OBJECTIVE: The study aimed to collect data on the occupational health systems implemented across selected healthcare facilities in the Philippines, including: (1) governance system for occupational health and safety (OHS), (2) OHS information systems, (3) OHS financing systems, (4) technology and related systems for OHS, (5) the OHS workforce, and (6) the delivery of OHS services.
METHODS: The data were collected through a walkthrough survey of the selected facilities as well as through the review of records and relevant documents found in the facilities.
RESULTS: Governance and financing systems for OHS are not present in any of the facilities. 3 out of the 13 hospitals studied have employee medical records, accident/incident reports while none of the 19 facilities have Workplace Environment Monitoring Reports (WEM), implying the lack of OHS information systems. Due to the lack of a financing mechanism for occupational health services, there is a lack of OHS technology in the facilities which include but are not limited to the presence of an Immunization and Post-Exposure Program (present in 7 out of 13 hospitals and none of the 6 RHUs studied). 1 out of 19 facilities reported to having personnel delegated for OHS activities in their facility. Lastly, 1 out of 19 facilities have emergency treatment and medical facilities for their employees, indicating inadequate OHS service delivery in the facilities studied.
CONCLUSIONS: Standards and laws such as the Philippine OHS Standards and Department of Health (DOH) Administrative Order (AO) 2012-0020 have provisions with regard to OHS in these facilities, and stricter implementation of these provisions could help in filling in the gaps in the OHS systems in these facilities. This will provide a healthy workforce capable of giving better healthcare services to the general population.

Human ; Occupational Health Services ; Occupational Health ; Workplace ; Rhus ; Safety ; Immunization ; Vaccination ; Hospitals ; Medical Records ; Emergency Treatment

INTRODUCTION: This study measured the impact and outcome of an inter-professional community nutrition
program labeled as "NUTRI-CHIKA: Usapan Tungkol at para sa Nutrisyon." The program was a multidisciplinary
approach towards the attainment of proper nutrition for identified malnourished preschool
age children in Barangay San Isidro, Rodriguez, Rizal.

METHODS: This was a mixed quantitative-qualitative program evaluation. The quantitative part consisted
of a longitudinal observational study design, which reviewed the data of the children who received the
nutritional intervention. The qualitative study was done with a phenomenological approach, using a
thematic analysis for the process and impact evaluation by means of a focus group discussion and key
informant interview processes.

RESULTS There was a statistically significant increase in weight (2.32 kg) and height (3.04 cm) in terms of
Z-scores. A total of 29 out of 30 malnourished children graduated with 1 to 3 degrees of improvement in
their Z-scores. The program impact showed 1) overall improvement of the state of health of the children;
2) inculcation of family values, which emphasized the giving of more quality time of parents to their
children, and teaching them to socialize and be courteous; and 3) better orientation of the children
towards more nutritious food choices. The process evaluation focused on the positive disposition of the
inter-professional collaboration and brought out transference of this attitude to the children and parents.

CONCLUSION "NUTRI-CHIKA: Usapan Tungkol at Para sa Nutrisyon" achieved its program objectives and
impacted on the family and community, improving the overall state of health of the children and providing
positive disposition and family values to the participants.

Human ; Health Education