After implementing CLTS in the community of Molos, Tampilisan, a monthly follow-up will be done for 6 months from November 2017 to May 2018. In this phase, households without sanitary toilets will be followed-up. The number of households with sanitary toilet and rate of open defecation will be monitored. At the last month of the follow up phase, an impact evaluation survey will be done to selected households of the community.
The first follow up (November 2017) was postponed by request of Mrs. Cowak. She stated that households were unable to finish the pit that they are digging due to the rainy weather. The pit that they are digging will be filled up with water due to the rain and even if they manually remove the water and start digging again, it would rain again the next day. People would say that time and efforts are wasted because of the rain. It would be useless to go on follow up since none of the households who agreed to construct their latrine have finished yet. The researcher and the barangay agreed to postpone the first follow up to December 2017.
During the first follow up, of the 36 identified households without sanitary toilet, 15 (41%) have already constructed a sanitary toilet of their own. During the first follow up phase, all households without sanitary toilet were visited. Households who have newly built their sanitary toilet are encouraged to use them daily and households who have not yet built their toilets are encouraged to build their own.
One of the major activities of the RHU was the conduct of its HPN and DM summit. It was the first time that there was such an activity, although our MHO has always dreamed of establishing an official group for those with these non-communicable diseases. Planning for the event took months or probably years. We, the students from ADZU-SOM are just very happy that we were able to support and be part of the activity. There was even one of us who got chosen to be a guest speaker on Diabetes, and it was me. For someone who is not into public speaking, it is a very frightening experience for me. I have never imagined myself speaking in front of a large crowd, knowing that it is a summit which means that hundreds are going to attend.
Ever since, I have never volunteered to speak in public nor did I agree to be a speaker. But for the first time I accepted the offer of our ever supportive municipal health officer for me to pay back all the help she has given me for my research and CHP. I know that this is important for her so I needed to support her just as she continually supported us in our needs at the community. Then, on the day of the event, everything went well and I was able to convey my message to the public, although not that smooth but still there were no dull and awkward moments. The program was a success and we were able to officially form a group of officers for our HPN/DM program. The program ended with lunch party and everybody was happy for the accomplishment.
On October 26, 2018 the Rural Health Unit spearheaded by the Municipal Health Officer, Dr. Maita Ladeza conducted a Diabetes-Hypertension Summit. Select officers of the DM and Hypertension clubs of each barangay in Tampilisan were invited. Lectures were given as well as recognition to the most compliant patients of the RHU.
But the highlight of the said event was the Zumba competition where the four barangay health stations battled it out on the dance floor. The members of the hypertensive club of Molos were the chosen participants for the contest. Ten ladies enrolled in the RHU’s hypertension program spent weeks practicing and polishing their complex choreography. Spearheaded by the elected Dance instructor of the club, Ms. Rachel Ami, they gave it their best and eventually bringing home the trophy for 1st place in the Zumba competition.
It was definitely a source of pride for the team, the barangay, and especially the hypertensive patients. But aside from the glory from winning the contest, what we would say was the best outcome from the activity was seeing them actively participate and have fun while dancing their fat away. Hopefully this continues as a fun and healthy activity for all!
This exposure we had a chance to impart more knowledge and health teachings to the Community People. We gave them health teachings about Dengue, how it is acquired and what are the DOH is doing and what the Dengue program is about. We also had our “Responsible Pet ownership” lecture in connection with our newest Community Health Plan on Rabies. Feedbacks amongst community people were positive towards our lectures and health teaching we can see their eagerness to learn more about the topics we are offering them.
The Community’s participation alongside with the especially the Barangay officials had helped us reached our goals for a better community and we are looking forward to more lectures and health teaching in line with all the DOH programs possible to achieve not only our goals but our LGU and DOH of the Philippines as well in our own little way.
It has been a while since we started the communal garden. The residents also did their part in maintaining the garden and planting. They even set a time each week for them to meet and go to the garden.
The residents met ever Saturdays to tend to the communal garden. In our stay there, they proceeded to planting vegetables in the remaining plots. Also we noticed that we needed labels to know which vegetable was planted where. We made labels for the communal garden and with the help of the residents, we placed them in their proper place. It was a tedious task but worth it.
Still, a lot of things need to be done. But together, we will be able to do it.
On September 26, 2017, the team invited Ms. Rowena E. Garsula, the Nutrition Coordinator of the Municipal Agriculture to give a lecture on Pinggang Pinoy Food Guide. The lecture aimed to guide hypertensive individuals of Barangay Molos to prepare nutritionally balanced meals as part of lifestyle modification practices that will help in better control of blood pressure. The discussion revolved around the different food groups and the amount needed from each group in order to create a healthy and balanced diet. Food guide charts were also distributed to those who attended. The 10 Kumainments (Lagsik ug lig-on nga kinabuhi) were also introduced as guiding principles for healthy eating.
A Hypertensive Clinic followed to cater to the enrolled hypertensive individuals who stopped taking their medications. Nine previously diagnosed individuals were re-enrolled and given anti-hypertensive medication after the clinic. The other hypertensive individuals who attended had their blood pressure checked and encouraged to continue to take their medications daily.
In line with Team Molos community health plan on toilet sanitation by implementing CLTS a purok to purok survey was done last October 3, 4, and 5. The goal of the said activity was to identify households without toilet. Team Molos together with Barangay Kagawad on health Mrs. Cowak first conducted house to house survey in purok 6 & 4, 27 & 20 households have toilet respectively while 10 do not have toilet in purok 6. Next purok 1,2,&5, 58 households have toilet while 9 do not have toilet. Along with the survey on toilet, we also check on water purification and patients with DM. Survey was been successful and resourceful for the progression of the program on toilet.
ZUMBA Dance in Barangay Molos has been the most awaited activity of the hypertensive club members and even those who belong outside the club ranging from seniors to as young as gradeschoolers. This weekend activity surely attracts every age and gender for it’s contagiously energizing and fat burning dances.
The sessions were spearheaded by the Bantay Presyon project heads together with the entire team. Lead Dancer Ms. Rachil Ami, with her preparation and continuous practice, now confidently leads every ZUMBA session. Launched as a project of the Bantay Presyon project of Team Molos last November 2016, ZUMBA Dance is an exercise fitness program that aims to promote an active and healthy body by dancing to fast, upbeat and energetic music and fun aerobic movements.
Zumba is a form of work-out that incorporates latin dance rhythyms and help in toning different parts of the body such as the abs, thighs, ars, and other muscles throughout the body. Aside from it being a fun work-out, it’s also a form of social dance party.
More and more join the weekly dance sessions. We can’t blame them because we in the team know how contagious and addicting it is! We can’t help but be ecstatic whenever it’s Saturday. Because Saturday is ZUMBA day!
During the August to October exposure of Team Molos, gardening was one of the priority projects of their malnutrition health plan. Establishing a communal garden along with advocating backyard gardening to the residents of the barangay was a strategy which aims to address the problem in malnutrition by providing additional source of nutritional food to the under 5 population. It was a long process, from proposing of a communal garden to conducting a gardening seminar to the community people then the actual clean-up mission and procurement of seeds and organic fertilizer. It was tiring but worth it!
Among the many activities of the group, one notable project was the clean-up drive of the communal garden. After being given the site for the communal garden the group immediately went for ocular survey, and then while the group was at the site, the group almost lost hope. There was really a long way to go, a lot of trees to put down and a lot of herbs and overgrown grass to cut down. There was indeed negativity among each one. Hence, given the situation, the group requested for assistance from the community and a clean-up drive was scheduled.
On the morning of scheduled day, there was fear and anxiety because the group really did not have an idea whether enough people will come to help. Then there it was, a lot of people came, it was like flood water coming down from the mountains flooding the area with people. It was a wonderful sight, all those people helping each with one goal and that is to clean the garden. Experiencing bayanihan was breathtaking thing. It made us realize nothing is impossible if everybody is working together and helping each other.
“Are you having a cough for about two weeks now? Is it accompanied by night sweats, bloody sputum and/or weight loss? Have yourself checked because you might have Tuberculosis!” This spiel is the usual spiel of medical professionals with regards to Tuberculosis. As medical professionals, we have heard this quite a thousand times before. During our clerkship duties, we have diagnosed patients using these symptoms and often times we were right. These spiel has been part of our life as medical professionals who are practicing in the Philippines. We got so used to it to the point that it became boring to us. Uninteresting. And so this topic totally came out of our mind.
Last week, we gave a lecture on Tuberculosis during the TB awareness program held by the barangay. This activity was not through our own initiative. About a week before, Ms. Maria Angela Padilla, The municipal link on 4Ps, asked for our help to give a short lecture on Tuberculosis is to the Barangay of Molos. “TB again?!” was in our minds, but we kept is to ourselves. We simply accepted the offer and completely forgot about it. We don’t want to sound arrogant but I think we have enough experience during our clerkship days and so we don’t need much preparation. To cut the story short, indeed we did no preparation for it. We actually just borrowed the PowerPoint presentation of the Nurse Deployment Program (NDP) in the Rural Health Unit (RHU). We gave our… well… their (NDP) presentation. As we presented the lecture on TB, we noted the looks of the people. These were looks of interests. Looks of revelations. And then it struck us. These words that we are saying, these repetitive words. These spiel. These meaningless, senseless and most of all, repetitive words to us meant a lot to these people. For the first time in their lives they have appreciated what Tuberculosis is. What was cliché to us was valuable information to them.
Reflecting on our experience on that day made us realize that that day was just an example of the rest of our lives. We have been studying for about 3 years about physiology and pathophysiology. We have accessed, gained and kept knowledge. Only few of the population of the world have such knowledge. We even thought of ourselves as few of the elites. All these times we thought that we were keeping knowledge for ourselves but that experienced made us realize that we were accessing these knowledge so that we can share it others who cannot.