What’s the Hype on Hypertension?

27939115_10208655266737426_732721344_n

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.

27496442_10208600455687184_1605050270_n

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

 

Advertisements
Tagged , ,

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%.

27989869_10208655266617423_728347883_o

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.

swm2

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.

swm9

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.

swm6

–tahsin

Tagged

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.

SAM_2600.JPG

  • 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

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.

Continue reading

Tagged ,

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.

BP

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

health education

We conducted a health teaching on vices during the Senior citizens’ meeting as  well.
Zumba

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.

received_10209225689623646

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.

received_647516518787579

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

Tagged , , , , , , , , ,

Significance and Purpose

img_4512

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.”

20161128_122758.jpg-Jayva

Tagged , , , , ,
Advertisements