DOH campaigns to find 1M cases of TB nationwide

Department of Health (DOH) through its Tuberculosis-Human Immuno Deficiency Virus (TB-HIV) dissemination forum in Cagayan de Oro City campaigns in aggressively looking for the one million cases of tuberculosis (TB) in the country by switching strategies and changing from “business as usual” to “business unusual.”

Dr. Lyndon Lee Suy, director of Disease Prevention and Control Bureau of DOH shares that the prevalence of TB in our country continuous to be high. Around one million Filipinos are expected to have TB and may or may not know it. Further, more than one-third of TB patients suffer catastrophic cost due to TB at 20% of the family’s annual income.

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On the other hand, Dr. Suy explained that the country also has an alarming 140% annual increase in the number of reported cases of HIV. He announced that we are not the highest in terms of number of HIV cases in the Asia Pacific region but we have an alarming increasing rate of the numbers of HIV cases in the region.

Further, DOH has registered more than 45,000 cumulative cases of HIV. To date, there is still no cure of HIV nor vaccine to prevent its transmission. Meanwhile, persons with HIV is 29 times more likely to develop TB than those without HIV. TB is the leading cause of death among people living with HIV. One in five deaths of people with HIV is TB.

He said, our country is aggressively aimed to reduce the burden of TB by 2035. “Look for the 1Million cases of TB in the country” is a standing order of Health Secretary Paulyn Jean Ubial.

Meanwhile, TB and HIV services including treatment are free. Dr. Suy said our health workers are competent and facilities are reliable.

For her part, Dr. Anna Marie Celina Garfin of the National TB program explained that TB is still a major health problem based on the 2016 National TB Prevalence Survey. Around 1% of the population or one million out of 100 million total population of the country has TB. Further, this is found more in males and older age group with history of treatment, smoking, diabetes, poor and urban dwellers. There is also low case notification of TB and a poor health seeking behavior with 81% of presumptive TB are not taking any action or self-medicating; 30% consulted a private sector.

She said that impact targets for 2022 is to reduce the number of TB deaths by 50% from 14,000 to 7,000 deaths; reduce TB incidence rate by 15%, reduce to zero number of TB affected households that experience catastrophic costs due to TB and at least 90% of patients are satisfied with the services of DOTS facilities.

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On HIV and AIDS, Dr. Gerard Belimac program manager of National HIV, AIDS and Sexually Transmitted Infection (STI) prevention and control program said that DOH focuses on key populations namely the Male having sex with Male (MSM), female sex workers and people who inject drugs – inclusive of young people. For prevention, DOH includes services such as risk reduction counseling – safer sex, community-based treatment for drug users, outreach focused condom distribution and instruction. Meanwhile, diagnosis includes community-based HIV screening, Free HIV testing and counseling, and rapid HIV testing for pregnant women, key populations and TB patients.

For the treatment, DOH provides interventions such as free anti-retrovirals (ARV), outpatient HIV benefit package (P30,000/patient/year to cover for other expenses). For care, DOH provides psychosocial counseling and treatment adherence counseling.

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Patients of either TB or HIV may go to various government health facilities including rural health centers, TB-DOTS centers, 130 social hygiene clinics nationwide, 50 satellite or treatment hubs and community based organizations.

Finally, DOH proposes how communities can help. Companies and employers can institutionalize HIV awareness in workplaces, expand the number of HIV treatment hubs, conduct operations researches to improve programs and integrate HIV counseling services in relevant programs. (JMOR/PIA10) 

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Exclusive breastfeeding campaign continues in CDO

In an episode of Talakayan sa PIA on 15 August 2017, Department of Health (DOH) region 10 explained the importance of mothers giving exclusive breastfeeding to their newborn up to six months.

DOH Talakayan 2

This is a crucial stage wherein a mother’s milk is what the baby needs and nothing else. Apart from that, this is where the baby gets all the nutrients and immunity to survive the world outside the womb.

Gilda Ajoc, Baby Friendly Hospital Initiative Program Coordinator of DOH region 10 shared that some mothers might think that they don’t have the milk or that the baby doesn’t like the mother’s milk but in fact all mothers are capable of providing for their baby just fine without the prejudice of taste whatsoever.

She explained that breastfeeding is like supply and demand. Because the mother knows she has to feed an infant, automatically the milk will flow. With the right positioning and mindset, the mother can produce milk.

Meanwhile, Jacqueline Roa, nutrition dietitian of Provincial Health Office Misamis Oriental said that based on their observation, most of the young mothers today are not exclusively breastfeeding their infants from zero to six months. That is why this campaign is crucial to involve every mother and would-be mother in the country.

Statistics shows that exclusive breastfeeding from zero to six months old is decreasing in region 10 for the past years. In 2016, only 70.78 percent mothers have breastfed their child from zero to six months. According to Telesfora Madelo, nutritionist-dietitian of DO- 10 that this is because the women now are working. Although, women should work but they should also continue to breastfeed their children.

In fact, working mothers are given time off by companies to pump milk in a designated area in the office and have a storage facility to keep safe for the baby upon arriving home. DOH is also leading an Infant and Young Child Feeding Task Force wherein they monitor breastfeeding areas in malls, offices and public areas.

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Further, Madelo also reiterated about Overview of the Philippine Milk Code (EO51) and its revised Rules and Regulations wherein breastmilk substitutes are not allowed to be marketed for replacement of breastmilk and will not be tolerated for donation. For those violating the code, anyone can report to DOH.

DOH reiterated the breastmilk is the only milk that is complete with all the nutrients a child needs, poor or rich, the content of breastmilk is still the same. Further, no company has yet produced anything close to breastmilk, DOH stressed. (JMOR/PIA10)

Marawi hospital gets go signal to resume operation

The Department of Health (DOH) is doing necessary assessment and inventories to revive its health facility, Amai Pakpak Medical Center in Marawi City, following a go signal from the Philippine Army to resume operation in the area.

ARD Suba-an

In a press conference in Iligan City command and coordinating center, Dr. Adriano Suba-an, assistant regional director of DOH region 10 said that the Philippine army has given them the go signal to resume operation of Amai Pakpak medical center in the area to provide health services to residents and evacuees of Marawi City.

Another good news, he said is that contrary to reports, they don’t have casualties from hospital personnel. Right now, they are planning with the chief of hospital regarding skeletal forces that will be deployed in the center.

“We are doing the assessment and we’re going to do the inventories. And we are going to calibrate our response, deployment based on the operations of the hospital,” said Suba-an.

If there is a need to deploy more, then we will do it,” he said.

“We are happy that we have a go signal from the military because that means the insurance of the safety of our personnel there,” added Suba-an.

Meanwhile, DOH is looking at the whole picture, the long range plan not just with the patients but for the human resources and physical facility of the hospital. Further, he said that health secretary Paulyn Jean Ubial issued a memorandum up to June 13 that all personnel of Amai Pakpak will do some stress debriefing. Some are crying, in trauma. They don’t want to be deployed there.

We would like to give the highest services needed by the people of Marawi, but we would also like to make sure that our personnel is equipped and ready to provide these services, Suba-an explained.

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On the other hand, Dr. Alinader Minalang, chief integrated provincial health office Lanao del Sur assured that they have not monitored any pattern of outbreak in the evacuation centers.

This is attributed to the health services we are providing, he said.

Our health personnel who are also evacuees themselves are able to operate our operation center with health emergencies and this is with the help of center for health development of region 10 especially in monitoring our evacuees both home based and in evacuation centers. Twenty five (25%) evacuees are in evacuation centers meanwhile 75% are home based or living with their relatives, Minalang said.

When it comes to diseases observed in the evacuation centers, most of them are due to harsh conditions, such as lack of sanitation facilities. Number one is upper tract respiratory infection, cough, fever, acute gastroenteritis, diarrhea especially on children. Next is hypertension and skin diseases because of congestion and hot temperature. (JMOR/PIA10)

DOH assures health services in Marawi City

Health Secretary Paulyn Jean Ubial in a press conference at the Regional Command and Coordination Center here last June 1 disclosed that the Department of Health (DOH) is now pouring all resources to restore health services in Marawi City.

Ubial said “DOH is fully supportive of all local initiatives and will provide necessary logistics to ensure that our people are provided with health services even in times of conflict.”

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“We have mobilized nearly P1million worth of commodities through our regional office in Cagayan de Oro and coming soon is the P1.4M worth of commodities namely drugs and medicines, safe water supply and hygiene kits and other supplies like disinfecting solution for water and test kits. We also provided total of P25 million to various DOH and local government hospitals in the area and provide them with resources to procure supplies and provide necessary treatment for patients including Camp Evangelista hospital of the army,” Ubial maintained.

DOH also ensures that the routine health services like vaccination, TB drugs for patients and other commodities will be restored.

She explained that many of the vaccines and some equipment have been damaged in the Amai Pak Pak Hospital in Marawi City due to blackouts. However, the DOH ready to replace these commodities.

DOH would also provide safe water supply and ensure sanitation in the evacuation centers by providing water tanks and disinfecting solutions.

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According to Ubial, DOH is avoiding any outbreaks in these areas. “Right now, top five illnesses include coughs and colds, acute gastroenteritis, hypertension, skin diseases and fever,” she said.

Meanwhile, Dr. Kadil Jojo M. Sinolinding Jr., health secretary of the Autonomous Region of Muslim Mindanao (ARMM) said his office is also addressing the water and sanitation problems in the evacuation centers, adding “water filter machines are already setup in these areas.”

The DOH is also monitoring the nutritional status of children five years old and below in the evacuation centers and, at the same time, addressing the evacuees’ mental health by giving psychosocial interventions.

Sinolinding has also called on volunteers who could speak Meranao to help in extending health services to Meranao evacuees.

Meanwhile, National Nutrition Council (NNC)-10 coordinator Marissa Navales revealed that there are severely underweight children in the evacuation centers and they are now being addressed. She also reiterated the “No Milk Donation Policy” in order to promote breastfeeding among mothers.

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The DOH in collaboration with Philhealth also committed to provide coverage in hospitalization for IDPs and that the DOH ready to shoulder balances for in-patients in Marawi City and other conflict areas. (JMOR/PIA10)

DOH urges families to avail of Garantisadong Pambata

In its stride to combat malnutrition among children aged 0-14 years old, the Department of Health (DOH) -10 has urged the families to avail themselves of free vitamins, micro nutrient supplements, vaccines, immunization and services in government health centers regionwide.

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During the “Talakayan sa PIA” last April 11 here, DOH-10 presented its nationwide strategy in supporting micronutrient supplementation dubbed “Garantisadong Pambata,” an intervention to combat malnutrition in the country.

Dr. Grace Sicat of DOH-10 said that children who are malnourished are either underweight or overweight and they easily get sick.

Reports issued by the National Nutrition Council (NNC) showed that in region 10 the prevalence of underweight and severely underweight from zero to 71 months old has decreased from 6.66 to 5.72 beginning 2013 to 2015. Meanwhile, overweight has also decreased from 1.17 to 0.80 from 2013-2015.

Although the statistics is showing a downtrend, the annual weight/height/length taking of NNC aims to identify malnourished children in the community to be given appropriate intervention.

Sicat further said inadequate dietary intake, household food insecurity, unhealthy household environment and poor health services, disease and inadequate care could lead to maternal and child undernutrition and even death.

In 2016, there is a 2.01 rate (184 out of 91,754 live births) of perinatal deaths in the region and 12.28 Under-Five Mortality Rate (UFMR) (1127 out of 91,754 live births).

Telesfora Madelo, on the other hand, explained why the DOH is conducting training and information caravans particularly to mothers on how to take care of their young against malnutrition.

She said pregnant women should seek help from a midwife or doctor, follow proper procedure to take care of newborn, provide exclusive breastmilk to infants zero to six months old, complete vaccination of children and pregnant, give vitamin A and deworm children every six months, teach the kids proper to wash their hands and brush their teeth properly. (JMOR/PIA10)

DOH-10 to find all missing TB cases, expand facilities

To respond to the adverse effects of tuberculosis (TB), a worldwide pandemic and leading killer among human immunodeficiency virus (HIV)-infected people with weakened immune systems, the Department of Health-10 (DOH) turned over a mobile X-ray machine to the Philippine Business for Social Progress (PBSP) on March 7.

PBSP is a non-government, non-profit corporation committed to poverty reduction. It operates nationwide with programs in education, health, sustainable livelihood, micro small and medium enterprise development, and the environment implemented with partners and communities as empowered players in development.

During the turn-over ceremony, it was stressed that the DOH and PBSP have joined hands in the fight against the dreaded and prevalent TB disease confronting the country that should be eradicated, if not marginalized, for the health and the welfare of the people.

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Hence, the DOH-10, through its regional implementation of the Philippine Plan of Action to Control Tuberculosis, obtained the mobile x-ray machine as it is tasked to find all missing TB cases through expansion of diagnostic facilities, use and scale-up of rapid diagnostic tools, and adoption of intensified case finding methodologies among the high-risk groups and vulnerable populations.

The department has also done such action since it recognizes the benefits of using chest radiography or chest X-ray (CXR) which includes as an adjunct to bacteriologic testing for TB diagnosis.

Aside from acquiring such equipment, the DOH also uses various strategies to control TB such as localizing the implementation of TB control, monitoring of health system performance, engaging all health care providers, promoting and strengthening positive behavior of communities, certifying and accrediting TB care providers, and securing adequate funding for the program.(RTP/PIA10)

Peace body bares triumphs amid challenges in Kalabugao Plains

The implementation of Kalabugao Plains Peace and Development Convergence Program (KP-PDCP) is in full swing as member-agencies of the Regional Peace and Order Council (RPOC) Region 10 Technical Working Group (TWG) shared their accomplishments for CY 2016.

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“It is timely that we are gathered here so we could present our accomplishments and at the same time we could assess the implementation of the different programs that we have conducted as far as the Kalabugao Plains is concerned,” Department of Interior and Local Government (DILG) 10 Regional Director Arnel M. Agabe said during a meeting of the TWG held at the DILG conference room.

Agabe also emphasized the importance of considering not only the input of the involved agencies but also the impact of each effort. 

“I hope we will have a very substantive discussion and we could identify the necessary steps for the next 11 months of the year,” he said.

 

Meanwhile, the TWG has weathered some challenges of implementing the program through interventions and innovations to serve the beneficiaries at Kalabugao Plains for 2016.

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For its part, DILG facilitated the improvement of water system, construction of spillway, road rehabilitation of Brgy. Bulonay-Pulangui River and Peace and Order and Gender-Responsive, Child-Friendliness, Culture-Sensitivity Public Safety Plan (POPS) Plan Formulation.

 

Department of Trade and Industry (DTI) provided skills training, entrepreneurship training, product development and trade fair and promotion activities (i.e. Kahimunan), soft broom making, mat weaving, enhancement on coffee post-harvest handling and processing, and bamboo slats processing, treatment and preservation.

Department of Health (DOH) was able to purchase medicines to IPs including maintenance drugs; deployed Doctor to the Barrio (DTTB). However, since there is no doctor in Impasug-ong town Main Health Center, the DTTB has been assigned there to cater to the needs of the municipality as a whole; conducted Tamang Serbisyo Para sa Kalusugan ng Pamila (TSEKAP) Caravan at Impasug-ong and Manolo towns participated by indigents, senior citizens, PWDs, infants, pregnant women, couples.

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Department of Labor and Employment (DOLE) likewise conducted skills training on rice farm production, meat processing, abaca enhancement, dressmaking and tailoring, handicraft project, tikog bags and mat weaving, cabbage production, sweet peas production, peanut processing, swine production and fattening, cut flower production, rice trading, hog dispersal, resh miki production.

 

Further, National Commission on Indigenous People (NCIP) provided assistance on delineation and titling, codification of customary laws, documentation of IPs, educational assistance program (EAP) and extended legal services to IP clients.

 

Department of Environment and Natural Resources (DENR) implemented the tree growing and greening of at least 1,330 hectares in the area.

Completion of the East-west lateral road connecting Agusan del Sur to Bukidnon, Damay-Kalabugao-Adtolawon Road, including right of way and bridges with project cost of P751,576,940 for the year through the Department of Public Works and Highways (DPWH).

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Technical Education and Skills Development (TESDA) implemented community-based training programs including Electrical Installation and Maintenance, Motorcycle/Small Engine Servicing, Massage Therapy/Hilot, Shielded Metal Arc Welding, Pipefitting, Housekeeping.

Community Irrigation project/system of the National Irrigation Administration (NIA) would also benefit the community.

There are also two Indigenous People (IP) who are enlisted to the Philippine Army and would be serving the community.

IN THE PIPELINE

Aside from the capability building, greening program, construction of vital road network among along the Kalabugao Plains, the construction of a Training Center is in the offing for Kalabugao through TESDA.

Philippine Army likewise continues to open its door of opportunity to IP for their enlistment.

CHALLENGES

The TWG has also revealed some factors, which contributed to the delay in the implementation of various interventions for the program. These include: road is impassable going to Barangay Kalabugao making it difficult to bring materials and equipment to the site; unfavorable weather condition; and unavailability of aggregates due to suspension of aggregate extraction at quarry site contributed delay in the completion of project among others.

RPOC-TWG has conceptualized the program in 2013 aimed to develop Kalabugao Plain into an economically, environmentally, and culturally developed community. The development of the Kalabugao Plain would benefit the IP, the most vulnerable target of the insurgency movement in the region. (EOR/PIA10)