HOLY ANGEL UNIVERSITY

School of Nursing and Allied Medical Sciences

Department of Medical Technology

BARANGAY PANDAN
HEALTH EDUCATION &
PROMOTION PLAN

A FINAL EXAM REQUIREMENT SUBMITTED IN

COMMUNITY PUBLIC HEALTH FOR MEDICAL LABORATORY SCIENCE

BY
BARAQUIEL, STEPHANIE ROSE, E.
DIMABUYU, JULIANNE ANDRE NICOLE
LINGAD, TRISHA SHANE, D.
LUMANUG, JAN CIANDAYLE, S.
MARCELO, HALLELUJAH, V.
MONTEVERDE, LORELYN, D.
SANTOS, ALLIAH JEANNE, C.
SANTOS, RICHELLE PAMELA, S.
SILOS, CHRISTINE MHAIE, R.
TANHUECO, LEONEL, R.

ANGELES CITY, PHILIPPINES

MARCH 2020
 HOLY ANGEL UNIVERSITY
School of Nursing and Allied Medical Sciences

FINAL EXAMINATION
SECOND SEMESTER STY 2019-2020

COMMUNITY & PUBLIC HEALTH LABORATORY

PANDAN RHU-V HEALTH EDUCATION AND PROMOTION PLAN

ROOT-CAUSE ANALYSIS: FISH-BONE DIAGRAM

PEOPLE ENVIRONMENT

Low income Poor sanitation

Poor access to RHU
services Clogged sewerage
system Houses have poor
Sleep deprived ventilation
Overpopulated in
Citicenter MISBEHAVIOR OF
RESIDENTS IN
PANDAN THAT LED TO
Heavy RESPIRATORY
Some are tricycle drinkers/alcoholic DISEASES
drivers Heavy Smokers

Most do not have Obese

occupation Physical Inactivity

LIVELIHOOD LIFESTYLE
IDENTIFIED HEALTH PROBLEM: INCREASED PREVALENCE RATE OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE AMONG THE
RESIDENTS OF PANDAN

Respiratory diseases are defined as communicable diseases that may affect our lungs. One type of respiratory disease that is prevalent in this day
and age is Chronic Obstructive Pulmonary Disease (COPD). COPD is a paragliding term that includes several respiratory diseases that cause
breathlessness, or inability to exhale normally. People usually develop symptoms, including shortness of breath, and usually cough up sputum
(lung mucus), especially in the morning (Unity Point Health, 2018). According to American Lung Association, COPD is the third leading cause of
morbidity worldwide while based on Novartis President, Ms. Cheryl Maley, COPD is the seventh leading cause of death in the Philippines making
it a public health issue that needs to be addressed immediately.

Cigarette smoking usually causes COPD, while long-term exposure to other lung irritants, such as secondhand smoke, can also lead to COPD.
According to Dr. Lenora Cañizares-Fernandez, in the Philippines, cigarette smoking is the major risk factor for COPD. In 2007, the prevalence of
COPD was already at 14% and is projected to increase rapidly because as of now there are 16 million Filipinos who smoke and prevalence rate
may continually increase in the next 10 to 20 years (De Leon, 2019). Non-smokers may also develop COPD especially when they are exposed to
secondhand smoke, firewood, charcoal, and dusty jobs. Aside from smoking and exposure to fumes, alcohol drinking also causes COPD as those
who smoke are usually heavy drinkers as well (Holland, 2018). This correlation indicates that drinking regularly may increase the risk of
developing COPD. According to Dr. Murrell of Healthline, drinking heavily reduces the glutathione levels. This antioxidant helps shield your lungs
from smoke damage. When you drink heavily, the pulmonary system does not work as effectively as it should.

By the researchers’ findings from the community immersion diagnosis conducted in two different places; San Ignacio Subdivision and Citicenter of
Barangay Pandan, Angeles City, residents have problems in breathing which resulted in an increased rate of Chronic Obstructive Pulmonary
Disease (COPD) cases. Misbehavior of the residents of Pandan has been identified as the root cause of the increase in the prevalence rate of
Chronic Obstructive Pulmonary Disease. Misbehavior includes, heavy drinking, heavy smoking, and poor sanitation (based on observation and
data gathered).

Table 1 shows that there is 50%, 10 out of 20 respondents for COPD while there is 35% in asthma, 7 out of 20 respondents. Therefore, the
researchers conclude that COPD is in the boundary of low and high prevalence while asthma has a slightly low prevalence in the Pandan
community. In addition to that, such modifiable behavioral risk factors have also been identified to have caused the increase rate of COPD in
Barangay Pandan. Table 2 shows that there is 65%, 13 out of 20 respondents for alcohol use and smoking, 35%, 1 out of 20 in overeating,
physical Inactivity and poor sleeping habits, while 60%, 7 out of 20 respondents in wrong body posture. Therefore, the researchers conclude that
Modifiable risk factors such as alcohol use and smoking have a high prevalence in the Pandan community. Table 3 presents that 6 out of 20
respondents or 30% are housewives while 4 out of 20 or 20% are tricycle drivers which indicate that low socioeconomic status has also been a
contributor when it comes to this disease.
Table 1:

IV. Chronic Respiratory Diseases Yes No

COPD (Chronic Obstructive Pulmonary

Disease)
10 10
(Meron po bang kaso ng COPD sa inyong
pamilya)

Asthma

(Meron po bang kaso ng asthma sa inyong 7 13

pamilya)

Table 2:

Modifiable Behavioral Risk Factors Yes No

Alcohol Use

(Meron po bang umiinom ng alak sa 19 1

inyong pamilya)

Smoking

(Meron po bang naninigarilyo sa inyong 13 7

pamilya)

Overeating

(Meron po bang sobra sobrang pagkain sa 7 13

inyong pamilya)
 Physical Inactivity

(Madalas po ba magexercise ang inyong 7 13

pamilya)

Wrong Body Posture

(Napapansin niyo po ba ang tamang 12 8

postura)

Poor Sleeping Habits

(Madalas po ba kayong nagpupuyat) 7 13

Table 3:

Occupation Respondents

Manicure 1

Housewife 6

Online Seller 1

Teacher 1

Student 1
 Vendor 3

Tricycle Driver 4

Jueteng 1

Nagbabasura 1

Nagtatahi 1

Since most of the respondents are from Citicenter, Pandan the health education and promotion program should be more focused on them to be
able to attend to their needs. COPD is a serious respiratory health problem that may affect people seriously if the causes are usually from vices.
Misbehavior of the residents poses great effect when it comes to these serious issues. Vices like cigarette smoking and heavy alcohol drinking,
which is a result of misbehavior, pose great health danger both from children and adults. Other than that, COPD may also increase the risk of
acquiring Tuberculosis as both of them have common causes like smoking and low socioeconomic status. So as early as now this issue should be
addressed effectively and immediately by administering programs that will correct their misbehavior.

GENERAL OBJECTIVE: To improve the respiratory health status and successful management of chronic obstructive pulmonary disease (COPD)
through achieving these three major goals: prevention or management of COPD complications, development of the environment, and
improvement in the patient's behavior and quality of life in Citicenter of Barangay Pandan, Angeles City.
SWOT ANALYSIS:

STRENGTHS WEAKNESSES OPPORTUNITIES THREATS

o Members of the o Lack of education  Create a healthier  Climate Change

community trust their because most of the environment especially for
barangay officials, as residents did not finish poor and disadvantage  Alcohol abuse
they say their community their studies. populations.
is properly managed.  Smoking habits
o Health Center have o Some are classified as  RHU needs to provide the
programs intended for part of the low medications for the people  Secondhand smoke
the members of the socioeconomic status in community.
community, such as  Dust and smoke cause
immunization, free eye o Alcohol use and smoking  Decrease the usage of Air Pollution
checkup and are prevalent in the tobacco smoking,
eyeglasses, and community exposure to second hand  Occupational exposure
tuberculosis monitoring smoke, and indoor and to dust and chemicals
o Low prevalence of outdoor pollution.
o Lack of access to RHU (e.g. tricycle drivers,
cardiovascular diseases foul odor of garbage
services
o Slightly low prevalence  Raise awareness about and clog sewage
of diabetes the epidemic of non- system.
o Cancer is not prevalent o Lack of income thus communicable diseases to
among the members of resulting to poor prevent it from spreading.
healthcare  Strong fumes from
the community. nearby industrial
o Members of the  Organize health education buildings
community maintain their program to introduce a
normal weight healthy lifestyle.
 Poorly ventilated
o Based on the criteria of
homes
substandard housing,  Present a proper hygiene
most of houses in the program to prevent
 Overpopulation
community are not spreading of the disease.
substandard.
o There are schools near  Set-up proper media  Asthma
the areas of the communication exposer as
community. a way of enhancing
learning in the community.
 COMMUNITY HEALTHCARE RESOURCES:
 Angeles City Health Office Head Doctor
 Doctors assigned at RHU V
 Community Nurses
 Government Funding
 Free vitamins
 Free checkup and follow up checkups

SPECIFIC OBJECTIVES TARGET METHODS/STRATEGIES RESOURCES EVALUATION

POPULATION
To improve the respiratory health Residents of
status, environment, and successful Citicenter, Barangay
management of chronic obstructive Pandan, Angeles
City, specifically:
pulmonary disease (COPD) through
achieving three major goals: a. COPE with COPD: A a. Guest Lecturer: A a. Post-Health
Health Lecture is a Pulmonologist or Lec Quiz and
a. prevention or management
 Smokers community oral Community Doctor who Question and
of COPD complications;  Heavy presentation and has a deep Answer
Drinkers evaluation that talks understanding about
 Mother and about COPD. The respiratory illness Evaluation
Children event will happen  Venue: Covered Forms
st
 Tricycle every 1 Saturday of Court at Citicenter,
Drivers the Month. Pandan
 Elderly  Logistics: Mic and
People Sound System,
Laptop, RGB,
Projector
 Program: PPT
presentation and
Program Flow
 Promotion: Social
Media Posters and
Tarpaulin
 Others: Manpower
from RHU health
workers
b. development of the  Age Group b. Collaborative b. Guest Speaker: An b. Open Forum
environment; and 7-16 Environmental environmental advocate
 To eliminate waste in the  Age Group Cleaning Program: who has knowledge Game about
16-24 Environmental Talk about environmental proper waste
community and to
is a 1-hour Talk issues. segregation
provide a clean and safe  Age Group
about proper  Venue: Covered (Program flow
environment for the 24-35 environmental Court at Citicenter, attached in
residents.  Age Group cleaning and proper Pandan this file)
35 above waste management.  Logistics: Mic and
Also, there will be a Sound System,
cleaning drive Laptop, RGB,
wherein the residents Projector
will join forces to  Program: PPT
clean in their presentation and
assigned tasks in the Program Flow
community. Age  Promotion: Social
groups are Media Posters and
suggested to work Tarpaulin
together.  Others: Manpower
from RHU health
workers

c. c. Zumba Instructors c. General

c. improvement in the patient's Physical Inactivity  Venue: physical
Basketball/Covered examination
behavior and quality of life  Physically Recreational activities: Court, Citicenter, Brgy. every 2 weeks,
inactive Pandan, Angeles City which includes:
 Physical Inactivity  Zumba session every  Logistic: Sound  Height and
- Encourage the  Underweight, Monday afternoon System weight
residents to overweight, measurement
participate in the and obese  Recreational  BMI calculation
physical basketball games Basketball officials  Pulse rate
activities every Tuesdays,  Venue: Basketball monitoring
Thursdays, and Court, Citicenter, Brgy,  Blood Pressure
- Improve the Saturdays Pandan, Angeles City measurement
physical health  Logistic: Sound
of the residents System, Basketball, General Physical
Freelance Referee Examination Record
 Physical Activity
Assessment, which
includes recording of
the following during the
2 weeks interval
regarding the physical
activities done:
 Frequency
 Duration
 Intensity
 Types of
behaviors

Physical Activity
Assessment Log

 Smoking and Smoking and Drinking Counselor, a psychologist/ Post-counselling

Drinking Habits  Smokers Habits RHU doctor who can thoroughly sessions assessment
- To assess the assess and guide the patients
prevalence of  Heavy Seize your lives, cease  Venue: Barangay
smokers and Drinkers your vices, a cessation Health Center
heavy drinkers counseling program to help  Program: Counseling
smokers and heavy drinkers script, vital sign sticker
- To educate the to improve their lifestyle by
residents about halting their vices. Sessions
the risk and will be every Wednesdays
complications and Fridays.
caused by
smoking and
alcohol abuse

- To increase the
quit rate of
smoking and
alcohol abuse
References:

 (n.d.). Retrieved from http://www.ecokidsusa.org/3rs.html

 Ainsworth, B., Cahalin, L., Buman, M., & Ross, R. (2014, October 31). The Current State of Physical Activity Assessment Tools. Retrieved
from https://www.sciencedirect.com/science/article/abs/pii/S0033062014001674#:~:text=Physical activity (PA) is a,during a period of time.

 Barrell, A. (2019, June 17). Physical exam: Types and what to expect. Retrieved from
https://www.medicalnewstoday.com/articles/325488#what-to-expect

 Ben-Joseph, E. P. (Ed.). (2019, September). Smoking (for Teens) - Nemours KidsHealth. Retrieved from
https://kidshealth.org/en/teens/smoking.html#:~:text=Smoking is a hard habit,start smoking for different reasons.

 Calicut, D. A. (2016, May 31). COPD (Chronic obstructive Pulmonary Disease) PowerPoint Presentation... Retrieved from
https://www.slideshare.net/draslam1/copd-aslam

 CDC - Resources - Chronic Obstructive Pulmonary Disease (COPD). (2018, August 22). Retrieved from
https://www.cdc.gov/copd/resources.html

 Cheema, S. (2019, April 11). Asia-Pacific countries ranked from being most green to least. Where does your country rank? Retrieved from
https://sea.mashable.com/article/3189/asia-pacific-countries-ranked-from-being-most-green-to-least-where-does-your-country-rank

 COPD. (2017, August 11). Retrieved from https://www.mayoclinic.org/diseases-conditions/copd/symptoms-causes/syc-20353679

 Counseling Patients To Quit. (n.d.). Retrieved from https://www.ahrq.gov/prevention/guidelines/tobacco/counsel.html

 Five Major Steps to Intervention (The "5 A's"). (n.d.). Retrieved from https://www.ahrq.gov/prevention/guidelines/tobacco/5steps.html

 Gorilla Bins, & Gorilla Bins. (2016, December 6). How To Manage Waste Properly. Retrieved from http://www.gorillabins.ca/blog/how-to-
manage-waste-properly/

 Greenrevolutionbins, P. by, & Greenrevolutionbins. (2013, August 6). Color Coded Dustbins for Waste Segregation. Retrieved from
https://greenrevolutionbins.wordpress.com/2013/08/06/color-coded-dustbins-for-waste-segregation/

 Health Risks of Alcohol: Problems Caused By Chronic Heavy Drinking. (2019, March 3). Retrieved from https://www.webmd.com/mental-
health/addiction/addiction-heavy-drinking#1

 Holland, K. (2018, November 2). COPD and Alcohol: Is There a Link? Retrieved from https://www.healthline.com/health/copd/copd-and-
alcohol
 Jordan, R. E. (n.d.). Aims and objectives. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK294153/

 Kearns, L. (2019, April 4). 9 Simple Ways To Reduce Waste In Your Home. Retrieved from https://www.huffpost.com/entry/reduce-home-
waste_n_57912d0be4b0fc06ec5c4b56

 Leon, M. V. de. (2019, November 21). Know the age of your lungs this COPD month. Retrieved from https://news.abs-
cbn.com/life/11/21/19/know-the-age-of-your-lungs-this-copd-month

 Lou, P., Chen, P., Zhang, P., Yu, J., Wang, Y., Chen, N., … Zhao, J. (2015, January 1). A COPD Health Management Program in a
Community-Based Primary Care Setting: A Randomized Controlled Trial. Retrieved from http://rc.rcjournal.com/content/60/1/102

 Melemis, S. (n.d.). Drug and Alcohol Withdrawal Symptoms: Addictions and Recovery. Retrieved from
https://www.addictionsandrecovery.org/withdrawal.htm

 NCI Dictionary of Cancer Terms. (n.d.). Retrieved from https://www.cancer.gov/publications/dictionaries/cancer-terms/def/respiratory-disease

 Novartis, Philippine College of Chest Physicians launch COPD awareness campaign. (n.d.). Retrieved from
https://www.novartis.com.ph/news/media-releases/novartis-philippine-college-chest-physicians-launch-copd-awareness-campaign

 Pietrangelo, A. (2019, March 29). COPD: Stages, Causes, Treatment, and More. Retrieved from
https://www.healthline.com/health/copd#treatment

 Quit Tobacco: How To Quit Smoking or Smokeless Tobacco. (n.d.). Retrieved from https://www.cancer.org/healthy/stay-away-from-
tobacco/guide-quitting-smoking.html

 Strath, S. J., Scott J. Strath Search, Kaminsky, L. A., Kaminsky, L. A., Ainsworth, B. E., Ainsworth, B. E., … The American Heart Association.
(2013, October 14). Guide to the Assessment of Physical Activity: Clinical and Research Applications. Retrieved from
https://www.ahajournals.org/doi/10.1161/01.cir.0000435708.67487.da

 The Top 8 Respiratory Illnesses and Diseases. (2018, March 1). Retrieved from
https://www.unitypoint.org/homecare/article.aspx?id=2448b930-1451-43e4-8634-c0c16707c749

 Trotter, K. (2017, April 9). Zumba makes exercise fun with classes for 'everybody and every body'. Retrieved from
https://www.theglobeandmail.com/amp/life/health-and-fitness/fitness/zumba-makes-exercise-fun-with-classes-for-everybody-and-every-
body/article32765683/

 Zhou, Y., Hu, G., Wang, D., Wang, S., Wang, Y., Liu, Z., … Ran, P. (2010, December 1). Community based integrated intervention for
prevention and management of chronic obstructive pulmonary disease (COPD) in Guangdong, China: cluster randomised controlled trial.
Retrieved from https://www.bmj.com/content/341/bmj.c6387
 https://www.youtube.com/watch?v=0Y7rKm0aw8M

 https://www.youtube.com/watch?v=gaXdJRQjnbE

 https://www.youtube.com/watch?v=3Xz5xKLzPns

 https://www.youtube.com/watch?v=E6OqBn98r54
APPENDICES:

Methods/Strategies:

POWERPOINT PRESENTATION: COPE WITH COPD: A Health Lecture

POSTER: COPE WITH COPD: A Health Lecture
PROGRAM FLOW: COPE WITH COPD: A Health Lecture

Program/Schedule

Guest Speaker: Dr. Hilario Tamondong Jr, MD

Pulmonologist, Internal Medicine

 6:00 am – 7:00 am – Dry Run and Venue Arrangement (RHU Staff only)
 7:00 am – 7:55 am – Registration of residents in Citicenter, Brgy. Pandan, Angeles City
 8:00 am – 8:15 am – Prayer (avp), National Anthem (avp), Welcoming Remarks (Dr. Nepomuceno)
 8:20 am – 8:30 am – Introduction of Guest Speaker
 8:30 am – 10:00 am – Lecture Proper with Dr. Tamondong
 10:05 am – 10:35 am – Question&Answer and Post-Health Lec Quiz
 10:40 am – 11:00 am – Evaluation, Giving of Certificates and Closing Remarks

Masters of Ceremony: Barangay Health Worker

Logistics

 Venue – Covered Court, Citicenter, Brgy. Pandan, Angeles City

 Audio – Microphone (2), Speaker
 Visual – Laptop (1), RGB, Projector
 Documentation – c/o barangay health worker
Evaluation:
POST-HEALTH LEC QUIZ: COPE WITH COPD: A Health Lecture
Questions (10 points)

Panuto: Bilugan ang letra ng tamang sagot.

1. Anong klase ng COPD o Chronic Obstructive Pulmonary Disease ang tumutukoy sa pagkakaroon ng walang hintong pagubo sa loob ng
tatlong buwan kada dalawang magkasunod na taon?

a. Chronic Bronchitis
b. Asthma
c. Emphysema

2. Ano ang karaniwang sanhi ng pagkakaroon ng COPD?

a. Exercise
b. Paninigarilyo or Smoking
c. Pagtulog or Sleep

3. Bukod sa iyong sagot sa #3, ano pa ang maaaring sanhi ng pagkakaroon ng COPD?

a. Pagsusunog or Burning of fuels

b. Pagtakbo or running
c. Paglilinis ng bahay

4. Ano ang mga sintomas ng pagkakaroon ng COPD?

a. Pagkabilasa or Lack of energy at pagubo

b. Pagkakaroon ng sipon at lagnat
c. Pagsakit ng lalamunan at tiyan

5. Tama o Mali: Kailangan magpacheck-up agad sa malapit na barangay health center kapag nakaranas ng sintomas ng COPD.

a. Mali
b. Tama
c. Hindi ko alam
 6. Anu-ano ang mga dapat gawin kapag nakaranas ng sintomas ng COPD?

a. Hayaan na lamang mawawala rin naman

b. Uminom kaagad ng gamot at resetahan ang sarili
c. Magpunta sa pinakamalapit na Barangay Health Center upang magpatingin

7. Tama o Mali: Ang COPD ay hindi nagagamot.

a. Tama
b. Mali
c. Siguro

8. Ano ang tamang paraan upang gumaling mula sa pagkakaroon ng COPD?

a. Huwag inumin ang gamot sa tamang oras nito

b. Tanggalin o alisin na ang paninigarilyo
c. Magsunog pa ng magsunog

9. Ano ang dapat gawin upang makaiwas sa pagkakaroon ng COPD?

a. Dalasan pa ang paninigarilyo

b. Huwag lumapit sa mga naninigarilyo at magehersisyo
c. Magkalat ng mga dumi kahit saan

10. Ano ang benepisyo ng pagkakaroon ng RHU?

a. May bayad ang mga serbisyo

b. Malapit at may dokto
c. May libreng gamot, pagpapaconsulta at bakuna

Answer Key:

1. A 6. C
2. B 7. B
3. A 8. B
4. A 9. B
5. B 10. C
 HEALTH LECTURE EVALUATION FORM

Name: Date:

Address: Age:

Health Lecture Topic/Title: Source: University College of

the Caribbean
Pakisagutan ang bawat tanong ng maayos at makabuluhan. Ang bawat tugon ninyo sa mga katanungan ay isang mahalagang bagay
upang mas mapagbuti namin ang paghahatid ng serbisyo sa inyong mga taga Pandan at nasasakupan ng RHU V. Ito rin ang magiging
batayan namin sa mga susunod pang mga aktibidades ng Rural Health Unit.

Presenter Evaluation: Bilugan ang akmang numero na akma sa inyong natunghayan (1) para sa pinakababa na grado at (5) naman
para sa pinakamataas na pwedeng ibigay.

1. Ang guest lecturer ay nakasunod sa kanyang gustong 1 2 3 4 5

iparating.

2. Malinaw ang boses ng guest lecturer. 1 2 3 4 5

3. Ang mga mahihirap na salita o depinisyon ay

naipaliwanag ng mabuti.
1 2 3 4 5

4. Ang presentasyon ay organisado at walang kulang.

1 2 3 4 5

5. Ang presentasyon ay makabuluhan at madaling

maintindihan.
1 2 3 4 5

6. Ang presentasyon ay madaling sundan at kapupulutan ng 1 2 3 4 5

aral.

7. Sa kabuuan, marami akong natutunan sa presentasyon. 1 2 3 4 5

Comment/Reaksiyon:
Methods/Strategies:

PROGRAM FLOW: COLLABORATIVE ENVIRONMENTAL CLEANING PROGRAM

Program/Schedule

Venue: Covered Court, Citicenter, Brgy. Pandan, Angeles City

Guest Speaker: Mr. Matthias Ghelber

Environmentalist, Entrepreneur

 6:00 am – 7:00 am – Assembly and Registration of Residents

 7:00 am – 7:15 am – Prayer, National Anthem, Opening Remarks (RHU Physician)
 7:15 am – 7:30 am – Introduction of Guest Speaker
 7:30 am – 8:30 am – Environmental Talk by Mr. Matthias Ghelber
 8:30 am – 9:00 am – Distribution of Groupings and Designations of Places
GROUPS: *BASED ON AGE GROUP*
GROUP 1: AGE GROUP 9-17
GROUP 2: AGE GROUP 18-25
GROUP 3: AGE GROUP 25-33
GROUP 4: AGE GROUP 34-45
GROUP 5: AGE GROUP 45 ABOVE
 9:00 am – 10:30 am – Start of Collaborative Environmental Cleaning
 10:30 am – 11:00 am – Evaluation: Game about Proper Waste Disposal
 11:00 am – 11:30 am – Assessment: Open Forum (Residents will ask questions to the Guest Speaker)
 11:30 am – 11:45 am – Awarding of Winners (Most Cleaned Area)
 11:45 am – 12:00 nn – Certificate Giving and Picture Taking
 12:00 nn – 12:15 pm – Closing Remarks

Masters of Ceremony: Barangay Health Worker

Logistics

 Venue – Covered Court, Citicenter, Brgy. Pandan, Angeles City

 Audio – Microphone (2), Speaker
 Visual – Laptop (1), RGB, Projector
 Documentation – c/o barangay health worker
POWERPOINT PRESENTATION: COLLABORATIVE ENVIRONMENTAL CLEANING PROGRAM
POSTER: COLLABORATIVE ENVIRONMENTAL CLEANING PROGRAM
Evaluation:
PROGRAM GAMES: COLLABORATIVE ENVIRONMENTAL CLEANING PROGRAM

Trash Bin Race Game:

You Will Need:

* Paper
* Pen or marker
* Scissors

How To:
1. Now you have to call out the items one at a time. The participants have to run and stand under the sign corresponding to the trash bin they
belong to.

2. Gather the participants in the playing area. Tell them that they have to play the roles of the item that can be recycled and have to get to the
correct bin as quickly as they can.

3. You have to make three signs- ‘Biodegradable’, ‘Non-biodegradable’ and ‘Recyclable’. Hang the signs in different parts of the meeting room.

4. Here’s a list of the items for you to call out:

* Glass (NONBIODEGRADABLE)
* Banana peel (BIODEGRADABLE)
* Magazines (RECYCLABLE)
* Newspaper (RECYCLABLE)
* Cereal box (RECYCLABLE)
* Water bottle (NONBIODEGRADABLE)
* Sachets (NONBIODEGRADABLE)
* Scrap metals (RECYCLABLE)
* Styrofoam (NONBIODEGRADABLE)
* Food (BIODEGRADABLE)

5. Participants will have a thrilling time trying to get to the right bin as fast as they can.
Methods/Strategies:

PROGRAM SCRIPT: ZUMBA CLASS

ZUMBA
Activities:
2 sets of 1 hour Zumba Proper
15 minutes warm up
15 minutes cool down

Program
08:00 AM– Meet Up: Covered Court
08:10 – 08:15 – Opening Prayer
08:15 – 08:20 – Opening Remarks
08:20 – 08:30 – Preparations
08:30 – 08:45 – Warm Up
08:45 – 09:45 – Zumba Proper
09:45 – 10:00 – Water Break
10:00 – 11:00 – Zumba Proper
11:00 – 11:15 – Cool Down
11:15 – 11:20 – Closing Remarks
11:20 – 11:25 – Closing Prayer
11:25 – End of Session

Opening Prayer

Opening Remarks

Health Care Worker/ Zumba Instructor: Good Morning po sa inyong lahat! Maraming Salamat po sa pagpunta para sa inyong kalusugan.
Nandito po tayo ngayon upang magehersisyo para sa ating kalusugan at para narin po magkaroon tayo nang bonding sa isa’t isa. Ang
ehersisyo pong gagawin natin ngayon ay isng total workout combining all elements of fitness. Ang ating goal po natin sa ating gagagwin ay
maging physically at emotionally fit. Kaya’t paghandaan niyo pong pagpapawisan, mahihirapan, at mapapagod po kayo upang maging
effective po ang ating gagawin, at yun ay ang palakasin ang ating katawan.

Speaker: Magsisimula po ang ating pagehersisyo sa ilang sandali lamang po, kaya’t kayo po ay maghanda na.
Warm Up (10 minutes)

Warm Up by Lessier Herrera Zumba

https://www.youtube.com/watch?v=0Y7rKm0aw8M

Zumba Proper (1 hour)

Choose any from the playlist: Girl in the Mirror (Zumba) Dance Fitness

https://www.youtube.com/watch?v=v7zTVdJn-gc&list=PLGUTuGsxfG-
u7LLxuProS0v8Ln5ZtLN_q

Water Break (15 minutes)

Zumba Proper (1 hour)

Choose another set from the playlist:

https://www.youtube.com/watch?v=v7zTVdJn-gc&list=PLGUTuGsxfG-
u7LLxuProS0v8Ln5ZtLN_q
Cool Down (10 minutes)

Let Me Love You Zumba Cooldown

https://www.youtube.com/watch?v=gaXdJRQjnbE

Perfect by Ed Sheeran – Zumba Cooldown

https://www.youtube.com/watch?v=3Xz5xKLzPns

Zumba Fitness – Cooldown Sam Smith Normari – Dancing With A Stranger

https://www.youtube.com/watch?v=E6OqBn98r54
Closing Remarks

Healthcare Worker/Zumba Instructor: Maraming Salamat po sa pagpunta at pagsuporta sa ating programa.Sana po’y patuloy po
ninyong pangalagaan ang inyong kalsuga, tulad nang sabi nang nakararami yan po ay isa sa ating mga kayamanan. Sana po’y
makitakita po tayo sa susunod nating sesyon. Maraming Salamat!

Closing Prayer
PROGRAM SCRIPT: BASKETBALL RECREATION

Program:

08:00 AM – Meet-up: Basketball Court

08:10 – 08:15 – Opening Prayer
08:15 – 08:20 – Opening Remarks
08:20 – 08:50 – Warm – up for game 1
08:50 – 10:00 – Game 1
10:00 – 10:30 – Warm – up for game 2
10:30 – 11:45 – Game 2
11:45 – 11:50 – Closing Remarks
11:50 – 11:55 – Closing Prayer
11:55AM – End of session

Opening Prayer

Opening Remarks
Healthcare Worker: Magandang Umaga po! Maraming salamat sa pagpunta ninyo ngayon dito sa ating palaro. Ito ay para sa ating
kalusugan, hindi po natin kaialngan magkasakitan at magkapikunan. Sana ay lalo pa nito mapatibay di lamang ang ating pangangatawan
ngunit pati nadin ang ating relasyon sa isa’t isa. Ito po ay isang hakbang na patungo sa mas malusog na mamamayan nang Barangay
Panda. Maraming Salamat po at sana’y tayo’y mag- enjoy.

Warm Up for game 1

Players starting to warm up for the game
Game 1
Basketball game would start, same rules and regulations, it would have 4 quarters with 12 minutes per quarter
Warm up for game 2
Players starting to warm up for the game
Game 2
Basketball game would start, same rules and regulations, it would have 4 quarters with 12 minutes per quarter

Closing Remarks
Healthcare worker: Maraming Salamat po sa inyong lahat, sa ating mga player, sa ating mga officials at sa inyo lahat nang nanuod at
sumuporta sa ating programa. Nawa’y nag-enjoy ang lahat, meron nanalo at meron ding natalo, pero sana tandaan po natin na ginagawa po natin
ito para sa kalusugan nang lahat at katuwaan lamang po ito. Maraming Salamat po, sana po pagpatuloy niyo pong alagaan ang inyo kalusugan.
Sa sususnod po ulit tayo’y magkitakita dito, manuod at mag enjoy. Salamat.

Closing Prayer
Evaluation:

GENERAL PHYSICAL EXAMINATION RECORD: ZUMBA CLASS

General Physical Examination Record

Name: Age: Gender:
Address:

Date Height Weight BMI Pulse Rate Blood Pressure

PHYSICAL ACTIVITY ASSESSMENT LOG: BASKETBALL RECREATION

Physical Activity Assessment Log

Name: Age: Gender:
Address:

Date Mode Frequency Duration Intensity

 Table 1. Physical Activity Dimensions: Mode, Frequency, Duration, and Intensity

Dimension Definition and Context

Specific activity performed (eg, walking, gardening, cycling). Mode can also be defined in the context of physiological
Mode and biomechanical demands/types (eg, aerobic versus anaerobic activity, resistance or strength training, balance and
stability training).

Number of sessions per day or per week. In the context of health-promoting physical activity, frequency is often qualified
Frequency
as number of sessions (bouts) ≥10 min in duration/length.

Duration Time (minutes or hours) of the activity bout during a specified time frame (eg, day, week, year, past month).

Rate of energy expenditure. Intensity is an indicator of the metabolic demand of an activity. It can be objectively
quantified with physiological measures (eg, oxygen consumption, heart rate, respiratory exchange ratio), subjectively
Intensity
assessed by perceptual characteristics (eg, rating of perceived exertion, walk-and-talk test), or quantified by body
movement (eg, stepping rate, 3-dimensional body accelerations).
Methods/Strategies:

PROGRAM SCRIPT: SEIZE YOUR LIVES, CEASE YOUR VICES

Counselling Script:

THE FIVE MAJOR STEPS TO INTERVENTION (THE “5 A’s”)

(https://www.ahrq.gov/prevention/guidelines/tobacco/5steps.html) (https://www.ahrq.gov/prevention/guidelines/tobacco/counsel.html)

ASK identify and document tobacco use and alcohol intake Vital Sign Sticker
status for every patent at every visit; fill-up the vital sign
sticker below
Vital Signs
Counselor: Magandang Umaga/Hapon po! Pwede po bang
malaman ang inyong pangalan?
Name: ________________________________________________
Counselor checks and measures blood pressure, pulse,
weight, temperature, and respiratory rate, and fill-up the vital Age: ____________ Gender: __________ Date: ____________
sign sticker.
Address: _______________________________________________________
Counselor: Naninigarilyo po ba? O nanigarilyo na?

Counselor: Umiinom po ba kayo nang alak? O tumigil na po Blood Pressure: __________________________________________

ba?
Pulse: __________________ Weight: __________________
Counselor: Kailan po ang huling beses na nagsigarilyo po
kayo? Temperature: ____________________________________________
Counselor: kalian po ang huling paginom niyo nang alak?
Respiratory Rate: ________________________________________
Counselor: sa isang araw po nakakailang stick po kayo nang
sigarilyo? Tobacco Use: Current Former Never (circle one)

Counselor: gaano po kadalas ang inyong paginom nang alak Alcohol Abuse: Current Former Never (circle one)
sa isang linggo?
* Alternatives to expanding the vital signs are to place tobacco-use and alcohol intake
status stickers on all patient charts or to indicate tobacco use and alcohol intake status
using electronic medical records or computer reminder systems.
ADVICE In a clear, strong and personalized manner, urge every tobacco use and heavy drinkers to quit

Counselor: Aware/alam niyo naman po ba na nakakasama sa inyong kalusugan ang paninigarilyo/pagiinom nang alak?

Counselor: aware/alam niyo din po bang hindi lang po kalusugan niyo ang maaapektuhan sa inyong paninigarilyo kundi pati mga kasama niyo sa
bahay, ang inyo pamilya?

Counselor: ano po pa ba , para sa inyo, ang nadudulot nang paninigarilyo o pagiinom nang alak?

Counselor: tingin niyo po sapat na dahilan ang nadudulot nito sa inyo, para pagpatuloy ang inyong bisyo?

Counselor: kaya niyo po bang pagpatuloy ang inyo bisyo kahit na alam niyo, nakakasama ito sa inyong kalusugan pati na rin sa kalusugan nang
inyong mga mahal sa buhay?

ASSESS if the tobacco user and heavy drinker is willing to make a quit attempt this time

Counselor: Sa inyong palagay at pakiramdam, kaya niyo po bang talikuran ang inyong bisyo, para sa inyong sariling kapakanan at sa kapakanan
nang mga taong nasa inyong paligid?

Counselor: kaya niyo po bang hindi magsigarilyo sa isang araw? Isang linggo? Isang buwan? Isang taon?

Counselor: kaya niyo po bang hindi uminom nang alak sa isang araw? Isang linggo? Isang buwan?

Counselor: kaya niyo po bang hindian ang tukso nang inyong mga bisyo?

Counselor: nakikita niyo po bang inyo sarili na wala ang inyo mga bisyo at namumuhay nang tama para sa inyong kalusugan kagaya nang
pagkain nang tama at masusustansyang pagkain at regular na pageehersisyo?

ASSIST For the patient willing to make a quit attempt, use counseling and pharmacotherapy to help him or her quit

Practical counseling advice (problem-solving/skills training)

Recognize danger situations: identify events, internal states, or activities that increase the risk or relapse

Counselor: Nakakaranas na po ba kayo nang masamang epekto nang paninigarilyo o nang paginom nang alak?

Counselor: Meron din po bang naninigarilyo sa inyong paligid? Sa loob nang bahay?
 Counselor: Nakakaranas ba kayong pagudyok na magsigarilyo o uminom nang alak? Anong bagay o pagkakataon ang
naguudyok sa iyo? Gaano ito kadalas?

Counselor: Ano o sino ang nangimpluwensiya sa inyo na magsimulang manigarilyo o uminom nang alak?

Examples

 Negative affect.
 Being around other smokers.
 Drinking alcohol.
 Experiencing urges.
 Being under time pressure.

Develop coping skills: identify and practice coping or problem-solving skills, typically these skills are intended to cope with danger
situations

Counselor: sa gagawin po nating paghihinto sa iyong bisyo, aasahan po nating maraming pwedeng maging tukso upang kayo po
ay manigarilyo o uminom muli, pero kailangan niyo po itong pigilan. Kailangan pong magkaroon kayo nang paraan upang ibaling ang
inyong atensyon, nang sa ganon po ay maiiwasan natin ang tukso, maaari po ninying simulan ang pagkakaroon nang mas “healthy” na
pamumuhay kagaya nang pageehersisyo, pagkain nang masusustansyang pagkain, at pagkakaroon nang bagong pagkakaabalahan o
libangan gaya nang pagkatuto nang bagong sports. Panatiliin ding masaya ang disposisyon sa buhay pamamagitan nang pagiging
positibo sa lahat nang pagkakataon, pagiwas sa maaring magpastress sa inyo at pagiging productive sa araw-araw.

Examples

 Learning to anticipate and avoid temptation.

 Learning cognitive strategies that will reduce negative moods.
 Accomplishing lifestyle changes that reduce stress, improve quality of life, or produce pleasure.
 Learning cognitive and behavioral activities to cope with smoking urges (e.g., distracting attention).

Provide basic information: provide basic information about smoking and alcohol intake, and successful quitting

Counselor: Alam naman po ninyo siguro na hindi maganda sa katawan ang paninigarilyo at paginom nang alak. Maraming tao
ang nagkakaroon nang addiction sa mga ito, dahil ito ay mayroong nicotine at labis na nakakaapekto sa kanilang mga katawan. Ang
pagsisigarilyo ay maaring lubos na makakapekto at masisira ang inyong bag ana maaaring maging sanhi nang paghirap sa paghinga, at
ang paninigarilyo nang sobra-sobra at sa mahabang panahon maaari itong maging sanhi nang lung cancer o kanser sa baga, at marami
 na ding natala ang namatay dahil dito. Hindi lamang kanser ang maaring maging resulta nito maari din ito maging sanhi nang sakit sa
puso, stroke, infection gaya nang pneumonia, at ayon sa pagaaral maaring mabawasan nang hanggang 10 taon ang iyong buhay dahil sa
pagsisigarilyo. Hindi lamang ito makakaapekto sa inyong sarling pangkalusugan, kundi pati na din sa mga taong nasa palgid niyo ito,
meron tayong tinatawag na “second-hand smoke” ito iyong binubuga ninyong usok sa inyong paninigarilyo. Pagnalanghap na mga taong
sa paligid niyo maari din po ito maging sanhin nang kumplikasyon sa kanilang kalusugan.

Sa paginom naman nang alak, maari naming uminom nang alak nguit sa mga piling araw lang at hindi sa pangaraw-araw. Dahil
sa sobrang paginom nang alak maaring magresulta nang pagkasira/damage nang liver, sakit sa puso, problema sa utak at sa nervous
system, anemia at kanser. Kaya’t naman habang maaga pa dapat na itong limitahan at kung maari ay tigilan na.

Sa inyong, pagpili na pagtigil na sa mga bisyong ito magkakaranas po kayo nang “withdrawal symptoms”, kung kalian
makakaranas nang pagiba sa inyong mood, nauudyok o natutuksong manigarilyo at uminom nang alak, nahihirapan tumutok/focus sa
mga bagay bagay at marami pang karanasan na sanhi nang pagtigil sa iyong bisyo. Maaring konsiderahing normal ito, dahil ito ay natural
response nang ating katawan dahil sa nakasanayan na bisyo o adiksyon. At ito ay kadalasang mararamdaman pagitan sa panguna
hanggang ikatlong linggo pagkatapos simulant ang pagtigil nang bisyo.

Examples

 Any smoking (even a single puff) increases the likelihood of full relapse.
 Withdrawal typically peaks within 1-3 weeks after quitting.
 Withdrawal symptoms include negative mood, urges to smoke, and difficulty concentrating.
 Smoking is addictive.

Supportive Counseling advice

Encourage the patient in the quit attempt

Counselor: Mas mabuti pong simulant na nating isanay ang inyong katawan na wala ang mga bisyo niyo? Habang maaga at kaya
niyo pa po. Alam naman po natin na wala naman ding maidudulot na maganda ito sa inyong sarili, kaya’t mas makakabuting itigil niyo na
po ito. At hindi lamang po ito para sa inyo ngunit para din ito sa mga mahal ninyo sa buhay. At marami na din ang nagtagumpay na
talikuran ang mga ganitong bisyo. Handa naman po ba kayong itigil na nang paninigarilyo o/at paginom nang alak?

Examples

 Communicate belief in the patient's ability to quit.

 Note that effective tobacco dependence treatments are now available.
 Note that half of all people who have ever smoked have now quit.
 Communicate caring and concern:

Counselor: Ano po ang tingin, pakiramdam, na inaasahan ninyo sa pagtitigil nang inyong mga bisyo?

Counselor: Kung kayo po ay handa nang talikuran ang inyo mga bisyo, nandito po ako at ang inyong barangay health workers na
gagabay sa inyo. Nandyan din po panigurado ang inyong pamilya at kapit-bahay na susuporta sa inyo.

Examples

 Ask how the patient feels about quitting.

 Directly express concern and willingness to help.
 Be open to the patient's expression of fears of quitting, difficulties experienced, and ambivalent feelings.

Encourage the patient to talk the quitting process:

Counselor: Maari pong malaman kung ano ang inyong dahilan nang paghinto o pagtalikod sa inyong mga bisyo?

Counselor: Meron po ba kayong mga tanong, o pag-aalinlangan sa ating gagawing prosesong pagtigil sa inyong mga bisyo?
Maari niyo pong itanong o sabihin sa akin, upang magawan nating nang paraan at maliwanagan po kayo.

Counselor: Ang inyo desisyong pagtigil ay isnag malaking hakbang na po ito para sa inyong pagkakaroon nang “healthy life” o
pagbabagong buhay. At marami pa po kayong pagdadaanan na mga pagsubok sa buong proseso na ito at kung gusto niyo pong
magbahagi, nandito po ako at ang inyong mga health workers na makikinig at gagabay s inyo.

Examples

Ask about:

 Reasons the patient wants to quit.

 Concerns or worries about quitting.
 Success the patient has achieved.
 Difficulties encountered while quitting.

ARRANGE
Counselor should schedule follow up contact, in person or by telephone, preferably within the first week after the quit date.
Evaluation:
POST-COUNSELLING SESSIONS ASSESSMENT: SEIZE YOUR LIVES, CEASE YOUR VICES

Stage of Change:

 Precontemplation (not considering quitting)

 Contemplation (thinking about quitting)
 Preparation (ready to quit in the next month)
 Action (has quit or is in process of quitting)
Strengths that patient brings to the quitting process:

Potential barriers to quitting:

Is the patient ready to set a quit date?

 Yes; specify date: ___________

 No