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  1. Background of the Problem

Water is a basic need and according to the United Nations access to it is also a human right. It is an essential part of daily life and in maintaining good health. Safe water is utilized by humans through sanitation, food production, and hydration. Unsafe drinking water can lead to so many serious health conditions and even death. Every year many people, most especially children, suffer from dehydration and electrolyte imbalances caused by diarrheal diseases. It might be an easily preventable problem, but still many people are seriously affected by this especially those living in poverty-stricken communities where water is considered a luxury. In these areas, water sources are usually communal or public and there is no purification method used for drinking water.

In Barangay Maras, there are a couple of different water sources used by the residents and most of them are communal and are not yet confirmed to be potable.  The households situated near the highway get their drinking water from a dug wells with hand pump and a few would buy from the nearby water-refilling station. Some households are connected to the piped spring water system established by the Local Officials but the water is rationed and still limited. Along the highway, an average of 25-30 households share 1 water source. In the areas far from the main road, drinking water is taken from an open dug well or a protected spring. Purok Waling-Waling is the only purok that has no water source of its own and people would walk in distances even as far as 200 meters through dense grasslands and narrow roads on top of cliffs just to get water.  In terms of water storage and purification, the residents utilize covered containers, which most of them clean regularly, but not all purify their drinking water.

  1. Solution

To manage these problems, approaches must be focused on changing the negative practices of the community, mobilize the people, and utilize available resources to improve the situation of the water sources.

  1. Sustainability

Community involvement is the best way to ascertain sustainability of the programs that will be implemented. All throughout the process, from the identification of the problem up to the evaluation of results, the people must be actively involved to instill the sense of ownership and cooperation in them. The local leaders must also be empowered so that they will be motivated to guide the people effectively and provide independent decisions in managing the projects.

diabetes update

JANUARY 2020 IMPLEMENTATION

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              Language is powerful and can have a strong impact on perceptions as well as behavior. It has been well established that diabetes is a complex disease that is challenging to manage on a daily basis. There has been abundant discussion on patient experience, communication, and questions about how to make life better for people with diabetes. While information exists on how to interact more effectively with people living with diabetes, there is a little discussion about the language we use in these encounters. People experience both the diabetes and the language of diabetes in context. Language is the principal vehicle for the sharing of knowledge and understanding. Words are immediately shaped into meanings when people hear or read them, and those meanings can affect how a person views him- or herself.

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        Language lies at the core of attitude change, social perception, personality identity, intergroup bias, and sterotyping. The use of certain words or phrases can intentionally or unintentionally expresses bias about personal characteristics (e.g. race, religion, health or gender). Furthermore, it should be viewed as an identity rather than an entity that can consume the health of the people. It is for this regard, that this article has been crafted in order to understand how people and the health care staff can communicate in the fight against diabetes.

 

            Understanding the context of language barrier especially in the low-resource setting of primary health, it is very much needed in order to communicate with the local people to minimize stigma among individuals with diabetes. Using the language they used to, we can understand with sympathy how people continue to live despite of having such an illness and more importantly, it is not only in medical management that will determine the future consequences, we should always consider, how social communication affects the perspective of live as a whole.

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                For this exposure, the researchers were able to review and assess the different existing program regarding diabetes control. Additionally, the researchers were able to do a risk-based identification based on their primary data. Masterlising of high-risk individuals as well as diagnosed individuals was also done. Researchers were also able to draft a barangay ordinance on barangay control. Lastly, intersectoral communication letters we also sent.

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January 2020 Accomplishments:

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  • Drafted Barangay Ordinance on Non-Communicable Disease

  • Masterlist of residents with Elevated Blood Sugar Level

  • Intensified Health Education and Public Information on Diabetes Mellitus

 

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Upcoming Activities:

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  • Following the protocols of social distancing, wearing of face masks, disinfection, and limiting movement to only essentials in the context of COVID-19 New Normal Setting, the following upcoming activities are as follows:

    • Launching of Maras Diabetic Health Club (MDHC)

    • Creation of Core Group Formation

    • MDHC Policy Making

    • Direct Observe Treatment of Diabetes (DOTD)

      • Anti-Diabetic Medication distribution and monitoring

      • Incentives and Reward System

    • Procurement of Logistics and Resources for Blood Glucose Monitoring

    • Creation of individualized Blood Glucose Monitoring booklet for T2DM individuals

    • Conduction of trainings and symposium on Diabetes Mellitus and its management, identification of complications and proper referral

    • Establishment of Diabetes Bulleting Board

    • Diabetes Health Awareness Campaign

    • Governance and Sustainability of the Barangay Maras Diabetes Health Club

      • Lobby with the LGU regarding the maintenance of the adequate medications, glucometer and strips for diabetic individuals in the barangay.

      • Engaged partnership with the Barangay Council to ensure sustained supply of medication and resources.

    • Establish coalition and partnership with Private Companies/Corporations

    • Local Health Care Financing Scheme

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