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.

Hypertension
            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.  

Vision

A disease free community with a healthy environment.

Mission

Our mission is to generate empowered residents of the community with access to inter-sectoral institutions, capable of rendering effective decisions.

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