Use of the WHO Package of Essential Noncommunicable Disease Interventions after Typhoon Haiyan.

Rammell Eric Martinez,Ronaldo Quintana,John Juliard Go,Ma Sol Villones,Mae Analyne Marquez

doi:10.5365/wpsar.2015.6.3.hyn_024

Rammell Eric Martinez, Ronaldo Quintana + Show 3 more

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https://doi.org/10.5365/wpsar.2015.6.3.hyn_024

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Abstract

WPSAR Vol 6, Suppl 1, 2015 | doi: 10.5365/wpsar.2015.6.3.HYN_024 www.wpro.who.int/wpsar 18 a Offi ce of the WHO Representative in the Philippines, Sta Cruz, Manila, Philippines. b Region Offi ce 8, Department of Health, Tacloban City, Leyte, Philippines. Submitted: 22 September 2015; Published: 6 November 2015 doi: 10.5365/wpsar.2015.6.3.HYN_024 Typhoon Haiyan hit the Philippines on 8 November 2013 and caused mass destruction;1 health facilities were destroyed or not functioning and medical supplies were quickly exhausted.Afterwards, people with noncommunicable diseases (NCDs) were more vulnerable due to lack of health care access.2 This was also reported after the China earthquake where there were high morbidity and deaths from NCDs due to a lack of dialysis, chemotherapy and other medical support for those with an NCD.3

Highlights

The World Health Organization (WHO) Package of Essential Noncommunicable Disease Interventions (PEN) is a “prioritized set of cost-effective interventions that can be delivered to an acceptable quality of care even in resource-poor settings”
The PEN approach was adopted by the Philippine Department of Health (DOH) for nationwide implementation;[5] implementation was slow due to logistical and manpower issues
The other two indicators had not been met as only 19% of monitored primary health care facilities had complete sets of essential medicines provided by the DOH and only 44% were implementing PEN where the target for each was 80%

Summary

Introduction

The World Health Organization (WHO) Package of Essential Noncommunicable Disease Interventions (PEN) is a “prioritized set of cost-effective interventions that can be delivered to an acceptable quality of care even in resource-poor settings”. The key areas for PEN implementation included using the PEN approach to restore service delivery and management in primary health care facilities in Region 8, training health workers on PEN implementation and providing required materials and PEN implementation tools. Monitoring visits that included supportive supervision were conducted in primary health care facilities in six provinces in Region 8.

Results

Conclusion