Adolescent Health and Development Program

Description

In April 2000, DOH issued the Administrative Order 34- A s 2000, the Adolescent and Youth Health (AYH) Policy, creating the Adolescent Youth Health Sub-program under the Children’s Health Cluster of Family Health Office. In 2006, the department created the Technical Committee for Adolescent and Youth Health Program, composed of both government and non-government organizations dedicated to uplifting the welfare of adolescents and tasked to revitalize the program. Due to an increasing health risky behaviour among our Filipino adolescents,

DOH embarked on revising the policy and to focus on the emerging issues of the adolescents which are the 10 – 19 years old.

In March 21, 2013, DOH with the support of the United Nations Population Fund (UNFPA) Philippines, revised the policy and served the Administrative Order 0013 - 2013 National Health Policy and Strategic Framework on Adolescent Health and Development (AHDP). The Strategic Framework 2013 is designed in accordance with this goal.

In 2015, DOH AHDP Program revived the National External Technical Working Group (TWG) on AHDP. This is composed of different stakeholders from the government, non-government, academe, and youth – led organizations. In 2016, DOH recognized the need for harmonization of programs within the department that caters 10 – 19 years old. The AHDP Program convened the first DOH – Internal Technical Working Group. This aims to ensure that all programs are working together for the betterment of the adolescents in the country. It is also an avenue to discuss indicators, policies, strategies, and service delivery at the national and local implementation levels. The External and Internal TWGs on AHDP are multi -sectoral, collaborative approaches to fulfil the goal, vision, and mission of the program. In 2017, both TWGs revised the strategic framework, and developed a logical framework, and monitoring and evaluation framework of the program.

Vision

The AHDP envisions a country with well informed, empowered, responsible and healthy adolescents who are leaders in the society

Mission

Its mission is to ensure that all adolescents have access to comprehensive health care and services in an adolescent-friendly environment.

Objectives

Improve the health status of adolescents and enable them to fully enjoy their rights to health.

Program Components

  1. Nutrition
  2. National Safe Motherhood
  3. Family Planning
  4. Oral Health
  5. National Immunization Program
  6. Dangerous Drugs Abuse Prevention and Treatment
  7. Harmful Use of Alcohol
  8. Tobacco Control
  9. Mental Health
  10. Violence & Injury Prevention
  11. Women and Children Protection
  12. HIV/STI

Partner Institutions

Local & International Development Partners:

  • Department of Education
  • National Youth Commission
  • Commission on Higher Education
  • Commission on Population
  • Council for the Welfare of Children
  • Department of Social Welfare and Development
  • Department of Interior and Local Government
  • Linangan ng Kababaihan (Likhaan)
  • The Family Planning Organization of the Philippines
  • Technical Education and Skills Development Authority
  • WomanHealth Philippines
  • Save the Children
  • ACT! 2015 Alliance
  • Youth Peer Education Network
  • Society of Adolescent Medicine in the Philippines Inc.
  • Micronutrient Initiatives
  • Child Protection Network
  • National Nutrition Council
  • Philippine National AIDS Council
  • Philippine Society of Adolescent Medicine Specialist
  • United Nations for Children’s Fund
  • United Nations Population Fund
  • United Nations Programme for HIV and AIDS
  • United States Agency for International Development
  • World Health Organization

Policies and Laws

  • Republic Act 10354 (The Responsible and Reproductive Health Act of 2012)
  • Administrative Order No. 2013-0013 (National Policy and Strategic Framework on Adolescent Health and Development)
  • Administrative Order No. 2017-0012 (Guidelines on the Adoption of Baseline Primary Health Care Guarantees for All Filipinos)
  • Proclamation 99 s.1992 (Linggo ng Kabataan)

Strategies, action Points and Timeline

  • Health promotion and behavior change for adolescents
  • Adolescent participation in governance and policy decisions
  • Developing/transforming health care centers to become adolescent-friendly facilities
  • Expanding health insurance to young people
  • Enhancing skills of service providers, families and adolescents
  • Strengthening partnerships among adolescent groups, government agencies, private sectors, Civil Society organizations, families and communities
  • Resource mobilization
  • Regular assessment and evaluation

Program Accomplishments/ Status

Health Education and Promotion

  • Advocacy and awareness raising activities such as Adolescent Health TV segment and Healthy Young Ones

Provision of Health Services

  • Establishment of Adolescent-Friendly Health Facilities Nationwide includes:
    1. Core package of adolescent health services (AO 2017-0012) available at the different levels of the health care system and in settings outside the health care system.
    2. Institutionalize linkage between school, community, civil society organizations and health facilities in a service delivery network (SDN).
    3. Trained health and non-health personnel nationwide with the following:
    • Competency Training on Adolescent Health
    • Adolescent Job Aid (AJA) Training
    • Adolescent Health Education and Practical Training (ADEPT)
    • Healthy Young Ones (HYO) Training
    • Adolescent Health and Development Program Manual of Operations (MOP) Training

Calendar of Activities

The celebration of Linggo ng Kabataan every second week of December

Statistics

Violence: Sixteen percent (16.6%) of women age 15-19 have experienced physical violence at least once in their life and 4.4% are survivors of sexual violence. Seventeen percent (17%) of Young Adult Fertility and Sexuality Survey in 2013 (YAFSS) adolescent respondents have experienced violence in the past year, and 23 % have been aggressors of violence between the aged 15 – 24 years old. Almost half (47.7%) of 13-15 year old schoolchildren in the 2013 Global Scholl Health Survey (GSHS) have experienced bullying and 4.8% of YAFSS adolescents have been harassed using technology.

Alcohol, Tobacco, and Illegal Substances: In the 2013 National Nutrition Survey (NNS), 6.8% of adolescents are current smokers and 5.7% are former smokers. Fifteen percent (15.6%) of YAFSS (2013) respondents are current smokers and 2.6% have ever used drugs. In YAFSS, 8.1% of adolescents 15-19 years old have ever passed out drunk. The 2015 Global Youth Tobacco Survey (GYTS), together with Global School Based Health Survey (GSHS) and YAFS describe other risk behaviors. In 2015, GSHS found that 18.2% of schoolchildren 13-15 years old have experienced being really drunk at least one drinking alcohol once one or more days during the past 30 days. According GSHS, 11.0% have smoked cigarettes in the past month. In 2015, GYTS analyzed that a total of 16.0% of the respondents currently use any tobacco product (smoked tobacco and/or smokeless tobacco) and 28.1% of students are ever tobacco users.

Malnutrition: It is a double burden with 12.4% of adolescents wasted and 8.3% overweight or obese. The latter is somewhat expected given that 42.2% consume soft drinks one or more times per day while only 13.9% were physically active for a total of at least 60 minutes daily on five or more days during the past week. On the other hand, one in three (37.2%) pregnant adolescents are nutritionally at risk (based on weightfor- height classification, P<95).

Sexual and Reproductive Health: While General Fertility (GF) has significantly decreased since 1970, Age Specific Fertility Rates (ASFR) of adolescents has changed little. The 2017 National Demographic and Health Survey (NDHS) places adolescent ASFR at 47 livebirths per 1,000 women 15-19 years old, up from 57 in the 2013 NDHS. According to YAFSS 4, data shows that in the Philippines, an increasing proportion of adolescents and young people have early sexual encounters. In 2013, 1 in 3 young people report having premarital sex. The prevalence of early sexual encounters has increased over the last 20 years. Males are more likely to report having premarital sex than females. In 2013, 36% of males reported having early sexual encounters compared to 29% of females. The highest levels of early sexual encounters are reported in NCR (41%) & Central Luzon (31%) regions. Also, many young people marry young, and it is important that they have good information before they are married so that they can make healthy, informed decisions.

HIV and AIDS: In April 2017, there were 629 new HIV antibody sero-positive individuals reported to the HIV/ AIDS & ART Registry of the Philippines (HARP) [Table 1]. More than half were from the 25-34 year age group while 30% were youth aged 15-24 years. 33 adolescents aged 10-19 years were reported. All were infected through sexual contact (8 male-female sex, 19 male-male sex, 6 sex with both males & females). From January 1984 to April 2017, 1,606 (4%) of the reported cases were 19 years old and below. Seven percent (111 out of 1,606) were children (less than 10 y/o) and among them, 108 were infected through mother-to-child transmission, 1 through blood transfusion and 2 had no specified mode of transmission. Ninety three percent (1,495 out 1,606) were adolescents. Among these, 1,359 (91%) were male. Most (93%) of the adolescents were infected through sexual contact 185 male-female sex, 843 male-male sex, 367 sex with both males & females), 85 (6%) were infected through sharing of infected needles, 8 (<1%) through mother-to-child transmission, and 7 had no specified mode of transmission.

 

Program Manager

Ms. Dulce Elfa, RN, MPH
Women and Men’s Health Development Division
Disease Prevention and Control Bureau, Department of Health
Weekdays, 8:00 AM-5:00 PM @ 0063 02 651 7800, loc. 1726 or 1729
Email Address: dcelfa1971@gmail.com

-------

Updated: October 17, 2018