TEN LEADING CAUSE OF MORBIDITY

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. URTI Bronchitis HCVD GID/AGE Dermatological Disorder Musculo Skeletal Disorder UTI Minor Injuries EENT Pneumonia = = = = = = = = = = 2507 672 593 567 485 385 292 232 201 194

Upper Respiratory Tract Infection or URTI tops the list on the leading cause of morbidity. There are 2,507 clients who had been diagnosed having this disease. Other respiratory-related diseases include Bronchitis and Pneumonia which ranked number 2 and 10 consecutively. Contributive factors that includes the changing weather tends to affect ones resistance in getting the causative agent of the diseases. These diseases are transferred via airborne and droplet. Productive cough, and colds are the main chief complaint of those patients having these diseases. But the main problem here is the clients never have or late medical consultation. Boosting the immune system is the main key to prevent these diseases. Good nutrition (exclusive breastfeeding for infants aged 0 6 months and maybe extended upto 2 years old) and proper hygiene are important and easy ways to prevent such diseases. Pneumonia has a vaccine and thus recommendation to the National Government and the Department of Health shall be made Pneumococcal Conjugate Vaccines (PCVs). Patients with Cardiovascular Disorders come for Medical Attention all-year round. A huge number of patients with HCVDs come for medical consultation only during symptomatic stages (time when signs and symptoms of the diseases appear and become pronounced). Most of the patients who are assessed usually present symptoms such as headache, nape pain, blurred vision, and numbness of various parts of the body. On blood pressure assessment, data reveals blood pressure above 120/80mmHg. The high rates of CVD cases in the municipality are predisposed by varying multifactorial causes which includes sedentary lifestyle and lack of exercise, smoking, excessive consumption of alcohol, dietary excesses particularly in the consumption of fats and sugar, and faulty regimen in taking of maintenance drugs.

For that, I want to recommend that healthy lifestyle for all clients should be properly done and disseminated. Health education should be rendered because as I said earlier that only during symptomatic stages that the clients come for consultation and with that everybody should know that this disease (hypertension) is a silent killer and can occur or aggravated anytime, anywhere. As a summary, healthy community is a prerequisite to national development, and caring for the health of citizens is one of the best demonstrations of the governments concern for the countrys welfare. The Municipality of Bantays record on morbidity and mortality reveals an urgent need to reexamine the efforts towards disease management and a tremendous opportunity to apply a simple program of public health education and awareness to address the unresolved burden of preventable illnesses. In a related aspect, the contribution of healthcare professionals, who are in the best position to effect change in this field, to addressing these most pressing needs also needs evaluation, if they are aware of the problems, their possible solutions, and their critical role in helping the community to uplift the healthcare situation they can contribute to the elevation of knowledge, and hence expectations and standards for hygiene, sanitation and lifestyle among the populations at risk. Meanwhile, the healthcare professionals may also share this knowledge with their families to break the cycle of health risk by starting healthier practices that may prevent the development of the top mortality causes in their adulthood. The common thread of education and awareness runs through these conditions as a possible consolidating solution, if the promotion and maintenance of health is emphasized to the public through basic education, and awareness approach which influences individuals primarily may prove to be the most efficient, practical, realistic and effective way to reduce the burden of diseases in Bantay and the community may be able to promote a healthier society in a cost-effective way.

TEN LEADING CAUSE OF MORTALITY

1. 2. 3. 4. 5. 6. 7. 8. 9. Pneumonia HCVD CVA Malignancy Accident Undetermined Cause COPD Sepsis Anemia Kidney Disease Asthmaticus Diabetes Mellitus Multi organ failure 10. Bleeding Peptic Ulcer Pulmonary Tuberculosis Upper Gastro-Intestinal Bleeding Malnutrition Graves disease Atrial Fibrillation 2o to CAD Intestinal Obstruction 2o to Emphysema Lower Back Pain 2o to Osteoarthritis Asphyxiation = = = = = = = = = = = = = = = = = = = = = = 42 30 22 17 13 7 4 3 2 2 2 2 2 1 1 1 1 1 1 1 1 1

In the 2012 annual report of Municipal Health Unit of Bantay, the top leading cause of death is PNEUMONIA, a severe respiratory infection. Incidence of pneumonia is increased at extreme ages among the very young and the very old. It is spread from one person to another via sneezing and coughing after which it invades the nose and throat then the lungs. Vulnerable persons usually catch the bacteria from infected persons in overcrowded places. Smoking and pollution were other contributory factors. Pneumonia is actually one of the worlds leading preventable diseases. Good nutrition and strong immune system was one way of combating the disease. Exclusive breast-feeding during the first six months of life was an important and easy way to help protect children from pneumonia and other diseases. Frequent hand washing also reduced the spread of bacteria. There is also a vaccine for this disease - Pneumococcal Conjugate Vaccines (PCVs). And I want to recommend that the government especially the Department of Health should include this vaccine into the National Immunization Program to be given to infants and among elderly clients.

HCVD or Hypertensive Cardiovascular Disease, CVA or Cerebrovascular Accidents, Atrial Fibrillation 2o to Coronary Artery Disease and Diabetes Mellitus are also in the list of the leading cause of mortality in Bantay. Its prevention, diagnosis and management are of fundamental importance to public health and require a cooperative and multidisciplinary approach. These diseases are preventable in the first place. You dont have to wait to have these diseases. The common risk factors that could be avoided are sedentary lifestyle and lack of exercise, smoking, excessive consumption of alcohol, dietary excesses particularly in the consumption of fats and sugar, and faulty regimen in taking of maintenance drugs. And with these things, healthy lifestyle is the prevention for these diseases. We, as healthcare providers should educate them about these diseases and what are the things they should or should not do in order not have or aggravate more these diseases. Health education includes the disease, its causes, signs and symptoms, and prevention. Also, there should be a kit for those hypertensive and diabetic patients and they should be monitored monthly. Malignancy is the 4th leading cause of mortality in the town. Patients are referred to hospital for the care and management. Road Accidents is also in the list. In relation with us healthcare team, we should prepare ourselves in any accidents that may happen in the road. We should equip with the items that are essential during accidents. The problem here in the municipality of Bantay is the communication and coordination of the Police Officers and the equipment of the Ambulance and the first aid kit. And with this, I want to recommend that the LGU and MHU of Bantay shall equip the ambulance the necessary equipments for ambulance management and also, they should conduct trainings in first aid, ambulance management and other essential trainings. There is also one case of death that the cause is Pulmonary Tuberculosis. Tuberculosis prevention and control efforts primarily rely on the vaccination of infants and the detection and appropriate treatment of active cases. But the problem is that people dont know the symptoms and they ashamed of what will be the result for the test. The healthcare team should conduct sputum exams in the community for the screening diagnosis of the disease to whether a person has sign of positive TB. Malnutrition, a simple and treatable condition but sadly to say that there is one case of death that this is the cause. There is a Barangay Nutritionist Scholar in every barangay and they are the one who are reporting to us if there are cases on that particular barangay. Feeding programs are initiated in the community through DSWD in day care centers. Also, we are conducting GP (Garantisadong Pambata) Program that is done during the months of April and October. Monthly, we are conducting Child Growth Standard monitoring. As a summary for these things HEALTH EDUCATION is the main keypoint for all of this. Everyone has the right to have information for these diseases.

KALUSUGAN PANGKALAHATAN COMMUNITY HEALTH TEAM STRENGTHS AND WEAKNESSES Many Filipino families in our communities suffer from health conditions that could have been prevented if they had only been treated early enough or had received the proper attention and care. In Kalusugan Pangkalahatan, I have seen that this is very effective in the health implementation of the people especially in the Municipality of Bantay. They are now capacitated to access health services, but not all because of the hesitance to learn and go in the health facilities to have their medical consultation. Through us RNHeals and other health personnel and community health partners, townfolks are now more educated in the different diseases including Dengue Fever and Hypertension. They now know their health risk and needs. Through this KP or the Universal Health Care, financial means to get the health services are now possible especially the poor ones who belongs to NHTS PR families (National Household Targetting System Poverty Reduction) through PHILHEALTH and the government and DSWDs 4Ps (Pantawid Pamilyang Pilipino Program). The problem that I can see in this matter is that some members of the NHTS-PR families that are much deserving than those who are chosen. Also, through this KP, it is a great help for us nurses especially those who are unemployed ones to have this kind of training with honoraria to enhance our skills and knowledge through the DOHs programs, RNHeals (Registered Nurses for Health Enhancement and Local Services) and RHMPP (Registered Health Midwives Placement Program). And with this, nursing workforce in the MHU is now augmented meaning more improved health care services is given to the townfolks. The weakness is that some of the chosen ones are not dedicated to their work. They just only work when there is an instruction coming from the supervisors or anyone who is superior to them. The Community Health Teams focus on the promotion of health and wellness, supporting individuals and families to build knowledge, confidence, and skills to help make healthy lifestyle choices and to better prevent and manage risk factors that are common across chronic conditions. The Community Health Teams collaborate with many partners, working to strengthen links across the health system, involving the community. The Community Health Team recognizes that each community has different needs, and therefore may require different programs, services and supports to build community capacity. The Community Health Teams work collaboratively with community groups, specialty programs and other providers and groups to support individuals and families to make linkages with the appropriate services, supports, or programs that are needed to support health and wellness. The close connection that community health has to its local community and the ability to communicate directly with local communities was observed as the major strengths, and there is no competition between the team members, there is commitment to the work, there is willingness to accept responsibility, and there is task sharing and the team members accept and support each other, they feel responsible for the team output and their involvement is high. As far as weaknesses, insufficient resources on the effectiveness of health promotion in community health were observed.

SUMMARY OF DEPLOYMENT IN THE MUNICIPAL HEALTH UNIT of BANTAY In March 6, 2012, the Department of Health spearheaded the deployment of nurses (RNheals Batch III) and midwives (RHMPP Batch II.) Its aim is to assist in the provision of health services in poor communities as part of the DOHs support to the Pantawid Pamilyang Pilipino Program (4Ps) of the DSWD and also, it seeks to augment the inadequate nursing workforce in DOH hospitals and a number of Local Government Unit (LGU) health facilities to improve patient care and health services. I am deployed as part of the program as a Public Health Nurse and undergone learning and development in public health during one (1) year of deployment. We were exposed to the implementation of public health programs and provision of health services. Universal Health Care (UHC), also referred to as Kalusugan Pangkalahatan (KP), is the provision to every Filipino of the highest possible quality of health care that is accessible, efficient, equitably distributed, adequately funded, fairly financed, and appropriately used by an informed and empowered public. The Aquino administration puts it as the availability and accessibility of health services and necessities for all Filipinos. It is a government mandate aiming to ensure that every Filipino shall receive affordable and quality health benefits. This involves providing adequate resources health human resources, health facilities, and health financing. Its been almost 12 months now and Im still on that stage wherein I keep on telling myself that Ive made the right decision as far as professional growth is concerned. I dont know if its denial but there are a lot of times within this unemployment period that I feel Im just waiting in vain and the risk I took will not work at all. For this reason, I was elated when I heard the news that RNHeals (Registered Nurses for Health Enhancement and Local Service) Batch 3 is now opening its doors for thousands of unemployed registered nurses wanting to have a paid clinical experience of one year. As an RNHeals, you are called on to provide access to health care to many who may not normally be able to afford medical services. Your patients include poor and uninsured populations from culturally and economically diverse backgrounds, and strive to promote prevention over treatment. By correcting poor health practices and maintaining a safe home or work environment, patients lower risks to their health and require fewer visits to health care facilities. I have experienced several different working environments, including a patient's home, different barangay health centers and workplace, just to provide medical assistance. We are also tasked to get the profile of the PantawidPamilyang Pilipino Program (4Ps) beneficiaries for the KalusugangPangkalahatan (KP) program and beneficiaries of the NHTS, LGUs and Congressman Philippine Health Insurance (PhilHealth). RNHeals is more than just a backbreaking job. I have experience joining the routine schedule of reach every barangay wherein we provide immunizations to infants and children who are unable to reach the rural health unit. We provide intervention for sick individuals with poor access to health care. This job is backbreaking, stressful, and emotionally-draining but nothing can beat the amount of fulfilment a nurse can get after a day of touching peoples lives. With these experiences I can say I am

growing emotionally and spiritually as well. I got the chance to witness several heart-wrenching realities you will never witness if youre just working inside an air-conditioned office for these reason, I have a lot of things to be thankful for and develop the real heart of compassion every nurse should have. I have encountered different types of patients, children, adult, and senior citizens who seek for medical assistance. Though it can be stressful most of the time, bearing in your mind that the lives of patients lies in our hands will turn our nursing job from a monotonous responsibility to a fulfilling calling that is even way beyond simple acts of heroism. Being a nurse is carrying a God-given gift and its a vocation that requires a lifetime of commitment and compassion. There is no doubt that at the end of the day, Registered Nurses for Health Enhancement and Local Service is still one of the most inspiring and fulfilling jobs ever created.

EXIT CONFERENCE Learning/Insights During the Program Memorable and Funny Experiences Being a part of RNHEals program is one of the most memorable experienced id ever had. Ive been with different people with different walks of life yet weve learn to appreciate and care for each others especially when we are in the community. I admift that it is not easy to walk under the sun just to reach out people however, those efforts are worth it when you see the smile on their faces though how simple the things you did for themSome shares stories of their own lives but the funny thing there is that they make their stories exaggerated. Negative Experiences There are some community people who take for granted their health even though the health care team are the ones who are reaching them. There are some who doesnt even bother to entertain us and doesnt come and listen to the activities with regard to health. Recommendations to Improve the Program

Even though we are starving