OPLAN BUSOG: Batang Undernourished Sagipin at Busogin

Malnutrition among children 0-71 months in the barangay is slowly resolving. Indeed, slowly but surely, we are achieving our goal of improving the nutritional status of children in Sinai.

For September to October 2018, activities done include:

  • Mass Weight and Height Taking
    • 17 among the 110 children remain to be underweight and severely underweight.

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  • Handwashing Action Song in Sinai Daycare
  • Lobbying for Sinai Daycare Comfort Room Construction
  • Communal Garden Planning

Future plans involve an eight-day feeding program with a locally-prepared peanut-based Ready-to-Use Therapeutic Food for malnourished children.

Alone, we can do so much but together, we can do so much more.

Fatima Erika Ayessa Ingkoh

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Handwashing Activity (Vlog)

Hand washing activity at Barangay Sinai, Sergio Osmeña- Day care Center

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OPLAN PAG-Aksyon Sa Altapresyon

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Team MediSinai has re-surveyed 149 households and was able to take the blood pressure of 223 individuals. Among the 223 individuals, 84 individuals were identified with pre-hypertensive blood pressure, 32 individuals with stage 1 hypertension and 54 individuals are considered to be with stage 2 hypertension.

This exposure, the group was able to meet with the core group and had a retraining on proper blood pressure taking. Some of the members were new, because the group decided to switch members due to their lack of compliance to the responsibilities. This time around, the members were asked to sign a contract stating their roles and responsibilities. They were even introduced to the people during the FDS meeting last October 3, 2018.

Another plan to control hypertension is to change or rather, improve their diet. The group decided to create a communal garden per purok. This was proposed to the barangay officials and was given a go signal. The group then visited the Department of Agriculture, Provincial office, to acquire seeds and other help they could offer. The group then inquired about vermicasting to be done in partnership with the Solid Waste Management health plan to better re-use biodegradable waste other than just dumping it in a compost pit.

Future plans include distribution of BP monitoring booklets and having a pill count for identifies hypertensives. Cooking demonstrations in partnership with the Malnutrition health plan will also be done to encourage hypertensives to cook a balanced meal with lesser salt, and basically present the DASH diet. Herbal plants would also be discussed and which of these are DOH-approved. Proper preparation will also be discussed.

Overall, hypertension is one of the problems that all communities face. Until the next update!

-Jayvalikka

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OPLAN: PaWaR (PIGILAN at WAKASAN ang RABIES)

OPLAN: PaWaR (PIGILAN at WAKASAN ang RABIES

rabies4These are the following activities done during our recent community exposure:

There was a meeting conducted with Barangay Captain on his plans about the dog population management for the whole barangay Sinaiand also a meeting with the barangay council about the plans and activities on the upcoming mass vaccination at the barangay Sinai for the year 2018 in coordination with the Department of Agriculture.

Theacquisition of video lectures, soft copies of pamphlets and posters about rabies prevention and responsible pet owners was done in collaboration with the MHO. We also discuss about the recent updates on nimal bite cases in sergio osmenia and specially in our barangay.

Meeting with the DA about the updates on their data base of registered dogs which are vaccinated at year 2018
Our group also do a resurvey to update the registered vaccinated and non vaccinated dog through house to house as of September 2018 which we came up with a good result.

Our group is planning to have a project this coming exposure called “Belts for Pets” it aims to provide an improvise dog collars that will be given to the dog owners in the barangay. Posters of the project will be posted in selected universities for the acquisition of ols or used belts. This collars might help the us in controlling the numbers of stray dogs by following republic acts.

 

aizharanikaray@gmail.com

ADOLESCENT HEALTH COMMUNITY HEALTH PLAN

Adolescence is a crucial period of psychological and biological changes, and only second to early childhood in the rate and extent of developmental change. A statement from the World Health Organization (WHO) Representative included that adolescents, like all people from all age groups, should be given every opportunity to realize their rights to attain the highest standards of health and well-being, so that they will contribute to greater social and economic development. It is not sufficient that they survive; they should be ensured health and well-being (thrive); and ensured an enabling environment so that they will lead productive lives (transform).

In April 2000, the Department of Health’s (DOH) Administrative Order 34-A, s. 2000 created the Adolescent and Youth Health Sub-program under the Children’s Health Cluster of the Family Health Office. It was followed in 2006 by the creation of a Technical Committee composed of government and non-government organizations who was tasked to revitalize the program.

The medical students aim to establish a collaborative approach in establishing, planning strategies, and forging linkages with different sectors to achieve its results. The solution is focused on improving the health status of adolescents,

In recent years, issues such as early pregnancy, sexually transmitted infections, including HIV and AIDS, substance use disorders, violence, and mental illness threatened to derail the vision of adolescents becoming healthy and productive citizens of this country.

HEALTH PROBLEM: ABSENCE OF AN ADOLESCENT HEALTH AND DEVELOPMENT PROGRAM

General Objective: To establish a functional system that will initiate strategies of the of the Department of Health’s Adolescent Health and Development Program in Barangay Sinai, Sergio Osmena, Zamboanga del Norte by the year 2019

Objective Cues:

  • 151 Adolescents aged 10-19 as of October 2018
    • 17 are Out of School Youth
    • 48% are not aware of the Alternative Learning System
  • Absence of an adolescent health-based facility
  • Teenage pregnancy
  • Smokers
  • Alcoholic drinkers

Specific Objectives:

  1. To establish MediSinai Wellness Center, an accredited health-based facility for adolescents.
  2. To increase the number of Out of School Youth enrollees in the Alternative Leaning System.
  3. To increase smoking cessation for adolescents.
  4. To increase the knowledge and practices of adolescents regarding effects of alcohol consumption.
  5. To increase the knowledge of adolescents regarding consequences of drug use.
  6. To expand teenage pregnancy detection and referral.

STRATEGIES AND ACTIVITIES

STRATEGY 1: ESTABLISHMENT OF INTER-SECTORAL LINKAGES

  1. Present project proposal to the Municipal Health Officer (MHO)
  2. Coordinate with barangay officials about the proposed MediSinai Wellness Center.
  3. Consult the Department of Health (DOH) Region IX regarding the accreditation process for an Adolescent-friendly facility.
  4. Meet with the Sangguniang Kabataan (SK) to gather suggestions for the program
  5. Organize a multisectoral working group for the development of AHDP.
  6. Collaborate with Department of Social Welfare and Development (DSWD) and Department of Education (DepEd) for the discussion of the present ALS and future plans

STRATEGY 2: CREATION OF MEDISINAI WELLNESS CENTER

  1. Conduct a fundraising activity to finance the creation of the Wellness Center.
  2. Present a project proposal to LGU and NGOs.
  3. Coordinate with DOH for acquisition of adolescent health-related IEC materials.
  4. Renovate the former Barangay hall into the MediSinai Wellness Center
  5. Establish schedule of activities for the Wellness Center.

STRATEGY 3: HEALTH EDUCATION

  1. Coordinate with the MHO and the Department of Interior and Local Government (DILG) for assistance in Substance Abuse Symposium
  2. Gather adolescents for a focus group discussion on reproductive health topics.

January 2018 Update: Finding Solutions for Malnutrition

With a general objective to decrease the percentage of malnutrition among children ages 0 months to 71 months from 18.5% to 9% in Barangay Sinai, Municipality of Sergio Osmeña, Zamboanga del Norte, by the end of year 2019, the group continued activities against malnutrition for January 2018. These include the following:

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  • Coordination with DOST for mongo cereals. A communication letter was sent and a meeting was set at the Department of Science and Technology Regional Office in Zamboanga City. This is in line with the group’s request for mongo cereals to be distributed to identified malnourished children in September 2018.
  • Operation Timbang and Updating of Malnutrition Masterlist. Along with the new barangay nutrition scholar and the barangay health worker, the group conducted a weight and height monitoring among children 0-71 months. Vitamin A supplementation and distribution of milk packets from the municipal health office was also facilitated. As of January 2018, 12 among the 130 children aged 0-71 months remain to be malnourished.
  • Acquisition of seeds from Department of Agriculture for households with identified malnourished children. The group was able to acquire seeds for distribution in the barangay. These seeds include carrots, kangkong, okra and petchay. A set, which includes all four seeds, is given to each household with an identified malnourished child. This was then turned over to the barangay secretary.
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SHOO the RABIES AWAY

RAb4Our objective for this community health plan is to increase the number of vaccinated dogs in Barangay Sinai from 55% to 85% by the year 2020

As of April 2016:Among 185 households surveyed, 119 own domesticated animals such as cats and dogs.  Only 23% (27 out of 119) of the pets were vaccinated against rabies.Among 42 individuals who were previously bitten, only 57% (24 out of 42) were reported and properly treated at the Animal Bite Treatment Center with anti-Tetanus and anti-rabies vaccines while the remaining percentage has opted traditional and home management.

We are also aiming to improve the community mobilization towards rabies prevention and control.To increase the number of vaccinated dogs and cats in Barangay Sinai.To increase the knowledge of the residents on proper prevention and control of rabies, to strengthen the rabies education program at the elementary and high school level and to reduce the number of stray dogs in Barangay Sinai.

But this exposure we are so glad to finally increase the rate of the dog vaccibation in our barangay, it increases up to 87% as of 2017. And this 2018 we have conducted a mass vaccination program in our barangay aiming to have a much more numbers of the vaccinated dogs and to improve the individuals responsibilities in pet ownership.

 

We will not stop withis achievements, we are going to continue our advocacy to decrease the possible rabies case that might cause death to the people in our community. With the help of the government agencies and the people around us, it wont be possible for us to reach our plans.

Izharanikaray

Dont JUST DO IT, LOVE IT

Its been 3 years since we got here in this small barangay,the place named after Mount Sinai. Yes we’ve been through a lot of trials that turns us on asking why…why are we here, why are we doing this, why is this and why is that, but then as the time goes bye, we’ve learned the essence of everything, those reasons why.

Other people might think that this community thing was just that ordinary thing, but nope its a lifetime experience that is worth remembering. I can still remember those days from our first year exposure, i really can say that it molds me more to become better. Better in a way that this community thing made me learn a lot of things, maybe i cant say it all in just one page but let me try to look back to some of those precious memories .

One, i might be lying if im gonna say that i do love this community thing even when i started medschool. Nah, it is not that easy. At first i was afraid of being in a house wiith different people, i always think its not gonna be easy, it will be a mess, to be honest i am not used to be with other people in a roof. But fast forward i’ve tried to learn everything but then it goes like natural ,like what i’ve said ive been blessed to meet and spend my stay at the community with these beautiful souls.

 

Two, i can still remember the first time i’ve cried infront of them, it was one of my unforgettable moments. I was then a coward to show my real feelings, i always conceal my sadness with a smile thinking that they might not see it. But then these people “House mates” squeezes my heart showing their love and support even though i did not ask for it. They are one of those reasons why im still here fighting to reach my dreams, because they made me feel that im not the only one in this battle, yet i am not alone and we can do this all together. That is why, this is one of those answers to all of my WHY’s, : is to let me meet those beautiful souls that will lift me up when i am down and hopeless , to cheer me up when i need it the most , a FAMILY that will stick together , FRIENDS that can boost me and made my life happier.

Three, learning how to speak BISAYA was a hard thing for me, necause i got this stiff tongue of mind that made me stutter whenever i tried to utter any bisayan words, yeah its kind a funny but whenever i started every conversation with community people it always ended up with a laughing session. But im a lil bit proud of it for i can make them smile and laugh at the same time. The people there were so good and polite to us, whenever i jog in tge morning everyone that i met on the road will always say MAAYONG BUNTAG and it always made me feel welcome, and you can see through their eyes their lobe and respect for us student doctors, and yes this is one of those reasons why.

 

Four. We are send in this community to serve the people, not just for the sake of the curriculum of our medical school but it will mold you to become a better person, more caring, more compassionate in every lilttle things that we can. I know we are not super humans, we cannot do everything, we cannot change it. But we are here to reach out, to help them in simple things that we are able to. We are not the one who can solve their problems, but we can be part of the team, without the people in our community our vissions and missions might not be possible. We can put impossible things into reality by NOT JUST DOING IT, but  loving while you are doing it. Dont JUST DO IT, LOVE IT….

Izharanikaray

TB or not TB? TB of course!

As per the community preceptors’ advice, the team had to create an additional Community Health Plan, and thus, chose to tackle Barangay Sinai’s Tuberculosis problem. The disease entity has been an ongoing problem in the Philippines, and it continues to be a burden due to its high communicability, the lack of awareness in people especially those living in urban areas. Tuberculosis is very curable and preventable, however, if the treatment being given is incomplete or is not regularly taken, it may lead to drug resistance or even death.

For this community exposure, the team visited the Regional Health Unit to gather secondary data from the Dug Susceptible TB Register from 2015 through 2017, and from the NTP Laboratory Register. The team discovered that Barangay Sinai has had eight patients diagnosed with Tuberculosis within the span of 2015-2017, all of which were pulmonary in anatomical site. As of January 2018, only one is still undergoing treatment and out of the seven other patients who had completed their treatment, only three were declared as cured (smear- or culture-negative in the last month of treatment and on at least one previous occasion in the continuation phase). Out of thae eight patients, three were retreated due to relapse, which means that they still got clinically diagnosed or bacteriologically confirmed to have TB even after being declared as cured. Two out of the eight patients also were retreated because of treatment failure. The team also probed the RHU’s access to medical resources and facilities, and it was discovered that they have no real access to the determination of drug resistance, i.e. they have not utilized access to GenXpert in Dapitan and they no access to culture centers with drug susceptibility testing and PMDT centers. With the said problems, it was determined that the issues can be attributed to poor compliance to TB management protocols (as per NTP); which might include poor compliance to medication, poor monitoring, poor follow-up after treatment, lack of knowledge and information dissemination, lack of access to TB treatment resources and facilities, and so on.  The team also conducted a survey so as to find new presumptive TB cases and referred such cases to the RHU.

For the coming ten-month exposure, Team Sinai plans (1) to increase the knowledge of the TB patients and the TB concerned health workers by conducting health teachings (house-to-house and at the RHU, respectively); (2) to strengthen the barangay’s monitoring system by appointing a new health worker to specifically monitor and educate the TB patients, (3) to improve case detection in barangay Sinai by conducting quarterly case findings in all of the puroks in barangay Sinai; and (4), to improve treatment outcomes by collaborating and improving the barangay’s access to drug susceptibility testing through GenXpert, Culture centers, and/or PMDT centers.

As community devoted medical doctors, Team Sinai aims to make the people of our barangay fully equipped and self-sufficient in combating tuberculosis as one of their most serious problems. And as Joan Halifax, compellingly once said:

“If compassion is so good for us, why don’t we train our health care providers in compassion so that they can do what they’re supposed to do, which is to transform suffering?”

– Revantad

Updates

Our community group is assigned in Barangay Sinai, Sergio Osmeña. This will be our 1st community exposure as third year students. The top main communiy health concerns that needs to be addressed includes Malnutrition, hypertension, rabies, solidwaste, and our newest topic on TB. We have divided the group into into smaller specialized groups to be the keypersons in handling the problem. So far we have already accomplished multiple tasks which helped in achieving our general objective in our community health plans. Examples of the current activities and strategies done within this 1-month exposure includes making a hypertension core group, communal garden planning, clean-up drive, ocular survey, gathering of primary and secondary data, etc.. as we go through our years spending time with each other and with the comunity people, they became our irrepaceable experiences and memories we cherish.

-Lim

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