Category Archives: Uncategorized

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

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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 🌸

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 🌸

 

something different 🌸

My next blog entry is somehow different from my previous blogs. I made a story that will creatively illustrate what are our goals and mission for our community service in Sinai, Sergio Osmeña. I hope you will enjoy reading it!

“Once upon a time, there were 8 student doctors namely
Manz, chai, denz, kim, zhar, jayv, aye and tine… from the city who went to a far far far away land for a mission. A mission that embodied their soul when they entered the school of love and passion, ADZU-SOM

Nobody in the village know them, all they know is thta they are the bringer of hope.

For so long the villagers are suffering from…..
– Rabies
– Hypertension
– Malnutrition
– Poor immunization
– Poor solid waste management

At first the 8 student doctors are lost and doubtful of their capabilities..

Luckily they stubbled upon a fairy god mother who lives in a cave at the back of their beloved abode. Stumb

They call her fairy mercy, for she is all giving and patient at them.

The fairy showed them around and even introduced them to the villagers.

In order to give them extra powers and happiness, Fairy mercy showed them the way to the armored shop that sells magical ukay ukay at a very cheap price.

The 8 student doctors are filled with happiness when they wear their newly washed clothes. They felt confident that they can accomplish their task and that they are very much willing to try.

Dutchess Dorothy of Sta. Maria and Dutchess Ayesha of Talon Talon love children so much that’s why they focus on giving the children a bright future by helping them maintain an ideal weight for they believe the children are the hope of the future. They conducted feedings for the young and classes for the mothers. They inspired much of the villagers that’s why they were able to recruit leaders to help them monitor the village when they will be back to the city.

To combat low immunization rate the eight students doctors joined together, reaching every ends of the village in search of an incomplete or non-immunized child. Once a poorly immunized child is found, they give them doses following the catch up immunization protocol.

The dutchess of anti-hypertension – dutchess Jayvalikka of Nuñez and dutchess Christine of Ayala fought against hypertension by showing the villagers how to do a magical dance for healthy lifestyle they call it the Zumbabalumpa. They also showed them how to measure their blood pressure by the use of a magical sphygmomanometer and showed them the importance of proper exercise and diet.

Magical creatures roam about every where in the village. Luckily Prince Aizhar of Sulu and Princess Charmaine of Sto. niño are both skilled with the ability to talk with animals. Together they emphasized the importance of keeping their cats and dogs in their respective houses and giving them boosts of anti-rabies vaccine to overcome the madness brought about by the Wizard of Rabies.

The duke of Basilan : Sulaiman and the duke of Tetuan : Denzel Erick are more concerned about the infestation of flies and pests brought about by mountains of trashes everywhere. They called their dear friend from a nearby land, a friend they called MENRO, who is a master of this issue together they’ve created MRFs and taught the villagers the importance of waste segregation to combat lies and diseases.

4 exposures had passed
So much progress has been made
This is just the beginning of a beautiful story
A beautiful story that will inspire and teach us the value of caring
A story that will last a lifetime

More adventure awaits..
To be continued”

“a simple act of kindness creates an endless ripple” – Pushkar Saraf

Did you like the story? If you do make sure to leave a comment down below, and if you don’t comment down below why. Thank you so much and God bless!

 

– missTinne 🌸

Solid waste management and Public Health

Waste is usually sought by ordinary people as a simple problem. This misleading concept of people is one of the reasons that this problem became a major dilemma in today’s environment as well as health of the public. It becomes apparent as years passed by that improper solid waste management is a major determinant of health and progress and also one of the difficult problems to be addressed in any place. It is difficult because the solution of the problem lies in the discipline and individual’s attributes  which is very hard to change. Change must come from within. There must be willingness from oneself and from every individual of the community in order to address this problem, not merely making laws and ordinances.

How important is waste management in public health? Infectious diseases in the early history such leprosy and the recent diseases such as tuberculosis give us evidences to its importance. Prior to the discovery of medication of these infectious diseases, there was already decrease in the morbidity and mortality as the general sanitation of the community and way of living had improved. As social scientists and public health experts put into words, we don’t need a lot of antibiotic and other medications to improve the state of health of the people, we just need to improve their living condition. In any public health planning, solid waste must be included in order it to be successful and have a greater impact in the community.

Regardless of the context, managing solid waste is one of biggest challenges of the urban and rural areas of all sizes, from mega-cities to the small towns and large villages. It is almost always in the top five of the most challenging problems for city and provincial managers. It is somewhat strange that it receives so little attention compared to other urban or rural management issues. The quality of waste management services is a good indicator of a municipality’s governance. The way in which waste is produced and discarded gives us a key insight into how people live. In fact if a municipality is dirty, the local administration may be considered ineffective or its residents may be accused of littering.

Usual observation is that the municipalities spend a substantial proportion of their available recurrent budget on solid waste management. There must be a great effort from stakeholders of the community to give emphasis on this and persuade the people of authorities not to take it lightly.

Good thing in the municipality of Sergio Osmena, there is a local unit known as MENRO  to oversee the solid waste management. They are mandated to implement R.A. 9003 or also known as Ecological Waste Management Act of 2000. With the partnership of ADZU-SOM students, barangay council, MENRO and other key persons in the community, we are hopeful to address this issue appropriately and efficiently.

–tahsin

A Scent of Hope

Ever since when I was a child, I’ve been dreaming of becoming a doctor, like any other little boy my perception of a doctor is someone who wears that great white coat and like a superhero who’s always there willing to help other people, but now while taking my first step towards achieving it, everything has changed, my perception of a doctor widens and it became more interesting and much challenging. At first, all I thought is that when l will enter Medical school I will be focusing more on academics, it will be all about medical sciences and medical skills and practices, but here in Ateneo de Zamboanga University- School of Medicine, it was far different than any other medical school that I know, because here, we will not just learn how to become one of the best physician in the country but they’re going to train us on how to deal with the people, to be with the people and how to touch their lives, and all of this through on what they call it our “Community Exposure”.

To be honest my first day was not that good, it was a day full of worries, what if this happen, what if that happens?, I am not that certain on what will be like in our community exposure, because I really find it difficult to be with other people, to live with my classmates in a roof and to do things around them who I don’t even know much. So as the days goes by I’ve learned to adapt, to deal with my classmates and to know more about them. On our first two days we spend our time on getting to know each other, eat together, talk with each other and sleep like brothers and sisters and that all happened at Venus, Sergio Osmenia. Yes, we were assigned at the Municipal Sergio Osmenia, and luckily I’ve been part of the Team MediSinai where I found my new family away from home, which composed of none other than: an Imam & food keen inspector Sulayman “Mans” Tahsin; a born competitive yet down to earth achiever sister Fatima Ayessa Erika “Ayeh” Ingkoh ; a small but terrible cute little sister Charlene “Chai” Valdez, a beauty queen & a Dora d’ explorer sister Christine “Tin” Juaton;  a strict ate & a KC Concepcion look alike sister Marie Kimberly Dorothy “Kim” Lim; a good dancer with a superpower memory Jayvalika “Jayva” Garcia; a gamer who is a typically Chinese boy brother Denzel Erick “Denz” Lim and of course this family won’t be that happier if I’m not there, how am I going to describe myself?… hmmmn,, maybe I’ll just live a blank space for you to describe me:______________________________________Aizhar “Zhar” Karay.

So far so good, my experience in our first community exposure was not that dramatic, but rather it was a super dramatic exposure for me, why? It’s because during that time I’ve been through a lot of difficulties, a lot of challenges wherein I doubt my capabilities for I failed all of my exams in our first semester. Even though how hard I’ve tried to convince myself that everything will be ok, there will always be that moment that you need to share what you really feel and what’s within your heart in order for you to cope up with it. Fortunately I have my MediSinai family who help me to overcome my sadness and supported me emotionally, so I stood up and accept the reality that all I need is to do my best and believe in every possibilities.

I’ve learned a lot of things while staying in our community, you can really see how simple life does the people have there in Sinai, how they live harmoniously even most of them do not have the luxury in life, they still remain contented in everything that they have. An also It really amaze me the beauty of nature here in Sinai, so refreshing and so relaxing, especially when you hear the humming of the birds, the sound of nature when the wind blows, and the beauty of the dark night with shining stars glimmering through my eyes. Like what I’ve said, I really appreciate the fact that our ADZU-SOM made this community exposure as part of our curriculum, for they gave us the opportunity to know how to live with the people, to be with the people and to serve the people in every simple way that we can be.

What I believe is that we are not here to change them, their cultures, traditions and practices, but we are here to empower them, to promote a Peaceful, Progressive and a Healthy way of living. Everything is possible if we work hand in hand, because we believe that the hope is coming, as we fly high, Team MediSinai.

-Aizhar Karay

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