UPV Theses and Dissertations
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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 Pesticide exposure, Knowledge, Attitude and Practices (KAP), and laboratory findings of farmers of Barangay San Ambrosio, Igbaras, IloiloAcuesta, 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.Item Project HALTapresyonArbado, 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)The World Health Organization has deemed hypertension to be a global public health issue. In the Philippines, 25% of the adults who are 21 years and above have high blood pressure (2014). HALTapresyon is a project that aimed to prevent and manage hypertension in Barangay Igtalongon, Igbaras, by (1) increasing the knowledge, awareness, and practices (KAP) regarding hypertension by 15%, (2) increasing the KAP regarding physical activity by 15%, (3) increasing the KAP regarding nutrition by 20%, and (4) manage the blood pressure of hypertensive patients. The establishment of a core group and the passing of a resolution were done in order to ensure the sustainability of the project. HyperTEAMsion was also able to donate 6 blood pressure apparatuses for the continuation of the weekly blood pressure monitoring. The project implemented a series of lectures that focused on three aspects: basic knowledge, physical activity, and nutrition, which were identified as factors that greatly affect the development and progression of the disease. This was done to educate the community and promote a healthy diet and active lifestyle as a means of preventing the occurrence and aggravation of hypertension. Activities, such as DASH TAH!, Blood Pressure Moni-training, and the use of a journal, offered a more hands-on approach on educating and improving the practices of the residents. Information, education, and communication materials were also distributed to hypertensives and non-hypertensives alike. Post assessment mean scores for KAP on General Information, Physical Activity, and Nutrition, improved by 16.81%, 15.96%, and 29.70% respectively, all showing a statistical difference. For the non-hypertensives, there was a 36.94% increase in KAP. Weekly monitoring was done in relation to the management of blood pressure and it showed that 77.03% of the hypertensive individuals decreased or maintained their blood pressure. Therefore, Project HALTapresyon could be used on the prevention and management of hypertension.Item Intestinal parasitic infections in children living in selected barangays with urban slums along Iloilo RiverAguro, Eric D.; Banaag, Arlene D.; Jacobe, Venus N.; Ordaniel, Lilac Mared A.; Taleon, Kathleen Joy B.; Yandra, Marnelle Gay A. (Division of Biological Sciences, College of Arts and Sciences, University of the Philippines Visayas, 2006-03)This cross-sectional study was performed to determine the intestinal parasitic infection in children age 0-13 years old in three selected barangays with urban slums located alongside Iloilo River. A total of 127 stool samples from 65 males and 62 females were examined by utilizing formalin-ether concentration technique (FECT) and direct wet mount thereafter using Lugol's solution. It was found out that 59.8% of the children examined were positive for one or more intestinal parasites. The most frequent soil-transmitted helminth observed was Ascaris lumbricoides (48.0%) followed by Trichuris trichiura (34.6%). Pathogenic protozoans determined were Entamoeba histolytica (9.4%) and Giardia lamblia (0.8%). Other nonpathogenic species identified were Entamoeba coli (15.7%), Blastocystis hominis (3.1%) and lodamoeba butschlii (0.8%). Parasitic infection with single species had the highest frequency of 31.5% compared to multiple infection (28.3%). The relatively high prevalence of these infections among children living three selected barangays with urban slums alongside Iloilo River was found to be independent of factors the respondents’ sex (p=0.106), age group (p=1.691), and consistency of stool sample (p=1.835). Moreover, the degree of infection in terms of sex (p=3.174), age (p=9.136), and consistency of stool samples (p=2.798) were not statistically different from each other. The high prevalence rate of pathogenic intestinal parasitic infection may have also been influenced by factors other than the ones considered, such as environmental and socio-demographic factors. The study highly suggests mass treatment and preventive measures such as health education of the communityItem Impact analysis of municipal leadership and governance program (MILGP) among municipalities in the province of IloiloArancillo, Ulah Lynn F.; Barcelona, Joser John T.; Cabalo, Jori May G.; Cansancio, Marienne Fay T.; Castillo, Marianne Hillary O.; Nufuar, Isa Adelie S.; Palanog, Riananess Q.; Pido, Theo Joseph D.; Repospolo, Melvie Dale P. (Division of Biological Sciences, College of Arts and Sciences, University of the Philippines Visayas, 2019-06)The Zuellig Family Foundation (ZFF) and Department of Health initiated the Municipal Leadership and Governance Program (MLGP), a two-cycle program that aims to guide the Filipinos in achieving health equity and resilience through mentoring and training teams led by local health leaders to improve the six building blocks of health. It also aims to achieve the Sustainable Development Goals through ensuring that municipal health systems be responsive, equitable, and sustainable. This research aims to assess the municipality performance and health outcomes to measure the success of the MLGP intervention. Secondary data representing health outcomes from MLGP and non-MLGP municipalities and consolidated roadmaps were gathered and statistical analysis was performed using IBM SPSS Statistics 23. Among the health indicators that were used to evaluate the program under Cycle 1, SBA and FIC showed a statistical significance while the remaining indicators, MMR, IMR, CPR, and FBD did not. All six health outcomes for Cycle 2 municipalities did not show any statistical significance from 2015-2018. Statistically significant improvements were observed on Health Human Resource on Modules 2 and 3, and all the modules in Leadership and Governance of the MLGP Cycle 2 while the other five building blocks did not show statistical significance. Changes in the health outcomes under MLGP Cycle 2 and non-MLGP municipalities showed that they have improved in terms SBA and FBD only. Although significant relationships were found between municipality performance and the health outcome indicators, it must be noted that there are confounding factors not accounted which may have interfered with the results and findings of this study.