Ulyses, M. A. (2016). Community-based hypertension management program among Subanen population in Baliguian, Zamboanga del Norte (Unpublished master's thesis).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 6 Thesis (MPM-HSD)--Development Academy of the Philippines

This study aims to establish community-based interventions to promote adherence to Non-Communicable Diseases Primary Care Management particularly for Hypertensive Subanen Adults in Baliguian, Zamboanga del Norte. This study also involved a statistical analysis to determine the prevalence and significant risk factors associated with hypertension. The Action Plan and Project adopted the Chronic Care Model Approach which advocates a proactive means of preventive and curative treatment and holistic management. A cross-sectional survey was employed in this study. Data gathered came from 400 adult members of NHTS households in Baliguian, Zamboanga del Norte. From the list of households below poverty threshold of the province, participating households were purposely selected. from the sample, population, hypertensive individuals were identified and categorized using the Joint National Committee (JNC) 8 Guidelines for hypertension. Prevalence rates for pre-hypertension and hypertension were computed. Socio-demographic characteristics, behavioral factors, bio-medical factors as well as physiologic factors were identified and described. Cross tabulation was done to highlight the differences between hypertensive participants. Binary logistic regression was done to determine which among the risk factors are most predictive for the development of hypertension and to determine the strength of their association. Prevalence rate fro hypertension among adult members of low income households in Balguian, Zamboanga del Norte is 27%. Of the 400 respondents, 263 were hypertensive respondents, and from that group there were 23.75% who had Stage 1 hypertension and 42 % had Stage 2 hypertension while 111 (27.75%) had pre-hypertension. Among the risk factors for hypertension analyzed in this study age, family history, physical activity and waist to hip ratio were found to be significant risk factors for hypertension. Using the Chronic Care Model of addressing various lifestyle diseases in the community level, different approaches were done to improve health outcomes of the population focusing on the 6 elements: Health System, Delivery System Design, Decision Support, Clinical Information Systems, Self-Management Support and the Community. The community-based interventions done were: Established a database fro the target IPs (Subanen group) in the community, determined the risk assessment of the vulnerable group by conducting continuous monitoring and assessment via the PhilPEN protocol, improved health access to the vulnerable group by reducing the distance between the patient and the health provider, encouraged preventive measures thru barangay-wide lifestyle modification interventions e.g. regularized aerobics session and mobilized funds both at the Municipal and Barangay level to sustain these interventions. From 2014 to 2016, there was a trend in increased detection and diagnosis of Hypertension but a reduction in the prevalence of the Stage 2 hypertension which was highly attributed to the increased supply of maintenance medications, improved compliance to medication of the patients and regular Awareness and Education with Healthy Active Lifestyle Activities to prevent complications of the disease. BY integrating and applying a transformation of health care, from a system that is essentially responding mainly when a person is sick to one that is focused on keeping a person as healthy as possible, better patient tracking and community-wide legislation and practices will be incorporated in the society which brings about a better health outcome for the high risk population.