SAN PEDRO COLLEGE

SAN PEDRO COLLEGEDavao City

MEDICAL LABORATORY SCIENCE DEPARTMENTMLS 200 COMMUNITY AND PUBLIC HEALTH2nd Semester, SY 2014 - 2015

1. COURSE TITLE:MLS 200 Community and Public Health

1. COURSE DESCRIPTION:

Community and Public Health is a course that deals with the study of the foundations of community health that includes human ecology, demography and epidemiology. It emphasizes the promotion of community, public and environmental health. It involves the practice of preventing disease and promoting good health within groups of people from small communities by undertaking community health surveillance, proposing, developing and implementing a program or project.

1. CREDITS:5 units ( 2 hours lecture and 9 hours laboratory per week)CONTACT HOURS:36 hours lecture and 162 hours laboratory/field work per semester

DATEACTIVITIES

Week 1AM: Orientation to the course Student profile Group students for Health News Reporting (5 groups) (midterm grading period)Group I = Maternal, Infant, and Child HealthGroup II = Adolescents, Young Adults, and Adults HealthGroup III = Seniors HealthGroup IV = Community Mental HealthGroup V = Alcohol, Tobacco, and Other Drugs: A Community Concern Orientation about Community Profiling & Diagnosis & project proposal and implementation (final grading period) Orientation about: Laboratory activities: Radio Drama (2 groups/class) Nutrition Activity (meal plan, class lunch) Poster and/or video contest on Disease Prevention on Ascariasis (interclass contest) Criteria to be announced Discussion on CPH class T-shirt Orientation about the class budget (CPH fee) Expenses during lab activities Major CPH activities Requirement of a journal notebook (hard or soft type) to write thoughts, learning experiences, reactions or reflections of the course major and minor activities; this is in preparation for the making of the CPH portfolio (Finals).

PM: Students meeting (prepare drama script and schedule practices for the radio drama, etc.) CPH instructors meeting

Week 2

AM: Lecture 1 - Introduction to Public Health, History, Organizations

Class team-building activities

PM:

Lecture 2 - Epidemiology Designs/ Health/ Terms

Film viewing: And the Band Played On Reaction paper required (250 words, 8x11) Submit next meeting (record work in your journal notebook)

Practices, class meeting

Week 3

AM: Quiz 1 (lectures 1 & 2) Lecture 3 Vital Statistics

Class Lab Activities

PM:

Lecture 4 Nutrition Assignment for next meeting

Computer work: www.mclph.umn.edu/watersedge/Outbreak at Watersedge Print screen evidence of completion and write a reaction paper. (250 words, 8x11) Prove guide questions to students. Submit next meeting (record work in your journal notebook) Practices, class meeting

Week 4

AM: Quiz 2 (lectures 3 & 4) Presentation of meal plan Class lunch

PM: Lecture 5 - Communicable Diseases Lecture 6 - Non-Communicable Diseases

Week 5

AM: Quiz 4 (lectures 5 & 6) Finalize CPH class t-shirt

Presentation of the Radio Drama

Problem tree analysis (Processing of the story)

Week 6

PRELIM EXAM

Happy Holidays!

Week 7 (MIDTERM PERIOD)

AM: Lecture 7 Occupational and Environmental Health

Lecture 8 Community Organizing/Health Promotion

PM: Film viewing: Mulanay Reaction paper about the movie. Submit next meeting (record work in your journal notebook)

Week 8January 2015Distribution of class T-shirt

Deadline: Submission of Poster and/or video project on Ascariasis

Group preparation for health education and promotion activity = HEALTH NEWS REPORTING

Teachers preparation for community visit

Week 9 AM and PM Activity Health News Reporting (Live or pre-video taped)

TOPICS:Group I = Maternal, Infant, and Child HealthGroup II = Adolescents, Young Adults, and AdultsGroup III = SeniorsGroup IV = Community Mental HealthGroup V = Alcohol, Tobacco, and Other Drugs: A Community Concern

Reminder: Parents Consent Form distribution

Week 10AM/PM Activity Interview Training SEMINAR

Week 11

AM/PM Activity Community or Public elementary school visit Scanning, survey

Week 12MIDTERM EXAM

Week 13

AM/PM Activity

This year, 2014: Health education on Ascariasis/STH infectionsMedical Mission

Or

Teachers prerogative (depending on community diagnosis, project planning and implementation)

Week 14

February 14, 2013 EMPLOYEES DAYBMLS 2 students work on the following: Collation of Data Statistical Analysis Prioritization of health problems identified Project proposal with budget plan Writing the community report

Week 15

AM/PM Activity

Project Implementation

OR

Continue to work on the following: Collation of Data Statistical Analysis Prioritization of health problems identified Project proposal with budget plan Writing the community report

Week 16AM/PM Activity

Presentation of reports to the community/school (VALIDATION) or Submission of Written Profile and Diagnosis to the Community

Week 17AM/PM Activity

Student is given this time to prepare individual portfolio. Time to complete manuscript on community profile and project report.

Week 18Submission of:1. Portfolio (save on DVD - video, ppt or pdf format)2. Community Survey/Findings and Class Health Project Reports (soft/ring bound written output & CD)

FINAL EXAM schedule

CPH GRADING SYSTEM:

PRELIM GRADE: Class standing (50%) + Prelim Exam (50%)Class standing (lec & lab): Quizzes 70% Assignments 20% Activity participation/criteria 10%

MIDTERM GRADE:2/3 tentative midterm grade (TMG) + 1/3 prelim grade

Tentative Midterm Grade (TMG): Midterm exam (50%) + Class Standing (50%) Class Standing (Lec & Lab): Quizzes 70% Quizzes 70% Assignments 20% Activity participation 10%

Final Grade: 2/3 tentative final grade (TFG) + 1/3 Midterm gradeTentative Final Grade (TFG): Lecture Grade (50%) + Lab/Practicum Grade (50%)

Lecture Grade: Class Standing (50%) + Portfolio (lec exam 50%)

Class Standing: Health topic report performance (50%) + Quizzes (50%)

Lab/Field Grade: Peer evaluation (30%) + Community Profile , Diagnosis & Health Project (70%)

RADIO DRAMA EVENT PROBLEM TREE ANALYSISDecember 2014

Directions:

Your group is tasked to present a live radio drama presentation of the story entitled, Gregorio, Forgive Us All using Davaos Native Tongue (Cebuano/Bisaya). You are to make a script and submit this script to the instructor. Organize yourselves according to what you can contribute to the required tasks at hand and submit the list of students with their corresponding roles or involvement to the instructor. Your class performance serves as a laboratory quiz grade. The time allotment for each presentation is a maximum of 30 minutes including preparation. Every minute of excess would mean a 1%-deduction from your over-all rating.

CRITERIA FOR JUDGING: Creativity (Original, innovative, inventive?)20% Clarity of Message20% Technical Quality (sound effects, music, voice etc.)20% Overall quality of the script (translation) 20% Impact 20%

Gregorio, Forgive Us All(Based from Our Health, Our Lives)Book Project Committee, NEHCC, NCCP

It was weltering hot that afternoon not unusual in the Philippines, but not a time for hurrying either. Thats why I knew something was wrong when a man came hurrying up the stairs of the convent.

The man was Gregorio and he told me his wife, Lina, who was pregnant, was sick with cholera. He and a friend had carried her for four hours from their mountain home using a hammock as stretcher. When they arrived at the town of Togoc, they found the doctor had gone.

Togoc is one of the several parishes situated in the mountains of the island of Negros with the population of some 20,000 people. The pastor there now, Fr. Eugenio, tell me that they have no doctor, though they still have a dilapidated clinic. When I was there, about a year ago, a doctor sometimes visited us.

Gregorio wanted to borrow our vehicle to take his wife to the hospital in the lowlands a 2-hour-ride over a rocky road. I explained to him that Fr. Hilario had taken the jeepney, but I would go with him to the clinic anyhow to see what could be done. We found Lina lying at the clinic crying out in pain.

Obviously, she desperately needed help, so we hurried out to search for the young doctor assigned to Togoc for six months rural training. But he was always in an outlying and so we waited for what seemed like ages before he came back. He immediately wrote out a prescription for Gregorio, who ran barefoot along the road to a little shop stocked with a pitifully small supply of medicines. He was back in a few minutes, only to say the shop didnt have the medicine. The doctor wrote another prescription. Gregorio sped away again, only to return once more breathless and empty handed.

We need dextrose, said the doctor, but there is none here in town. All of us fanned out through the neighborhood asking people if they had any. Finally, a woman produced a half-filled bottle left over from what her husband used before he died. I brought it to the doctor.

He looked up exasperated and said, The clinic has no dextrose needle. Well have to take her down to Kabankalan.

Doc, you know shell die on the way, I said. Isnt there anything you can do?

He then tied to give the dextrose with a large needle, but the vein in her arms and legs had collapsed. He tried the veins on the neck. That was no good either.

We all stood there helpless as Lina screamed in pain. Gregorio was mute with confusion: their little child was wandering around the bed. Finally, the doctor gave her some Coca Cola the only medicine available. Once more the doctor insisted Lina would have to journey down to Kabankalan. Since the priest wouldnt be back, there was nothing else to do but start the haggling for a rented jeepney. It would be expensive and Gregorio had nothing, but we were in no position to haggle with a life at stake.

Gregorio laid Lina on the same hammock that he had used to carry her down the mountain, and strung it up inside the jeepney. All the time she cried out in pain. We had no sedatives, to calm her with. The doctor sat beside Gregorio.

Before they left I whispered to Lina to be brave. There would be help. Hang on, I said.

The jeepney moved slowly, bouncing along that terrible road until it slowly disappeared from sight. I whispered a hopeless prayer as if God who forgives would also, at a stroke, undo the accumulated effects of our unjust system.

When Fr. Hilario got back to the convent the following afternoon, I poured out the story to him, as we were taking, Gregorio appeared at the door. He looked as if he had walked the whole way back which was over 30 kilometers.

His face told the story Lina had died halfway down the journey. She had begged to stop the jeepney; the pain being too much. They stopped, and as they did, she died and so also taking the life of the child inside.

And now followed a strange development, the doctor and driver insisted that maybe she was still alive! They would not heed Gregorios pleas to return to Togoc. So the jeepney continued on and deposited Gregorio and his dead wife at a doctors house clinic in a large barrio!

The doctor was not there, and the housewife naturally got mad at Gregorio for bringing a dead patient. But the jeepney driver would not carry Gregorio and Lina any further. Against the law, he said, and of course, it would be bad luck too.

The young doctor must have had very little understanding of just how destitute Gregorio was how desperately poor most of our people are because what he did next still amazes me. He went on to Kabankalan with the jeepney driver and asked an expensive Western-style funeral home to take care of the corpse. For Gregorio, who had to pay for the expenses anything was better than to leave his wife in an unfriendly house.

Now Gregorio stood there numb and exhausted. What else could he do? The funeral home would not return the body till he paid the bills for embalming and for bringing the body back to Togoc. It was Php 8000. This was more than any amount Gregorio had ever held in his whole life. Just think that Php 250 worth of medicine would have saved the life of both Lina and her baby! It was the end as far as I was concerned. But not for Gregorio, he would borrow the money from us and sell his land to pay us!

I suggested we send down our vehicle for the body, but there was a question about that being illegal. And then, would Perfecto, our faithful driver, overcome the same superstitious fear of carrying a dead body in his vehicle?

Apart from that, said Fr. Hilario, Our beat-up vehicle might never make it down and up again.

Gregorio watched us argue. He was beyond feeling.

Finally, we decided to consult Perfecto. When Fr. Hilario left, Gregorio pleaded, Father, dont leave Lina in Kabankalan and he wept.

Perfecto was brief and to the point the vehicle will make it down, and well get it welded there. Then Ill drive it back Im not afraid to carry a dead body.

Then we planned on how to deal with the funeral home there would be some brutal bargaining to do.

I have not told this story well; the details have been smothered over by so many similar incidents. Did Gregorio carry Lina for eight hours, not four? Did we get the body back for Php 1500 or what? The cases blur in similarity and your mind stops making distinctions.

Sometimes, Im tempted to think that if we had enough money to supply the poor with medicines, or not have to argue over the hiring of a jeepney, or not have to worry about the wreck that our vehicle is, the problems would end.

That might help relieve our worry and tension, but it would not solve the problems, for they are recurrent and deep rooted.

When we brought Lina back to Togoc, Gregorio asked for the lid to be taken off the coffin so that he could be photographed with his child and wife for the last time. Im afraid the picture is not clear enough to be printed.

But when I look at it I sometimes wonder Gregorio, where are you now? Have you returned to your mountain plot? Who looks after your little child? Do you blame yourself for poverty, for Linas death? Will you ever escape from the shadow of failure that is not your fault, but is rooted in exploitative and oppressive systems?

Will we ever wake up?

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PEER EVALUATION FOR GROUP ACTIVITIES

EVALUATOR: _________________________________YR/SEC_________GROUP NO._______EVENT: ______________________________________

Please evaluate your group mates. Evaluate by rating 1 to 5 based on the criteria indicated in the column headings, 5 as the highest and 1 as the lowest.

PEER EVALUATION

NAMES (group members)Criteria (Rate 1 to 5)Total Scores(15)

Attendance in MeetingsContribution to the Projects ConceptParticipation in the making of the project

HEALTH NEWS REPORTING

TOPICS:

Group I = Maternal, Infant, and Child Health Group II = Adolescents, Young Adults, and Adults Group III = Seniors Group IV = Community Mental Health Group V = Alcohol, Tobacco, and Other Drugs: A Community Concern

CRITERIA:

Content of proceedings (accurate, comprehensive, timeliness) Creativity of presentationMastery of Report (individual)Evidence of Teamwork Ability to answer questionsPeer Evaluation 25%

15%25%10%20% 5%

Requirement: Hard & soft copies to be submitted at least a day before the scheduled reportTime: 20-min presentation, 10-min question and answer

PORTFOLIO GUIDELINES

NOTE:1. The Portfolio is the final lecture exam.2. The Portfolio is made individually.3. The individual portfolio is saved in DVD with your full name as your filename and is to be submitted by group (health news grouping).4. Label the DVD properly with your section, group number and full name.5. Submission is on the CPH final exam date. 5% deduction for every 1 day delay of submission

GUIDELINES:

1. Identify at least ten (10) CPH highlights.

2. Each event is equivalent to ten points, to get the ten points consider the following: Present proof or documentation of the activity Describe the nature of the activity State the impact and learning of the activity Show creativity Give recommendations

COMMUNITY SCANNING & SURVEY

Suggestions for organizing teams:

Class Leader (oversees everything)Class Treasurer/disbursing officer (responsible for liquidating fund, gather proofs (O.R.) of purchases and acknowledgment receipts of service fees, submit financial/liquidation report to the instructor)

5 Teams:1. Community survey team (scanners, inspectors, field researchers/interviewers) Assign team leader Observe the community in general (be keen in observing the environment) Are actively involved in the interview of respondents Assign a writer to describe or interpret findings

2. Barangay Hall team Assign a team leader Assign a pair to interview the barangay officials to accomplish Chapter 1 of the report; see worksheet. Assign a writer to describe Chapter 1 of the report Assign an artist to draw the layout of the purok/barangay (only if possible or you can already get a copy of the existing map of the barangay) When done, help in the interview of respondents

3. Barangay Health Center team Assign a team leader Assign a pair to interview the health personnel to accomplish Chapter 2 of the report; see worksheet Assign a writer to describe the health status of the population When done, help in the interview of respondents

4. Action Plan Team Help in the interview of respondents Assign a team leader Heads the class meeting in which each team can present their findings Discuss identified health problems/issues/concerns Prioritize problems (1st, 2nd, 3rd, so on) and examine your resources Name your project, write goal and objectives (S.M.A.R.T.), schedule your activities, determine how to evaluate and monitor outcomes Project should be health-related.

Worksheet:Health problem to be addressedName of ProjectGoalObjectivesAction/activities to be taken Who will do it?TimescaleEvaluation & monitoring measures

Assign a writer to accomplish Chapter 4 of the report

5. Documentation Team Are actively involved in the collation of data, analysis of data Take photos and document the happenings of the survey Head writer and all assigned team writers Consolidation of written reports and printing of final report Assure the timely submission of the written report.Worksheet for the Barangay Hall TeamMLS 200 Community and Public Health

Visit the Barangay Hall. Introduce yourselves and the purpose of your visit. Be courteous. Print this worksheet. Bring extra paper and flash drive for copying/saving information. Ask for the following information.

1. Description of the barangays geographic location (ex. distance, total land area, land or soil type, residential or agricultural zone)

Follow-up: When was the barangay established?

2. Total population, age distribution and gender distribution (according to the latest survey done*)

3. Ethnicity (race) and religion (*)

4. Language and literacy (*)

5. Transportation Systems

6. Recreational facilities (ex. parks or playground)

7. Places of worship (chapels, churches)

8. Media (TV/Radio stations, newspapers)

9. Public and private schools, colleges, universities, nursery, kinder, vocational

10. Barangay health, hospital/clinic personnelHealth facilities (dental clinic, laboratory, pharmacy, hospital, etc.)

11. Barangay officials and number of personnelPublic safety officePublic offices and establishments

12. Business & IndustryAgricultural sectorIndividual businesses and local industries (restaurants, stores, etc.)Attorneys, accountants

13. Civic, social, religious & voluntary agencies

Worksheet for the Barangay Health Center TeamMLS 200 Community and Public Health

Visit the Barangay Health Center. Introduce yourselves and the purpose of your visit. Be courteous. Print this worksheet. Ask for the following information.

A. Top ten illnesses/morbidity cases

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

B. Top ten causes of death

1.

2.

3.

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10.

C. Measures of health Birth/fertility rate, maternal mortality rates, specific mortality rates, etc.

If none, get the variables (total number and total population) and do the computation.

D. Status of the vaccination program

E. List all the names of the BHC personnel (physician, midwife, nurse, nutrition scholar, BHW, volunteer)

Follow up: What is the address of the health center?

F. What are the medical services offered?

Follow up: How do you think we, as CPH students, can help the barangay in terms of health promotion?

G. On the average, how many patients visit the Health Center daily? What day is the busiest? On what days of the week can we see the physician?

Please review the following for the format and content of the Community Profile and Health Project

Deadline of submission: CPH Final Exam date.

(This is the cover page.)

San Pedro CollegeDavao City

Community Profile of Barangay/Sitio/Purok ____(Title of Health Project)

In partial fulfillment of the requirements inMLS 200 Community and Public HealthDepartment of Medical Laboratory Science

Class of BMLS 2___Preceptor Julie J. Tiu, RMT, MPHSecond Semester, SY 2012-2013

Format: 1. Short coupon bond, 8x112. 1-inch margin, all sides3. Arial, font 114. Single space in paragraph5. Soft/ring bound, 2 copies (barangay and department)

(The following are the contents of the community profile and health project report.)

AcknowledgmentsPrefaceTable of Contents

Chapter 1: Characteristics of the Communitya. Geography (with map, only if possible)b. Numbers/populationc. Age distribution and gender distributiond. Ethnicity and religione. Language and literacyf. Transportation Systemsg. Recreational facilities (ex. parks or playground)h. Places of worship (chapels, churches)i. Media (TV/Radio stations, newspapers)j. Education (public and private schools, colleges, universities)k. Health and Welfare i. Barangay health, hospital/clinic personnelii. Health facilities (dental clinic, laboratory, pharmacy, hospital, etc.)l. Government sectori. Barangay officials and number of personnelii. Public safetyiii. Public offices and establishmentsm. Business & Industryi. Agricultural sectorii. Individual businesses and local industries (restaurants, stores, etc.)iii. Attorneys, accountantsn. Civic, social, religious & voluntary agencies

Chapter 2: Health Status of the Populationa. Top ten illnessesb. Top ten causes of deathc. Measures of health (Birth/fertility rate, mortality rates, etc.)d. Status of vaccination coverage

Chapter 3: Community Survey Resultsi. Introductionii. Tables/graphs/figures with analysis and interpretation

Chapter 4: Setting of Priorities and Health Project1. The Identified priority health problems(Rank or prioritize health issues based on: magnitude of the problem, seriousness of the problem, feasibility of a successful intervention)2. Name of the (proposed) health project3. Writing of goals and objectives4. Cost of project5. Activities6. Evaluation and monitoring of outcomes

Appendices:1. A copy of the IEC material produced, if applicable.2, Pictures with description3. A copy of letter/s submitted, if applicable4. BMLS 2 class list and team/roles/positions5. Class picture with CPH preceptor (please indicate names below the picture)

CRITERIA FOR GRADING THE FINAL LABORATORY EXAM

PEER EVALUATION

30

CONTENT OF WRITTEN FINAL REPORT(Format, completeness)

20

ACCURACY(Findings, analysis, interpretation)

25

SUCCESS/IMPACT OF PROJECT(goal/objectives, activities, measurable outcomes)

25

PEER EVALUATION

10 = Attendance in meetings

10 = always present & punctual 8 = present but comes late at times 6 = present but always comes late 4 = absent at times 2 = present only once 0 = never present

10 = Performance according to tasks Designation10 = all tasks done excellently 8 = almost all tasks done really well 6 = tasks done well 4 = tasks not done well 2 = tasks poorly done 0 = not done at all

10 = Overall involvement to the success of the report and project implementation

10 = outstanding 8 = very strong/very active 6 = strong/active 4 = less active 2 = poor involvement 0 = never involved at all

Deadline of submission: CPH Final Exam date

San Pedro CollegeMLS 200 COMMUNITY AND PUBLIC HEALTHPeer Evaluation Report

Name of Evaluator: ________________ BMLS 2__Date submitted:__________

Please evaluate honestly your classmates performance and contribution to the accomplishment of your community profile and health project. Submit this together with your portfolio and community profile.

No.Name of ClassmateAttendance

(10)Performanceof task designation

(10)Overall involvementto the success of projects(10)Total Score

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