Category Archives: Articles

OPLAN Pag-ASA: Pag-Aksyon Sa Alta-presyon

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Hypertension continues being one of the top morbidity cases in Sinai, Sergio Osmeña, Zamboanga del Norte. The group continues on promoting proper lifestyle changes the hypertensives could adapt in their daily lives.

This November-December, the group were able to update the status of the 112 hypertensives based on the JNC 8 guidelines. 72 residents have uncontrolled hypertension while 17 individuals have controlled hypertension and 111 are prehypertensives. Only 52 are currently taking medications but a lot of them are mainly low adherent.

-Jayvalikka

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ADOLESCENT HEALTH UPDATES FROM NOVEMBER TO DECEMBER 2018

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Medical students are seen here discussing about the proposed conversion of the old barangay hall to the MediSinai Wellness Center. In the meeting, the medical students proposed the conversion of rooms within the structure to cater pregnant mothers, children, adolescents, and out-of-school youth. In the proposal, the first floor will be converted into a room where the assigned midwife and nurse of Barangay Sinai will conduct health teachings, immunization, and pre-natal check-ups. Also, the second floor will also be converted as a classroom for the out-of-school youth currently enrolled in DepEd’s “Alternative Learning System” program.

 

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Medical students conducted a meeting where they presented the budget proposal and the tentative floor plan to a representative of the Local Government Unit of Sergio Osmeña. In the meeting, the local government unit addressed the issue about funding and initially decided to provide Php 11,000 for the initial renovation of the old barangay building.

 

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Presenting a project proposal and floor plan draft to LGU and RHU.

Medical students conducted a meeting with the Rural Health Unit about the proposed plan to converting the old barangay building in barangay Sinai into an accredited adolescent friendly facility. In the meeting, the medical students asked the rural health unit on requirements for accreditation of an adolescent friendly facility which the rural health unit complied by providing the monitoring checklist for the Level 1 accreditation for an adolescent friendly facility and voiced out their support for said facility.

 

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Consulting to a trained adolescent health care provider on the functions and practices of the Adolescent Health and Development Program.

The medical students with the aid of the RHU and one of its trained adolescent health care provider, conducted an orientation about the function and practice of the Adolescent health and development program. The RHU also provided the medical students with a copy of the manual entitled “Healthy Young Ones” which was created to guide health care providers on how to provide appropriate health care to adolescents.

 

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Coordinate with DOH for acquisition of adolescent health-related IEC materials.

In order to push the Department of Health’s agenda on the Adolescent Health and Development Program, the medical students reached out to the provincial office of the Department of Health to be partners in the effort to bringing adolescent health in Barangay Sinai. The provincial office of the Department of Health will be tasked in accrediting the soon to rise MediSinai Wellness Center that will be tasked in delivering health care to this age group.

Consult the Provincial office of the Department of Health (DOH) regarding the accreditation process for an Adolescent-friendly facility.

The medical students consulted with the provincial office of the department of health (DOH) regarding the accreditation process for an adolescent friendly facility. The office gave the medical students the memorandum letter from the DOH about prioritizing the AHDP within the Region IX. Also, the office gave monitoring checklist to the medical students in order to guide them on the requirements for the accreditation of a adolescent friendly facility.

 

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Conduction series of focus group discussion on topics regarding marriage, teenage pregnancy, and availing of health services.

A series of focus group discussions were initiated by the medical students to gather data about the overall idea on adolescent mothers’ thoughts and experiences on pre-natal care and delivery as well as other health-related services. This was initiated so that the medical students can create programs that can cater the increasing numbers of teenage pregnancy within the community.

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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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.

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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Back and forth? More like back and fourth.

This exposure is our 4th at Sinai, thus the title.

Lots of plans have been ironed out. Many activities were supposed to be done for this fourth exposure. However, it has been cut short to two weeks due to the martial law declaration in Mindanao after the Marawi incident.

However, it is still a joy to be back. Our stay was cut short, yes. But the memories with the people of Sinai only adds up every single time. As part of our implementation, our focus for this exposure on the Malnutrition problem on the barangay continues.

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Matters of the Heart

Hypertension is really one of the most common illness we see in our society today. But it is also one of the easiest condition to control due to its widely available maintenance medication provided by the government for free. Despite this ray of hope, there are still a lot of people, who live in barangays found in the outskirts of the region, unaware of these programs. We are fortunate enough to be the bridges that allows awareness and knowledge to spread among the villagers. Our group has pondered upon what the heart and mind can conjure within the limits of what our hands can do, to make the citizens of barangay Sinai live a healthier lifestyle. We came up with simple but influential programs to get the people on fire about matters of the heart. Now we are on our fourth community immersion and still a lot of things are yet to be done. A month is nowhere near the ideal time period to inflict and assess change in a community who has lived comfortably with diseases slowly eating them away. That part is what makes our mission a challenge. We, a mere group of 8 medical students, envisions a community of cooperative, attentive, collaborative, and instinctive residents who looks out for one another. In order to achieve that, we must take one step at a time to encourage independence amidst dependence in the community and unite them as one.

Due to unforeseen events, our plans were cut short due to a terrorist attack targeting a neighboring city. The school decided to pull us out of our respective communities and were sent home with only 2 weeks shy of the originally scheduled arrival back to our city.

Alas, these were only some of the activities we had planned for this exposure and the rest are going to be rescheduled on the next exposure, which is unfortunately before clerkship starts.

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Bp taking activity during the Senior Citizens’ meeting for identification and monitoring of hypertensive individuals.

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We conducted a health teaching on vices during the Senior citizens’ meeting as  well.
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An exercise program dubbed Galaw, Sayaw, Hataw! that features similarities with Zumba which is defined as “an aerobic fitness program featuring movements inspired by various styles of Latin American dance and performed primarily to Latin American dance music.”. We only had 3 sessions out of the 10 we intended to have for the whole month of our stay.

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We visited Dipolog to coordinate with the regional agricutural district to coordinate with the department of agriculture for the procurement of seeds for our upcoming project next exposure which is the creation of a communal garden per purok. This is in line with our aim to make herbal plants known and used depending on their purpose as well as introducing a healthier diet for children to avoid malnutrition.

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We intended to create the hypertension core group during this exposure and were halfway done when we were sent home. We post-pone our planned meetings as well as the demo on the proper way of taking blood pressure unto the next exposure.

Overall, I had fun during this exposure. I never thought two weeks could go by so fast. It was a very eventful 2 weeks for me. I even got to lead a bible study for my fellow Christian brothers and sisters assigned in the same municipality. We finally have a refrigerator. I’ve made desserts for my second family. Cooked blindly. Scored fashionable pieces at a thrift shop. Got to experience our haunted barangay hall once again. Got to eat halo-halo at the new “IT” place called Dumpy’s cafe. Crossed of things and places I really wanted to see and do in Dipolog. The list goes on and honestly I just couldn’t enumerate everything. And because I am the leader for this exposure, I am also quite sad that we didn’t get to do what we planned and prepared. But at the same time I’m glad that we got home safe and is now thousand of miles away from the war.

Here’s to looking forward for the next exposure.

c’est la vie

-Jyvlkk

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Significance and Purpose

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As we enter the fourth week of community life at Barangay Sinai, with all the assessments and evaluation of the programs initiated, we can’t help but reminisce all the things done, being done and about to be fulfilled yet. To make a difference in the lives of people, small and careful steps coupled with proper planning and execution, can lead to big things.

Through our programs we encouraged the people living at Barangay Sinai to have a more active and healthy lifestyle. At the beginning, only a few took part in our activities, but eventually others followed. We are satisfied that many have taken part midway of our implementation. This is a positive indication that people have become more health conscious and aware of the ways and means of leading them to wellness. A strong and clean environment coupled with appropriate health practices have given Sinai a renewed vigor and fresh start from its former self.

Generally, when one takes into account all aspects conceivable to improve people’s lives, everything else will fall in the right places. The simplest things that we life with in life with a passion gave more meaning than all the wealth conceivable. Life is beautiful, be it as things or may not be. The sense of helping is indescribable, it is a feeling that can never be experienced inside a room filled with medical books.

“When people are less focused on self and the problems of the self, there is a king alleviation of stress. There is nothing life reaching out and contributing to the lives of others: to give a person a sense of SIGNIFICANCE and a PURPOSE” – Stephen Post, professor of bioethics at Stony Brook University

– 🌸misstinne

I’m Home

 

As this semester comes to close, I realized that I’ve been dreading to go back to the community When I pondered why that was the case, it only made me sadder. I didn’t want to leave my family and my home for a month, not when the days we’ll be living together under that house are numbered. We are set to move into another house sometime soon and I wanted to be with my family. It only made me sadder when I found out they’ll be moving our departure date to a later day, the day before my 22nd birthday. I thought to mysel8f, “This will be the saddest birthday ever” since I’ll be far from family and my other close friends. I pushed that thought aside and kept thinking positively. A day before my birthday, some of my closest friends surprised me with a cake and a calligraphy set! I was ecstatic! I didn’t expect some people would bother preparing a surprise for me when they’re all too busy preparing for our month long trip. I was touched and happy.

More hurdles came along as I felt the all too familiar pain starting at my lower back and lower abdomen. We were still on the bus going to Sinai when I can’t deny the unmistaken sensation I was feeling at that time. I had my period early. It was fine if I got it early. What made it not fine was the pain though it wasn’t new to me. I always get cramps but having them on a bus ride for 9 hours was not fun at all.  What made matters worse was the fact that when we get to our house at Sinai, we won’t be able to sit pretty and relax because we’d have to clean the whole house! When we arrived, we drew lots to see who’ll clean which part of the house and with whom. I got the boy’s room with Denzel. I was moody and tired. I wanted to clean myself up already but the public comfort rooms we are using every time we stay there were so dirty you could barely recognize it as a comfort room for people, what, with all the goat poop lodged everywhere. You ca just imagine how smelly it was. It was a good thing I was not assigned there.

Kim came a day later than us because she’ll be brought by her family. Then I was surprised when my groupmates gave me cake and sang Happy Birthday to me. Eli and Yen also came and gave me gifts. All in all, it wasn’t a bad birthday after all.

The first week came by so slow but shockingly the next weeks passed by like a blur. It was so fast. Maybe because we were having so much fun. It is because of my groupmates that I began to look forward for meals because we’ll be laughing and joking and basically every meal was memorable, full of de amor!

This exposure was also different because the people already, somewhat, knew us. I got closer to my “family” in Sinai because David, the eldest son, always came by our house and play with us. I sometimes let him write his name on a paper or let him draw. He’s just 4 years old but the way he speaks is so cute, you’ll think he is old and matured but still, he couldn’t get in his slippers the right way. We also made friends with my neighbor’s baby, Ina, who shakes her bum every time we wave at her from a far. She’s about 2 years old and a little bit of a diva. Then there’s Anna Grace, the youngest daughter of our barangay secretary. She comes by whenever her mom is working and plays with David most of the time. She’s in first grade and prefers to play with her mom’s cellphone most of the time. Then of course, I won’t forget Justin, the half German kid who really got close to us all. He’s 11 years old and doesn’t have any siblings. He prefers to just hang out with us. The night before we went home, he stayed with us and tried to stay awake but we let him sleep even if he still wanted to play and bond with us. These kids are just some of the ones who made this exposure more memorable. I wouldn’t forget Lito the artist, Madeline the beauty and brains, Pierson the joker and CJ the reliable one. We had movie marathons, art sessions and games, it was really fun having them around. There was a time when I went to David’s house to talk with his mother when I saw how stressed she is with his 3 sons,  now that she gave birth to another one, Jay Jay, so close to the age of his younger son Ton Ton. They were both breastfeeding on her and I saw how Rose, the mom, was struggling so I volunteered to take David and Ton Ton out for a while, just to give her a breather. We bonded and Kim and I bought them food. By then end of the day, Ton Ton does not want to leave my side anymore, he cried when I left him back at his mother’s house and he keeps calling me “nanay”. I jokingly told my groupmates that maybe it’s my calling to be a pediatrician but they laughed and said no, and insisted it was calling to be a mother.

The days flew by so fast. I didn’t even get to call my mother the way I wanted to, which was every day. Maybe because I was also scared to know what’s happening. This community exposure was my one shot at “vacation” and de-stressing out from med school. Even if this is still part of our requirements and we had a lot of work to do, still it was better than the pressure of passing exam after exam. Speaking of exam, I had my very first R1, Gastrointestinal. That means I would have to study in the community alongside the projects and classes we were conducting for the people of Sinai. I wasn’t alone on this, both fortunately and unfortunately. There were five of us who failed this exam and we helped each other remember stuff by asking questions to each other.

All in all, I really had fun in this exposure, it’s the best one yet! I finally learned that, a house is a material thing. Insignificant, temporary, replaceable. But the people I love? No. They are the ones who make a house, a home. Home is where your heart is. Home is the people you love. They make a house, a home. And these 7 people? They made Sinai my second home. When I boarded the bus going back to Zamboanga, I looked back at Sinai and said “I’ll be back” and I know, once we come back for our next exposure, when I will go down the bus, I’ll say “I’m finally, home.”

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A Different Perspective

Being in a medical school, future Physicians, people would normally think that this career is “awesome”, “cool”, “amazing”. Most people will look up on you and say, “wow, he/she must be brilliant”… But SERIOUSLY, they don’t know how much we need to go through just to be deserving of those titles.

As a kid, I always looked up at doctors (literally, coz they’re taller than me), but seriously, medicine, my greatest dream, I’ve always thought of it as a very noble profession, especially when you get help people in their dire need, being able to cure them, make them healthy again – that’s something! Even though I already heard many people say that this path is deadly! That it would suck up all of your youth and “freshness”. (I knew it was) But all I saw was the beauty of it. (Ganyan tlaga siguro kapag mahal mo, kahit nasasaktan ka na, kahit hirap na hirap ka na, gusto mo pa rin) But not until I experienced it myself. It was much more!! I am only in 2nd year yet I already have countless crying moments inside my bedroom already! (even more than all my heartaches combined in the past!), my time being awake is far more greater than my time being asleep, my caffeine:blood ratio has greatly increased from last year. that’s why they call it “PASSION”, because it means “SUFFERING”.

Entering medical school, all I thought was you get to spend most of time reading and familiarizing every single part of human anatomy  and all the weird mind-boggling medical terms.

BUT, I never thought that medical school can be so… (what’s the word?) – ODD. At least here in Ateneo de Zamboanga. We are so unique that this school strays away from the traditional, from cliché, from the usual. We have PBLs instead of having the “usual” large group, we spend a month or so in a far flank community and leave with the people there.

At first, being immersed in a community, I was focused on the requirements alone, but right now, when we got to know the people more, I honestly appreciate “life” even more. Seeing how diverse many people can be, but they still manage to live happily and harmoniously, even with such little resources, people in the barrio are much more bonded than here in the city, there, I gained a lot of friends, people back In Sinai are so accommodating and kind. Believe me, you’ll get to love those people back there especially when you hear their life’s story. And not to mention the little kids – those “clingy” kids that are so dear to us!

I believe that responsibilities makes you more mature and independent. And being immersed in a community that is far from your comfort zone makes you independent without a choice. Being in the campus and being in the community are like two sides of a coin – two distinct “trainings” we get to undergo when you’re in this institution. Unknowingly, you become more sensitive to the people’s needs, and being a doctor in the future, this is really important. We were once faced by a question, “What is your definition of a good doctor?”- well, for me, being one means someone who truly has the passion for his/her profession, one who will not just after the money of his/her patient but the patient’s total well-being. How can we understand these people if we do  not know their struggles? And how can we understand their hardships when we always stay in our comfort zones? Ateneo de Zamboanga School of Medicine does NOT just produce “intelligent” doctors, they produce GOOD doctors –  This institution will not just prepare you intellectually, but as well as emotionally and spiritually.

Lastly, being a doctor is far more different than being a GOOD doctor, and being one doesn’t just happen in a blink of an eye ,it requires passion, determination and commitment.

-Chy 🙂

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