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DOH-RO CAR develops NBS Flipchart

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To develop a communication tool promoting ENBS (Expanded Newborn Sceeening) to women of reproductive age and other stakeholders in the communities, the DOH-RO CAR conducted a workshop that would create an NBS flipchart at the Regional Training Center, DOH Regional Office (DOH RO) CAR Office, Baguio City on November 21-22, 2017. Volunteer Youth Leaders for Health-Philippines (VYLH) members from different schools and representatives from professional health organizations, Newborn Screning Center - Central Luzon (NSC-CL), and the Newborn Screening Reference Center (NSRC-NIH, UP Manila) also took part in the workshop.

Workshop attendees worked in teams to discuss the content and design of the flipchart. Finally, the participants agreed to use illustrations and infographics, which would be easier for the target audience to understand. They also drafted recommended texts that will serve as guide for lecturers and recommended a training program so that both health workers and users will be able to hold effective sessions in Ilocano or any language the audience is most familiar with.The flipchart will cover frequently asked questions on ENBS and a few issues that influence women’s access to the program. The launch of the NBS flipchart is set in the middle of the
year.



Seated from left to right: Lilia Dado, IMAP Regional President, Baguio Chapter; Florenz Nastor, LTFU Nurse, CAR; Dr. Virginia Narciso, CAHDC Cluster Head; Vina Mendoza, PDO IV, NSRC; Don Santos, Nurse III, NSCCL; and Kia Rosario, Regional NBS Nurse Coordinator. 
Standing from left to right: Jeminah Blanco, VYLH-Abra; Florita Sacgaca, Clinical Instructor; XiJEN - Mt. Province; Jun Palomares, VYLH-Abra; Brenda Satur, Regional President, PLGPMI; Jomar Durdal, VYLH-Kalinga Chairman; Glenda Palomado, VYLH-Kalinga; and Jocelyn Paltiyan, VYLH-Benguet.

Originally published inNewborn Screening 
The bimonthly publication of NSRC-NIH, UP Manila
November - December 2017 Issue 
Written by Dr. Virginia Narciso



Inside Hayaw: VYLH launches two-part Visayas Cluster Camp

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Have you ever been to a place far away but feels like home? Or a place where you can identify yourself with people who know the feeling of being there and have done that? Or maybe being with people who are also advocating a cause worth fighting for? Because once upon a time, I experienced that.


Last May 18-20 in a far away land in the City of Smiles at Palmas Del Mar Resort, gathered a group of confident, enthusiastic, talented, and amazing people across the islands of Panay-Guimaras, and the two provinces of the Negros Islands (Negros Occidental and Oriental). It was such a pleasure meeting new people because you get to know not just their selves but also their culture.


Being chosen as my school’s representative to VYLH-Philippines, I realized that it was a privilege and an honor because not all youth can get this kind of opportunity to be part of this organization advocating for health, and spreading awareness thru volunteerism. The camp opened my mind that this organization does not only accept people in the medical field but it is open to all people who are willing to take the responsibility of being a volunteer youth leader (VYL) for health regardless of race, gender, and profession.

The first day was a little bit off for me because I barely knew the people who I’m going to spend the three-day camp with. But as the hours went by and I started knowing each one of them, it hit me hard upon realizing that I am surrounded by amazing group of people. 

The camp started with a “bang” as we met the people behind VYLH and the facilitators who organized the camp. The young and fresh minds of the campers were filled by listening to the lectures on the VYLH advocacies, and the issues faced by the youth today. Later that evening, the Socials Night was a great opportunity to get to know the other delegates. It also proved that each individual has something to give by showing their talents confidently. 




The next day, the campers started the morning with a devotion and some fun morning exercises. After that, we took our breakfast and went on for more lectures about the advocacies on orphan disorders, and preconception health – the newest VYLH advocacy. The team building activity tested each team's skills, values, and teamwork. After completing the activity together, we were able to understand each other's strengths, weaknesses, and interests. Understanding these is vital not just to the organization but to our community and ourselves, as well. And, this will be crucial in our work as a group in the future. The night culminated with the most important event - setting our commitment as volunteer youth leaders and advocates to the organization and to rest of the country.





The last day of the camp gave mixed emotions to all. The regional cultural presentation showcased the culture and history of each island. This was followed by the Kalog awards and the VYLH “tradition”. Many of us were not ready to say our goodbyes and leave the camp yet, but it was time to go back home.


At this juncture, I would like to thank the whole VYLH-Philippines family, the Department of Health Western Visayas Regional Office, and Newborn Screening Center Visayas for spearheading this once in a lifetime event that changed our outlook in life; for opening our young minds on aspiring greater heights; and for impacting our lives with so much love, positivity, and awareness.




After joining this camp, I realized that I didn’t just gained friends but I found a family worth promising. The camp indeed was full of surprises, laughter and some tears but in the end, it was an experience of a lifetime. The journey and the possibilities is yet to come for each one of us. Definitely, this is just the beginning of an adventure that will last till the end of time - for there is no ending in this story that will still go on until the next generation comes.# 


                             
Hayaw is the Visayan word for rise or emerge. The second part of the Visayas Cluster Camp that will serve Central and Eastern Visayas is scheduled on August 2018 in Cebu. 


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Written by Karl Scott Bañares (Batch Hayaw)
Iloilo City

Karl Scott Banares is a BS Pharmacy student at University of San Agustin in Iloilo City.



From trainee to trainor: Keeping the VYLH legacy alive thru Hayaw

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The cycle was seemingly never going to end. Burnt out by the extreme requirements and demands in the academe, I felt very exhausted. In the end, all the sleepless nights I experienced were all worth it as I graduated as a senior high school student last March 23, 2018. Then summer came, and I was just recovering from my messed-up body clock. Most of the time, I had nothing to do aside from deciding on what course I am to take for college. This dilemma has got me to ponder as I seek for the right answers. Then I extensively backtracked the days of my life and ask: “What am I fighting for?”

I received a message from Kuya Floyd last May 8, 2018, if I could facilitate the upcoming Volunteer Youth Leaders for Health Philippines (VYLH) Visayas Cluster Camp. I immediately responded with a “yes.” The opportunity to become a camp facilitator brings me back to so many memories when I was a delegate in 2016. I was only seventeen years old with fellow delegates who were older than me. To be back in the VYLH circle had me very ecstatic.

The first camp for the Visayas Cluster was held at Palmas del Mar, Bacolod City, with the theme “Hayaw: Fostering Ambassadors of Health.” The first camp was composed of delegates from Negros, Panay, and Guimaras. Every year, it has been a tradition of VYLH to give a batch name to the delegates. This year, the batch was called “Hayaw,” a Visayan term that means rise.

VYLH has always been an organization full of diverse members. Every volunteer has a unique talent or skill that is of great help to the foundation of the organization in facilitating camps or promoting the different advocacies. As for me, I have produced many posters, infographics, and videos used for the different activities in my school. During the preparations for the camp, I had the privilege of using my experience and creativity to produce most of the infomedia. With this, my energy and hype for the camp started to escalate. 

Most of the facilitators were from my place, Dumaguete City. Although some facilitators came from other parts of the region, planning and preparations were smoothly sailing through the help of social media. The reason why VYLH will never falter is because the organization always keeps in touch with their members regardless of geographical disparity. 

Day One. The delegates arrived early in the morning. Some of them were exhausted after travelling miles away while some were thrilled to know on what is to come on the following days. There was an apparent language barrier between the delegates from Negros Oriental and the rest, yet it was not an avenue for both groups to become strangers with one another. 

As early as the first day, matter has already been instilled to the minds of the delegates. I could remember myself back in my camp, trying to manage myself from falling asleep since we had to travel for many hours. However, due to my excitement and drive to learn that time, I tried my best to be attentive. This time, being a facilitator, listening to the lectures were as fresh as the time I first listened to all of it.

After a series of lectures, the delegates were set to prepare themselves for the most awaited beach-themed “Social’s Night.” The delegates immediately freshened up and transformed into their summer looks.

That spectacular night was spearheaded by Mr. Zechariah Jumawan or Kuya Chito who was a ball of laughter that night. I suddenly saw the need to breathe as he neverendingly pours laughing gas all over the session hall with his spontaneous jokes. Mr. and Ms. VYLH Social’s Night then followed. All delegates, with their colorful beach attire, introduced themselves one by one creatively by saying their names and mottos in life. Given a little time to prepare, all I can say is that all delegates of VYLH never fail to impress. Some of them were very witty while others were very funny.

The delegates per province showcased their talent presentations per group. All of them were spectacular! Back in 2016, my fellow delegates from Negros Oriental had to prepare an instant talent presentation overnight. The diversity within was really evident.

Day Two. Early morning, the delegates attended the morning devotion and did a little stretching off to prepare themselves for the day.

One of the new activities that we did not have during our camp was the Health Ambassador’s Workshop. The delegates in this activity were taught how to explain their advocacies to different people and in different real-life situations. This activity is crucial in gearing them up in the whenever they will be thrown questions and they have to answer it on their own. The dynamics of the camp balances two important elements: fun and learning. VYLH camps never fail to provide both.

The team-building activity was one of the highlights of the camp. Wearing comfortable sports attire, the delegates were set to face the obstacles. Five teams conquered strenuous and mind-boggling challenges that really tested them to work strategically as a team. They managed to handle the language barrier through communicating in Tagalog or in English. Looking at them as a facilitator this time around reminded me of how difficult the challenges were really to accomplish. Mr. Christian Emmanuel Enriquez or Kuya Emman, president of VYLH-Philippines, extracted all the key values the teams could learn from every challenge. The team-building activity was followed by a new version of the commitment ritual inspired by the movie Divergent wherein delegates have to pinch one out of five colors of dye powder. Every color represents a value they wish to commit to the organization. After celebrating as official volunteers, it was pool party time, and ice cream was served!

Day Three. The first day of the delegates as volunteers started very early. Morning devotions and exercises were conducted.

I was assigned to assist Tita Ma-an for her talk on “Rare Disease.” Although I was a facilitator, it was my first time to hear her speak and I could not help but attentively listen to her. The most striking lesson I could not forget from her was the reason why she continuously fought for the children with rare disease: children with rare disease occur only one in a million, but she believes that every one deserves to access quality health care and be given the opportunity for the child to fight in order to live. I really felt her when she uttered those powerful words. When I saw the pictures of her and her patients, it gave me the driving force to be like her one day. It was a very informative talk and really inspirational! Regardless of being a facilitator or a delegate, the learning certainly never stops, I realize.

The cultural presentation is one of the most anticipated events in every camp, which is performed by every provincial group. Intricate and colorful costumes were worn as they showcased skit and dance presentations of their provincial festivals with pride.

The set of activities for the last day were starting to make the facilitators and delegates feel the separation anxiety. Hayaw Circle is a segment on the last day for delegates to write letters to their fellow delegates before leaving to their respective homes. There were many things to write to some, most especially to the people who they bonded with. Certificates were given to the delegates, and also it has been a tradition to give a set of just-for-fun Kalog Awards. Unexpectedly, the recognized delegates were in shock as they were awarded. Furthermore, the most thrilling and breathtaking segment throughout the entire duration of the camp will have to remain a secret among the VYLH circle. The only thing I can say is that once you have attended VYLH camps, you will never ever forget that specific experience.


Looking back. Two years ago, I was proclaimed a new Health Ambassador and found a new family for me to grow and learn. I saw the importance of being a health worker in contributing to nation building. Then, I immediately saw the answer to my hanging question: I am fighting for the betterment of the health care system in the Philippines. The emptiness I felt during summer was fueled during the camp. When I arrived home in Dumaguete City, I immediately enrolled myself at Silliman University College of Nursing in the hopes of becoming one of the inspiring speakers of VYLH-Philippines in the nearest future.

Being a delegate before was a new growth and a discovery for a new avenue to serve. Yet learning never stopped, and as a facilitator, it flourished.

Bags ready and everyone was set to bound for their homes. As a facilitator, I felt very attached to everyone, and I really could feel the separation anxiety. Three days was not long enough, but it sure made us all miss one another, a family and a new one to the official volunteers. It was an emotional good-bye for everyone, but with the burning torch, they hold as they leave will forever keep the organization and its advocacies on the rise—Hayaw!#



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Written by Francis Estolloso (Batch Kabilin)
Dumaguete City

Francis is a first year BS Nursing student studying at Siliman University. 


A millennial’s perspective: How to become a true VYL?

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Volunteer Youth Leaders for Health (VYLH) Philippines is an initiative made to promote health advocacies that are not necessarily popular to many. Health advocacies such as the importance of newborn screening, public support to children with rare diseases, and folic acid supplementation were introduced and reintroduced to the public for awareness. VYLH is the only youth organization in the Philippines recognized to have supported such advocacies. 

VYLH has been organizing camps since 2009, has produced outstanding results, and has raised dynamic advocates in our country.  In the 2018 camp series of the Visayas cluster, the Negros-Western Visayas camp was the first to be held. And as expected, it helped in shaping the growth and understanding of the fresh young leaders of the advocacies of VYLH. The camp’s goal is not only focused on its organization’s specific activities, but also to the growth and enrichment of the individual volunteers that the organization chose and recruited for its cause.

Young leaders of different interests and fields were gathered in the City of Smiles, Bacolod, last May 18, 2018. Forty-six students from the islands of Panay, Guimaras and Negros (Occidental and Oriental) enthusiastically answered the call for new volunteers. A specific highlight of this camp and the succeeding camps is the honing of health ambassadors in each volunteer as epitomized by the theme, “HAYAW: Fostering Ambassadors of Health.” Hayaw is the Visayan term for rise or emerge, and this is the official batch name of this year’s new volunteers. 

To become a Volunteer Youth Leader (VYL) for health is definitely an honor and privilege, because not everyone who wants to be one can be one, and not everyone is presented with the opportunity. In order to be a VYL, one must go through screening, submit requirements, or be officially selected by their school or organization. VYLH longs for a partner that is loyal, passionate and dedicated - a lifetime partner that is to say. Once a VY, always a VY since may forever sa VYLH (on the advocacies and family side for that matter). No matter the age, the educational background, and interests, we can always say loud and proud that “I am volunteer youth leader for health”. 



“I am volunteer youth leader for health”. That is what one is expected to say when they finish the camp— young, loud and proud. It’s what anyone who heard about the network would dream of saying. A call for volunteers was given, a lot of dynamic youth leaders heard it, but only a few were chosen to be officially called as a volunteer youth leader for health or a "VY". 

The usual stereotypes definitely didn’t exist in VYLH. The organization may have standards on how they pick their new members but your educational attainment, course and interests won’t matter as long as you are one with the cause of giving the public awareness about the advocacies of the network. It was a collective effort of the VYs from different batches that serves as a strong element in keeping the fire alive up until now. 

The usual joke that circulates around the group is the fact that most VYs are unfortunately single (or so we think). Participants of the said camps were bred to love… the advocacies. Maybe they got their priorities mixed up after that. A life of a millennial VY is now about the advocacies of the organization, and adding hugots to any conversation that they are having.

To sum up, here are four points on how to become a true VY (as placed together by a millennial):

1. A true VY is loyal—loyal to its cause.

2. A true VY knows how to trust in their relationship… with their fellow VYs.

3. A true VY is willing to wait. Wait until all the organization’s advocacies are fulfilled.

4. A true VY is prepared to let go… of the brochures that they are distributing because they know by heart the reason for such activity, and that is to educate the community.#

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Written by Chloei Mae Libatog (Batch Kabilin)
Cebu City

Chloei is a first year BS Biology student at the University of the Philippines Cebu. 

DOH-CAR holds First VYLH Summit for the Cordilleras

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2018 marks the ninth year of the Volunteer Youth Leaders for Health (VYLH)–Philippines, a national network of youth leaders from various organizations in universities and communities in the Philippines. VYLH has been organizing camps since 2009 and has given valuable experience and knowledge in health advocacy to youth leaders. In celebration of this milestone, the DOH-CAR, under the Child Adolescent Health Development Cluster headed by Dr. Virginia L. Narciso, conducted the first Regional VYLH Summit at Maharajah Hotel, Angeles City, Pampanga on June 7-8, 2018.

Attended by 86 participants, including youth leaders, faculty members, and health personnel, the two-day activity aimed to raise awareness of the youth on the different measures to prevent birth defects, mental retardation, and death among infants and children. 

The activities started on the night of June 6 with the introduction of participants and facilitators and with a talent expo. Next day, Dr. Narciso discussed the health situation in the Philippines, programs of the DOH, and updates on various health issues including ENBS at the national and local levels. Dr. Maria Melanie Liberty B. Alcausin talked about ENBS, and Dr. Bernadette Halili-Mendoza, Unit Head of NSC–Central Luzon (NSC-CL), discussed the Rare Disease Act.

Dr. Virginia Narciso (Right) and Dr. Bernadette Halili-Mendoza (Left) Photo: NDelaCruz


For its part, VYLH-Philippines facilitated lectures on birth defects, preconception, health and teenage pregnancy, volunteerism and leadership for health, and folic acid facts. The summit also featured teambuilding activities and the VYLH Rites. The participants enjoyed “The Amazing Race,” which helped them learn more about themselves and realize the importance of teamwork in performing their roles and functions as VYLH members.

On the last night of the program, summit-goers participated in the Cultural Dance Competition, where Ifugao Province bagged the first prize, the University of the Cordilleras got second, and the Abra State Institute of Science and Technology, third.#




Written by Elaine Kia Rosario
Originally Published in Newborn Screening* (May-June 2018)

*Newborn Screening is the Official Bimonthly Publication of the Newborn Screening Reference Center, National Institutes of Health - UP Manila (newbornscreening.ph)

Health Secretary announces strong commitments to Newborn Screening

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“I pledge the full support of the DOH for 100% coverage of newborn screening as we work together on delivering on our promise for quality healthcare for our people.”

This is the commitment made by Health Secretary Francisco Duque in a speech delivered by Assistant Health Secretary Maria Rosario Vergeire during the 16th Annual Newborn Screening Convention held at the Philippine International Convention Center, Pasay City, on October 8-9, 2018, a few days after the celebration of the National Newborn Screening Week.

Duque announced the bold commitments made by DOH to attain the following targets by 2030: at least 95% national coverage of the expanded newborn screening and 100% coverage of the enhanced Newborn Care Package to include ENBS as approved by the Philippine Health Insurance Corporation, Inc (PHIC) Board.

Dr. Mary Antonette Yason-Remonte, Millennium Development Goals Team Leader of the PHIC, seconded the announcement. According to Remonte, since the launching of the PHIC Newborn Care Package in 2006, many newborns have been receiving health services namely essential newborn care, birth doses of BCG and Hepatitis B vaccine, and newborn screening and hearing tests. She stated that through the years, PHIC has implemented several mechanisms to increase the access of newborns to health services. In line with PHIC’s role in achieving the goals of Universal Health Care, she happily announced that PHIC is currently drafting the guidelines to expand the services covered by the Newborn Care Package.

Themed “ENBS: A Recommitment to Saving Lives,” this year’s National Newborn Screening Convention gathered around 2000 health professionals and newborn screening advocates from across the country. It was organized by the Newborn Screening Society of the Philippines, Inc. (NSSPI) and the Newborn Screening Reference Center (NSRC), National Institutes of Health, University of the Philippines Manila.

The National Convention, held every year in October, convenes participants from different health professions i.e., doctors, nurses, midwives, medical technologists, and hospital administrators, to learn from local and international experts, program consultants, and implementers.

This year’s convention was a huge success in terms of attendance and in meeting its goal of serving as an excellent opportunity to reignite commitment to saving Filipino babies from mental retardation and death. The two-day convention, headed by NSSPI President Ephraim Neal Orteza and Over-all Chair Dr. Maria Melanie Liberty Alcausin, offered participants a total of 14 plenary sessions and two simultaneous presentations.

Following Orteza’s welcome remarks, National Institutes of Health (NIH) Executive Director Eva Cutiongco-de la Paz delivered a special message affirming the commitment of NIH to the newborn screening program through relevant researches to improve the screening and management of newborns with metabolic and genetic disorders in the country. 

Five plenary sessions kicked off the convention. Orteza presented the status of newborn screening in the country while posting some challenges to be addressed by the program. Disease Prevention and Control Bureau OIC-Director Rodolfo Antonio Albornoz revealed the NBS roadmap, highlighting the Strategic Framework for Newborn Screening for the next 13 years. Part of this was Remonte’s presentation of the proposed expanded services of the PHIC’s Newborn Care Package. 

Ma. Elouisa Reyes, Program Support Unit Head, discussed the role of the Newborn Screening Reference Center of the UPM-NIH as technical arm of the DOH in the newborn screening program. The mechanisms for implementing the newborn screening policies by the different program stakeholders were presented by Dr. Renilyn Reyes, Western Visayas Regional Newborn Screening Program Manager for the DOH Regional Offices; Cardinal Santos Medical Center NBS Coordinator Cynthia Marissa Clemente for Newborn Screening Facilities; Newborn Screening Center – National Institutes of Health Unit Head Dr. Anna Lea Elizaga for Newborn Screening Centers; and NSRC Long Term Follow up Coordinator Alcausin for NBS Continuity Clinics. 

Day two of the convention featured sets of plenary and simultaneous sessions. UP Manila Chancellor and NSSPI Founding President Dr. Carmencita Padilla gave a brief overview of Newborn Screening worldwide, including recent trends and developments in Asia, and its expansion in the United States. Newborn Foundation Chief Executive Officer Annamarie Saarinen shared her advocacy on screening babies for critical congenital heart diseases (CCHD) via pulse oximetry. She presented the trends on (CCHD) and shared the advantages of screening.

The rest of the plenary sessions focused on the following disorders included in the newborn screening panel: Glucose-6-Phosphate Dehydrogenase Deficiency (G6PD), Alpha Thalassemia, Fatty Acid Disorders, Amino Acid Disorders, and Organic Acid Disorders. The presentations were made by Dr. Maria Beatriz Gepte, G6PD Deficiency Expert Committee Chair; Dr. Reynaldo de Castro, Hemoglobinopathies Expert Committee Chair; Dr. Mary Ann Abacan, Metabolic Disorders Expert Committee Member; Dr. Leniza de Castro-Hamoy, Geneticist at the Institute of Human Genetics; and Dr. Mary Anne Chiong, Metabolic Disorders Expert Committee Chair, respectively.

In the afternoon, the convention featured breakout sessions on the following topics: Administrative Management in Newborn Screening by NSRC Quality Assurance Consultant Dr. Florencio Dizon and and NSC-Visayas Program Manager Yugie Caroline Demegillo; Enhancing Newborn Screening through Prompt Confirmation of Screened Positive Cases in Cordillera Administrative Region by Dizon and Ensuring Quality Testing in the Laboratory by NSC-Central Luzon Laboratory Manager Jerome R. Comelio; and actual cases encountered at the short-term follow up level by NSRC Consultant Dr. Sylvia Estrada and long-term follow-up level by Alcausin.  

Succeeding plenary session presenters included Dr. Karen June Ventilacion, Region 6 Newborn Screening Continuity Clinic Follow up Head who emphasized the need to improve recall rate and compliance to treatment, monitor physical growth, do more Parent’s Evaluation of Development Status (PEDS) surveillance, and gather more data among patients eligible for school.

The last three sessions included a talk by Dr. Anthony Calibo, OIC-Division Chief, Children’s Health Development Division, DPCB-DOH, on the integration of ENBS and Rare Disease in Child Health and Nutrition Programs. He emphasized that global and national documents exist to address the rights of children, including children with disabilities. He stressed that the health managers, health and nutrition service providers and child development workers have the responsibility of ensuring an integrated approach to deliver the services for infants, children, and adolescents. 

Padilla updated the audience about the Rare Disease Act, which was enacted in 2016. She shared the highlights of the law and updated the crowd on the plans to set up 14 Rare Disease Centers nationwide that will include a team composed of clinical geneticists, pediatrician/family physician, genetic counselors, nurse, and dietitian.

Remonte discussed the new benefit packages from PhilHealth including the recently implemented Expanded Primary Care Benefit and the enhanced Newborn Care Package. She stated that the package for rare diseases is on the pipeline of PHIC. It is stipulated in the Rare Diseases Act, or Republic Act 14707, that a basic benefit package will be given by PHIC that is currently looking into the finalized standards and costing of services.

The convention left the attendees and participants with vast knowledge and ideas on how to improve newborn screening implementation in their localities. 

Drs. Barbra Cavan, Bernadette Mendoza, April Grace Berboso, Conchita Abarquez and Kristin Grace Gonzalez moderated the sessions. Orteza officially thanked the sponsors, organizing committee members, program partners and participants that made the convention a success. He expressed optimism and looks forward to the implementation of the expansion of Newborn Care Package before the end of 2018.#



Published in the Philippine Star
14 October 2018

DOH-RO3, VYLH hold Central Luzon Regional Camp anew

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To be a volunteer, one does not necessarily need to have so much time in their hands and excessive resources. One only needs to have a heart full of compassion and a helping hand that is unselfishly caring for others.

Students and faculty members from different universities, and nurses under the Nurse Deployment Project from the different provinces of Central Luzon accepted the challenge of becoming part of Volunteer Youth Leaders for Health-Philippines (VYLH-Philippines) during the three-day camp held last October 26-28, 2018 at the La Vista Inland Resort in Balanga Bataan. The regional camp was organized by the Department of Health Regional Office of Central Luzon (DOH-RO 3), Newborn Screening Center Central Luzon (NSC-CL) and Institute of Human Genetics – NIH, UP Manila. 

The camp was the third leg for the VYLH-Philippines Batch Hayaw and the second regional camp held in Central Luzon (Region 3). The first VYLH camp in the region was held last October 2016 and produced volunteers under Batch Kabilin. Active volunteers from the first camp joined youth volunteers from VYLH-Philippines CAR (Cordillera Administrative Region) and NCR-SL (National Capital Region and South Luzon) in facilitating the camp. 

The first two days of the event were comprised of a series of lectures, team building activities and interactive workshops which greatly helped the volunteers prepare themselves for the challenges that they may face in the future when promoting the advocacies of the organization. Sharing of best practices of volunteers from senior batches in different levels (university, community, hospital-based) and different provinces was done in order to inspire the new generation of VYLs to maximize their abilities in the pursuit of widening the scope of people informed about the organization’s advocacies and their importance.

The campers also showcased their talents and wit during the talent expo and Mr. and Ms. Hayaw. Before the end of the second night, the participants swore their commitment to uphold the objectives of the organization and lit their candles of commitment.



On the last day of the camp, provincial representatives were selected and are composed of one NDP and one student per province. The very energetic and enthusiastic Dr. Ron Allan Quimado, MPM was chosen to be the regional adviser of Central Luzon. Dr. Quimado was the former Doctor-to-the-Barrio and Municipal Health Officer of Nampicuan, Nueva Ecija where the first community-based VYLH organization, K4Health, was formed. The volunteers were also showed their fellow campers the richness of each province’s culture by presenting a song/dance number unique to their community.

Towards the end of the activity, the participants learned that though they have small individual voices, together they can create buzz online and on-the-ground, and help our future generations reach their maximum potential by advocating for expanded newborn screening, informing adolescents  and Filipinos in the reproductive age about preconception health and the importance of folic acid supplementation, and showing support and care for those born with rare disorders.

Those from the senior batches welcomed the new volunteers of Batch Hayaw to the continuously expanding VYLH family. Hayaw is a Visayan term for rise or emerge. The new volunteers, like their predecessors, are the new age superheroes destined to help save Filipino babies from mental retardation and early death.#
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Author Nikki D. Dela Cruz, RN (NSC-CL)
Editor RPascual

Nikki is a registered nurse and Project Development Officer at the Newborn Screening Center - Central Luzon. An alumna of Angeles University Foundation, she joined NSC-CL in 2013.   

VYLH Central Luzon spearheads "Prick or Treat"

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ANGELES CITY - Truly, the scariest thing for parents is not knowing if their child has a heritable disorder that may cost him his entire future. The first “treat” they can give their child is to have them screened through Expanded Newborn Screening in order to diagnose congenital metabolic disorders that may cause mental retardation or early death, if left untreated.

For this reason, VYLH-Philippines Central Luzon started a social media information dissemination campaign during Halloween in order to inform parents of the importance of Expanded Newborn Screening. The volunteers, headed by Dr. Ron Allan Cardona Quimado, changed their social media profile pictures using the Prick or Treat frame designed by Patrice Gayle Lumbang, a VYLH and a student nurse from Tarlac State University.

The volunteers also urged their friends, families and colleagues to do the same in order to expand the scope of the information campaign.# 


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Author Nikki D. Dela Cruz, RN (NSC-CL)
Editor RPascual

Nikki is a registered nurse and Project Development Officer at the Newborn Screening Center - Central Luzon. An alumna of Angeles University Foundation, she joined NSC-CL in 2013.   


DOH-NCRO Conducts Reunion of Saved Babies

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“Nagpapasalamat ako sa newborn screening dahil nakita agad ang kalagayan ng mga bata maaga pa lang,” shared a parent of patients with Maple Syrup Urine Disease (MSUD) during the Reunion of Saved Babies conducted by the Department of Health–National Capital Regional Offi ce (DOH-NCRO) at Greenhills Elan Hotel Modern, San Juan City, on July 27, 2018.

In collaboration with the Newborn Screening Center–National Institutes of Health (NSC-NIH), the event gathered together children aged 3 to 5 years accompanied by their parents and guardians along with program partners and stakeholders. Dr. Anna Lea G. Elizaga, Unit Head of NSC-NIH, gave a short talk on Expanded Newborn Screening (ENBS) to help the parents understand more about the additional disorders included in the panel and the benefits of early screening. Meanwhile, Mikko Myron De Guzman, Follow-Up Nurse at the Philippine General Hospital Continuity Clinic, discussed the importance of longterm follow-up care.

The video of the 20th year of Newborn Screening Program was also presented, which featured testimonials from families and children saved through newborn screening. Parents and guardians were also able to express their gratitude to the program implementers and other families present.

Children, on the otherhand, were treated to a magic show and face painting activities. Some members of the Volunteer Youth Leaders for Health (VYLH)-Philippines also led several games.#


Written by Ms. Claire Alincastre (DOH-NCR Regional Office)

Originally published in Newborn Screening Vol. 22 No. 4 

10th National Rare Disease Week to focus on “Bridging Health and Social Care”

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On February 22-28, the Philippines will be celebrating the 10th National Rare Disease Week. Together with the rest of the world, the country will also observe World Rare Disease Day on February 28 with the theme “Bridging Health and Social Care”. The theme highlights the need to bridge the gaps in coordinating medical, social and support services in order to tackle the challenges that people living with a rare disease and their families around the world face every day.

There are over 6,000 rare diseases that affect over 300 million people worldwide. Each disease has an impact on everyday life, including the need for a daily care routine. For most people living with a rare disease, as well as their family members or carers, the reality of daily life can include any combination of the following: collecting and taking medicines, attending appointments, participating in physical therapy, using specialist equipment and accessing various social and community support services and respite care. Managing these care-related tasks alongside their usual daily activities such as work, school and leisure time can be challenging.

Most rare disease patients have difficulties in completing basic daily tasks. As a result, the majority of care is usually coordinated by people living with a rare disease and their family members who spend a significant amount of time organizing care. Organizing care can involve researching local services, making phone calls, accessing treatments and rehabilitation, handling administrative procedures and adapting the home or work space. It becomes a complex and frustrating process, especially when a lack of coordination across services means having to repeat the same information over and over again. Communication between different services needs to improve so that services are delivered efficiently to meet the patients’ best interests.

This year also marks the third year since the enactment of the Rare Diseases Act of the Philippines (RA 10747)– a key legislation for the care and welfare of the Filipino rare disease patient by institutionalizing a comprehensive, integrative, and sustainable system that will facilitate the collaboration of government and non-government agencies, private sector, professional health organization, and academic institutions. Together with the recent enactment of the Universal Health Care Act (RA 11223), it is hoped that the delivery of services and government support for rare disease patients will improve as this law takes full effect in the coming years.

The annual observance of Rare Disease Day culminates National Rare Disease Week. Now on its 12th year, celebrating Rare Disease Day provides an opportunity to be part of a global call on policy makers, healthcare professionals, and care services to better coordinate all aspects of care for people living with a rare disease. #

To learn more about this year's social media campaign, visit www.psod.org.ph or the National Rare Disease Week - Philippines Facebook page bit.ly/NRDWnote2019





Philippine Society for Orphan Disorders, Inc.

#YouthForHealth: Why talk about RARE?

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Photo: Care For Rare Dumaguete
We’ve seen it in posters in maternity clinics and hospitals. Our government has been actively campaigning to detect some of it through expanded newborn screening, but some mothers never understood the purpose of such a process. 

Rare diseases can be a silent, deadly killer because only few understood how it attacks. There are over 6,000 rare diseases that affect over 300 million people worldwide. Each condition has an impact on everyday life, including the need for a daily care routine. Managing these care-related tasks alongside their usual daily activities such as work, school and leisure time can be challenging.

Despite all of these, rare diseases are also rarely talked about in the media. The issue has been neglected by significant media here and abroad. Organizations that lobby for more support and resources for the cause have been having a hard time for the past few years.

We asked some Cebuano members of Volunteer Youth Leaders for Health - Philippines, a collaboration of youth leaders and organizations in universities and communities throughout the Philippines, on why it is essential to talk about rare diseases.

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Kayzel J. Maata, 19
BS Biology student
University of the Philippines Cebu

Building awareness about rare diseases is so important because this can truly help those who are affected. Rare diseases affect just a few individuals and pharmaceutical companies don't give much attention to developing treatments because they know that not so many people would need and buy them. Certainly, this is an unfair thing for patients with rare diseases. Thus, awareness should be raised to address their needs and so that care and treatments would be made available for them.

Lance Beniga, 19
BS Biology student
University of the Philippines Cebu

It is important to talk about rare diseases because these kinds of diseases are only known by few people. By that, pharmaceutical companies do not give that much attention about the cure because of its lesser reach. As members [of VYLH-Philippines], we believe that it is important to advocate for the care and needs of rare disease patients.  It is hoped that through an information drive, the public will be aware of such diseases. And by that, pharmaceutical companies will be obliged to find such cure.

Gale Rizarri Enad, 20
BS Nursing student
University of Cebu

It is important to talk about rare diseases so that people will know that rare diseases exist. They should also have health care treatment and receive budget allocation for research similar to other more known diseases.

Marius Eldrid A. Bohol, 19
BS Nursing student
University of Cebu

We should talk about rare disease because it may significantly affect a person's well-being. The percentage may be very tiny, as it is rare, but we still need to talk about this because our future children might have this. This can affect anyone including the person reading this or their loved ones. Through talking about this concern in the society, we can inform, educate, and communicate the possible ways of providing care and lessening the burden of the disease among patient families in the community. With the simple act of talking about the rare disease, one may change a person's future.

Ma. Angelica Haictin, 19
BS Biology student
University of the Philippines Cebu

We should talk about these because our indifference is just as deadly, if not worse, than the actual rare diseases themselves. It's not a solution, but talking about rare diseases means acknowledging that there is a problem, and we need to do something about it.

Atthea Jane Lepiten, 19
BS Radiologic Technology student
Cebu Doctors University

Rare diseases only happen to one in thousands of children. Ironically speaking, it is rare but it should be tackled and talked by more people. The disease can kill a child on a whim without them even knowing.

Roda Gayle Rañada, 20
BS Chemical Engineering student
Cebu Institute of Technology - University

Rare diseases should be talked about because it is not much known especially to the common folk. People should know that they exist and be aware of the journey of the people that are affected by these. We should support and be there for them because their struggle is also our struggle, as well. I believe that we should not be ignorant of matters like these because we are part of a growing society that nurtures and cares for one another.

Claire Angelie Z. Sadicon, 20
BS Pharmacy student
University of San Carlos

Only a few people know about rare diseases. Often, people misunderstood and mislabeled them as "abnormal." Even with just this reason, it shows how important it is to talk about rare diseases or the people who have these diseases.

Patients with rare diseases also get neglected most of the time, and this is unfair because they deserve the same quality of care as any other patient. It is essential that these should be talked about because these things matter. As Dr. Tolar said, “It is easy to dismiss rare diseases as something that can never happen to you, to your family. But to the family impacted, it doesn’t matter that it’s a rare disease. It’s the disease that changes their life." (University of Minnesota, 2017)

Niño Jan Vergara Miole, 21
BS Nursing student
University of Cebu

As a nursing student, it is my advocacy to bring health-related matters to the forefront of societal endeavors to bring its awareness in the limelight. After all, health is a fundamental right, not a privilege. I believe that we can create a healthier Philippines if everyone has the desire to become active participants of their health.

Talking about rare disorders isn't for show. It transcends superficial discussions and elevates the bar of competency of mothers in improving their care to their children. It transformed them to become empowered individuals to take action, and that is the cornerstone of having a healthy life. Rare disorders are not taboo. Be open to sharing your rare, and show that you care.

Klein Rowen N. Cantiveros, 25
Nurse
Department of Health Region VII

It is relevant to talk about rare diseases to increase awareness. Aside from that, people need to know that these cases are present and are left untreated due to poor financial support. Also to give hope to families that they are not alone in this battle and that there are people willing to help them.

Neil Christian General, 24
Faculty Member
University of Cebu

It is very important for us to talk about rare diseases because these are the diseases that no one, or only a few, cares about. We need to raise everyone's awareness on these conditions as the treatment and medicines for these conditions are normally very expensive. And, on a business standpoint, pharmaceutical companies cannot earn much from formulating drugs for these diseases as there is no enough demand. As such, there is a need for us to support the families of those affected and in a way, by being their voice.
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The youth have produced significant contributions throughout the years, but they are often neglected because of their age. The youth may be judged inexperienced and naive, but if society will listen to their suggestions, everyone can learn a lot from them.

As cliche as it may sound, but the youth indeed is the hope of the nation. The people of yesterday should listen to the people of today because the future does not only rely on their actions. Future generations will also carry the burden of the mistakes being done today. 

Perhaps, it is time to listen to them again!


Written and compiled by Maurice Jitty Villaester 

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Maurice is a Master of Development Communication student via distance learning from the University of the Philippines Open University. A native of Baril, Cebu, he joined VYLH in 2018 as part of Batch Hayaw.

Ed RPascual

IHG, VYLH and PPS hold first local webinar on Birth Defects

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MANILA – The Institute of Human Genetics (IHG), National Institutes of Health – UP Manila, Volunteer Youth Leaders for Health (VYLH) – Philippines, and the Philippine Pediatric Society (PPS) – Section of Genetics held a webinar on birth defects on March 4, 2019. Clinical geneticist and Metabolic specialist Dr. Mary Ann R. Abacan of the UP College of Medicine – Philippine General Hospital presented a talk entitled “Birth Defects: Why it Matters”. The webinar on birth defects is the first webinar organized by VYLH-Philippines together with its partners. The activity was held in observance of the 5th World Birth Defects Day.

In her talk, Dr. Abacan gave an introduction on birth defects particularly its definition, etiology and types of birth defects. She also focused on the stages of fetal development. Dr. Abacan noted that by the time a woman finds out that she is pregnant, most of the vital organs of the fetus has already been formed. Moving towards the prevention of birth defects, examples of teratogens or disruptors of fetal development were also discussed. Dr. Abacan also discussed modifiable risk factors which are important in the prevention of preventable birth defects. 


The full video of the webinar is available online in the VYLH-Philippines Facebook Page.


World Birth Defects Day or #WorldBDday in social media, is held every March 3. The campaign aims to promote birth defects awareness and expand birth defects research, prevention, surveillance and care worldwide. In 2019, the global campaign used another hashtag, #ManyBirthDefects1Voice, to highlight the diversity of birth defects, their global occurrence and the need for global awareness and action. It is known that every year, about 8 million babies worldwide are born with a serious birth defect, and about 3 million of them will die before their fifth birthday.

On the other hand, a one hour international webinar is scheduled to be organized by the World Health Organization and the March of Dimes on March 22 (15:00 CET/22:00 or 10:00 PM Philippine Time). Dr. Allisyn Moran of WHO, and Dr. Salimah Wallani of MOD will serve as the meeting moderators. 

Dr. Abacan is the Cluster Adviser of VYLH-Philippines NCR-South Luzon Cluster.#




TeamMATES partners with VYLH on Folic Acid Supplementation talk

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A series of educational discussions were conducted at Barangay San Enrique, San Lorenzo, Guimaras at the barangay session hall last April 25.

In line with their Project TAMA,  TeamMATE members Melvie Repospolo and Joser Barcelona discussed topics on Nutrition in Ages and Nutrition in Disaster Feeding.  With a special talk on Folic acid supplementation and Nutrition for Pregnant Mothers by TeamMATE member and Volunteer Youth Leaders for Health (VYLH) advocate Ulah Lynn Arancillo. 

“I was amazed that one needs to eat 200 apples in order to complete the daily 400 µg folic acid requirement”- said Jimmy Lobaton, Brgy. Kagawad. The attendees were enlightened on the importance of folic acid supplementation for pregnant women as it can reduce the risk of neural tube birth defects.  

The talk was attended by our core group, Nutristars, which composed of barangay officials and BHWs. The barangay health center, specifically the BHWs were then given brochures on folic acid supplementation for them to hand it out to mothers during their prenatal check-up. 

With this we are thanking our health partner, Volunteer Youth Leaders for Health - Philippines (VYLH), for providing us lecture materials and brochures on Folic acid Supplementation and Preconception Health. 

Brgy. San Enrique, San Lorenzo
Province of Guimaras

PhilHealth introduces Expanded Newborn Care Package

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In support of the National Comprehensive Newborn Screening System, the Philippine Health Insurance Corporation, Inc., or PhilHealth, recently released PhilHealth Circular No. 2018-0021, expanding its coverage of essential health services for newborns.

In the circular, which will take effect on January 5, 2019, the PhilHealth introduced the enhanced Newborn Care Package, increasing the amount of coverage from PHP 1,750.00 to PHP 2,950.00. The new
cost pays for supplies for essential newborn care, such as Vitamin K, eye ointment, and vaccines for hepatitis B and BCG. Included also are the Expanded Newborn Screening (ENBS) Test, Newborn Hearing Screening Test, and fees for attending professionals. 

The PhilHealth circular provides that the enhanced package shall be dispensed to qualified newborns delivered in all accredited health care institutions that perform deliveries and provide newborn care, which include hospitals, infirmaries/dispensaries, and birthing homes/lying-in clinics.

To ensure entitlement to the said benefit, newborns need to be in the facility for at least 24 hours after birth, except those who warrant immediate referral to a higher level facility. The state health insurer encouraged all active and expecting PhilHealth members to avail themselves of the said package in order to provide newborns with the needed services that will help reduce morbidity and mortality while reducing health care costs associated with treatment of lifelong debilitating conditions.

Published in Newborn Screening
Official Newsletter of the Newborn Screening Reference Center
NSRC-NIH, UP Manila

#folicacidPH 2019 to highlight the role of Folic acid in healthy and planned pregnancies

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On July 18, 2019, Volunteer Youth Leaders for Health-Philippines together with 70 partner organizations will unite for #folicacidPH and use its youth force in promoting the importance of folic acid supplementation. Launched in 2016, the event dubbed as the "National Social media Day for Folic acid Awareness" is annually held in line with the observance of Nutrition Month and National Disability Prevention and Rehabilitation Week.

Why promote folic acid? 

Everyone needs folic acid. Folic acid is a B vitamin, specifically Vitamin B9. Our bodies use it to make new cells. Folic acid is also very important because it can help prevent some major birth defects of the baby's brain and spine which are collectively known as neural tube defects.

In the Philippines, awareness on the significance of folic acid supplementation among Filipino women in reproductive age is presumed to be low, as folate deficiency has been determined to exist. According to the 7th National Nutrition Survey by the Food and Nutrition Research Institute-DOST, 1 in every 5 pinays of childbearing age is folate deficient. Hence, there is a need for increasing public awareness on this matter, especially in the absence of a legislation on folic acid fortification, supplementation and public education.

What are Neural Tube Defects?

Neural tube defects (NTDs) comprise one of the most common group of serious birth defects and these may result in immediate infant death, deformity, or disability. Examples of this kind of birth defects include anencephaly or severe underdevelopment of the brain; encephalocele or protrusion of brain tissue from an abnormal opening in the skull; and spina bifida or the incomplete closure of the spinal cord and spinal column.

Studies have shown that the intake of folic acid or vitamin B9 through supplementation and food fortification can significantly reduce the risk of neural tube defects (NTDs) or problems on the development of the baby’s brain and spine. In case of supplementation, proper dosage and intake schedule can lessen the risk of NTDs by up to 70%.

What to expect in #folicacidPH?

Although there are efforts directed towards increasing awareness, knowledge and consumption of folic acid, the full potential of folic acid to reduce the risk of NTDs has not yet realized in the Philippines.

In order to promote public awareness, #folicacidPH will utilize Facebook and Twitter as its major online platforms. Suggested tweets, status messages and infographics will also be provided by the youth network. Aside from the social media component, partner organizations are encouraged to bring the campaign “on the ground” as part of their activities in their schools and communities. #

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For questions or clarifications to the campaign, kindly send an email to folicacidph@gmail.com or a direct message to the folicacidPH Facebook Page (facebook.com/folicacidph)




Ten for Ten: 10 Things I Learned from VYLH

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By Kristofer Ralph Supil (Hiraya)

VYLH recently turned 10 this year. I have been with the network for four years now, but weirdly, it feels like I’ve been with them since 2009. It’s really amazing how I saw myself on Day 1 and seeing myself now with the organization reaching its 10th year in full technicolor. I’m looking forward to many more years, to 20, to 30, and so on… with VYLH. But in this span of time I’ve been with them, I have at least learned 10 things - things I kept and will keep with me thanks to VYLH.


One
Passion and hard work are not mutually exclusive. I’ve learned over the years working with different volunteers that these two co-exist with each other. Until now, I have always been reminded to use these two consistently, one never without the other. Passion is a matchstick. Without hard work, without effort, sparks will never fly.

Two
Courage is the secret ingredient to do everything consistently. Having courage is a virtue one must practice in order to practice other virtues consistently. Most times, it’s always scary to start advocating for something people might never understand. But I’ve learned never to let yourself be ruled by these fears. Always remind yourself that there is always something good that’ll come out of your endeavors. Have faith in humanity.

Three
Talent is like DNA — not one is exactly alike. Being with different individuals every year can be very overwhelming. Being with them and seeing their set of talents can even make anxiety worse. You start to think about what you’re good at and what you can offer to the table. However, always think that talent is like DNA. You will never be as good as him or her but so will he or she. You will always be unique. You will always be you. And that’s what makes VYLH so amazing. It’s just several talents bursting with so much energy into one pot. What’s so nice about VYLH is that not once have I ever felt insecure. They’ve only pushed me to become a better version of myself.

Four
Friendship is a flexible concept. It has been said that maintaining friendship in the adult years is difficult. I’m turning 30 this year, and I’m slowly exiting the age bracket of “youth,” but I’ve come to understand that friendship is a flexible concept. And that’s okay. I might have been very close with someone the first day we met, and then we experienced a fall-out but it doesn’t mean our friendship ended there. I tell you, the moment you see each other again, you will be reminded of the several years that you had with them and it will feel as if it was just yesterday. You don’t have to be tagged in every photo. You don’t have to necessarily be in the same chatbox. You don’t have to be in the same region. You just need to understand that you have a friend wherever you may be, and whenever you will need it.

Five
Advocacy is a product of the heart. I always thought that advocacies were things honor roll students did. Young people who excel in the academics and extracurricular. I went into the organization as an average student not even familiar with the word “advocacy.” All VYLH needed was my heart and passion. Everything else followed. I grew. My heart grew. It became smarter. And I will always be indebted to VYLH for what it did to me. I will always wear my heart on my sleeve.

Six
The organization mirrors back who you truly are. Authenticity is key. It wasn’t really hard bringing out who I truly was in this organization. I was just a bit surprised meeting who I really was. Never thought I was capable in becoming who I am today. From the pessimistic, cynical person before to a hopeful, unrelenting Taylor that I am. I’ve also seen the network mold and change people. It is truly breathtaking.

Seven
You learn to be kind. Most importantly, to yourself. We can be really hard on ourselves. Setting standards. Unaccepting of our flaws and shortcomings. Always giving in to doubt. I’m grateful though that VYLH taught me, not only to be kind to others, but to be kind to myself. I’ve gone through so much with the people that they’ve given me the chance to become who I am today. Just last year, I volunteered to facilitate at the last regional camp before this year’s upcoming congress. I was surprised with the ceremony they prepared for us. I remember telling everyone that VYLH was the only group of people who told me that I was still working perfectly even when I knew I was already broken.

Eight
You learn and appreciate the value of memories. Thank God for a big phone storage capacity. I get to look back at photos and videos and unlock all the memories I need to motivate me to make more new ones with the volunteers and the organization. The value I have placed with memories is that these are actually the ones that keep us holding on.

Nine
Love is not what you think it is. I’ve fallen in love with so many people. I’ve fallen in love with their cuteness, their ambitions. But that was me before. Always associating love with the feeling of falling in love with the beautiful aspects of a person. But I’ve learned that love can come in so many forms. I have learned to love someone when they show up late for our meetings and dates. I have learned to love someone by not being bitter when they have finally decided to move on and love someone or something else. I have learned to love someone when they never give back what I give to them, and that’s more than okay. The organization has proven me that I am CAPABLE of love. That I am CAPABLE of loving even after being heartbroken.

Ten
VYLH can be any kind of home - a mansion, a duplex, a village, a small room, or a hostel. In VYLH, you will never experience being homeless. Time and time again, I have always felt lost. Even with the organization, feeling lost is not something you don’t experience especially when you’re navigating the 20s. But one thing I have never felt was feel homeless. I may have been lost and distant several times but VYLH always continued and consistently called itself my home. It would be a mansion filled with so many characters when I wanted life to look brighter. A duplex when I wanted a quaint and intimate meet-up just to talk about how I felt. A village when I needed help raising a newV (new VYLH volunteer) and teaching them the ropes of how to advocate for our advocacies. A small room if I needed to be left alone without them wanting to force themselves in. A hostel if I wanted to meet new people. VYLH was every kind of home. And it will always continue to be, I guess. I guess, I will never be homeless.#

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Kristofer Ralph Supil @TaylorKristof13 is an Intensive Care Unit nurse at Holy Child Hospital, Dumaguete City. A graduate of Silliman University, Ralph became affiliated to VYLH in 2015. He is also a former Health Leadership and Governance Program Nurse of the Department of Health Region VII. 


Duque urges newborn screening implementers to intensify info campaign on program benefits

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Department of Health (DOH) Secretary Francisco Duque III on Tuesday called on the participants of the 17th Annual Newborn Screening Convention at the Philippine International Convention Center to more effectively disseminate and communicate the impact and contributions of newborn screening as a health intervention. 

Before the 1,700 delegates composed of health practitioners, newborn screening advocates, and academicians, Duque emphasized the goal of promoting the Newborn Screening Program in his keynote speech for the convention with the theme, “Enhancing Coverage, Communication, and Collaborations towards Successful Expanded Newborn Screening Program.”

“Many remain uninformed or may even doubt the efficacy of scientifically-proven health innovations and technologies. In the 21st century, technology is so advanced that [testing] a drop of blood can save a life and it has been proven that effective screening and managing these diseases drastically increases the chances of our children for a long, healthy normal life,” the health secretary stated.

Duque pointed out that the first 24 hours of life is crucial for the newborn child. Newborn screening during this period gives every child an opportunity for a healthier outcome. He reminded everyone that by providing informed health choices for parents and through the empowerment of health workers to be leaders in health promotion, the best possible future for the Filipino children — a big leap to pave the way for a healthy Filipino nation — may be secured.

Moreover, Duque rallied for the expertise and support of delegates to help attain the goal of screening all Filipino newborns by 2030. He encouraged implementers to be both innovative and courageous in responding to the difficulties and challenges that will arise. He highlighted that the principles being carried out by the newborn screening program of universality, inclusivity, and person centeredness are the same principles that DOH ushers in through Universal Health Care (UHC). He acknowledged all allies in helping build a healthier future for Filipinos and expressed hopes that the NBS program will be instrumental in engaging parents and health workers to proactively choose health. 

Duque is a staunch supporter of newborn screening. During his term as Philippine Health Insurance Corporation (PhilHealth) president and CEO from 2001 to 2005 and his first stint as Secretary of Health in 2005 to 2010, newborn screening reached significant milestones, including its inclusion into PhilHealth’s Newborn Care Package. In 2018, as chair of PhilHealth, Duque supported the funding of the expanded newborn screening, which increased coverage to 29 disorders. PhilHealth Circular No. 2018-0021, which took effect on Jan. 6, 2019, introduced the enhanced Newborn Care Package, increasing the amount of newborn screening availment from P550 to P1,750.

In the same day of the convention, DOH OIC-Director for Bureau of International Health Cooperation Dr. Mar Wynn Bello presented the impact of the recent enactment of Republic Act 11223 or the UHC Act on the newborn screening program. With the movement towards UHC and the promotion of primary care, every Filipino will be granted automatic PhilHealth coverage. Health access will, thus, be made closer and more accessible to the people. UHC will significantly reduce the high out-of-pocket (OOP) expenditures for health. 


UHC, also referred to as Kalusugang Pangkalahatan (KP), is the “provision to every Filipino of the highest possible quality of health care that is accessible, efficient, equitably distributed, adequately funded, fairly financed, and appropriately used by an informed and empowered public.”

The law ensures that all Filipinos will be granted immediate access to the full spectrum of health care, which includes preventive, promotive, curative, rehabilitative, and palliative care while ensuring that the availment of these services does not subject the users to financial hardship. Bello discussed the complementary reforms in health financing, service delivery, regulation, and governance that the DOH has been working on. Under UHC, further efforts and additional resources will be applied to reduce maternal and child mortality, and morbidity. Now that PhilHealth covers the expanded newborn screening in full and UHC automatically enrolls all Filipinos in the government’s health insurance program, these developments will encourage everyone especially the poor, vulnerable, and marginalized segments of the population, to seek and obtain the needed newborn care services.

Currently, DOH, PhilHealth, along with experts and concerned agencies, are finalizing the UHC’s Implementing Rules and Regulations (IRR). The full effects of the law would be realized over the years as the lead implementers transition to the universal health care system.#



MEDIA RELEASE


Newborn Screening Reference Center @newbornscreenph
https://www.newbornscreening.ph/
17th National Newborn Screening Convention
Philippine Star. 06 October 2019
info@newbornscreening.ph


Emerging Screening Initiatives: Critical Congenital Heart Disease (CCHD) and National Vision Screening

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CCHD Screening for Filipino Neonates

The Philippine Multicenter Pulse Oximetry Screening (POS) for Critical Congenital Heart Disease (CCHD) was part of this year’s National Newborn Screening Convention. Presenting the preliminary results of the project in the plenary paved the way for the project team to share their vision for having every Filipino baby screened for a possible CCHD and for the affected newborns to undergo timely surgery or catheter intervention.


Of the 16,183 newborns who underwent CCHD screening so far, seven newborns were found to have various critical congenital heart diseases, i.e., transposition of great arteries, pulmonary valve atresia, and double outlet right ventricle. Non-CCHD cases were also picked up by the project like persistent pulmonary hypertension, pneumonia and sepsis.


The Project Team from the Department of Pediatrics, UP College of Medicine, consists of Dr. Jose Jonas Del Rosario (lead), Dr. Maria Melanie Liberty Alcausin and Dr. Carmencita Padilla. The project aims to determine the utilization of POS in detecting neonates at risk of having critical congenital heart diseases in the Philippines. The two-year study aims to determine the prevalence of CCHD as confirmed by 2-D echocardiography. The project currently has seven participating hospitals, namely: Baguio General Hospital and Medical Center, Dr. Jose Fabella Memorial Hospital, East Avenue Medical Center, Pasay City General Hospital, Philippine General Hospital, Quirino Memorial Medical Center and Zamboanga City Medical Center. The project is sponsored by the Newborn Screening Reference Center, National Institutes of Health, UP Manila in cooperation with Annamarie Saarinen from the US-based Newborn Foundation, who donated the Masimo pulse oximeters.



The first baby who was saved by the project was born at the Quirino Memorial Medical Center. He was screened at the 25th hour of life with oxygen saturation of 54 percent on the right hand and 63 percent on the foot [Note: a normal baby must have readings of more than 94 percent]. A 2D echocardiogram done at the 48th hour of life showed Transposition of Great Arteries. The baby was transferred to the Philippine General Hospital where pediatric cardiologist Dr. Del Rosario performed the lifesaving procedure, Balloon Atrial Septostomy followed by Arterial Switch Operation within the baby’s first month of life. The baby was discharged from the hospital one month after the operation. The baby is doing well.


Critical Congenital Heart Disease, by definition, requires surgery or catheter intervention in the first year of life. Babies with CCHD look normal at birth but are at a significant risk for disability or death if their condition is not diagnosed immediately. Approximately 50 percent of infants who have CCHD are asymptomatic in the first few days of life. Early recognition and accurate anatomic diagnosis are needed to provide appropriate life-saving interventions and referral to a well-equipped health-care

cardiac facility.


A pulse oximeter is, indeed, a simple device that can detect the risk of having a critical congenital heart disease. The project hopes to provide the evidence to support CCHD screening as part of routine procedures for the newborns. The ultimate goal is its inclusion in the Newborn Care Package.


Preventing blindness in children through early screening


In a study conducted by the Philippine Eye Research Institute (PERI), retinopathy of prematurity (ROP) is identified as the major cause of blindness among students enrolled in blind schools in Metro Manila. Retinopathy of prematurity is a blinding condition affecting premature newborns. It is recommended that newborns who meet the following criteria should undergo screening for ROP: less than or equal to 32 weeks of age; or less than or equal to 1500 grams; or preterm (>32 weeks) with risk factors as determined by a pediatrician/neonatologist. The timing of the initial exam should occur at least 20 days after birth or before discharge, whichever is earlier.


Another common condition that can cause blindness if left untreated, is amblyopia or lazy eye. Treatment may involve corrective lenses and patching before the child reaches the age of 7. Nationwide, four (4) out of 40 pupils in a kindergarten class have vision problems. Out of the four pupils, three may have errors of refraction and one may have amblyopia or lazy eye.


The National Vision Screening Program (NVSP), spearheaded by PERI led by its director, Dr. Leo Cubillan, in collaboration with the Department of Health (DOH) and the Department of Education (DepED), aims to screen all kindergarten pupils entering the Filipino school system at age 5 or 6 to detect errors of refraction and amblyopia. A PERI Vision Screening module was developed using evidence-based approach. This is a pass-fail system that will be conducted by teachers. Students who fail in the test will be asked to sit in the front rows of the class as an immediate intervention to improve learning, and are subsequently referred to eye care practitioners for evaluation and treatment.


On July 31, 2019, President Rodrigo Duterte signed into law, Republic Act 11358 or the National Vision Screening Act mandating the vision screening of kindergarten pupils in the Philippines. If fully implemented, it is estimated to benefit two (2) million kindergarten pupils yearly all over the country.



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Newborn Screening Reference Center @newbornscreenph

https://www.newbornscreening.ph/

17th National Newborn Screening Convention

Philippine Star. 06 October 2019

info@newbornscreening.ph


4th National Leadership Congress: VYLH-Philippines Launches Its 4th Advocacy

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On its 4th National Leadership Congress, the Volunteer Youth Leaders for Health (VYLH) Philippines fittingly highlighted the launching of its 4th advocacy. Joining Expanded Newborn Screening (eNBS), Folic Acid supplementation and Rare Disease in the roster of the network’s advocacies is the Preconception Health. Dr. Salimah Walani, Vice President for Global Programs of the March of Dimes, graced the congress as the keynote speaker in the discussion of Preconception Health’s importance in the prevention of birth defects and preterm births. She emphasized that intervening only after a woman is pregnant is already too late and it is high time that we put forward preconception health in improving the lives of mothers and children in the country.
Dr. Salimah Walani (center) receives a plaque of appreciation from the VYLH-Philippines. Also in the photo are (left to right) Dr. Conchita Abarquez, Emmanuel Enriquez,  Dr. Carmencita Padilla and Dr. Barbara Cavan.


With the theme “Padayon:Empowering the Next Generation of Volunteer Youth Leaders for Health in the Era of Genomics”, the 3-day event centered on these advocacies and the youth’s role in promoting health internationally. In the said congress, held last November 9-11, 2019 at the Makati Shangri-la Hotel, nearly 100 proactive volunteers from all over the country gathered in celebration of the VYLH-Philippines’ 10thfounding anniversary. The event kicked off with the team building activities following the talk on Volunteerism and Transformational Leadership by Dr. Grace Aguiling-Dalisay.


The second day of the congress was packed with health talks from experts and key personalities in the field of birth defects. Lectures included the Genetics of Birth Defects and Preterm Births, Expanded Newborn Screening in the Philippines and Understanding the ABC’s of Rare Disease and the Law from no less than Dr. Eva Cutiongco-de la Paz, Dr. Mary Ann Abacan and Dr. Carmencita Padilla, respectively.


One of the goals of the congress was to facilitate exchange of learning and experiences in the promotional work of the network. Discussions on the best practices in advocating eNBS were facilitated by Engr. John Paul Oira and Floyd Edrea. An award-winning program initiated by Ruth Basas, Kabilin Kalusugan for LB Nanays, opened new doors and enriched thinking for more innovative and better-quality advocacy programs. VYLH-Philippines also did not go short-handed in terms of utilizing technology to impact community mobilization as the successes of the social media campaigns, like #FolicAcidPh and #WorldBDDay, done by the network were appreciated in Ryan John Pascual’s report in the congress.


Receiving the Outstanding Volunteer Awards are (left to
right) Ram Nuique, Edbert Jasper Jover, Emmanuel Enriquez,
Katrina Dee Guro, John Paul Oira and Anthony Toralba.
The Cultural Night, like in the past three congresses, was the highlight of the event. It was not only a night of fellowship among volunteer youth leaders nationwide, but a showcase of talents and unity amidst diversity among the four clusters representing the different island groups: Luzon, Visayas and Mindanao. The night also paid tribute to the significant contributions of Professor David Sillence in the field of Genetics. This year, the night was also even brighter because of the radiance shining off of the stars of the night – the recipients of the Outstanding and Exemplary Volunteer Awards in the last 10 years. Awarded as outstanding volunteers were Katrina Dee Guro, Anthony Toralba, John Paul Oira, Edbert Jasper Jover, Ramonito Nuique and Christian Emmanuel Enriquez. While Ryan John Pascual and Floyd Edrea were awarded as exemplary volunteers of the decade.



Dr Carmencita Padilla hands over Exemplary Volunteer
awards to Floyd Edrea (left) and Ryan John Pascual (right).

The congress was concluded with the proclamation of the fresh roll of national officers led by the new national president Rufus Thomas Adducul. The four vice presidents elected for North Luzon, NCR and South Luzon, Visayas and Mindanao were Ameel Bartolazo, Jean Ruth Basas, Marielle Buscato and Shane Paul Baula. Other newly elected national officers were: Charity Hope Ponce, Ram Nuique, Melboy Bulan, Trisha Isabel Guioguio, Stephanie Kate Pepino, Ram Cossid, Ariel Estigoy, Leandro Salazar, and Marcelino Bernados.


With another set of empowered national officers and younger batch of new volunteer youth leaders, the VYLH-Philippines will continue to lead the youth in its role in nation-building with renewed courage and burning desire to effect change in our country. Emmanuel Enriquez, the network’s immediate past president, challenged the new breed of leaders to end the congress, saying “If you are called to be there, make sure your presence has an impact.”  



Written by: Trisha Isabel F. Guioguio, RN, MAN (K4, PIO)

7th Newborn Screening Center Opens in Mandaue City

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DOH’s Eversley Childs Sanitarium and General Hospital (ECSGH) in Jagobiao, Mandaue City, Cebu, hosts the country’s 7th Newborn Screening Center (NSC), which started its operations on February 10, 2020.

MANDAUE CITY - Built in 1982, Eversley Childs Sanitarium and General Hospital (ECSGH) in Jagobiao, Mandaue City, Cebu is a 500-bed government-mandated hospital that originally operated exclusively as a leprosarium. With the decline of leprosy in 1981, the hospital expanded its role and offered additional non-leprosy services like surgery, family medicine, pediatrics, obstetrics and gynecology. It also became a referral center for the management of complications, patient and family counseling and community education in the area. Recently, ECSGH opened the country’s 7th Newborn Screening Center (NSC), which started its operations on February 10, 2020.

Now with its new role as host of the 7th Newborn Screening Center (NSC), ECSGH joins the six other hosts and NSCs in providing accessible expanded newborn screening tests to the public. It will provide the required laboratory tests and recall/follow-up programs for newborns with heritable conditions included in the newborn screening panel as stated Republic Act 9288 or the Newborn Screening Act of 2004.

Finally, as the newest newborn screening center, NSC-Central Visayas (NSC-CV) will receive blood samples for expanded newborn screening from the 426 health facilities from provinces of Cebu, Bohol, Negros Oriental, and Siquijor. More than 110,000 newborns annually from the region are expected to be tested in expanded newborn screening by NSC-CV.


The NSC-CV setup was initiated in June 2019 by the then Chief of Hospital Dr. Lope Carabaña. It is now headed by its OIC - Medical Center Chief Dr. Pythagoras Zerna. The center is housed at the outpatient building of ECSGH and are manned by 15 personnel consisting of analysts, managers, follow-up nurses, administrative staff, and its unit head, Dr. Liwayway Reyes.#


MEDIA RELEASE

Newborn Screening Reference Center @newbornscreenph
National Institutes of Health - UP Manila
https://newbornscreening.ph
info@newbornscreening.ph

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