The Effectiveness of Health Programs

In Barangay Quezon, Arevalo, Iloilo City

 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

2
 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

3
 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.

4
 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 family’s 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

5
control the timing of pregnancy (also known as spacing children). The phrase family planning is

most frequently used to mean that the couple uses birth control to plan having children, rather

than preventing pregnancy entirely.

The family’s awareness of her responsibility towards raising her children is essential. For

the Church, the core of family planning is centralized in the family’s 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 can’t 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.

6
 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.

7
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 the shari’ah 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.

8
(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,

9
the rate of reversibility (40%) is not good enough to make sterilization permissible. Greater

success may be achieved with improved micro surgical techniques. And until we achieve at least

80 percent reversibility, it is difficult to permit sterilization.

Management Sciences for Health (MSH) has supported Philippine efforts to bring about

major reform in health care delivery since the start of devolution through several different

projects. Since 1995, MSH has been providing management and technical assistance services to

USAID's major bilateral health assistance program in the Philippines, the Integrated Family

Planning and Maternal Health Program (IFPMHP). Under this program, MSH provides technical

input in the areas of population, family planning, maternal health, and selected child survival

programs at both the national and local levels. At the national level, MSH is assisting the

Department of Health with programs that are responsive to the needs of the devolved

environment. At the local level, MSH is working to strengthen the capabilities of individual

Local Government Units (LGU) to plan, monitor, and implement sustainable family planning

and maternal and child health services.

Local assistance is channeled primarily through the LGU Performance Program (LPP).

Under this program, MSH is working in partnership with the national Office of Public Health

Services and with regional Health and Population Offices to provide comprehensive assistance to

participating LGU provinces and cities. LGUs receive annual performance-based grants to plan

and implement comprehensive population, family planning, and child survival programs. MSH is

working with the Department of Health and LGUs to further expand and refine the grant

mechanism to include additional performance incentives and to add a matching grant component.

In addition to financial assistance, the LPP delivers a comprehensive package of technical

assistance to LGUs in planning, training, information, education, and communications (IEC),

monitoring and evaluation, and program management. The MSH Program Management

10
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.

11
Bacille Calmette-Guérin (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

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

12
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

13
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

Minimum
Minimum
Number Interval
Vaccine Age Dose Route Site Reason
of Doses Between
at 1st Dose
Doses
Bacillus Birth or 1 0.05 -- Intradermal Right BCG given at

Calmette- anytime Ml deltoid earliest possible age

Guérin after birth region protects the

14
 possibility of TB

meningitis and
of the
other TB infections
arm
in which infants are

prone
Upper
Diptheria- An early start with
outer
Pertussis- 0.5 DPT reduces the
6 weeks 3 4 weeks Intramuscular portion
Tetanus mL chance of severe
of the
Vaccine pertussis
thigh
The extent of

protection against

polio is increased

Oral Polio 2-3 the earlier the OPV

6 weeks 3 4 weeks Oral Mouth
Vaccine drops is given.

Keeps the

Philippines polio-

free.
Hepatitis B At birth 3 0.5 6 weeks Intramuscular Upper An early start of

Vaccine mL interval outer Hepatitis B vaccine

from portion reduces the chance

1st dose to of the of being infected

2nd dose, thigh and becoming a

8 weeks carrier .

interval Prevents liver

from cirrhosis and liver

2nd dose to cancer which are

third dose. more likely to

develop if infected

with Hepatitis B

15
 early in life .

About 9,000 die of

complications of

Hepatits B. 10% of

Filipinos have

Hepatitis B

infection
Upper At least 85% of
Measles
outer measles can be
0.5
Vaccine
9 months 1 -- Subcutaneous portion prevented by
mL
of the immunization at
(not MMR)
arms this age[.

Bacille Calmette-Guérin (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

16
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.

17
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 .

18
 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.

19
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

20
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 90
55 – 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. 00
b. 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

21
 1. Health Status CY: 2006006

Total no. of Deaths (All causes) 5

Leading Causes of Mortality, CY 2006

Causes Number
Illness 4
Old Age 1

Leading cause of morbidity, CY 2006

Causes Number
Hemorrhagic Stroke 1
Cardiac Arrest 3

2. Health Programs

I. MWRAS (Married Woman in their Reproductive Age) – a program of the Barangay

which started on July 1991 in relation to the Family Planning Program of the

Government. The program aimed to educate, supply necessary family planning

products and monitor the family planning status of the barangay which would help in

decreasing the high population increase of the country. This also help for the

awareness of married couples the advantages in family planning.

Methods CY: 2004 CY: 2005 CY: 2006

Tubal Ligation 14 26 9
Vasectomy 2 2 1

IUD 2 4 02
Injectibles 9 4 710
Pills 30 19 35
Condom 9 5 811
BTL 1510 17 22

22
 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 April-June July-Sept Oct-Dec Total
Q1 Q2 Q3 Q4
BCG 6 7 54 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 29
Measles 7 9 6 6 28
Fully 98 87 87 11 3633
Immunized
Child
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

23
 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
Fully 9 9 8 95 3531
Immunized
Child
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 April-June July-Sept Oct-Dec Total
Q1 Q2 Q3 Q4
BCG 4 5 5 8 22
DPT 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 42 8 7 59 2430
Immunized
Child
Hepa B1 4 8 0 0 12
Hepa B2 4 8 0 0 12
Hepa B31 6 9 0 0 15
VIT A 0 0 0 0 0

CY 2006
Jan-March April-June July-Sept Oct-Dec Total
Q1 Q2 Q3 Q4
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 23
OPV 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 7 6 89 11 3233
Immunized
Child
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

24
CY 2007
Jan-March April-June July-Sept Oct-Dec Total
Q1 Q2 Q3 Q4
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
Fully 9 8 8 9 34
Immunized
Child
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

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