Steps of the IMCI Case management Process
The following is the flow of the iMCI process. At the out-patient health facility, the health worker should routinely do basic demographic data collection, vital signs taking, and asking the mother about the child's problems. Determine whether this is an initial or a follow-up visit. The health worker then proceeds with the IMCI process by checking for general danger signs, assessing the main symptoms and other processes indicated in the chart below.
Take note that for the pink box, referral facility includes district, provincial and tertiary hospitals. Once admitted, the hospital protocol is used in the management of the sick child.
Knock Out Tigdas 2007
Knock-out Tigdas Logo
―Knock-out Tigdas 2007‖ is a sequel to the 1998 and 2004 ―Ligtas Tigdas‖ mass measles immunization campaign. All children 9 months to 48 months old ( born October 1, 2003 – January 1,2007) should be vaccinated against measles from October 15 - November 15, 2007 , door-to-door. All health centers, barangay health stations, hospitals and other temporary immunization sites such as basketball court, town plazas and other identified public places will also offer FREE vaccination services during the campaign period.
Other services to be given include Vitamin A Capsule and deworming tablet.
Knockout Tigdas for the period of the Barangay and SK Elections
133 Executive Order No. 663
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What is ―Knock-out Tigdas (KOT) 2007?
―Knock-out Tigdas 2007‖ is a sequel to the 1998 and 2004 ―Ligtas Tigdas‖ mass measles immunization campaigns. This is the second follow-up measles campaign to eliminate measles infection as a public health problem.
What is the over-all objective of the Knock-out Tigdas?
The Knock-out Tigdas is a strategy to reduce the number or pool of children at risk of getting measles or being susceptible to measles and achieve 95% measles immunization coverage. Ultimately, the objective of KOT is to eliminate measles circulation in all communities by 2008.
What does measles elimination mean?
Measles elimination means:
1. Less than one (1) measles case is confirmed measles per one million population.
2. Detects and extracts blood for laboratory confirmation from at least 2 suspect measles cases per 100,000 populations.
3. No secondary transmission of measles. This means that when a measles case occurs, measles is not transmitted to others.
Who should be vaccinated?
All children between 9 months to 48 months old ( born October 1, 2003 – January 1,2007) should be vaccinated against measles.
When will it be done?
Immunization among these children will be done on October 15-November 15, 2007.
How will it be done?
Vaccination teams go from door-to-door of every house or every building in search of the targeted children who needs to be vaccinated with a dose of measles vaccines, Vitamin A capsule and deworming drug.
All health centers, barangay health stations, hospitals and other temporary immunization sites such as basketball court, town plazas and other identified public places will also offer FREE vaccination services during the campaign period.
My child has been vaccinated against measles. Is she exempted from this vaccination campaign?
No, she is not. A previously vaccinated child is not exempted from the vaccination campaign because we cannot be sure if her previous vaccination was 100% effective.
Chances are a vaccinated child is already protected, but no one can really be sure.
There is 15% vaccine failure when the vaccine is given to 9 months old children. We want to be 100% sure of their protection.
134 What strategy will be used during the campaign?
It is a door-to-door strategy. The team goes from one-household to another in all areas nationwide.
My child had measles previously, is he exempted in this campaign?
There are many measles-like diseases. We cannot be sure exactly what the child had, especially if the illness occurred years ago. Anyway, the vaccination will not harm a child who already had measles. The effect will also be like a booster vaccination. The previously received measles immunization has formed antibodies, with the booster shot it will strengthened the said antibodies.
Is there any overdose, if my child receives this booster immunization?
Antibodies in the blood which provide protection against disease decrease as the child grows older. Booster vaccinations are needed to raise protection again. Measles vaccination during the said campaign will be a booster vaccination for a previously vaccinated child. The child‘s waning internal protection will increase. The child will not harm because there is no vaccine overdose for the measles vaccine. The measles vaccine is even known to enhance overall immunity against other diseases.
What will happen to my child after receiving the measles immunization?
Normally, the child will have slight fever. The fever is a sign that the child‘s vaccine is working and is helping the body develop antibodies against measles.
The best thing to do when the child has fever is to give him paracetamol every four (4) hours. Give him plenty of fluids and breastfeed the child. Ensure that the child has enough rest and sleep.
What will happen after the ―Knock-out Tigdas 2007‖?
To interrupt measles circulation by 2008, ALL children ages 9 months will continue to routinely receive one dose of the measles vaccine together with the vaccines the other disease of the childhood like polio, diphtheria, pertussis, etc. All children with fever and rashes have to be listed and tested to verify the cause of the infection.
ALL 18 months old children will be given a second dose of measles immunization to really ensure that these children are protected against measles infection.
What other services will be given?
Vitamin A capsule will be given to all children 6 months to 71 month old and deworming tablet to 12 months to 71 months old nationwide.
Additional messages:
Once the child is vaccinated, the posterior upper left earlobe will be marked with gentian violet, so do not try to remove for the purpose of validation.
Houses will also be marked, so do not erase.
―I heard that there are cases where the child who was vaccinated who became seriously ill or died. Is this true?
Measles vaccine is very safe. Minor reactions may occur such as fever but in an already immunizes child, this may not occur. The most serious and RARE adverse
135 event following immunization is anaphylaxis which is inherent on the child, not on the vaccines.
Leprosy Control Program
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138 Vision: Empowered primary stakeholders in leprosy and eliminated leprosy as a public health problem by 2020
Mission: To ensure the provision of a comprehensive, integrated quality leprosy services at all levels of health care
Goal: To maintain and sustain the elimination status Objectives:
The National Leprosy Control Program aims to:
Ensure the availability of adequate anti-leprosy drugs or multiple drug therapy (MDT).
Prevent and reduce disabilities from leprosy by 35% through Rehabilitation and Prevention of Impairments and Disabilities (RPIOD) and SelfCare.
Improve case detection and post-elimination surveillance system using the WHO protocol in selected LGUs.
Integration of leprosy control with other health services at the local level.
Active participation of person affected by leprosy in leprosy control and human dignity program in collaboration with the National Program for Persons with Disability.
Strengthen the collaboration with partners and other stakeholders in the provision of quality leprosy services for socio-economic mobilization and advocacy activities for leprosy.
139 Beneficiaries:
The NLCP targets individuals, families, and communities living in hyperendemic areas and those with history of previous cases.
Global Strategy
Sustain leprosy control in all endemic countries
Strengthening Service Delivery
Ensure high quality
diagnosis, case management, recording & reporting in all endemic communities
Capability building of an efficient, effective,
Develop procedures/ tools that are home/community-
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