Friday, November 18, 2016

       In 2011, barangay Goin had a Tuberculosis prevalence of 4 cases. In 2014, 1 TB case was present, while 3 showed presumptive signs and symptoms. 2 of these have sought consult. However, they were lost to follow-up. There was not active case finding in the community then.
      The team has constructed a community health plan on Tuberculosis Detection in 2014 and has now progressed to implementing active case findings in the barangay through the newly installed TB Task Force.

      Latest findings show an identified 14 TB presumptive cases. To encourage health-seeking behavior among this group, the TB Task Force was sent to conduct health teaching on TB in these households.

      These identified persons were also advised to submit their selves at the barangay health station for DSSM. Currently, 7 out of the 14 identified have tested negative for PTB.

      Although half of the suspected TB carriers tested negative, the second half are yet to submit their selves for DSSM testing. The high detection rate has proved that active case finding partnered with knowledge on PTB by the TB Task Force is effective and is will be urged to continue.

      Most recently, during the annual Clean and Green evaluation of the barangay, 23 households were noted to have a deficiency in toilet facilities. 11% or 23 households do not have a sanitary toilet facility while 4% or 9 households do not have toilet bowls.

      After a long-awaited process, Councilor Bihag has generously donated 10 sacks of cement to 10 households in the barangay. The cementing process of the toilet facilities is going underway and the deficient households have already made a promise to acquire toilet bowls from the LGU.

      On the team’s return next month, the households shall be re-evaluated on their toilet facilities. A puppetry presentation tackling on sanitary toilet facilities and practices shall be conducted in the elementary school along with the very important and universal hand washing tradition. 

      Previously on the High Incidence of Malnutrition episode in the barangay, the team has started the 120-days feeding program in the day care. A large-scale community garden was also constructed, and seedlings have been planted. The current status of the barangay is that 72% (143/199) of the households have their own backyard vegetable gardens.


      The most recent data collected revealed that 25% of children aged 0-71 months are malnourished. 8% are underweight, 17% are stunted, 1% are severely underweight, and 6% are severely stunted.

      This decrease in the incidence of malnutrition can be related to the previous activities and efforts of both the team and the mothers in the community. The community garden is now flourishing due to the continued maintenance and gardening of the mothers from the different clusters. A barangay tanod is also assigned to look over the garden once in a while. Vegetables are plentiful and are already available for harvest to be cooked at the day care

      Due to the frequent rainshowers this exposure, several vegetable crops died causing a decrease in vegetable produce for the day care. To reimburse the slight loss, the team decided on constructing a nursery vegetable plot in the team’s very own home backyard. Two plots were tilled, and several varieties of vegetable seedlings were planted for carefully monitored growth. When the crops start budding, they will be transferred to a pot and re-planted in the community garden. Should the weather conditions not favor the replanting however, the mothers, are invited to harvest the crops from the nursery backyard. Once in a while, mothers visit our homes to harvest the budding crops and re-plant them in their community garden or acquire seedlings for new planting.

      This exposure also brought about newer health teachings for the mothers at the day care, expecting mothers, and lactating mothers. A detailed health teaching on food groups (Carbohydrates, Proteins, and Fats) was conducted for the mothers of children studying at the day care.


         Expecting or pregnant mothers were also gathered at the barangay health station where they were given a health teaching on maternal nutrition and the importance of prenatal check-up.

      The same pregnant mothers – with the addition of postnatal mothers – were given a health teaching on maternal nutrition and exclusive breastfeeding.


      And finally, the men and women of the community were given a health teaching on Family Planning, discussing the importance of birth spacing, and the use of appropriate contraceptives, with thorough health information.
      Future activities in the barangay are as follows:
Ø  Conduct a “Value Meal” cooking contest with a limited budget of 50 pesos for mothers and primary care givers of identified malnourished children.
Ø  Conduct seminar on importance of iodized salt utilization.

Ø  Continue provision of varied vegetables generated from community garden.

      Continuing with the advocacy of promoting ecological solid waste management in the barangay, the team invited theMunicipal Sanitary Inspector to the barangay as resource speaker on ESWM. Mr. Ian Obina discussed with the 4Ps members RA 9003, waste segregation and composting.

      To evaluate the knowledge of the residents on ESWM, the team conducted a district-per-district evaluation on ESWM knowledge via metacards game and pamphlets. As of recent, districts 2, 3, 5, and 7 have been taught.


      The team went house to house to survey the presence of 3 trash bins, segregation practices, presence of compost pits, composting practices, and recycling practices. 

      The most recent evaluation shows that 52% of the total households practice proper segregation, 29% have compost pits and practice composting, 28% sell recyclables to junk shops, 52% store their recyclables at home for future use, and 2% utilize the materials recovery facility (MRF).

      For the next exposure, the team will continue its seminar workshop on segregation and composting in the remaining districts, enforce the need for compost pits in the households, collaborate with the barangay officials to conduct monthly ESWM practices monitoring, and collaborate with TESDA to initiate a recyclables livelihood workshop in the community.

            The case detection of hypertensives at Barangay Goin continues as Team GOINnovate returns for their 2nd exposure in their senior year in medical school. House-to-house visits for BP taking was done and identified hypertensives were recruited to be seen by the Municipal Health Officer for check-up and medication dispensing.

            The team has also taken the opportunity to enforce awareness on Hypertension and medication compliance during the barangay’s monthly Senior Citizen meeting.

            As of recent, the masterlist of diagnosed and managed hypertensives have increased to 35 patients and medication dispensing is well-managed by the NDP at the BHS.
            The team has also continued its tradition of exercising through dance routines and volleyball games with the barangay residents at the barangay covered court every Mondays, Wednesdays, and Fridays.

      Future activities are as follows:
Ø  Update of hypertension masterlist via mass BP taking
Ø  Update the roles and responsibilities of the hypertension patrol to the health center and the community as a whole
Ø  Establishment of a blood pressure monitoring station per district.
Update of the BP monitoring card.

       The pressing issue of safe drinking water practices in the barangay has been given detailed attention during this exposure. Project leader, Doc Ralph has taken the initiative of introducing ceramic water filters, chlorine, and water bottles to the residents as different methods of water treatment.

      In collaboration with the barangay council, the team was able to conduct a 24-hour water blackout in the barangay to initiate the chlorination of the barangay’s 3 main water sources. The water source blackout began at 5PM during which chlorine was added in the water sources and allowed to settle for 24 hours. After 24 hours, chlorine level was measured to determine if the water is chlorinated enough for safe drinking. The water source needs to acquire a 1.0-1.5 chlorine level through chlorine test kit to be safe for drinking purposes.


      Households who were interested in other methods of water treatment were given the opportunity to put the ceramic water filters (donated by DOST-IX), hyposol (purchased from Long Live Pharma), and SODIS bottles (containers were donated by friends and classmates) on trial. 50 households volunteered to try each method and gave their feedbacks. So far, majority of the respondents verbalized their preference for the ceramic water filters over the other two because of it being easy to utilize and did not carry a slight after-taste in the water.

      Latest evaluation for the community’s CHP on Potable Drinking Water Supply are as follows:
Ø  50/50 households who collect their drinking water from unprotected water sources practice proper water treatment method and safe storage of drinking water;
Ø  15% (30/199) household utilized purified drinking water;
Ø  45% (89/199) households who collect from main water source already have access to safe drinking water.

Ø  40% (80/199) households practice safe storage of drinking water.  

Saturday, September 3, 2016

            The last exposure left Barangay Goin with several unfinished business on its SWM program. The barangay was able to implement the labeling of trash bins in one district alone, a plan for the community Materials Recovery Facility was underway, and health teaching on the 3 R’s had only begun.
            On return from their hiatus, the team was able to notice several new additions in the community, including one particular object that was not present before: the community’s very own MRF. True to their promise, the barangay council was able to procure materials for the construction of a sturdy and appropriate MRF.

            With the municipal-wide Clean and Green evaluation for Barangay Goin fast approaching, the community was seen to be busier than ever. Residents were seen to be cleaning their yards, the health center had its first general cleaning for its official opening on the day of the evaluation, and the elementary school faculty and students were seen to be preparing decorations for the stage where the feedback program shall be held.
            On July 22, the municipal sanitary team and other collaborated agencies visited the barangay and dispersed to the different districts to inspect each and every household.

            When the evaluation finally finished, the sanitary team, barangay officials, elementary school faculty, and Team GOINnovate convened at the elementary school covered court for the feedback program spearheaded by the overall head of Clean and Green Program, Mr. Marlon Caingcoy, and Sanitary Inspector, Mr. Ian Obina.

            Extreme praise was given to Barangay Goin for this year’s Clean and Green evaluation. The evaluators expressed their admiration for the astonishing improvement of the barangay’s sanitation practices. Although falling short in the availability of trash bins in a few households, the development in SWM was clearly noticeable and very well deserved recognition. An even greater praise was awarded to the elementary school for its impressive SWM practices, school MRF, and school vegetable garden which were organized by the school’s Grade 6 adviser, Mrs. Josephine Amora.

            In celebration of Buwan ng Wika, SWM project leaders Doc Rox and Doc Louise arranged a Tagalog role-play containing elements of SWM education for the students of the elementary school. With the help of the school principal and school SWM head, Mrs. Amora, a free afternoon was provided for the SWM play.
            Immediately following the meeting, Team GOINnovate began their preparation for the play. Props were made from simple cartolinas; drawn and colored by creative members, Leo and Nat, and cut and pieced together by the less creative yet still reliable other members. J
[pics of preparation]
            Weeks prior to the set date of the play, the team already collected and washed pieces of plastics, cans, and bottles that would serve as “basura” props.

            Members of the team also practiced for the play, delegating roles as children, trees, monster, residents, mayor, and other flexible roles, and memorizing each role’s lines.
            Though already in their twenties, the team members were nervous for their first ever role play as a group with an audience of attentive school-aged children. Finally, the day has arrived. The team performed the Filipino comic book story, Basura Monster. The roles were as follows: Basura Monster – Doc Leo, Buboy – Doc Nat, Anna – Doc Ruby, Mayor – Doc Ralph, Townspeople/Trees – Doc Apple, Doc Nikki, and Doc Louise, and Narrator – Doc Rox.

            Post-performance, the students were asked questions regarding the play: where to throw a particular type of trash, why we need to properly segregate, and who their favorite character was. (No one favored the Mayor, sadly.) The students answered correctly as expected of the school with the best SWM system in the municipality! Despite several of the lines having spontaneous adlibs, some scenes losing the appropriate number of paper dead fishes, and moments when the Basura Monster just had to breathe from his suffocating head prop, the play was an inter-section success and must have deserved an Oscar award for Best Indie Play by Barrio Doctors. (Thank you very much!)
            Due to the shortness of the play, the team had more time to spend with the students and was invited by the faculty to perform a dance exercise with the children in the covered court. Everyone obliged, and the team headed the dance in yet another stage.
            The final activity for the SWM CHP during this first exposure was the resumption of the trash bin labeling in the remaining districts. Previously, all district 5 households had their own trash bins and were appropriately labeled. This was commended by the Clean and Green Committee during the barangay evaluation.
            The placards were provided by the barangay and painted by Team GOINnovate. A total of 25 placards were painted with the labels: Malata, Di-Malata, and Recyclable. These were subsequently handed on to district 4’s councilor for distribution to households with trash bins.

            On August 19, the medical students were invited as guests to the opening of Araw ng Liloy at the Municipal Hall where the Clean and Green competition results were announced. Last year, Barangay Goin, only placed 31st among 37 barangays. After the implementation of several SWM activities, Barangay Goin rocketed to ___ place in the Clean and Green evaluation. Although not within the Top 10, this was a big achievement for the community and was definitely taken with pride. Most surprising was that Barangay Goin Elementary School was awarded for the first place of Cleanest and Greenest Elementary School in the municipality! The award was received by the school prinicipal, Mr. Victor Gamil.

            It was with great pride that Goin was recognized to have improved. Though not yet as better as the rest, we are almost certain that someday, someday it won’t just be better – it will definitely be the best.

            Last exposure, Malnutrition Community Health Plan project leaders Doc Nikki and Doc Ruby were able to spearhead a successful cooking demonstration using the team’s original recipe: Squash Patty. The idea of utilizing a nutrient-rich and obtainable ingredient for children’s healthy meals garnered several praise form the residents of Goin.
            However, several poor families are still unable to acquire certain vegetables due to unavailability of vegetable seeds. Several children are still underweight, do not receive sufficient nutrients necessary for growth, and rely heavily on rice and small pieces of dried fish for daily consumption.
The need for a source of vegetable produce for these children was brought up during a barangay council meeting. The council has generously offered a plot of land near the health center where a community garden can be made. The owner of the plot volunteered to prepare the land and till the soil.
 During a Family Development Session last August 10, Members of the Pantawid Program present were persuaded to join in the making of a community garden where vegetables can be planted and harvested thereafter for the consumption of children in the daycare center. The garden consisted of 5 plots and was divided among 5 Pantawid clusters: Clusters 1, 2, 3, 4, and IPs.
The day following the meeting, cluster members were seen bringing water cans and gardening tools. Fences were built out of bamboo around the garden plots, members of each clusters began tilling the soil and planting the seeds donated by Team GOINnovate. Various vegetable seeds were planted like, carrots, bell peppers, radishes, cabbage, tomatoes, and many others.
The dedication of the residents was astonishing. Even other clusters that lacked manpower received help from other cluster members. The planting of seeds only took less than 5 hours to complete and individual members were observed to be watering the garden in the mornings that followed. The team was able to see enthusiasm, solidarity, willpower, and commitment in the eyes of every resident then.

With the completion of the community garden came the commencement of the Feeding Program of the Daycare center on August 15. The medical team continued its collaboration with the Pantawid Program members. However, not much was done by the medical team due partly because of the impressive initiative of the 4Ps members. They, themselves have come up with groupings and schedules with regards to cooking duties and recipes.

The enthusiasm and commitment of the residents impressed the team so much that it did not take long for them to leave the residents to their own devices. Then and there, it was declared that an improvement on the children’s nutritional status would certainly be discerned at the end of 120 days and longer even after the first or second harvest of the community garden vegetables.


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