. CO-TRIMOXAZOLE

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 combination of 2 generics of drugs which is antibacterial

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Trimethoprim (TMP)

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has a bacteriostatic action that stops/inhibits multiplication of bacteria for GUT, GIT, URTI (TMP combined with SMX)

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Sulfamethoxazole (SMX)

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has bactericidal action that kills bacteria for GUT, GIT, URTI & skin infections

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Co-trimoxazole

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The drug of choice of DOH for pneumonia is

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2. Rifampicin

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TB pogram:

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3. Isoniazid

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all are antibacterial (bactericidal)

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4. Pyrazinamide

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all came from Aminoglycoside

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Rifampicin and Isoniazid

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the only TB drugs given to children

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Hepatotoxic

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Adverse effect of RIF

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Peripheral neuritis

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Adverse effect of INH

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5. Paracetamol

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 Has an analgesic & anti-pyretic effect

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Aspirin

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is never kept in “Botika” because of its effect:

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Analgesic

Anti-pyretic

Anti-inflammatory

Anti-coagulant

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Aspirin Effects

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Anti-coagulant

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Highly dangerous to dengue patients that’s why it’s not available in “Botika” & Health Center

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6. Oresol

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 A management of diarrhea to prevent dehydration under the control of diarrheal diseases (CDD) program

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7. Nefedipine

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 An anti-hypertensive drug

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 Angiotensin

 Beta Blockers

 Calcium Channel Blockers

 Diuretics

 Sedative (optional)

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ABCD’s

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Angiotensin

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acts as an inhibitor or blocker

constrictor to blood vessels

Generics ending in pril

Example: Captopril

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Beta Blockers

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a vasodilator

Generics ending in olol

Example: Propranolol

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 Calcium Channel Blockers

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Calcium stimulates the heart muscle to contract

Generics ending in dipine

Example: Nifedipine

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 Diuretics

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Use to high elimination of fluids from tissue cells-pressure in blood vessels-constriction

Example: furosemide (Lasix)-

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Lasix

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)- a loop diuretic which is commonly used & the fastest

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Nifedipine

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a gel capsule taken sublingually, commonly used & available in Botika sa Health Center),

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 Sedative (optional)

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Use to keep client calm & relax

Generic ending in zepine,

Example: Benzodiazepines

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B. RA 9165:

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NEW DANGEROUS DRUG ACT

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1. RA 8423

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ALTERNATIVE TRADITIONAL MEDICINE LAW

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ALTERNATIVE TRADITIONAL MEDICINE LAW

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 A program where patient may opt to use herbal plants especially for drugs that are not available in dosage form or patients has no artificial means to buy the drug.

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2. TRADITIONAL MEDICINE

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 Use of herbal plants

 Use acupressure- allowed only to those who have undergone training

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1. Know the indication

2. Know parts of plants with therapeutic value

3. Know official procedure/preparation

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Policies to Abide

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a. Decoction

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Gather leaves and wash thoroughly place in a container the washed leaves and add water

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b.Poultice

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Done by pounding or chewing leaves used by herbolaryo

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c.Infusion

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To prepare tea (use lipton bag) keep standing for 15mins in a cup of warm water where brown solution is collected, pectin which serve as an absorbed and astringent

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mucolytic-liquefy mucus

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1. Dry(Drug used)

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expectorant

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Productive(Drug used)

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Antitussive

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Non-stop coughing(Drug used)

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Mucolytic Liquefy

Expectorant

Antitussive

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Used for diarrhea and pneumonia

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d. Juice/syrup

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To prepare a papaya juice, use ripe papaya and mechanically mashed them put inside a blender and add water

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e. Cream/ointment

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for topical use

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Cream

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water base and use for wet skin lesio

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Ointment

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oil base and use for dry lesion

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Lagundi

Ulasimang bato

Bayabas

Bawang

Yerta buena

Sambong

akapulko

Niyog niyogan

Tsaang gubat

Ampalaya

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10 ADVOCATED HERBAL PLANTS BY DOH

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Oil

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serve as moisturizer to prepared cream to keep it lubricated while being massage on the affected area.

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1. The indications/ uses of plants

2. The part of the plants to be used

3. Preparation

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e. Cream/ointment POLICIES: