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Developing strategies to engage barangay health workers in the national tuberculosis control program in the municipality of San Andres, Romblon / Kutch V. Yasa.

By: Contributor(s): Description: xi, 69 leaves : color illustrationsSubject(s): Dissertation note: Graduate School of Public and Development Management Health Systems and Development Batch 6 Thesis (MPM-HSD)--Development Academy of the Philippines. Summary: One of the United Nations Sustainable Development Goal is to end the epidemic of tuberculosis by 2030. The Municipality of San Andres, Romblon still faces an increasing morbidity and mortality rate of pulmonary tuberculosis. There is a need to strengthen its community based tuberculosis control program through engagement of barangay Health Workers to be able to achieve early case detection and ensure treatment compliance. Specifically, this study determined the current level of BHW engagement, determined the gaps and issues affecting the lack of such and develop strategies to engage the BHWs in the tuberculosis control program. The study utilized a descriptive qualitative research design. Document analysis revealed that majority of the patients in the TB DOTS center were from hospitals and private clinics. There were no documented referrals of presumptive TB patients from BHWs and they were not tapped as treatment partner. Using focus group discussion, the gaps and issues identified were non performance of BHWs, inadequate monetary incentives, lack of training, lack of referral system and lack of monitoring. Based on these gaps and issues, strategies were developed to engage BHWs in the tuberculosis control program using a multiple incentives approach. These strategies included provision of monetary incentives, capacity building, and formulation of referral and supervision mechanisms. The strategies address the different needs of community health orders and thus motivating then to engage in health programs.
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THESIS MAIN RC 311 Y373 2016 (Browse shelf(Opens below)) Available TD00287

Yasa, K. V. (2016). Developing strategies to engage barangay health workers in the national tuberculosis control program in the municipality of San Andres, Romblon (Unpublished master's thesis).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.

One of the United Nations Sustainable Development Goal is to end the epidemic of tuberculosis by 2030. The Municipality of San Andres, Romblon still faces an increasing morbidity and mortality rate of pulmonary tuberculosis. There is a need to strengthen its community based tuberculosis control program through engagement of barangay Health Workers to be able to achieve early case detection and ensure treatment compliance. Specifically, this study determined the current level of BHW engagement, determined the gaps and issues affecting the lack of such and develop strategies to engage the BHWs in the tuberculosis control program. The study utilized a descriptive qualitative research design. Document analysis revealed that majority of the patients in the TB DOTS center were from hospitals and private clinics. There were no documented referrals of presumptive TB patients from BHWs and they were not tapped as treatment partner. Using focus group discussion, the gaps and issues identified were non performance of BHWs, inadequate monetary incentives, lack of training, lack of referral system and lack of monitoring. Based on these gaps and issues, strategies were developed to engage BHWs in the tuberculosis control program using a multiple incentives approach. These strategies included provision of monetary incentives, capacity building, and formulation of referral and supervision mechanisms. The strategies address the different needs of community health orders and thus motivating then to engage in health programs.

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