NUHRA Regional CAR Agenda
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Transcript of NUHRA Regional CAR Agenda
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REGIONAL HEALTH RESEARCH AGENDA FORTHE CORDILLERA ADMINISTRATIVE REGION (CAR)
ELIZABETH FE-DACANAY, M.D., FCAP, FPSPDean, Saint Louis University College of Medicine
Regional Facilitator for CAR
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FOREWORD
The Regional Consultation Workshop for Setting the Regional Health ResearchAgenda was held last October 27, 2005 at the Golden Pine Hotel, Legarda Road, BaguioCity, from 8:00 a.m. to 4:00 p.m. The objective of the workshop was to formulate a healthresearch agenda based on priority areas, which would involve the participation of concernedstakeholders at the provincial and regional levels.
The workshop was sponsored by the Department of Science and Technology(DOST) -- Philippine Council for Health Research and Development (PCHRD), and theSaint Louis University (SLU) College of Medicine. Dr. Elizabeth Fe-Dacanay, Dean of theSLU College of Medicine was designated by the PCHRD as Regional Facilitator for thisproject, as an offshoot of the colleges active involvement in the Research Twinning Projectfor the past five years.
The participants in the workshop comprised a multi-sectoral group representingvarious government and non-government agencies in the region i.e. Department of Health CAR, Baguio Health Department, Provincial Health Offices, DOST, CHED, PhilHealth,Department of Agriculture, DILG, Population Commission, NEDA, DSWD, DOLE, CordilleraCoalition Against TB (CORCAT), Community Health Education Services Training in the
Cordillera Region (CHESTCORE), and the Cordillera Womens Education and ResourceCenter.
The program of the said activity is shown on the next two pages, followed by a list ofthe participants in the workshop.
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ACKNOWLEDGMENT
The Regional Facilitator would like to express her gratitude to the following:
The Department of Science and Technology (DOST) -- Philippine Council for HealthResearch And Development (PCHRD) through:
Dr. Jaime C. Montoya, Executive Director; Dr. Allan Fernail, Chief, Research Management Development Program; Ms. Teresita O. Laguimun, Officer-in-Charge, Human Resources and Institution
Development Division; Mrs. Angelina M. Aquino, Administrative Assistant, Office of the Executive Director; Director Leonardo N. Quitos, Jr., Zonal Convenor; Faculty and Staff of the Saint
Louis University College of Medicine, Baguio City; Workshop participants from the various government and private sectors;
And to all those who, in one way or another, contributed to the formulation of ourregional research agenda.
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Table of Contents
I. Overview of the Health Situation / Current 5
Health Problems
II. Methodology / Process for Arriving at 16Priorities and Criteria Used
III. Health Research Priorities Following the 17Standard Matrix
IV. Report on the Focus Group Discussion 19
V. Annexes 23
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OVERVIEW OF THE HEALTH SITUATION / CURRENT HEALTH PROBLEMS
At the start of the workshop, Dr. Julius Alcala (Medial Specialist II) and Dr. ElviraBelingon (Medical Specialist II) of the Department of Health Cordillera AdministrativeRegion (DOH-CAR) presented an overview of the Regional Health Situation in terms of thefollowing:
- Vital Health Indices (based on the FHSIS)
- National Demographic Health Survey Results for 2003 Maternal Health Child Health
- Health Expenditures and PhilHealth Coverage-According to Drs. Alcala and Belingon, the health status of the region is improving,
but at a slower rate than desired. They pointed out the following factors contributing to thestate of the regions health: double burden of disease, threat from emerging and resurgentdiseases, large variation in health status across population groups, income classes, andgeographic areas, and the decentralized health delivery system. An open forum followedtheir presentation where the participants clarified several issues on health such asimmunization of children and antenatal care for women.
The details of the presentation are depicted in the attached PowerPoint slides.(Please see attachment: health situation CAR)
To set the stage for the workshop, Ms. Teresita O. Laguimun, Officer-in-Charge ofthe Human Resources and Institution Development Division of the PCHRD, spoke on ThePhilippine National Health System: Creating Synergies. In her talk, she focused on the taskat hand which was to set regional research priorities with the goal of developing andstrengthening regional research and development capacities.
The details of Ms. Laguimuns presentation are also attached. (Please seeattachment: overview of agenda setting)
Outline of Presentation
Vital Health Indices- Based on the FHSIS
National Demographic Health Survey Results (CY 2003)- Maternal Health
- Child Health
Health Expenditures & PhilHealth
State of the Regions Health
Health status is improving but at a slower rate than desired Double burden of disease Threat from emerging and resurgent diseases Large variation in health status across population groups, income classes and
geographic areas
Decentralized health care delivery system
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Population Distribution
Cordillera Administrative Region 2004
Annual Growth Rate
VITAL HEALTH INDICES, CAR, 2000-2004
10.3151,301Mt. Province
100.01,467,280CAR
19.6286,942Baguio City
13.0191,416Kalinga
11.4167,719Ifugao
23.3341,768Benguet
7.4107,883Apayao
15.0220,251Abra
PERCENTAGE
DISTRIBUTION
NUMBERPROVINCE/
CITY
10.3151,301Mt. Province
100.01,467,280CAR
19.6286,942Baguio City
13.0191,416Kalinga
11.4167,719Ifugao
23.3341,768Benguet
7.4107,883Apayao
15.0220,251Abra
PERCENTAGE
DISTRIBUTION
NUMBERPROVINCE/
CITY
1.821.76CAR
2.313.26Baguio City
1.541.88Mountain
2.632.41Kalinga
1.67.93Ifugao
1.09.87Benguet
3.252.66Apayao
1.441.26Abra
1995-20001990-2000Province/City
1.821.76CAR
2.313.26Baguio City
1.541.88Mountain
2.632.41Kalinga
1.67.93Ifugao
1.09.87Benguet
3.252.66Apayao
1.441.26Abra
1995-20001990-2000Province/City
Indices 2000 2001 2002 2003 2004
CBR* 22.78 21.88 22.80 22.46 22.15
CDR* 3.76 3.91 4.13 4.11 4.11
IMR*** 12.25 11.11 10.25 9.48 10.74
MMR*** 1.09 0.89 0.68 0.68 0.80** Per 1,000 population ***Per 1,000 livebirths
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LEADING CAUSES OF MORTALITY, 2002 TO 2004
LEADING CAUSES OF MORBIDITY, 2002 TO 2004
5. TB, all forms5. TB, all forms5. Peptic Ulcer Disease
4. Accidents4. Accidents4. Accidents
3. Cancer, all forms3. Cancer, all forms3. Cancer, all forms
2.Pneumonias2.Pneumonias2.Pneumonias
1.Cardiovascular Diseases1.Cardiovascular Diseases1.Cardiovascular Diseases
200420032002
5. TB, all forms5. TB, all forms5. Peptic Ulcer Disease
4. Accidents4. Accidents4. Accidents
3. Cancer, all forms3. Cancer, all forms3. Cancer, all forms
2.Pneumonias2.Pneumonias2.Pneumonias
1.Cardiovascular Diseases1.Cardiovascular Diseases1.Cardiovascular Diseases
200420032002
5. Diarrheas5. Diarrheas5. Diarrheas
4. Influenza4. Influenza4. Other Respiratory
Infections
3. Pneumonias3. Pneumonia3. Bronchitis
2. Bronchitis2. Acute Respiratory
Infection
2. Influenza
1. Acute Respiratory
Infection
1. Bronchitis1. Pneumonias
200420032002
5. Diarrheas5. Diarrheas5. Diarrheas
4. Influenza4. Influenza4. Other Respiratory
Infections
3. Pneumonias3. Pneumonia3. Bronchitis
2. Bronchitis2. Acute Respiratory
Infection
2. Influenza
1. Acute Respiratory
Infection
1. Bronchitis1. Pneumonias
200420032002
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LEADING CAUSES OF MORBIDITYNumber and Rate per 100,000 PopulationCAR, 2004
LEADING CAUSES OF MORTALITYNumber and Rate per 100,000 PopulationCAR, 5-Year Average (1999-2003) and 2004
404.295,932188.892,639WOUNDS
457.856,718227.553,179ASTHMA
494.597,257210.442,940PARASITISM
549.048,056308.794,314ACUTE TONSILLOPHARYNGITIS
1,053.0415,4511,022.4214,284HYPERTENSION
1,198.9517,5921,801.7725,172DIARRHEAS
1,512.1922,1881,378.2419,255INFLUENZA
2,089.7930,6631,854.5225,909PNEUMONIA
2,374.8034,8452,272.7531,752BRONCHITIS
4,167.7161,1521,671.0623,346ACUTE RESPIRATORY INFECTION
RATE#RATE#
20045YR AVE.CAUSES
404.295,932188.892,639WOUNDS
457.856,718227.553,179ASTHMA
494.597,257210.442,940PARASITISM
549.048,056308.794,314ACUTE TONSILLOPHARYNGITIS
1,053.0415,4511,022.4214,284HYPERTENSION
1,198.9517,5921,801.7725,172DIARRHEAS
1,512.1922,1881,378.2419,255INFLUENZA
2,089.7930,6631,854.5225,909PNEUMONIA
2,374.8034,8452,272.7531,752BRONCHITIS
4,167.7161,1521,671.0623,346ACUTE RESPIRATORY INFECTION
RATE#RATE#
20045YR AVE.CAUSES
Source: FHSIS *4-Year Average
# rate # rate
CARDIOVASCULAR DISEASES 1,372 99.91 1,562 108.35
PNEUMONIA 896 65.25 896 62.15
CANCER (ALL FORMS) 544 39.60 571 39.61
ACCIDENTS 328 23.86 264 18.31
TB, ALL FORMS 220 16.03 162 11.24
HOMICIDE* 106 7.73 158 10.96
PEPTIC ULCER DISEASE 181 13.17 152 10.54
DIABETES MELLITUS 69 5.00 131 9.09
KIDNEY DISEASE 112 8.17 93 6.45
SENILITY 103 7.49 93 6.45
CAUSES5-Year Average 2004
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LEADING CAUSES OF INFANT MORTALITY
Number and Rate per 1,000 Livebirths
CAR, 5-Year Average (1999-2003) and 2004
Source: FHSIS
.155Congenital Anomalies
.186Hydrocephalus
.258Unknown
.258Diarrheas
.4314Sudden Infant Death Syndrome
.5217Diseases of the Heart
.6521Asphyxia
.8327Sepsis
1.9463Prematurity
2.5583Pneumonias
RATENUMBERCAUSES
.155Congenital Anomalies
.186Hydrocephalus
.258Unknown
.258Diarrheas
.4314Sudden Infant Death Syndrome
.5217Diseases of the Heart
.6521Asphyxia
.8327Sepsis
1.9463Prematurity
2.5583Pneumonias
RATENUMBERCAUSES
CAUSES OF MATERNAL MORTALITY
Number and Rate per 1,000 Livebirths
CAR, 5-Year Average (1999-2003) and 2004
Source: FHSIS
.062Dystocia
.062Uterine Atony
.062Sepsis secondary to postpartum trauma
.062Retained placenta
.093Unknown
.093Abruptio placenta
.124Postpartum Hemorrhage
RATENUMBERCAUSES
.062Dystocia
.062Uterine Atony
.062Sepsis secondary to postpartum trauma
.062Retained placenta
.093Unknown
.093Abruptio placenta
.124Postpartum Hemorrhage
RATENUMBERCAUSES
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MATERNAL MORTALITY BY PROVINCE/ CITY/,
CAR, 2004
2Tublay
3La Trinidad
1Kibungan
1Bakun
1.017BENGUET
1Luna
1Kabugao
1Flora
1.443APAYAO
1Manabo
1Luba
0.542ABRA
Rate per
1,000
livebirths
Number
Province/
City/
Municipality
2Tublay
3La Trinidad
1Kibungan
1Bakun
1.017BENGUET
1Luna
1Kabugao
1Flora
1.443APAYAO
1Manabo
1Luba
0.542ABRA
Rate per
1,000
livebirths
Number
Province/
City/
Municipality
1Transient
1Baguio City
0.212BAGUIO
CITY
1Natonin
0.331MT.
PROVINCE
1Tanudan
4Tabuk
1Pinukpuk
1.586KALINGA
1Asipulo
0.261IFUGAO
Rate per
1,000
livebirths
Number
Province/
City/
Municipality
1Transient
1Baguio City
0.212BAGUIO
CITY
1Natonin
0.331MT.
PROVINCE
1Tanudan
4Tabuk
1Pinukpuk
1.586KALINGA
1Asipulo
0.261IFUGAO
Rate per
1,000
livebirths
Number
Province/
City/
Municipality
FULLY IMMUNIZED CHILDREN, CAR, 2004
7934,92944,018CAR
457,5308,608Baguio City
653,0674,539Mt. Province
664,3125,742Kalinga
844,2405,032Ifugao788,02410,253Benguet
752,4233,236Apayao
815,3336,608Abra
Percent
FIC
No. of Fully
Immunized
Children
Elig. Pop.
TP x 3%Province/City
7934,92944,018CAR
457,5308,608Baguio City
653,0674,539Mt. Province
664,3125,742Kalinga
844,2405,032Ifugao788,02410,253Benguet
752,4233,236Apayao
815,3336,608Abra
Percent
FIC
No. of Fully
Immunized
Children
Elig. Pop.
TP x 3%Province/City
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Three Most Nutritionally Depressed Municipalities in CAR(Based on combined Severe and Moderate Underweight
Children 0-5 years old)
ABRA (8.5%)
Malibcong 24.7%
San Juan 18.4%
Bucloc 16.1%
APAYAO (7.2%)
Calanasan 16.4%
Flora 13.5%
Santa Marcela 7.16%
BENGUET (1.5%)
Atok 3.2%
Itogon 3.1%
Bakun 2.8%
IFUGAO (2.3%)
Asipulo 4.4%
Hungduan 3.9%
Aguinaldo 2.8%
KALINGA (4.6%)
Tabuk 8.8%
Tanudan 6.6%
Pasil 6.4%
MT. PROVINCE (2.3%)
Paracelis 5.8%
Natonin 3.4%
Barlig 3.2%
BAGUIO CITY (0.4%) Pacdal 0.9% Loakan 0.8% Lucban 0.4%
Source: Operation Timbang Results 2002, National Nutrition Council-CAR
ENVIRONMENTAL HEALTH REPORT, CAR, 2004
57.060.975.293.2CAR
97.597.598.398.9Baguio City
36.639.470.598.0Mt. Province
29.545.351.288.9Kalinga
40.846.561.086.3Ifugao
48.953.172.895.0Benguet
63.267.480.276.2Apayao
60.659.978.396.0Abra
% of HHs with
Complete Basic
Sanitation
Facilities
% of HHs with
Satisfactory
Garbage
Disposal
% of
HHs with
Sanitary Toilets
% of HHs with
Access to Safe
Water
Province/City
57.060.975.293.2CAR
97.597.598.398.9Baguio City
36.639.470.598.0Mt. Province
29.545.351.288.9Kalinga
40.846.561.086.3Ifugao
48.953.172.895.0Benguet
63.267.480.276.2Apayao
60.659.978.396.0Abra
% of HHs with
Complete Basic
Sanitation
Facilities
% of HHs with
Satisfactory
Garbage
Disposal
% of
HHs with
Sanitary Toilets
% of HHs with
Access to Safe
Water
Province/City
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Phil
NCR
CARR1 R2R3R4
AR4
B R5R6 R7 R8R9R10R1
1R1
2
Caraga
ARMM
CAR has the lowest infant mortality among regions
38.4
23.0
36.0
30.0
14.0
42.7
Philippines CAR
1993* NDS 1998* NDHS 2003 NDHS
71.5
85.5
72.875.9
69.8 67.4
Philippines CAR
1993* NDS 1998* NDHS 2003 NDHS
Fully Immunized Children, Philippines vs. CAR 1993-2003
Percent of Children
12-23 months old
Fully Immunized Children in CAR declinedconsistently.
1993, 1 998, 2003 P hilippine Na tional Demog rap hic and Hea lth S urvey (NSO, ORCMacro)
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42.2
25.323.5 26.4
2.3 1.8
Philippines CAR
ORS Packets RHF Increased Fluids
Among children who had diarrhea in 2 weeks prior to survey, percentage whoreceived oral rehydration therapy (ORT), Philippines vs. CAR: 2003
Percent
Children in CAR were treated more with recommended homefluids (RHF). Oral Rehydration Salts (ORS) packets were given tochildren in the national level.
2003 P hilippine National Demographic a nd Health S urvey (NS O, ORC Ma cro)
70.6
74.0
76.0 74.9
Philippines CAR
1998 NDHS 2003 NDHS
Percentage of children under 3 who received Vitamin Asupplements prior to survey,
Philippines vs. CAR: 1998-2003
Less than a percent increase is seen in CAR for childrenwho received Vitamin A supplements while the national
level increased by five percent.
1998, 2003 P hilippine Nationa l Demograp hic and Hea lth S urvey (NS O, ORC Mac ro)
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Percent of women with Antenatal Care(ANC) from a Health Professional,
Philippines vs. CAR: 1993-2003
Percent
A decrease is seen for women in CAR who consulted a
health professional for antenatal care from 1993 to1998but increased in 2003.
83.1
87.7
85.7
84.6
87.6
86.0
Philippines CAR
1993* NDS 1998* NDHS 2003 NDHS
1998 , 2003 P hilippine Na tiona l Demogra phic a nd Health S urvey (NS O, ORC Mac ro)
Phil
NCRCA
R R1 R2 R3R4AR4
B R5 R6 R7 R8 R9R10R1
1R1
2
Caraga
ARMM
87.692.4
85.6
93.490.592.1
86.0
91.390.1 91.0
82.079.1
91.4
77.1
91.1 90.2
82.1
49.8
Antenatal Care (ANC)* by Region: 2003Percent
Over four-fifths of women in CAR consulted a healthprofessional for antenatal care.
*Health Professionals (Doctors and Nurses)
2003 Ph ilippine National Demog raphic and Health Surv ey (NS O, ORC Macro)
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Phil
NCR
CAR R1 R2 R3R4
AR4
B R5 R6 R7 R8 R9 R10
R11
R12
Caraga
ARMM
37.9
69.6
49.4
39.8 41.0
23.1
26.1
10.7
44.8
29.125.7
45.8
15.7
21.920.7
33.4
15.6
28.9
Birth delivered in Health Facility* by Region: 2003
Percent
CAR is among the regions withwomen who gave birth in a health
facility higher than the national level.
*Health Facility (Govthospital, Govt health
center and Private Sector)
2003 Philippine National Demograph ic and Health Survey (NSO, ORC Macro)
52.3 48.159.652.8 56.4 59.8
14.116.3
45.3 41.3 37.1
21.8
1993 1998 2003 1993 1998 2003
Health Professional Hilot
Philippines CAR
Percent of births with delivery assistance fromhealth professionals and hilots,Philippines vs. CAR: 1993-2003Percent
Delivery assistance from a health professional is more
common in the Cordilleras. Assistance from hilotsdecreased in CAR and the national level.
1993, 1998, 2003 Philippine National Demographic and Health Survey (NSO, ORC Macro)
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Sources of Funds for Health 2003
PPhhiillHHeeaalltthh CCoovveerraaggee
179,749 individuals are currently enrolled with PHIC (translates to 65% coverage if eachindividual has an average of 4 dependents)
Increased enrollees in the individual paying sector and LGU sponsorship of indigents
METHODOLOGY / PROCESS FOR ARRIVING AT PRIORITIES AND CRITERIA USEDThe following steps were undertaken during the workshop to arrive at the health
research priorities of the region:
1. The participants were distributed into three groups, as follows:
Group I: Representatives from DOH-CAR, City Health Department,Provincial Health Offices
Group II: Representatives from PhilHealth, CHED, CORCAT, DOST,Department of Agriculture, Cordillera Womens Education andResource Center, PopCom
Group III: Representatives from DILG, NEDA, DOLE, DSWD, CHESTCORE
2. Each group elected a group leader and a group secretary.3. The groups were asked to discuss the regions priorities for health research based
on two matrices / tables which were recommended by the PCHRD.
Table 1: Matrix for Arriving at Regional Priorities for Health Research andDevelopment
Column 1: The participants were asked to list down the five issues of concernwhich they perceived to be most important in the region. As a guide, achecklist of Health Concerns and Issues to be Considered, alsorecommended by the PCHRD, was distributed.
Social HealthSocial HealthSocial HealthSocial Health
InsuranceInsuranceInsuranceInsurance
10%10%10%10%
Out-of-Out-of-Out-of-Out-of-
pocketpocketpocketpocket
44%44%44%44%
OthersOthersOthersOthers
13%13%13%13%
NationalNationalNationalNational
15%15%15%15%
LocalLocalLocalLocal
18%18%18%18%
Sources of Funds for Health 2003
Social HealthSocial HealthSocial HealthSocial Health
InsuranceInsuranceInsuranceInsurance
10%10%10%10%
Out-of-Out-of-Out-of-Out-of-
pocketpocketpocketpocket
44%44%44%44%
OthersOthersOthersOthers
13%13%13%13%
NationalNationalNationalNational
15%15%15%15%
LocalLocalLocalLocal
18%18%18%18%
Sources of Funds for Health 2003
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Column 2: The participants were given the criteria for ranking of the areas i.e.extent, prevalence, urgency, and burden to the community.
Column 3: The participants were asked to state the reasons for persistence of theissue or problem e.g. lack of funds, poor utilization, poor knowledge,etc.
Column 4: The participants were asked to indicate the type of research that can beconducted to address the issue i.e. biomedical, product development,operations, communications, etc.
Columns 5 through 8: The participants were asked to evaluate the identifiedresearch areas in terms of the following parameters:- Feasibility of research based on existing resources in the region- Impact of research and development on the issue addressed
i.e.impact on the greater number or population, on the cost ofhealth care
- Lack of funds for the research area- Priority status (high, medium, or low)
Table 2: Matrix for Priority Research Topics
For Table 2, the participants were asked to cite specific research topics on theissues that were identified in Table 1.
Copies of the matrices and instructions for accomplishing them were sent to theparticipants beforehand, together with the letters of invitation. This was done to facilitate theconduct of the workshop and to ensure a relevant and fruitful discussion.
The outputs of the groups were presented in a forum during the afternoon session.The matrices of the groups are shown in the tables that follow. (Please see attachments.)
HEALTH RESEARCH PRIORITIES FOLLOWING THE STANDARD MATRIXTo consolidate the outputs to arrive at a Regional Health Research Agenda, a
ranking system was used. The ranks assigned to the research areas identified by thegroups e.g. 1, 2, 3, etc. were added. If an area was not included in a groups list, but wasincluded by another group, this area was assigned an arbitrary low rank. After adding theranks, the area with the lowest sum was designated as having the highest priority i.e. thehigher the sum of ranks, the lower the priority.
Thus, using this ranking system, the following are the Regional Health ResearchPriority Areas for CAR:
1. LOCAL HEALTH SYSTEM2. LIFESTYLE-RELATED DISEASES3. WOMEN, CHILDREN, AND ADOLESCENTS IN DIFFICULT
CIRCUMSTANCES (e.g. STI)4. HEALTH INFORMATION SYSTEMS
2. HEALTH POLICY3. ENVIRONMENTAL HEALTH4. HEALTH PROMOTION5. INFECTIOUS DISEASES6. TRADITIONAL MEDICINE7. OVERSEAS FILIPINO WORKERS (OFW)
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Examples of specific research topics identified by the groups are cited below:
Local Health System (Ranked No. 1)
- To determine the factors that affect the functionality of the Inter-Local HealthZone
- To determine the impact of devolution on the effectiveness and efficiency ofthe health care delivery system
- To determine the impact of health programs on intended beneficiaries as abasis for future health policy implementation
Lifestyle Related Diseases (Ranked No. 2)
- To compare locally grown fruits and vegetables with genetically modifiedfruits and vegetables
- To determine the prevalence of cases of lifestyle related diseases
Women, Children, and Adolescents in Difficult Circumstances (Ranked No. 3)
- To determine the factors that subject women and children to difficultcircumstances / situations
- To determine the profile of women in relation to violence against women andreproductive health
Health Information Systems (Ranked No. 4)
- To develop and establish a system of reporting, referring, and networking- To generate a unified health database
Health Policy (Ranked No. 4)
- To determine the impact of migration on health care delivery- To assess and evaluate existing health and education policies
Environmental Health (Ranked No. 4)
- To determine the effects, causes, and levels and extent of pollution
Health Promotion (Ranked No. 5)
- To determine more effective and relevant strategies of health promotion
Infectious Diseases (Ranked No. 5)
- To determine the knowledge, attitudes, and practices of the population in
relation to the prevention and treatment of infectious diseases
Traditional Medicine (Ranked No. 6)
- To identify indigenous flora present in the region that can be used asalternative measures
Overseas Filipino Workers (Ranked No. 7)
- To determine the health benefits of overseas Filipino workers after thecontract is over
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REPORT ON THE FOCUS GROUP DISCUSSION (FGD)
Some of the priority areas for research identified by the participants were stated invery broad terms i.e. lifestyle related diseases, infectious diseases. Thus, the PCHRD,through Ms. Laguimun, recommended that the Regional Facilitator conduct an additionalsmall focus group discussion (FGD) to further refine the outputs of the workshop and tomake the health research prioritization more specific.
The FGD was scheduled on Wednesday, November 16, 2005 at 2:00 p.m. at theSLU College of Medicine. However, the supposed participants were unavailable due to fieldwork and previous out-of-town commitments. Thus, the FGD was postponed and reset toanother date.
We conducted the focused group discussion last January 13, 2005 at the SLUCollege of Medicine, to refine the outputs of the regional consultation workshop and to makethe health research prioritization more specific.
The following were the participants in the focused group discussion:
1. Dr. Elizabeth Fe-Dacanay Regional Facilitator and
Dean, SLU College of Medicine
2. Dr. John Anthony A. Domantay Chairman, Department of PathologySLU College of Medicine
3. Dr. Robert E. Tolentino Executive Director, MOMFISaint Louis University
4. Dr. Nelson Hora Faculty, Department of Communityand Preventive MedicineSLU College of Medicine
5. Dr. Catherine T. Gomez Chairman, Department of PediatricsSLU College of Medicine
6. Dr. Julius Alcala Medical Specialist IIDepartment of Health-CAR
7. Dr. Cybelle Luz Abalos Medical Services CoordinatorCHESTCORE
8. Dr. Wener Paul Irmscher Faculty, Department of MedicineSLU College of Medicine
9. Dr. Christine Ayochok Faculty, Department of PathologySLU College of Medicine
10. Dr. Catalina Toquillo Resident, Department of PathologySLU Hospital of the Sacred Heart
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We also invited the following to the focused group discussion but they could notattend due to previous and simultaneous commitments:1. Dr. Antonio Bautista Infectious Disease Control Cluster
DOH-CAR
2. Dr. Florence Reyes City Health OfficerBaguio Health Department
3. Dr. Celia Brillantes Medical Officer VBaguio Health Department
4. Dr. Elvira Belingon Medical Specialist IIDOH-CAR
5. Dr. Evelyn Dayot ChairmanCordillera Coalition Against TB
6. Mr. Joey Lubrica Project Evaluation OfficerPHILHEALTH-CAR
7. Dr. Ana Marie Leung Chairman, Department of
Community and PreventiveMedicine
SLU College of Medicine
8. Dr. Myrna M. Espiritu Chairman, Department ofMicrobiology and Parasitology
SLU College of Medicine
9. Dr. Elizabeth E. Gallardo Faculty, Department of PediatricsSLU College of Medicine
10. Dr. Roma Anna G. Dumaup Chairman, Department ofObstetrics and Gynecology
SLU College of Medicine
The group discussed the regional health research priority areas in terms of specificresearch projects that could be undertaken. The research projects were conceptualizedand prioritized based on the following criteria:
1. Magnitude of the issue or problem to the community2. Feasibility of the research based on existing capabilities3. Impact on research and development on the population in terms of mortality
and morbidity, quality of life, social desirability, cost of health care, and inanticipating future health problems or issues.
4. Impact of research on the health issues being addressed
5. Neglect of the area of concern by other government agencies
After discussion and deliberation, the group agreed upon five priority research areasand six specific priority research topics. These are presented in the succeeding tablefollowing the standard matrix.
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MATRIX FOR PRIORITY RESEARCH TOPICSOUTPUT OF FOCUS GROUP DISCUSSION HELD AT THE SLU COLLEGE OF
MEDICINE ON JANUARY 13, 2006Colum
n 1Column 2 Column 3 Column 4 Column 5
IssueofConcer
n
SpecificResearch Topic
Rationale for theResearch
General Objective ofthe Research Study
AgencyResponsible for
Implementation
RankedNo. 1:LocalHealthSystem
Devolution:Attitudes ofImplementorsand End-Users ofthe Local HealthCare System inSelectedMunicipalities ofthe Baguio-Benguet Area
Despite devolution offunds for health care, ithas been observedthat basic health careservices remainunavailable to manypeople in theCordilleras.
To determine theattitudes towardsdevolution ofimplementors andend-users of the localhealth care system inselectedmunicipalities of theBaguio-Benguet area.
To bedeterminedby PCHRD
RankedNo. 2:LifestyleRelatedDiseases
Prevalence andRisk Factors forHypertensionAmong Residentsof SelectedMunicipalities inthe Cordillera
Hypertension and itsassociated diseaseshave overtakeninfectious diseases asleading causes ofmorbidity and mortalityin the Cordillera region.
To determine theprevalence and riskfactors forhypertension amongresidents of selectedmunicipalities in theCordillera
To bedeterminedby PCHRD
RankedNo. 3:Women,Children, and
Adolescents inDifficultCircumstances
Knowledge,Attitudes, andPractices ofCordilleraWomenRegarding
ReproductiveHealth
There are beliefs andpractices concerningreproductive healthwhich are unique to theculture of theCordilleras.
To determine theknowledge, attitudes,and practices ofCordillera womenregardingreproductive health
To bedeterminedby PCHRD
RankedNo. 4:EnvironmentalHealth
Levels of AirPollution inVarious Areas ofBaguio City fromJanuary toDecember 200_
Baguio City is said tohave the highest levelof air pollution in thecountry, but there hasbeen no study thatmeasures air pollutionin different areas of thecity in all months of the
year.
To determine thelevels of air pollutionin various areas ofBaguio City duringdifferent times of theyear
To bedeterminedby PCHRD
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RankedNo. 5:InfectiousDiseases (1)
AntibioticSensitivityPatterns ofMycobacteriumtuberculosisIsolates in BaguioCity
Tuberculosis remainsan important cause ofmorbidity and mortalityand is curable, butthere has been nostudy of the antibioticsensitivity patterns ofMycobacterium
tuberculosis isolates inthe Cordillera region.
To determine theantibiotic sensitivitypatterns of isolates ofMycobacteriumtuberculosis inBaguio City
To bedeterminedby PCHRD
InfectiousDiseases (2)
Knowledge,Attitudes, andPracticesRegardingTuberculosisAmong Residentsof SelectedMunicipalities inthe Cordillera
There are beliefs andpractices concerningTuberculosis as adisease which areunique to the culture ofthe Cordilleras.
To determine theknowledge, attitudes,and practices ofresidents of selectedmunicipalities in theCordillera regardingTuberculosis
To bedeterminedby PCHRD
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ANNEXES
ANNEX A
HEALTH RESEARCH AGENDA SETTINGREGIONAL CONSULTATION WORKSHOP
sponsored by:
Department of Science and Technology (DOST)Philippine Council for Health Research and Development (PCHRD)
and theSaint Louis University (SLU) College of Medicine
Thursday, October 27, 2005, 8:00 a.m. 4:00 p.m.Golden Pine Hotel
Legarda Road, Baguio City
P R O G R A M
8:00 9:00 a.m. REGISTRATION
9:00 10:00 a.m. OPENING CEREMONIES
I. Invocation Dr. Ana Marie R. LeungChairman, Department of Preventive
and Community MedicineSLU College of Medicine
II. The Philippine National Anthem
III. Welcome Address andIntroduction of Participants Dr. Elizabeth Fe-Dacanay
Dean, SLU College of MedicineRegional Facilitator for CAR
IV. Overview of the RegionalHealth Situation Dr. Julius Alcala and
Dr. Elvira BelingonMedical Specialists IIDepartment of Health CAR
V. Setting the Regional and ZonalHealth Research Agenda Ms. Teresita O. Laguimun
OIC, Human Resources andInstitution DevelopmentDivision
PCHRD
10:00 10:30 a.m. BREAK
10:30 12:00 noon WORKSHOP
12:00 1:00 p.m. LUNCH
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1:00 2:00 p.m. Continuation of Workshop
2:00 3:00 p.m. Presentation of Workshop Outputs
3:00 3:30 p.m. BREAK
3:30 4:00 p.m. Synthesis and Recapitulation
4:00 p.m. Closing RemarksDr. Allan FeranilChief, Research Management Development
ProgramPCHRD
Master of Ceremonies:Dr. John Anthony A. Domantay
SLU College of Medicine
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ANNEX B
LIST OF PARTICIPANTSRegional Consultation Workshop
On the Unified Health Research AgendaOctober 27, 2005
Golden Pine Hotel, Baguio City
1. Dept. of Interior and Local Government-CAR Ms. Florinda M. GarciaLocal Govt Operations
Officer II
2. Population Commission Ms. Annie D. CalimquimInformation Officer II
3. National Economic Devt. Authority-CAR Ms. Florida FaculoChief, Social DevelopmentDivision
4. Dept. of Social Welfare and Development-CAR Ms. Marcia B. Espinueva
Nutritionist III
5. Dept. of Labor and Employment-CAR Ms. Ma Lourdes RosalAurelio-Bala
Labor Employment Officer III
6. Dept. of Science and Technology-CAR Mr. Menandro B. BuenafeSr. Science ResearchSpecialist
7. CHED-CAR Dr. Ramon SantiagoSupervising EducationProgram Specialist
8. Dept. of Health-CAR Dr. Julius AlcalaMedical Specialist II
Dr. Elvira BelingonMedical Specialist II
9. PHILHEALTH-CAR Mr. Joey V. Lubrica, R.N.Project Evaluation Officer II
10. Department of Agriculture Ms. Leonora K. VerzolaSr. Agriculturist
OIC-Cordillera IntegrationAgricultural ResearchCenter
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11. Baguio Health Department Dr. Florence G. ReyesCity Health officer
Dr. Celia Flor BrillantesMedical Officer V
12. Provincial Health Office-Benguet Dr. Esteban Piok
Provincial Health Officer-Benguet
13. Provincial Health Office-Ifugao Dr. Mary Jo DulnuanProvincial Health Officer-Ifugao
14. Cordillera Coalition Against TB Dr. Evelyn DayotChairman-CORCAT
15. Community Health Education Services Trainingin the Cordillera Region (CHESTCORE) Dr. Cybelle Luz A. Abalos
Medical Services Coordinator
16. Cordillera Womens Education and Resource Center Ms. Lucille Lumas-i
Officials from the Philippine Council for Health Research and Development (PCHRD)
DR. ALLAN FERANILChief, Research Management Development Program
PCHRD
MS. TERESITA O. LAGUIMUNOfficer-in-Charge, Human Resources and Institurion Development Division
PCHRD
MRS. ANGELINA M. AQUINOAdministrative Assistant, Office of the Executive Director
PCHRD
Workshop Facilitators
DR. JOHN ANTHONY A. DOMANTAYChairman, Department of Pathology and Laboratory Medicine
SLU College of Medicine
DR. MYRNA M. ESPIRITUChairman, Department of Microbiology and Parasitology
SLU College of Medicine
DR. ANA MARIE R. LEUNGChairman, Department of Preventive and Community Medicine
SLU College of Medicine
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Secretariat
MRS. MARIETTA E. CASTROSecretary, Office of the Dean
SLU College of Medicine
MR. RUBEN SIA(Documentation)
Laboratory CustodianSLU College of Medicine
MR. LEYNARD R. MARRERO(Student Assistant)Second Year Mayor
SLU College of Medicine
REGIONAL FACILITATOR FOR CAR
DR. ELIZABETH FE-DACANAY
Dean, SLU College of Medicine