1. Rural Community Report
January to April 2014
Melissa Claire L. Masaluñga MD
Pamela Anne C. Mondejar MD
Javier Regner H. Saniano MD

2. UP-CHDP
University of the Philippines Community Health and Development Program
A partnership between the University and the Local Government and people of the municipality where planning,implementation, monitoring and evaluation are done with the active participation of the community.

3. UP-CHDP
2007
UP BOR approved creation of UP Manila Community Health and Development Program
Identified a common site for immersion of students from different UP colleges
Formed a partnership with the Municipality of San Juan, Batangas
2013
MOA with San Juan, Batangas ended
MOA with AMIGA Interlocal Health Zone was signed

4. Timeline
February 2013
Signing of the Memorandum of Agreement between the AMIGA Interlocal Health Zone, the Provincial Government of Cavite and UP Manila.

5. Timeline
March 2013
AMIGA Orientation wherein the community was introduced to possible community programs assisted by the UP-CHDP.

6. Timeline
March-July 2013
Problem Identification in selected barangays through focused group discussions and barangay assemblies based on the 6 building blocks for health.

7. Timeline
July 18, 2013
Presentation and validation of data collected from April to July.
Identification of AMIGA-wide program focus for the AMIGA-UP Partnership.

8. Timeline July to October 2013
Problem tree analysis from data collected from FGD’s from March to July 2013.
Fiji, T. Health Systems Thinking

9. General Emilio Aguinaldo
Timeline
November to December 2013
Selection of Focus Barangays
Alfonso
Mendez
Indang
General Emilio Aguinaldo
Amadeo
Sulsugin
Luksuhin
Palumlum
Kaysuyo
Palocpoc I&II
Panungyan I&II
Anuling Cerca I&II
Anuling Lejos I&II
Banaba cerca
Tambo malaki
Guyam malaki
Harasan
Poblacion I-IV
Kaypaaba
Lumipa
Castanos Cerca
Dagatan
Pangil
Talon
Poblacion 5
-Selection of Focus Barangays based on the Criteria set by AMIGA and UP-CHDP.

10. Timeline January to April 2014
Establishing Rapport with Focus Barangays
Identification of Key Leaders
Household Census
ACTIVITIES:
Establishing rapport with Focus Barangays through general assemblies and community immersion
Identification of Key Leaders as possible members of the Core Group for the Hypertension and Diabetes Program
Household Census by the local barangay health workers for sample size estimation for the WHO STEPs Protocol

11. Timeline January to April 2014
Community Readiness Assessment of Focus Barangays
Interprofessional Education Program

12. Manilyn Prudente-Espejo
Organizational Structure
Dr. Elizabeth R. Paterno
CHDP Director
Dr. Zorayda Leopando
Amadeo
Dr. Geohari Hamoy
Mendez
Dr. Florinda U. Canuto
Indang
Dr. Anthony Cordero
G. E. Aguinaldo
Dr. Louricha Opina-Tan
Alfonso
Jonnalyn Aguilar
Manilyn Prudente-Espejo
Rhosien Mae Garma

13. Objectives
To provide learning opportunities for both the faculty and students of the University of the Philippines in the principles and practice of community health and development (LEARNING)

14. Objectives
2. To assist communities attain increasing capacities in their own health care and development through the Primary Health Care approach (SERVICE & RESEARCH)

15. TOP CAUSES OF MORBIDITY in AMIGA
Alfonso
Mendez
Indang
Gen Aguinaldo
Amadeo
URTI
ANP
ATP
HTN
UTI
AGE
Wounds DM BA
Allergy
Fever of unknown origin
Abdominal Pain
Other Non infective Gastroenteritis & Colitis
Other Disorder of Urinary System
Cough
Dizziness
Rash & other nonspecific skin eruption
Certain early complications of Trauma, not elsewhere classified
Dorsalgia
Common Colds
Skin Diseases
Acute Respiratory Tract Infection
Hypertension
Bronchial Asthma
GI Disorders
Diarrhea
Tension Headache
Arthritis
Acute Tonsillitis
Infected Wounds
Pneumonia
Allergic Contact Dermatitis
Bronchitis
Gastritis
Wound OA
Skin diseases
Based on Municipal Annual Reports

16. TOP CAUSES OF MORTALITY in AMIGA
Alfonso
Mendez
Indang
Gen Aguinaldo
Amadeo
Acute Myocardial Infarction
Cancer
Cerebrovascular Accident
Pneumonia
Diabetes Mellitus
Renal Failure
Congestive Heart Failure
Electrolyte Imbalance secondary to Senile Debility
Vehicular Accident
Chronic Obstructive Pulmonary Disease
Acute MI
COPD
CHF and other complications of heart diseases
CVA
Chronic Renal Failure
Unspecified severe protein-calorie malnutrition
Fetal death of unspecified causes
Degenerative disease
CHF
Kidney diseases
Pulmonary TB
Shock
Accidents, gunshot wounds, drowning
Renal Disease
Diabetes Mellitus with complications
Septicemia
Bronchial Asthma
Gunshot wound
Based on Municipal Annual Reports

17. Diabetes and Hypertension Program
Non-Communicable Diseases ranked number 4 on the top 5 perceived health problems of AMIGA.
Hypertension and Diabetes Mellitus
Based on the problem tree analysis done for the 5 Municipalities from July to October 2013, Non-Communicable Diseases ranked number 4 on the top 5 perceived health problems.
- AMIGA Health Officials chose Hypertension and Diabetes as the two main health issues that would maximize the benefit from AMIGA-UP-CHDP partnership.
problems based on the current status of AMIGA on the matter as well as the capacity of the UP-CHDP to assist in the issue.

18. Diabetes and Hypertension Program
Increase the proportion of controlled HPN & DM by 25% in selected barangays in 5 years.
Not more than 25% of pre-HPN and those with risk factors will develop the disease in 5 years (Primary Prevention Goal).

19. Process For Using the Community Readiness Model
Component Programs
Community Readiness Assessment
Identify Your Issue
Define “Community”
Conduct Key Informant Interviews
Score to Determine Readiness Level
Develop Strategies / Conduct Workshops
COMMUNITY CHANGE!
Process For Using the Community Readiness Model
- Assessment of the Stage of Readiness of the Community with regards to the issues of Hypertension and Diabetes, by evaluating six dimensions of readiness through key informant interviews, and in turn, developing appropriate strategies in accordance to the Community’s level of readiness.

20. Component Programs II. Inter-Professional Education Program
Students and professionals from
different colleges work towards
a patient’s health care and
goals.
Family Medicine
Nursing
Medicine
Pharma
Dentistry
Public Health
Social Work
Derma
Pedia
CAMP
Patient
and
Family
Occasions when students from two or more professions in health and social care learn together during all or part of their professional training with the object of cultivating collaborative practice for providing client or patient-centered health care.

21. Thank You...