Monthly Archives: February 2018

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

What’s the Hype on Hypertension?

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Hypertension is one of the scariest conditions any person could have. First, because it is generally asymptomatic. Second, it becomes a stepping stone for other diseases. Lastly, once you have hypertension, you’ll always have it.. (may forever sa hypertension). That’s why hypertension is a big deal! It not only causes problems to your heart and blood vessels, it also causes problems to other organs like the kidney, liver and even your eyes! We should not wait for the start of complications to set in..

KNOW YOUR BLOOD PRESSURE

..in that way, we can control and prevent co-morbidities to set in.

During our fifth community exposure in Barangay Sinai, we did a resurvey and was able to accomplish 50% of the total households. We found out that among the 159 people we checked, 117 were hypertensives. That’s roughly around 73%. The good news though is that 29% of these hypertensives are now taking medications and are allegedly, complaint. We are now working on creating or adapting an intervention that would help us monitor these hypertensives when it comes to taking their medications everyday. Although we now have 4 members in our core group, I doubt they would be able to monitor all hypertensive individuals taking medications. But aside from the medications, the members of the core group are now competent enough to detect and monitor hypertensives by taking their blood pressures.

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Logbooks were also given for each member for their corresponding purok assigned.

Pink for purok Mahogany

White for purok Kalobian

Orange for purok Mangga

Blue for purok Porungan

They were also given instructions on BP taking as well as notes on when to refer and what health teaching they could impart to hypertensives they encounter.

For the succeeding exposures, we aim to minimize uncontrolled hypertensives to 50% and I believe it’s doable since we’ll be living in the community for 10 months.

More updates soon.

Jayvalikka

 

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January2018 Immersion Video

This is a short video presentation, representing some of our activities done in Barangay Sinai, Sergio Osmena during our 1 month long immersion (January 4, 2018 to January 30, 2018).

music used in this video- City Song by Grace Vanderwaal

  • misstinne 🌸

CHP on SWM: near completion

Our project for solid waste management is near completion as indicated by the results in our most recent survey.

House-to-house survey conducted in the month of January 2018 shows:

1) 94% of households are segregating their solid wastes, a great improvement from 50% in year 2016. Goal is 80%.

2) 67% of households utilize municipal garbage collection from 24% in 2016. Goal is 75%.

3) 50% of households have compost pits from 6% in 2016. Goal is 60%.

4) 66% of households practice proper solid waste disposal from 51% in 2016. Goal is 80%.

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The Sinai group can’t take the full credit for these changes rather the community should be the one to be recognized in this achievement and of course it can’t be done without the help of MENRO and the barangay council.

One of the biggest contributions in this milestone is the strict implementation of R.A. 9003 by MENRO as well as the barangay council. The people are required to abide with this law and whoever transgresses there is corresponding penalty and even imprisonment.

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The group is very thankful for these two working bodies, MENRO and barangay council, for the success of the project.

                In the 5th community exposure, we collaborated with MENRO and barangay council and participated in the clean-up drive program of the community. This was a nice event and very inspiring. Every purok of the barangay had its representative in this project and we help hand in hand to clean the streets, canals, river side, school and others. At the end of the day, we collected 30 sacks of solid wastes, the highest collection in the municipal according to the MENRO.

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To maintain this status, we have to strengthen the knowledge and persuade the people to give importance to proper solid waste management. The group did an information campaign for this. We have a house-to-house health teaching that emphasizes the importance of solid waste management in regards to health. This is to convince them that the strict implantation of R.A. 9003 is for their own good and for the community in general. This law is not intended to give difficulty to them but rather to improve the quality of life.

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–tahsin

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Identification of Hypertensive Individuals

SAM_2596.JPGfor our Strategy:  Identification of Hypertensive Individuals, we did the following activities.

  1. Core Group Meeting. A meeting was made with core group members: Jocelyn Flores, Myrna Butanas, Meilyn Intong and Lilian Paje who are assigned to puroks Mangga, Porungan, Kalobian and Mahogany respectively. A one-on-one meeting was also made with another core group member, , who is assigned at purok Kalobian. We discussed the proposed projects of MediSinai for hypertension and ask for their suggestions as well. 
  2. BP training with Barangay Health Worker (BHW), Jocelyn Flores. Aside from being part of the core group of Barangay Hypertension Team (Team BaHy), ma’am Jocelyn Flores is also Sinai’s only BHW.  We discussed how to improve detection of hypertensive individuals and how to refer cases to municipal health center and municipal hospital.
  3. BP training on selected core group members. A return demo was made to ensure proper BP taking from core group members.

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  • misstinne 🌸

 

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