Measuring the Effectiveness of Online/Blended Programs (271775857)
The+Effectiveness+of+Health+Programs+Final+Need+to+Edit 7
Transcript of The+Effectiveness+of+Health+Programs+Final+Need+to+Edit 7
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The Effectiveness of Health Programs
In Barangay Quezon, Arevalo, Iloilo City
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From 2004-2007
____________
In Partial Fulfillment
Of the Requirements
In the Subject Health Economics
____________
Submitted to:
RONILO O. CASPE
Instructor
____________
Submitted by
RICHARD DAHILDAHIL
BSN II-G
Chapter I
Introduction
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Commonly we believe in the saying that, Health is denied, not until we are ill.
For as long as we can get up and able to perform the daily chores, we still consider ourselves as
physically healthy. And we are badly bothered for our health if there are already weaknesses felt.
And sad as it may seem, what we consider as pagod lang to turned out to be pagod na ang
katawan ko, that we are in the chronic stage of illness. Sometimes people forget that there are a
lot of ways on how we can prevent ourselves from becoming sick.
Our government are very much concern of the health and wellness of its people.
They find ways as on how to identify, prevent and cure the increasing health problems that its
people are facing. They allocate sufficient funds, raise programs and implement strategic
planning and implementing in order that their programs about health and wellness turned out to
be helpful, affordable and attainable.
These tasks of the government were further subdivided from national to local so
as to individualized the needs of its people. Therefore every cities and towns, and to be exact
even the barangays have their own programs depending on what is needed on that area. As an
aspiring member of the health care team, the researcher wanted to determine what are programs
implemented by his baranggay where he resides as of now and to know the effectiveness of the
corresponding programs being implemented.
In our Barangay, they implemented the following program namely: MWRAS
(Married Woman in their Reproductive Age), Immunization Program and
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The study aims to know the effectiveness of the Health Programs of Barangay
Quezon.
The objective of the study is to 1.) identify the different Health Programs of the
Barangay and 2.) to know the awareness and effectiveness of the program for the people of
Barangay Quezon.
In conducting the study, the following hypotheses were drawn:
that there is an increase number of couples that are aware of the MWRAs Program
1.
2. that there is a decrease number of cases in TB, Diphtheria, Tetanus, Pertussis,
Polio, Measles and Hepatitis in the Barangay
1.
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Chapter II
Survey of Related Literatuere
A. Background o the Study
What is Family Planning? Family Planning means that the family plans to have
children according to its economic and social conditions, as well as according to its ability to
care for the children spiritually, economically, and socially. The familys role is not limited only
to having children, but more essentially to raising the children well.
Family planning is often used as a synonym for the use of birth control, though its
connotations are somewhat different. It is most usually applied to the circumstance of a
monogamous female-male couple who wish to limit the number of children they have and/or to
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control the timing of pregnancy (also known asspacing children). The phrasefamily planningis
most frequently used to mean that the couple uses birth control to plan having children, rather
than preventing pregnancy entirely.
The familys awareness of her responsibility towards raising her children is essential. For
the Church, the core of family planning is centralized in the familys awareness of her
responsibility towards raising the children, and that this role is carried out as well as can be. For
economic, social, or spiritual reasons the family may find that she cant carry out her
responsibility. Thus, contraception is considered. This is an important factor to consider when
accepting the principle of family planning: the inability of the family to provide comprehensive
care for the children.
The Church acknowledges the need for family planning in order to face the worldwide
problem of population growth, which threatens the economy of many nations. His Holiness Pope
Shenouda III said, "The rise in population growth poses a danger to the countries, and birth
control has become an economic and social necessity, which will greatly affect the future of our
country. Therefore, we have to restrain the problem of the explosive population growth, which
drains all our projects and national economy."
The presence of a common necessity allows us to accept the principle of family planning.
However, the circumstances of each family are different. Therefore, the decision of family
planning is a personal one, left up to every family to decide in accordance with her situation, so
long as she is aware of her responsibilities towards raising her children, as well as towards the
society in which we live.
Today, an estimated 350 million couples worldwide lack access to effective and
affordable family planning. Family planning does more than help couples limit their family size:
It safeguards individual health and rights, preserves natural resources, and can improve the
economic outlook for families and communities. Family planning also saves lives; up to one
third of all maternal deaths and illness could be prevented if women had access to contraception.
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The need for quality family planning services is all the more urgent today because more
than 1 billion young people aged 15-24 are entering their reproductive years, guaranteeing an
enormous surge in population growth through 2050. Eighty percent of these young people live in
the developing world.
THE CONTRACEPTIVE METHODS
The contraceptive methods during our time work in different ways. For the medical
opinion about the reliability or any side effects of these methods, the reader must consult his or
her physician.
1. Oral Contraceptives:
Birth control pills prevent conception by inhibiting ovulation. The pills alter hormonal
levels and suppress the hormonal signal from the gland for the ovaries to release an ovum. These
pills are taken orally on a precise schedule for 20 or more days during each menstrual cycle.
Since all such pills inhibit ovulation, there is absolutely no problem in using them. However, the
individual must consult the physician about possible side effects.
There are some pills, which work after the intercourse has taken place, for example, the
'morning-after pill' or the recently developed RU486 pill. Since in our definition, pregnancy
begins at implantation, use of any pill, which may prevent implantation, is all right. Therefore,
the pills like the 'morning-after' and RU486 may be taken after the intercourse BUT not after
feeling or knowing that pregnancy has already occurred.
2. Depo-Provera:
Depo-Provera works exactly like the pills, but instead of taking it orally it is injected once
every three months. This and other similar contraceptive methods by injection are also
permissible.
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3. Intrauterine Devices (IUD):
IUDs are plastic or metal objects, in a variety of shapes that are implanted inside the
uterus. The medical experts do not exactly know how IUD works. Presently there are two
opinions: one says that IUD prevents fertilization; and the other says that it prevents the fertilized
ovum from implantation onto the uterus. According to theshariah pregnancy begins at
implantation, there is no problem in using IUD as a birth control device irrespective of the above
differences among the medical experts.
4. Barrier Devices:
All barrier devices prevent the sperm from entering the uterus. This is done by sheathing
the penis with a condom, or by covering the cervix with a diaphragm, cervical cap, or vaginal
sponge. The use of spermicidal substances, which kill the sperm before reaching the ovum, is
also a barrier device. There is absolutely no problem in using these contraceptives either.
5. Abstinence During Fertile Period:
There are three basic procedures to predict ovulation so that sexual intercourse can be
avoided during the approximately six days of a woman's most fertile monthly phase. These three
methods are as follows:
(a) Ovulation Method: A woman learns to recognize the fertile time by checking the difference
in the constitution of the cervical mucus discharge. The cervical mucus discharge signals the
highly fertile period; and thus avoiding sex during the fertile days prevents pregnancy.
(b) Rhythm Method: A method similar to the first, but it depends on observing the monthly
cycles for a whole year to determine the fertile days.
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(c) Temperature: In this method, besides keeping a calendar record of her cycle, a woman also
takes her temperature daily to detect ovulation. She can know her ovulation whenever her basal
body temperature increases.
6. Withdrawal (Coitus Interruptus):
Coitus interruptus means withdrawing the penis just before ejaculation. This was the
most common method of birth control before the invention of modern devices.
The majority of our mujtahids believe that coitus interruptus is allowed but makruh
without the wife's consent. (Sharh Lum'a, vol. 2, p. 28; al-'Urwah, p. 628; Minhaj, vol. 2, p. 267)
All methods mentioned above do not involve surgical operation and they are also
reversible. A woman (or man) using these methods can stop using them at anytime in order to
have a child.
7. Sterilization:
Sterilization involves surgical operation.
Sterilization in men, known as vasectomy, means the severing or blocking of the tube in
the male reproductive tract. This tube or duct passes sperm from the testes to the prostate and
other reproductive organs.
Sterilization in women, known as tubal ligation, involves the blocking or severing of the
fallopian tubes, which transport the ovum.
The permissibility of sterilization depends on whether or not it is reversible. At present,
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Technical Assistance Team (PMTAT) has put in place the systems and procedures needed to run
this national program, and is now focused on institutionalizing the program components and
strengthening the local capabilities of the regional offices to assist the LGUs. By 1998, 85 LGUs
were participating in the program. They represent more than 55 million people, which is over
80% of the nation's population.
At the national level, MSH efforts are focused on several technical areas,
including family planning training, management information systems, financial sustainability,
urban health, and quality assurance. Supported by subcontractors Development Associates, Inc.
and the Economic Development Foundation, the project is helping the Department of Health
redirect training for service providers towards a more competency-based training scheme. Since
the project began in 1995, for example, MSH has helped the Philippine Family Planning Service
to train over 5,000 service providers in the LGUs and supported the revision of an updated
Philippine Family Planning Clinical Standards Manual and its distribution to all health units in
the country.
What is immunization?Immunization, or immunisation, is the process by which
an individual is exposed to an agent that is designed to fortify his or her immune system against
that agent. The material is known as an immunogen. Immunization is the same as inoculation
and vaccination in that inoculation and vaccination use a viable infecting agent like
immunization does. When the human immune system is exposed to a disease once, it can
develop the ability to quickly respond to a subsequent infection. Therefore, by exposing an
individual to an immunogen in a controlled way, their body will then be able to protect itself
from infection later on in life.
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Bacille Calmette-Gurin (BCG
) is a vaccine against tuberculosis that is prepared from a strain of
the attenuated (weakened) live bovine tuberculosis bacillus, Mycobacterium bovis, that has lost
its virulence in humans by being specially cultured in an artificial medium for years. The bacilli
have retained enough strong antigenicity to become a somewhat effective vaccine for the
prevention of human tuberculosis. At best, the BCG vaccine is 80% effective in preventing
tuberculosis for a duration of 15 years, however, its protective effect appears to vary according to
geography.
DPT, (sometimesDTP
) is a mixture of three vaccines, to immunize against diphtheria,
pertussis (whooping cough) and tetanus.DTP vaccine may be distinguished as "DTwP" and
"DTaP", with "wP" referring to "whole cell pertussis" and "aP" referring to "acellular pertussis".
(The acellular form is considered safer and contains far fewer antigens than the older
preparation.) Current versions of DTP in Europe do not contain preservatives; older ones
contained Thiomersal. In the Netherlands, DTP refers to a mixture of diphtheria, tetanus and
poliomyelitis vaccines.
Moderate reactions to DPT vaccines occur in 0.1% to 1.0% of children and include
ongoing crying (for three hours or more), a high fever (up to 40 C / 105 F), and an unusual,
high-pitched crying.
Severe problems closely following DPT immunization happen very rarely. These include
a serious allergic reaction, prolonged seizures, a decrease in consciousness, lasting brain disease,
or even death. Such severe neurologic events occur after approximately 1 in 140,000 doses of the
DPT vaccine (0.0007%). Most of the reactions to DPT injection are thought to be from the
pertussis component.
Polio Vaccines- two polio vaccines are used throughout the world to combat polio. The
first was developed by Jonas Salk, first tested in 1952, and announced to the world by Salk on
Aprril 12, 1955. It consists of an injected dose of inactivated (dead) poliovirus. The second was
an oral vaccine developed by Albert Sabin using attenruated poliovirus. Human trials of Sabin's
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vaccine began in 1957 and it was licensed in 1962. The two vaccines have eradicated polio from
most of the countries in the world and reduced the worldwide incidence from an estimated
350,000 cases in 1988 to just over 1000 cases in 2007.
Hepatitis B virus infects the liver of hominoidae, including humans, and causes an
inflammation called hepatitis. It is a DNA virus and one of many unrelated viruses that cause
viral hepatitis. The disease was originally known as "serum hepatitis"and has caused epidemics
in parts of Asia and Africa. Hepatitis B is endemic in Chirna and various other parts of Asia.]
The proportion of the world's population currently infected with the virus is estimated at 3 to 6%,
but up to a third have been exposed. Symptoms of the acute illness caused by the virus include
liver inflammation, vomiting, jaundice, and rarely, death. Chronic hepatitis B may eventually
cause liver cirrhosis and liver cancer, a fatal disease with very poor response to current
chemotherapy. The infection is preventable by vaccination.
PathogenesisCirrhosis of the liver and liver cancer may ensue from Hepatitis B. The
hepatitis B virus primarily interferes with the functions of the liver by replicating in liver cells,
known as hepatocytesr. During HBV infection, the host immune response causes both
hepatocellular damage and viral clearance. Although the innate immune response does not play a
significant role in these processes, the adaptive immune response, particularly virus-specific
cytotoxic T lymphocytes (CTLs), contributes to most of the liver injury associated with HBV
infection. By killing infected cells and by producing antiviral cytokines capable of purging HBV
from viable hepatocytes, CTLs eliminate the virus Although liver damage is initiated and
mediated by the CTLs, antigen-nonspecific inflammatory cells can worsen CTL-induced
immunopathology, and platelets activated at the site of infection may facilitate the accumulation
of CTLs into the liver
Measles is an acute, highly communicable rash illness due to a virus transmitted by direct
contact with infectious droplets or, less commonly, by airborne spread. The incubation period of
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measles from exposure to rash onset is generally 14 days (range 7-18) (1). Patients are usually
contagious from 4 days before until 4 days after the onset of the rash.
Vaccination - Measles vaccine contains live, attenuated measles virus. It is available as a
monovalent formulation and in combination formulations, such as measles-rubella (MR),
measles-mumps-rubella (MMR), and measles-mumps-rubella-varicella (MMRV). Combined
MMR or MMRV vaccines are recommended whenever one or more of the individual
components are indicated to also provide optimal protection against mumps, rubella, and
varicella. Measles vaccine, as a combination or as a single-antigen, is given subcutaneously in a
dose of 0.5 mL. A single dose of measles-containing vaccine administered in the second year of
life induces immunity in about 95% of vaccinees . More than 99% of individuals who receive
two doses separated by at least 28 days, with the first dose administered after the first birthday,
develop serologic evidence of measles immunity .
Routine Immunization Schedule for Infants
The standard routine immunization schedule for infants in the Philippines is adopted to
provide maximum immunity against the seven vaccine preventable diseases in the country before
the child's first birthday. The fully immunized child must have completed BCG, DPT 1, DPT 2,
DPT 3, OPV 1, OPV 2, OPV 3, HB 1, HB 2, HB 3 and measles vaccines before the child is 12
months of age
Vaccine
Minimum
Age
at 1st Dose
Number
of Doses
Dose
Minimum
Interval
Between
Doses
Route Site Reason
Bacillus
Calmette-
Gurin
Birth or
anytime
after birth
1 0.05
Ml
-- Intradermal
Right
deltoid
region
BCG given at
earliest possible age
protects the
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of the
arm
possibility of TB
meningitis and
other TB infections
in which infants are
prone
Diptheria-
Pertussis-
Tetanus
Vaccine
6 weeks 3
0.5
mL
4 weeks Intramuscular
Upper
outer
portion
of the
thigh
An early start with
DPT reduces the
chance of severe
pertussis
Oral Polio
Vaccine
6 weeks 3
2-3
drops
4 weeks Oral Mouth
The extent of
protection against
polio is increased
the earlier the OPV
is given.
Keeps the
Philippines polio-
free.
Hepatitis B
Vaccine
At birth 3 0.5
mL
6 weeks
interval
from
1st dose to
2nd dose,
8 weeks
interval
from
2nd dose to
third dose.
Intramuscular Upper
outer
portion
of the
thigh
An early start of
Hepatitis B vaccine
reduces the chance
of being infected
and becoming a
carrier.
Prevents liver
cirrhosis and liver
cancer which are
more likely to
develop if infected
with Hepatitis B
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early in life .
About 9,000 die of
complications of
Hepatits B. 10% of
Filipinos have
Hepatitis B
infection
Measles
Vaccine
(not MMR)
9 months 1
0.5
mL-- Subcutaneous
Upper
outer
portion
of the
arms
At least 85% of
measles can be
prevented by
immunization at
this age[.
Bacille Calmette-Gurin (BCG) is a vaccine against tuberculosis that is prepared from a
strain of the attenuated (weakened) live bovine tuberculosis bacillus, Mycobacterium bovis, that
has lost its virulence in humans by being specially cultured in an artificial medium for years. The
bacilli have retained enough strong antigenicity to become a somewhat effective vaccine for the
prevention of human tuberculosis. At best, the BCG vaccine is 80% effective in preventing
tuberculosis for a duration of 15 years, however, its protective effect appears to vary according to
geography.
DPT, (sometimes DTP) is a mixture of three vaccines, to immunize against diphtheria,
pertussis (whooping cough) and tetanus.DTP vaccine may be distinguished as "DTwP" and
"DTaP", with "wP" referring to "whole cell pertussis" and "aP" referring to "acellular pertussis".
(The acellular form is considered safer and contains far fewer antigens than the older
preparation.) Current versions of DTP in Europe do not contain preservatives; older ones
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contained Thiomersal. In the Netherlands, DTP refers to a mixture of diphtheria, tetanus and
poliomyelitis vaccines.
Moderate reactions to DPT vaccines occur in 0.1% to 1.0% of children and include
ongoing crying (for three hours or more), a high fever (up to 40 C / 105 F), and an unusual,
high-pitched crying.
Severe problems closely following DPT immunization happen very rarely. These include
a serious allergic reaction, prolonged seizures, a decrease in consciousness, lasting brain disease,
or even death. Such severe neurologic events occur after approximately 1 in 140,000 doses of the
DPT vaccine (0.0007%). Most of the reactions to DPT injection are thought to be from the
pertussis component.
Polio Vaccines - two polio vaccines are used throughout the world to combat polio. The
first was developed by Jonas Salk, first tested in 1952, and announced to the world by Salk on
Aprril 12, 1955. It consists of an injected dose of inactivated (dead) poliovirus. The second was
an oral vaccine developed by Albert Sabin using attenruated poliovirus. Human trials of Sabin's
vaccine began in 1957 and it was licensed in 1962. The two vaccines have eradicated polio from
most of the countries in the world and reduced the worldwide incidence from an estimated
350,000 cases in 1988 to just over 1000 cases in 2007.
Hepatitis B virus infects the liver of hominoidae, including humans, and causes an
inflammation called hepatitis. It is a DNA virus and one of many unrelated viruses that cause
viral hepatitis. The disease was originally known as "serum hepatitis"and has caused epidemics
in parts of Asia and Africa. Hepatitis B is endemic in Chirna and various other parts of Asia.]
The proportion of the world's population currently infected with the virus is estimated at 3 to 6%,
but up to a third have been exposed. Symptoms of the acute illness caused by the virus include
liver inflammation, vomiting, jaundice, and rarely, death. Chronic hepatitis B may eventually
cause liver cirrhosis and liver cancer, a fatal disease with very poor response to current
chemotherapy. The infection is preventable by vaccination.
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Pathogenesis
Cirrhosis of the liver and liver cancer may ensue from Hepatitis B. The hepatitis B virus
primarily interferes with the functions of the liver by replicating in liver cells, known as
hepatocytesr. During HBV infection, the host immune response causes both hepatocellular
damage and viral clearance. Although the innate immune response does not play a significant
role in these processes, the adaptive immune response, particularly virus-specific cytotoxic T
lymphocytes (CTLs), contributes to most of the liver injury associated with HBV infection. By
killing infected cells and by producing antiviral cytokines capable of purging HBV from viable
hepatocytes, CTLs eliminate the virus Although liver damage is initiated and mediated by the
CTLs, antigen-nonspecific inflammatory cells can worsen CTL-induced immunopathology, and
platelets activated at the site of infection may facilitate the accumulation of CTLs into the liver
Measles is an acute, highly communicable rash illness due to a virus transmitted by direct
contact with infectious droplets or, less commonly, by airborne spread. The incubation period of
measles from exposure to rash onset is generally 14 days (range 7-18) (1). Patients are usually
contagious from 4 days before until 4 days after the onset of the rash.
Vaccination
Measles vaccine contains live, attenuated measles virus. It is available as a monovalent
formulation and in combination formulations, such as measles-rubella (MR), measles-mumps-
rubella (MMR), and measles-mumps-rubella-varicella (MMRV). Combined MMR or MMRV
vaccines are recommended whenever one or more of the individual components are indicated to
also provide optimal protection against mumps, rubella, and varicella. Measles vaccine, as a
combination or as a single-antigen, is given subcutaneously in a dose of 0.5 mL. A single dose of
measles-containing vaccine administered in the second year of life induces immunity in about
95% of vaccinees . More than 99% of individuals who receive two doses separated by at least 28
days, with the first dose administered after the first birthday, develop serologic evidence of
measles immunity .
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What is rabies? Rabies (Latin: rabies, "madness, rage, fury"), a.k.a. hydrophobia is a
viral zoonotic disease that causes acute encephalitis (inflammation of the brain) in mammals. In
non-vaccinated humans, rabies is almost invariably fatal after neurological symptoms have
developed, but prompt post-exposure vaccination may prevent the virus from progressing. There
are only six known cases of a person surviving symptomatic rabies, and only one known case of
survival in which the patient received no rabies-specific treatment either before or after illness
onset.
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B. Barangay Profile
BARANGAY: QUEZON
DISTRICT: AREVALO
CITY: ILOILO
HISTORY:
Barangay Quezon is named in honor to the late President Manuel Quezon.
It was named after President Manuel Quezon, because Pres. Quezon is the president during
this barangay has been separated as a part of Barangay Yulo.
GENERAL INFORMATION
Adjacent Barangays
North: Barangay Yulo Drive
South: Barangay San Jose
East: Barangay Dulonan
West: Barangay Fekomina
Distance From :
City hall _____10______kms
Provincial Capitol ______6______kms
National Highway ______.5______kms
Total Land Area
186, 594. 90 sq. m (Source: City Assessors Office)
Population
1. Total Population (CY 2006) Male 933 Female 930 Both Sexes 1863
2. Age and Sex Distribution:
Male Female Both Sexes
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Under 1 Year 15 16 31
1 4 80 84 164
5 9 98 82 180
10 14 71 70 141
15 19 70 73 143
20 24 65 77 142
25 29 71 67 138
30 34 55 63 118
35 39 57 49 106
40 44 67 58 125
45 49 80 78 158
50 54 47 42 9055 59 36 44 80
60 64 42 47 89
65 69 2 21 41
70 74 12 17 29
75 79 24 24 40
80- above 23 17 40
Total 933 930 1863
3. Total Number of Households (2006) 368
4. Election Data
Date of Last Election
May 2003
No. of Registered Voters 1232
No. of Registered Voters 814
No. of Precincts 6
Barangay Income
Source of income Amount
CY 2005 CY 2006
1. 10% RPT 151, 469. 76 144, 743.75
2. Revenue from Taxes
3. Aid to Barangay
a. Municipal/City 1, 300.00 1, 300. 00b. Provincial
c. National
4. Interest Income
5. Constribution
6. Others(Specify) IRA 734, 542. 00 367, 272. 00
7. Others - Collection 7, 900. 00 5, 370. 00
TOTAL 895, 212. 76 548, 685. 75
Health
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Total 8176 77 8290
2. Birth Rate
Number of Births Year
25 2005
22 2006
14 2007
II. Immunization Program this program is based on the program of the Government for a
free immunization children 1year and below with BCG, DPT, OPV, Measles and Hepa
vaccine for protection of these diseases, especially for those who cant afford for the
immunization.
CY 2003
Jan-March
Q1
April-June
Q2
July-Sept
Q3
Oct-Dec
Q4
Total
BCG 6 7 5
4 43 2220
DPT 1 9 8 6 4 27
DPT 2 9 2 5 2 18
DPT 3 8 8 7 6 29
OPV 1 11 8 9 4 32
OPV2 9 9 6 4 28
OPV3 7 9 7 6 29Measles 7 9 6 6 28
Fully
Immunized
Child
98 87 87 11 3633
Hepa B1 6 7 0 0 13
Hepa B2 6 7 0 0 13
Hepa B31 6 10 0 0 16
VIT A 0 0 0 0 0
CY 2004 Jan-March April-June July-Sept Oct-Dec Total
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Q1 Q2 Q3 Q4
BCG 5 7 5 5 22
DPT 1 11 8 4 4 27
DPT 2 9 9 4 2 34
DPT 3 8 9 7 6 30
OPV 1 6 8 11 4 29
OPV2 9 9 6 8 32
OPV3 8 6 7 6 27
Measles 7 8 6 8 29
FullyImmunized
Child
9 9 8 95 3531
Hepa B1 11 8 0 0 19
Hepa B2 8 9 0 0 17
Hepa B31 4 9 0 0 13
VIT A 0 8 0 0 0
CY 2005
Jan-March
Q1
April-June
Q2
July-Sept
Q3
Oct-Dec
Q4
Total
BCG 4 5 5 8 22DPT 1 9 6 5 5 25
DPT 2 11 8 4 3 27
DPT 3 7 5 6 5 23
OPV 1 9 5 5 7 26
OPV2 7 5 6 7 25
OPV3 4 6 8 2 20
Measles 4 6 8 5 23
Fully
Immunized
Child
42 8 7 59 2430
Hepa B1 4 8 0 0 12Hepa B2 4 8 0 0 12
Hepa B31 6 9 0 0 15
VIT A 0 0 0 0 0
CY 2006
Jan-March
Q1
April-June
Q2
July-Sept
Q3
Oct-Dec
Q4
Total
BCG 5 2 7 5 19
DPT 1 10 2 5 7 24
DPT 2 2 3 3 8 16
DPT 3 7 2 8 6 23OPV 1 10 8 7 3 28
OPV2 6 11 2 8 27
OPV3 7 8 8 6 39
Measles 6 8 7 6 27
Fully
ImmunizedChild
7 6 89 11 3233
Hepa B1 6 7 0 0 13
Hepa B2 6 9 0 0 15
Hepa B31 8 9 0 0 17
VIT A 0 0 0 0 0
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CY 2007
Jan-MarchQ1
April-JuneQ2
July-SeptQ3
Oct-DecQ4
Total
BCG 8 7 5 5 25
DPT 1 11 8 8 4 31
DPT 2 9 9 6 2 26
DPT 3 8 9 7 6 30
OPV 1 11 8 8 4 31
OPV2 9 9 6 2 26
OPV3 8 9 7 6 30
Measles 9 8 8 9 34
FullyImmunized
Child
9 8 8 9 34
Hepa B1 6 9 0 0 15
Hepa B2 6 9 0 0 15
Hepa B31 8 11 0 0 17
VIT A 0 0 0 0 0
No. of cases of: 2004 2005 2006
Polio 1 0 0
TB 4 2 1
Measles 3 2 2
Hepatitis 0 0 0
Diphtheria 0 0 0
Tetanus 4 2 1
Pertussis 0 0 0
III. Anti-rabie
s Campaign- this profram is created in order to stop or nevertheless minimize the cases of rabies
in the Barangay. It is based on the program of the Government in decrease the increasing number
of cases of rabies.
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Chapter III
Problems and Analysis
In implementing these programs our Barangay encountered some problems. One of the
problems in implementing the MWRAS Program is the dissemination of information to the
people of the Barangay. In order for the Program to be successful, the people should be aware
that the Barangay has a program for family planning. Another problem is the budget of the
program. Although the Government has budget for this but it was still insufficient to
accommodate the need of the entire Barangay. The last problem that is encountered is the people
in the Barangay is the identification, monitoring and evaluation of the couple that is active on
this program.
In Immunization Program, the Barangay encountered the following problems; 1.) the
dissemination of the information of the program, 2.)unaware families about the importance of the
immunization and the risks when the child/children is not immuned, and 3.) distance of the
Center where usually Immunization is given.
In Anti-rabies Program the Barangay encountered these problems; 1.)dissemination of
the information about the program, 2.)identifying dogs which are already immunized and dogs
that were not, 3.)problems with regards to the distance of the place of the immunization.
People in the barangay is aware of the MWRAS based on the table shown in Chapter
3.there there were 76 couples in 2004, 77 in 2005 90 couples in 2006.
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There is an increase in the number of active couples in the MWRAS program. Based
on the table, there is a significant increase of number of couples that uses family planning
method.in 2004, there were 76 couples, in 2005 there were 77 and in 2006 there were 90 couples
There is decrease in birth rate in the Barangay. As shown in the table of Birth rate,
from 25 number of births in 2005 to 22 number of births in 2006 and 14 number of births in
2005. this shows that in three years the number of births had decreased.
The people in Barangay Quezon is aware of the Immunization program. As
shown in Chapter 3 there is a large number of children who was immunized in this program. In
the number of cases, there is a significant decrease as shown in the table of no. number of cases
of Polio, TB, Measles, Hepatitis, Diphtheria, Tetanus, Pertussi . The number of FIC in 2003 is 33
,31 in 2004 , 33 in 2005 32 in 2006 and in 2007 is 34.. This mans that the number of FIC is
increasing in the past three years.
The mortality of the year 2005 as rabies is the cause of death declined in the year
and continuously lowered down to 2007 . This means that the number of death caused by rabies
is decreasing in the past three years. The number of dogs increases as shown in the table starting
from 2004 which has 27 dogs that are immunized, 95 in 2005 103 in 2006 and 109 in 2007.
More people in Barangay Quezon is aware of the program as shown in chapter 3 that shows the
number of dogs that was immunized.
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Chapter IV
Solutions and Recommendations
In order for the people in the Barangay to be aware to the MWRAS Program as
well as the Immunization and Anti-rabies Campaign, the Barangay Health Workers and
volunteers did a house to house visit in order to inform the household in the Barangay
regarding the program. In this way, every household in the Barangay will be well-informed
and knowledgeable to the program.
Another problem is the source of funds to be used. In order to solve this problem,
the Barangay raised funds from the part of the income of the Barangay. And they decided
also, because of the fact that 70% of the people in the Barangay is rich, to sell the products in
family planning to raise fund for further improvements.
The Barangay also conducted Health teachings with regards to these three
programs. They have schedules for family planning lectures, the immunization and anti-
rabies teachings so that the people will be aware and knowledgeable on the on the purpose of
these programs.
And lastly, the problem of identifying the active in the program, the
Barangay created identification cards, they also conducted follow-up interview in order to
monitor and evaluate the status of the MWRAS and Anti-rabies Campaign Program.
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To enhance the effectiveness of the Barangay Health Programs, I recommend that
the Barangay will promote with the use of Media, promotions on Television and Radios. And
I also encourage the barangay to use posters and print ads in promotions. Lastly promotions
during fiestas and other public occasion is also a best way of promoting the program.
Chapter III
Problems and Analysis
Chapter IV
Solutions and Recommenations
References:
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http://kidshealth.org/parent/general/body/vaccine.html
http://www.popcouncil.org/pdfs/frontiers/FR_FinalReports/Philippines_MGP.pdf
References:
Wikipedia.org
Barangay Profile of Barangay Quezon
Barangay Captain. Nikanor Montano
Barangay Health Worker Senita Mohibles
Table of Contents
Chapter 1 Introduction
Chapter 2 Survey Of Related Literature
Background of the Study
Barangay Profile
Chapter 3 Problems and Analysis
Chapter 4 Solution and Recomendation
Referencea