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CHILD HEALTH AND

DEVELOPMENTSTRATEGIC PLAN

Year 2001-2004

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Introduction

The Philippine National Strategic Framework for PlanDevelopment for Children or CHILD 21 is a strategic frameworkfor planning programs and interventions that promote andsafeguard the rights of Filipino children. Covering the period2000-2005, it paints in broad strokes a vision for the quality oflife of Filipino children in 2025 and a roadmap to achieve the

vision. Children's Health 2025, a subdocument of CHILD 21, realizes

that health is a critical and fundamental element in children'swelfare. However, health programs cannot be implemented inisolation from the other component that determine the safety

and well being of children in society. Children's Health 2025,therefore, should be able to integrate the strategies andinterventions into the overall plan for children's development.

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Vision

A

healthy Filipino child is: Wanted, planned and conceived by healthy parents,

carried to term by healthy mother, born into aloving, caring, stable family capable of providing forhis or her basic needs and delivered safely by atrained attendant.

Screened for congenital defects shortly after birth;if defects are found, interventions to correct thesedefects are implemented at the appropriate time.

Exclusively breastfed for at least six months of age,and continued breastfeeding up to two years.

Introduced to complementary foods at about sixmonths of age, and gradually to a balanced,nutritious diet. Protected from the consequences ofprotein-calorie and micronutrient deficienciesthrough good nutrition and access to fortified foods

and iodized salt.

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Provided with safe, clean and hygienic surroundings andprotected from accidents. Properly cared for at home when sick

and brought timely to a health facility for appropriatemanagement when needed. Offered equal access to goodquality curative, preventive and promotive health care servicesand health education as members of the Filipino society.

Regularly monitored for proper growth and development, andprovided with adequate psychosocial and mental stimulation.Screened for disabilities and developmental delays in earlychildhood; if disabilities are found, interventions areimplemented to enabled the child to enjoy a life of dignity at thehighest level of function attainable.

Protected from discrimination, exploitation and abuse.

Empowered and enabled to make decisions regarding healthylifestyle and behaviors and included in the formulation healthpolicies and programs. Afforded the opportunity to reach his orher full potential as adult.

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Current Situation The probability of dying between birth and five years of age is

48 deaths per 1000 livebirths. The top five leading causes ofdeaths (which make up about 70%) of deaths in this age group)are pneumonia, diarrhea, measles, meningitis and malnutrition.About 6% die of accidents i.e. submersion, foreign bodies, andvehicular accidents.

The decline in mortality rates may be attributed partly to theExpanded Program of Immunization (EPI), aimed to reduceinfant and child mortality due to seven immunizable diseases(tuberculosis, diphtheria, tetanus, pertussis, poliomyelitis,Hepatitis B and measles).

The Philippines has been declared as polio-free during the KyotoMeeting on Poliomyelitis Eradication in the Western PacificRegion last October 2000. This. however, is not a reason to becomplacent. The risk of importing the poliovirus fromneighboring countries remains high until global certification ofpolio eradication.

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Malnutrition is common among children. The 1998 FNRI surveyshow that three to four out of ten children 0-10 years old are

underweight and stunted. The prevalence of low vitamin Aserum levels and vitamin Adeficiency even increased in 1998compared to 1996 levels as reported by FNRI. Vitamin Asupplementation coverage reached to more than 90%, however,a downward trend was evident in the succeeding years from ashigh as 97% in 1993 to 78% in 1997.

Breastfeeding rate is 88% (NSO 2000 MCH Survey), withpercentage higher in rural areas (92%) than in urban areas(84%). Exclusive breastfeeding increased from 13.2% to 20%among children 4-5 months of age (NDHS).

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Goal

The ultimate goal of Children's Health2025 is to achieve good health for allFilipino children by the year 2025.

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Strategies and Activities

Enhance capacity and capability of health facilities in the earlyrecognition, management and prevention of common childhoodillness.

Strengthening community-based support systems and interventionsfor children's health.

Fostering linkages with advocacy groups and professionalorganizations and to promote children's health.

Collaboration with the nongovernment sector and professionalgroups shall:

Conduct national campaigns on children's health

Conduct and support national campaigns for children

Initiate and support legislations and researches on children's healthand welfare

Development of comprehensive monitoring and evaluation systemfor child health programs and projects