UPV Theses and Dissertations
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Item Association of topography and demographic & socioeconomic characteristics to the compliance of mothers to reproductive health services in Maasin, IloiloAzarraga, Alyssa Faye N.; Brazas, Jodelyn M.; Bordon, Jenn Margarette B.; Dofitas, Adrian Bernard A.; Gadong, Joshua Vincent Y.; Matinong, Kathleen Erica D.; Paguidopon, Cyril L.; Tabanar, Bianca Ysobel S.; Tantuan, Liza Beth F.; Temelo, Jason Andrei C.; Ynzon, Samuel P. (Division of Biological Sciences, College of Arts and Sciences, University of the Philippines Visayas, 2017-06)Reproductive health is a state of complete physical, mental and social well-being in all matters relating to reproductive functions and processes. This study was conducted in the 50 barangays of Maasin, Iloilo with the purpose of determining if factors such as topography (highland or lowland) and demographic & socioeconomic characteristics (age, parity, highest educational attainment, occupation, and household asset index) have significant association with the utilization of reproductive health services such as prenatal care, family planning and delivery care. A total of 356 mothers (160 from lowland barangays and 196 from highland barangays) from the municipality were interviewed using a survey questionnaire. Statistical tools such as Chi-square, Fisher’s Exact Test, T-test and logistic regression were used to analyze the data. Using the results from the surveys, it was found that majority of the mothers from highland barangays had 6 or more children, low educational attainment, and low household asset index. Only educational attainment was known to be significantly associated (p-0.003) with compliance to prenatal care services. Parity was the only factor that was significantly associated (p=0.036) with compliance to family planning services. For delivery care services, age (p=0.047), parity (p=0.001), educational attainment (p=0.002) and occupation (p=0.003) were found to have significant association with topography, because mothers (31-49 years old) who are from highland barangays, who are unemployed, with low educational attainment and who have 6 or more children are more likely to deliver through non-facility based service. Results of this study showed that the rural health unit of Maasin has achieved a good coverage of prenatal care and family planning services since the values were not found to be statistically significant between highland and lowland barangays. However, the RHU still needs to restructure their projects to cater those mothers in highland barangays who still opt for non-facility based deliveries as it is statistically significant when in relation to topography.Item Project NINK: Ngiping Inaalagaan para sa Nakangiting KinabukasanAraneta, Francine Nicole M.; Bebita, Valerie Anne N.; Endoma, Vivienne F.; Estanda, Marvyn Kerziel A.; Gupeteo, Mary Pauline Kriszl E.; Lebosada, Billy John F.; Magsipoc, Karla Mae B.; Pabello, Kimberly T.; Samoro, Karmela Marie G.; Villaruel, Rigel Kent Q. (Division of Biological Sciences, College of Arts and Sciences, University of the Philippines Visayas, 2016-05)Dental caries, also known as cavities or tooth decay, is one of the most prevalent diseases of people worldwide which can start as early as during childhood affecting the primary teeth of children. It is mostly caused by lifestyle-related factors such as poor oral hygiene, lack of dental services, poor habit in brushing teeth and poverty (Ismail et. al. 2007). Iloilo has a high number of dental problems that affect school-aged children. Toothache from dental caries is one of the major causes of absenteeism in elementary schools (Araojo, 2003). The Project Nink aimed to reduce the incidence of dental caries by 80% among school-aged children of Barangay Buenavista Elementary School, Tubungan, Iloilo. A pre-dental check-up, conducted before project implementation found that out of 134 students examined, 125 had dental caries, translating to 9 out of 10 students. For the team to address the existing neglected problem, objectives were set to aid in the project implementation. A reliable and self-sustaining core group was formed for the maintenance and sustainability of the project. To address the insufficient knowledge of the children and community members regarding oral health, a series of health lectures were conducted. Topics for the lectures included basics of the teeth, how cavities form, other diseases that may arise from dental caries, and the like. Training courses for the teachers, health workers and midwife were also conducted by the researchers. Incentives were given out during the lectures and proper educational materials were provided as well. A tooth-brushing sink was constructed together with the teachers, parents, community members and the children, to aid in changing the tooth brushing habits of the children. Dental kits were distributed per child and also for families to aid the child in practicing proper oral hygiene. The children’s post-test results showed that the knowledge regarding oral health increased by 27.54% from their pre-test which was a statistical significant difference. A statistical significant difference (t(41)= - 8.882, p < 0.0005) was also shown in the post-test and pre-test results of the community members which had an increase of 29%. A post dental check-up was conducted to assess the effect of the project, and it was found that the mean prevalence rate of dental carries in the temporary teeth ot student respondents was successfully decreased by 18.4% from 22.73% to 18.55% (dmf index) since pre-project, and therefore, effectively reduced the incidence rate by 100% with 0 new cases. For the permanent teeth (DMF index), there was a 19.75% decrease in prevalence rate and a 100% reduction in the incidence rate with no new cases identified.Item Analysis and assessment of the performance of the Municipal Leadership and Governance Program (MLGP) partner municipalities in improving health outcomesAraneta, Francine Nicole M.; Bebita, Valerie Anne N.; Endoma, Vivienne F.; Estanda, Marvyn Kerziel A.; Gupeteo, Mary Pauline Kriszl E.; Lebosada , Billy John F.; Magsipoc, Karla Mae B.; Pabello, Kimberly T.; Samoro, Karmela Marie G.; Villaruel, Rigel Kent Q. (2016-05)The Zuellig Family Foundation through the Municipal Leadership and Governance Program (MLGP) aims to bridge the gap between the Filipinos and the promise of universal health care through the local health managers. They developed a local health scheme with focus on the World Health Organization’s six building blocks of health system so the country can achieve the Millennium Development Goals on health by 2015. However, there are still no available methods that can measure the success of health programs such as the MLGP. In order to address this issue, the researchers proposed to quantify and assess the health outcomes and the municipality performance. Heath outcomes are represented using secondary data provided by the MLGP municipalities on the performance indicators for MDGs for health. Municipality performance is quantified using a scoring system developed by the researchers based on the performance indicators assigned by the ZFF for each WHO building-block and significant improvement in municipality performance was found. The health data was analyzed by comparing the medians of yearly data using non- parametric/distribution-free sign tests. Among the health indicators with complete data for all 28 municipalities, significant difference in health outcomes was found in the data proportions of ratio of facility-based deliveries (FBD), ratio of births attended by births attended by skilled personnel (SBA), contraceptive prevalence rate (CPR), and proportion of fully immunized children (FIC). Maternal and infant mortality ratio, under-five mortality rates and malnutrition rate did not show any significant difference within the two-year intervention time span. Ratio of facility-based deliveries and ratio of births attended by skilled personnel showed significant positive correlations with health financing, health service delivery, and total performance indicators. There is also a significant positive correlation between CPR and leadership and governance, health financing, health human resource, access to medicine and technology, health service delivery and total performance indicators. However, it is interesting to note that the data on fully immunized children showed significant but negative correlations with leadership and governance performance indicators.Item Project bakunanays: Bakuna ng kabataan ugaliin nang anak ay 'di sakitinAcebuque, Jason Clement S.; Cuachon, Anna Nicole O.; Deala, Cari Laurence L.; Esmenos, Arian Claudine F.; Galupo, Bealou Patrishe D.; Jubelag, Carmelli S.; Legayada, Precious Jemimah D.; Namuag, Maulene Mae J.; Palmon, Gladys A.; Salvador, June Luis C.; Sampani, Gian Justin P.; Tolentino, Jimel V. (Division of Biological Sciences, College of Arts and Sciences, University of the Philippines Visayas, 2017-06)Based on the 2016 accomplishment report of the Iloilo Provincial Health Office (PHO) for School-Based Immunization (SBI), the municipality of Pavia performed 50.9% and 84.4% for Measles-Rubella (MR) and Tetanus-diphtheria (Td), respectively. After reviewing the health record of the Municipal Health Office of Pavia, it was found that Ungka II Elementary School had the least compliance. This project aimed to reduce the high refusal rate in MR and Td vaccines from 32.0% to 0- 10.0% among children in the barangay by the end of the field practice. To attain the goal of the project, the following strategic components were implemented: formation of a core group called ImmuniTeam, age-appropriate health education through Wastong BakUNAWA sessions, and promotive and up-to-date immunization campaigns. In addition, a mobile ImmuniStation was constructed and ImmuniStar charts were utilized during the BAKULILITS sessions with the children. The results of the pre-test showed that the mean percentage scores of the children before the intervention was 65% and after the intervention, post-test scores significantly increased to 82% mean score of the children (p value<0.05; 95% confidence level). The knowledge component of the pre-test and post-test for the parents or guardians resulted in a statistically significant 20% increase, resulting to 84% average mean score from the 64% prior to intervention (p value<0.05; 95% confidence level). The attitudes of the respondents registered a 6% increase, which is not statistically significant, resulting to a change in the mean percentage score from 70% to 76% (p value>0.05; 95% confidence level). The practices of the parents also showed a relative improvement from the pre-test results. Lastly, there was 100% compliance for the upcoming SBI at the end of the project implementation, as indicated in their consent forms. The team, therefore, effectively reduced the refusal rate for both MR and Td vaccines from 32% to 0%.
