1.Philippine pediatric COVID-19 living clinical practice guidelines as of March 2022
Leonila F. Dans, M.D. ; Anna Lisa T. Ong-Lim, M.D. ; Rosemarie S. Arciaga, M.D. ; Donna Isabel S. Capili, M.D. ; Daisy Evangeline S. Garcia ; Arnel Gerald Q. Jiao, M.D. ; et al.
Pediatric Infectious Disease Society of the Philippines Journal 2023;24(1):70-120
Executive Summary
The Coronavirus disease 2019 (COVID-19) pandemic has triggered a global crisis and has affected
millions of people worldwide. With the evolution of the different variants of concern, the incidence of COVID-
19 in the pediatric population has risen. The Surveillance and Analysis of COVID-19 in Children Nationwide
(SALVACION) Registry, developed by the Pediatric Infectious Disease Society of the Philippines (PIDSP) and the
Philippine Pediatric Society (PPS), has reported 3,221 cases as of March 31, 2022, with 90.4% requiring
hospitalization and 36.2% with moderate to critical disease severity. Given the magnitude of the impact of
COVID-19, with most of the clinical recommendations available designed towards adult patients, there was an
urgent need for clinicians, public health officials and the government to also prioritize evidence-based clinical
practice guidelines for the pediatric population. Hence, the development of the Philippine Pediatric COVID-19
Living Clinical Practice Guidelines was conceptualized. This independent project, funded and supported by the
PPS and PIDSP, aimed to formulate up-to-date, evidence-based recommendations on the treatment,
diagnosis, infection prevention and control of COVID-19 in children.
Following the standard CPG development process outlined in the DOH Manual for CPG Development
and the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology, 15
evidence summaries and 24 recommendations were generated by 12 consensus panelists representing their
specific health organizations and institutions.
2.“It’s as if I’m the one suffering”: Narratives of parents of children with disability in the Philippines
Gideon LASCO ; Christian Edward L . NUEVO ; Marie Lauren P. NOLASCO ; Ferlie Rose Ann N. FAMALOAN ; Josephine R. BUNDOC ; Donna Isabel S. CAPILI ; Raoul BERMEJO
Acta Medica Philippina 2022;56(7):30-42
Background. Children comprise a significant proportion of persons with disabilities (PWDs) in the Philippines, and represent a major public health challenge. One under-explored topic is the "lived experiences" of their parents and guardians as well as the roles they play in caring for their children. This qualitative study responds to this research gap by eliciting and foregrounding their experiences and narratives.
Methods. Six focus group discussions (FGDs) were conducted among parents of children with disabilities (CWDs) in Davao City and Tagum City. These were complemented by 12 key informant interviews among healthcare providers in both cities.
Results. For many parents, coming to terms with a disability is a difficult and lengthy process, but one that ends with a measure of relief and eventual adaptation. Living with disability, meanwhile, is fraught with medical, financial, educational, and social challenges. A positive religious outlook allows them to make sense of disability, helping them to overcome these challenges. Support groups and the health care system are likewise crucial factors towards family resilience.
Conclusion. Our findings show that the experience of disability is shared among family members, particularly, the parents of CWDs; thus, underscoring the need for a family-centered approach in policies, clinical care, and communications efforts involving children with disability in the Philippines.
Disabled Children