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COMMUNITY HEALTH PLANS: OVERVIEW

Prioritization of problems was done using the Maglaya’s Problem Prioritization. The 60% of the scores from the core group (Barangay Council), and the 40% from the medical students were added up to list the final community health problems. The purpose of dividing Maglaya’s Problem Prioritization to 60% from the core group and 40% from the medical students was to give more decision-making authority to the community.

The following problems were identified as top (5) priority based from Maglaya's Problem Prioritization:

1: HIGH INCIDENCE OF HYPERTENSION

For decades, we have been battling a condition known to medical practitioners as the “silent killer”; a condition that contributes to the burden of heart disease, stroke and kidney failure and premature mortality and disability. This is the condition of hypertension.

Hypertension rarely causes symptoms in the early stages and many people go undiagnosed. Those who are diagnosed may not have access to treatment and may not be able to successfully control their illness over the long term. There are significant health and economic gains attached to early detection, adequate treatment and good control of hypertension. In addition, addressing behavioral risk factors, e.g. unhealthy diet, harmful use of alcohol and physical inactivity, can prevent hypertension.

2: POOR SAFE WATER PRACTICES

According to the WHO, safe water practices include the water source, water collection and how the water is stored and what water purification method is used. Barangay Manguiles has readily available water. Out of the 5 puroks, puroks 1 and 3 are supplied by the water system of the municipal, puroks 4 and some households from 5 from the tubod system and purok 2 and the remaining households with the pump system. With regards to safe water practices in Barangay Manguiles, data from the October house to house survey revealed that 51% of the households obtain their drinking water from level I and level II sources of which an astounding 73% do not practice any water purification method. In addition, acute gastroenteritis (AGE) is in the top ten leading morbidity cases in the barangay.

3: IMPROPER SOLID WASTE MANAGEMENT

Barangay Manguiles is no exception to the problem regarding waste managment. During the unscheduled visits in September 2019, among the 260 households, it was noted that majority (59%) of the households do not practice proper waste segregation while only 38% of the households utilize compost pits. Among these compost pits, 43% contain mixed biodegradable and non-biodegradable waste. Moreover, households resort to unhealthy waste disposal practices. For non-biodegradable waste, majority (54%) of the respondents resort to burning while some opt to open dumping (21%) in nearby free lot. As for their recyclable waste, majority of the residents (44%) sell their recyclable waste to junkshop dealers during unfixed schedules. Some (13%) reuse recyclable items while others (12%) sort to open burning.

It should also be noted that there are deep-rooted causes to this problem. The residents’ low salience to the problem is evident, as they do not perceive how threatening this could be to their health. In focused group discussion (FGD) on SWM held in 2018, two trends were noted: (1) there is lack of knowledge and awareness on the potential harmful effects of improper SMW; and (2) there is both knowledge and awareness, but low motivation to reform their life-long practices. Hence, the residents’ knowledge, awareness, and motivation should be molded to end this vicious cycle.

4: IMPROVEMENT OF BARANGAY HEALTH EMERGENCY RESPONSE SYSTEM

Barangay Manguiles is one of the barangays in Mahayag that had the Barangay Health Emergency Response Team, but due to successive transfer of power in the politics resulted to the inactivity of the health team. As such, for any emergency incident in the barangay, there is no proper delegation of tasks leading to inappropriate first aid responses towards the victim. For these reasons, the team and the barangay council thought it best to form and emergency group that will undergo proper training and act as the first aid responders for any emergency. To be able to achieve this, developing a systematic scheme in advance and training individuals is integral to the successful management of an emergency incident. Instilling a sense of confidence in the community people that they know how to react regardless of the situation is priceless when minutes count.

Other challenges include lack of basic medical equipment and transportation in the barangay. Aside from the obvious benefit of providing guidance during an emergency, the act of planning itself is a critical part. Finally, an emergency plan or referral system also helps promotes safety awareness and shows the community’s commitment to the safety of its people.

5: POOR NUTRITIONAL STATUS AMONG CHILREN AGES 0-59 MONTHS

The causality of malnutrition in Barangay Manguiles is basically rooted from varied inter-related factors resulting to the state of poor nutritional status within the community.

Several mothers have reported that during the first six months of life of their infants, exclusive breastfeeding was not practiced due to the lack of knowledge and awareness on the importance on this matter. Furthermore, they have reported that most food prepared and served on the table mostly depend on the income generated by the family and the children’s preference. Thus, all these resulted to imbalance of food intake leading to the lack of proper nutrition of the children.

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