The aim of this presentation is to share with the thoughts and insights learned as the program responds to the needs of the community as well as to gather reactions, comments, suggestions, and recommendations for a more effective, and efficient approach in the development of community based psychiatric programs as wells as to identify points of entry for PPA and its members.
COMMUNITY MENTAL HEALTH SERVICES

In accordance with the Republic Act (RA) 11036, also known as the Mental Health Act of 2017, the Department of Health (DOH) was tasked to "establish a balanced system of community-based and hospital-based mental health services at all levels of the public health care system from the barangay, municipal, city, provincial, regional to the national level." It is also expected that the Local Government Units (LGUs) "promote deinstitutionalization and other recovery-based approaches to the delivery of mental health care services."1 Even before RA 11036 was enacted, the Davao Center for Health Development (DCHD) had already facilitated the establishment of several Community-Based Mental Health Programs (CBMHPs) in rural health units (RHUs) within the region since 2015. These programs are guided by six principles–coordinated level of referral system for better patient care, optimizing the expertise of the regional mental hub to guarantee rational use of drugs, community-based patient care for a more cost-effective treatment, capitalizing family and patient's support groups for better patient outcomes, optimizing innovative long-acting injections for better compliance and decreased relapse, and neutralizing the stigma against schizophrenia to improve mental health.2 The aim of this article is to recommend health care policies based on the report on observations and lessons learned from the implementation of the CBMHPs by the DCHD in four municipalities in Davao Region.
Community Health Services ; Mental Health Services

In 1998, 12 Asian countries with 230 centers had involved in a study on diabetic care that was supported by Novo Nordisk. This study had enrolled 21.806 patients. The results showed that the age of type II diabetes onset is 52.213.1 in VietNam, higher significantly than other countries. The incidence of type II diabetes in VietNam is lower than other countries. Using HBA1C as a marker for monitoring, it was found that only 5-10% of patients were receiving optimal management, 20% receiving good and 70-75% receiving not so good management.
Diabetes Mellitus ; Community Health Services

Introduction: The Universal Health Care Law in the Philippines brought cost and quality at the forefront of the healthcare industry, ensuring all Filipinos have the right to health. With family medicine physicians as implementers, it is important to know what the patients/ consumer wants for their clinic. But during the pandemic, challenges were laid bare, highlighting how the health care sector should respond to the country’s health care needs. Objectives: The study aimed to determine patient preferences for primary care clinics and provider characteristics among patients and caregivers from a community-based clinic chain in Cavite and Taguig City Methods: A descriptive, cross-sectional study was conducted among 168 patients who consulted two private primary clinics in Cavite and Taguig in December 2021. After a comprehensive literature review and pilot study, a self-administered survey questionnaire was utilized. Data as frequencies and percentages were analyzed Results: Preferences for primary care clinics were well-equipped clinic, safety protocols, PPE for the healthcare team, pleasing/ accommodating receptionist, separate area for patients with covid like symptoms, located within their community (< 1km away), 15-30 mins waiting time, and morning visit. Top preferences for provider characteristics were physicians who do careful examination and history, spoke in layman’s terms, rational prescription of drugs/tests, trustworthy, with <5 years of experience, 4- 8 clinic hours and to be seen by only one doctor. A pharmacy and x-ray/ultrasound, face to face consultation, affordable services, and consultation fees less than PhP500 (10 USD) were also preferred. Conclusion This study revealed that the patients’ preference was affected by the pandemic. Results showed that even as there are existing studies, it can change depending on the circumstances, and must change with the times in order to move forward. Taking into consideration these preferences is vital for the survival of the primary care clinic.
COVID-19 ; Community Health Services

Background: The Philippine Health Agenda 2016-2022 seeks to uphold every Filipino’s right to health consistent with the International Alma ATA Declaration that health is a fundamental human right as well as the PAFP mission CARES. One of the objectives in the Expanded Senior Citizens Act of 2010 is to give full support for the improvement of the total wellbeing of the elderly. In accordance with this objective, the Act shall establish a program beneficial to the senior citizens, their families and the community they serve. This underscores the need to promote and provide wellness program among patients and their families. Several guidelines have been developed for Clinical Preventive Services by various organizations. Objective: The overall objective of this pathway is to improve the quality of health care of the Filipino family through health maintenance, promotive and preventive care. Methods: The PAFP Clinical Pathways Group reviewed published clinical practice guidelines and medical literature to identify, summarize, and operationalize the content of the following: history, physical examination, tools for comprehensive geriatric assessment, screening for risk factors, pharmacologic and non-pharmacologic interventions. Indicators or outcomes to develop an evidence-based clinical pathway in family medicine practice were identified. Recommendations: Recommendations were made based on the number of visits. During the first visit, all elderly patients consulting at the clinic for wellness should have a thorough history, physical examination and comprehensive geriatric assessment. In screening for risk factors, request for FBS, lipid profile, pap smear and fecal occult blood test. For immunization, the following maybe given: influenza, pneumococcal, Tdap and herpes zoster vaccines. Multivitamins, calcium and Vitamin D should be prescribed. Patients should be educated on appropriate diet and physical activities. Interventions to promote smoking cessation and moderate alcohol drinking should be done. Implementation Education, training and audit are recommended strategies to implement the clinical pathway.
Community Health Services ; Health Promotion ; Family Health

The aims of the study were to survey the use of health services of 11089 households from September to December 1999 in Ba Vi district, Ha Tay province.The prevalence of self-reported illness during 4 weeks prior to the interview was 47.7%. The prevalence of self-treatment was from 62% to 73% and there was no significant diffefence between the economic status, educational level and occupation. Use of district hospitals was significantly higher in groups with higher education and among employeers. Private health facilities were used to a large extent, while community health stations played a less important role. The pattern to health services utilisation in Ba Vi is similar to other regions of Viet Nam.
Epidemiology ; Delivery of Health Care ; Community Health Services

Random study on 1.552 households including 7.489 people in 30 communes of 3 districts of Thua Thien Hue to evaluate the accessibility to public health basis and using some health care services of households with different income levels. The result showed that: the big gaps between the families' incoming (13 times) prevented people from accessing health service due to high cost, so governmental support policies in health care help the people reduce the burden of cost. The disease rate of the poor was higher than the rich. However, the poor came to the hospital more frequently than the rich regardless of lacking health insurance support
Delivery of Health Care ; Epidemiology ; Community Health Services

BACKGROUND: There is a need to standardize community health practices, while still adhering to principles of community involvement, to ensure social acceptability and equitable access to health services. A set of Best practice guidelines (BPGs) were thus developed through a community-academic partnership (CAP) between the Integrative Medicine for Alternative Healthcare Systems Philippines, Inc. and its affiliated community-managed health programs (CMHPs), the University of the Philippines, and Bicol University.

OBJECTIVE: This study aimed to report the process and insights gained from the crafting of the BPGs.

METHODS: The BPGs were developed using a community-based participatory research approach and focused on top ten (10) diseases based on local prevalence and experiences of its CMHPs.

RESULTS: BPGs were developed for eight (8) communicable diseases (common cold/cough, influenza, measles, pulmonary tuberculosis, acute gastroenteritis, amebiasis, scabies, and intestinal parasitism); and two (2) noncommunicable diseases (diabetes and hypertension), which also provided information on signs and symptoms, initial referral criteria, management, and, where appropriate, specific use of medicinal plants, acupressure, and traditional massage. Emerging issues from this project include how community involvement led to the development of BPGs, the need to update its content, its potential application as a model for costing public health interventions, its anticipated benefits to health workers, the state of local health service delivery, and how the project epitomizes the ideal concept of community-academic partnerships.

CONCLUSION: As a CAP project, this process holds promise as a catalyst for stakeholder engagement and health service delivery improvement. Further studies are necessary to map out other potential challenges and success factors, especially the socio-cultural, political, and health impact of CAPs.

Background: People from rural communities are not spared from COVID-19. But implementing preventive measures and strategies can be made to control the spread. Objective: This study was conducted to describe the epidemiologic situation and the healthcare capacity of the locality, determine the responses and strategies implemented in the control of COVID-19, and explain the activities performed in relation to the epidemiologic situation in Tarangnan, Samar – a low-income class municipality in the Philippines. Methods: A mixed qualitative–quantitative design was employed in this study. Descriptive documentary research design through review of records from March to October 2020 was utilized. For the qualitative context, a case study design was employed whereby focus group discussions and key informant interviews using open-ended questions were performed. Results: A total of 66 individuals were recorded as having COVID-19 in the municipality from March to October 2020. The first recorded confirmed cases of COVID-19 in Eastern Visayas were two adults in Tarangnan, Samar, in March 2020. Since then, additional confirmed cases have been recorded every month, but confirmed COVID-19 dramatically reduced from August to October 2020. Qualitative analysis revealed stringent COVID-19 preventive measures reflected in the confirmed case numbers. The tailwinds of the COVID-19 response include: the SARS pandemic precedent, coordination and communication, outpouring of support from other government and nongovernment partners, and innovative community-based approaches. The headwinds of COVID-19 response were challenges in imposing minimum health and safety precautions, stigmatization, and discrimination. Conclusion Even if challenges have arisen in implementing measures against the spread of the disease, good outcomes have been achieved through persistent good practice, positive modifications, and community-based innovations.
Community Participation ; Community Health Services ; COVID-19 ; Rural Health ; Philippines

Implementing the instruction N10 of the MOH concerning the renovation of medical library and information in some libraries, the look was getting new changes. Computer and LAN were preliminarily used for services, sharing resources, standardizing the technique improving traditional services and promoting moderm forms of services, concentrating the fund for acquisition of material and qualifying the staff
Electronics ; Libraries, Medical ; Community Health Services