NCM 104A COMMUNITY HEALTH NURSING 1ST SEMESTER || FINALS ➔ Affordable, safe, and sustainable access to water and sanitation services LESSON 1: ENVIRONMENTAL SANITATION ENVIRONMENTAL SANITATION ➔ Study of all factors in a man’s physical environment which may exercise a deleterious effect on his health, well-being and survival Environmental Health Services (EHS) ➔ Responsible for promotion of healthy environmental conditions and prevention of environmental diseases through appropriate sanitation strategies ➔ Responsible for conceptualization of new programs/projects to contend with the emerging environmentally related health problems Factors 1. Water sanitation 2. Food sanitation 3. Garbage disposal 4. Excreta disposal 5. Insect, vector, and rodent control 6. Housing 7. air/noise pollution 8. Radiological protection 9. Institutional sanitations 10. Stream pollution MAJOR ENVIRONMENTAL SANITATION PROGRAMS HEALTH & 1. Health & Sanitation ➔ It is still a health problem ➔ Diarrheal disease ranked first in the leading causes of morbidity among the general population ➔ Other diseases: pneumonia, TB, intestinal parasitism, schistosomiasis, malaria, infectious hepatitis, filariasis, and dengue hemorrhagic fever which are controlled and eradicated 2. Water Supply Sanitation Program ➔ Multi donor partnership administered by the World Bank ➔ Support poor people Philippine Water Supply and Sanitation Master Plan ➔ National action plan to achieve universal access to safe, sufficient, affordable, and sustainable water supply, hygiene, and sanitation by 2030 Policies a. Approved types of water facilities Level I– Point Source ➔ Protected well or a developed spring with outlet but without distribution system ➔ Adaptable for rural areas where the houses are scattered ➔ Serves 15-20 households; outreach not more than 250 meters ➔ 40-140 L/min ➔ Point source- may source and distinguishable ➔ Non-point source- indi ma distinguish kung diin halin ang source Level II– Communal Faucet System or Stand Posts ➔ Composed of a source, reservoir, or piped distribution network and communal faucets ➔ Located not more than 25 meters from the farthest house ➔ Delivers 40-80 L/day ➔ Clustered housing Level III– Waterworks/water system / Individual House Connections ➔ With a source, reservoir, piped distribution network, and household taps ➔ Suited for densely populated urban areas b. c. d. e. f. ➔ Requires minimum treatment of disinfection Unapproved type of water facilities ➔ Water coming from doubtful sources (e.g. open dug wells, unimproved springs, and wells that needs priming– process of replacing air in intake lines and portions of the pump with water) ➔ Not allowed for drinking unless treated ➔ Must exert effort to convert to approved type of water supply Access to safe and potable drinking water ➔ All households shall be provided with safe and adequate water supply Water quality and monitoring surveillance ➔ Must formulate operational plan for quality and monitoring surveillance laboratories accredited by DOH ➔ Disinfection of water supply sources Water works system and well construction ➔ Shall require the prior approval of the Secretary of Health ➔ Shall comply to sanitary requirements of the DOH ➔ Water supply system shall supply rate and potable water in adequate quantity ➔ Shall be made readily available to consumers through water piped direct to homes ➔ Adequate pressure and volume shall be provided in the distribution lines RA 9275–Philippine Clean Water Act (2004) ➔ Aims to protect water supply sources or any bodies of water from pollution Proper Excreta & Sewage Disposal ➔ An increase in the proportion of households having sanitary toilet facilities both in urban and rural areas ➔ Increase number of persons which do not have access to sanitary toilet facilities ➔ Survey reveals that there is under utilization of sanitary toilet facilities g. Approved types of toilet facilities Level I ➔ Non water carriage total facility (no water is necessary to wash the waste into the receiving space) Level II ➔ Water carriage type of toilet facilities connected to septic tank and/or to sewerage system to treatment plants ➔ “Blind drainage” ◆ Wastewater collection and disposal facility ◆ For clustered homes in rural areas ➔ Conventional sewerage ◆ For poblacions and cities to attain, control, and prevention of fecal-water-borne diseases (e.g. cholera, e.coli) 3. Food Sanitation Program ➔ Prevent and control food-borne diseases to alleviate the living conditions of the population ➔ Changes in eating habit of the Filipino in fast food establishments increases the risk of food-borne infection due to unsanitary food handling ➔ Uniform policy and protocol programs to alleviate the living conditions of the population is needed Policies Food establishments shall be appraised to the sanitary conditions a. Inspection/approval of all food sources, containers, and transport vehicles b. Compliance to sanitary permits c. Provision of updated Health Certificate d. Destruction/banning of food unfit for human consumption e. Training of food handlers and operators on food sanitation ● Ambulant food vendors shall comply with the requirements as to the issuance of health certificate which also include monitoring the presence of intestinal parasite and bacterial infection ● Household food sanitation are to be promoted and monitored; food hygiene education to be intensified 4. Hospital Waste Management Program ➔ Disposal of infectiou, pathological, and other wastes from hospital which combine with municipal or domestic pose health hazards to the people ➔ Hospitals shall dispose of their hazardous waste through… ➔ Prepare and implement a Hospital Waste Registration/ Renewal of license ➔ Use of appropriate technology and indigenous materials for HWM system will be adopted ➔ Training of all hospital personnel involved in the waste management shall be an essential part of the program ➔ Public information campaign shall be the responsibility of the administration RED Sharp materials GREEN Biodegradable wastes ORANG E Radioactive waste/ medical equipment contaminated or exposed in radioactivity BLACK non-biodegradable YELLOW Infectious waste and pathological Nursing Responsibilities a. Health education b. Occupational Health Nurse, School Health Nurse, and other Nursing staff - For effective and efficient environmental sanitation in places like work and school c. Actively participate in training of the service and attend training/workshop related to sanitation d. Coordinate with government and NGOs e. Act as an advocate and facilitator in the community f. Environmental sanitation campaigns and projects in the community g. Be a role model for others in the community to emulate terms of cleanliness in the home and surrounding LESSON SYSTEM 2: HEALTHCARE DELIVERY MILLENIUM DEVELOPMENT GOALS GOAL #1. ERADICATE EXTREME POVERTY AND HUNGER ● No. of hungry people in the world decrease to fewer than 1 billion– though the Food and Agriculture Organization of the UN believes that this no. is still high GOAL #2. ACHIEVE UNIVERSAL PRIMARY EDUCATION ● Rural children are highly affected by hunger and malnutrition has affected their learning ability ● Food security and primary education should be addressed at the same time to give the rural people the capacity to feed themselves and overcome hunger, poverty, and illiteracy GOAL #3. PROMOTE GENDER EQUALITY AND EMPOWER WOMEN ● To promote the total and equitable participation of both men and women in efforts aimed at improving poverty reduction, food security, and sustainability of rural development GOAL #4. REDUCE CHILD MORTALITY ● Undernutrition is estimated to contribute to more than 33% of all deaths in children under 5 ● Efforts to improve household food security and nutrition have increased the chances of children growing to adulthood GOAL #5. IMPROVE MATERNAL HEALTH ● Could be prevented if women in developing regions had access to sufficient diets, basic literacy, and health services, and safe water and sanitation facilities during pregnancy and childbirth GOAL #6. COMBAT HIV/AIDS, MALARIA, AND OTHER DISEASES ● HIV, malaria, and other diseases directly and indirectly impact food and nutrition security, rural development, and agricultural productivity ● Malnutrition and food and nutrition insecurity can increase vulnerability to disease GOAL #7. ENSURE ENVIRONMENTAL SUSTAINABILITY ● Natural resources base and ecosystems are managed sustainably to ensure that people’s food requirements and other social, economic, and environmental needs are sufficiently met GOAL #8. DEVELOP A GLOBAL PARTNERSHIP FOR DEVELOPMENT ● To address the special needs of the least developed countries, avail benefits of new technologies, especially information and communications, in collaboration with the private sector, provide access to affordable essential drugs in the developing world– in collaboration with pharmaceutical companies SUSTAINABLE DEVELOPMENT GOALS - Aim to transform our world - They are a call to action to end poverty and inequality, protect the planet, and ensure that all people enjoy health, justice and prosperity - It is critical that no one is left behind - Collection of 17 global goals aimed at improving the planet and the quality of human life around the world by the year 2030 17 SDGs 1. No poverty 2. Zero hunger 3. Good health and well-being 4. Quality education 5. Gender equality 6. Clean water and sanitation 7. Affordable and clean energy 8. Decent work and economic growth 9. Industry, innovation, and infrastructures 10. Reduced inequalities 11. Sustainable cities and communities 12. Responsible consumption and production 13. Climate action 14. Life below water 15. Life on land 16. Peace, justice, and strong institution 17. Partnership for goals HEALTH CARE DELIVERY SYSTEM - A mechanism for providing services that meet the health-related needs of individuals - Health Care System An organized plan of health services - Health Care Delivery System the network of health facilities and personnel which carries out the task of rendering health care to people Health Care Delivery System in the Philippines ● It is shared between the public and private sectors ● The pandemic allowed hospitals to upgrade and increase their facilities to cope with the situation ● Public hospitals focus their efforts on preventive and primary care while also taking the lead ion educating the public on health issues Public Sector ● National and Local Government Agencies ● DOH ○ Regional Health Office– Center of Health Development (CHD) ○ Provincial Health Office ■ District Hospitals (provincial govt.) ■ Rural Health Units (Municipal govt.) ■ Barangay Health Stations ○ City Health Office (City govt.) ■ District health centers ○ Local health system– run by LGUs ○ Provincial and District Hospitals– Provincial Govt. ○ Health Centers, RHUs, BHS are managed by City/Municipal Govt. Private Sector ● Profit and non-profit health providers RA 7160. LOCAL GOVERNMENT CODE OF 1991 - Was enacted into law to transfer control and responsibility of delivering basic services to the hands of the LGUs - Its primary objective is to improve service delivery at the grassroots level as well as resource allocation efficiency, and to broaden the decision-making space by encouraging stakeholder participation, especially at the local level Mayor ● ● ● Governor BHS and RHU Local health board of the municipal level Group of people to decide are MHO, councilor on health and NGO representative ● ● ● District and provincial hospitals Local health board of the provincial level Group of people to decide are PHO, board member, and NGO representative DEPARTMENT OF HEALTH ● Principal lead agency responsible for ensuring access to basic public health services through the provision of quality health care and regulation of providers of health Vision The DOH is the leader, staunch advocate and model in promoting Health For All in the Philippines Mission Guarantee equitable, sustainable, and quality health care for all Flipnos, especially the poor and lead the quest for excellence in health trauma patients for transport to the point of care or trauma care center UNIVERSAL HEALTH CARE Formula One for Health 4 Components: (Strategies) 1. Service delivery– public health & hospital 2. Governance– local health system 3. Financing– health care financing 4. Regulation– accessible medicines The DOH Centers for Health and Development (CHDs) ● Implementing agencies in provinces, cities, and municipalities, and link national programs to LGUs DOH offices at the regional level assist the LGUs in the: ● Development of ordinances ● Localization of national policies ● Provide guidelines on the implementation of national programs at the LGU level ● Monitor program implementation ● Develop support system for the delivery of services Health financing– increase investment in health Health regulation– making health services affordable like use generic drugs Health service delivery– accessible health services Good governance– improve health sector performance Formula One + 2 a. Health human resource– additional health workers in the community like doctors to the barrio, NPD Nurse deployment program b. Health Service Information– improve reporting and recording like computer-based system ADMINISTRATIVE ORDER No. 2010-0036 Kalusugan Pangkalahatan QUALIFICATIONS OF A CHN WORKER CLASSIFICATION OF HEALTH FACILITIES (DOH AO-0012A) ● DOH AO-0012 s. 2012– Rules and Regulations Governing the New Classification of Hospitals and Other Health Facilities in the Philippines 1. According to Ownership a. Government– created by law, under DOH, LGU b. Private– single proprietorship, partnership, corporation, cooperative 2. According to Functional Capacity a. General Hospital– provides medical-surgical care to the sick, injured, maternity b. Speciality Hospital– specializes in a particular disease or condition in one type patient 3. According to Trauma Capacity a. Trauma Capable Facility– a DOH licensed hospital for trauma center b. Trauma Receiving Facility– a DOH licensed hospital that receives LEVELS OF PREVENTION 1. Primary ● Health promotion ● Protection against specific health problems ● To decrease the risk or exposure to disease ● Asymptomatic Phases a. Education– we educate to prevent illness b. Vaccination– to prevent diseases 2. Secondary ● Early detection or screening and early intervention ● New symptoms manifested ● Symptomatic 3. Tertiary ● Returning individual to an optimum level of functioning ● Rehabilitation or prevention of complications. Has been with symptoms for a long time ● Pre pathogenic LEVELS OF CARE 1. Health Promotion ● Behavior motivated by the desire to increase well being and actualize human potential ● VITAL STATISTICS ● Refers to the systematic study of vital events (births, deaths, illnesses, marriage, divorce/separation) ● Morbidity & Mortality indicates the state of health of the community, success, or failure of health work Programs Used: - Information dissemination - Health risk appraisal and wellness assessment - Lifestyle and behavior change - Environmental control programs Nurses Role in Health Promotion - Facilitator of the process of assessing, evaluating, and understanding health - Performs complete and accurate assessment of individual’s health status - Resource person, provides ongoing support ans supplies additional information and education in a non-judgemental manner - Role models for their clients-philosophy and lifestyle that demonstrate good health habits - Assist client in determining whether they will continue with the plan, reorder priorities, or revise the plan 2. Illness Prevention ● Avoiding the development of diseases in the future ● Consist of all interventions to limit progression of a disease 3. Health Maintenance ● Stage at which a person integrates newly adopted behavior patterns into his or her lifestyle 4. Curative ● curing disease or providing recovery from injury or illness 5. Rehabilitation ● Process of restoring ill or injured people to optimum and functional levels of wellness ● Emphasizes the importance of assisting clients to function adequately in the physical, mental, social, economic, and vocational areas of their lives Goal is to help people move to their previous level of health or the highest levels of health or the highest level they are capable given their current health status Office of the Local Civil Registrar– births and deaths are registered (municipal) City Health Department– births and deaths are registered (cities) Sources of Data 1. Population census 2. Registration of vital data 3. Health surveys 4. Studies and researches RATES AND RATIOS Rate - Relationship between a vital event, persons exposed to the occurrence of event, within a given area and during a specified unit of time 𝑝𝑒𝑟𝑠𝑜𝑛𝑠 𝑒𝑥𝑝𝑒𝑟𝑖𝑒𝑛𝑐𝑖𝑛𝑔 𝑡ℎ𝑒 𝑒𝑣𝑒𝑛𝑡 𝑡𝑜𝑡𝑎𝑙 𝑝𝑜𝑝𝑢𝑙𝑎𝑡𝑖𝑜𝑛 𝑒𝑥𝑝𝑜𝑠𝑒𝑑 𝑡𝑜 𝑡ℎ𝑒 𝑟𝑖𝑠𝑘 𝑜𝑓 𝑠𝑎𝑚𝑒 𝑒𝑣𝑒𝑛𝑡 Ratio - Describe the relationship between 2 numerical quantities or measures of events without taking particular considerations to time or place Crude or General Rates - Refers to the total living population - It must be presumed that the total population was exposed to the risk of occurrence of the event Specific Rates - Relationship is for a specific population class or group - Limits te occurrence of the event to the portion of the population exposed to it Crude Birth Rate - Measure of one characteristic of the natural growth or increase of a population total # of live births in a given calendar year Crude Death Rate - Measure of one mortality from all causes which may result in a decrease of population Total # of deaths registered in a given calendar year Infant Mortality Rate - measures the risk of dying during the 1st year of life Total no. of deaths under 1 year of age registered in a given calendar year Maternal Mortality Rate - measures the risk of dying from causes related to pregnancy, childbirth, and puerperium Total no. of deaths from maternal causes registered for a given year Fetal Death Rate measures pregnancy wastage, death of the product of conception occurs prior to its complete expulsion Total no. of fetal deaths registered in a given calendar year Neonatal Death Rate - measures the risk of dying the 1st month of life No. of deaths under 28 days of age registered in a given calendar year x 1,000 estimated population as of July 1 of the same year x 1,000 Estimated population as of July 1 of same year Total no. of registered live births of same calendar year Total no. of live births registered of same year Total no. of live births registered of same year No. of live births registered of same year x 1,000 x 1,000 PD 825. PROPER WASTE DISPOSAL ● Major thrusts of the government because diseases due to poor environmental sanitation still abound ● Activities under this program are the construction of community-made toilets and provision of safe water ● Any person who shall litter, throw garbage or other waste materials in public space, canals, roads, esteros shall suffer a penalty PD 856. CODE OF SANITATION ● Addresses health problems related to air, water, and soil pollution ● Includes: ○ Anti-smoke Belching and Air Pollution Campaign ○ Zero Solid Waste Management ○ Toxic, Chemical and Hazardous Waste Management ○ Red TIde Control and MOnitoring ○ Integrated Pest Management and Sustainable Agriculture x 1,000 x 1,000 LESSON 3: LAWS AFFECTING THE PRACTICE OF NURSING IN THE PHILIPPINES PRESIDENTIAL DECREE (PD) - An order of the president/head of state in his capacity to act as legislator PD 603. CHILD AND YOUTH WELFARE CODE ● The child is one of the most important assets of the nation ● Every effort should be exerted to promote his welfare and enhance his opportunities for a useful and happy life PD 651. BIRTH REGISTRATION FOLLOWING DELIVERY ● Requires any person (RN, OB, midwife) who shall assist in giving birth to report within 30 days w/o penalty at Local Civil Registrar’s Office PD 965. FAMILY PLANNING AND RESPONSIBLE PARENTHOOD ● Instructions prior to issuance of marriage license PD 148. WOMAN AND CHILD LABOR LAW ● No child below 14 shall be employed PD 491. NUTRITION ACT OF THE PHILIPPINES ● Addresses the problem of malnutrition among mothers and children ● It focuses on deficiencies in iron, iodine, and Vit. A ● Health stations serve as distribution centers where the micronutrients can be given PD 626. EMPLOYEE COMPENSATION AND STATE INSURANCE FUND ● injury/death that is work related is compensable ● Employees and their dependents, in the event of work-connected disability or death, may promptly secure adequate income benefit, and medical or related benefits EXECUTIVE ORDER - An order issued by the executive department in order to implement a constitutional or statutory provision EO 51. MILK CODE ● Ensures safe and adequate nutrition for infants through the promotion of breastfeeding and the regulation of promotion, distribution, selling, advertising, product public relations, and information services artificial milk formulas and other covered products EO 174. NATIONAL DRUG POLICY ● availability , affordability, or safe, effective, quality drugs REPUBLIC ACT - A piece of legislation used to create policy in order to carry out the principles of the Constitution - Crafted and passed by the Congress of the Philippines and approved by the President of Philippines - It can only be repealed by a similar act of Congress RA 1054. FREE EMERGENCY MEDICAL AND DENTAL ATTENDANCE ● For employees/laborers of any commercial, industrial, or agricultural establishments RA 1082. RURAL HEALTH UNITS ALL OVER THE PHILIPPINES ● An act strengthening health and dental services in the rural areas and providing funds thereof RA 7305. MAGNA CARTA OF PUBLIC HEALTH WORKERS ● The state shall instill health consciousness among our people to effectively carry out the health programs and projects of the government essential to the growth and health of the nation ● The act aims to: ○ Promote & improve the social and economic well-being of the health workers, their living and working conditions and terms of employment ○ Develop their skills and capabilities in order that they will be more responsive and better equipped to deliver health projects and programs ○ Encourage those with proper qualifications and excellent abilities to join and remain in government service ● Standard ratio of manpower to population ○ Rural health physician= 1 : 20,000 ○ Public health nurse= 1 : 20, 000 ○ Rural health midwife= 1 : 5,000 ○ Rural sanitary inspector= 1 : 20,000 ○ Rural health dentist= 1 : 50, 000 Rule VII. Transfer Re-Assignment or Geographical Section 1. A public health worker shall not be transferred and/or re-assigned, except when made in the interest of public service Section 4. In case of permanent reassignment requiring the relocation of the family, all necessary expenses shall be paid for by the government RA 7600. ROOMING IN AND BREASTFEEDING ACT OF 1992 ● Policies include 1. Preparation of mothers for breastfeeding 2. Latching on (baby to suck 30 mins. after delivery) 3. Rooming in 30 mins. After delivery 4. Breastfeeding for 4-6 months, feed per demand RA 3573. REPORTING COMMUNICABLE DISEASES ● Requires all individuals and health facilities to report notifiable diseases to local and national health authorities ● An act providing for the prevention and suppression of dangerous communicable diseases RA 4073. TREATMENT OF LEPROSY IN GOVERNMENT SKIN CLINIC, RURAL HEALTH UNIT OR BY DULY LICENSED PHYSICIAN ● Persons afflicted with leprosy not to be segregated ● No persons afflicted with leprosy shall be confined in a leprosarium RA 9275. PHILIPPINE CLEAN WATER ACT OF 2004 ● Objective: aims to protect the country’s water bodies from pollution from land-based sources (industries and commercial establishments, agriculture and community/household activities) RA 8749. CLEAN AIR ACT OF 1999 ● To maintain a quality of air that protects human health and welfare RA 10606. NATIONAL HEALTH INSURANCE ACT OF 2013 ● State shall provide comprehensive health care services to all Filipinos through socialized health insurance program that will prioritize the health care needs of the underprivileged,m sick, elderly, PWDs, women & children, and provide free health care services to indigents RA 7719. NATIONAL BLOOD SERVICES ACT OF 1994 ● Promotes voluntary blood donation to provide sufficient supply of safe blood and to regulate blood banks ● This act aims to inculcate public awareness that blood donation is a humanitarian act ● To provide adequate, safe, affordable, and equitable distribution of supply of blood and blood product RA 9211. TOBACCO REGULATION ACT OF 2003 ● Signed june 23, 2003 ● 1st comprehensive legislation on tobacco control ● This law aims to: ○ ○ ○ ○ ○ Promote smoke-free areas Inform the public of the health risk on tobacco use Ban all tobacco advertisements and sponsorship and restrict promotions Regulate labeling tobacco products Protect youth from initiated to smoking DOH ADMINISTRATIVE ORDER NO. 122 s. 2003 Smoking Cessation Program ● Supports the National Tobacco Control and Healthy Lifestyle Program ● Objective: ○ Promote and advocate smoking cessation in the Philippines ○ Provide smoking cessation services to current smokers interested in quitting the habit 5 A’s for Smoking Cessation 1. ASK 2. ADVICE to stop smoking and that smoking can cause disease, even death 3. ASSESS willingness to quit 4. ASSIST in quitting 5. ARRANGE follow-up RA 9165. COMPREHENSIVE DANGEROUS DRUG ACT OF 2002 ● Policy of the state to safeguard the integrity of its territory and the well-being of its citizenry particularly the youth, from harmful effects of dangerous drugs on their physical and mental well-being, and to defend the same against acts or omissions detrimental to their development and preservation ● Penalty of life imprisonment to death and a ranging from 500,00 pesos to 10 million pesos shall be imposed upon any person, who, unless authorized by law, shall import or bring into the Philippines any dangerous drug, regardless of the quantity and purity involved RA 6675. GENERICS ACT OF 1988 ● To promote, require, and ensure the production of an adequate supply, distribution, use, and acceptance of drugs and medicines identified by their generic names RA 9502. UNIVERSALLY ACCESSIBLE, CHEAPER, AND QUALITY MEDICINES ACT OF 2008 ● An act providing or cheaper and quality medicines amending for the purpose of RA 8293 or the intellectual; property code, RA 6675 or the Generics Act of 1988, and RA ● 5921 or the Pharmacy Law, and for other purposes Aims to reduce the cost of medicines– especially those that are commonly bought by the poor– to 50% of their 2001 prices and make these available nationwide RA 9993. EXPANDED SENIOR CITIZENS ACT OF 2010 ● Granting additional benefits and privileges to senior citizens ● Further amend RA 7432 otherwise known as “An Act to Maximize the contribution of Senior Citizens Nation Building, Grant Benefits, and Special Privileges and for other purposes ● The grant of 20% discount and exemption from the Value added tax (VAT) if applicable on the sale of the following goods and services from all establishments RA 9262. ANTI-VIOLENCE AGAINST WOMEN AND THEIR CHILDREN ACT OF 2004 ● It recognizes the need to protect the family and its members particularly women and children, from violence and threats to their personal safety and security ● Seeks to address the prevalence of violence against women and children VAWC, abuses on women and their children by their intimate partners RA 10121. NATIONAL DISASTER RISK REDUCTION AND MANAGEMENT ACT OF 2005 ● Address all the aspects or phases of the emergency, mitigation of, preparedness for, response to, and recovery from a disaster or emergency ● 4 DRRM Thematic Areas: ○ Disaster Prevention and Mitigation ○ Disaster Prep[aredness ○ Disaster Response ○ Disaster Rehabilitation and recovery RA 10354. THE RESPONSIBLE PARENTHOOD AND REPRODUCTIVE HEALTH ACT OF 2012 ● Protects and strengthens the family as a basic autonomous social institution and equally protect the life of the mother and the life of the unborn from conception ● Recognizes and guarantees the promotion and equal protection of the welfare and rights of children, the youth, and the unborn RA 10666. CHILDREN’S SAFETY ON MOTORCYCLES ACT OF 2015 ● It may not be allowed to drive motorcycle with a small child on board ● An exception only applies to cases where a child to be transported requires immediate medical attention ● May be allowed to ride on a motorcycle with an adult ○ ○ ○ Only children whose feet can reach the foot peg Could wrap their arms around the driver’s waist And wears protective gear such as a helmet RA 10821. CHILDREN’S EMERGENCY RELIEF AND PROTECTION ACT OF 2016 ● Enacted on May 18, 2016 ● An act mandating the provision of emergency relief and protection for children before, during and after disasters ● Used as a basis for handling emergency situations, to protect children, pregnant and lactating mothers, and support their immediate recovery