LOW TB CASE DETECTION RATE

            Lastly, in our fight to decrease the incidence of Tuberculosis cases in the community, the team continued their active case finding with the help of the TB Patrollers, and were able to identify 14 TB presumptive cases. These individuals submitted themselves for DSSM, Nine tested negative for PTB and were prescribed with antibiotics. One individual resulted positive for AFB on DSSM and has started taking anti-TB medication. He is currently on maintenance phase.

           

           To further ensure that the cases of TB in the community won’t increase, TB patrollers continue to conduct their house-to-house health teaching on TB. Additionally, a health information corner and bulletin board was installed at the center of the barangay. This bulletin board will contain posters and other infographics on health issues and methods to for a healthier community lifestyle.

                            

The team will continue its active case finding and health teaching in the community until disengagement. Ultimately, repetitive actions will become a norm and will improve the residents’ health-seeking behaviors.

          The team would like to thank the community of Goin, the officials of the LGU of Liloy, the Ateneo de Zamboanga University – School of Medicine, everybody who supported them throughout the year 2016. From hospital clerkship to community clerkship, we have received a tremendous amount of love and support for our advocacy.

          We have had a very challenging and also fulfilling year. For this, we thank each and every one of you, and we pray and hope for double the blessings to be showered upon everybody who has been part of our journey.

          From Team GOINnovate to you: a very Merry belated Christmas and Happy New Year!!!

                                

          

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UNSANITARY TOILET FACILITY

                  

        
              The recent months have seen a great progress in the health plan on toilet facilities. Several activities have been accomplished in the school and household levels.

            As part of promoting the use of sanitary toilet facilities and personal hygiene, a Puppetry presentation was conducted for the elementary school students. This was spearheaded by project leader Dr. Leo Siaotong. Dr. Leo was able to seek the assistance of Mr. Kiko Miranda to train the elementary school teachers on how to perform theater for a young audience.

                    

            The elementary school teachers were each given scripts and roles for the play and had practice sessions with Dr. Leo to better prepare for the actual day of presentation.

          

            The puppets were made and enhanced by the team’s gifted artist, Dr Leo, himself.

                               

            On the day of the presentation, all elementary students were assessed for their handwashing practices prior to eating. Team members in the guise of sentinel observers, took note of each student’s handwashing practices. After which, the puppetry show was performed. All students watched in excitement.

       

            The puppetry show was a success. 80% of the students were present and were able to learned the importance of proper hygiene.

            At the barangay level, the community was finally able to acquire a total of 19 toilet bowls from the LGU through the help of Sanitary Inspector Mr. Ian Obina.

            15 Sanitary toilet facilities were constructed in the barangay (15 cements and 5 toilet bowls). In total, 191/199 households have sanitary toilet facilities, with only 8 more households left.

          

             On the last exposure, the team plans to complete the construction of sanitary toilet facilities in the remaining households, and to perform a handwashing demonstration for the elementary school students with evaluation of handwashing practices post-intervention.

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IMPROPER ECOLOGICAL SOLID WASTE MANAGEMENT

                              

                               

            Barangay Goin maintains its pride in raising their standards for a cleaner and greener barangay. The community remains, compliant to the importance of practicing proper ecological solid waste management, in the school, home, and barangay levels, as evidenced by a rise in statistics.

The Seminar Workshop on Waste Segregation, Recycling, and Composting has finally covered all the remaining districts. Pamphlets on Household ESWM by DENR-EMB has also been distributed to all households.

                

Following each seminar workshop, labels of “Malata, Di-Malata, Recyclable” for household trash bins were distributed to each household representative.

In total, barangay Goin has improved its ESWM practices since 2014. Currently, 61% (122/199) households practice proper segregation, 38% (75/199) households practice composting, and 91% (181/199) households practice recycling.

As the CHP nears to a close, the remaining activities that are to be done in the last exposure are assisting in the creation of compost pits in the districts and households, trash recycling livelihood workshop by TESDA, monthly monitoring of ESWM practices, and disengagement.

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HIGH INCIDENCE OF UNMANAGED HYPERTENSION

                              

The incidence of unmanaged hypertension in the community of Goin is declining as several more are diagnosed and given antihypertensive medication. This decline is attributed to the team’s active case finding of hypertensives with the assistance of the hypertensive patrol group which influences the residents to submit themselves regularly for BP monitoring.

            Currently, 8 residents are scheduled for check-up with Dr. Digamon to be diagnosed and prescribed with medication.

            An additional 2 diagnosed hypertensive individuals have been added in the masterlist. In total, 37 individuals have been diagnosed and have managed hypertension. To promote healthy lifestyle, the team continues their regular dance exercise routine with the residents at the barangay covered court. Volleyball or Basketball games are also done afterwards with the more sports-inclined residents.

                             

           Finally, the hypertension patrollers have mobilized and started regularly checking hypertensive residents’ BPs for monitoring, they also constantly remind the residents to adhere to a healthy lifestyle; eat healthily, and perform regular exercises to control blood pressure.

        

         For their last exposure, the team plans to bring the last batch of presumed hypertensive residents at the RHU for check-up, establish a blood pressure monitoring station per district, update the BP monitoring cards of hypertensive residents, finalize the hypertensive masterlist of Barangay Goin.

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HIGH INCIDENCE OF MALNUTRITION

            When water is secured for survival, man can start gathering food for daily consumption. Food ensures that the body is able to take the necessary nutrients it need for proper bodily functioning. This is most essential in growing children between the ages 0-5 years.

            The biggest activities in the community health problem of Malnutrition happened in the months of November and December. A seminar on the importance of iodized salt was conducted by project leader Dr. Ruby Tingkahan. The seminar emphasized on the benefits of iodized salt on the human body from the womb and until growing up, and it’s preventive effects for thyroid diseases.

A 7-day activity with mothers and/or primary caregivers was conducted at the barangay health center. The mothers discussed 7 different recipes provided by mothers with well-nourished children. These recipes will serve as the main dishes for the upcoming 8-day feeding program for children aged 6-71 months old at the Day Care Center. Both these activities were conducted in collaboration with Dr. Lourdes De Villa of Barangay Goaw for her research on Feeding Practices.

                

Apart from the main community garden and individual household backyard vegetable gardens, a second community garden was constructed near the house of the Team for more vegetable availability for the community. The community residents can now harvest at the second community garden for more delicate and healthier vegetables. In total, there are currently 2 large-scale vegetable gardens for the community, and 84% or 167 out of 199 households now have backyard vegetable gardens.

  

          

On the most recent Garantisadong Pambata weighing the following data were accumulated:

       ü   23% were identified as malnourished children from the ages 0-71 months.

       ü   7% (7/107) children are underweight

       ü   14% (15/107) children are stunted

       ü   1% (1/107) children are severely underweight

       ü   6% (6/107) children are severely stunted.

       

The team has seen a great big improvement in the nourishment status among the children as compared to the past. These big changes have contributed greatly to the accomplishment of the community health plan.

In the culminating months that will follow, the 120-day feeding program for the malnourished children will continue. A cooking contest to create a 50-pesos budgeted “Value Meal” will also be conducted. These meals will be judged according to 3 criteria: Sakto (Affordability), Sarap (Palatability), and Sustansya (Nutritious). Watch out for these upcoming events!

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LACK OF ACCESS TO POTABLE DRINKING WATER SUPPLY

         

       It has been a no-brainer that water is primarily the most important thing needed for survival. That’s why, Water remains as the most essential and primary CHP of the community.

Last exposure, the team started the distribution of different water treatment apparatuses to select households. More of these treatment methods were distributed to households that collect their drinking water from unprotected sources during a seminar on Safe Storage of Drinking Water by guest speakers from the Department of Science and Technology conducted at the barangay covered court.

As a result, 50 out of the 50 households that collect drinking water from unprotected water sources practice proper water treatment methods and safe storage of drinking water.

Re-chlorination of main water sources was also done as per monthly schedule.

And a Barangay Resolution for Monthly Chlorination of Water Sources has been raised and approved by the barangay council.

In the last 3 months of the team’s exposure, the team intends to check on the final drafting of the barangay resolution for regular chlorination of main water sources, and re-testing of the 3 main water sources of the barangay to ensure the effectiveness of the chlorination.

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High Prevalence of Tuberculosis

       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.

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Unsanitary Toilet Facility

      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. 

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High Incidence of Malnutrition

      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.

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Ecological Solid Waste Management

      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.

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