UPV Theses and Dissertations
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Item International remittances on health expenditures of Filipino householdsBraña, Juan Gabriel P.; Ramirez, Michael Benjamin S. (Division of Social Sciences, College of Arts and Sciences, University of the Philippines Visayas, 2024-06)International remittances have become a substantial source of income for recipient households, which are utilized to finance different household expenditures such as consumption expenditures and investments. Previous studies in other countries have determined the impacts of international remittance on households' different expenditure types, but studies on its effect on health expenditures are limited. This study analyzed the marginal effects of international remittances on Filipino households’ health expenditure and its types - medical products, outpatient medical services, and hospital in-patient services, utilizing the 2018 Family and Income Expenditure Survey of the Philippine Statistics Authority. Using the ordinary least squares regression method, the researchers find a positive significant effect of international remittances on household health expenditure and its types. A one PHP increase in international remittances significantly increases the total medical care of a household by 0.026 PHP, the medical products expenditure of a household by 0.014 PHP, the outpatient medical services expenditure of a household by 0.005 PHP, and the hospital in-patient services expenditure of a household by 0.007 PHP. However, the effects of international remittances on Filipino households' health expenditures vary across regions.Item Lived experiences of Ilonggo informal caregivers providing home care to COVID-19 patientsBolinas, Nicole Marie M.; Alagos, Yziel Gale B. (Division of Social Sciences, College of Arts and Sciences, University of the Philippines Visayas, 2022-05)This is a phenomenological study that sought to examine the lived experiences of informal caregivers providing home care to COVID-19 patients. Using Interpretative Phenomenological Analysis (IPA), five (5) Ilonggo informal caregivers who provided home care to COVID-19-positive household members participated in in-depth interviews. Results showed that home care during the pandemic involved additional protective measures and minimal contact with patients. While facing uncertainties without proper training and knowledge on caregiving much more on COVID-19, informal caregivers had to research and seek help from other experts. They also provided physical assistance in routine daily living activities as well as social and emotional support both to patients and other household members. The experience further warranted adjustments on their time management and emotional strength as the added responsibility of home care on top of work and studies had resulted in feelings of frustration and exhaustion. In spite of these challenges, being hands-on in providing care, social support from other family members, and hopefulness of patient recovery facilitated their experience. Informal caregivers then view and understand their experience as an accomplishment, a form of reciprocation to their family members who cared and provided for them, and as a part of their filial responsibility. Active institutional support is therefore recommended in order to ensure their physical and psychological health and well-being.Item Impacts of DOH-led policy shifts on health workers and Iloilo public hospitals' management at the time of COVID-19Bauso, Christopher Mark C.; Dayata, Audrey Eurielle G.; Niñeza, Tristan L.; Zaldarriaga, Trisha I. (Division of Social Sciences, College of Arts and Sciences, University of the Philippines Visayas, 2023-07)This study explored the actual policy shifts in public hospitals in Iloilo Province during the first six months of the COVID-19 pandemic, from January to June 2020. The study looked into how the implementation of the DOH-crafted policies impacted healthcare delivery, the health workforce, and response to the care-seeking behavior of the patients. Key informant interviews (KII) and semi-structured interviews were employed among the hospital management and the frontline workers of Rep. Pedro G. Trono Memorial Hospital and DOH-retained Western Visayas Sanitarium and General Hospital to gather data for the study. The KJI were participated in by the hospital chiefs and the IPC heads. Meanwhile, doctors, nurses, medical technologists, admitting clerks, and non-medical health workers were respondents of semi-structured interviews to determine the impacts of the new policies. Conforming to the available literature on pandemic response, this study revealed that optimal conditions were not readily achieved in the public hospitals under this study, mainly due to lack of resources to materialize the DOH-mandated changes. The policies were not fit to the current structure and service capacity of the hospitals and health workers carried the burden of ensuring adequate delivery of care. We discovered that health workers were exhaustively working despite the lack of government support in terms of benefits, compensation, and hazard pays. Furthermore, health workers encountered difficulties in rendering immediate care to patients who initially avoided hospital care resulting in an increased number of recorded ER deaths. Overall, we observed that the hospitals were able to keep up with the policy shifts through exploring feasible alternatives. However, DOH-retained institutions garner more favorable outcomes than public district hospitals since resources were directly transferred to them from the DOH Regional Office. Crafting context-specific policies addressing public health crises is recommended following the results of this study.Item Syncretization of modern and indigenous health knowledge and practices of the Tumandoks of Barangay Igpaho, Tubungan, Iloilo and its implications to community healthAusmolo, Carlyn Grace P.; Magluyan, Jan Andrew T. (Division of Social Sciences, College of Arts and Sciences, University of the Philippines Visayas, 2023-07)Indigenous peoples (IP) in the Philippines are identified as among the poor and marginalized sectors. Health and nutrition problems continue to persist in their communities due to lack or absence of access to good healthcare systems caused by their disenfranchised situation. Literatures that discuss the health practices of IP groups in the Philippines, particularly in Panay Island, are limited and less popular. As an attempt to enrich the existing literatures on IP life, this study explored the indigenous and modern health systems and practices, including their syncretic characteristics that could draw out implications for community health of die Tumandoks of Barangay Igpaho, Tubungan, Iloilo. Case study analysis and methods were employed in this study which included key-informant interview and focus-group discussion. Nine community healers and tliree Barangay Health Workers (BHWs) were interviewed while eight Tumandoks participated in the FGD. This study documented four indigenous health practices: panghdof, pag-ubra, panghanggab, and pamulong herbal. The Tumandoks ’ knowledge on phytotherapy and the oral narrative of Tanyong Mangdaw were also noted in the study. The modern health practices identified were taking of medicine, going to a physician, getting vaccines, and accessing other health services at the MLGU. The identified syncretic characteristics implied that the lack of modern healthcare services in the community contributes to the endurance of indigenous health practices and knowledge of the Tumandoks of Igpaho. However, this also has detrimental effects to community health such as the prevalence of malnutrition and teenage pregnancy.