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Retrospective analysis of the conduct of medical mission by LGU : the impact on the community and health service delivery in Tuao, Cagayan / Aiza Katrina F. Reyes.

By: Contributor(s): Description: xix, 129 leaves : illustrations, mapsSubject(s): Dissertation note: Graduate School of Public and Development Management Health Systems and Development Batch 3 Thesis (MPM-HSD)--Development Academy of the Philippines. Summary: This study was able to identify the current practice of medical mission in Tuao, Cagayan. It had also determine how its conduct affects the local health setting of the community in terms of their health seeking behavior and practices on drug use. This also covered the details on how medical resources were turned over to its end user by the health staffs and its implications. And finally, this investigated on the existing lapses and flaws of the operation on the short-term medical mission in the locality and finally, recommendation were identified for the improvement of the activity. A descriptive qualitative method of research was applied. Review of relevant data and practices were noted through focus group interviews and review of documents. Short survey questionnaires were used to gather important information from RHU staffs and randomly selected community members with content mainly focused on their involvement, views and participation in the conduct of medical mission in the locality. Lastly, a simple template of forms for patient consultation, medicine prescription and inventory of medicines received by patients during medical mission were used for proper and transparent documentation of the conduct of medical mission. The results of the study revealed critical phases and practices that may lead irrational drug use, polypharmacy, non-transparency of turnover of goods to the community and incomplete documentation of cases seen during medical mission. Moreover, the community highly considers use of herbal medicine as initial remedy to their illness over prompt consult at health facility due to that financial constraints and access to transportation from their homes to the poblacion area. There was also clear evidence of dependence to LGU provided free medicine at health facilities and during medical mission, moreover giving them the tendency to stock up medicine in their homes for future use. The RHU staffs assigned in admitting patients prior to consultation with the doctor, and dispensing of medicines afterwards plays a crucial role in the event of the medical mission. It was noted that they were no standard form and prescription forms used using medical mission. Hence, there was poor recording system and documentation of proper drug use for their clients. They usually send back the patient to the doctor if the prescribed medicine is unavailable and some of them even practices giving of medicine with the same classification or equivalent dose on their own discretion. There was also a note of an instance of giving medicine without prior consultation due to political favor. Follow up of care and management of ongoing case were only verbalized by the health workers to the patients. After the introduction of new strategy of documentation on the conduct of medical mission by the author, there was remarkable improvement on post-medical mission report compared to previous existing records. This was attributed on the use of the forms crafted by the author during the conduct of the event. Important details noted were morbidity rates, actual medicines dispensed versus allocated supplies and assurance of receipt of written prescriptions by the patients. An executive order by the local chief executive was also being drafted at present adopting the method of documentation by the author. In conclusion, a structured and organized medical mission makes the event more transparent, target-based and cost-efficient. It must develop quality and proper turnover of medicines to each client and must focus on the immediate need of the community which are primary health education and specialized mission and health services.
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THESIS MAIN RA 485 R49 2013 (Browse shelf(Opens below)) Available TD00078

Reyes, A. K. F. (2013). Retrospective analysis of the conduct of medical mission by LGU: The impact on the community and health service delivery in Tuao, Cagayan (Unpublished master's thesis). Graduate School of Public and Development Management, Development Academy of the Philippines.

Graduate School of Public and Development Management Health Systems and Development Batch 3 Thesis (MPM-HSD)--Development Academy of the Philippines.

This study was able to identify the current practice of medical mission in Tuao, Cagayan. It had also determine how its conduct affects the local health setting of the community in terms of their health seeking behavior and practices on drug use. This also covered the details on how medical resources were turned over to its end user by the health staffs and its implications. And finally, this investigated on the existing lapses and flaws of the operation on the short-term medical mission in the locality and finally, recommendation were identified for the improvement of the activity. A descriptive qualitative method of research was applied. Review of relevant data and practices were noted through focus group interviews and review of documents. Short survey questionnaires were used to gather important information from RHU staffs and randomly selected community members with content mainly focused on their involvement, views and participation in the conduct of medical mission in the locality. Lastly, a simple template of forms for patient consultation, medicine prescription and inventory of medicines received by patients during medical mission were used for proper and transparent documentation of the conduct of medical mission. The results of the study revealed critical phases and practices that may lead irrational drug use, polypharmacy, non-transparency of turnover of goods to the community and incomplete documentation of cases seen during medical mission. Moreover, the community highly considers use of herbal medicine as initial remedy to their illness over prompt consult at health facility due to that financial constraints and access to transportation from their homes to the poblacion area. There was also clear evidence of dependence to LGU provided free medicine at health facilities and during medical mission, moreover giving them the tendency to stock up medicine in their homes for future use. The RHU staffs assigned in admitting patients prior to consultation with the doctor, and dispensing of medicines afterwards plays a crucial role in the event of the medical mission. It was noted that they were no standard form and prescription forms used using medical mission. Hence, there was poor recording system and documentation of proper drug use for their clients. They usually send back the patient to the doctor if the prescribed medicine is unavailable and some of them even practices giving of medicine with the same classification or equivalent dose on their own discretion. There was also a note of an instance of giving medicine without prior consultation due to political favor. Follow up of care and management of ongoing case were only verbalized by the health workers to the patients. After the introduction of new strategy of documentation on the conduct of medical mission by the author, there was remarkable improvement on post-medical mission report compared to previous existing records. This was attributed on the use of the forms crafted by the author during the conduct of the event. Important details noted were morbidity rates, actual medicines dispensed versus allocated supplies and assurance of receipt of written prescriptions by the patients. An executive order by the local chief executive was also being drafted at present adopting the method of documentation by the author. In conclusion, a structured and organized medical mission makes the event more transparent, target-based and cost-efficient. It must develop quality and proper turnover of medicines to each client and must focus on the immediate need of the community which are primary health education and specialized mission and health services.

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