rural community report january to april 2014 melissa claire l. masaluñga md pamela anne c. mondejar...
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Rural Community ReportJanuary to April 2014
Melissa Claire L. Masaluñga MDPamela Anne C. Mondejar MDJavier Regner H. Saniano MD
UP-CHDPUniversity of the Philippines Community Health and Development Program
A partnership between the University and the Local Government and people of the municipality where planning,implementation, monitoring and evaluation are done with the active participation of the community.
UP-CHDP2007• UP BOR approved creation of UP Manila
Community Health and Development Program
• Identified a common site for immersion of students from different UP colleges
• Formed a partnership with the Municipality of San Juan, Batangas
2013 • MOA with San Juan, Batangas ended• MOA with AMIGA Interlocal Health Zone was
signed
TimelineFebruary 2013
Signing of the Memorandum of Agreement between the AMIGA Interlocal Health Zone, the Provincial Government of Cavite and UP Manila.
TimelineMarch 2013
AMIGA Orientation wherein the community was introduced to possible community programs assisted by the UP-CHDP.
TimelineMarch-July 2013
Problem Identification in selected barangays through focused group discussions and barangay assemblies based on the 6 building blocks for health.
TimelineJuly 18, 2013• Presentation and validation of data collected
from April to July.• Identification of AMIGA-wide program focus
for the AMIGA-UP Partnership.
TimelineJuly to October 2013• Problem tree analysis from data collected
from FGD’s from March to July 2013.
Fiji, T. Health Systems Thinking. 2013.
TimelineNovember to December 2013• Selection of Focus Barangays
Alfonso Mendez IndangGeneral Emilio
AguinaldoAmadeo
SulsuginLuksuhinPalumlumKaysuyo
Palocpoc I&IIPanungyan I&IIAnuling Cerca I&IIAnuling Lejos I&II
Banaba cercaTambo malakiGuyam malakiHarasan
Poblacion I-IVKaypaabaLumipaCastanos Cerca
DagatanPangilTalonPoblacion 5
TimelineJanuary to April 2014• Establishing Rapport with Focus Barangays• Identification of Key Leaders• Household Census
TimelineJanuary to April 2014• Community Readiness Assessment of Focus
Barangays• Interprofessional Education Program
Organizational StructureDr. Elizabeth R. Paterno
CHDP Director
Dr. Louricha Opina-TanAlfonso
Dr. Geohari HamoyMendez
Dr. Florinda U. CanutoIndang
Dr. Anthony Cordero
G. E. Aguinaldo
Dr. Zorayda LeopandoAmadeo
Rhosien Mae Garma
Jonnalyn Aguilar Manilyn Prudente-Espejo
Objectives
1. To provide learning opportunities for both the faculty and students of the University of the Philippines in the principles and practice of community health and development (LEARNING)
Objectives
2. To assist communities attain increasing capacities in their own health care and development through the Primary Health Care approach (SERVICE & RESEARCH)
TOP CAUSES OF MORBIDITY in AMIGA
Alfonso Mendez Indang Gen Aguinaldo AmadeoURTIANPATPHTNUTIAGE
WoundsDMBA
Allergy
URTIFever of unknown origin
Abdominal PainOther Non infective
Gastroenteritis & ColitisOther Disorder of
Urinary SystemCough
DizzinessRash & other
nonspecific skin eruption
Certain early complications of
Trauma, not elsewhere classifiedDorsalgia
Common ColdsSkin Diseases
UTIAcute Respiratory
Tract Infection Hypertension
Bronchial Asthma GI Disorders
Diarrhea Tension Headache
Arthritis
Common ColdsAcute Tonsillitis
UTIInfected Wounds
PneumoniaAllergic Contact
Dermatitis Hypertension
BronchitisDiarrheaGastritis
HTNWound
URTIOA
Skin diseases UTI
AGE
TOP CAUSES OF MORTALITY in AMIGA
Alfonso Mendez Indang Gen Aguinaldo AmadeoAcute Myocardial
InfarctionCancer
Cerebrovascular Accident
PneumoniaDiabetes Mellitus
Renal FailureCongestive Heart
FailureElectrolyte Imbalance
secondary to Senile Debility
Vehicular AccidentChronic Obstructive Pulmonary Disease
CancerAcute MI
COPDCHF and other
complications of heart diseases
PneumoniaCVA
Diabetes MellitusChronic Renal
FailureUnspecified severe
protein-calorie malnutrition
Fetal death of unspecified causes
Acute MI CVA
Degenerative disease
Diabetes MellitusCHF
Cancer Pneumonia
Kidney diseasesPulmonary TB
Shock
Acute MICancer
CVA Accidents, gunshot wounds, drowning
Renal DiseasePneumonia
COPDDiabetes Mellitus
with complicationsSepticemia
Bronchial Asthma
CVACancer
Pneumonia Acute MIGunshot wound
Diabetes and Hypertension Program
• Non-Communicable Diseases ranked number 4 on the top 5 perceived health problems of AMIGA.
• Hypertension and Diabetes Mellitus
Diabetes and Hypertension Program
• Increase the proportion of controlled HPN & DM by 25% in selected barangays in 5 years.
• Not more than 25% of pre-HPN and those with risk factors will develop the disease in 5 years (Primary Prevention Goal).
I. Community Readiness Assessment
Component Programs
Process For Using the Community
Readiness Model
Identify Your Issue
Define “Community”
Conduct Key Informant Interviews
Score to Determine Readiness Level
Develop Strategies / Conduct
Workshops
COMMUNITY CHANGE!
Component ProgramsII. Inter-Professional Education Program
Students and professionals fromdifferent colleges work towardsa patient’s health care andgoals.
Family Medicine
Nursing
Medicine
Pharma
Dentistry
Public Health
Social Work
Derma
Pedia
CAMP
Patientand
Family
Thank You...