Lifestyle Related Disease

Program

Karen Kaye D. Alcesto-Conol

Senior Health Program Officer
Non-Communicable Disease Cluster
Description

Non-communicable diseases (NCDs) include

cardiovascular conditions (hypertension, stroke), diabetes
mellitus, lung/chronic respiratory diseases and a range of
cancers which are the top causes of deaths globally and locally.
These diseases are considered as lifestyle related and is mostly
the result of unhealthy habits. Behavioral and modifiable risk
factors like smoking, alcohol abuse, consuming too much fat,
salt and sugar and physical inactivity have sparked an
epidemic of these NCDs which pose a public threat and
economic burden.
 Vision

A Philippines free from the avoidable burden of

NCDs
 Program Componets

1. Cardiovascular Disease
4. Cancer

2. Diabetes Mellitus

5. Chronic Respiratory Disease

3. Chronic Kidney Disease
 Cardiovascular Disease and Diabetes
Prevention and Control Program
 Cardiovascular disease like heart attack and stroke are the
number 1 cause of death globally.

 Last 2016, the DOH launched the establishment of the DOH

Hypertension and Diabetes Club. This will be scaled-up
nationwide to enhance the initiatives in addressing Non-
Communicable Diseases (NCD) and will serve as a support
group in communities to disseminate information and ensure
that appropriate management is provided to all patients.
 Cardiovascular Disease and Diabetes
Prevention and Control Program
 To be part of the DOH Hypertension and Diabetes Club, the
client needs to consult the nearest health center or primary
health care facility to undergo assessment, screening and
management using the Philippine Package of Essential NCD
Intervention (PhilPEN) protocol. Once the patient is
diagnosed to have hypertension and/or diabetes, he/she will
be enrolled to the club.
 Member can access drugs and Medicines for hypertension
(Losartan/Amlodipine/Metoprolol) and diabetes (Metformin).
They will also benefit from activities promoting healthy
lifestyle.
 Policies and Laws
AO No. 2011-0003 or The National policy on Strengthening the
Prevention and Control of Chronic Lifestyle Related Non-
Communicable Diseases

AO No. 2012-0029 or The Implementing Guidelines on the

Institutionalization of Philippine Package of Essential NCD
Interventions (PhilPEN) on the Integrated Management of
Hypertension and Diabetes for Primary Health Care Facilities

AO 2016 – 0014 - Implementing Guidelines on the Organization of

Health Clubs for Patients with Hypertension and Diabetes in
Health Facilities
“Be kind to your heart. Choose healthier
options this Valentine’s Day, maintain a
regular diet and exercise.
 Cancer Control Program

 Pursuant to Rule II Section 4 of the IRR of RA No. 11215 or the

National Integrated Cancer Control Act (NICCA), the National
Integrated Cancer Control Program was established under the
Cancer Control Division of the Disease Prevention and Control
Bureau (DPCB). It serves as the framework for all cancer-
related activities of the government that aims to decrease the
incidence of preventable cancer, prevent and manage its
recurrence, and provide access to quality healthcare for its
treatment.
 Cancer Control Program
Vision
Comprehensive Cancer Care and Optimized
Cancer Survival in 2025

Mission
To reduce the impact of cancer and improve
the wellbeing of Filipino people with cancer
and their families
Goals
1. To reduce premature mortality from cancer by 25% in 2025
2. To ensure relative reduction of the following risk factors for
cancer
a. 10% harmful use of alcohol
b. 10% physical inactivity
c. 30% tobacco use
3. To guarantee the availability of the following services for
selected population:
a. Selected cancer screening
b. Human Papilloma Virus and Hepatitis B vaccination
c. Access to palliative care
d. Drug therapy and counseling
 Types of Services

PhilHealth Benefit Package

Z Benefit Packages for Childhood Cancers,

Breast, Cervical, Prostate, Colon and Rectum
Cancers
 Policies and Laws

Republic Act No. 11223 – Universal Health Care Act

Republic Act No. 11215 – National Integrated Cancer

Control Act

Republic Act No. 11463 – Malasakit Centers Act

 Policies and Laws

AO 2015-0052: “National Policy on Palliative &

Hospice Care in the Philippines

AO 2016-0001: “Revised Policy on Cancer Prevention

and Control Program
 CANCER ASSISTANCE FUND
November 2022

 DOH implemented the Cancer Assistance Fund (CAF) which aims to

provide support for patients living with cancer and for cancer
survivors.

 Implementation of the CAF shall cover outpatient and inpatient

services including but not limited to diagnostics, therapeutic
procedures, medicines, treatment and management services, and
other care-related components of cancer. The CAF is designed to
complement existing financial support mechanisms in public and
private facilities.
 The eight (8) identified priority cancer types eligible to be financed by
the CAF include breast cancer, childhood cancer, gynecologic cancer,
liver cancer, adult blood cancers, head and neck cancers, lung
cancer, and prostate, renal, and urinary bladder cancers.

 To avail of the CAF, patients and/or carers must submit the

requirements to identified access sites where CAF services are made
available. Required documents including prescriptions, treatment
protocols, and medical abstracts shall first undergo evaluation prior
to approval and availment of services.
 Chronic Kidney Disease Prevention and
Control
Majority of the increases in total morbidity and mortality in the
Philippines have actually come from Non-Communicable Diseases
(NCDs), specifically Chronic Kidney Disease (CKD). If left untreated,
CKD can progress to more severe complications such as that now
requires more immediate and regular interventions. These interventions
include renal replacement therapies ranging from hemodialysis to renal
transplant. The increasing numbers of CKDs have become an urgent
national concern due to the burden of the disease and high costs of care.
Hence, this program aims to reinforce strategies for the prevention and
control of CKDs such as lifestyle-related disease prevention, facilitation
of early detection and evaluation, and proper disease management for
people with CKDs.
Vision:
Philippines free from the avoidable burden of
NCDs.

Mission:
Provision of accessible, affordable, quality
health care services to all
Goal:
To reduce premature mortality due to
cardiovascular diseases, diabetes mellitus,
chronic respiratory diseases, chronic kidney
diseases, and cancer* by 25% by 2025.
 Partner Organizations

National/Government
National Kidney Transplant Insitute

Local/Youth/CSOs/NGOs
Philippine Society of Nephrology
Dialysis Philippines
 Policies and Laws

Administrative Order No. 2021-0010

Implementing Guidelines on the
Institutionalizing of the Chronic Kidney
Disease Prevention and Control under the
DOH

Proclamation No. 184 – National Kidney

Monthy
National Prevention of Blindness Program

AO No. 179, s. 2004 AO No. 2013-0010

Guidelines on the Implementation Revised Guidelines on the

of the National Prevention of Implementation of the National
Blindness Program (NPBP) Prevention of Blindness Program
(NPBP) Amending
A.O. No. 179, s. 2004”
 Vision
All Filipinos enjoy the right to sight.

Goal
Reduce avoidable visual impairment by 25% by 2022.
National PRINCIPLES
STRATEGIC ACTION POINTS
Prevention of Service Delivery
Blindness Functional service
delivery system Excellence
Framework
established

Health
Governance
National PBP effectively
Promotion Integrity
managed and implemented Positive eye health seeking
behavior increased

Compassion
Information Management
Evidence based program planning and
management enhanced
 Governance Coordinate with various stakeholders and donor agencies for the
alignment of their projects and programs with the PBP strategic
plan & national policy

Regular convening of eye health stakeholders and relevant

agencies

Multi-sectoral coordinating Facilitate between PHIC, HPDPB, and professional groups for the
mechanism development and updating of eye care benefit packages

Develop guidelines for vision screening of school children in

coordination with FHO and DepEd’s School Health Program and
with other stakeholders
National PBP Coordinate with HFDB for the establishment of eye care centers in
effectively DOH hospitals

managed and
implemented
 Service
Provide Technical Assistance for the operationalization of the eye
Delivery care services for all stages at the local levels

Provide templates for the creation of community eye health teams at

Efficient SDN the LGU level

Comprehensive and Conduct training of trainers (TOT) on PEC

efficient quality eye care
services ensured/Efficient
service delivery network
Conduct PEC training by Region
established
Ensure that health workers not trained in PEC are trained
Enhanced Capacity

Capacity of Government
hospitals to provide quality
eye care enhanced

Proficient Eye Care

Services
Proficient eye care service
providers ensured
 Health Positive eye health seeking
Promotion behavior increased
Develop Program Health Promotion &
Communication (HPC) plan

Develop HPC IEC materials and activities

Effective
Communication Evaluate PBP HPC plan
Health promotion and communication
(HPC) campaigns about the PBP
effectively communicated
 Information
Management
Evidence based program planning
System and management enhanced

Conduct regular M&E Activities

Identify priority Eye research focus areas

M and E Framework
Efficient M&E system established.

Research and Program

Management
Research and development integrated
into program management
NCD INDICATORS
 FHSIS REPORTING SYSTEM
Lifestyle Related Disease (LRDs)
- Risk assessment on tobacco use, harmful use of alcohol, unhealthy diet
Cancer
- Screening for cervical cancer
- Screening for breast mass
- Referral of clients with positive/suspect results
Cardiovascular Disease Prevention and Control
- Hypertension screening and management
Diabetes Mellitus and Control
- Diabetes screening and management
Prevention of Blindness
- Screening for visual acuity and eye disease
- Referral to appropriate eye care professionals
Lifestyle Related Disease Program
For Issues and Concerns

[email protected]
Thank you