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UPV Theses and Dissertations

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    Analysis and assessment of the performance of the Municipal Leadership and Governance Program (MLGP) partner municipalities in improving health outcomes
    Araneta, 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.
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    Dengue knowledge, policies, and Aedes Larval population in selected low and high dengue priority areas in Miagao, Iloilo
    Amihan, April Rose D.; Basco, Arriane Mae P.; Escosia, Edmon B.; Monsale, April Joy P.; Solis, Jann Christian V.; Varon, Marianne Joy C. (Division of Biological Sciences, College of Arts and Sciences, University of the Philippines Visayas, 2009-03)
    This cross-sectional study aimed to compare the knowledge, practices, and Aedes larval populations between low and high dengue priority areas of Miagao, Iloilo. Questionnaire-guided interviews were conducted to assess the knowledge and practices of the study population. Larval surveys were done to determine Aedes larval populations, expressed as House Index (HI), Container Index (CI), and Breteau Index (BI). Results showed that respondents from the low priority area were more knowledgeable on dengue than the respondents from the high priority area (p<0.05). Dengue preventive practices were found to be the same for both low and high priority areas. There was, however, no significant relationship between dengue knowledge and dengue preventive measures (p<0.05). Results from (he larval survey revealed that both low and high priority areas have HI and BI above the WHO standards (HI<5%; BI<20) and are considered “high risk” areas. Lastly, age (p<0.01) and educational attainment (p<0.05) were found to affect an individual’s dengue knowledge.
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    OK ka ba TIYAN? oplan kalusugan, karunungan at bayanihan tunggo sa ikauunlad ni Yong mga Ati naming kababayan
    Andal, Julie Jane F.; Ayongao, Jamela N.; Caton, Kate Alyssa A.; Parcon, Prem Patrick P.; Sedayon, Niña Marie Y.; Villanueva, Roena Nicole V. (Division of Biological Sciences, College of Arts and Sciences, University of the Philippines Visayas, 2013-04)
    World Health Organization reports that diarrhea is the fourth leading cause of death among children less than five years old and the third leading cause of illness among the children. The Philippines ranks second among thirteen countries included in the census in terms of the number of diarrhea cases causing 10,000 deaths every year. Main factors in the transmission of diarrheal diseases are: children not washing their hands due to lack of access to water and basic sanitation facilities, poor hygienic practices, and handed down practices from parents. Experts note that the incidence of diarrhea may easily be lowered by simply having kids wash their hands with water and soap. Therefore, the purpose of this project is to introduce to the community ways and means of preventing and managing diarrheal diseases by boosting the level of knowledge and introducing hygienic practices through the development of community-wide education programs that range from promoting healthy lifestyles in order to prevent disease and providing the community with safe potable water supply in Purok V- Serum Bukid, Barangay San Nicolas, Buenavista, Guimaras. Efficient uses of health services, adopt self-care practices and active participation in the design and implementation of health programs were also promoted.
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    Pesticide exposure, Knowledge, Attitude and Practices (KAP), and laboratory findings of farmers of Barangay San Ambrosio, Igbaras, Iloilo
    Acuesta, Doneza Dee L.; Bernaldo, Alyka Joy D.; De la Pena, Leobert Julienne A.; Diestro, Joan Marie T.; Domingo, Megan Joyce N.; Fortuna, Edward Paul F.; Garrucho, Geraldine F.; Poral, Mechelle Joy L; Suñer, Ma. Alexis Kleanthe D.; Villanueva, Dana Diane C. (Division of Biological Sciences, College of Arts and Sciences, University of the Philippines Visayas, 2014-04)
    This is a cross-sectional study which aimed to evaluate the knowledge, attitude and practices (KAP) towards pesticide use, its health effects, and the laboratory findings of farmers from Barangay San Ambrosio, Igbaras, Iloilo. Specifically, it aimed to determine the association between the number of years of pesticide use and the farmers’ MCV values. A total of 115 farm workers were interviewed and 109 (94.8%) of them reported pesticide usage. Among farmers who used pesticides, 90 (82.6%) consented to undergo CBC testing. Descriptive statistics was used for socio-demographic profile, KAP, and health effects of pesticide use. Whereas, Chi- square analysis was used to determine the association between pesticide exposure and MCV values. The farmers were knowledgeable about pesticides and its health effects, the route of entry into the body, and the fate of pesticide residues. Despite knowing the adverse effects of pesticides, 107 out of the 109 pesticide-using farmers (98.2 %) still agreed on the use of pesticides, and only 2 (1.8 %) were against it. They justified that pesticides are effective in killing pests to produce abundant crops and only some farmers knew that biological (61.5%) and natural control (63.3%) can be used as alternatives for pest control. In addition, most farmers (n = 94, 86.2%) used PPE when applying pesticides but were inadequate: with 81 (74.3%) using long-sleeved shirts, but only 17 (15.6%) using gloves, and 5 (4.6%) using eyeglasses. The lack of complete and proper PPE may be a factor for the self-reported health effects, such as dizziness (n = 59, 54.1 %), which was the most predominant, followed by burning sensation in eyes/face (n = 54, 49.5 %) and headache (n = 48, 44.0 %). No significant association was found between years of pesticide use and MCV using the chi-square analysis (x2 = 0.583, p = 0.318). It would be useful to minimise the use of pesticides, encourage alternative measures, lessen the time of pesticide spraying, and encourage the use of complete PPE. Prevention and intervention programmes regarding the use of protective measures and monitoring the health status of farm workers should be implemented.
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    Dengue knowledge, practices, and aedes larval populations in selected low and high dengue priority areas in Miagao, Iloilo
    Amihan, April Rose D.; Basco, Arriane Mae P.; Escosia, Edmond B.; Monsale, April Joy P.; Solis, Jann Christian V.; Varon, Marianne Joy C. (Division of Biological Sciences, College of Arts and Sciences, University of the Philippines Visayas, 2009-03)
    This cross-sectional study aimed to compare the knowledge, practices, and Aedes larval populations between low and high dengue priority areas of Miagao, Iloilo. Questionnaire-guided interviews were conducted to assess the knowledge and practices of the study population. Larval surveys were done to determine Aedes larval populations, expressed as House Index (HI), Container Index (CI), and Breteau Index (Bl). Results showed that respondents from the low-priority area were more knowledgeable on dengue than the respondents from the high-priority area (p<0.05). Dengue preventive practices were found to be the same for both low and high-priority areas. There was, however, no significant relationship between dengue knowledge and dengue preventive measures (p<0.05). Results from the larval survey revealed that both low and high-priority areas have HI and BI above the WHO standards (HI<5%; BK20) and are considered “high-risk” areas. Lastly, age (p<0.01) and educational attainment (p<0.05) were found to affect an individual’s dengue knowledge.
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    Assesment on the competencies of barangay health workers in relation to their sociodemographic characteristics
    Arbado, Pearl Joy C.; Laurente, Inna Grace R.; Loberiza, Lamont Joseph S.; Militar, Anna Raisa G.; Quidato, Jun Pretzel E.; Ong, Meghan Y.; Salada, Anna Patriz F.; Salcedo, Yehonathan Joseph V. (Division of Biological Sciences, College of Arts and Sciences, University of the Philippines Visayas, 2019-06)
    In the Philippines, where the basic political unit is the Barangay, CHWs are known locally as Barangay Health Workers (BHWs), and they play a vital role in the delivery of health services throughout the country. These are people that have undergone training programs under any accredited government and non-government organizations and who render primary health care services in the community after having been accredited to function. Their roles are subdivided as community organizers, health educators, and health care service providers. This study aims to determine the relationship between the sociodemographic characteristics to the competence of BHWs in the First Congressional District of Iloilo. A competence assessment tool was then used to perform a guided interview of the midwives to evaluate the performance of 177 BHWs. Pearson Chi-Square and Fisher’s Exact Test were used to test the relation between variables. Out of the seven municipalities, only Igbaras was lowly competent with an average weighted mean of 3.85. Findings revealed that age (p-value=0.137), educational attainment (p-value=0.302), and length of experience (p-value=0.336)), had no significant relationship with the overall competence of BHWs as well as with the level of competence. Income, however, revealed to be statistically significant given the p-value of 0.020. BHWs with an income of 3000PHP and below is 3.4 (95% CI: 0.097 to 0.874) times more likely to be lowly competent.