Inmates’ Monthly Medical Assistance (A Sub-Project under the Medical Mission Program)
1st Year ACCOMPLISHMENT REPORT July 1, 2010 to June 30, 2011
Theme: Totoong Serbisyo para sa Bagong Maguindanao!
Contents Acknowledgement
.........................................3
Overview
.........................................4
Objective
.........................................5
Human Resources
.........................................5
Medical Assistance Coverage
.........................................5
Scheduling
.........................................6
Budgetary Requirements
.........................................6
Flow of Activity
.........................................7
1st Monthly Visit
.........................................9
Assessment of Sanitary Inspector
.........................................10
Indices
.........................................11
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Acknowledgement Having this Monthly Medical Assistance to the Provincial Jail Inmates will not be feasible without the following: Firstly, Almighty Allah, for giving us strength and wisdom in our everyday task and providing us light of guidance in order for us to perform our duties well; To Hon. Governor Esmael “Toto� G. Mangudadatu for vast support on the health of deprived sectors of the community and as well as constituents inside the jail. To Provincial Administrative Officer Engr. Abdulwahab V. Tunga and OICProvincial Budget Officer Lynette A. Estandarte, Asst. PPDO Nulfarid S. Ampatuan for allowing us to conduct this monthly health program and providing assistance in performing this activity and in making this report. To the DOH-ARMM Secretary Dr. Kadil Sinulinding, Jr., Provincial Health Officer Dr. Tahir B. Sulaik, and OIC-PHO Dr. Elizabeth A. Samama in envisioning quality health services to the constituents of Maguindanao and strong support on the health programs of the province. To Provincial Jail Warden Kasan L. Odin, for deepest concerns on the health of every inmate and providing them assistance in any possible means he can offer to address their health problems. And to everyone, who graciously rendered their time and effort for the success of every medical assistance, a lot of thanks to you.
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OVERVIEW The Provincial Jail of Maguindanao is located at P.C. Hill, Cotabato City and account for more than 100 inmates. The jail has limited rooms for male and female and facilities for the welfare of the inmates. When there is a medical or dental problem, they are brought to Cotabato Regional and Medical Center as soon as the problem reaches severity. Only in medical outreaches were majority of the inmates could have access to medical and dental consultations. This activity is done occasionally. When this dilemma was raised during one of the local health board meetings, the Provincial Governor Esmael G. Mangudadatu sent advance team to assess the situation. On February 17, 2011 the Provincial Governor conveyed the Mobile Hospital equipped with staff for medical, dental and minor surgeries. All inmates were catered on that one (1) day activity. During this medical mission, the team found out different diseases from the inmates including cyst, hypertension, diarrhoea, pneumonia, diabetes and other minor medical problems. Those with cysts were successfully operated on the mobile hospital with the help from the doctors of the IPHO-Maguindanao. With these prevailing health problems, routine health assessment to the inmates including sanitary inspections to the jail building is of recommended solutions to improve their health status. Thus, provision of medical team composed of One (1) doctor, Three (3) nurses and One (1) sanitary inspector will greatly affect the status of each inmate. The team will conduct routine physical assessment and individualized treatment. This will also include assessment of their sanitary condition and shall recommend proper sanitation program. Moreover, to continuously assess their concerns, the team will conduct this activity every last Thursday of the month or as the date requested by the province and the jail personnel.
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OBJECTIVE Provincial Government of Maguindanao and IPHO-Maguindanao are in collusion to treat the underlying medical problems of the Provincial Jail Inmates. To properly assess the inmates’ medical condition thus preventing advanced and complicated diseases. To provide inmates with free medicines and other supplies needed to improve their health condition. To assess the sanitary condition of the jail thereby preventing diseases caused by improper sanitation. To
provide
health
promotions
thru
audio-visual
presentations
and
recommend guidelines on proper hand washing and tooth brushing.
HUMAN RESOURCES 1. One (1) Doctor 2. Three (3) Nurses 3. One (1) Sanitary Inspector 4. Provincial Jail Personnel
MEDICAL ASSISTANCE COVERAGE Medical Consultation Minor Surgical Procedure Provision of free medicines Sanitary Inspection Health Promotion thru Audio-Visual Presentation
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SCHEDULING The medical team will conduct the activity once a month from 8:00am to 4:00pm and this includes medical consultations, minor surgical procedures when there is a case of wound, provision of medicines, sanitary inspections and Health Promotions. Basing on the data and approval from the Provincial Office, when there is a need to conduct tooth extraction, it will be scheduled on the next visit.
Number
Date
Day
1
May 26, 2011
Thursday
2
June 30, 2011
Thursday
3
July 28, 2011
Thursday
4
August 25, 2011
Thursday
5
September 29, 2011
Thursday
6
October 27, 2011
Thursday
7
November 24, 2011
Thursday
8
December 29, 2011
Thursday
BUDGETARY REQUIREMENTS
Transportation Allowance :
= P2, 000
Communication Allowance :
= P200
Food Allowance
= P750
Honoraria of the Health Personnel 1. Doctor 2. Nurses
: Breakfast and Lunch x P75 X 5 pax
: 1 pax X 1000
= P1,000
: 3 pax X 500
= P1,500
3. Sanitary Inspector : 1 pax X 500
= P500
TOTAL=
P5,950
P5,950 X 8 Mos = P47,600
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All medicines, equipment and instruments will be taken from the supplies of the Mobile Hospital. Television and Disk Player that will be utilized for health promotion shall be provided by the Provincial Jail.
FLOW OF ACTIVITY Three days prior to the first conduct of medical assistance, the health personnel shall coordinate with the jail warden and have the complete list of names of the inmates. At Registration Area i.
The Medical Staff and Jail Warden shall confirm the identity of the inmate from the listed names provided by the jail personnel.
ii.
The Medical Staff shall take the vital signs of the inmate.
iii.
The medical staff and security personnel shall guide the patient to the waiting area.
At Waiting Area i.
The assigned personnel shall start the audio-visual presentations for health promotions.
ii.
While
inmates/patients
are
waiting
for
their
medical/surgical consultation, they will be watching health promotions thru audio-visual presentation. iii.
Once called, the assigned staff shall guide the patient to the medical consultation.
At Medical Consultation Area i.
The medical practitioner shall assess the patient and prescribe the medicine needed. When the case is minor surgery, the patient will be operated after the consultation period.
ii.
The assigned personnel shall guide the patient to the Pharmacy/Medicines or at Minor Surgery Area.
At Pharmacy/Medicines Area i.
The assigned staff shall provide the medicines prescribed by the Doctor. Medical Assistance
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ii.
The Security Personnel shall guide the patient back to their respective rooms.
At Minor Surgery Area i.
The Assigned Staff shall validate the name of the patient and the operative site.
ii.
The Assigned Nurse shall prepare the instruments and other supplies for the specific procedure to be done.
iii.
The Medical Practitioner together with the assigned scrub nurse shall perform the surgical procedure.
iv.
After the procedure, the staff shall bring the patient to the recovery area.
Post-Assessment i.
The health personnel, provincial staff and the provincial jail personnel shall conduct the post-assessment activity to identify weakness and transform it to strength for next month’s visit.
Note: All patients diagnosed as having complicated problems or diseases will be referred to the nearest hospital upon the request of the doctor and approval from the head of the facility. Exit and Preparation for next visit The records will be kept individualized with strict confidentiality and put it into the data bank where it will be used again as reference for the next scheduled activity.
1st Monthly Visit: June 06, 2011 The Maguindanao Medical Team has catered 98 patients during its first visit in the jail and within this number of patients are 24 visitors and Provincial Jail Staff acquired for consultation with free medicines. Patient may have one or more health complaints. The table below shows the distribution of health complaints with corresponding number of patients.
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Number of Patients Catered: 98 Health Complaints
Number of Patients
1. Abdominal pain
18
2. Back Pain
6
3. Blurring of Vision
5
4. Body Pain
11
5. Body Weakness
3
6. Chest Pain
9
7. Dizziness
9
8. Cough
38
9. Dyspnea
1
10. Dysuria ( Painful Urination)
3
11. Fever
12
12. Headache
24
13. Hematemesis (Vomiting of Blood)
1
14. Hypertension
2
15. Insomnia
5
16. Itchiness
9
17. Joint Pain
3
18. Loose Bowel Movement
3
19. Muscle Cramps
2
20. Non-Health Personnel Circumcision
2
21. Pain at Post-operative site
1
22. Toothache/Dental Carries
6
23. Wound/Swelling
4
As shown above, the highest number of complaint is Cough (38 patients) which may be caused by easy transmission of droplet and airborne diseases from one person to another. This transmission may be due to crowdedness inside the area. Medical Assistance
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Further, as noted, there are also two cases of inmates who were circumcised by their fellow inmates as per request, using only non-sterile sharp objects. Thus, this promotes wound infection and long-healing process. As observed by the sanitary inspector, the sanitation should be improved since there are poor drainage system and poor waste disposal management. Health teaching was also provided to increase their knowledge regarding personal hygiene and other health-related practices.
ASSESSMENT OF SANITARY INSPECTORY AND RECOMMENDATION FOR NEXT VISIT: Proper utilization of area space to lessen crowdedness. Installation of exhaust fan is needed. Waiting area for visitors. Additional toilets and cubicles. Improve Personal Hygiene Practices
Provision of free shampoo and bath/laundry soaps
Cleaning of canals as for proper drainage system Removal of tires and breeding sites.
Improve waste disposal management
Provision of Garbage Cans
Zero Case of Non-Health Personnel Circumcision.
Provision of Circumcision by health personnel on next visit is recommended
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INDICES
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i. Asst. PPDO, Admin. Supervising Officer meeting with Missionary Volunteers who also render services to the inmates
ii. Dr. Abdul examining the wife and son of an inmate
iii. Mr. Kadayaunan assessing the Sanitary Condition of the Jail
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iv. Mr. Follosco doing the Health Teachings inside the jail
v. Inmates waiting for their turn for Consultation
vi. Mr. Sangkigay getting the Vital Signs of Jail Guard
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vii. The Maguindanao Medical Team with Jail Personnel
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