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Adolescent and Youth Health Development Program 10/19/2016

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I. WHO Definition 9. Nephritis, Nephrotic syndrome, Nephrosis

II. Health Indices
10. Other accidents and late effects of transport/other
III. Areas of Concern Among Young People
A. Adventurous & Bold Behavior accidents
B. Sexual Curiosity and Poor Reproductive Education & Source: Philippine Health Statistics, 2003
Services
C. Health Attitudes & Behavior ACCIDENTS AND ACCIDENT-PRONE ACTIVITIES AMONG
IV. Adolescent and Youth Health Development Program ADOLESCENTS
A. Focus of the Program ACCIDENTS AMONG 25.5% Falls
B. National Objectives for Health (2011-2016) ADOLESCENTS 14.1% Vehicular accidents
C. Strategic Thrusts for 2011-2016 (n=689) 5.4% Fracture
D. Essential Health Care Package for Adolescents and
Youth 2.7% Burns
E. Guiding Principles 0.2% Poisoning
F. Program Strategies ACCIDENT PRONE 12.6% Jaywalking
G. Major Strategies ACTIVITIES (n=689) 11.2% Hanging from vehicle
H. Implementing Guidelines
V. Challenges In Health Care Provision Among Young People 6.8% Climbing high places

0.7% Household chores

WHO DEFINITION
0.3% Mistaken use of drugs
 Young people: account for a little over 30% of total population
of the Philippines or around 26M (PHS 2000)
 In 2005, accidents ranked as the most common cause of
AGE GROUP AGE RANGE death among young adolescents leading to 1,130 premature
Adolescents 10-19 years old deaths (DOH, 2005)
Youth 15-24 years old  Violence and unintentional injuries (Phil GSHS 2007,2011)
Young People 10-24 years old  *Philippine Global School-based Student Health Survey (among
13-15 year olds HS students)
o 38% Attacked Physically
HEALTH INDICES o 38% Involved in a Physical Fight
 Mortality from all causes is 0.87/100,000 population o 46% Seriously injured
 Adolescents comprise 30.4 M and makes up 31% of total o 48% Bullied during the past 30 days
population  Causes of increased incidence of accidents and other
 Healthiest age group inflicted injuries:
 By the age of 19: 12% sexually active o Exposure to poorly maintained roads and poorly
 By the age of 24: 45% of women are already mothers managed traffic systems
 Women 15-24 y/o: group with the highest unmet need for o Inability of the state to provide adequate police
family planning services at 26% personnel leading to increased number of assault and
 Smoking prevalence among adolescent is 25% and admits transport accidents
social drinking (41%)
 Random drug testing of public and private high school students SEXUAL CURIOSITY AND POOR REPRODUCTIVE
yield screening positivity rates of 3-10% EDUCATION AND SERVICES
 Drug use rate is estimated to be higher among college students  Their sexual curiosity, combined with poor sexual and
reproductive health education and services, poses serious
AREAS OF CONCERN AMONG YOUNG PEOPLE problems
 Age group considered healthiest  Increase in the number of newly diagnosed HIV-positive young
 About 19,404,800 population: 21% of the total population people between 2006 and June 2010
according to NSCB in 2010 o 15 to19 y/o positive for HIV increased from 5 in 2006 to 35 in
 Special Characteristics That Make Adolescents Vulnerable 2010
to Certain Health Problems: o 15 to 24 y/o went from 39 cases in 2006 to 222 cases in 2010
1. Adventurous and Bold behavior
2. Sexual Curiosity combined with poor sexual and  DOH HIV/AIDS Registry:
reproductive health education and services poses
serious problems
3. Attitudes and behaviorof adolescents towards health are
likely to get carried over to adulthood

1. ADVENTUROUS AND BOLD BEHAVIOR

 In the year 2000, Accidents and Injuries ranked as the #1
leading cause of death among people aged 10-24 years in the
Philippines;
o 1/3 is due to Assault or Violent attacks
o Total Deaths: 7,285
o Death Rate/100,000 Young Pop’n: 30.68
o % of Young Pop’n from Total Deaths in the Population: 22.52
MOST COMMON CAUSES OF DEATH AMONG 10-24
YEARS OLD PER 10,000 POP’N IN 2003
1. Assault
2. Transport Accidents
3. Event of undetermined intent
4. Symptoms , signs, and abnormal clinical findings not
elsewhere classified
5. Pneumonia
6. PTB
7. Chronic Rheumatic Heart Disease her diseases of
nervous system
8. Accidental drowning and submersion
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Adolescent and Youth Health Development Program

 Unwanted teenage pregnancies cause significant psychological 1. They do not recognize their illness and are not aware of
distress and is considered as a high-risk pregnancy (NDHS its serious consequences
2008) 2. They do not know that they can get help to treat and
o 1 out of 10 Filipinas 15-19 y/o is already a mother prevent their illnesses
o 3 in 10 births (33%) by teenage mothers were unwanted at 3. Poverty situation brings in difficulties to meet adolescent
the time of conception needs
o 16% Abortion rate among teenagers  Lack of skills of service providers to deal with the concerns of
o Some of the consequences of teenage pregnancy include young people outcome late in the lives of young people
low BW, increased risk of infections, etc.
ADOLESCENT AND YOUTH
HEALTH ATTITUDES AND BEHAVIOR HEALTH DEVELOPMENT PROGRAM (AYHDP)
 The attitudes and behaviors of adolescents towards health are  Created to address the global policy changes on adolescents
likely to get carried over to adulthood and youth
1. Alcohol Use
 Expanded version of the Adolescent Reproductive Health (ARH)
2. Tobacco use
 Aims to integrate adolescent and youth health services into the
3. Drug Use
health delivery systems
4. Dietary Behaviors
FOCUS OF THE PROGRAM
5. Physical Activity
6. Values Formation  Growth and Development concerns
7. Mental Health  Reproductive Health
 Communicable Diseases
ALCOHOL USE  Mental Health
 19% have drank at least one alcoholic drink  Intentional and Non-intentional injuries
 57% had their first drink before the age of 14  Other issues: Education, Social and Employment needs shall be
 16% have been drunk at least once coordinated with other concerned agencies & NGOs

NATIONAL OBJECTIVES FOR HEALTH

TOBACCO USE
(2011-2016)
 Highlights of the Philippine Global Youth Tobacco Survey in
VISION
2007:
o 1 in 5 students currently smoke cigarettes Well informed, empowered and healthy adolescents and youth
o ETS exposure is high: over 50% of students live in homes
where others smoke MISSION
o 7 in 10 students are exposed to smoke around others Ensure that all adolescents and youth have access to quality
outside of their homes health care services in an adolescent and youth friendly
o More than 50% have a parent who smoke environment
o 15% of the students have friends who smoke
o 11% smoked at least once
o 66% among students who ever smoked tried a cigarette GOAL
before age 14 The total health and well-being of young people are promoted
o 50% reported people smoked in their presence at least once
during the past 7 days PROGRAM OBJECTIVES, INDICATORS, TARGETS AND
BASELINES
DRUG ABUSE OBJECTIVES
 Based on a study conducted by the DDB and DILG in 2008, the 1. Mortality among young people is reduced
prevalence rate of dangerous drugs abuse 2. Reproductive health among adolescents is improved
o 11% among students (they have the money) 3. Malnutrition among adolescents aged 11 to 19 years is
o 10% among out-of-school-youth adolescents reduced

DIETARY BEHAVIORS
INDICATOR TARGET BASELINE
 11.8% were underweight Objective 1: Mortality among young people is reduced
 10.2% were overweight Mortality rate/100,000 70 70
 2.8% were obese young people deaths/100,00 deaths/100,000
 42.2% drank carbonated soft drinks one or more times per day 0 young young people
during the past 30 days people
Mortality rate from 35 41.9
PHYSICAL ACTIVITY
Accidents and Injuries
 14% were physically active for a total of at least 60 minutes per
Objective 2: Reproductive health among adolescents is
day on 5 or more days during the past 7 days
improved
 22%went to PE class on 3 or more days each week during the
school year % Pregnancy rate 4% 9.9%
 32% of students who spent 3 or more hours per day during a among adolescents
typical or usual day doing sitting activities Objective 3: Malnutrition among adolescents aged 11-19
years old is reduced
VALUES FORMATION % Adolescents that 3% 4.6%
 In a study in 2002, the following moral issues were asked from are obese
young people
 19% believed that cheating is neither right or wrong STRATEGIC THRUSTS
 5.6% think that taking something without permission is right 1. Ensure safe and nurturing environment for adolescents by
 12% feels that gambling is right protecting their rights
 16% feels public display of affection is okay 2. Develop the adolescent health service package and
involve the youth in the development and provision of
 18% approves of living-in arrangement
services*
 15% approves of pregnancy without marriage
3. Address and provide reproductive health needs of the
 35% approves of separation adolescents through the provision of information and
 36.5% approves of divorce education and quality health services
4. Scale-up capacity building of adolescent friendly health
MENTAL HEALTH services at the regional, provincial and local levels
 16% seriously considered attempting suicide during the past 12 5. Expand capacity building to include community health
months workers and youth volunteers
 13% actually attempted suicide at least once during the past 12 6. Provide necessary logistics and commodities for use in
months the Adolescent Health Program
 Most of the problems cited have bearing in the health 7. Engage the adolescent in creative and productive
 Several factors hindering access to and utilization of health activities and involve them in the country and community
services: development programs

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8. Expand health care financing package for other essential  Life skills shall be integrated in the training module for health
services on adolescent health workers and in the school curricula
9. Local stewardship for improving health outcomes for the  Service providers, parents & teachers shall be equipped with
adolescent and youth competencies to influence behavior
o The local public health authorities taking responsibility for
sustaining and improving interventions for the adolescents PROMOTING A SAFE &
using the public-private partnership approach
SUPPORTIVE ENVIRONMENT
ESSENTIAL HEALTH CARE PACKAGE FOR  Refers to an environment that:
ADOLESCENTS AND YOUTH o Nurtures & guides young people towards healthy
development
1. Management of illness o Provides the least trauma, excessive stress, violence
2. Injury and violence prevention &abuse
3. Counseling on substance abuse o Provides a positive close relationship with family, other
4. Nutrition and diet counseling adults and peers
5. Mental Health o Provides specific support in making individual responsible
6. Fertility awareness, family planning, responsible sexual behavior choices
behavior and management of reproductive tract infections
7. Oral care
8. Healthy lifestyle advocacy MONITORING AND EVALUATION
 Regular monitoring and evaluation will be conducted to identify
GUIDING PRINCIPLES the status, issues, gaps & recommendations
1. Involvement of the Youth  Monitoring will be through field visits, consultative meetings and
2. Rights-based Approach programs implementation reviews
3. Diversity of Adolescent Needs and Problems
4. Gender and Health Perspective RESOURCE MOBILIZATION
 Budgetary requirements will be sourced out from national and
INVOLVEMENT OF THE YOUTH international donor agencies
 AYHDP shall involve the young people in the design, planning,  Advocacy with LGUs, other GOs and NGOs shall be conducted
implementation, monitoring & evaluation of activities and on sharing of resources
programs
 Favors the acquisition of valuable skills including interpersonal IMPLEMENTING GUIDELINES
skills A. Service Delivery
 Gives young people self-confidence B. Information and Advocacy
 Promotes individual self-esteem C. Capability Building
 Contributes to a sense of belongingness D. Research and Information
E. Monitoring and Evaluation
RIGHTS-BASED APPROACH
 Promotion of young people’s rights shall be applied to ensure SERVICE DELIVERY
protection against neglect, abuse, and exploitation 1. The PRIORITY TARGET GROUP are adolescents and youth
belonging to the ff. categories:
DIVERSITY OF ADOLESCENT NEEDS AND PROBLEMS o Out of school youth (OSY)
o In-school youth (INY)
 Addressed most effectively by a combination of interventions
o Working youth
that promote healthy development
o Prostituted youth
o Marginalized (Disabled children, indigenous or street
GENDER AND HEALTH PERSPECTIVE
children, juvenile delinquents, victims of calamity and
 Adopted in all processes of policy formulation, implementation diseases)
& in the delivery of services especially sexual and reproductive 2. Health care services shall be available and accessible at all
health (because of a gender gap) public health facilities.
3. DOH retained and private hospitals shall also provide health
PROGRAM STRATEGIES services.
 The DOH shall adopt a 2 pronged inextricable linked and 4. Stress reduction shall be an important activity.
overarching strategies to: 5. Privacy and confidentiality shall be preserved at all times
1. Promote healthy development among young people except on suicide, homicide, cases of physical and sexual
 Promote healthy lifestyles abuse.
 Adopt life skills approach 6. Referral networks for special health problems such as
 Create a safe & supportive environments substance use/abuse, disability and survivors of abuse shall be
 Promote positive values & caring relationships made available.
2. To prevent and respond to adolescent health problems 7. Health workers need to be technically competent and have a
 Prevent, control and manage health risks positive attitude towards young people.
8. The family shall remain to be the most important source of
MAJOR STRATEGIES basic knowledge, behavior, attitude and skills of young people
1. Service Provision on health.
2. Education and Information 9. Adolescents and youth shall be tapped to promote the health
3. Building Skills of their peers.
4. Promoting a Safe and Supportive Environment 10. A stable peer support system shall be established w/in the
5. Monitoring and Evaluation school or community.
6. Resource Mobilization 11. Parents and adults shall be motivated to exert all efforts to
create a safe environment.
12. Parents and teachers through the PTA shall have regular
SERVICE PROVISION
interaction to facilitate early identification of behavior
 Ensure access and provision of quality and gender responsive problems.
biomedical and psychosocial services 13. Concerned sectors (teachers, counselors, social workers,
health providers, religious leaders, etc) shall support the
EDUCATION AND INFORMATION family in caring for young people.
 Early education & information sharing for adolescents and 14. Religious leaders shall be encouraged to continue their value
service information providers clarification initiatives.
 Intensive and responsive counselling services 15. A two way referral system shall be established at all levels of
health facilities and with other concerned agencies.
BUILDING SKILLS
INFORMATION AND ADVOCACY
 Life skills training to enable them to deal effectively with the
demands & challenges of everyday life 1. DOH-National office shall:
o BLS, First aid, budgeting, swimming, household chores, o set standards in the development of AYHDP IEC
communication messages and materials

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o provide technical assistance to regional offices in the NOT LIVING WITH Nutritional disorders,
development of IEC materials PARENTS OR FAMILY substance use and risky
2. AYHDP IEC materials shall be culture friendly (in local sexual behaviour, other
dialect) and be made available/accessible and utilized by inflcited injuries
adolescents and youth
3. Service providers should learn the information needs of
adolescents and misinformationthat needs clarification and
be able to respond appropriately
4. Parents and those in parenting roles shall be given
information on adolescent concerns especially sexuality and
communication skills training to strengthen their capability
to share information with adolescents
5. Mass media shall be tapped to popularize healthy behavior
6. The DOH shall work closely with other agencies who are also
focusing on other aspects of development
o DepEd, CHED, DOLE, National Youth Council, DSWD,
NGOs and international agencies

CAPABILITY BUILDING
1. DOH – National office shall:
o Develop AYHDP training module
o Provide technical assistance to other nationalgovernment
agencies in reviewing and updating their health services
standards/curriculum and guidelines for implementation
2. Service providers in the private sector shall undergo training
on AYHDP courses to maintain provision of quality of care
3. Trained service providers shall undergo periodic refresher
courses/training at least every 5 years to update on recent
development and trends
4. Adolescent and youth shall have life skills training

RESEARCH AND INFORMATION

1. DOH-CHD shall provide technical assistance on research
capability building at the LGU level
2. LGUs shall be encouraged to conduct local surveys on
adolescent KAP
3. All research findings shall be transmitted into user friendly
information for dissemination and utilization by all stakeholders
and program workers.

MONITORING AND EVALUATION

1. Monitoring and evaluation of the availability and effectivity of
services shall be conducted regularly
2. AYHDP review shall be conducted
o At least semi-annually at CHD
o Annually at the national level
3. Annual accomplishment report shall be forwarded to the
DOH-National office by the CHD
4. Annual evaluation and planning workshops shall be
conducted in coordination with the national and CHD office

CHALLENGES IN HEALTH CARE PROVISION AMONG

YOUNG PEOPLE
1. Measures to prevent disease and reduce mortality entail
lifestyle changes
2. How to capture young people for health promotion and disease
prevention at a stage when they generally do not feel sick at
all
3. How to influence the development of national & local
policies that favor promotion and protection of the health of
young people

VULNERABLE YOUNG FILIPINOS

SUB-GROUPS VULNERABILITY AREAS
YOUNG AMONG THE Common infections, physical
STREET-DWELLERS abuse or assault,
sexual exploitation, drug use,
road accidents
OUT- OF- High risk behaviour; smoking,
SCHOOL ADOLESCENTS alcohol use, drug abuse,
AND YOUTH high risk sexual behaviour,
risky work conditions leading
to injuries and diseases
URBAN –BASED MALE High risk behaviour; transport
YOUTH accidents ,
other inflicted injuries
FEMALE ADOLESCENTS Sexual abuse, sexual
exploitation ,
unwanted pregranancies,
abortion, unsafe
pregnancy and
insecure motherhood

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