Integrated Health Services

treasury

Service Pledge:
We, the Rural health Unit staff pledge to ensure accessible, affordable and sustainable quality health care services to the people of Binalbagan.


INTEGRATED HEALTH SERVICES

ACCESSING OUT-PATIENT SERVICES

civil-registry-services-map
SERVICE DESCRIPTION:

The purpose of this service is to diagnose and treat illnesses and give appropriate medical services. This service is available to any person who needs medical assistance.

REQUIREMENTS
  1. Referral slip from Brgy. Midwife
AVAILING THE SERVICE
PROCEDURE
IT WILL TAKE YOU
PLEASE APPROACH
1. Receive filled up referral slip from Barangay Midwife and check vital signs.
10 minutes
RHM
2. Review data completed and segregate referral slip with and without Philhealth and submit to MHO on first come first serve basis.
5 minutes
RHM
3. Actual check up/consultation.
Case to case basis
MHO
4. Receive referral slip and individual treatment record from MHO and instruct client on how to take medications and scheduled follow up if any.
5 minutes
RHM

ACCESSING IMMUNIZATION SERVICES

SERVICE DESCRIPTION

Immunization is one of the most cost-effective and successful interventions in reducing child mortality and morbidity. The Immunization against common childhood diseases like Tuberculosis, Measles, Pertussis, Diphtheria Tetanus, Poliomyelitis, Hepatitis B, Rubella and H. Influenza B are given to children 0-11 months to eradicate the occurrence of these diseases. To prevent tetanus Neonatorum in infants, pregnant mothers are immunize with Tetanus Toxoid.

REQUIREMENTS
  1. Early Childhood Card
  2. Growth Chart
AVAILING THE SERVICE
PROCEDURE
IT WILL TAKE YOU
PLEASE APPROACH
1. Fill up Early Childhood Development Card.
5 minutes
RHM/BHW
2. Weigh Child and graph weight in Growth Chart and assess immunization status of child.
5 minutes
RHM/BNS/BHW
3. Give required Immunization.
5 minutes
RHM
4. Instruct mother about the next scheduled date and advice her what to do if the child develops fever or any reaction.
5 minutes
RHM

ACCESSING CHILD CARE SERVICES

SERVICE DESCRIPTION

Integrated Management of Childhood Illness (IMCI) aims to reduce child death and promote growth and development through improved management of childhood illness with aspects of nutrition and other factors that influence child health. Recognized as a cost effective and significant health intervention.

REQUIREMENTS
  1. Referral Slip from Brgy. Midwife
  2. Required Forms
AVAILING THE SERVICE
PROCEDURE
IT WILL TAKE YOU
PLEASE APPROACH
1. Fill up required forms

  • Weigh the child, take temperature and respiratory rate.
5 minutes
Nurse / RHM
2. Ask/Assess and classify child’s Condition

  • (Pneumonia/No Pneumonia, Diarrhea/ No Dehydration.
  • Fever: Malaria Measles, Ear Infection.
  • Nutrition Status: Exclusive Breastfeeding/Supplemental feeding, Immunization status.
5 minutes
Nurse / RHM
3. Identify Child’s Illness based on IMCI Management and Treatment Booklet.
5 minutes
Nurse / RHM
4. Refer severe cases to MHO / Hospital.
Depending upon the distance from BHS
MHO/ Hospital
5. Provide Medications with instruction when to return and when to return immediately.
5 minutes
Nurse / RHM

ACCESSING PRE-NATAL SERVICES

SERVICE DESCRIPTION

Pregnancy is a physiological process that has certain risk. Most pregnancies end up in birth of a live, healthy baby but some, childbirth is not a joyous event but a time of pain and suffering. Thus this service aims to provide comprehensive pre-natal care to equip mothers knowledge in caring for herself and the unborn fetus in her womb.

REQUIREMENTS
  1. Referral slip from Brgy. Midwife
  2. Home Base Maternal Record
AVAILING THE SERVICE
PROCEDURE
IT WILL TAKE YOU
PLEASE APPROACH
1. Fill-up completely home base maternal record (HBMR) of client.
10 minutes
RHM
2. Examine client.
10 minutes
RHM
3. Give Counseling /Advice on proper Nutrition and Maternal Care and assist patient in accomplishing her birth plan.
15 minutes
RHM
4. Schedule client for her next pre-natal visits.
5 minutes
RHM

ACCESSING MATERNAL DELIVERY SERVICES

SERVICE DESCRIPTION

This service aims to assist the pregnant woman in safely giving birth to an alive, healthy. baby and mother.

REQUIREMENTS
  1. Home Base Maternal Record
AVAILING THE SERVICE
PROCEDURE
IT WILL TAKE YOU
PLEASE APPROACH
1. Admit client, review maternal record (HBMR) and do charting on relevant patient’s data.
10 minutes
RHM
2. Monitors progress of labor until delivery (for normal delivery only) if high risk refer patient to the next higher level for proper management (Partograph).
Case to case basis
RHM
3. Essential New born Care and Post-partum care (normal).
30 minutes To 1 hour
RHM
4. Transfer patient to recovery room and monitor condition from time to time.
4 hours
RHM
5. Promote exclusive Breast Feeding for 6 mos. and instruct proper New Born Care.
10 minutes
RHM
6. Motivate patient on Family Planning and discharge after 24-hours (normal spontaneous delivery with going home instructions of medicines and observation of lochial discharges).
10 minutes
RHM

ACCESSING FAMILY PLANNING SERVICES

SERVICE DESCRIPTION

Family Planning Program/Service will address the need to help couples and individuals achieve their desired family size with in the context of responsible parenthood and improved their reproductive health to attain sustainable development and to ensure that quality family planning services are available in every health facility.

REQUIREMENTS
  1. Presence of monthly period (menstruation)
  2. 6 weeks post-partum, 6 weeks post abortion
  3. Negative pregnancy test result
AVAILING THE SERVICE
PROCEDURE
IT WILL TAKE YOU
PLEASE APPROACH
1. Greet Clients.
 
 
2. Ask the client about herself, assess that they know about contractive methods and assess the clients’ reproductive needs.
15 minutes
Municipal Treasurer’s Office
3. Tell the client about the methods available based on clients’ needs and knowledge.
Tell the client:

  • What the method is
  • How it works
  • Advantages
  • Disadvantages
  • Possible side effects
  • Help clients in choosing her methods based on her reproductive needs
30 minutes
Municipal Treasurer’s Office
4. Fill up Family Planning Form 1 (check list) and do physical and pelvic examination.
30 minutes
MA. FE INFANTE
5. Provides FP commodity/ service according to patient’s choice.
Depend upon the method accepted by the client
MA. FE INFANTE
6. Instruct client when to return.
15 minutes
MA. FE INFANTE

ACCESSING TUBERCULOSIS PREVENTION AND TREATMENT SERVICES

SERVICE DESCRIPTION

Tuberculosis is a major public health problem in the community today. However, it is curable and preventable. TB diagnostic (sputum examination) and treatment services in accordance with NTP Protocol are provided by DOTS facilities. Intake of medicines are continuously monitored to ensure complete treatment and recovery of patient.

REQUIREMENTS
  1. Positive Sputum Examination Result
  2. Chest X ray result with TBDC recommendation
AVAILING THE SERVICE
PROCEDURE
IT WILL TAKE YOU
PLEASE APPROACH
1. Assess patients according to history of illness (e.g. duration of cough, weight loss, etc.).
5 minutes
RHM
2. Request and assess result of patients sputum examination/Chest X-ray result, and whether patient has or without Philhealth benefit.
5 minutes
RHM/Nurse/MHO
3. Conduct counseling to TB patients.
5 minutes
RHM/TB Nurse
4. Fill up patient treatment card, NTP identification card and enroll in the TB register logbook.
5 minutes
TB Nurse Coordinator
5. Provide information education about TB dis ease, its prevention mode of transmission and importance of DOTS (Directly Observed Treatment for Short Course Chemotherapy).
30 minutes
Nurse/RHM
6. Issues initial TB drug and instruct patient where to report for his / her daily intake and schedule of follow up sputum examination.
5 minutes
Nurse/RHM

ACCESSING TUBERCULOSIS IN CHILDREN PREVENTION & CONTROL SERVICES

SERVICE DESCRIPTION

Unlike adults, screening and establishing the diagnosis of tuberculosis in children is difficult, complex and remains a challenge. However, World Health Organizations (WHO) recommends some approaches to diagnose TB in children.

  1. Careful History and Clinical Examination.
  2. Bacteriological Confirmation whenever possible.
  3. Tuberculosis Skin Testing (TST).
  4. Other Diagnostic tools relevant for suspected Extra Pulmonary TB.

Children are treated in essentially the same way as adults using appropriate adjusted dosage of the drugs. The aim of chemotherapy is to provide the most effective treatment that would rapidly and fully eradicate tubercle bacilli at the shortest period of time with the minimum interference with the patients’ daily activities.

REQUIREMENTS
  1. Positive Sputum Examination
  2. Positive PPD result
  3. Children with S/S of TB and with H.H. contracts of smear (+) and smear (-) TB patients.
AVAILING THE SERVICE
PROCEDURE
IT WILL TAKE YOU
PLEASE APPROACH
1. Receive and assess children with (+) PP result and with S/S of TB and Household contacts of smear (+) and x-rays (+), TB patients.
30 minutes
TB Coordinator
2. Fill-up patient treatment card, NTP identification card and enroll in the TB Register Logbook.

  • Weigh Patient
5 minutes
PMC Counselors
3. Provide information education about TB dis ease, its prevention mode of transmission and importance of DOTS (Directly Ob served Treatment for Short Course Chemo therapy).
30 minutes
TB Coordinator
4. Instruct mother the next scheduled date and advice her what to do if the child develops fever or any reaction.
5 minutes
TB Coordinator
5. Monthly monitoring and recording of patients weight and other pertinent symptoms
10 minutes
TB Coordinator

ACCESSING NON-COMMUNICABLE DISEASES PREVENTION & CONTROL SERVICES

SERVICE DESCRIPTION

The Integrated Non-Communicable Disease Prevention and Control Program (INCDPCP) is a respective to address the increasing incidence of non-communicable disease (NCD’s Diabetes, hypertension, heart diseases) in responsive localities. A tool was deviced to detect early the presence of risk factors in an individual that may lead to the occurrence of these diseases. The NCD High Risk assessment (Community Case Finding Form) used in the BHS to assess the presence of risk factors of a patient 25 years old and above. If with risk factors that patient is referred to the Municipal Health Officer and he or she is assessed using the NCD High Risk Assessment (Facility Form). The patient is then managed and treated. All patients with risk or no risk factors is counseled on healthy lifestyle.

REQUIREMENTS
  1. 25 years old and above (male/female)
  2. Referral slip and filled up Community Case Finding Forms from Barangay Midwife.
AVAILING THE SERVICE
PROCEDURE
IT WILL TAKE YOU
PLEASE APPROACH
1. Receive filled up referral slip and non-communicable disease High Risk Assessment (Community Case Finding Form) from Barangay Midwife.
2 minutes
RHM
2. Review the Community Case Finding form and copy to the Facility form and filled up the Questionaire to determine Probable angina, Heart Attack Stroke, or Transient Ischemic Attack.
15 minutes
Nurse/RHM
3. Actual check-up/consultation.
Case to Case basis
MHO
4. Receive referral slip Facility form and Individual Treatment Record from MHO and provide medicines if any and instruct patient on how to take his/her medicines.
5 minutes
RHU
5. Remind patients of next follow-up visits and conduct counseling on adopting healthy lifestyle to prevent progression of disease or to avoid development of the illness.
10 minutes
Nurse/RHM

ACCESSING PRE MARRIAGE COUNSELING SERVICES

SERVICE DESCRIPTION

The Municipal Helath Office spearhead the conduct of Pre-Marital Counseling (PMC)Seminars to would be couples. This is one day orientation program for couples applying for marriage license. It is designed to provide couples with realistic overview about marriage, marital obligations, and how they could live in harmony with in the family. It also covers information about male and female sexuality, spacing of pregnancy, caring for the family and children’s health and tips on home management.

REQUIREMENTS
  1. Personal Data
AVAILING THE SERVICE
PROCEDURE
IT WILL TAKE YOU
PLEASE APPROACH
1. Register personal data of Pre-Marriage couple in the PMC logbook.
20 minutes
PMC Counselors
2. Assist couple in accomplishing “Profile of Couple Applying for PMC” form.
5 minutes
PMC Counselors
3. Couple proceed to Conference Room.
 
 
4. Conduct of Pre-Marriage Counseling.
4 hours
PMC Counselors
5. Issuance of PMC Certificate.
5 minutes
PMC Counselors