The status on non-communicable disease prevention and control in the Philippines: A systematic review

OBJECTIVE: This paper aims to provide concise background information regarding the state of noncommunicable diseases (NCDs) and their risk factors as well as the existing efforts to address them in the Philippines in the last 25 years. METHODS: A desk review of documents and literature review as well as analyses of available statistical data and several consultations with involved government agencies have been made to come up with summary figures and tables.RESULTS: NCDs as well as metabolic conditions that can potentially lead to NCDs are on the rise in the last score of years. The Philippines, through the Department of Health, has been visionary in leading various projects and activities to fight NCDs over the last two decades, and its efforts are slowly paying off: the prevalence of tobacco use and that of hypertension have decreased over the last 5 years. NCD mortality (including premature deaths) and prevalence of behavioral risk factors, however, generally remain high, and the Philippines needs to accelerate whole-of-society and whole-of-government actions to sustain the gains and attain its NCD targets in the next 10 years or so. CONCLUSION: The need to strengthen health system interventions and promote accountability of various sectors in addressing NCDs and its risk factors in the country arises. The development of a multisectoral action plan on NCD prevention and control is needed to halt the rise of NCDs in the country.

Assessment of a public health promotion and education module at the graduate level: A basis for revision of learning resource material for teaching and training health promotion and education

OBJECTIVES: This study assessed the existing Public Health Promotion and Education 210 module (PHPE 210) as basis for the revision of the learning resource material. Specifically, this study determined the stakeholders' perceptions on the module in terms of: (1) its presentation, organization, topics covered, clarity/user-friendliness and its relevance to practice; (2) its strengths and weaknesses; and (3) the topics that need to be integrated in the resource material. METHODS: A qualitative approach was used for this study. Through purposive sampling, 4 focus group discussions and 11 key informant interviews were done. Topic Guide was used as the main data collection instrument. Informed consent was obtained prior to data collection. Data was described verbatim, emerging themes and actual quotations from the participants and informants were extracted in the succeeding analysis. RESULTS: The results of the focus group discussions and key informant interviews, in general, were similar and actually complemented each other. The module was perceived to be relevant, comprehensive and logically organized. The historical foundation needs to be presented in a more concise and updated manner, and examples and practical applications of the PRECEDE-PROCEED model must be used. To update the module and make it more relevant to the present issues, innovative health promotion strategies such as social media, healthy settings, health in all policies, and multi-sectoral approach must be included in the revised version. Practical applications of the theories and health promotion and education strategies also need to be considered in the revision of the module. The module has to be presented in a more reader-friendly manner, easy-to-use and visually appealing to its readers. CONCLUSION: This study demonstrated the importance of incorporating the perceptions of educators, module developers, practitioners, experts, and the learners or students in assessing and redesigning a more relevant learning resource material. With the current trends and emerging issues in health promotion and education, an evidence-based development and improvement of learning resource modules to make them relevant to changes have to be continuously undertaken.

Selected sociodemographic and psychosocial variables related to mothers' preference for childbirth setting in a barangay in Rosario, Cavite

OBJECTIVES: This study aimed to describe selected sociodemographic and psychosocial factors that are related to mothers' preference for childbirth setting in a barangay in Rosario, Cavite. METHODS: This study utilized a descriptive cross-sectional design. An interview guide was developed, pretested, and used in interviewing mothers who had given birth from September 1, 2007 to August 31, 2010. Data collected was encoded and analyzed using Epi-info 3.5.1 to compute for the means and proportions of relevant variables. RESULTS: A total of 271 mothers were interviewed, of whom 53.5% gave birth at health facilities. Mothers who were young adults, had at least graduated from high school, and/or had a family income of greater than Php 10,000 tended to prefer facility-based delivery. Those who had adequate knowledge of child delivery and postpartum complications, as well as those with a positive attitude towards facility-based delivery, gave birth in health facilities. Among the family members, the spouses had greater influence on the decisions of mothers regarding their preference. Whereas doctors appeared to have influenced the decisions of mothers who had facility-based deliveries, midwives influenced those who had home-based deliveries. CONCLUSION: The maternal mortality ratio in Rosario, Cavite and the facility-based delivery rate in the sampled barangay remain higher than the targeted rates. This necessitates more efforts to achieve Millennium Development Goal (MDG) No 5. The findings of this study can serve as a guide in developing health promotion and education intervention focusing on specific age group, significant others, and health providers in order to achieve the desired outcomes.

Partnership for health development through the field practice

This article describes the partnership between the College of Public Health, University of the Philippines Manila and the province of Laguna in the context of implementation of the field practice course. This partnership paved the way for the development and implementation of projects in seven field practice sites. Projects concentrated mainly on improving quality of data and health information system, development of educational materials, and addressing health problems such as tuberculosis, hypertension and rabies. After the implementation of the various activities, there is a need for both parties (the College of Public Health and the Provincial Health Office of Laguna) to monitor and evaluate if projects have been sustained. Moreover, successful projects must also be fully documented which can serve as models for other areas in the province of Laguna.

Knowledge, attitudes and practices of parents in an urban coastal community on preventing childhood drowning

OBJECTIVE:To describe the knowledge, attitudes and practices of parents in an urban coastal community on drowning prevention.METHODS: A descriptive cross-sectional study design was used in the study. Systematic random sampling was used and 431 parents were included as respondents in the study. A questionnaire that was developed and pre-tested was used to determine the knowledge, attitudes and practices on drowning prevention among parents in households with at least one child. RESULTS: The respondents' knowledge on general aspects of drowning such as its preventability and to whom and where it could happen seems to be sufficient (67-99%). Awareness of drowning prevention programs and activities in the barangay is quite low, and awareness of any legislation is even lower. The respondents seem to have positive attitudes toward supervising children while swimming or playing in high risk areas, in buying and wearing flotation devices, and participating in drowning prevention measures. Although 60 % claimed to have supervised their children while swimming in the sea, river, lake or swimming pools, more respondents (67 % - 88%) had admitted that their children had never worn flotation devices when they swim or play in most bodies of water. More than 93% of the parents have not participated in any program or activity on drowning prevention. CONCLUSIONS: The study seems to show that, in the surveyed coastal community, there is a high level of knowledge in terms of the general aspects of drowning and there are positive attitudes in terms of measures and activities to prevent drowning. However, this has not translated to similarly appropriate levels of drowning prevention practices.