Since part of the agreement between the LGU and the community is the provision of toilet bowls, key to the success of the project is the availability of sanitary toilet bowls. Lack of it (toilet bowl) may slow down or even stop the momentum already present in the barangay. The barangay was lucky enough to be provided 36 out of 70 available ceramic toilet bowls by the office of the sanitary inspector. The sanitary inspector also expressed the problem of the availability of toilet bowls. The office (Sanitary Inspector) can only provide toilet bowls so long as they are given by the central office (Dipolog City) and there are no specific dates on which toilet bowls are available. The office of the sanitary inspector also has to cater to twenty-five (25) other barangays in the municipality. So, constant availability of toilet bowls is not assured for the barangay and even for the municipality.
A solution to this problem, headed by the sanitary inspector, is to provide cement toilet molders for the production of cement toilet bowls. In this way, toilet bowls are readily available for the whole municipality of Tampilisan. The idea was patterned from a neighboring municipality (Sindangan) wherein CLTS was also implemented in their municipality.
The concept of the cement toilet molder was instead of waiting from the central office, the municipality themselves will be the one producing their own toilet bowls. A 1:2 cement to fine sand ratio mixture is enough to create 5 (five) cement toilet bowls and one cement toilet molder can produce up to 2 cement toilet bowls per day. The office of the sanitary inspector in Tampilisan procured 5 cement toilet molders on November 29, 2017.
Before the purchase of the cement toilet molder, a demonstration was done last September 26, 2017 on how to use the said molder. 5 people were in attendance to the said demonstration namely: Mr. Richard Loredo, Tampilisan Sanitary Inspector; Mrs. Merlyn Cowak, Bgry Molos Kagawad; Mr. Julito Manongcas, Brgy. Lawaan Kagawad; Muhammad Matingka, AdZU-SOM Student and; James Rebollos, AdZU-SOM Student.
Training on use of cement toilet molder was then held on February 12, 2018 to select masons in barangay Molos. Barangays New Dapitan, Lumbayao and Malila T were also invited for the training but only barangay Lumbayao and Molos participated in the said activity. Two (2) masons from each barangay were trained and passed the return demonstration using a checklist that was based from the demonstration in Sindangan. Sustainability of the project will be assured knowing that cement toilet bowls can readily be constructed as the need arises.
Water purification has been a major problem on barangay molos, along with the difficulty in giving a solution to their problem in fecal coliform presence in the source of their drinking water. Despite the DOH programs regarding water sanitation, the barangay still has less knowledge on water purification methods and resulting to the basic ones such as chlorination and boiling which has a major disadvantage on the taste of the water. The team has thought of implementing a lecture and demonstration on small biosand filter and solar disinfection, promoting it on every households. Small BSF and Sodis is by evidence a very effective method in eliminating the coliform present in the barangay's drinking water source. It has proven that it is cheap, accessible and effective in purification, during the lecture and demonstration the barangay has opted for an actual workshop bringing along the needed materials for the construction of the Small BSF and the PET bottles.
Showing their interest on the said project made a positive outcome on the post intervention after a month. showing that 48 of the households has been using the Small BSF and Sodis as their purification method.
Undernutrition is viewed as a serious problem with many contributing factors. Effects include damage to health, physical growth and brain development. Children are at risk not only because of lack of food but also because of poor feeding and care practices, lack of access to health services, poor health conditions of mothers and breastfeeding women and unsanitary conditions.
In barangay Molos, survey conducted during April 2016 showed that 11% are underweight while 16% are severely underweight. Furthermore, barangay Molos has been ranked as the 4th barangay with the highest number of malnutrition rate in the municipality. There are several causes of undernutrition which could include lack of knowledge on proper nutrition to children, poor care and feeding practices and poverty. Although 90% of the population has backyard gardens, mothers might not be making the best use of their resources. Thus, it is also important to equip the families with the knowledge and skills to be able to prepare an inexpensive yet nutritious meal for the family. Our goal in this issue is to reduce the number of underweight children from 27% to 13% by 2018.
In order to achieve our goal, first, we focused on providing health education to the residents in Barangay Molos. We focused on the concept of breastfeeding, the misconceptions, and the advantages of breastfeeding. Secondly, we invited the people to create a communal garden wherein they will be able to harvest vegetables for their daily meals. With this, we also invited guest speakers on gardening so that they may be able to get ideas to make a vegetable garden in their own homes for their families. We also weighed the children ages below 5 years old to be able to know their nutritional status. Many children are still considered underweight as shown in the results of the survey. Thus, we produced and distributed ready-to-use therapeutic food for the identified underweight children. Some of the children, however, were not fond of the RUTF. Some had diarrheal symptoms, while others just were not fond of peanuts, which was a primary ingredient of the RUTF. So despite the weight gain from the RUTF, still we realized still more should be done. And so we started the Pabasa sa Nutrisyon course, a 10 session course intended to promote proper nutrition. Mothers and even fathers were involved in the course so they would know how to prepare nutritious meals for the family. This was a way to reinforce to the parents or the people in general, that preparing proper nutritious meals at home is still the most essential component in preventing malnutrition. We may give RUTF but without making an effort to provide nutritious meals to their children, malnutrition will still be around. The course so far, was a success. the ones who participated were very active and were eager to be able to provide nutritious meals for their families.
There is still more to be done in our community. But the projects we have done so far have helped increase awareness among the residents and even give them the knowledge and skills to address this issue. Although we have frequently faced challenges in terms of gathering the people, but little by little we have gained their trust and is now taking a step towards reaching our goal.
Solid waste management was very problematic for the past few exposure until now. for the past few exposures, focus was on health education and awareness in order to encourage residents to practice proper segregation, composting and recycling. The team thought of doing a sustained health education in the hopes of changing the behavior of the people. During this January to March exposure we started to actually implement solid waste plans that would cement their knowledge and hopefully help them become better with regards to their practices on solid waste management. The first project done was the Waste Analysis and Characterization Study, to be able to develop an effective solid waste management plan, we need to know the waste constituents in Barangay Molos. Results of the study showed that majority of the waste generated by the barangay is comprised of biodegradables which account to 63%, second was residuals, 30% and finally 7% for the recyclables. The team's approach to the problem was prioritization based on the waste generated, hence, biodegradables were prioritized. Lecture on composting by Mr. Noel Baylon, the extension chairman of the College of Agriculture, JRMSU and construction of a 3-way modified composter in 3 out of 7 barangays to facilitate practices of composting. second priority in the solid waste problem in the barangay was residuals. It was not as heavy as a problem as the biodegradables since MRFs or communal collection sites were already present in each purok, the team only needed to label the MRFs and orient the residents of its proper use. Collection of residual waste scheduled every month or as need (if MRFs are full). Finally, to address the recyclables, the team came up with a Recycling Unit called the RecyclaBox, wherein a used MRF was given to the team by the barangay council, and rehabilitation of the used MRF was done. The purpose of it is to serve as a temporary storage site until collection by a junkshop. Tapping of a junkshop dealer to collect the contents of the recyclabox and the signing of a Memorandum of Undertaking to ensure sustainability. The stay was very tiring because a lot of concrete projects were done, the team is looking forward to implement more projects that will help the barangay Develop and become a better one.
On March 17, 2018 four volunteer residents of Barangay Molos, Zamboanga del Norte were trained on proper BP taking and referral to the Rural Health Unit (RHU) in the hopes of strengthening BP monitoring among hypertensive individuals and prompt referral of suspected cases for start of treatment. The volunteers were given a short lecture on hypertension, risk factors, complications, and lifestyle modifications followed by a demonstration of getting a BP reading. Four BP apps that were procured with the help of Unilab were distributed, as well as BP Monitoring logbooks and manuals.
There were four purok BP stations established in the barangay. They will serve as gathering posts for hypertensive individuals to check their BP and encourage BP monitoring compliance. The puroks were divided into Purok 3 and 5, Purok 3, Purok 1, 4, and 6, and Purok 7 for the purok stations. The volunteers will be available to take their BP once every week; Tuesdays for purok 7, Wednesdays for purok 1, 4 and 6, Saturdays for purok 3, and Fridays for puroks 2 and 5. Along with signs indicating the presence of the BP station, informative posters were also set up regarding hypertension and how to control it. The volunteers were also tasked to monitor the blood pressure of identified individuals with uncontrolled BP so that they may be referred to the RHU for possible adjustments in their current treatment regimen. It is hoped that this will encourage BP monitoring in the barangay and bring them to be ‘BP conscious”.
House to House Anti-Rabies Vaccination
In a preliminary survey done at Barangay Molos, 89 households have pet dogs amounting to a total of 169 dogs in the barangay. Out of 169 dogs that are considered household pets, only 18 (12%) were accordingly vaccinated leaving 151 (88%) of these pets unvaccinated entirely and is at risk for acquiring rabies.
To achieve the goal of having 70% of the canine population vaccinated against rabies.
Through the efforts of barangay officials, Municipal Health Office and Provincial Veterinarians office (ProVet), we were able to conduct mass vaccination in the barangay last November 20, 2017. The ProVet sent 4 technicians to help in the mass vaccination as well as vaccines. We were able to vaccinated 41 dogs and 4 cats during the event rendering 35% of the total canine population vaccinated against rabies.
On march 2018, another mass vaccination was conducted. It was done together with the municipal agriculture office and was done house-to-house to ensure maximum coverage of anti-rabies vaccination. A total of 60 dogs and 2 cats were vaccinated. A pet health record was given to pet owners to serve as proof of vaccination. This led us to reach to goal of vaccinating 70% of the total dog population.
As a supplement to the mass vaccination, last march 2018 together with the Philippine Veterinary Medical Associated – Region IX, a spay/neuter program was conducted to give residents a chance of having their pets spayed/neutered to prevent unwanted pregnancies and control the dog population. Lecture and pamphlet were given prior to the spay/neuter program.
The team has launched its Barrio Kalinisan Week which held several activities promoting proper solid waste management which includes the use of recycled materials and prope segregation.
The activities include Cleanest Purok Contest and Lantern Making Competition with the use of recycled and indigenous materials in the school. Sir Richard Loredo and representative judges from Team New Barili (Dr. Adil and Dr. Repolidon) and Team Lawaan (Dr. Matingka) were invited to be the judge for the Clenanest Purok. After doing house to house survey per purok, the contest was ultimately won by Purok 1 being the cleanest purok.
2 classes participated in the Lantern Making competition and results showed a close fight with only decimals away. Both classes made humungous lanterns. In the Lantern making competition, Parol no. 2 won the 1st place followed by Parol no.1 Trophies were given to the winners as prize in both activities.
At the end of the day, everyone had fun. We are looking forward to having this activity yearly, hopefully with the strength and help of the barangay officials and of course, with the participation of each residents and children.
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.
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 every 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.