CHTs: Providing Families with Health Navigational Assistance

Process and Tools

What it Means to Provide Health Navigational Assistance

• Giving families the information they need to maximize opportunities to use health services

• Assisting families in recognizing health risks and managing such risks through health plans

• Linking families to health providers and health emergency contacts

• Guiding families in using their PhilHealth benefits

Stages of CHT Interaction with the Family

Family Health Guide• Main tool to guide families in accessing health care

• Contents: - Our Family page - Health Messages - Family Roster and Health Profile - Health Plan Implementation forms for newborn, infant and child health, pregnant, post-partum woman, family planning and chronic cough management - List of health providers and health emergency contacts/services

providers - Mother and Child Book - Family Guide to PhilHealth: Benefits, Availment and Responsibilities

The CHT Guidebook is a mirror image of the Family Health Guide

CHT Guidebook• Letter to CHT Partner• Volumes on the CHT Partner and

the CHT Process • Family Roster and Health Profile• Health Plan Implementation forms• List of health providers and health

emergency contacts/services providers

• Mother and Child Book• Family Guide to PhilHealth:

Benefits, Availment and Responsibilities

Family Health Guide• Our Family page• Health Messages• Family Roster and Health Profile• Health Plan Implementation forms• List of health providers and health

emergency contacts/service providers

• Mother and Child Book• Family Guide to PhilHealth: Benefits,

Availment and Responsibilities

What CHTs Need to Secure Before Home Visits

• List of NHTS families assigned to them• Family Health Guide• Extra forms on Health Plan Implementation for

newborn, infant, child, pregnant woman, post-partum woman, family planning and chronic cough management

• List of health service providers and emergency contacts

• Mother and Child Book• Family Guide to PhilHealth: Benefits, Availment and

Responsibilities

Home Visits

• Set an appointment with the HH head, partner and/or the family health decisionmaker

• Agree on the ‘Family Health Hour’ – set a regular day and time for the home visit

• Explain the importance of recognizing and managing health risks• Introduce them to the contents of the Family Health Guide• Explain how each section (i.e. Messages, Health Plan Implementation Forms,

List of Health Service Providers, Mother and Child Book and the Family Guide to PhilHealth) can help them get the medical services they need

• Use Form 1:Family Profile form to get basic info on HH members and their health profile

1. Date of visit: / / 4. Type of toilet facility: ________________________

2. Name of Respondent: ________________________________________ 5. Source of drinking water: ________________________

3. NHTS Household ID Number: - -

Notes: Complete Form 1, before using Forms 2A, 2B, 2C, 2D, 2E, 2F, and 2GFor Question 9, encircle the age of members identified with condition for Forms 2A (Newborn, 0-28 days), 2B (Infant, 1 to 11 months) 2C (Child, 1 to less than 5 years). For Questions 10, 11, 12, encircle the 'YES' answer identified with condition for Forms 2D, 2E, 2F, and 2G.If there is no answer, please put a dash (-)

+ If household has adolescent girls and boys, gather them with the parents or household head, and deliver the health messages in Family Health Guide: Caring for Adolescents

10. For women 15-49 years old

YES → go to Form 2G

NO → go to Question 12

(month/ day)

13.Schedule of interview

When is ___ available for

interview

Please provide the names of the members of the household starting from the household head followed

by spouse, son/daughter (youngest to oldest) and other members of

household

10a. Is ___ currently pregnant?

10b. Currently not pregnant

MaleFemale

YES → go to Form 2D

NO → go to Question 10b

gave birth less than 6 weeks ago (42 days)?

YES → go to Form 2E)

gave birth more than 6 weeks ago (43 days and more? )/ or never been

pregnant YES → go to

Form 2F)

7. Relationship to Household

Head

What is ____'s relationship to the household

head?Head

SpouseSon/Daughter

Others

For 0-28 days, use Form 2AFor 1 month to 11 months, use Form 2BFor 1 year to less than 5

years old, use Form 2C

For aged 10-15 below,

deliver message for

adolescents(+)

9. Age

Form 1: Family Profile

_______________________________________________________________

6. Name (Last name, first name, middle name)

8. Sex

Is ___ male or female?

11. For ALL members

Is ____ coughing for more than 2 weeks?

12. For members 21 years old and above

12a. Is _____ enrolled in PhilHealth?

YES →go to Question 12b

NO→ orient individually or as a

group, using Section I: "The Family is not

enrolled in PhilHealth" of the Family Guide to PhilHealth: Benefits,

Availment and Responsibil ities

12b. What is ______'s PhilHealth

ID number?Please write the

complete and correct PhilHealth

ID number and proceed to Section II: "The Family is

PhilHealth- enrolled" of the Family Guide to

PhilHealth: Benefits, Availment and

Responsibil ities

• Identify HH members with health risks

• Set schedule to guide them through risk assessment and health planning

Health Plan Implementation• Assess health risks• Deliver key health

messages and information on PhilHealth benefits as well as availment

• Develop health plans• Refer the family to the

appropriate health provider and emergency contacts

A Health Plan Implementation form contains:

• Health risk assessment and key messages• General information about the concerned

household member• Health Plan Form• Actions taken by the health provider• Service Utilization and Monitoring Form

• Write in the CHT logbook/columnar pad the information in the Service Utilization and Monitoring form (i.e. specific health services availed by the families and the schedule of their follow-up visits)

• While monitoring family adherence to the plan, the CHT may need to reassess the health needs of the family

How to record NHTS data in the BHW Logbook

Step 2: Write

‘NHTS’ in the

‘Remarks’ column

Step 1: Update your current BHW logbook with information about the NHTS household member.

Step 3: Add

column at the

end for ‘Health Service

Provider and Type’

Step 4: (a) Write the name of the health service provider or source of health products/commodities in the last column, (b) note the type of health provider, if

‘public’ or ‘private’

Newborn and Infant Health

NAME (Last name,

First name,

AGE ADDRESSHEALTH SERVICE NEEDED

DATE OF VISIT TO

PROVIDER

HEALTH SERVICE

PROVIDED

DATE OF NEXT VISIT

REMARKS

HEALTH SERVICE

PROVIDER AND TYPE (PUBLIC/ PRIVATE)

REYES, ANA CRUZ

10 months

Lot 3, Blk 8, Purok 2, Brgy Laging Handa

Immunization 9/30/2011Hep B3 immunization

11/5/2011 for measles vaccine

NHTS

Laging Handa Health Center (public)

                 

CHT Reporting Arrangements• CHT Partner submits form to the RHM during their regular monthly

meetings, to contain information on the health services availed by NHTS household members in terms of:– Newborn/infant health– Child health – Maternal care– Family planning

• NHTS families will be tagged and additional column on the source of health provided will have to be identified

• The RHM reviews the CHT logbook/columnar pad/form for reconciliation with the Target Client List (TCL) of the Field Health Service Information System (FHSIS)– Health services obtained from private health providers will also be

included in the TCL• The form will be returned to the CHT Partner for safekeeping