Midwife Licensure Exam Family Planning & Population Nutrition — Community & Population Groups at RiskConcept Map

Concept

Definition and Framework

Sub Concepts

• Population at Risk Definition
• Hazard Exposure
• Heightened Vulnerability
• DOH Lifecycle Approach
• Target Client List (TCL) System

Relationship To Central

Foundational understanding of at-risk populations

Concept

Maternal and Child Health (MCH)

Sub Concepts

• Maternal, Newborn, Child Health and Nutrition (MNCHN) Strategy
• Safe Motherhood Program
• Antenatal Care
• Emergency Obstetric and Newborn Care
• Essential Intrapartum and Newborn Care (EINC/Unang Yakap)
• Newborn Screening
• Child Health and IMCI
• Expanded Program on Immunization (EPI)

Relationship To Central

Priority lifecycle group requiring specialized programs

Concept

Antenatal Care Components

Sub Concepts

• Four Standard Visits (DOH minimum)
• Eight Contact Model (WHO 2016)
• Iron and Folic Acid Supplementation (60 mg + 400 µg daily)
• Tetanus Toxoid Immunization (TT1-TT5)
• Blood Pressure and Weight Monitoring
• Fundal Height and Fetal Heart Tone Assessment
• Birth Planning and 3 Delays Prevention
• Danger Signs Recognition

Relationship To Central

Critical preventive intervention in MCH continuum

Concept

Adolescent Health

Sub Concepts

• Age Definition (10-19 years)
• Risk Behaviors
• Mental Health Vulnerability
• Adolescent Pregnancy Prevention (EO 141, 2021)
• Adolescent Health and Development Program (AHDP)
• Adolescent-Friendly Health Facilities
• Reproductive Health Education
• RA 10354 (RPRH Act, 2012)

Relationship To Central

Distinct at-risk group with unique vulnerabilities

Concept

Aging Population Health

Sub Concepts

• Age Definition (60 years and above)
• Chronic Non-Communicable Diseases
• Geriatric Syndromes
• RA 9994 (Expanded Senior Citizens Act, 2010)
• Discounts and VAT Exemptions
• PhilHealth Coverage
• Office for Senior Citizens Affairs (OSCA)
• Comprehensive Geriatric Assessment
• Fall Prevention and Home Safety

Relationship To Central

Rapidly growing at-risk group with chronic disease burden

Concept

Other Vulnerable Groups

Sub Concepts

• Persons with Disability (PWDs)
• RA 7277 (Magna Carta for PWD)
• Indigenous Peoples (IPs)
• RA 8371 (Indigenous Peoples' Rights Act)
• Urban and Rural Poor
• Displaced Persons
• PhilHealth Indirect Contributors

Relationship To Central

Additional priority populations requiring targeted interventions

Concept

Gender-Based and Family Violence

Sub Concepts

• Violence Against Women and Children
• RA 9710 (Magna Carta of Women, 2009)
• RA 9262 (Anti-VAWC Act, 2004)
• RA 7610 (Child Protection Act)
• RA 8353 (Anti-Rape Law, 1997)
• RA 9208/RA 10364 (Anti-Trafficking)
• Barangay Protection Orders (BPO)
• Women and Children Protection Unit (WCPU)
• VAW Desk in Every Barangay

Relationship To Central

Critical public health and human rights issue across populations

Concept

Nursing Assessment in Violence

Sub Concepts

• Private and Confidential Screening
• Non-Judgmental Interview Approach
• Safety Assessment
• Safety Planning
• Objective Documentation
• Body Mapping
• Injury Recording

Relationship To Central

Essential clinical nursing process for abuse survivors

Concept

Nursing Response to Violence

Sub Concepts

• Immediate Safety Measures
• Mandatory Reporting (Child Abuse)
• Referral Network Coordination
• DSWD Coordination
• PNP WCPU Referral
• Medical and Legal Services
• Psychosocial Support
• Shelter Services Linkage
• Emotional Support Without Blame

Relationship To Central

Critical intervention pathway for abuse survivors

Concept

Nurse's Cross-Cutting Roles

Sub Concepts

• Care Provider
• Health Educator
• Advocate
• Case-Finder (TCL)
• Coordinator/Referrer
• Recorder/Reporter (FHSIS)
• Intersectoral Coordination
• Community Resource Linkage

Relationship To Central

Comprehensive professional functions across all at-risk groups

To

DOH Lifecycle Approach

From

Population at Risk Definition

Strength

strong

Relationship

DOH operationalizes at-risk concept through lifecycle framework

To

Care Provider Role

From

Target Client List (TCL) System

Strength

strong

Relationship

Nurse uses TCL to identify and locate all at-risk clients systematically

To

Safe Motherhood Program

From

MNCHN Strategy

Strength

strong

Relationship

MNCHN strategy encompasses safe motherhood as core component

To

Iron Folic Acid Supplementation

From

Antenatal Care Standards

Strength

strong

Relationship

Iron-folic acid is mandatory component of every antenatal visit

To

Antenatal Care Standards

From

Tetanus Toxoid Immunization

Strength

strong

Relationship

TT doses given during antenatal care to prevent maternal and neonatal tetanus

To

Referral to CEmONC

From

Danger Signs Recognition

Strength

strong

Relationship

Identification of danger signs triggers immediate referral pathway

To

Early Breastfeeding Initiation

From

EINC Unang Yakap Protocol

Strength

strong

Relationship

EINC protocol includes non-separation and early breastfeeding within 90 minutes

To

Prevent Neonatal Hypoglycemia

From

Delayed Cord Clamping

Strength

strong

Relationship

Delayed clamping allows placental blood transfer improving neonatal glucose

To

Leading Causes of Childhood Death

From

IMCI Protocol

Strength

strong

Relationship

IMCI targets the five leading killers: pneumonia, diarrhea, measles, malaria, malnutrition

To

IMCI Management Routing

From

Color-Coded Triage System

Strength

strong

Relationship

Pink-Yellow-Green codes determine appropriate level of care

To

RA 10354 RPRH Act

From

Adolescent Health AHDP

Strength

strong

Relationship

RPRH Act provides legal framework for adolescent reproductive health services

To

Adolescent Pregnancy Prevention

From

EO 141 2021

Strength

strong

Relationship

Executive Order made teen pregnancy prevention a national priority

To

Nursing Assessment Older Persons

From

RA 9994 Senior Citizens Benefits

Strength

strong

Relationship

Nurses help seniors access benefits and conduct comprehensive geriatric assessment

To

RA 9994 Implementation

From

OSCA Office for Senior Citizens Affairs

Strength

strong

Relationship

OSCA administers senior citizen ID and coordinates benefits delivery

To

Persons with Disability Services

From

RA 7277 Magna Carta for PWD

Strength

strong

Relationship

RA 7277 provides legal protections and entitlements for PWDs

To

Indigenous Peoples Health Services

From

RA 8371 IPRA

Strength

strong

Relationship

IPRA mandates culturally-appropriate health services for Indigenous peoples

To

RA 9262 Anti-VAWC Act

From

RA 9710 Magna Carta of Women

Strength

moderate

Relationship

Both laws protect women's rights; RA 9262 provides specific mechanisms for violence protection

To

Barangay Protection Orders

From

RA 9262 Anti-VAWC Act

Strength

strong

Relationship

RA 9262 establishes BPO mechanism at barangay level for immediate protection

To

Mandatory Reporting Requirement

From

RA 7610 Child Protection Act

Strength

strong

Relationship

RA 7610 makes child abuse a mandatorily reportable crime

To

Interview Alone Away from Abuser

From

Private Confidential Screening

Strength

strong

Relationship

Private setting is prerequisite for safe disclosure of abuse

To

Safety Planning

From

Safety Assessment

Strength

strong

Relationship

Safety assessment findings inform individualized safety plan development

To

Body Mapping Injury Recording

From

Objective Documentation

Strength

strong

Relationship

Body map and detailed injury documentation support legal proceedings

To

DSWD Coordination

From

Women and Children Protection Unit

Strength

strong

Relationship

WCPU coordinates with DSWD and other agencies for survivor support

To

WCPU DSWD PNP Referral

From

Mandatory Reporting Child Abuse

Strength

strong

Relationship

Child abuse must be reported to WCPU/DSWD/PNP per RA 7610

To

Survivor Recovery Outcomes

From

Emotional Support Without Blame

Strength

strong

Relationship

Non-blaming support environment improves survivor's healing and help-seeking

To

School Health Nursing Adolescents

From

Health Educator Role

Strength

strong

Relationship

Nurses educate adolescents in schools on reproductive health and violence prevention

To

Intersectoral Coordination

From

Advocate Role

Strength

strong

Relationship

Advocacy links clients to government and NGO services across sectors

To

Target Client List System

From

Case-Finder Role

Strength

strong

Relationship

Nurses use TCL to systematically find all eligible at-risk clients in community

To

FHSIS Reporting System

From

Recorder Reporter Role

Strength

strong

Relationship

Nurses record client data in FHSIS for national health surveillance

To

Health Center RHU Level

From

BEmONC Basic Emergency Obstetric Care

Strength

strong

Relationship

BEmONC units function at primary health center level

To

Hospital Level Services

From

CEmONC Comprehensive Emergency Obstetric Care

Strength

strong

Relationship

CEmONC facilities at hospital level provide caesarean section and blood transfusion

To

Maternal Emergency Response

From

BEmONC CEmONC Referral Network

Strength

strong

Relationship

Integrated referral network ensures obstetric emergencies reach appropriate care

To

Child Health IMCI

From

EPI Expanded Program Immunization

Strength

moderate

Relationship

EPI prevents vaccine-preventable childhood illness targeted by IMCI

To

Early Detection Congenital Disorders

From

Newborn Screening RA 9288

Strength

strong

Relationship

RA 9288 mandates metabolic screening to detect treatable congenital disorders early

To

Early Intervention Development

From

Newborn Hearing Screening

Strength

strong

Relationship

Early hearing detection allows early intervention for deaf infants

To

Adolescent Anemia Prevention

From

Weekly Iron-Folic Acid Adolescent Girls

Strength

strong

Relationship

Weekly supplementation prevents iron-deficiency anemia in adolescent females

To

Confidential Adolescent Services

From

Adolescent-Friendly Health Facilities

Strength

strong

Relationship

AHDP facilities provide private non-judgmental confidential care for adolescents

To

Danger Signs Birth Planning

From

Three Delays Prevention

Strength

strong

Relationship

Antenatal education addresses decision delay, reach delay, and care delay

To

Nursing Role Older Persons

From

Comprehensive Geriatric Assessment

Strength

strong

Relationship

CGA guides nursing assessment of function, cognition, mood, medication, falls, nutrition

To

Nursing Intervention Older Persons

From

Fall Prevention Home Safety

Strength

strong

Relationship

Nurses teach home safety and fall prevention strategies to prevent geriatric injuries

To

PhilHealth Indirect Contributors

From

Urban Rural Poor

Strength

moderate

Relationship

Poor populations are largely indirect contributors under PhilHealth UHC

To

Crime Against Persons Classification

From

RA 8353 Anti-Rape Law 1997

Strength

strong

Relationship

RA 8353 reclassified rape as crime against persons and recognized marital rape

To

Women Children Trafficking Prevention

From

RA 9208 RA 10364 Anti-Trafficking

Strength

strong

Relationship

Anti-trafficking laws specifically address trafficking affecting women and children

To

Nursing Care for At-Risk Groups

From

NANDA Nursing Diagnoses

Strength

moderate

Relationship

NANDA provides standardized language for common nursing diagnoses across populations

To

Nursing Intervention Sequencing

From

Maslow Prioritization Framework

Strength

moderate

Relationship

Maslow's hierarchy guides priority ordering of nursing interventions

To

Nurse's Professional Role Definition

From

RA 9173 Nursing Practice Act

Strength

moderate

Relationship

RA 9173 defines scope of nursing practice in Philippines including community health