TEAM KAANGAYAN
COMPREHENSIVE HEALTH PLAN
2017
POOR UTILIZATION OF MATERNAL AND CHILD
HEALTH CARE SERVICES
IMMUNIZATION
GLOBAL HEALTH PROBLEM
Globally, the number of deaths of children under 5 years of age fell from 12.7 million in 1990 to 6.3 million in 2013. The first 28 days of life – the “neonatal period” – represent the most vulnerable time for a child’s survival. In 2013, around 44% of under-five deaths occurred during this period, up from 37% in 1990. Reaching the MDG on reducing child mortality will require more rapid scale up of key effective, affordable interventions: care for newborns and their mothers; infant and young child feeding; vaccines; prevention and case management of pneumonia, diarrhoea and sepsis; malaria control; and prevention and care of HIV/AIDS.
EPI IN THE PHILIPPINES
The Expanded Program on Immunization (EPI) was established in 1976 to ensure that infants/children and mothers have access to routinely recommended infant/childhood vaccines. Six vaccine-preventable diseases were initially included in the EPI: tuberculosis, poliomyelitis, diphtheria, tetanus, pertussis and measles. In 1986, 21.3% “fully immunized” children less than fourteen months of age based on the EPI Comprehensive Program review. The immunization coverage of all individual vaccines has improved as shown in Figure 1: (Demographic Health Survey 2003 and 2008). Fully Immunized Child (FIC) coverage improved by 10% and the Child Protected at Birth (CPAB) against Tetanus improved by 13% compared to any prior period. Thus, the Philippines has now historically the highest coverage for these two major indicators.
AdZU-SOM ADAPTED DOH STRATEGIES
REB strategy, an adaptation of the WHO-UNICEF Reaching Every District (RED), was introduced in 2004 aimed to improve the access to routine immunization and reduce drop-outs. There are 5 components of the strategy, namely: data analysis for action, re-establish outreach services, , strengthen links between the community and service, supportive supervision and maximizing resources.
AdZU-SOM adopts these DOH strategies in helping to reduce child mortality by helping Barangay Kaangayan in monthly immunization at the barangay hall. In which, house-house health teaching was done to give awareness among parents on the importance of immunization.
Team Kaangayan conductedhealth education with the following agenda: (1) Importance of immunization on the prevention of vaccine-preventable disease. (2) Benefits of immunization and the risks of not having immunization. (3) Assessment through pre and posttest. (4) Open-Forum; Pretest/Post-test.
Moreover, Team Kaangayan, conducted routine immunization for infants and children up to 5 years through WHO- UNICEF Reaching Every District (RED) – for improved access to routine immunization and reduce dropouts, collaborated with rural health unit to ensure supply, distributed vitamins supplements and medications to residents of the community Distributed posters from DOH regarding bad effects of having no immunization and schedules of immunization in strategic areas per purok and created master list of immunization status of children 5 years and below
IMMUNIZATION STATUS IN BRGY. KAANGAYAN
As of March 2017, 72.63% of the children 5 years and below were fully immunized. Others were completely immunized at 3.16% ,not completely immunized at 9.47%, on-going immunization and not immunized were at 7.37%
FAMILY PLANNING
Family planning is the practice of controlling the number of children and the interval between their births as desired by the couple by using natural and modern contraceptive methods. It aims to empower both the mother and the father by letting them plan for their family. It aims to decrease the economic burden of having a big population and above all, it aims to cater for the unmet needs of the Filipino women in terms of family planning. This places a woman and her decisions in terms of child-bearing at the center of the discussion. Family planning has benefits not just for the parents but for the entire family and society as well. The importance of family planning should be emphasized since it provides a link to other eight (8) Millenium Developmental Goals (MDGs) like poverty and hunger, universal education, gender equality, child health, maternal health, AIDS and STD prevention, environmental sustainability and global partnerships. Beyond the MDGs, it also has an influence in improving lives worldwide by enhancing national security and optimizing financial resources.
Health teaching on benefits of family planning and its different methods
To increase the knowledge and awareness of the people in the community, health education was done. It covered the benefits of using family planning methods, effectiveness and failure rates, proper usage, different types of family planning methods and its side effects. In addition, sexually transmitted diseases and how to prevent it were also discussed.
Couple Health Education on different kinds of contraception
Lack of male involvement is one of the factors that contribute to low contraceptive prevalence rate in the Philippines. To address this, couple health education were done by the medical students together with the barangay health workers (BHWs).
Partnership with the Rural Health Unit (RHU) for expanded service, availability, affordability and accessibility to quality family planning methods
To ensure the sustainability of this project, the group coordinated with the RHU for continuous supply of family planning methods. Some methods like contraceptive pills and condoms are already distributed by the BHWs in the barangay.
FAMILY PLANNING STATUS IN BRGY. KAANGAYAN
Since 2014, there was a significant increase in the number of family planning users among reproductive age women from 20.7% to 71.05% this 2017. In addition, there were more family planning methods used this year compared to 2014. This increase can be attributed to the increased knowledge of the different family planning methods and the efforts of the Rural Health Unit (RHU) to extend their program on family planning ; making it available in the barangay. The accessibility of contraceptive pills and condoms made it easier for the people to use family planning methods offered by the government therefore increasing the contraceptive prevalence rate. With the help and cooperation of the people in the community , the government and non-government organizations, we can achieve our goals of having healthier families for the Filipinos.
GLOBAL HEALTH PROBLEM
Globally, the number of deaths of children under 5 years of age fell from 12.7 million in 1990 to 6.3 million in 2013. The first 28 days of life – the “neonatal period” – represent the most vulnerable time for a child’s survival. In 2013, around 44% of under-five deaths occurred during this period, up from 37% in 1990. Reaching the MDG on reducing child mortality will require more rapid scale up of key effective, affordable interventions: care for newborns and their mothers; infant and young child feeding; vaccines; prevention and case management of pneumonia, diarrhoea and sepsis; malaria control; and prevention and care of HIV/AIDS.
EPI IN THE PHILIPPINES
The Expanded Program on Immunization (EPI) was established in 1976 to ensure that infants/children and mothers have access to routinely recommended infant/childhood vaccines. Six vaccine-preventable diseases were initially included in the EPI: tuberculosis, poliomyelitis, diphtheria, tetanus, pertussis and measles. In 1986, 21.3% “fully immunized” children less than fourteen months of age based on the EPI Comprehensive Program review. The immunization coverage of all individual vaccines has improved as shown in Figure 1: (Demographic Health Survey 2003 and 2008). Fully Immunized Child (FIC) coverage improved by 10% and the Child Protected at Birth (CPAB) against Tetanus improved by 13% compared to any prior period. Thus, the Philippines has now historically the highest coverage for these two major indicators.
AdZU-SOM ADAPTED DOH STRATEGIES
REB strategy, an adaptation of the WHO-UNICEF Reaching Every District (RED), was introduced in 2004 aimed to improve the access to routine immunization and reduce drop-outs. There are 5 components of the strategy, namely: data analysis for action, re-establish outreach services, , strengthen links between the community and service, supportive supervision and maximizing resources.
AdZU-SOM adopts these DOH strategies in helping to reduce child mortality by helping Barangay Kaangayan in monthly immunization at the barangay hall. In which, house-house health teaching was done to give awareness among parents on the importance of immunization.
Team Kaangayan conductedhealth education with the following agenda: (1) Importance of immunization on the prevention of vaccine-preventable disease. (2) Benefits of immunization and the risks of not having immunization. (3) Assessment through pre and posttest. (4) Open-Forum; Pretest/Post-test.
Moreover, Team Kaangayan, conducted routine immunization for infants and children up to 5 years through WHO- UNICEF Reaching Every District (RED) – for improved access to routine immunization and reduce dropouts, collaborated with rural health unit to ensure supply, distributed vitamins supplements and medications to residents of the community Distributed posters from DOH regarding bad effects of having no immunization and schedules of immunization in strategic areas per purok and created master list of immunization status of children 5 years and below
IMMUNIZATION STATUS IN BRGY. KAANGAYAN
As of March 2017, 72.63% of the children 5 years and below were fully immunized. Others were completely immunized at 3.16% ,not completely immunized at 9.47%, on-going immunization and not immunized were at 7.37%
FAMILY PLANNING
Family planning is the practice of controlling the number of children and the interval between their births as desired by the couple by using natural and modern contraceptive methods. It aims to empower both the mother and the father by letting them plan for their family. It aims to decrease the economic burden of having a big population and above all, it aims to cater for the unmet needs of the Filipino women in terms of family planning. This places a woman and her decisions in terms of child-bearing at the center of the discussion. Family planning has benefits not just for the parents but for the entire family and society as well. The importance of family planning should be emphasized since it provides a link to other eight (8) Millenium Developmental Goals (MDGs) like poverty and hunger, universal education, gender equality, child health, maternal health, AIDS and STD prevention, environmental sustainability and global partnerships. Beyond the MDGs, it also has an influence in improving lives worldwide by enhancing national security and optimizing financial resources.
Health teaching on benefits of family planning and its different methods
To increase the knowledge and awareness of the people in the community, health education was done. It covered the benefits of using family planning methods, effectiveness and failure rates, proper usage, different types of family planning methods and its side effects. In addition, sexually transmitted diseases and how to prevent it were also discussed.
Couple Health Education on different kinds of contraception
Lack of male involvement is one of the factors that contribute to low contraceptive prevalence rate in the Philippines. To address this, couple health education were done by the medical students together with the barangay health workers (BHWs).
Partnership with the Rural Health Unit (RHU) for expanded service, availability, affordability and accessibility to quality family planning methods
To ensure the sustainability of this project, the group coordinated with the RHU for continuous supply of family planning methods. Some methods like contraceptive pills and condoms are already distributed by the BHWs in the barangay.
FAMILY PLANNING STATUS IN BRGY. KAANGAYAN
Since 2014, there was a significant increase in the number of family planning users among reproductive age women from 20.7% to 71.05% this 2017. In addition, there were more family planning methods used this year compared to 2014. This increase can be attributed to the increased knowledge of the different family planning methods and the efforts of the Rural Health Unit (RHU) to extend their program on family planning ; making it available in the barangay. The accessibility of contraceptive pills and condoms made it easier for the people to use family planning methods offered by the government therefore increasing the contraceptive prevalence rate. With the help and cooperation of the people in the community , the government and non-government organizations, we can achieve our goals of having healthier families for the Filipinos.
MALNUTRITION
Malnutrition is a term used to define both undernutrition and overnutrition. However, this term is more commonly used to pertain to a deficiency of nutrition. Several factors can lead to malnutrition such as poor diet, repeated infections, poor environmental conditions and poor socioeconomic status. Malnutrition is considered to be a health outcome and also a risk factor for diseases and even exacerbated malnutrition which can lead to increased morbidity and mortality rate among children. The type of malnutrition that is linked to a direct cause of death is known as Protein-Energy Malnutrition or PEM (Blossner, 2005).
This is common in far-fetched communities due to financial, educational, and socio-cultural insufficiencies that contribute to a child’s inability to reach his ideal status in health. Due to this, school ordinances such as school based feeding programs, health teaching campaigns and gardening have been used in the pursuit of solving the problem of malnutrition (DepEd, 2015). However, most of these strategies are passive and take a longer time in reaching its desired of goal of reversing malnutrition.
Locally-Produced Ready-To-Use-Therapeutic Food (RUTF)
RUTF is an energy-dense, micronutrient enhanced paste which is generally lipid and protein rich that help children with acute malnutrition. The main ingredients of this energy-rich paste are basically peanut, oil, sugar and milk powder (UNICEF, 2013). This is made by measuring the dry and wet ingredients in fixed proportions and mix it altogether until it turns into a paste. Traditionally, RUTF is made with inclusion of essential vitamins and minerals.
This intervention has many advantages. First, this can be locally-produced and thus can be made and used by any individual household. Second, this food is rich in both lipids and proteins and can help increase weight in just a short period of time. Third, no water is involved in making this energy-rich paste thus making it very suitable in far-fetched communities without electricity for longer shelf-life. Lastly, it can be used as supplemental food with breastfeeding and other appropriate food for infant and young child feeding (UNICEF, 2013).
Cooking Classes by TESDA-Pagadian
The diet of the children in the Municipality of Mahayag mainly consists of vegetable stews usually composed of water spinach, moringa leaves and string beans. At the same time, they also consume preserved food such as noodles and canned goods most of the time. They rarely eat fish, chicken or pork meat because according to the people, these are expensive and hard to find. With this type of diet where their protein intake is scarce, it is not surprising to find that there are children who are underweight. Due to this, we have decided to coordinate with TESDA-Pagadian to conduct cooking classes utilizing commonly grown protein-rich vegetables in the community such as mung beans, string beans, and mushroom.
Protein Garden (ProGard)
Barangay Kaangayan is an agricultural area however, none of the households have any functional backyard garden. Most of their gardens are only composed of ornamental plants and they do not have any immediate source of food especially when their income is only approximately 3000 Php per month. The purpose of this project is to encourage each household to create a functional backyard garden and improve their communal or purok garden into a transformed one wherein it can help augment their income, be an immediate source of high-protein food and be the source of the main ingredient of the locally produced RUTF, which is peanuts. We were able to coordinate with the Department of Agriculture for the procurement of seeds for sustainability of this project.
Coin Bank (PISO Program)
Perang Ipon, Sustansya OK (PISO) Program works alongside with the coin bank. Each purok was asked to build their own coin bank made from bamboo. All purok members are encouraged to drop at least 1 peso in the coin bank. The purpose of this project is for the sustainability of the Locally-Produced RUTF. The saved money will serve as funds for future production of
RUTF. Peanuts will be grown from the Protein Gardens and the rest of the ingredients will be bought using the money saved. Mothers involved in the production of RUTF and Barangay Nutrition Scholars will act as teachers and guides in the production of RUTF for future cases of malnourished children. The money saved in the coin bank will be monitored and kept by the purok presi
Purok president and will only be utilized when a need arises for the malnourished children. For it to be sustainable, the money used will be replaced continually.
Cooking Master Contest
The Cooking Master Contest was conducted as a means of uniting the people of Barangay Kaangayan and at the same time, test their skills in cooking . 7 out of 7 puroks participated in this activity wherein each purok had at least 1 or 2 representatives for the competition. Ingredients were provided uniformly among the conteants
testans and they were given 2 hours to cook and prepare the meal. Criteria for judging was based on palatability, presentation and utilization of as much protein-rich ingredients as possible. Not only was this an opportunity for them to showcase their talents but also, it was an application of all their learning from previous cooking classes by
by TESDA. This would also help increase their knowledge and awareness that it is possible to cook delicious and nutritious food just by utilizing home-grown vegetables in their Pro-Gard. Aside from that, it would also useful for them as source of additional income as a reward for discovering their hidden talents in cooking.
This is common in far-fetched communities due to financial, educational, and socio-cultural insufficiencies that contribute to a child’s inability to reach his ideal status in health. Due to this, school ordinances such as school based feeding programs, health teaching campaigns and gardening have been used in the pursuit of solving the problem of malnutrition (DepEd, 2015). However, most of these strategies are passive and take a longer time in reaching its desired of goal of reversing malnutrition.
Locally-Produced Ready-To-Use-Therapeutic Food (RUTF)
RUTF is an energy-dense, micronutrient enhanced paste which is generally lipid and protein rich that help children with acute malnutrition. The main ingredients of this energy-rich paste are basically peanut, oil, sugar and milk powder (UNICEF, 2013). This is made by measuring the dry and wet ingredients in fixed proportions and mix it altogether until it turns into a paste. Traditionally, RUTF is made with inclusion of essential vitamins and minerals.
This intervention has many advantages. First, this can be locally-produced and thus can be made and used by any individual household. Second, this food is rich in both lipids and proteins and can help increase weight in just a short period of time. Third, no water is involved in making this energy-rich paste thus making it very suitable in far-fetched communities without electricity for longer shelf-life. Lastly, it can be used as supplemental food with breastfeeding and other appropriate food for infant and young child feeding (UNICEF, 2013).
Cooking Classes by TESDA-Pagadian
The diet of the children in the Municipality of Mahayag mainly consists of vegetable stews usually composed of water spinach, moringa leaves and string beans. At the same time, they also consume preserved food such as noodles and canned goods most of the time. They rarely eat fish, chicken or pork meat because according to the people, these are expensive and hard to find. With this type of diet where their protein intake is scarce, it is not surprising to find that there are children who are underweight. Due to this, we have decided to coordinate with TESDA-Pagadian to conduct cooking classes utilizing commonly grown protein-rich vegetables in the community such as mung beans, string beans, and mushroom.
Protein Garden (ProGard)
Barangay Kaangayan is an agricultural area however, none of the households have any functional backyard garden. Most of their gardens are only composed of ornamental plants and they do not have any immediate source of food especially when their income is only approximately 3000 Php per month. The purpose of this project is to encourage each household to create a functional backyard garden and improve their communal or purok garden into a transformed one wherein it can help augment their income, be an immediate source of high-protein food and be the source of the main ingredient of the locally produced RUTF, which is peanuts. We were able to coordinate with the Department of Agriculture for the procurement of seeds for sustainability of this project.
Coin Bank (PISO Program)
Perang Ipon, Sustansya OK (PISO) Program works alongside with the coin bank. Each purok was asked to build their own coin bank made from bamboo. All purok members are encouraged to drop at least 1 peso in the coin bank. The purpose of this project is for the sustainability of the Locally-Produced RUTF. The saved money will serve as funds for future production of
RUTF. Peanuts will be grown from the Protein Gardens and the rest of the ingredients will be bought using the money saved. Mothers involved in the production of RUTF and Barangay Nutrition Scholars will act as teachers and guides in the production of RUTF for future cases of malnourished children. The money saved in the coin bank will be monitored and kept by the purok presi
Purok president and will only be utilized when a need arises for the malnourished children. For it to be sustainable, the money used will be replaced continually.
Cooking Master Contest
The Cooking Master Contest was conducted as a means of uniting the people of Barangay Kaangayan and at the same time, test their skills in cooking . 7 out of 7 puroks participated in this activity wherein each purok had at least 1 or 2 representatives for the competition. Ingredients were provided uniformly among the conteants
testans and they were given 2 hours to cook and prepare the meal. Criteria for judging was based on palatability, presentation and utilization of as much protein-rich ingredients as possible. Not only was this an opportunity for them to showcase their talents but also, it was an application of all their learning from previous cooking classes by
by TESDA. This would also help increase their knowledge and awareness that it is possible to cook delicious and nutritious food just by utilizing home-grown vegetables in their Pro-Gard. Aside from that, it would also useful for them as source of additional income as a reward for discovering their hidden talents in cooking.
HYPERTENSION
The prevalence of hypertension
In the Philippines, about 14 million Filipinos are affected with hypertension which is approximately 25% of the adult population. Many of them are asymptomatic, discouraging them to seek medical consult. On the other hand, majority of the affected patients doesn’t have access to adequate healthcare. Therefore blood pressure will remain uncontrolled.
The Philippine Health Statistics data of 2009 shows that about 167,000 Filipinos died because of heart disease and stroke. Half of these uneventful deaths are likely related to uncontrolled blood pressure. Thus, heart disease and stroke reigns as the leading cause of mortality in the Philippines comprising 35% total deaths among Filipinos
Hypertension is the top 1 leading cause of morbidity, and the top 7 leading cause of mortality in municipality of Mahayag. However, no list of the top ten mortality and morbidity rates was withdrawn in Barangay Kaangayan.
THE SOLUTION!
House to house survey and mass bp taking
Detecting high blood pressure is the first step in preventing and controlling hypertension. Hence, the medical students opted to conduct a house to house survey with mass Bp taking per purok. A masterlist was created and classified according to JNC8 .
The identified hypertensive individuals will also be provided with BP monitoring cards which contains health teaching,
Health education
The best way to change a person’s perception and behavior is through health teaching. Hence health awareness was implemented through video presentation and lecture. Another way of emphasizing the health teaching is through disseminations of pamphlets that contains ideas and methods on how to prevent and manage hypertension.
A better way to control hypertension is with life style modification. Thus, the team provided diet plans that are low in fat and salt. The proposed diet will also be affordable and available from their resources.
With these intervention, the residents of Kaangayan had increased knowledge regarding hypertension that was evaluated through pre and post test exams.
Establishment of monitoring team
Imparting one’s skill and knowledge to another individual will strengthen the sustainability of the project. The establishment of monitoring team played a major role in checking the BP of the hypertensives.
Hence, the team conducted BP training and periodic evaluation with refresher course for the BHW and BNS so that they will be able to enhance their knowledge and skills in proper blood pressure taking of the hypertensive individuals.
A one on one lecture and return demonstration was conducted to make sure that they understood the fundamentals of proper blood pressure.
In the whole duration of the exposure, 4 refresher courses was conducted in order to assess and strengthen their knowledge and skills in proper BP taking.
Project: "Tambal sa Barangay
Not everyone has the capability to access the health center in the community. With this, the team has come up with an idea to collaborate with the Rural Health Unit in disseminating the hypertensive medications in the barangay hall hence called “Tambal sa barangay”
The trained BHW and BNS was responsible in disseminating the hypertensive medications to the hypertensive individuals.
Using this strategy, we were able to increase the compliance rate of our respondents by supplying them with the medications needed.
HYPERTENSIVE REFERRAL SYSTEM
Although with the given strategies in preventing hypertension in the community, it is still inevitable to have newly suspected hypertensive individuals. The best thing that we can do is to refer them to the rural health unit for the final diagnosis and further management
A step by step algorithm was formulated by the medical students for the suspected hypertensive individuals. Two different blood pressure reading will be conducted by the trained BHW, and if the blood pressure is increased consistently they will then be referred to the RHU for the final assessment and distribution of medications.
Not only is this important in detecting the suspected hypertensive individuals, but they are also vital in referring patients who are in hypertensive urgency to the RHU to prevent further complication that may happen to the respondents.
Blood pressure STOP
Monitoring blood pressure is one of the most important ways in assessing the effectiveness of the medication.
In order to monitor their blood pressure, a BP STOP was disseminated throughout the barangay. These BP STOPs are manned by the trained BHW and their responsibility is to monitor the blood pressure of the hypertensive individuals.
It is also encouraged the hypertensive individuals to have their blood pressure checked at least twice a month.
Hypertensive spot map
Hypertensive spot map is a tool to monitor the hypertensive patients. It will provide a general idea on how many hypertensive patients are there in the community. Pins are placed in the spot map which represents the hypertensive patients.
Not only it will be useful in locating the hypertensives but the bulletin board also provides lectures regarding hypertension; it’s definition, risk factors and health teaching on preventive measures
HYPERTENSION STATUS IN BRGY. KAANGAYAN
1. As of 2017, there has been a total of 48 diagnosed hypertensive individuals. Since 2014, there has been a dramatic decrease in stage 2 hypertensive, categorizing them into stage 1 hypertensive. A slight increase pre-hypertensive has been noted, this maybe due to decrease in BP from stage 1 to pre-hypertensive.
2. As of 2017, the compliance rate has improved from 0 to 60%. The increase in compliance rate may be due to the strategies made by the medical students such as imparting the importance of maintaining hypertensive medications.
In the Philippines, about 14 million Filipinos are affected with hypertension which is approximately 25% of the adult population. Many of them are asymptomatic, discouraging them to seek medical consult. On the other hand, majority of the affected patients doesn’t have access to adequate healthcare. Therefore blood pressure will remain uncontrolled.
The Philippine Health Statistics data of 2009 shows that about 167,000 Filipinos died because of heart disease and stroke. Half of these uneventful deaths are likely related to uncontrolled blood pressure. Thus, heart disease and stroke reigns as the leading cause of mortality in the Philippines comprising 35% total deaths among Filipinos
Hypertension is the top 1 leading cause of morbidity, and the top 7 leading cause of mortality in municipality of Mahayag. However, no list of the top ten mortality and morbidity rates was withdrawn in Barangay Kaangayan.
THE SOLUTION!
House to house survey and mass bp taking
Detecting high blood pressure is the first step in preventing and controlling hypertension. Hence, the medical students opted to conduct a house to house survey with mass Bp taking per purok. A masterlist was created and classified according to JNC8 .
The identified hypertensive individuals will also be provided with BP monitoring cards which contains health teaching,
Health education
The best way to change a person’s perception and behavior is through health teaching. Hence health awareness was implemented through video presentation and lecture. Another way of emphasizing the health teaching is through disseminations of pamphlets that contains ideas and methods on how to prevent and manage hypertension.
A better way to control hypertension is with life style modification. Thus, the team provided diet plans that are low in fat and salt. The proposed diet will also be affordable and available from their resources.
With these intervention, the residents of Kaangayan had increased knowledge regarding hypertension that was evaluated through pre and post test exams.
Establishment of monitoring team
Imparting one’s skill and knowledge to another individual will strengthen the sustainability of the project. The establishment of monitoring team played a major role in checking the BP of the hypertensives.
Hence, the team conducted BP training and periodic evaluation with refresher course for the BHW and BNS so that they will be able to enhance their knowledge and skills in proper blood pressure taking of the hypertensive individuals.
A one on one lecture and return demonstration was conducted to make sure that they understood the fundamentals of proper blood pressure.
In the whole duration of the exposure, 4 refresher courses was conducted in order to assess and strengthen their knowledge and skills in proper BP taking.
Project: "Tambal sa Barangay
Not everyone has the capability to access the health center in the community. With this, the team has come up with an idea to collaborate with the Rural Health Unit in disseminating the hypertensive medications in the barangay hall hence called “Tambal sa barangay”
The trained BHW and BNS was responsible in disseminating the hypertensive medications to the hypertensive individuals.
Using this strategy, we were able to increase the compliance rate of our respondents by supplying them with the medications needed.
HYPERTENSIVE REFERRAL SYSTEM
Although with the given strategies in preventing hypertension in the community, it is still inevitable to have newly suspected hypertensive individuals. The best thing that we can do is to refer them to the rural health unit for the final diagnosis and further management
A step by step algorithm was formulated by the medical students for the suspected hypertensive individuals. Two different blood pressure reading will be conducted by the trained BHW, and if the blood pressure is increased consistently they will then be referred to the RHU for the final assessment and distribution of medications.
Not only is this important in detecting the suspected hypertensive individuals, but they are also vital in referring patients who are in hypertensive urgency to the RHU to prevent further complication that may happen to the respondents.
Blood pressure STOP
Monitoring blood pressure is one of the most important ways in assessing the effectiveness of the medication.
In order to monitor their blood pressure, a BP STOP was disseminated throughout the barangay. These BP STOPs are manned by the trained BHW and their responsibility is to monitor the blood pressure of the hypertensive individuals.
It is also encouraged the hypertensive individuals to have their blood pressure checked at least twice a month.
Hypertensive spot map
Hypertensive spot map is a tool to monitor the hypertensive patients. It will provide a general idea on how many hypertensive patients are there in the community. Pins are placed in the spot map which represents the hypertensive patients.
Not only it will be useful in locating the hypertensives but the bulletin board also provides lectures regarding hypertension; it’s definition, risk factors and health teaching on preventive measures
HYPERTENSION STATUS IN BRGY. KAANGAYAN
1. As of 2017, there has been a total of 48 diagnosed hypertensive individuals. Since 2014, there has been a dramatic decrease in stage 2 hypertensive, categorizing them into stage 1 hypertensive. A slight increase pre-hypertensive has been noted, this maybe due to decrease in BP from stage 1 to pre-hypertensive.
2. As of 2017, the compliance rate has improved from 0 to 60%. The increase in compliance rate may be due to the strategies made by the medical students such as imparting the importance of maintaining hypertensive medications.
TUBERCULOSIS
The Philippines has been included on the list of high cases of Tuberculosis in the world. For past years, tuberculosis has always been included in the top 10 causes of morbidity and mortality in the country. With a rate of 26.3 deaths for every 100,000 population and accounted for 5.1% of total death, Tuberculosis was the 6th leading cause of mortality. Though figures show that this disease is a major problem in our country, it has always been a fact that this disease is curable with early detection and medical compliance.
Barangay Kaangayan has been known to have cases of Tuberculosis in the Municipality of Mahayag. Futhermore, it’s quite unfortunate that the barangay still has undetected cases of Tuberculosis. Ineffective case detection, treatment non compliance and no proper referral system have been the hindrances in achieving the MDG on combating diseases such as Tuberculosis.
TB TASK FORCE
To ensure that all of the activities will be implemented and will be sustained, the TB task force came into picture. The core group comprised of Barangay Health Workers and Barangay Nutrition Scholars.
They have attended several lectures pertaining case holding and case finding of Tuberculosis patients to fully understand their duties and responsibilities.
They have been engaging themselves in consultative meetings via home visits together with the medical students to identify to identify TB symptomatics and TB defaulters having problems in seeking consultations or complying with the treatment regimen.
Because of the constant effort and support of this group, case detection and treatment compliance have improved in the barangay.
HEALTH EDUCATION
Health education still remains as one of the effective strategy to increase the awareness and knowledge of the people of the community regarding Tuberculosis and DOTS services.
Pamphlets and posters presenting the nature of the disease, its cure and how one can prevent it were created and distributed per purok for easy access to Tuberculosis information.
Health education sessions via purok per purok lecture were also conducted by the medical students.
In partnership with the Integrated Provincial Health Office, Tuberculosis advocacy was also implemented. The people of the community attended and actively participated on the said event which was given by Ms. Dahlia Aseniero, chief of IPHO Technical Division.
Contact Tracing Cards as a strategy to increase Case Detection
Contact tracing cards offer an innovative strategy in case finding of Pulmonary Tuberculosis. These cards were adapted from a research study by Dr. Gerard Santos.
These cards served as guide in screening potential TB patients. The closed contacts of Tuberculosis patients were screened using these cards via home visits. Then, TB symptomatics were referred to the Rural Health Unit for DSSM and for further evaluation.
TB EXPO
In line with the goal of increasing the knowledge of the people of the community regarding Tuberculosis, the group conducted TB Expo which was held at the Barangay Hall of Kaangayan. It was attended mostly by senior citizens and relatives of diagnosed Tuberculosis patients.
The group aimed to disseminate latest health information about Tuberculosis through the use of posters which was translated to Visayan language that were installed among the corners of the venue. Pamphlets and booklets from the Department of Health were also distributed to people. It was indeed a day full of fun and learning experience. Everyone participated during the discussions and open forum.
Barangay Kaangayan has been known to have cases of Tuberculosis in the Municipality of Mahayag. Futhermore, it’s quite unfortunate that the barangay still has undetected cases of Tuberculosis. Ineffective case detection, treatment non compliance and no proper referral system have been the hindrances in achieving the MDG on combating diseases such as Tuberculosis.
TB TASK FORCE
To ensure that all of the activities will be implemented and will be sustained, the TB task force came into picture. The core group comprised of Barangay Health Workers and Barangay Nutrition Scholars.
They have attended several lectures pertaining case holding and case finding of Tuberculosis patients to fully understand their duties and responsibilities.
They have been engaging themselves in consultative meetings via home visits together with the medical students to identify to identify TB symptomatics and TB defaulters having problems in seeking consultations or complying with the treatment regimen.
Because of the constant effort and support of this group, case detection and treatment compliance have improved in the barangay.
HEALTH EDUCATION
Health education still remains as one of the effective strategy to increase the awareness and knowledge of the people of the community regarding Tuberculosis and DOTS services.
Pamphlets and posters presenting the nature of the disease, its cure and how one can prevent it were created and distributed per purok for easy access to Tuberculosis information.
Health education sessions via purok per purok lecture were also conducted by the medical students.
In partnership with the Integrated Provincial Health Office, Tuberculosis advocacy was also implemented. The people of the community attended and actively participated on the said event which was given by Ms. Dahlia Aseniero, chief of IPHO Technical Division.
Contact Tracing Cards as a strategy to increase Case Detection
Contact tracing cards offer an innovative strategy in case finding of Pulmonary Tuberculosis. These cards were adapted from a research study by Dr. Gerard Santos.
These cards served as guide in screening potential TB patients. The closed contacts of Tuberculosis patients were screened using these cards via home visits. Then, TB symptomatics were referred to the Rural Health Unit for DSSM and for further evaluation.
TB EXPO
In line with the goal of increasing the knowledge of the people of the community regarding Tuberculosis, the group conducted TB Expo which was held at the Barangay Hall of Kaangayan. It was attended mostly by senior citizens and relatives of diagnosed Tuberculosis patients.
The group aimed to disseminate latest health information about Tuberculosis through the use of posters which was translated to Visayan language that were installed among the corners of the venue. Pamphlets and booklets from the Department of Health were also distributed to people. It was indeed a day full of fun and learning experience. Everyone participated during the discussions and open forum.
IMPROPER SOLID WASTE MANAGEMENT
Improper waste management is on of the identified problems in Barangay Kaangayan, Mahayag, Zamboanga del Sur. Based from a house-to-house survey counducted by the medical students assigned in this Barangay, 47.67% do not practice garbage segregation. There are many negative effects of poor environmental sanitation. Wastes that were not disposed of properly can be a potential source of many diseases. This further, hinders the attainment of a healthy community. With the help of the Barangay Officials and community residents, the comprehensive community health plan on solid waste management came into existence. The team created strategies to improve the solid waste management practices of the said Barangay by increasing the number of households who proper waste practice segregation. There is no doubt that a clean and greener environment leads to a better and healthier community.
HEALTH TEACHING ON PROPER WASTE SEGREGATION AND COMPOSTING
Proper knowledge is vital in attaining a cleaner environment. For without the required knowledge, there is no proper execution of the things needed to attain our endeavor. Thus, health teaching about proper waste segregation and composting were done among students of Barangay Kaangayan Elementary School and the community residents. This was done repetitively during Purok visits to prevent decay of knowledge. Pre-tests and post-tests were done to evaluate the knowledge attained by the people. The elementary students enjoyed the return demonstration done after the lecture. The “Basura Kid” story was encated infront of the Day Care students. Insights from the community residents regarding their problems on their solid wastes were heard and they were given advise to solve them. It was a learning experience from the community residents and the medical students.
WASTE ANALYSIS CHARACTERIZATION STUDY
Waste analyzation characterization study (WACS) was done to determine the types of solid wastes and which type of trash is generated the most in Barangay Kaangayan and the results are as follows: 52.17%- compostable, 43.47%- recyclables, 4.35%- residuals. This helped determined the solution on how to reduce and dispose the type of garbage generated the most.
CONSTRUCTION OF MATERIALS RECOVERY FACILITIES
Container drums were requested from Pilipinas Shell Corporation at Baliwasan Grande, Zamboanga City. It was transported from Zamboanga City to Barangay Kaangayan, Mahayag, Zamboanga del Sur. Each of the 7 Puroks were provided with 2 container drums each. The community residents themselves built their MRF’s and situated it near the road as much as possible. For easy collection by the garbage truck of the Munucipal. One of the problems in the garbage collection is that, it is collected only once a month wherein the Barangay Chairman goes to the office of the municipal sanitary engineer to set the schedule for collection.
PUROK CLEAN-UP DRIVE
To further promote proper waste segregation among the community residents, the medical students initiated a “Purok Clean-up Drive”. The bayanihan spirit was brought to life by the community residents. Purok gardens and MRF’s were improved. Health teaching was also done to remind the people.
DEVELOPMENTAL PROGRESS
For the past 4 years, there was an increase in the percentage of households who practice waste segregation. This indicates that the comprehensive community health plan initiated and executed by the medical students of ADZU-SOM is effective. With the collaborative effort of the community residents, officials and NGO’s, we can say that Barangay Kaangayan is a cleaner and greener community.
HEALTH TEACHING ON PROPER WASTE SEGREGATION AND COMPOSTING
Proper knowledge is vital in attaining a cleaner environment. For without the required knowledge, there is no proper execution of the things needed to attain our endeavor. Thus, health teaching about proper waste segregation and composting were done among students of Barangay Kaangayan Elementary School and the community residents. This was done repetitively during Purok visits to prevent decay of knowledge. Pre-tests and post-tests were done to evaluate the knowledge attained by the people. The elementary students enjoyed the return demonstration done after the lecture. The “Basura Kid” story was encated infront of the Day Care students. Insights from the community residents regarding their problems on their solid wastes were heard and they were given advise to solve them. It was a learning experience from the community residents and the medical students.
WASTE ANALYSIS CHARACTERIZATION STUDY
Waste analyzation characterization study (WACS) was done to determine the types of solid wastes and which type of trash is generated the most in Barangay Kaangayan and the results are as follows: 52.17%- compostable, 43.47%- recyclables, 4.35%- residuals. This helped determined the solution on how to reduce and dispose the type of garbage generated the most.
CONSTRUCTION OF MATERIALS RECOVERY FACILITIES
Container drums were requested from Pilipinas Shell Corporation at Baliwasan Grande, Zamboanga City. It was transported from Zamboanga City to Barangay Kaangayan, Mahayag, Zamboanga del Sur. Each of the 7 Puroks were provided with 2 container drums each. The community residents themselves built their MRF’s and situated it near the road as much as possible. For easy collection by the garbage truck of the Munucipal. One of the problems in the garbage collection is that, it is collected only once a month wherein the Barangay Chairman goes to the office of the municipal sanitary engineer to set the schedule for collection.
PUROK CLEAN-UP DRIVE
To further promote proper waste segregation among the community residents, the medical students initiated a “Purok Clean-up Drive”. The bayanihan spirit was brought to life by the community residents. Purok gardens and MRF’s were improved. Health teaching was also done to remind the people.
DEVELOPMENTAL PROGRESS
For the past 4 years, there was an increase in the percentage of households who practice waste segregation. This indicates that the comprehensive community health plan initiated and executed by the medical students of ADZU-SOM is effective. With the collaborative effort of the community residents, officials and NGO’s, we can say that Barangay Kaangayan is a cleaner and greener community.
TOILET
One billion people worldwide still practice "Open defecation" and they need to be told that this leads to the spread of fatal diseases, United Nation(2014). “Excreta are the root cause of so many diseases," said Bruce Gordon, acting coordinator for sanitation and health at the World Health Organization.
Societies that practice open defecation - putting them at risk from cholera, diarrhoea, dysentery, hepatitis A and typhoid - tend to have large income disparities and the world's highest numbers of deaths of children under 5 years old. Attempts to improve sanitation among the poorest have long focused on building latrines, but the United Nations says that money literally went down the toilet. Attitudes, also need to change, it said.
Environmental sanitation is a common problem encountered in the community by the students of Ateneo de Zamboanga University School of Medicine. One of its components is toilet sanitation. According to United Nations Children's Fund (UNICEF) water, sanitation and hygiene expert Mike Gnilo, in the Philippines, there are still about 30% of the population that do not have access to sanitary toilets.
In Mahayag, Zamboanga Del Sur, Philippines, Baranggay Kaangayan is one of the affected area of poor accessibility to sanitary toilet condition which lead to open defecation practice.The Ateneo de Zamboanga University School of medicine students assign in this barangay will formulate a comprehensive health plan that will serve as framework of strategies and activities that will address this problem.
Health Education
Lack of knowledge and awareness on a health problem such as poor accessibility to sanitary toilet is a great threat to the environment and its effect is detrimental to the health of the individuals. Health education has always been considered as one of the most effective strategy in increasing awareness and improving knowledge and practices of the community specifically on health.
Different form of health education was utilized for the people of Barangay Kaangayan. Lecture and video presentation was used to provide knowledge on the effects of open defecation practice, and advantages of having access to sanitary toilet. Each month, in collaboration with DSWD, the 4P’s leaders and members were invited for a series of lectures on environmental health which includes Ecological solid waste management and Toilet sanitation.
“STOP OPEN DFECATION”
Most of the residents’ houses situated distant from each other and the terrains are not favourable for transportation is one of the reason that people of the community were unable to attend health teachings conducted in the Baranggay Hall. This one of one the reason why “Purok to Purok Health Education”was conducted. Series of lecture were given during monthly purok meeting at their purok house.
Hand hygiene is also a major concern among children of Barangay Kaangayan. High Cases of Parasitism and Diarrhea in the barangay can be related to the existing problem of hygienic practices. In alliance with the Kaangayan Elementary school and with the aid of LGU, Hand Washing Lecture with demonstration and return demonstration was conducted among elementary students and non-school children of Subanen tribe to improve the knowledge and skills as well as their practice in hand hygiene. Information Dissemination through Posters is a useful strategy to disseminate information on health sanitation. Together with the Barangay Officials, a designed poster that contains necessary information was distributed and posted in each purok house.
GREEN GUARDIANS
Establishing a health-related community organization that will evaluate and monitor the program—-Green guardians are composed of Barangay Officials and purok leaders that serve as a unit in implementation and monitoring of the Environmental Health Program specifically Toilet Sanitation and ownership Program and Ecological Solid waste Management
The Barangay Office has NO existing ordinance that will enforce the people of the community to build their own toilet and improve their practice in environmental health.. In order to impose the Toilet Sanitation and ownership Program and prevent open defecation, the Green Guardians will be the one evaluating and monitoring the households on their practices and will provide sustainability of the project.
Project KASILYAS
“Sanitation means Public Cleanliness— using sanitary toilets, ecological solid waste management, and keeping water sources clean and safe.
Any community effort to improve sanitation must help people to overcome the challenges they face in their daily lives. Poverty and lack of resources often make it difficult for people to improve sanitation.
A project proposal entitled Project Kasilyas was formulated to procure materials needed to build a standard toilet that will serve families who are less fortunate. The proposed project was presented to the Local Government Unit during their council meeting and NGO’s such as Molave Rotary Club, and anonymous donors. Through their support and cooperation Project Kasilyas became a reality. Materials was procured and man power needed for construction of toilets were done by the community people.
Societies that practice open defecation - putting them at risk from cholera, diarrhoea, dysentery, hepatitis A and typhoid - tend to have large income disparities and the world's highest numbers of deaths of children under 5 years old. Attempts to improve sanitation among the poorest have long focused on building latrines, but the United Nations says that money literally went down the toilet. Attitudes, also need to change, it said.
Environmental sanitation is a common problem encountered in the community by the students of Ateneo de Zamboanga University School of Medicine. One of its components is toilet sanitation. According to United Nations Children's Fund (UNICEF) water, sanitation and hygiene expert Mike Gnilo, in the Philippines, there are still about 30% of the population that do not have access to sanitary toilets.
In Mahayag, Zamboanga Del Sur, Philippines, Baranggay Kaangayan is one of the affected area of poor accessibility to sanitary toilet condition which lead to open defecation practice.The Ateneo de Zamboanga University School of medicine students assign in this barangay will formulate a comprehensive health plan that will serve as framework of strategies and activities that will address this problem.
Health Education
Lack of knowledge and awareness on a health problem such as poor accessibility to sanitary toilet is a great threat to the environment and its effect is detrimental to the health of the individuals. Health education has always been considered as one of the most effective strategy in increasing awareness and improving knowledge and practices of the community specifically on health.
Different form of health education was utilized for the people of Barangay Kaangayan. Lecture and video presentation was used to provide knowledge on the effects of open defecation practice, and advantages of having access to sanitary toilet. Each month, in collaboration with DSWD, the 4P’s leaders and members were invited for a series of lectures on environmental health which includes Ecological solid waste management and Toilet sanitation.
“STOP OPEN DFECATION”
Most of the residents’ houses situated distant from each other and the terrains are not favourable for transportation is one of the reason that people of the community were unable to attend health teachings conducted in the Baranggay Hall. This one of one the reason why “Purok to Purok Health Education”was conducted. Series of lecture were given during monthly purok meeting at their purok house.
Hand hygiene is also a major concern among children of Barangay Kaangayan. High Cases of Parasitism and Diarrhea in the barangay can be related to the existing problem of hygienic practices. In alliance with the Kaangayan Elementary school and with the aid of LGU, Hand Washing Lecture with demonstration and return demonstration was conducted among elementary students and non-school children of Subanen tribe to improve the knowledge and skills as well as their practice in hand hygiene. Information Dissemination through Posters is a useful strategy to disseminate information on health sanitation. Together with the Barangay Officials, a designed poster that contains necessary information was distributed and posted in each purok house.
GREEN GUARDIANS
Establishing a health-related community organization that will evaluate and monitor the program—-Green guardians are composed of Barangay Officials and purok leaders that serve as a unit in implementation and monitoring of the Environmental Health Program specifically Toilet Sanitation and ownership Program and Ecological Solid waste Management
The Barangay Office has NO existing ordinance that will enforce the people of the community to build their own toilet and improve their practice in environmental health.. In order to impose the Toilet Sanitation and ownership Program and prevent open defecation, the Green Guardians will be the one evaluating and monitoring the households on their practices and will provide sustainability of the project.
Project KASILYAS
“Sanitation means Public Cleanliness— using sanitary toilets, ecological solid waste management, and keeping water sources clean and safe.
Any community effort to improve sanitation must help people to overcome the challenges they face in their daily lives. Poverty and lack of resources often make it difficult for people to improve sanitation.
A project proposal entitled Project Kasilyas was formulated to procure materials needed to build a standard toilet that will serve families who are less fortunate. The proposed project was presented to the Local Government Unit during their council meeting and NGO’s such as Molave Rotary Club, and anonymous donors. Through their support and cooperation Project Kasilyas became a reality. Materials was procured and man power needed for construction of toilets were done by the community people.
SAFE DRINKING WATER
LACK OF ACCESSIBILITY TO SAFE DRINKING WATER
Globally, an estimated 1.9 billion people use either an unimproved water source or an improved source that is fecal-contaminated. An estimated 842,000 deaths each year are attributable to inadequate water, sanitation and hygiene; representing 58% of the total diarrheal deaths in low- and middle-income countries(WHO, 2015). In the country, diarrhea is the 3rd leading cause of child illness and the 4th leading cause of deaths among children less than 5 years. It is estimated to cause 12% or almost 10,000 deaths a year.
This was also a problem in Municipality of Mahayag, Zamboanga del Sur wherein diarrhea had a morbidity rate of 11.85 % (393 cases) according to the records from RHU. Its annual incidence was 9/1000 population. In Mahayag Municipal Hospital, Acute Gastroenteritis (AGE) ranked as 3rd among Top 10 causes of Morbidity. Medical records from the said hospital showed that 72 % or 393 patients were admitted due to AGE came from Municipality of Mahayag and 153 were from other neighboring municipalities. Records from Blancia Hospital, a private hospital located in Molave, also showed that 92 patients who were admitted due to AGE came from Mahayag.
MICROBIOLOGICAL ANALYSIS OF WATER SOURCES
Water sources were randomly selected in each barangay. For the Barangay Kaangayan, two samples were collected from the public taps. Additional four samples were collected from random communal tubewells and spring outlets. Two samples from household drinking water storages were randomly selected were collected: one sample was collected from a household that collects drinking water from the public tap, and another one was collected from a household that collects drinking water from manual tube wells. Thus, eight samples were collected from the barangay. Within a 24-hour period after the samples’ collection, the samples were sent to Zamboanga City Medical Center – Water Laboratory for microbiological and physical analysis. 5 out of 8 revealed positive E. coli and Total Coliform of >8.0 MPN/100 mL thus it is indeed unsafe for drinking..
Drinking water source
Team Kaangayan conducted a house-house survey. Part of this survey was to determine their drinking water source. The survey revealed that majority of the residents of Barangay Kaangayan get their drinking water source in an unsafe water source according to the microbiological analysis done in Zamboanga City Medical Center-Laboratory Water Analysis. 51.30 % of the residents get their drinking water in the tube well and 33.44% of the residents get from unprotected spring water. With these data, one of the causes why Barangay Kaangayan ranked 3rd in the admission of Acute Gastroenteritis in Mahayag Municipal Hospital for
Water purification method
Water Purification Method is one of the ways to prevent acute gastroenteritis (AGE). Many strategies were being practiced by different communities such as Boiling, SoDIS, Chlorination etc. A variety of household water treatment that has emerged throughout the years. Boiling is the predominant method of HWT with 21% of households worldwide reported. Other adequate HWT practices are comparatively less common. The use of chlorine-based method was reported by 6% of households, filtration by 4%, and solar disinfection by 0.2%. Inadequate HWT methods were also reported, such as straining (cloth filtration, 4%) and sediment settling. Household use of chlorination (hyposol-use) is the use of the commercially available, chlorine-based liquid solution to disinfect household drinking water. The method is cheap and easy to use. Chlorination effectively kills bacteria, viruses, and protozoans, and protects water from recontamination. Hyposol and solar water disinfection (SODIS) are cheap, easy, and effective household water treatment methods. But this was not true for the majority in Barangay Kaangayan. 71.76% of the residents in Barangay Kaangayan do not practice any water purification method. This may be also one of the reasons why acute gastroenteritis (AGE) is prevalent in the said Barangay.
NEW INNOVATION: SAWYER WATER FILTER
Sawyer Water Filter is now one of the innovative and very effective ways of water purification method in the world. It is derived from the principles of kidney dialysis. Sawyer water filters are comprised of tiny “U” shaped micro-tubes that allow water to enter into their core through minuscule micro-pores.
Contaminates get trapped in the tubes while the decontaminated water passes freely through. Due to the significant surface area and the high number of those tiny tubes, these allow the filter to have one of the fastest flow rates available in the world which has eliminated the need to store water – one of the leading causes of contaminated water throughout the world(Sawyer Products I., 2016).
According to the Sawyer Products Inc., each filter is certified for absolute microns; that means there is no pore size larger than 0.1 or 0.02 micron in size. This makes it impossible for harmful bacteria, protozoa, or cysts like E. coli, Giradia, Vibrio cholerae and Salmonella typhi (which cause Cholera and Typhoid) to pass through the Sawyer PointONE biological filter.
This makes it impossible for harmful bacteria, protozoa, or cysts like E. coli, Giradia, Vibrio cholerae and Salmonella typhi (which cause Cholera and Typhoid) to pass through the Sawyer PointONE biological filter. At 7 log (99.99999%) the filter attains the highest level of filtration available today.
If viruses are an issue, we offer the Point Zero Two Purifier (0.02 micron absolute pores), the first and thus far only portable purification device to physically remove viruses, which it does at a >5.5 log (99.9997%) rate, exceeding EPA and NSF recommendations (Sawyer Products I., 2016).
All Sawyer filters have been tested by independent and qualified research laboratories according to U.S. EPA standards for water filters, and meet or exceed EPA standards. Sawyer’s revolutionary technology has also been implemented in projects by the United Nations, and is currently being used in more than 70 countries around the world including our country, Philippines
PROJECT H2O “HELP 2 OTHERS”
Mu Sigma Phi started donating water filtration units known as the MU H20 Potable Water Package (“H20” here meaning “Help 2 Others”)due to the deadly Bohol earthquake of October 2013. The organization do not waste their efforts in donating the mini water filters and helping the Filipino people in times of calamities such as earthquakes wherein accessibility of safe drinking water is very difficult.Forty MU H20 units were assembled and distributed in Bohol. Expected beneficiaries were more than 50,000 families.After Super Typhoon “Yolanda” (Haiyan) devastated the Visayas in November 2013, 500 MU H20 units were bought, assembled, and distributed to needy areas. As the year ended, 400 more were being readied for distribution.
Filtration units had benefited communities in Samar, Capiz, Tacloban, and Ormoc. Mu Sigma Phi could have just asked for donations or bought bottled water for the survivors. However, aware of the environmental problem discarded plastic bottles can cause, the organization wanted something that would give safe water to families for a long time with zero pollution.
Each package is composed of a Sawyer Point Zero TWO Bucket Purifier from the US, a locally made 20-liter water bucket, a cloth of linen and net (for filtering twigs, soil, small stones), tools, and a manual of clear instructions in Filipino. The beneficiaries were taught how to assemble, use, and clean the units. Volunteers also drank the water produced to show how clear and safe it is. Despite its effectiveness in providing safe drinking water, still there are no data in regards to its acceptability rate in the Philippine community setting.
Procurement of project h2o units
Team Kaangayan coorndinated with “Project H2O” of Mu Sigma Phi, University of the Philippines-College of Medicine in which the group acquired 4 mini water filters.
Lecture with demonstration
A half-day lecture was held at the barangay session hall, Kaangayan, Mahayag, ZDS. The respondents was given a lecture with demonstration where in the lecturers was the researcher and his fellow medical students. The lecturers demonstrated the proper usage, and cleaning of mini water filter system. The materials needed, the benefits and drawbacks of each method were discussed. The researcher also highlighted the significance of using water disinfection method. The installation process of the water filter package was done with small structures built near the water sources to protect the mini water filters.
Maintenance personnelThe barangay chairman with the support of barangay councilors initiated the idea of maintaining the project in which 1 maintenance personnel in each mini water filter was assigned to clean the mini water filter for at least 3-5 times a week and secure it every night by keeping the mini water filters in their respective houses. The barangay chairman chose the maintenance personnel in which his criteria was that it should be the head of the family of the nearest household from the mini water filter. Each maintenance personnel were given another separate lecture with demonstration on the proper cleaning process and maintenance of the mini water filters.
Installation of h2o units by purok
The sawyer water filter, method that was promoted was innovative, easy maintenance and use, free, not time-consuming, simple gravity operated design, very effective in filtering the bacteria, viruses and other contaminants, and providing 2880 Liters of water per day per unit. With all of these characteristics of the sawyer water filter, it may attract the attention of every resident of the said barangay as to fulfill their need in accessibility to safe drinking water. Hence, installation of the units was immediately done after it was introduce into the community. Puroks 3, 6 and 7 were given the units of sawyer water filter. Each unit were house by a structure to make it fully functional .
Globally, an estimated 1.9 billion people use either an unimproved water source or an improved source that is fecal-contaminated. An estimated 842,000 deaths each year are attributable to inadequate water, sanitation and hygiene; representing 58% of the total diarrheal deaths in low- and middle-income countries(WHO, 2015). In the country, diarrhea is the 3rd leading cause of child illness and the 4th leading cause of deaths among children less than 5 years. It is estimated to cause 12% or almost 10,000 deaths a year.
This was also a problem in Municipality of Mahayag, Zamboanga del Sur wherein diarrhea had a morbidity rate of 11.85 % (393 cases) according to the records from RHU. Its annual incidence was 9/1000 population. In Mahayag Municipal Hospital, Acute Gastroenteritis (AGE) ranked as 3rd among Top 10 causes of Morbidity. Medical records from the said hospital showed that 72 % or 393 patients were admitted due to AGE came from Municipality of Mahayag and 153 were from other neighboring municipalities. Records from Blancia Hospital, a private hospital located in Molave, also showed that 92 patients who were admitted due to AGE came from Mahayag.
MICROBIOLOGICAL ANALYSIS OF WATER SOURCES
Water sources were randomly selected in each barangay. For the Barangay Kaangayan, two samples were collected from the public taps. Additional four samples were collected from random communal tubewells and spring outlets. Two samples from household drinking water storages were randomly selected were collected: one sample was collected from a household that collects drinking water from the public tap, and another one was collected from a household that collects drinking water from manual tube wells. Thus, eight samples were collected from the barangay. Within a 24-hour period after the samples’ collection, the samples were sent to Zamboanga City Medical Center – Water Laboratory for microbiological and physical analysis. 5 out of 8 revealed positive E. coli and Total Coliform of >8.0 MPN/100 mL thus it is indeed unsafe for drinking..
Drinking water source
Team Kaangayan conducted a house-house survey. Part of this survey was to determine their drinking water source. The survey revealed that majority of the residents of Barangay Kaangayan get their drinking water source in an unsafe water source according to the microbiological analysis done in Zamboanga City Medical Center-Laboratory Water Analysis. 51.30 % of the residents get their drinking water in the tube well and 33.44% of the residents get from unprotected spring water. With these data, one of the causes why Barangay Kaangayan ranked 3rd in the admission of Acute Gastroenteritis in Mahayag Municipal Hospital for
Water purification method
Water Purification Method is one of the ways to prevent acute gastroenteritis (AGE). Many strategies were being practiced by different communities such as Boiling, SoDIS, Chlorination etc. A variety of household water treatment that has emerged throughout the years. Boiling is the predominant method of HWT with 21% of households worldwide reported. Other adequate HWT practices are comparatively less common. The use of chlorine-based method was reported by 6% of households, filtration by 4%, and solar disinfection by 0.2%. Inadequate HWT methods were also reported, such as straining (cloth filtration, 4%) and sediment settling. Household use of chlorination (hyposol-use) is the use of the commercially available, chlorine-based liquid solution to disinfect household drinking water. The method is cheap and easy to use. Chlorination effectively kills bacteria, viruses, and protozoans, and protects water from recontamination. Hyposol and solar water disinfection (SODIS) are cheap, easy, and effective household water treatment methods. But this was not true for the majority in Barangay Kaangayan. 71.76% of the residents in Barangay Kaangayan do not practice any water purification method. This may be also one of the reasons why acute gastroenteritis (AGE) is prevalent in the said Barangay.
NEW INNOVATION: SAWYER WATER FILTER
Sawyer Water Filter is now one of the innovative and very effective ways of water purification method in the world. It is derived from the principles of kidney dialysis. Sawyer water filters are comprised of tiny “U” shaped micro-tubes that allow water to enter into their core through minuscule micro-pores.
Contaminates get trapped in the tubes while the decontaminated water passes freely through. Due to the significant surface area and the high number of those tiny tubes, these allow the filter to have one of the fastest flow rates available in the world which has eliminated the need to store water – one of the leading causes of contaminated water throughout the world(Sawyer Products I., 2016).
According to the Sawyer Products Inc., each filter is certified for absolute microns; that means there is no pore size larger than 0.1 or 0.02 micron in size. This makes it impossible for harmful bacteria, protozoa, or cysts like E. coli, Giradia, Vibrio cholerae and Salmonella typhi (which cause Cholera and Typhoid) to pass through the Sawyer PointONE biological filter.
This makes it impossible for harmful bacteria, protozoa, or cysts like E. coli, Giradia, Vibrio cholerae and Salmonella typhi (which cause Cholera and Typhoid) to pass through the Sawyer PointONE biological filter. At 7 log (99.99999%) the filter attains the highest level of filtration available today.
If viruses are an issue, we offer the Point Zero Two Purifier (0.02 micron absolute pores), the first and thus far only portable purification device to physically remove viruses, which it does at a >5.5 log (99.9997%) rate, exceeding EPA and NSF recommendations (Sawyer Products I., 2016).
All Sawyer filters have been tested by independent and qualified research laboratories according to U.S. EPA standards for water filters, and meet or exceed EPA standards. Sawyer’s revolutionary technology has also been implemented in projects by the United Nations, and is currently being used in more than 70 countries around the world including our country, Philippines
PROJECT H2O “HELP 2 OTHERS”
Mu Sigma Phi started donating water filtration units known as the MU H20 Potable Water Package (“H20” here meaning “Help 2 Others”)due to the deadly Bohol earthquake of October 2013. The organization do not waste their efforts in donating the mini water filters and helping the Filipino people in times of calamities such as earthquakes wherein accessibility of safe drinking water is very difficult.Forty MU H20 units were assembled and distributed in Bohol. Expected beneficiaries were more than 50,000 families.After Super Typhoon “Yolanda” (Haiyan) devastated the Visayas in November 2013, 500 MU H20 units were bought, assembled, and distributed to needy areas. As the year ended, 400 more were being readied for distribution.
Filtration units had benefited communities in Samar, Capiz, Tacloban, and Ormoc. Mu Sigma Phi could have just asked for donations or bought bottled water for the survivors. However, aware of the environmental problem discarded plastic bottles can cause, the organization wanted something that would give safe water to families for a long time with zero pollution.
Each package is composed of a Sawyer Point Zero TWO Bucket Purifier from the US, a locally made 20-liter water bucket, a cloth of linen and net (for filtering twigs, soil, small stones), tools, and a manual of clear instructions in Filipino. The beneficiaries were taught how to assemble, use, and clean the units. Volunteers also drank the water produced to show how clear and safe it is. Despite its effectiveness in providing safe drinking water, still there are no data in regards to its acceptability rate in the Philippine community setting.
Procurement of project h2o units
Team Kaangayan coorndinated with “Project H2O” of Mu Sigma Phi, University of the Philippines-College of Medicine in which the group acquired 4 mini water filters.
Lecture with demonstration
A half-day lecture was held at the barangay session hall, Kaangayan, Mahayag, ZDS. The respondents was given a lecture with demonstration where in the lecturers was the researcher and his fellow medical students. The lecturers demonstrated the proper usage, and cleaning of mini water filter system. The materials needed, the benefits and drawbacks of each method were discussed. The researcher also highlighted the significance of using water disinfection method. The installation process of the water filter package was done with small structures built near the water sources to protect the mini water filters.
Maintenance personnelThe barangay chairman with the support of barangay councilors initiated the idea of maintaining the project in which 1 maintenance personnel in each mini water filter was assigned to clean the mini water filter for at least 3-5 times a week and secure it every night by keeping the mini water filters in their respective houses. The barangay chairman chose the maintenance personnel in which his criteria was that it should be the head of the family of the nearest household from the mini water filter. Each maintenance personnel were given another separate lecture with demonstration on the proper cleaning process and maintenance of the mini water filters.
Installation of h2o units by purok
The sawyer water filter, method that was promoted was innovative, easy maintenance and use, free, not time-consuming, simple gravity operated design, very effective in filtering the bacteria, viruses and other contaminants, and providing 2880 Liters of water per day per unit. With all of these characteristics of the sawyer water filter, it may attract the attention of every resident of the said barangay as to fulfill their need in accessibility to safe drinking water. Hence, installation of the units was immediately done after it was introduce into the community. Puroks 3, 6 and 7 were given the units of sawyer water filter. Each unit were house by a structure to make it fully functional .
MALNUTRITION
In provincial communities, malnutrion among children of the community is common. There is a high rate of malnutrition among children aged 6 months to 5 years in Barangay Kaangayan. The general objective of this health plan is to decrease the percentage of malnutrition from 26.2% to 5.6% by the year 2017.
To help combat malnutrition, the following activities were accomplished:
In provincial communities, malnutrion among children of the community is common. There is a high rate of malnutrition among children aged 6 months to 5 years in Barangay Kaangayan. The general objective of this health plan is to decrease the percentage of malnutrition from 26.2% to 5.6% by the year 2017.
To help combat malnutrition, the following activities were accomplished:
- Completion of 6 week RUTF Program
- Distribution of seeds per purok for ProGard
- Health Teaching among Day Care students and Day Care Fun Day
POOR UTILIZATION OF MATERNAL AND CHILD HEALTH CARE SERVICES
The second identified problem is poor utilization of maternal and child health services. By the year 2017, it aims to reduce the percentage of home-based deliveries, increase individuals utilizing reproductive health services and to increase the number of fully-immunized children.
In order to achieve its goals, the following activities were done:
The second identified problem is poor utilization of maternal and child health services. By the year 2017, it aims to reduce the percentage of home-based deliveries, increase individuals utilizing reproductive health services and to increase the number of fully-immunized children.
In order to achieve its goals, the following activities were done:
- Small Group Discussion with Subanen mothers on Safe Motherhood (topics: Reasons for opting home delivery, health education on advantages & disadvantages of facility-based vs. home-based deliveries, how to handle home-deliveries (aseptic technique).)
- Distributed vitamins, supplements, and over-the-counter medications to mothers for their children
- Ongoing Health Education with RHU Nurse and BHWs regarding family planning
- Miscellaneous: Gift-giving and party with children in day-care.
HYPERTENSION
Hypertension is as important as other diseases due to the fact that it chooses no age or status in life and can lead to death if not controlled properly. There is a high percentage of hypertensives in Barangay Kaangayan. This CHP aims to reduce the number of uncontrolled hypertensives among diagnosed hypertensives and to control the progression from pre-hypertension to hypertension among the people in the community.
To be able to help address Hypertension, the following were the accomplishments:
Hypertension is as important as other diseases due to the fact that it chooses no age or status in life and can lead to death if not controlled properly. There is a high percentage of hypertensives in Barangay Kaangayan. This CHP aims to reduce the number of uncontrolled hypertensives among diagnosed hypertensives and to control the progression from pre-hypertension to hypertension among the people in the community.
To be able to help address Hypertension, the following were the accomplishments:
- Updated the Hypertensive master list
- Distribution of BP monitoring cards
- Implementation of “Tambal sa Barangay” where medicines were dispersed among hypertensive individuals
- Health teaching was conducted during barangay meeting
TUBERCULOSIS
Infectious diseases are global problems that need to be addressed despite of a small number due to the complications it can cause. There is still a number of people in Kaangayan who are highly suspected to have Tuberculosis. Thus, this problem has a general objective of increasing tuberculosis cure rate by 95%.
The following activities were done to help solve this problem:
Infectious diseases are global problems that need to be addressed despite of a small number due to the complications it can cause. There is still a number of people in Kaangayan who are highly suspected to have Tuberculosis. Thus, this problem has a general objective of increasing tuberculosis cure rate by 95%.
The following activities were done to help solve this problem:
- Conducted a TB expo to increase community participation
- Consultation meetings via home visits to identify TB symptomatics and TB defaulters
- Monitoring and supervisory dialogues with the TB task force
- Monitor TB-DOTS and progress through health rankings (spot map).
IMPROPER SOLID WASTE MANAGEMENT
Proper solid waster management is a vital factor in achieving a healthy community. International recommendations such as the MDG emphasizes the importance of environmental sanitation. In Brgy. Kaangayan, an ordinance on solid waste management exists but this doesn't fully address the problem on sanitation as evidenced by the high number of households who do not segregate and dispose properly their wastes
Thus, the following interventions were established to solve the abovementioned problem:
Thus, the following interventions were established to solve the abovementioned problem:
- Meeting with the Barangay Chairman regarding the adaptation of the system in ecological solid waste management Barangay Upper Salug
- Create and algorithm on systematic scheduled trash collection
INADEQUATE ACCESSIBILITY TO SANITARY TOILET
Ensuring environmental sustainability also includes the proper disposal of human waste and proper hygiene.
The barangay office of Kaangayan has ordinaces that address the lack of adequate toilet facility and structure of every household; however, improper enforcement as evidenced by the absence of key persons responsible for monitoring the toilet condition as well as those households who do not own a toilet. Also, lack of knowledge of community residents lead this into a health and evironmental problem.
The following are the strategies to help resolve this problem:
The barangay office of Kaangayan has ordinaces that address the lack of adequate toilet facility and structure of every household; however, improper enforcement as evidenced by the absence of key persons responsible for monitoring the toilet condition as well as those households who do not own a toilet. Also, lack of knowledge of community residents lead this into a health and evironmental problem.
The following are the strategies to help resolve this problem:
- Augment the existing Program of the Barangay’s office and DSWD 4P’s Program regarding Toilet ownership
- Health teaching on proper handwashing with Subanen Tribe
INADEQUATE ACCESSIBILITY TO SAFE DRINKING WATER
Water is one of the biggest concerns of communities in far flung areas. Since water is one of the basic necessities to survive, a question of safety of the source is often a common concern. In barangay kaangayan, safe water sources are difficult to find.
The following strategies were establised to address the problem of inadequate access to safe drinking water:
The following strategies were establised to address the problem of inadequate access to safe drinking water:
- Conduct general assembly for the presentation of identified problem and open forum for any suggestions from theBarangay Officials and purok representatives
- Select the first three recipient of the available H2O water filter units
- Send letter to the University of the Philippines for the procurement of additional H2O water filter units
New and Improved: TEAM KAANGAYAN, MD
It’s never too late for a change. From eight medical students to nine medical students, team kaangayan grew bigger and better. The team was lucky enough to add a member to its line of dynamic and exemplary members. Hence, the last community exposure was one of the most productive yet fun-filled exposure the team had so far. The team worked hand in hand to accomplish every activities right on schedule.
With an improved intersectoral collaboration, the team was able to tap some government organizations and private companies for the implementation of its activities. The team distributed seeds per purok from the Department of Agriculture to support the team’s PROGARD. This is one strategy to help combat Malnutrition in the barangay. Another highlight of the last exposure was the donation of 25 drums for the improvement of the barangay’s MRF. Tarpaulins regarding proper waste segregations were also created and installed to every MRF per purok. The team was priviledged enough to invite guest speakers from different government agencies. The team invited the technical division chief of the Integrated Provincial Health Office to conduct a Tuberculosis Advocacy as one of the components of the STOP-TB campaign of the Department of Health. Its main objective is to increase the awareness of the people of the community about the disease and to promote destigmatization and minimize discrimination among Tuberculosis patients. The team also invited a cooking instructor from TESDA-PAGADIAN who shared his expertise in making viands out of homegrown vegetables. It was one of a kind experience for the community people as they were able to learn something healthy and delicious from the cooking demonstration. Lastly, the team also acquired medications from various generous pharmacuetical companies which were donated to the Rural Health Unit for the benefit of the whole Municipality especially those who are in need.
Change is inevitable, growth is optional according to John Maxwell. Despite the hardships and difficulties in the community, together as one team, team kaangayan chose to progress to reach the dream of a healthy and sustainable community. Thus, the team officially changed its brand to “TEAM KAANGAYAN, MD” not as medical doctors but MD which stands for Making a Difference.
COMMUNITY health plan UPDATES as of OCTOBER 2015
The following community health problems were addressed through the Millenium Development Goals 2015.
MALNUTRITION
The first MDG is focused on eradicating extreme poverty and hunger. This goal covers the problem on malnutrition with the aim of decreasing the number of malnourished children in Barangay Kaangayan.
As of October 2015, the following activities have been accomplished:
1. Creation of coin banks per purok and ongoing PISO program
2. Brief lecture on PIMAM protocol among BHW’s and BNS’s in the barangay
3. Meeting with DepEd nutritionist regarding use of malunggay as alternative micronutrient source for RUTF.
4. Cooking demonstration led by TESDA involving the use of homegrown vegetable
5. Each purok garden was provided with seeds by the Department of Agriculture for the ProGard project.
From 78.3% to 90.6% of households with ProGard
From 50 underweight children as of October 2014 to 31 underweight children this exposure.
MATERNAL AND CHILD HEALTH
Women are highly prioritized in public health. Thus, three MDG’s are addressed in this problem. These are promotion of gender equality and women empowerment, reduction of child mortality and improvement of maternal health. There is poor utilization of maternal health and child services in Barangay Kaangayan. The objectives of this CHP are to reduce incidence of home based deliveries, increase the number of women who patronize reproductive health services and lastly, to increase the number of children who are fully-immunized.
As of October 2015, the following activities have been accomplished:
1. Health teaching on family planning and sexually transmitted diseases
2. Assisted during the monthly immunization schedule by the RHU
3. A competency training on basic vital signs taking and refresher course for BP taking
4. Health teaching regarding safe motherhood practices
TUBERCULOSIS
Infectious diseases are global problems that need to be addressed despite of a small number due to the complications it can cause. There is still a number of people in Kaangayan who are highly suspected to have Tuberculosis. Thus, this problem has a general objective of increasing tuberculosis treatment success rate by 90%.
As of October 2015, the following activities have been accomplished:
1. Adoption of TB case finding masterlist and referral and feedback system by DOH
2. Lecture on TB Case Finding among the TB task force
3. TB advocacy by the Integrated Provincial Health Office.
4. Updated the Masterlist on TB case finding list
5. House-to-house vits to identify TB symptomatics and defaulters
As of October 2015, an increase of 2 TB symptomatics, 2 diagnosed TB patients and 2 TB patients who completed the 6-month DOTS.
HYPERTENSION
Hypertension is as important as other diseases due to the fact that it chooses no age or status in life and can lead to death if not controlled properly. There is a high percentage of hypertensives in Barangay Kaangayan. This CHP aims to reduce the number of uncontrolled hypertensives among diagnosed hypertensives and to control the progression from pre-hypertension to hypertension among the people in the community.
As of October 2015, the following activities have been accomplished:
1. Distribution of BP monitoring cards among hypertensives.
2. List of hypertensives was updated
3. Hataw with the community residents
4. Monitoring of identified hypertensive patients
5. A refresher course on BP taking was done among BHWs’ and BNS’s
SOLID WASTE MANAGEMENT
The next problem is focused on the MDG in ensuring environmental sustainability.Improper solid waste management is a problem identified in this community. Its goal is to improve the solid waste management practices of this community in terms of practicing proper waste segregation.
As of October 2015, the following activities have been accomplished:
1. Donation of 25 container drums for the MRF
2. Tarpaulins about proper waste segregation were created and distributed at every MRF per purok.
3. House-to-house survey to identify those who complied with the triple bin trashcans.
4. Health teaching on Composting
TOILET FACILITY
Ensuring environmental sustainability also includes the proper disposal of human waste and proper hygiene. There is inadequate access to sanitary toilet in Barangay Kaangayan. Its aim is to increase the number of households that will have adequate access to sanitary toilets.
As of October 2015, the following activities have been accomplished:
1. Reassessment of toilet condition of each household
2. Creation of a new masterlist of households without sanitary toilet facility
3. Meeting with the Municipal Agricultural Office and Barangay officials regarding the procurement of materials needed for households without sanitary toilet facilities
4. Construction of sanitary toilet facilities in households
All the abovementioned problems in Barangay Kaangayan have one thing in common. All these can only be effective and be sustained if there is good intersectoral collaborations among different local and national sectors to promote good governance. Thus, all the mentioned CHP’s also address the 8th MDG which is promoting global partnership for development.
As of October 2015, Team Kaangayan is more than halfway through in all their 6 community health plans. Despite of the numerous strategies involved in each CHP, the group has been successful in accomplishing all the planned activities for this exposure.
It’s never too late for a change. From eight medical students to nine medical students, team kaangayan grew bigger and better. The team was lucky enough to add a member to its line of dynamic and exemplary members. Hence, the last community exposure was one of the most productive yet fun-filled exposure the team had so far. The team worked hand in hand to accomplish every activities right on schedule.
With an improved intersectoral collaboration, the team was able to tap some government organizations and private companies for the implementation of its activities. The team distributed seeds per purok from the Department of Agriculture to support the team’s PROGARD. This is one strategy to help combat Malnutrition in the barangay. Another highlight of the last exposure was the donation of 25 drums for the improvement of the barangay’s MRF. Tarpaulins regarding proper waste segregations were also created and installed to every MRF per purok. The team was priviledged enough to invite guest speakers from different government agencies. The team invited the technical division chief of the Integrated Provincial Health Office to conduct a Tuberculosis Advocacy as one of the components of the STOP-TB campaign of the Department of Health. Its main objective is to increase the awareness of the people of the community about the disease and to promote destigmatization and minimize discrimination among Tuberculosis patients. The team also invited a cooking instructor from TESDA-PAGADIAN who shared his expertise in making viands out of homegrown vegetables. It was one of a kind experience for the community people as they were able to learn something healthy and delicious from the cooking demonstration. Lastly, the team also acquired medications from various generous pharmacuetical companies which were donated to the Rural Health Unit for the benefit of the whole Municipality especially those who are in need.
Change is inevitable, growth is optional according to John Maxwell. Despite the hardships and difficulties in the community, together as one team, team kaangayan chose to progress to reach the dream of a healthy and sustainable community. Thus, the team officially changed its brand to “TEAM KAANGAYAN, MD” not as medical doctors but MD which stands for Making a Difference.
COMMUNITY health plan UPDATES as of OCTOBER 2015
The following community health problems were addressed through the Millenium Development Goals 2015.
MALNUTRITION
The first MDG is focused on eradicating extreme poverty and hunger. This goal covers the problem on malnutrition with the aim of decreasing the number of malnourished children in Barangay Kaangayan.
As of October 2015, the following activities have been accomplished:
1. Creation of coin banks per purok and ongoing PISO program
2. Brief lecture on PIMAM protocol among BHW’s and BNS’s in the barangay
3. Meeting with DepEd nutritionist regarding use of malunggay as alternative micronutrient source for RUTF.
4. Cooking demonstration led by TESDA involving the use of homegrown vegetable
5. Each purok garden was provided with seeds by the Department of Agriculture for the ProGard project.
From 78.3% to 90.6% of households with ProGard
From 50 underweight children as of October 2014 to 31 underweight children this exposure.
MATERNAL AND CHILD HEALTH
Women are highly prioritized in public health. Thus, three MDG’s are addressed in this problem. These are promotion of gender equality and women empowerment, reduction of child mortality and improvement of maternal health. There is poor utilization of maternal health and child services in Barangay Kaangayan. The objectives of this CHP are to reduce incidence of home based deliveries, increase the number of women who patronize reproductive health services and lastly, to increase the number of children who are fully-immunized.
As of October 2015, the following activities have been accomplished:
1. Health teaching on family planning and sexually transmitted diseases
2. Assisted during the monthly immunization schedule by the RHU
3. A competency training on basic vital signs taking and refresher course for BP taking
4. Health teaching regarding safe motherhood practices
TUBERCULOSIS
Infectious diseases are global problems that need to be addressed despite of a small number due to the complications it can cause. There is still a number of people in Kaangayan who are highly suspected to have Tuberculosis. Thus, this problem has a general objective of increasing tuberculosis treatment success rate by 90%.
As of October 2015, the following activities have been accomplished:
1. Adoption of TB case finding masterlist and referral and feedback system by DOH
2. Lecture on TB Case Finding among the TB task force
3. TB advocacy by the Integrated Provincial Health Office.
4. Updated the Masterlist on TB case finding list
5. House-to-house vits to identify TB symptomatics and defaulters
As of October 2015, an increase of 2 TB symptomatics, 2 diagnosed TB patients and 2 TB patients who completed the 6-month DOTS.
HYPERTENSION
Hypertension is as important as other diseases due to the fact that it chooses no age or status in life and can lead to death if not controlled properly. There is a high percentage of hypertensives in Barangay Kaangayan. This CHP aims to reduce the number of uncontrolled hypertensives among diagnosed hypertensives and to control the progression from pre-hypertension to hypertension among the people in the community.
As of October 2015, the following activities have been accomplished:
1. Distribution of BP monitoring cards among hypertensives.
2. List of hypertensives was updated
3. Hataw with the community residents
4. Monitoring of identified hypertensive patients
5. A refresher course on BP taking was done among BHWs’ and BNS’s
SOLID WASTE MANAGEMENT
The next problem is focused on the MDG in ensuring environmental sustainability.Improper solid waste management is a problem identified in this community. Its goal is to improve the solid waste management practices of this community in terms of practicing proper waste segregation.
As of October 2015, the following activities have been accomplished:
1. Donation of 25 container drums for the MRF
2. Tarpaulins about proper waste segregation were created and distributed at every MRF per purok.
3. House-to-house survey to identify those who complied with the triple bin trashcans.
4. Health teaching on Composting
TOILET FACILITY
Ensuring environmental sustainability also includes the proper disposal of human waste and proper hygiene. There is inadequate access to sanitary toilet in Barangay Kaangayan. Its aim is to increase the number of households that will have adequate access to sanitary toilets.
As of October 2015, the following activities have been accomplished:
1. Reassessment of toilet condition of each household
2. Creation of a new masterlist of households without sanitary toilet facility
3. Meeting with the Municipal Agricultural Office and Barangay officials regarding the procurement of materials needed for households without sanitary toilet facilities
4. Construction of sanitary toilet facilities in households
All the abovementioned problems in Barangay Kaangayan have one thing in common. All these can only be effective and be sustained if there is good intersectoral collaborations among different local and national sectors to promote good governance. Thus, all the mentioned CHP’s also address the 8th MDG which is promoting global partnership for development.
As of October 2015, Team Kaangayan is more than halfway through in all their 6 community health plans. Despite of the numerous strategies involved in each CHP, the group has been successful in accomplishing all the planned activities for this exposure.
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READ THE NEW UPDATES OF TEAM KAANGAYAN'S JULY-AUGUSTT 2016 COMMUNITY EXPOSURE HERE! :)
http://kaangayan.weebly.com/blog/july-august-2016-updates
FUN TIMES IN THE LAND OF KAANGAYAN
COMMUNITY HEALTH PROBLEMS
KAANGAYAN UPDATES AS OF OCTOBER 2016
Accuracy and efficiency are all vital skills that one must consider when aiming for a target. Like any professional archers, one arrow is enough to gain multiple hits on several targets. All the created comprehensive health plans on malnutrition, maternal and child health, hypertension, tuberculosis, ecological solid waste management, unsanitary toilet and unsafe drinking water are connected with each other and are targeted towards achieving the Millenium Developmental Goals.
1. First problem identified is poor utilization of maternal and child health care services.
Major concerns are presence of home-based deliveries, poor utilization of reproductive health services and low immunization rate. In order to solve these problems, activities are focused on increasing knowledge and improving practices and behavior of people residing in Barangay Kaangayan. For November 2016
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3. Another major problem identified is hypertension.
This plan aims to reduce the number of uncontrolled hypertensives of Barangay Kaangayan The activities are targeted towards increasing case detection rate and improving the health-seeking behavior of hypertensive individuals
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2. Another problem identified is the high rate of malnutrition among children 5 years and below
The group aims to decrease the percentage of malnourished children in this community. Specifically, the activities are all aimed towards the improvement of knowledge of both parents and children regarding malnutrition and to introduce new means of combating this problem
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5. Improper solid waste management is an unresolved issue in this community
This project aims to improve the solid waste management practices and increase the number of households that practice proper solid waste disposal The strategies of this plan are directed towards increasing knowledge and improvement of practices of the people in this community regarding waste disposal.
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4. Tuberculosis is still a problem in Barangay Kaangayan
The group aims to increase the tuberculosis treatment success rate to 90% Activities of the group are aimed to increase the case detection rate of people with Tuberculosis
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6. Inadequate accessibility to sanitary toilet is a problem for the people in Barangay Kaangayan
The group aims to increase the number of households that have access to functional sanitary toilets
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7. Safe water sources in Barangay Kaangayan is hard to find. Thus, a new short-term comprehensive health plan was created by Team Kaangayan to address the problem of inadequate access to safe drinking water.
This project aims to increase the number of households with access to safe drinking water sources.
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