Provincial Population Office - Clinical - Arta


Provide Cervical Cancer Prevention Services- Visual Inspection with Acetic Acid (VIA) o Single Visit Approach

Application of 3-5 % Acetic Acid (suka) to the cervix. The cervix will turn white when the acid is applied, allowing the healthcare provider to check for the presence of precancerous or abnormal lesions with the naked eye.

No.
Steps
Time
Person to approach


1.
Request for referral letter if needed
3 to 5 minutes
Medical Officer IV/ Midwife II


2.
Get result immediately after the procedure
11 to 15 minutes
Medical Officer IV – Midwife II


3.
Submit self for check-up and VIA examination
10 minutes
Public Health Nurse/ Midwife II / Nursing Attendant
3.1
For minor infection undergo treatment/ medical prescription
10 minutes
Medical Officer IV / Public Health Nurse/ Midwife II
3.2
For abnormal findings undergo Cryotherapy, and if necessary tissue biopsy
20 minutes
Medical Officer IV / Public Health Nurse/ Midwife II


4.
Request for the services answer the Interview, with accurate information
5 minutes
Public Health Nurse/ Midwife II / Nursing Attendant

Provide Breast Cancer Prevention Services

Breast examination is best done at the end of menstrual period; if breast feeding, wait until breasts are emptied. This is done to determine if there is any mass present in the breast. This is also the first step in uncovering for any abnormalities on the breast. If there is any presence of abnormal mass on the breast the NFA (Fine Needle Aspiration) is the best way to evaluate pre-cancerous and cancerous lesion/ tumor.

No.
Steps
Time
Person to approach


1.
Request for referral letter if needed.
10 minutes
Medical Officer IV – Pathologist


2.
Get result after 5 working days and submit for medical management if necessary.
30 minutes
Medical Officer IV – Pathologist/ Medical Technologist


3.
Submit yourself for check-up; Internal examination and thorough breast exam in both breast.
10 minutes each breast
Medical Officer IV / Public Health Nurse/ Midwife II
3.1
Undergo aspiration, if breast mass is located
5 minutes
Medical Officer IV – Pathologist


4.
Request for service, Answer Interview, and give accurate Information, especially clinical & family health history.
15 minutes
Public Health Nurse/ Midwife II / Nursing Attendant

Provide Cervical Screening thru PAP SMEAR (Conventional Method)

Specimen material is obtained in the cervix and said specimen is sent to Cytology section for PAPSMEAR processing and screening of Pathologist. Papsmear is also the first step in uncovering cervical abnormalities.

No.
Steps
Time
Person to approach


1.
Undergo tissue biopsy if necessary
15 minutes
Medical Officer IV – Pathologist


2.
Request for referral letters if needed
10 minutes
Medical Officer IV – Pathologist


3.
Get Pap smear result after 5 working days and submit for medical management
30 minutes
Public Health Nurse/ Midwife II / Nursing Attendant


4.
Request for the services answer the Interview, with accurate information
5 minutes
Public Health Nurse/ Midwife II / Nursing Attendant


5.
Undergo Check-up; Internal Examination, breast exam, then Pap smear
25 minutes
Medical Officer IV / Public Health Nurse/ Midwife II
5.1
For minor infection, undergo treatment/ medical prescription

Provide Natural Family Planning and Reproductive Health Services

A technique of determining the fertility period of a woman by observing the physiologic signs and symptoms of the fertile and infertility phase of the menstrual cycle to avoid or achieve pregnancy.

No.
Steps
Time
Person to approach


1.


2.
Inform the clinic personnel on the chosen method. Ask assistance on the 3 months menstrual cycle charting.
15 minutes
Medical Officer III (MO III)/ Public Health Nurse (PHN)/Midwife II/ Nursing Attendant


3.
Report to the clinic in the scheduled regular visit for close monitoring of personnel.
15 minutes
Medical Officer III (MO III)/ Public Health Nurse (PHN)/Midwife II


4.
Request for the service. Answer the interview gives accurate information especially on the menstrual cycle.
15 minutes
Medical Officer III (MO III)/ Public Health Nurse (PHN)/Midwife II/ Nursing Attendant


5.
Attend information/ education/ Counseling session. Ask questions gray issues.
30 minutes
Medical Officer III (MO III)/ Public Health Nurse (PHN)/Midwife II

Provide Maternal Health Services

Care/ Services given to mothers assessing their health before, during and between pregnancies (Pre-Natal, Post Natal period and care given between pregnancies.)

No.
Steps
Time
Person to approach


1.
Attend education on breastfeeding; child care health and safe motherhood
may vary
Medical Officer IV / Public Health Nurse/ Midwife II


2.
Regular visit to the clinic
may vary
Medical Officer IV / Public Health Nurse/ Midwife II


3.
Submit initial and periodic assessment of pregnancy and growth of the fetus
15 minutes
Medical Officer III/Public Health Nurse/ Midwife II Nursing Attendant


4.
Attend information/ education / Counseling.
30 minutes
Medical Officer IV / Public Health Nurse/ Midwife II


5.
Request for the services. Answer the interview with accurate information
15 minutes
Public Health Nurse/ Midwife II / Nursing Attendant


6.
Request for immediate referral if needed
10 minutes
Medical Officers

Provide Medical Services to the people of Laguna (Medical Mission)

To provide medical services to the indigent people of Laguna through medical check-up both preventive and curative and also free papsmear.

No.
Steps
Time
Person to approach


1.
Go to the Physician for medical check up or any request for laboratory test if necessary.
15 minutes
Physicians
1.1
For minor infection, undergo treatment/ medical prescription


2.
Bring the prescription to the Pharmacist to get the medicines prescribed by the Doctor.
5 minutes
Pharmacist and other volunteer workers


3.
Request for the services (medical service), Answer the interview, and give accurate information.
10 minutes
Volunteers/ BHW’s / Midwives/ Volunteer Nurses


4.
Submit yourself for vital signs for the baseline data.
7 minutes
Volunteers/ BHW’s / Midwives/ Volunteer Nurses