University of Santo Tomas

Faculty of Medicine and Surgery

2nd Semester, S.Y. 2007-2008

Exposure In A Local Government Health Unit Or Facility

Through Field Visitation

In Partial Fulfillment of Requirements for

Family and Community Health II Module - Preventive Medicine II
Department of Preventive, Family & Community Medicine

Group Leader:
Neil Francis Amba

Group Secretary:
Karen Amoloza

Members:
Alfred Ernest Ang
Abigail Kristine Aninias
Rey Karlo Antonio
Aimee Aquilino

Faculty: Alejandro V. Pineda, Jr., MD

I. Local Government Health Unity/Facility:

Kamuning Super Health Center

Kamuning Super Health Center has been recently certified as

Sentrong Sigla health center because of its quality outpatient care and
public health service. Its goal is to improve the quality of life of the
residents of Quezon City through effective and efficient delivery of basic
health services.

Its main objective is to improve the quality of life of the residents of

Quezon City through the reduction of morbidity and mortality from the
disease prevalent in the city and the control of health and health related
problems or conditions that affects health status of the people with active
participation and involvement of the community and other health related
agencies both government and non-government.

Specifically, it aims to provide an effective provision of essential

health services with DHC as one of the approaches and to improve its
implementation of preventive and promotive health program.

Vision:
To be a model health center in Quezon City by providing
excellent and effective health care services through
responsible leadership in partnership with the people and
leaders of communities in building a healthy community

Mission:
To provide quality health care services which will make our
barangays an ideal community where people live and work
in a healthy and clean environment.

II. Site: T. Gener St., Kamuning, Quezon City

III. Organizational Chart
IV. Resources

Kamuning Super Health Center receives its budget from the local
government of Quezon City handled by the City Health Department. The
total budget is determined by the annual income of the city and therefore
varies every year. The City Health Department manages the budget and
simply supplies the health center with medicines and medical supplies
depending on the annual budget and the specific needs of the center.

V. Major Programs/Projects and Strategies

In accordance to the programs of the Department of Health, the

Kamuning Super Health Center has the following programs and services:

A. Maternal Health Care

a. Pre-Natal Clinic
b. Post-Natal Clinic
c. Lying In Clinic
d. Home Deliveries

B. Child Health Care

a. Growth Monitoring
b. Morbidity Clinic
c. Promotion of Breast Feeding
d. OR Therapy
e. Expanded Immunization Program
f. Control of Acute Respiratory Tract Infection

C. Communicable Disease Control

a. Tuberculosis (TB) Control Program
i. Sputum Microscopy
ii. Short Course Chemotherapy
iii. Standard TB Treatment

b. Control of Sexually Transmitted Diseases

i. Gram-staining
ii. Blood Examination
iii. Contact Tracing

c. Leprosy Control Program

i. Case Finding
ii. Multiply Drug Therapy for Positive Case
iii. Contract Tracing

d. Dengue Prevention and Control Program

i. Tepok Lamok, Dengue Sapok!

D. Disease Surveillance and Epidemiological Investigation

a. Investigation of Cases of Communicable Diseases

E. Nutrition Program
a. Operation Timbang
b. Health Protection – Micronutrient Supplementation
c. Food Assistance
 d. Nutrition Information & Education
e. Income Generating Projects

F. Family Planning
a. Information, Education and Motivation
b. Provision of Family Planning Methods
c. Pre-Marital Counseling

G. Environmental Sanitation Program

a. Campaign for safe water supply and sanitary waste disposal
b. Containment / Elimination of insects and rodent breeding
and harboring places
c. Containment / Elimination of nuisances
d. Inspection of food establishment and amusements

H. Mental Hygiene and Drug Abuse Program

a. Diagnostic Therapeutic Counseling Services
b. Intervention Centers for Drug Users and Abusers
c. Adolescent Development Clinic

I. Programs for Continuing Staff Development

a. Develops training modules for staff development and
conducts regular training program for health employees
b. Provides training field laboratory for medical nursing,
midwifery affiliation program

J. Morbid and Mobile Clinic

a. Consultation services in all health center
b. Mobile clinic to remote depressed barangays not easily
accessible to public transportation

K. Dental Health Education, Preventive and Curative Program

a. Lectures and Demonstration
b. Tooth brushing Drill
c. Application of Fluoride
d. Curative Treatment

L. Promotion of Healthy Lifestyle

Among these programs, Kamuning Super Health Center

emphasizes on the following programs:

1. Tuberculosis (TB) Control Program

Kamuning Super Health Center collaborates with the

Department of Health’s fight against TB with the Tutok Gamutan
strategy where in they provide free TB standard treatment of
multiple drug therapy to patients diagnosed with pulmonary TB.
Tutok Gamutan entails close monitoring treatment where in the
medicines are provided daily and the health care providers in the
center directly observe patients while they take the medicine.
2. Expanded Immunization Program

The Expanded Program on Immunization is one of the DOH

Programs that has already been institutionalized and adopted by all
Local Government Units in the region. Its objective is to reduce
infant mortality and morbidity through decreasing the prevalence of
six (6) immunizable diseases (TB, diphtheria, pertussis, tetanus,
polio and measles).

This is the EPI Monitoring

Chart that the health center
completed for the year 2007.
Out of the 42,223 population,
there are 1,267 children that
are eligible for immunization.
And out of the 1,267 the
center was able to immunize
1,130 children.

3. Family Planning

The Family Planning program is a national mandated priority

public health program to attain the country's national health
development: a health intervention program and an important tool
for the improvement of the health and welfare of mothers, children
and other members of the family. It also provides information and
services for the couples of reproductive age to plan their family
according to their beliefs and circumstances through legally and
medically acceptable family planning methods.

This is the family planning

room handled by the Population
Committee officer of the health
center. In line with the DOH’s
family planning program, the
center provides information for
both natural and artificial family
planning methods.
 Aside from the family planning program, the center also
offers a very good pre and post-natal health care program.

4. Breast Feeding

Kamuning Super Health Center encourages exclusive

breastfeeding from the first four (4) to six (6) months after birth.

VI. Situational Analysis

A. Significant Achievements or Best Practices Relevant to the

DOH Impact Programs

1. Good health care services.

Recently Kamuning Super Health Center was

certified as a Sentrong Sigla health center because it
was able to meet the standards for quality health
services and out patient care. Before, some services
like the expanded immunization program follows a strict
schedule of once or twice a week only. But now, the
health center guarantees that its services are available
to the public any time, everyday.

Although the center only operates from 8:00 am to

5:00 pm during weekdays, there is a lying-in clinic below the
center that is open 24 hours a day with available nurses,
midwives and doctors. This ensures the public that the
center can provide assistance even during emergency
cases.
 Sentrong Sigla Seal and Certificate

Sentrong Sigla certification is one of the health

center’s greatest achievements. As a Sentrong Sigla certified
health center, the Kamuning Super Health Center ensures
quality health service to its constituents. With this the people
who comes to the health center can expect the health care
providers to consciously look for ways to improve, maintain
and sustain the quality of services.

2. Good human resource management.

Kamuning Super Health Center provides its

services to five barangays of Quezon City, namely:
Kamuning, Kaunlaran, Kristong Hari, Mariana and
Sacred Heart. Unlike other health centers that have a
ratio of only one barangay health worker to one
barangay, Kamuning Super Health Center has three
additional BHWs, having a total of eight BHWs that
divides their time to different barangays. At the same
time, it also accepts the help of medical interns from St.
Luke’s and other medical and nursing schools to further
provide health care services to the public. It also is able
to maximize its limited personnel and health care
providers such that they are able to conduct outreach
programs while accommodating the regular patients in
the center.

3. Regular quality outreach programs.

Aside from services in the center, they are also

able to extend medical services directly to every
barangay through weekly visits and outreach programs
that integrate that all services and programs that the
health center provides. This means that with every
outreach program or visit, they conduct immunization,
lectures, family planning counseling, pre and post-natal
check up, etc. In addition, the health center doctor
conducts weekly barangay visits for free consultations.
4. Good patient follow-up.

Kamuning Super Health Center has a very

organized master list of patient records where in they
are able to monitor patients especially those who are
pregnant and has communicable diseases like TB. They
even conduct house-to-house visits to patients who fail
to visit the center, especially for pregnant and TB cases.
They also make sure that when patients transfer
residence, they coordinate with the other health center
in order to accommodate the medical needs of the
patient.

These are the organized patient records that can

be found in the reception desk of the center. Patient files
are kept and are updated dutifully but are disposed
when the patients fail to visit the health center within a
span of five years.

5. Free clinic lectures

They regularly conduct lectures about family

planning, communicable diseases, healthy lifestyle
especially about diabetes and CAD because they
recognize the importance of patient education and its
role in the promotion of health and prevention of
diseases. They invite lecturers from different hospitals
and medical schools to provide relevant information
regarding these issues and problems and they make
sure that the lectures are structured and delivered in a
manner that can be easily understood by the laymen.
 Lectures are conducted on the health center
lobby and are usually given while the patients are
waiting for their consults.

Aside from free clinic lectures, the health center

also provides for the different brochures or pamphlets
that are given to the patients in order to educate and
inform them about the different diseases and to help
answer different questions that the patients have
towards those particular problems.
 Different posters regarding child development,
menstrual cycles, pregnancy, TB and other diseases
can also be found in the center that further help in
patient education and information.

6. Updated list of leading causes of morbidity and

mortality.

The Kamuning Super Health Center releases the list

of the top 5 leading causes of morbidity and mortality in
their area.

As of the year 2005-2006 the most common

morbidity affecting the five barangays are respiratory
diseases, dermatological / skin conditions, EENT
problems, gastrointestinal diseases and genitourinary
tract infections.
 And as of 2004, the five leading causes of
mortality are CHD, Pneumonia, CVA, CA of all forms
and PTB.

B. Significant Frustrations/Failures/Problems Encountered

1. Limited resources and supplies.

The local government of Quezon City has four priorities,

namely: infrastructure, improvement of income, poverty
alleviation and education. This does not include health.
That is why its budget is very limited. At the same time, the
health center serves a total of 42,223 people. This together
with the limited budget and personnel limits its capacity to
provide the best health service for the people.

2. Problems in logistics.

Since the budget of the health center comes from the

local government of Quezon City, it needs to be approved
by several officials from the City Health Officer to the
Mayor. Most of the time, the process of budget approval
and requests for medicines and supplies takes a long time.
This result in instances wherein there is a shortage of
medicines and supplies that patients are asked to shoulder
the expenses.
V. Photo documentation

The group at the Kamuning Super Health Center located at T. Gener St.,
Kamuning, Quezon City.

The Sentrong Sigla seal and the different posters informing the public
about the different programs available at the center.

Meeting Ms. ____, the head nurse of the health center.

 The health center lobby and reception desk.

The head nurse’s office that also serves as the child immunization room.

The group together with Ms. ____

and the Population Committee
Officer, Ms. Ma. Lourdes Cueto.
The supply cabinet containing different medicines, mostly antibiotics and
vitamins.

The refrigerator containing the different vaccines used in child

immunization.

The supply cabinet containing the different information brochures and

pamphlets for patient education and information.