UPV Theses and Dissertations
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Item Sagip COUGHamilya: Improving prevention, and case management & care seeking in Sitio Durog, Barangay Palaca, MiagaoAsorio, Leslie S.; Clarito, Thea Joy A.; Dolorosa, Rex Victor V.; Marecap, Mitzi N.; Napulan, Andrea Marie N.; Recabar, James Mathew V.; Rodriguez, Sael D.; Velasco, Princess Monic Q. (Division of Biological Sciences, College of Arts and Sciences, University of the Philippines Visayas, 2019-06)According to the 2018 Morbidity Diseases Reports of Miag-ao’s Rural Health Unit (RHU), Acute Respiratory Infection (ARI) is the main cause of morbidity among the children in the municipality. Upon further review, the community that was found to have the greatest number of ARI cases is that of Barangay Palaca. To contribute with the reduction of ARI cases in the said community, Project Sagip COUGHamilya was implemented in Sitio Durog. This project aims to reduce the number of current ARI cases among children aging 2 months to 11 years old by at least 50% after the 6-week project implementation. In order to accomplish such goal, the team utilized strategic components such as: (1) establishment of a core group called FamiLEADERS, (2) honing the ARI case management knowledge and skills of the barangay health workers (BHWs) through FamiLINANG sessions for BHWs, (3) improving the mothers’ & guardians’ knowledge, attitude, and practices (KAP) towards care seeking and case management for ARI through FamiLINANG sessions for mothers, and (4) raising the children’s awareness on cough etiquette, proper handwashing, and other key health practices through LINIStorya sessions. Upon implementation, the project’s outputs include the 80% increase in the ARI case management knowledge and skills of BHWs, 44.47% increase in the KAP of the mothers & guardians towards care seeking and case management for ARI, and 12.5% increase in the children’s awareness towards cough etiquette, proper handwashing, and other key health practices. All these results were statistically found to be significant improvements. In conclusion, the strategies done by the group significantly improved the care seeking, case management, and key health practices for ARI in Sitio Durog, Barangay Palaca. As a result, Projesct Sagip COUGHamilya contributed to the reduction of ARI cases by 80%, far exceeding the goal of the project and deeming it to be very effective and successful.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 Kinds of resources generated by community health workers in sustaining community health in the Municipality of Guimbal, IloiloAgujetas, Maritee Grace P.; Lipa, Feozel F. (Division of Social Sciences, College of Arts and Sciences, University of the Philippines Visayas, 2006-04)This study is about the Kinds of Resources Generated by Community Health Workers in Sustaining Community Health in the Municipality of Guimbal, Iloilo. Specifically, it aims to answer the following objectives: 1) to determine whether or not CHWs generate/acquire resources to sustain community health 2) to be able to know the kinds of resources generated/acquired by Community Health Workers 3) to determine what community conditions motivated the CHWs to generate/acquire resources in sustaining community health and 4) to determine whether the age, educational attainment, and civil status of the CHWs are associated with the kinds of resources they generated/acquired. To answer the first, second and third objectives, the researchers used Frequency and Percentage Distribution Table. On the other hand, a Spearman’s Correlation was used to respond to the fourth objective which is to determine whether age, educational attainment, and civil Status of the Community Health Workers are associated with the kinds of resources they generate/acquired. Results showed that Community Health Workers generated/acquired different kinds of resources in sustaining community health. These resources include natural (herbal garden, processed herbal medicine, communal garden, trees, and water), financial (money), physical (health center, children’s playground, basketball court, and medical equipments) social (good relationship, respect, cooperation, trust and understanding), and human (skills and knowledge about health that people developed through the help of the CHWs). The underlying community conditions that motivated the CHWs to accumulate or acquire the five kinds resources is due to the fact that it is part of their requirement as a CHWs, their community is lacking the different health needs (medicines, medical apparatus, money and others), and as project that the community expects them to fulfill. Lastly, CHWs’ demographic profile like age, civil status and educational attainment are strongly associated with the kinds of resources they acquired except for the physical resources. The researchers suggested that this study will serve as a future references in studies in line with the work of the Community Health Workers. The researchers also recommended others to conduct a comparative study about CHWs of different Municipalities, or a gender analysis of the nature of CHWs’ work to address the issue on why most of the CHWs are comprised of women. The study is also a good ground for advocacy campaign to make the government realize the needs of the CHWs. Lastly, it would be better if the CHWs will be trained and oriented about different mechanics of resource generation to enhance their strategies in acquiring resources.Item Assesment on the competencies of barangay health workers in relation to their sociodemographic characteristicsArbado, 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.Item Delivery of health service within a devolved structure in Tigbauan, IloiloAbaigar, Michael J.; Fuasan, Leonisa F. (Division of Social Sciences, College of Arts and Sciences, University of the Philippines in the Visayas, 2002-04)This is a study on the health service delivery by Tigbauan health workers in the era of devolution in Tigbauan, Iloilo. The study aims to identify the perceived effect of devolution on the behavior of Tigbauan health workers in delivering health services. Twenty-five health workers served as respondents. They reported their perception of the effect of devolution and other related information by answering the questions asked by the authors with the use of an interview guide. The interview guide has five parts that emphasize the perceived effect of devolution. The health workers believe that IRA for health of the Local Government Unit of Tigbauan is not sufficient. Although requisitions for drugs and medicines are easier, however, there are no buffer stocks that can provide the future needs of the community. The health workers are affected by the unequal salary and benefits. Provincial paid health workers receive all the benefits accorded by the law while municipal paid health workers have not. The health workers bat for salary equalization because they are demoralized with these prevailing disparities. The Local Chief Executives (LCEs) are the key actors in delivering health services in Tigbauan. The success of devolution lies in their hands. If health services are prioritized more people will have better access to health. One key advantage of devolution is that the LCEs know the situation in their locality; thus it will be easier for them to recognize the appropriate programs, projects and activities that could answer to the health needs of the people.