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EFFICIENCY OFKOMBAT TASK FORCE
INITIATIVEAn Evaluation Study
Elvin Valentine P. Arao, RN
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TABLE OF CONTENTS
I. Rationale/Brief Project Description/Background....................................................................1
Research Objectives...........................................................................................................................2Conceptual Framework......................................................................................................................2
Operational Definition of Terms........................................................................................................3
Common bbreviations!...................................................................................................................."
II. Methodology................................................................................................................................#
Research $ettin%................................................................................................................................#
$amplin%............................................................................................................................................&
Data 'atherin%...................................................................................................................................&
Data nal(sis.....................................................................................................................................)*ajor ctivities an+ ,ork plan.........................................................................................................)
6a. Major Activities......................................................................................................................)
6. !ork plan...............................................................................................................................-
u+%et................................................................................................................................................-
III. "I#DI#$%................................................................................................................................./
Conclusion.......................................................................................................................................10
Recommen+ations............................................................................................................................11
References!......................................................................................................................................12Curriculum itae..............................................................................................................................13
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LIST OF TABLES AND FIGURE
&ale III'()............................................................................................................................................./&ale III'*............................................................................................................................................10
"igure III'().........................................................................................................................................../
"igure III'*..........................................................................................................................................10
Research &itle/Project #a+e )EFFICIENCY OF KOMBAT TASK FORCE INITIATIVE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Duration ) -ctoer #ove+er *(0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Proponent ) 123I# 3A21#&I#1 P. ARA-,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Depart+ent ) 4ealth 5 4ospital Manage+ent,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
I. Rationale/Bie! "o#e$t De%$i&tion/Ba$'(o)n*
-ne of the for+idale challenges that face health in the Philippines in the past is the
urden of &B that see+ingly presents an arduous task to e overco+e. But over the years
&B +anage+ent has sustantially changed through active co++unity participation. %everal
key initiatives have een hoisted and others are effectively developed for pulic a7areness
and consu+ption. -ne generally called 8o++unity &B care ai+s to ensure co++unity
participation to i+prove &B diagnosis and +anage+ent. !hereco++unities are co+pelled
to create a task force co+posed of for+er &B patients co++unity volunteers and +e+ers
of faith'ased organi9ations organi9ed to educate the co++unity aout &B updates refer
presu+ptive &B to D-&% facilities and act as treat+ent partners.&he task force also
receives sustenance fro+ stakeholders for for+ation and strengthening of &B patient
support groups. &he asic concepts of this initiative revolve around advocacy
co++unication and social +oili9ation of its locals to +itigate the urden of &B a+ong
affected and susceptile groups in the country.
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In the +unicipality of -pol Misa+is -riental the health care providers of Rural
4ealth :nit 7ere ;uick to respond in creating such. Aptly na+ed
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Con$e&t)al Fae0o'
Katawhan sa Opol Maghupong Batok TB7as created last May *(0 for social
+oili9ation 8B-. &he project creates a venue for the locals to for+ulate action and policies
per arangay that allo7s the+ to initiate the first step in ko+at 7ith the infectious disease.
&he co++unity is ale to recogni9e the satiety of the nature of the prole+ that enales
the+ to plan organi9e direct and coordinate efforts in sustaining the i+petus for its
+itigation if not co+pletely eli+inate. "ield7ork is done y &B educators advocates
treat+ent partners 7ho could either e a volunteer a 84& B4! +id7ife nurse and/or
doctors 7here they engage e;uip the co++unity enough kno7ledge correct
+isconceptions and pro+pt self'care re;uire+ents. &he co++unity in turn recogni9es these
self'help approaches andregularly convene to custo+i9e solutions uni;ue to their locality.
&he people in the co++unity the health care providers and various concerned sects therein
actively participate in 7hat is called A8%M. It is a tool tasked to advocate for support fro+
policy and decision +akers and other influential people at their locality and/or national level?
co++unicatevital infor+ation for de'stig+ati9ation reassurance and engage+ent of active
co++unity involve+ent? and to +oili9e the co++unity for a congregated effort against the
infectious disease. %o+e of the goals of the project are to increase the nu+er of locals
su+itting for screening test @sputu+ ea+ to get a clearer picture of its incidence
increase &B a7areness @e+phasi9ing on i+portance of regular drug intake? effects of
irregular intake? side'effects of taking anti'&B drugs? necessity of D%%M follo7'up?
i+portance of co+pliance? and i+portance of fa+ily and treat+ent partner support conduct
regular consultation +eetings 7ith the clients and treat+ent partners and continuously
disse+inate key &B +essages consistent 7ith #&P and #84P of D-4. @Depart+ent of
4ealth @Disease Prevention and 8ontrol Bureau *(C
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O&eational De!inition o! Te%
(. Active case finding a health 7orkers purposive effort to find &B cases in the
co++unity or a+ong those 7ho do not consult 7ith personnel in a D-&% facility.
*. 8ase "inding @8" a client 7ho registers at the D-&% laoratory registry for &B
sy+pto+s.
E. Presu+ptive &B any person 7hether adult or child 7ith signs and/or sy+pto+s
suggestive of &B 7hether pul+onary or etra'pul+onary or those 7ith 8FR
findings suggestive of active &B.
C. Incidence projected nu+er of cases to occur for at least a year 7ith a constant
factor .E((. Monthly incidence 7as then derived y division of product to (*
+onths.
0. Relative Increase is the actual difference et7een t7o census counts
epressed in percent relative to the population si9e +ade during an earlier
census. @Maglaya A. 8ru9'1arnsha7 R. et.al *G
6. &reat+ent partners any person or group in the co++unity 7hether for+er &B
patients co++unity volunteers or +e+ers of faith'ased organi9ations that
helps the affected groups in right infor+ation and adherence to successful
treat+ent outco+e.
H. &ask force a co+ponent of 8o++unity &B 8are that co+pels locals create
officers groups to actively participate in the +itigation of &B through A8%M.
. %ocial +oili9ation an activity of the task force 7herey they participate in
co++unity I18 for &B and encourage case finding of the co++unity.
Coon A,,e-iation%
R4:' Rural 4ealth :nit
=-MBA&' Katawhan sa Opol Maghupong Batok TB
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D-&%' Directly -served &reat+ent %hort course
84&' 8o++unity 4ealth &ea+
B4!' Barangay 4ealth !orker
A8%M' Advocacy 8o++unication and %ocial Moili9ation
#&P' #ational &uerculosis Progra+
#84P' #ational 8enter for 4ealth Pro+otion
D-4' Depart+ent of 4ealth
II. Met+o*olo(1
Re%ea$+ Settin(
&he evaluation study 7as conducted in the Rural 4ealth :nit of -pol Misa+is
-riental. &he 4ealth 8enter is e;uipped 7ith a 2ying'in clinic D-&% facility and e+ergency
services. It is currently headed y the +unicipal health officer Dr. 1+ily $race Banal. &he
D%%M 2aoratory is +anned y the only +edical technologist Mr. $lenn Aracena and is
assisted y the &B'aider/nurse Mrs. $lade99a 8aading and Pulic health #urse Myra
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8aallero. -pol is a second class +unicipality in the Province of Misa+is -riental. It is
ounded y Macajalar ay to the north 1l %alvador to the 7est 8agayan de -ro 8ity to the
1ast and Iligan 8ity to the south. Its population is said to e 0*( according to *(
Philippine census. It has (C arangays that is 6 hinterlands * +idlands and 6 coastal areas.
Sa&lin(
&he participants of the study are asically -polanons 7hove een listed 2aoratory
Registry for D%%M. &he data 7ill co+e fro+ records at the R4:.
Data Gat+ein(
Records revie7 7as done to otain the ojective of the study 7ith coordination fro+
the &B coordinators Provincial #&P 8oordinator and M4-. %ince &he Depart+ent of
4ealth Region F has projected -pols total population approi+ately 6*CC for *(0 and
6E(C for *(C? the study used this nu+er for co+parative data and other relative
co+putations needed for this study.
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Data Anal1%i%
&his evaluative study utili9ed descriptive statistics to sho7 fre;uency percentiles and
relative increase of case finding. It used the follo7ing for+ulas)
Incidence J Population .E((
Percentage 8ase "inding Rate JPresu+ptive &B
F(Incidence per +onth
Average 8"R per ( Population J#u+er Presu+ptive &B
F(&otal Population
Relative Increase 8"R JPt Po
Po
!here
Pt census at a later ti+e
Po census at an earlier ti+e
Ma#o A$ti-itie% an* 2o' &lan
3A. MA4OR ACTIVITIES
A$ti-itie% De%$i&tion
Re$o*% Re-ie0 Data revie7 is done at the R4: using the 2aoratory
registry for D%%M 7ith per+ission fro+ the &B
coordinators.
TB an)al o!
&o$e*)e o-e-ie0
A rief overvie7 of the +anual of &B case finding and
technical operations 7ere seen for cross reference.
Data Collation Data 7as otained 7ith per+ission fro+ the &B
coordinators.
Data anal1%i% &he researcher sought and revie7ed statistical tools
needed to present the data.
Re&ot &e&aation &he researcher prepares the research output for
presentale data.
S),i%%ion o! e%ea$+ &he data arrived 7ill e given to Dr. 1llenietta 4M3 #.
$a+olo MP4.
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3B. 2ORK "LAN
O,#e$ti-e% E5&e$te*
O)t&)t
A$ti-itie% MONT6S
OCT
I. &o count the nu+er and
percentage ofpresu+ptive &B cases
pro+pted y =-MBA&
project for case finding
at D-&% facility of the
R4:.
Fe7)en$1 an*
&e$enta(e o!DSSM ,1
ont+ !o 89:;
Re$o*%
Re-ie0 TB an)al o!
&o$e*)e
o-e-ie0
Data Collation
Data anal1%i%
Re&ot
&e&aation
S),i%%ion o!
%t)*1
II. &o provide co+parative data
on case finding et7een
the previous year and
=-MBA& initiated case
finding.
Fe7)en$1 o!
DSSM ,1
ont+ !o 89:=?9;
III. FINDINGS
Ta,le III@:
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&otal Population of -pol Incidence of &B
*(0 6*CC (GC
*(C 6E(C (H6
Fi()e III@:
0
20
40
60
80
00
20
40
60
0
!
0
!
20
2!
Ca"# Findin$
20! 204
20! CF%0&000 20! CF%0&0002
KOMBAT Mont'ly Initiation v"( )a""iv# CF
Nu*+#, o- ),#"u*tiv# TB CFR%0&000 .o.ulation
&he graph aove sho7s the +onthly nu+er of presu+ptive &B cases @left side
7hove undergone D%%M 7ith a reflection of its average rate per ( population of
-polanons @on the right side. 4ere 7e can see that there is a dra+atic increase of case
finding activities presu+ed and contriuted greatly y =-MBA& task force. !ith a highest
relative increase of E(*K @seen at tale E.* elo7 for the +onth of August 7here an
a7areness ca+paign 7as also held at the neary +unicipal gy+nasiu+ and lo7est since
its initiation so+eti+e et7een April and May 7hich is 6C and *K respectively. &he project
ai+s to sustain its goals in the co+ing +onths 7ith enough resources to carry and render
services to the susceptile groups and population.
Fi()e III@8
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A.,il May /un# /uly Au$u"t S#.t#*+#, Oto+#,
0
!0
00
!0
200
2!0
100
1!0
Relative Increase of CF
REATIVE INCREASE TAR3ET
Ta,le III@8
Mont+%
N),eo! $a%e!in*in(
89:;
"e$enta(eo! $a%e!in*in( /
ont+
A-ea(e$a%e
!in*in(&e :9=999&o&)lation
N),eo! $a%e!in*in(
89:< L8: a-ie 6ei(+t%= U&&e Bal)lan(= Ca(a1an *e Oo Cit1= "+ili&&ine%
Mo,ile No. 3>8Eail A** el-%)n1a+oo.$o
EDUCATIONHighest level2ndCourse: Bachelor of Science in NursingSchool/University: WESTERN !N"#N#$ ST#TE UN!%ERS!Tddress: '( Consolacion St() *agadian City"ate +raduated: #,ril --) 2.-
-stCourse: #ssociate0s "egree1Nursing #ssistant/#ideSchool/University: S#!NT C$UB#N C$E+E#ddress: Cor( #lano1Sagun Streets) *agadian City
"ate +raduated: $cto3er 2.) 2..4
Secondary level 5#B$#N+# "E SUR N#T!$N# H!+H SCH$$Sta( aria "ist() *agadian City2..- 6 2..7
WORK EXPERIENCES
8uly 9) 2.-7 6 *resent *UB!C HE#TH NURSE !1 N"*"e,artent of Health) Center for Health "evelo,ent Region ;) Cde$)isais $riental
#ugust -2) 2.- 68une .) 2.-7 *R$'ESS!$N# S#ES RE*RESENT#T!%ERB8 Coodities Trading E19) 2.-7 ?High !,act for Brea@through *rograANurse Dep!"#en$ Pr!%e&$ 'NDP(Ca,a3ility Building 2.-7"e,artent of Health) Region ;
#,ril -91-) 2.-7 Basic ife Su,,ort 1 C*R/#E" TrainingP)**pp*ne Na$*!na Red Cr!ss$=ais City Cha,ter) $=ais City
Se,te3er 2) 2.-> Basic ife Su,,ort training for Cardio1*ulonary ResuscitationRegistration No( 77-9.
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A#er*&an Sa+e$" ea$) Ins$*$u$e
Se,te3er ) 2.-> ?Basic EC+ Reading and "ysrhythia RecognitionAE#er.en&" Nurses Ass!&*a$*!n !+ $)e P)**pp*nes) !nc( in colla3orationith Counity #u) 2.-> #dvanced Cardiac ife Su,,ortRegistration No( 77-9.A#er*&an Sa+e$" ea$) Ins$*$u$e
ay -71-D) 2.-> E"TE0s "istri3utor0s Training CourseMed*&a Trends and Te&)n!!.*es In&/+rand Ca,rice) i@et@ai) Cagayan de $ro City
'e3ruary 1-.) 2.-2 ?E,oering *eer 'acilitation S@illsAS$uden$ Peer Fa&**$a$!rs0 Se#*nar W!r1s)!p) 8(H( Cerilles State College
arch -) 2.-- ?Enhancing Self1Reliance in anaging Childhood !llnessesAIn$e.ra$ed Mana.e#en$ !+ C)*d)!!d Iness( College of Nursing)8H Cerilles State College
8anuary 2-) 2.-- ?E