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    EFFICIENCY OFKOMBAT TASK FORCE

    INITIATIVEAn Evaluation Study

    Elvin Valentine P. Arao, RN

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    TABLE OF CONTENTS

    I. Rationale/Brief Project Description/Background....................................................................1

    Research Objectives...........................................................................................................................2Conceptual Framework......................................................................................................................2

    Operational Definition of Terms........................................................................................................3

    Common bbreviations!...................................................................................................................."

    II. Methodology................................................................................................................................#

    Research $ettin%................................................................................................................................#

    $amplin%............................................................................................................................................&

    Data 'atherin%...................................................................................................................................&

    Data nal(sis.....................................................................................................................................)*ajor ctivities an+ ,ork plan.........................................................................................................)

    6a. Major Activities......................................................................................................................)

    6. !ork plan...............................................................................................................................-

    u+%et................................................................................................................................................-

    III. "I#DI#$%................................................................................................................................./

    Conclusion.......................................................................................................................................10

    Recommen+ations............................................................................................................................11

    References!......................................................................................................................................12Curriculum itae..............................................................................................................................13

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    LIST OF TABLES AND FIGURE

    &ale III'()............................................................................................................................................./&ale III'*............................................................................................................................................10

    "igure III'().........................................................................................................................................../

    "igure III'*..........................................................................................................................................10

    Research &itle/Project #a+e )EFFICIENCY OF KOMBAT TASK FORCE INITIATIVE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

    Duration ) -ctoer #ove+er *(0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

    Proponent ) 123I# 3A21#&I#1 P. ARA-,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

    Depart+ent ) 4ealth 5 4ospital Manage+ent,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

    I. Rationale/Bie! "o#e$t De%$i&tion/Ba$'(o)n*

    -ne of the for+idale challenges that face health in the Philippines in the past is the

    urden of &B that see+ingly presents an arduous task to e overco+e. But over the years

    &B +anage+ent has sustantially changed through active co++unity participation. %everal

    key initiatives have een hoisted and others are effectively developed for pulic a7areness

    and consu+ption. -ne generally called 8o++unity &B care ai+s to ensure co++unity

    participation to i+prove &B diagnosis and +anage+ent. !hereco++unities are co+pelled

    to create a task force co+posed of for+er &B patients co++unity volunteers and +e+ers

    of faith'ased organi9ations organi9ed to educate the co++unity aout &B updates refer

    presu+ptive &B to D-&% facilities and act as treat+ent partners.&he task force also

    receives sustenance fro+ stakeholders for for+ation and strengthening of &B patient

    support groups. &he asic concepts of this initiative revolve around advocacy

    co++unication and social +oili9ation of its locals to +itigate the urden of &B a+ong

    affected and susceptile groups in the country.

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    "

    In the +unicipality of -pol Misa+is -riental the health care providers of Rural

    4ealth :nit 7ere ;uick to respond in creating such. Aptly na+ed

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    #

    Con$e&t)al Fae0o'

    Katawhan sa Opol Maghupong Batok TB7as created last May *(0 for social

    +oili9ation 8B-. &he project creates a venue for the locals to for+ulate action and policies

    per arangay that allo7s the+ to initiate the first step in ko+at 7ith the infectious disease.

    &he co++unity is ale to recogni9e the satiety of the nature of the prole+ that enales

    the+ to plan organi9e direct and coordinate efforts in sustaining the i+petus for its

    +itigation if not co+pletely eli+inate. "ield7ork is done y &B educators advocates

    treat+ent partners 7ho could either e a volunteer a 84& B4! +id7ife nurse and/or

    doctors 7here they engage e;uip the co++unity enough kno7ledge correct

    +isconceptions and pro+pt self'care re;uire+ents. &he co++unity in turn recogni9es these

    self'help approaches andregularly convene to custo+i9e solutions uni;ue to their locality.

    &he people in the co++unity the health care providers and various concerned sects therein

    actively participate in 7hat is called A8%M. It is a tool tasked to advocate for support fro+

    policy and decision +akers and other influential people at their locality and/or national level?

    co++unicatevital infor+ation for de'stig+ati9ation reassurance and engage+ent of active

    co++unity involve+ent? and to +oili9e the co++unity for a congregated effort against the

    infectious disease. %o+e of the goals of the project are to increase the nu+er of locals

    su+itting for screening test @sputu+ ea+ to get a clearer picture of its incidence

    increase &B a7areness @e+phasi9ing on i+portance of regular drug intake? effects of

    irregular intake? side'effects of taking anti'&B drugs? necessity of D%%M follo7'up?

    i+portance of co+pliance? and i+portance of fa+ily and treat+ent partner support conduct

    regular consultation +eetings 7ith the clients and treat+ent partners and continuously

    disse+inate key &B +essages consistent 7ith #&P and #84P of D-4. @Depart+ent of

    4ealth @Disease Prevention and 8ontrol Bureau *(C

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    &

    O&eational De!inition o! Te%

    (. Active case finding a health 7orkers purposive effort to find &B cases in the

    co++unity or a+ong those 7ho do not consult 7ith personnel in a D-&% facility.

    *. 8ase "inding @8" a client 7ho registers at the D-&% laoratory registry for &B

    sy+pto+s.

    E. Presu+ptive &B any person 7hether adult or child 7ith signs and/or sy+pto+s

    suggestive of &B 7hether pul+onary or etra'pul+onary or those 7ith 8FR

    findings suggestive of active &B.

    C. Incidence projected nu+er of cases to occur for at least a year 7ith a constant

    factor .E((. Monthly incidence 7as then derived y division of product to (*

    +onths.

    0. Relative Increase is the actual difference et7een t7o census counts

    epressed in percent relative to the population si9e +ade during an earlier

    census. @Maglaya A. 8ru9'1arnsha7 R. et.al *G

    6. &reat+ent partners any person or group in the co++unity 7hether for+er &B

    patients co++unity volunteers or +e+ers of faith'ased organi9ations that

    helps the affected groups in right infor+ation and adherence to successful

    treat+ent outco+e.

    H. &ask force a co+ponent of 8o++unity &B 8are that co+pels locals create

    officers groups to actively participate in the +itigation of &B through A8%M.

    . %ocial +oili9ation an activity of the task force 7herey they participate in

    co++unity I18 for &B and encourage case finding of the co++unity.

    Coon A,,e-iation%

    R4:' Rural 4ealth :nit

    =-MBA&' Katawhan sa Opol Maghupong Batok TB

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    )

    D-&%' Directly -served &reat+ent %hort course

    84&' 8o++unity 4ealth &ea+

    B4!' Barangay 4ealth !orker

    A8%M' Advocacy 8o++unication and %ocial Moili9ation

    #&P' #ational &uerculosis Progra+

    #84P' #ational 8enter for 4ealth Pro+otion

    D-4' Depart+ent of 4ealth

    II. Met+o*olo(1

    Re%ea$+ Settin(

    &he evaluation study 7as conducted in the Rural 4ealth :nit of -pol Misa+is

    -riental. &he 4ealth 8enter is e;uipped 7ith a 2ying'in clinic D-&% facility and e+ergency

    services. It is currently headed y the +unicipal health officer Dr. 1+ily $race Banal. &he

    D%%M 2aoratory is +anned y the only +edical technologist Mr. $lenn Aracena and is

    assisted y the &B'aider/nurse Mrs. $lade99a 8aading and Pulic health #urse Myra

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    -

    8aallero. -pol is a second class +unicipality in the Province of Misa+is -riental. It is

    ounded y Macajalar ay to the north 1l %alvador to the 7est 8agayan de -ro 8ity to the

    1ast and Iligan 8ity to the south. Its population is said to e 0*( according to *(

    Philippine census. It has (C arangays that is 6 hinterlands * +idlands and 6 coastal areas.

    Sa&lin(

    &he participants of the study are asically -polanons 7hove een listed 2aoratory

    Registry for D%%M. &he data 7ill co+e fro+ records at the R4:.

    Data Gat+ein(

    Records revie7 7as done to otain the ojective of the study 7ith coordination fro+

    the &B coordinators Provincial #&P 8oordinator and M4-. %ince &he Depart+ent of

    4ealth Region F has projected -pols total population approi+ately 6*CC for *(0 and

    6E(C for *(C? the study used this nu+er for co+parative data and other relative

    co+putations needed for this study.

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    Data Anal1%i%

    &his evaluative study utili9ed descriptive statistics to sho7 fre;uency percentiles and

    relative increase of case finding. It used the follo7ing for+ulas)

    Incidence J Population .E((

    Percentage 8ase "inding Rate JPresu+ptive &B

    F(Incidence per +onth

    Average 8"R per ( Population J#u+er Presu+ptive &B

    F(&otal Population

    Relative Increase 8"R JPt Po

    Po

    !here

    Pt census at a later ti+e

    Po census at an earlier ti+e

    Ma#o A$ti-itie% an* 2o' &lan

    3A. MA4OR ACTIVITIES

    A$ti-itie% De%$i&tion

    Re$o*% Re-ie0 Data revie7 is done at the R4: using the 2aoratory

    registry for D%%M 7ith per+ission fro+ the &B

    coordinators.

    TB an)al o!

    &o$e*)e o-e-ie0

    A rief overvie7 of the +anual of &B case finding and

    technical operations 7ere seen for cross reference.

    Data Collation Data 7as otained 7ith per+ission fro+ the &B

    coordinators.

    Data anal1%i% &he researcher sought and revie7ed statistical tools

    needed to present the data.

    Re&ot &e&aation &he researcher prepares the research output for

    presentale data.

    S),i%%ion o! e%ea$+ &he data arrived 7ill e given to Dr. 1llenietta 4M3 #.

    $a+olo MP4.

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    3B. 2ORK "LAN

    O,#e$ti-e% E5&e$te*

    O)t&)t

    A$ti-itie% MONT6S

    OCT

    I. &o count the nu+er and

    percentage ofpresu+ptive &B cases

    pro+pted y =-MBA&

    project for case finding

    at D-&% facility of the

    R4:.

    Fe7)en$1 an*

    &e$enta(e o!DSSM ,1

    ont+ !o 89:;

    Re$o*%

    Re-ie0 TB an)al o!

    &o$e*)e

    o-e-ie0

    Data Collation

    Data anal1%i%

    Re&ot

    &e&aation

    S),i%%ion o!

    %t)*1

    II. &o provide co+parative data

    on case finding et7een

    the previous year and

    =-MBA& initiated case

    finding.

    Fe7)en$1 o!

    DSSM ,1

    ont+ !o 89:=?9;

    III. FINDINGS

    Ta,le III@:

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    &otal Population of -pol Incidence of &B

    *(0 6*CC (GC

    *(C 6E(C (H6

    Fi()e III@:

    0

    20

    40

    60

    80

    00

    20

    40

    60

    0

    !

    0

    !

    20

    2!

    Ca"# Findin$

    20! 204

    20! CF%0&000 20! CF%0&0002

    KOMBAT Mont'ly Initiation v"( )a""iv# CF

    Nu*+#, o- ),#"u*tiv# TB CFR%0&000 .o.ulation

    &he graph aove sho7s the +onthly nu+er of presu+ptive &B cases @left side

    7hove undergone D%%M 7ith a reflection of its average rate per ( population of

    -polanons @on the right side. 4ere 7e can see that there is a dra+atic increase of case

    finding activities presu+ed and contriuted greatly y =-MBA& task force. !ith a highest

    relative increase of E(*K @seen at tale E.* elo7 for the +onth of August 7here an

    a7areness ca+paign 7as also held at the neary +unicipal gy+nasiu+ and lo7est since

    its initiation so+eti+e et7een April and May 7hich is 6C and *K respectively. &he project

    ai+s to sustain its goals in the co+ing +onths 7ith enough resources to carry and render

    services to the susceptile groups and population.

    Fi()e III@8

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    12

    A.,il May /un# /uly Au$u"t S#.t#*+#, Oto+#,

    0

    !0

    00

    !0

    200

    2!0

    100

    1!0

    Relative Increase of CF

    REATIVE INCREASE TAR3ET

    Ta,le III@8

    Mont+%

    N),eo! $a%e!in*in(

    89:;

    "e$enta(eo! $a%e!in*in( /

    ont+

    A-ea(e$a%e

    !in*in(&e :9=999&o&)lation

    N),eo! $a%e!in*in(

    89:< L8: a-ie 6ei(+t%= U&&e Bal)lan(= Ca(a1an *e Oo Cit1= "+ili&&ine%

    Mo,ile No. 3>8Eail A** el-%)n1a+oo.$o

    EDUCATIONHighest level2ndCourse: Bachelor of Science in NursingSchool/University: WESTERN !N"#N#$ ST#TE UN!%ERS!Tddress: '( Consolacion St() *agadian City"ate +raduated: #,ril --) 2.-

    -stCourse: #ssociate0s "egree1Nursing #ssistant/#ideSchool/University: S#!NT C$UB#N C$E+E#ddress: Cor( #lano1Sagun Streets) *agadian City

    "ate +raduated: $cto3er 2.) 2..4

    Secondary level 5#B$#N+# "E SUR N#T!$N# H!+H SCH$$Sta( aria "ist() *agadian City2..- 6 2..7

    WORK EXPERIENCES

    8uly 9) 2.-7 6 *resent *UB!C HE#TH NURSE !1 N"*"e,artent of Health) Center for Health "evelo,ent Region ;) Cde$)isais $riental

    #ugust -2) 2.- 68une .) 2.-7 *R$'ESS!$N# S#ES RE*RESENT#T!%ERB8 Coodities Trading E19) 2.-7 ?High !,act for Brea@through *rograANurse Dep!"#en$ Pr!%e&$ 'NDP(Ca,a3ility Building 2.-7"e,artent of Health) Region ;

    #,ril -91-) 2.-7 Basic ife Su,,ort 1 C*R/#E" TrainingP)**pp*ne Na$*!na Red Cr!ss$=ais City Cha,ter) $=ais City

    Se,te3er 2) 2.-> Basic ife Su,,ort training for Cardio1*ulonary ResuscitationRegistration No( 77-9.

    mailto:[email protected]:[email protected]
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    1&

    A#er*&an Sa+e$" ea$) Ins$*$u$e

    Se,te3er ) 2.-> ?Basic EC+ Reading and "ysrhythia RecognitionAE#er.en&" Nurses Ass!&*a$*!n !+ $)e P)**pp*nes) !nc( in colla3orationith Counity #u) 2.-> #dvanced Cardiac ife Su,,ortRegistration No( 77-9.A#er*&an Sa+e$" ea$) Ins$*$u$e

    ay -71-D) 2.-> E"TE0s "istri3utor0s Training CourseMed*&a Trends and Te&)n!!.*es In&/+rand Ca,rice) i@et@ai) Cagayan de $ro City

    'e3ruary 1-.) 2.-2 ?E,oering *eer 'acilitation S@illsAS$uden$ Peer Fa&**$a$!rs0 Se#*nar W!r1s)!p) 8(H( Cerilles State College

    arch -) 2.-- ?Enhancing Self1Reliance in anaging Childhood !llnessesAIn$e.ra$ed Mana.e#en$ !+ C)*d)!!d Iness( College of Nursing)8H Cerilles State College

    8anuary 2-) 2.-- ?E