Serbisyong Medikal para sa Masa Handog ni Gob. Toto Program THE 2010 ACCOMPLISHMENT REPORT THEME:
TOTOong Serbisyo para sa Bayan!
ANNEXES Committee List of services with number of target patients per medical mission Flow of Operation Program List of Supplies, Medicines and Medical Equipments List of Participating Personnel
COMMITTEES Chair : Office of the Provincial Governor Co-Chair : Integrated Provincial Health Office 1. Minor Surgery Team a. Surgeon
=1
b. Anesthesiologist
=1
c. Nurses
=2
d. Rad Tech.
=1
e. Aid
=1
38
2. Dental Team a. Dentist
=8
b. Dental Aid
=8
c. Aid
=2
3. Circumcision Team a. Circumcision Nurses
= 10
b. Circulating Nurse
=1
c. Aid
=1
4. Laboratory and Blood-letting Team a. Medical Technologist
=1
b. Aid
=2
5. Registration and Assessment Team a. Registration Aids
=3
b. Vital Signs Aids
=3
c. Weighing Personnel
=1
6. Rehabilitative Section
=1
7. Food Committee
=5
8. Secretariat
=3
9. Logistics Team a. Medical Van Personnel
=3
b. Drivers i. Mobile Hospital Bus
=1
ii. Medicine Van
=1
iii. Medical Staff Van
=1
c. Crowd Control
=6
39
Table 1. List of services with number of target patients per medical mission Target number of
Services
patients
Excision of Cyst
10
Circumcision
150
Tooth Extraction
200
Blood-letting
15
Blood typing
150
Rehabilitative Assistance
5
Family Planning Methods
-
Health Promotions
-
Medical Consultation
3000 Total 3,530
FLOW OF OPERATION Step One (1) REGISTRATION Pedia Medicine Dental Minor Surgery Step Two (2) PRE-ASSESSMENT AREA BP Taking Weighing Temperature Step Three
(3) CONSULTATION AND TREATMENT Medical Pediatric OB-Gyne Dental Minor Surgery “Operation Tuli” and Cyst Excision Blood Typing/ Letting
Step Four (4) DISPENSING OF MEDICINE Pharmacy
PROGRAMME PART I – OPENING PROGRAM
40
Registration of Participants
-
Secretariat
Invocation
-
Participant
National Anthem
-
DepEd Maguindanao
Welcome Remarks
-
Municipal Mayor
Overview of the Program
-
IPHO
Message
-
Hon. ISMAEL V. MASTURA Provincial Vice Governor
Inspirational Message
-
Hon. ESMAEL G. MANGUDADATU Provincial Governor
PART II – PROVINSION OF HEALTH SERVICES PART III – HEALTH PROMOTIONS A. Environmental Sanitation B. Proper Brushing Technique C. Healthy Lifestyle D. Proper Hand Washing Technique PART IV – CLOSING PROGRAM
LIST OF SUPPLIES, MEDICINES AND MEDICAL EQUIPMENTS 1. ASSOSTED ESSENTIALS MEDICINES 2. DENTAL
-
Dental Anesthesia Dental Needle Cotton 400g Sterile gauze 4x4 Alcohol 120ml Gloves size 7 Mask Tongue depressor
3. MINOR SURGERY OPERATION TULI
-
Lidocaine 2% (60ml) Disposable needle with syringe 3ml Disposable needle with syringe 5ml Cotton 400g Gauze 4x4 Alcohol Plaster (Hypoallergenic) Betadine big Chromic 2-0 Surgical silk 2-0 Cutting needle assorted type
4. BLOOD LETTING
-
Blood bag Tornique Gloves size 7 Cotton Alcohol Plaster 1� Copper sulfate Weighing scale 3kg
5. BLOOD TYPING
-
Blood typing sera Pricking needle Pricking needle pen Cotton Alcohol Blood type card - Red A - Blue O - Yellow B - White AB
41
42
6. X-RAY
- X-ray film (Kodak)
11 x 14 14 x 14 14 x 17
- Developer - Fixer 7. LABORATORY
-
Strips Capillary tube Hema quick stain Slides Lancets Cotton Tissue Alcohol 70% WBC diluting fluid Immersion oil (Type A) 500ml Counting chamber WBC pipette Microscope Pipette shaker WBC counter Differential counter Urine centrifuge machine Micro-hematocrit centrifuge Micro-hematocrit reader Sealer BP apparatus (Aneroid type) Digital thermometer
8. HAND WASHING TECHNIQUE
-
Big Basin Pale Lavatory Tabo Galon with faucet Hand liquid soap
9. TOOTH BRUSHING TECHNIQUE
- Toothbrush - Big tooth paste
LIST OF PARTICIPATING PERSONNEL IPHO Personnel Dr. Elizabeth A. Samama
Ms. Normita Sangkigay
Dr. Agustina A. Almirante
Mr. Jose Francis G. Recinto
Dr. Renalyn D. Masukat
Mr. Osmar P. Paguital
Dr. Jihan L. Pendatun
Ms. Nanagen B. Manalindo
Dr. Aileen K. Abdul
Ms. Almera M. Nana
Dr. Sayrha Pamela M. Daulog
Ms. Marissa L. Mangelen
Dr. Rhea Grace L. Villafa単e
Mr. Ysmael U. Kadil
Ms. Emma H. Nana
Mr. Pepito V. Fernandez
Ms. Michelle Ann S. Manebpel
Ms. Satria T. Andang
Ms. Jeannie M. Kumandi
Mr. Abdulgani K. Kadayunan
Ms. Farah Salik
Ms. Leonora Bernan
Ms. Joy M. Lucman
Ms. Luzviminda Nasa
Mr. Balabagan Abdullah
Ms. Helen Piang
43
Ms. Catherine Rufino Province JO-Nurse Neilwin A. Follosco, RN
Mohaira Hassan, GM
Aljabier A. Sangkigay, RN
Hannah Grace Orig, RN
Caryl Clavaton, RN
Maria Cristina Rosales, RN
Jenneth Palattao, RN
Janeth Latip, GN
Ayesha Briget K. Ebus, RN
Aphra Mae Espadera, GN
Joseph Bones, RN
Swelyn Kadalim, GN
Raiza Saligan, RN
Kathryn Damao, GN
Fairodz Mangudadatu, RN
Sarah Abusama, GM
Shaira Kalim, GN
Ayesha Tingangao, GN
44
Provincial Staff PPDO: Nulfarid S. Ampatuan, Coe, MPA
Rasul Ryan A. Siaman
Maryjane S. Labrador
Ryan T. Gocotano
Ekie Tiboron
Amraida Mamaluba
ACCOUNTING: Karen B. Ampatuan
Ajuria Sambolawan
PGSO: Sonny Akil PAdmin Federico Castro OPAG Noria Usman PBO: Ms. Lynette Estandarte
Anna Lizza B. Gocotano
Matabay C. Macapendeg
Tohamie Dimasangkay
Leonor C. Pascual
Nor-ain Ampatuan
Jayson D. Tiolo
Suharto Piang
Soraida M. Kabib
Omar Mukhtar U. Calzado
Arturo T. Gocotano
Basser Tamundok
Jonathan L. Nata単o
Nasrudin A. Usman
Muhammad Yusoph M. Pendong
Abubakar A. Abdul
Ameer Jeehad A. Ambolodto
Salik Abas
DepEd-Nurse Maguindanao Sirikit Samama-Butt
Vainesa Dalandag-Bade
Noria Lauban
Saheda Baraguir
Cherie Rose Sinsuat Abdula
45
CONTENTS Acknowledgement - - - - - - - - - - - - - - 3 Overview - - - - - - - - - - - - - - 5 Vision, Mission and Objectives - - - - - - - - - - - - - - 6 Services - - - - - - - - - - - - - - 6 Human Resources - - - - - - - - - - - - - - 7 Participants - - - - - - - - - - - - - - 7 The Medical Missions - - - - - - - - - - - - - - 8 Datu Paglas Municipality Parang Municipality Paglat Municpality Gen. SK Pendatun Municipality Upi Municipality Annexes - - - - - - - - - - - - - 40 Committee List of services with number of target patients per medical mission Flow of Operation Program List of Supplies, Medicines and Medical Equipment List of Participating Personnel
1
ACKNOWLEDGEMENT We would like to convey our highest praise and deep gratitude to those individuals who help us in bringing to fruition the medical missions. To our Provincial Governor Esmael “Toto” G. Mangudadatu for his indisputable support and direct involvement in alleviating the health of the constituents to a much desirable status; To our Provincial Vice-Governor Ismael “Dustin” V. Mastura and the Members of the Sangguniang Panlalawigan for allocating funding for the program; To Dr. Tahir B. Sulaik and Dr. Elizabeth A. Samama, all from Integrated Provincial Health Office for sharing their ample time from planning to implementation and providing medical personnel; To Ms. Sirikit S. Butt, RN, Head Nurse and the nurses from the 1st Congressional District Dep-Ed Maguindanao for the Health Promotions; To the men in uniform from the Philippine Army who shared their medical skills; To our Provincial Administrator Engr. Abdulwahab V. Tunga and PPDC Engr. Debualeg Utto for guiding us during the course of the implementation; To our Provincial Budget Officer Ms. Lynette Estandarte for facilitating the distribution of food and other medical needs; To Local Chief Executive of the different clustered municipalities for their unwavering support through allocating conducive place for the mission and transporting the patients to the medical site; To the head of the different department offices for extending some of their competent staff as man power; And to all those who, in one way or another, have contributed in the realization of the program, we express our heartfelt thanks and grateful acknowledgment
2
OVERVIEW Maguindanao province has a total population of 1,273,715 (NSO 2007) in 36 municipalities with 506 barangays. With this enormous population, it has only five (5) hospitals i.e. one (1) provincial, two (2) districts and two (2) municipals. Augmenting these hospitals are inadequate number of health centers with limited medicines and medical equipments available. Statistically speaking, there is only one (1) dentist for every 120,000, one (1) doctor for every 60,000, one (1) nurse for every 36,000 and one (1) midwife for every 7,200 populace. In this populace, the top three (3) leading causes of morbidity are Acute Respiratory Infection, Influenza and Diarrhea. These pressing issues greatly affect the vision of the present administration which is to have healthy constituents for province. With these current situations and prevailing capacities and capabilities of IPHO-Maguindanao and DepEd Nurse-Maguindanao to provide quality care service, the Provincial Government of Maguindanao through the initiative of the Provincial Governor Esmael G. Mangudadatu initiated the provisioning of mobile hospital. This mobile hospital is equipped with medical, dental and basic surgical equipment with an X-ray machine. The operation of the mobile hospital will be needing ten (10) competent permanent health personnel. Alongside, essential medicines are also provided to immediately respond to any emergency cases or as need arises. Providing mobile hospital will not be enough to address the health needs of the province. There is also a need to issue local policies, institutionalized structures and capacitate/mobilize health personnel. With these strategies in place and the functionality of the local health board is on verge, this effort will create a noteworthy impact.
3
VISION, MISSION AND OBJECTIVES VISION- A Province whose stakeholders are collectively working in the attainment of healthy constituents by the year 2015. MISSION- Provide the constituents full access to health services that encompass four (4) major aspects ( Promotive, Preventive, Curative and Rehabilitative ) that would benefit communities in the province and will be sustained by all its staff- the IPHO-Maguindanao, DepEd-Maguindanao and the Provincial Government of Maguindanao. OBJECTIVES- To attain its vision and mission, this medical mission sets the following objectives: 1. To work with multi-sectoral partners that provides same vision and services with the mobile hospital. 2. To provide easy access on basic health services such as medical, dental, minor surgeries and circumcision including constituents in the far-flung areas. 3. To provide free medicines, X-ray and laboratories to aid constituents in their total health. 4. To increase the level of awareness of beneficiaries in a quality and healthy living thru health education.
SERVICES Every medical mission covers five (5) medical procedures. Every procedure has its corresponding number of target patients. Within those patients, some will be receiving health care services such as Health Promotions, Family Planning and Rehabilitative Assistance. (See Table 1 in the attached annexes.) The Medical Mission services will be as follows: 1. Excision of Cyst - It is a minor operation for patients who have sebaceous 4
cyst and other minor types. 2. Circumcision - A cutting off of penile foreskin to expose its glans penis to promote hygiene. 3. Tooth Extraction - A removal of defective tooth. 4. Blood-letting -A type of procedure where some blood will be extracted and will be donated to individuals needing it thru ICRC. 5. Blood typing - A procedure done for patients who want to have knowledge on their specific blood type. 6. Rehabilitative Assistance – Helping individuals who have amputated legs thru sourcing out for possible sponsors 7. Family Planning Methods – An advocacy for married individuals willing to use family planning methods. 8. Health Promotions - Teaching constituents on proper tooth brushing and hand washing techniques
HUMAN RESOURCES In order to attain the number of target participants per services, 73 personnel from IPHO-Maguindanao, Dep-Ed Nurse Maguindanao and Provincial Government of Maguindanao are needed. (See attached annexes the complete list of teams/committee with its corresponding number of staff/members) Doctors:
Nurses:
Surgeon
=1
Medical Technologist
=1
Anesthesiologist
=1
Dental Aid
=8
Dentist
=8
Provincial Government
= 20
JO
= 13
BHW
= 12
DepEd
=5
Drivers
=3
Rad. Technologist
=1
PARTICIPANTS The participants of these medical missions are the disadvantage children and adult both men and women coming from the far flung areas of the clustered municipalities. Most of the dental patients are Dep-Ed pupils of the respective clustered districts.
5
THE MEDICAL MISSIONS DATU PAGLAS MUNICIPALITY Date
: OCTOBER 30, 2010
Venue
: MUNICIPAL GYMNASIUM
Development Partner: 33RD INFANTRY DIVISION PHILIPPINE ARMY
Statistical Data CONSULTATION Adult Children Pregnant Total
Male 166 74 240
Female 284 61 22 367
TOTAL 450 135 22 607
Male 115
Female 164
TOTAL 279
Male 4 143 143
Female 1 1
TOTAL 5 143 148
Male 11 9 20
Female 8 3 11
TOTAL 19 12 31
DENTAL Tooth Extraction SURGERY Minor Circumcision Total BLOOD SERVICES Typing Letting Total COMMON ILLNESSES
15
Pictorials
Gov. Toto Mangudadatu as he delivers his inspirational message
PHO Sulaik as he discusses the status of health in Mag.
Prov’l Admin Tunga as he states overview of the activity
Vice-Gov. Dustin Mastura as he delivers his message
16
Mayor Ibrahim Paglas as he delivers his welcome address
7
Constituents of Datu Paglas Municipalities and its neighboring Municipalities of Gen. SKP, Buluan, Mangudadatu and Pandag as they register in the respective medical services
The provincial paid Job Order Nurses and Local midwives led the getting of vital signs and blood pressure readings of the patientconstituents.
17
8
18
The first operation inside the Mobile Hospital led by the medical personnel from the IPHO
19
10
100 selected children from the crowd of patients participated in the hand washing and tooth brushing techniques spearheaded by the Nurses from the Department of Education-Maguindanao Division.
20
11
15
The Provincial Governor and Provincial Vice-Governor discussed with the Local officials and other stakeholders regarding the increase of appropriation on health and crafting of a sound policies that would uplift the health status of the constituents. The Provincial Vice-Governor is very particular to the sanggunian on making laws that would support the health initiatives of the local chief executive.
The Provincial Governor pronounced to the media that this medical mission especially the purchase of the mobile hospital is the realization of one of his 8-point agenda which access to quality health services. He further discussed the operation of the mobile hospital, his future plans for the sustainability of the medical mission and other health concern programs. The governor emphasized clearly that this program with the support of the sanggunian is a continuing process until such time PARANG MUNICIPALITY that the health status of the constituents is in the desirable condition.
21
12
Date
: NOVEMBER 17, 2010
Venue
: MUNICIPAL GYMNASIUM
Development Partner:
603RD INFANTRY DIVISION PHILIPPINE ARMY 6ID (ROTARY COTABATO CITY – SOUTH)
Statistical Data CONSULTATION Senior Citizen Adult Children Pregnant Total
Male 68 220 57 345
Female 74 281 258 12 625
TOTAL 142 501 315 12 970
Male 78 81 159
Female 53 28 81
TOTAL 131 109 240
Male 143
Female
TOTAL 143
Male 38
Female 53
TOTAL 91
DENTAL Children Adult Total MINOR SURGERY Circumcision BLOOD SERVICE Typing COMMON ILLNESSES
Adult o On-Off Cough o Back pain
o Chest pain o UTI
o Dizziness o Headache
Children o Cough
o Fever
o LBM
Senior Citizen o Chest pain o Dizziness
22
Pictorials 13
19
14
20
Dep-Ed Pupils from the clustered 23municipalities and adult patients as they wait for their turn in the tooth extraction
15
23
24
PAGLAT MUNICIPALITY Date
: DECEMBER 12, 2010
Venue
: MUNICIPAL GOVERNMENT CENTER
Development Partner:
MAKABAYAN PEACE CARAVAN 33RD INFANTRY DIVISION PHILIPPINE ARMY
Statistical Data CONSULTATION Senior Citizen Adult Children Pregnant Total
Male 31 93 71 195
Female 29 94 40 21 184
TOTAL 60 187 111 21 379
Male 16 33 49
Female 24 78 102
TOTAL 40 111 151
Male 87
Female -
TOTAL 87
DENTAL Children Adult Total MINOR SURGERY Circumcision
COMMON ILLNESSES
Adult o On-Off Cough o Back pain
o Chest pain o UTI
o Dizziness o Headache
Children o Cough
o Fever
o LBM
Senior Citizen o Chest pain o Dizziness
25
17
Pictorials
26
19
26
18
27
29 19
21 20
28
20
22
29
30
GEN. SK PENDATUN MUNICIPALITY 22
Date
: DECEMBER 13, 2010
Venue
: PANOSOLEN ELEM. SCHOOL, BRGY. PANOSOLEN, GSKP
Development Partner:
MAKABAYAN PEACE CARAVAN 33RD INFANTRY DIVISION PHILIPPINE ARMY
Statistical Data CONSULTATION Senior Citizen Adult Children Pregnant Total
Male 24 48 39 111
Female 18 48 29 27 122
TOTAL 42 96 68 27 233
Male 12 37 49
Female 5 33 34
TOTAL 17 70 87
Male 65
Female
TOTAL 65
DENTAL Children Adult Total MINOR SURGERY Circumcision COMMON ILLNESSES
Adult o On-Off Cough o Back pain
o Chest pain o UTI
Children o Cough
o Fever
o Dizziness o Headache
Senior Citizen o Chest pain o Dizziness
31
18 24
Pictorials 19 23
36
32
24
25 33
20
25
21
26
34
GEN. SK., PENDATUN MUNICIPALITY Date
: DECEMBER 14, 2010
Venue
: MIDCONDING MADRASAH, BRGY. MIDCONDING, GSKP
Development Partner:
MAKABAYAN PEACE CARAVAN 33RD INFANTRY DIVISION PHILIPPINE ARMY
24
Statistical Data CONSULTATION Senior Citizen Adult Children Pregnant Total
Male 22 117 136 -
Female 21 76 82 37
TOTAL 16 43 193 218 37 491
Male 20 42 62
Female 21 50 71
TOTAL 41 92 133
Male 42 5
Female
TOTAL 42 6
DENTAL Children Adult Total MINOR SURGERY Circumcision Minor
1
Total COMMON ILLNESSES
Adult o On-Off Cough o Cyst
o Chest pain o UTI
Children o Cough
o Fever
Senior Citizen o Chest pain o Dizziness
35
o Dizziness o Headache
Pictorials
18
19 27
42
36
28
20
21
37
29
30 30
38
31
The Dep-ed Nurses capacitated the children in Tooth Brushing Technique.
31
39
24
UPI MUNICIPALITY Date
: DECEMBER 22, 2010
Venue
: MUNICIPAL GYMNASIUM, UPI, MAGUINDANAO
Statistical Data CONSULTATION Senior Citizen Adult Children Pregnant Total
Male 34 107 141
Female 105 128 55 288
TOTAL 139 235 55 429
Male 3 17 20
Female 11 59 70
TOTAL 14 76 90
Male 49
Female -
TOTAL 49
Male 9 5 14
Female 11 7 18
TOTAL 20 12 32
DENTAL Children Adult Total MINOR SURGERY Circumcision BLOOD SERVICES Typing Letting Total COMMON ILLNESSES
Adult o On-Off Cough o Cyst
o Chest pain o UTI
Children o Cough
o Fever
40
o Dizziness o Headache

Senior Citizen o Chest pain o Dizziness
Pictorials
19
42
41
33
42
34
44
20
54 45
21
43
35
36 44
47
45
Summary of Data
37
CONSULTATION
DENTAL
CIRCUMC -ISSION
CYST EXCISION
BLOOD SERVICES
TOTAL
Datu Paglas
607
279
143
5
31
1065
Parang
970
240
143
-
91
1444
Paglat
379
151
87
-
-
617
233
87
65
-
-
385
491
133
42
6
-
672
429
90
49
-
32
600
3109
980
529
11
154
4783
Panosolen, GSKP Midconding, GSKP Upi TOTAL
46