Stunting remains a public health burden in Indonesia. National strategy and coordination of acceleration implementation for stunting reduction have been applied. The transdisciplinary approach is essential to improving the effectiveness and efficiency of all levels of participating in stunting programs. This transdisciplinary approach is expected to solve stunting problems from upstream to downstream and provide innovations based on local and national needs. In creating a stunting-free area, a transdisciplinary approach not only decreases stunting prevalence but also sustains children's health status.
Background Application of best practices of on line interactive learning in Health Human Resource Management course: A UPOU Experience was explored in this study. Objectives This qualitative study used best practices of on line interactive learning criteria to analyze the learnings of the students enrolled in Health Human Resource Management course. Methods The students narrate their experiences in terms of behavior criterion, student-faculty interactions, use of technology and their learning environment. The respondents, age, gender, civil status, educational attainment, location and occupation were profiled. Result Majority of them are male, married, belong to 35-45 years old, 5 of the 6 respondents were medical doctors, majority of them are in local setting. Analysis of the experiences revealed that students were challenged in answering health human resource cases given to them by the faculty-in-charge and that they are even more challenged in finishing the 180 contact hours of practicum in their preferred agency. Time was a factor since most of them were working full time. All students narrated that they have applied what they learned in their work. Conclusion The experiences shared by the students enrolled in health human resource management will continuously evolved as the course is re-tooled and redeveloped in the future. Key The experiences shared by the students enrolled in health human resource management will continuously evolved as the course is re-tooled and redeveloped in the future.
Background: Around 200,000 pediatric clients are diagnosed with cancer each year globally. Majority (84%) of cancer cases are found in developing countries with 20% average survival rate (Ferlay et al, 2012). Two-thirds of pediatric oncology clients in the Philippines are diagnosed at advanced stages (Lecciones, 2015). Abandonment of treatment is high at 80%. Only about 10%–20% of clients attain long-term survival despite availability of multidisciplinary management. These outcomes reflect the gap in service delivery for pediatric oncology clients (Ferlay et al, 2012). Therefore, to improve accessibility to healthcare, it is necessary to determine the perceived palliative care needs of clients, their caregivers, and healthcare providers. Objective: To identify the availability of palliative care services in the country, identify barriers in service delivery, and determine the palliative care needs of pediatric oncology clients, their caregivers, and healthcare providers. Methods: The descriptive, cross-sectional study design involved a situational analysis by mapping 2 Philippine palliative centers. Focus group discussions (FGD) and interviews with healthcare professionals were conducted to determine the extent of services, geographical coverage, and perceived palliative care needs. The needs assessment tool by WHO (2004) was adopted to identify the palliative care needs of pediatric oncology clients as perceived by caregivers. Results: From a total of 181 primary caregivers, the identified main problems in caring was the economical (95.6%) aspect. Financial support (92%) was the most pressing need. Caregivers would like to learn more about general cancer care (39%) and nutrition counseling (24%). The most common palliative care needs as perceived by caregivers included accessibility to cancer facility (27%), free cancer medications (12.7%), and financial assistance (14.9%). The common barriers in rendering care were financial constraints (66%), behavioral changes (12.7%), and travel limitations (6%). The common themes found during the FGDs and interviews were: (1) inadequate human and structural health resources; (2) need to focus on psychosocial care; (3) addressing economic constraints; and (4) need to increase cancer awareness among caregivers. Conclusion: The findings of the study documented the need for the development of structured programs for pediatric palliative care in the Philippines.
Background: Childhood disability remains a lowly prioritized and funded international health concern in the world today. Exacerbated by poverty, a lack of bureaucratic support, and societal discrimination, rehabilitation services are not readily accessible for Filipino families who happen to have a child with disability. This article intends to determine the perceived barriers of Filipino service users when it comes to accessing rehabilitation services for children with special needs in Cagayan de Oro City and to propose suggestions to improve the access to rehabilitation services from an international health perspective. Methods: The study utilized the four-phased Q methodology, a mixed-method research design with an exploratory sequential approach: (1) creating and validating the Q-sort statements, (2) Q-sorting administration, (3) factor analysis, and (4) interpreting factors. Results: After going through the four phases of Q methodology, the following factors, called "viewpoints" emerged: systemic discrimination based on differences in culture and ethnicity (Viewpoint 1), socioeconomic factors such as affordability and accessibility (Viewpoint 2), and predisposed health beliefs and lack of trust to health professionals (Viewpoint 3). Discussion: Barriers to accessing rehabilitation services in the Philippines go beyond the lack of individual resources. These perceived barriers can be mitigated by employing participatory and collaborative approaches in developing rehabilitation programs for children and their families, viable strategies such as integrating telehealth in the rehabilitation process, and cultural competence in recognizing folkloric beliefs as a way to build trust toward health-care professionals. Conclusion: This article determined contextualized barriers when accessing health and rehabilitation services based on service users themselves, which in turn hopes to promote inclusive, justice-oriented, and culturally focused rehabilitation services underpinned by international health principles.
This paper discusses the key elements of Taiwan’s approach in mitigating the impact of the COVID-19 pandemic. Extensive public health infrastructure established in the country pre-COVID-19 enabled a rapid and coordinated response which included meticulous border control measures, distribution of medical resources, effective quarantine and isolation methods, digital technologies, and mass mask use. Several components of Taiwan’s model could be adapted by other countries for halting and controlling the dissemination of the agent of the current pandemic and may contribute to preparedness for eventual future outbreaks.
Demographic profile, knowledge, attitude and practices (KAP) of blood donors in a low-middle income setting was investigated in this study. The study determined the demographic profile of blood donors in terms of sex, age, ethnicity and level of education and measured the level of knowledge, attitude and practices in terms of blood donation. The relationship of the donor profiles in terms of level of knowledge, attitude and practices was also determined. It utilized a cross-sectional study design which was conducted from February-October 2020. A self-administered questionnaire was distributed to the volunteers of blood donors of a non-institution-based blood bank establishment in Baguio City. Descriptive statistics and Chi-square were used to analyze the data. Ethical clearance was obtained and was approved. The results revealed that the majority of the respondents were female (59.2%) with age ranged from 18–30 years old (75.3%) and in collegiate level (83.2%). Majority of the respondents’ ethnicities were Tagalog (25.9%). Study revealed that respondents have a high level of knowledge in relation to blood donation, the attitude of the respondents revealed that blood donor had strong agreement to positive statements and disagreement to negative statements. Most of the respondents donated in the past, 62.3% are lapsed donors, 18% were first time donors and the majority had an intention to donate in the future. In terms of relationship of Demographic Profile to KAP, only Practices revealed a significant relationship to sex, age, ethnicity and level of education with P value ranging from 0.05–<0.0001.
Physical inactivity and unhealthy diet are considered as major risk factors in the development of the “fatal four” Non-communicable Diseases (NCDs) (WHO, 2018). As the University of the Philippines Open University (UPOU) adopts a sedentary work lifestyle with most of the employees spending long hours at the office sitting in front of a computer screen, the university must be able to promote health and wellness in the workplace, particularly healthy eating. Thus, the study aimed to determine UPOU employees’ awareness of the Food-based Dietary Guidelines (FBDGs), adherence to the 2012 Nutritional Guidelines for Filipinos (NGF), and preferred sources of information on healthy eating to provide insights for the development of nutrition interventions in the university. A total of 85 healthy employees aged 19-59 years old accomplished an online adapted survey from February to April 2019 which included questions on awareness of the four FBDGs--2012 NGF; Kumainments (simplified version of NGF); Daily Nutritional Guide Pyramid (DNGP); and Pinggang Pinoy (a plate-like pictorial model), eating practices relative to the 2012 NGF, and preferred sources of information on the FBDGs. Data were analyzed using descriptive statistics. Results of the study showed that most of the respondents were not aware of the FBDGs. Among those who were aware, only a few have read the FBDGs. Adherence to the guidelines was also low as reflected by a very low percentage of respondents practicing the messages on the recommended frequency of intake of food groups. Results suggest conducting lectures or seminars and producing video materials about nutrition which can be uploaded in UPOU’s online repository of multimedia resources and social media sites to promote healthy eating practices among UPOU employees and ensure a healthy and sustainable workforce.
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