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

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, AGEADDRESS HEALTH 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 Immunization9/30/2011 Hep 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