Monday, November 24, 2014

Medical mission in Northern Cebu

Nearly 800 residents of four barangays affected by Typhoon Yolanda were served during a medical mission conducted by the Visayas Primary Health Care Services.

The residents of Barangays Tindog and Dalingding Sur, Medellin were served during the mission in Tindog last Nov. 22 and residents of Barangays Paypay and Dalingding Norte, Daanbantayan were served in Paypay on Nov. 23. 

The mission site in Paypay, Daanbantayan.

Patients waiting  in LandsAid tent in Paypay.

Registration of patients, Tindog, Medellin.

Patients waiting for medical check-up, Tindog, Medellin.

The mission was supported by LandsAid, a German humanitarian aid organization which had earlier supported a similar mission in Barangay Tambongon, San Remegio last Sept. 14. 

Services in the two day medical mission included the following, namely: medical consultations for illnesses for children and adults, diabetes screening for adults more than 40 years old, nutritional status assessment, visual acuity check-up, dental check up and urinalysis for children six years to 12 years old, eye check-up for adults and giving of reading glasses, and distribution of toothbrushes and toothpastes for children. The mission sites were the barangay hall and day care center in Tindog and the Paypay National High School. 

These four barangays have established women’s organizations which were organized by the Women’s Resource Center of Visayas (WRCV), another non-government organization, as an offshoot of the relief efforts immediately after the typhoon. The Visayas Primary Health Care Services coordinated with the WRCV and the women’s organizations in organizing the mission. 

Invited members of the mission team included the following, namely: 10 doctors, 12 nurses, one optometrist and 5 non-health personnel. The VPHCS had seven staff members which included one doctor and three nurses. The WRCV had a five-member team. The entire medical mission team consisted of 37 people. 

In both sites, registered adult patients had their blood pressure taken and the children were also weighed by the nursing team. They were then segregated into adults and children. All adults who had eye problems were ushered to the room for eye check up, those 40 years and above had diabetes screening, after which all were attended to by the team of doctors. All children six years to 12 years old were ushered to the room for urinalysis, height and weight measurement, dental check-up and distribution of toothbrushes and toothpastes, after which they were brought to the medical consultation room. All patients were eventually attended to by the team of doctors. After their medical check-up, the patients then went to the pharmacy to get their prescribed medicines. 

Dr. Marilyn Dayrit and her daughter Milka conducted 
eye check-up and dispensed reading glasses.

Nurse Jessica Pausta and VPHCS staff Lourdes Geolin 
test urine of the children for urinary infection.

More than 400 patients were served in Paypay.

More than 300 patients were seen in Tindog.

In Medellin, a total of 362 patients were attended to, while in Daanbantayan, there were 414. This brought the total number of patients to 776. 

A total of 230 patients had their blood sugar tested for diabetes. For many of them, it was the first time that they had their blood sugar tested. Only 22 were found to be diabetic, they were all given hypoglycemic medications good for three months and advised to have regular blood sugar check-up and diet control. 

Nurse Jafe Sepulveda and Cristopher Ouano 
check blood sugar for diabetes.

Nearly all of the children had good eye vision and only five percent had urinary infection. However, more than 50 percent of the children had dental caries due to poor hygiene. Thus, the children were taught by the nurses about dental hygiene and proper use of toothbrush. A total of 400 toothbrushes and toothpaste were distributed in both missions. 

VPHCS staff Luz Carreon conducted dental check up 
for children less than 12 years old.

Dr. Erlinda Posadas with mother and child.

Nurse Hanna Liza Lora teach children proper toothbrush.

Reading eyeglasses were provided to 150 patients in Medellin and 150 patients in Daanbantayan after eye check up by an optometrist.

With new eyeglasses.

Hypertension was the leading cause of illness among the adults in the four barangays, as it is the leading cause of morbidity together with cardiovascular diseases nationwide. 

The occurrence of acute respiratory tract infections, osteoarthritis, muscle pains, non-ulcer dyspepsia, tension headache and anemia among adults is seen in the context of the situation affecting the residents almost a year after Typhoon Yolanda devastated the northern towns of Cebu. With the destruction of their crops and trees (sugar cane, corn, coconut, banana, mango), the farmers had lost their source of income and food and they are still trying to cultivate their fields of food crops. Osteoarthritis, muscle pains and tension headache are common among farmers who have to work hard in the farms in order to put food on their tables, thereby putting their bodies into stress and exertion. Non-ulcer dyspepsia was also common since being farmers, they have the tendency to skip their meals while working in the fields or simply because there was no food to eat at all. Acute respiratory tract infections can be attributed to their lowered body immune system or resistance.

Medicines and medical supplies in government health centers are still lacking to meet the needs of the people. The mission dispensed appropriate medicines for the illnesses. 

The few patients with other problems that needed further work-up and management were referred to tertiary hospitals in Cebu 

In general, the mission was indeed successful and the patients expressed their appreciation and gratitude to the team. For the team members, it was also a meaningful experience for them to have served the farmers and residents of the community who are continuing to strive hard to live a decent life after the devastation of Typhoon Yolanda. 

 Happy patients.

The mission team.

Monday, November 17, 2014

Psychosocial support services extended to four Typhoon Yolanda affected barangays

Psychosocial support services were recently rendered to more than 200 residents of four barangays in north Cebu that were devastated by Typhoon Yolanda. Trainings for community health workers were also conducted.

The services were rendered by the Visayas Primary Health Care Services in Barangays Tindog and Dalingding Sur, Medellin, and Barangays Paypay and Dalingding Norte, Daanbantayan. 

The program is part of a 15-month project, “Community – Led Disaster Preparedness and Resiliency: Grassroots’ Alternative in the Face of Climate Change,” which is implemented in the four barangays by the Women’s Resource Center of the Visayas (WRCV) based in Cebu City. The project proponent is the Philippine Network of Food Security Programmes, Inc. (PNFSP). It is funded by the Terre des Hommes International Federation (TDH). 

The project aims to ensure that the four barangays have fully recovered from the main impacts of the typhoon, restored their livelihood and established safety and disaster prevention, response and recovery mechanisms and achieved their basic rights to food for their children and families through livelihood assistance and food security alternatives. 

As part of the rehabilitation process, the VPHCS conducted a series of psychosocial sessions in October and November for more than 500 adults and children who were affected by Typhoon Yolanda. Teams of nurses, psychologists and trained health care givers conducted lectures on disaster orientation and preparedness followed by in-depth stress debriefing sessions and trauma healing to small groups of residents. During the sessions, the residents who were all survivors of Typhoon Yolanda ventilated and shared their experiences on Yolanda which were then processed by the psychosocial team so that they were relieved of their fears and stress and resolved to face future life’s challenges.

VPHCS staff nurse Tardy Guardiario 
explains about disaster preparedness in Paypay.

WRCV Executive director Leny Ocasiones talks with women 
in Dalingding Norte during the psychosocial session on Oct. 4.

VPHCS staff nurse Pearl Templado explains about 
why typhoons occur in the Philippines during 
the disaster orientation in Dalingding Norte on Oct. 4.

Psychologist Gilbert Carredo facilitates 
a psychosocial session in Dalingding Sur.

Children and the youth also had play and art therapy to express their feelings and experiences during the typhoon. 

Play therapy for children in Tindog.

Children engage in art therapy in Dailingding Sur.

Gilbert Carredo with youth in Paypay.

Youth in play therapy in Paypay.

Trainings for 22 community health workers were also conducted.

During the first training on “Health disaster preparedness and mental health orientation” on Oct. 25-26, the CHWs were able to understand disaster risk reduction and preparedness and management. Disaster mapping of their particular barangays was also done in order to pinpoint the specific disasters, particularly typhoons, that they are vulnerable to and how to address them. The CHWs were also taught the health measures related with disaster preparedness and management. 

VPHCS staff Luz Carreon with health workers 
making disaster maps in the training 
on disaster preparedness on Oct. 25-26.

Furthermore, the CHWs were taught the basic elements of mental health problems resulting from disasters as exemplified by Typhoon Yolanda and how to deal with people with such problems, particularly how to do simple stress debriefing. After the training, the CHWs were thankful of the knowledge and skills that they learned that will enable them to help their community members. 

Community health workers pose after the training on Oct. 25-26.

The second training, “Local health workers training on facilitation using the tool of psychological processing,” was conducted on November 15-16. The 22 CHWs were taught about Community Resiliency Model (CRM), a type of simple wellness, teaching, learning and communication skills that can be used to treat persons experiencing stress or psychological trauma. Through discussions, exercises workshops and practicum, the CHWs were taught how to handle persons in times of stress including the psychological effects of disasters. 

Trained community health workers present their body map, 
a part of the skill of resourcing in community resiliency model.

Community health workers do a practicum 
on community resiliency model skills.

With the trainings on psychosocial processing facilitation, the CHWs will be equipped to facilitate simple psycho-social processing for adults and children and undertake community activities on health disaster preparedness, especially on awareness -raising on the health effects of disasters and activities to build individual and collective coping strategies.

The participants were thankful for the new skills they learned which they can use to help and teach others, facilitate the resolution of simple problems, help families, as well as refer persons who may need special psychosocial counseling and treatment to psychiatrists and psychologists. 

Community health workers pose after the training on Nov. 15 - 16.

The CHWs were all members of the people’s organizations which were organized by the WRCV as an offshoot of the relief efforts immediately after the typhoon. 





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