Access to medicine and improved health service delivery for hypertension control in upland barangays of San Fernando, Cebu /
Penalosa, Camille F.
Access to medicine and improved health service delivery for hypertension control in upland barangays of San Fernando, Cebu / Camille S. Penalosa. - xii, 89 leaves : color illustrations
Graduate School of Public and Development Management
Hypertension as a non communicable disease remains to be a challenge in the health sector worldwide. Hypertension cases have increased through time in San Fernando Cebu. Out of 1,024 patients diagnosed with hypertension from January to December 2016, 38% or 389 patients are from upland barangays. Generally, this study aims to create a community based strategy for hypertension control in upland barangays of San Fernando Cebu. Specifically, it intends to identify the socio demographic factors, health related behaviors and category of hypertension of hypertensive patients from upland barangays, determine the correlation of each factors mentioned to the category of hypertension, know the perceptions of hypertensive patients towards their illness and lastly to determine the strategies that stakeholders can provide to control hypertension problem. This study used both quantitative and qualitative type of research and was conducted in eight upland barangays of San Fernando Cebu. Survey using the DOH risk assessment from was done to know the factors related to hypertension. There were a total of 244 respondents. However, only 197 respondents were eligible for analysis. A focus group discussion was done to know the perceptions of hypertensive patients towards their illness. The focus group was composed of eight hypertensive patients. Key informant interview was employed to know suggested strategies for hypertension control that stakeholders can provide. The key informants were 3 barangay chairmen of upland barangays, 1 pharmacist. 1 public health nurse, 2 midwives, two nurses under Department of Health (DOH) nurse deployment project (NDPs) who handles upland barangays, 2 barangay health workers (BHW) and a Municipal Councilor. Most hypertensive respondents belong to age group 50-59 years old, (31%) females (78,2%) and married (85.8%). Predominantly, respondents graduated elementary school (73.1%) and were unemployed (61.4%). Family history of hypertension was also reported in majority of the respondents (78.2%). In addition, hypertensive respondents were non smokers (71.6%) and had never consumed alcohol (56%). Respondents had normal BMI (58.4%), high fat and salt intake where reported in most of the respondents (57.4%). Majority also had adequate dietary fiber intake (65%) and were physically active (80.7%). Stage 1 hypertension was primarily seen (77%) followed by stage 2 hypertension (13%). Among the socio demographic factors, only sex and category if hypertension had a significant relationship (p 05). In health related behaviors, only high sat fat diet and physical activity had a significant relationship with the category of hypertension (p 05). The perceptions fell into three categories knowledge, health seeking behavior and illness representation. It was identified that knowledge on hypertension was low and affected with external factors such as food choices, and financial capacity. In terms of health seeking behavior , patients were diagnosed due to symptoms already experienced or through incidental findings. Barriers for consult were accessibility of health facility, financial capacity, fear of taking medications. In term of illness representation, hypertension was viewed as burden financially and in doing daily activities. Majority were satisfied in taking maintenance medication. External stakeholders were more aligned on health service delivery and free medications. Internal stakeholders were also aligned on health service delivery such as active case finding, master listing, health awareness campaigns, policy making as well as provision of free maintenance medication. Prevalence of hypertension in upland barangays of San Fernando is a significant public health promotion. There is interaction between patient factors (sex, knowledge on hypertension), behavioral factors (high fat salt diet physical inactivity) and external factors (geographic barriers, financial constraints) that magnifies the problem on hypertension. Therefore, interventions at the patients and the health service delivery are needed to improve hypertension control. The health benefits if physical activity, reducing salt fat intake as well as compliance with medication need to be impat6erd to hypertensive patients. The action plan and project was to provide access to medicine and improve health service delivery through a barangay based hypertension club. The club was a bridge to address the external factors such geographical and financial barriers that was noted in the research. Through an organization, patients will be grouped easily and that service and medicines could be avail per barangay without the need for the patient to spend money on transportation to the health facility. Blood pressures can be controlled through a continuous supply and intake of free antihypertensive medicines. Consultations, follow ups and monitoring was done in their respective barangays on a monthly basis. Active case finding was activated to prevent the occurrence of hypertension being diagnosed as incidental or in a much severe state. Risk screening was done to all 40 years old and above. Health awareness lectures and health activities towards hypertension was conducted. Monthly barangay lectures was done especially on preventing hypertension, avoiding progression of complications and importance of a healthy die. Patients were also taught on the ideal number of hours of exercise and some sample moderate to high intensity exercises that they can do at home.
Hypertension--Prevention and control--San Fernando, Cebu, Philippines.
Hypertension--Risk factors.
Community health services.
Access to medicine and improved health service delivery for hypertension control in upland barangays of San Fernando, Cebu / Camille S. Penalosa. - xii, 89 leaves : color illustrations
Graduate School of Public and Development Management
Hypertension as a non communicable disease remains to be a challenge in the health sector worldwide. Hypertension cases have increased through time in San Fernando Cebu. Out of 1,024 patients diagnosed with hypertension from January to December 2016, 38% or 389 patients are from upland barangays. Generally, this study aims to create a community based strategy for hypertension control in upland barangays of San Fernando Cebu. Specifically, it intends to identify the socio demographic factors, health related behaviors and category of hypertension of hypertensive patients from upland barangays, determine the correlation of each factors mentioned to the category of hypertension, know the perceptions of hypertensive patients towards their illness and lastly to determine the strategies that stakeholders can provide to control hypertension problem. This study used both quantitative and qualitative type of research and was conducted in eight upland barangays of San Fernando Cebu. Survey using the DOH risk assessment from was done to know the factors related to hypertension. There were a total of 244 respondents. However, only 197 respondents were eligible for analysis. A focus group discussion was done to know the perceptions of hypertensive patients towards their illness. The focus group was composed of eight hypertensive patients. Key informant interview was employed to know suggested strategies for hypertension control that stakeholders can provide. The key informants were 3 barangay chairmen of upland barangays, 1 pharmacist. 1 public health nurse, 2 midwives, two nurses under Department of Health (DOH) nurse deployment project (NDPs) who handles upland barangays, 2 barangay health workers (BHW) and a Municipal Councilor. Most hypertensive respondents belong to age group 50-59 years old, (31%) females (78,2%) and married (85.8%). Predominantly, respondents graduated elementary school (73.1%) and were unemployed (61.4%). Family history of hypertension was also reported in majority of the respondents (78.2%). In addition, hypertensive respondents were non smokers (71.6%) and had never consumed alcohol (56%). Respondents had normal BMI (58.4%), high fat and salt intake where reported in most of the respondents (57.4%). Majority also had adequate dietary fiber intake (65%) and were physically active (80.7%). Stage 1 hypertension was primarily seen (77%) followed by stage 2 hypertension (13%). Among the socio demographic factors, only sex and category if hypertension had a significant relationship (p 05). In health related behaviors, only high sat fat diet and physical activity had a significant relationship with the category of hypertension (p 05). The perceptions fell into three categories knowledge, health seeking behavior and illness representation. It was identified that knowledge on hypertension was low and affected with external factors such as food choices, and financial capacity. In terms of health seeking behavior , patients were diagnosed due to symptoms already experienced or through incidental findings. Barriers for consult were accessibility of health facility, financial capacity, fear of taking medications. In term of illness representation, hypertension was viewed as burden financially and in doing daily activities. Majority were satisfied in taking maintenance medication. External stakeholders were more aligned on health service delivery and free medications. Internal stakeholders were also aligned on health service delivery such as active case finding, master listing, health awareness campaigns, policy making as well as provision of free maintenance medication. Prevalence of hypertension in upland barangays of San Fernando is a significant public health promotion. There is interaction between patient factors (sex, knowledge on hypertension), behavioral factors (high fat salt diet physical inactivity) and external factors (geographic barriers, financial constraints) that magnifies the problem on hypertension. Therefore, interventions at the patients and the health service delivery are needed to improve hypertension control. The health benefits if physical activity, reducing salt fat intake as well as compliance with medication need to be impat6erd to hypertensive patients. The action plan and project was to provide access to medicine and improve health service delivery through a barangay based hypertension club. The club was a bridge to address the external factors such geographical and financial barriers that was noted in the research. Through an organization, patients will be grouped easily and that service and medicines could be avail per barangay without the need for the patient to spend money on transportation to the health facility. Blood pressures can be controlled through a continuous supply and intake of free antihypertensive medicines. Consultations, follow ups and monitoring was done in their respective barangays on a monthly basis. Active case finding was activated to prevent the occurrence of hypertension being diagnosed as incidental or in a much severe state. Risk screening was done to all 40 years old and above. Health awareness lectures and health activities towards hypertension was conducted. Monthly barangay lectures was done especially on preventing hypertension, avoiding progression of complications and importance of a healthy die. Patients were also taught on the ideal number of hours of exercise and some sample moderate to high intensity exercises that they can do at home.
Hypertension--Prevention and control--San Fernando, Cebu, Philippines.
Hypertension--Risk factors.
Community health services.