I. Isip usa ka MF Staff, unsa ang kamahinungdanon sa usa ka Medical Mission?

Usa kini ka pamaagi ug kahimanan isip batakang tubag o hinanaling ayuda sa

panginahanglang panlawas sa komunidad nga adunay kalisdanan nga makatagamtam og
serbisyong medikal hilabi na sa panahon sa mga katalagman.

A process and a tool basically utilized to address or rapidly aid communities from
health insecurities and needs where medical services are scarce especially in times of
disaster.

II. Ngano nagalunsad kita og usa ka Medical Mission?

1. Project Implementation
2. Organizing
3. Consolidation/Recovery
4. Expansion

Community-based Health Response Outline

The Foundation has constantly adhered to the principles of Primary Health Care and strongly
believes on its effectiveness. Primary health care builds the first level contact of individuals,
their families and the whole community to the regional health system bringing health care as
close as possible to where people live and work, and constitutes the first element of a
continuing health care process.

In order to maximize its potential, the Foundation and the Community work together on the:
(1) establishment of focus population/areas;
(2) facility set-up;
(3) appropriate selection of health working group;
(4) continuing education;
(5) involvement and integration of health professionals; and the
(6) implementation, supervision and support.

These are the guidelines the Foundation will follow on its project implementation:
1. ESTABLISHMENT OF PROJECT RECIPIENTS
A. Focus Population
I. Indigenous People
II. Peasants and Fisher folks
B. Areas
I. Talaingod, Davao del Norte
II. Maco, Compostela Valley Province
III. Maragusan, Compostela Valley Province
IV. Mawab, Compostela Valley Province
V. Mabini, Compostela Valley Province
VI. Lupon, Davao Oriental
VII. Cabanglasan, Bukidnon
VIII. San Fernando, Bukidnon
IX. Quezon, Bukidnon
X. Pangantucan, Bukidnon
XI. Tagum City, Davao del Norte
XII. Paquibato District, Davao City
2. FACILITY SET-UP
A. Community Wellness Clinic
I. Location Guidelines:
a. Service areas: 50 sitios (20-50 households per sitio)
b. Emergency Mobile
c. Security
 II. 200 sq. meters of floor area
III. Communication Signal
3. APPROPRIATE SELECTION OF CHWs
A. 20 Community Nominated and Selected participants per area
I. Youth, Mothers, Health Practitioners, Women Leaders
II. Literacy: Fair
III. Committed
IV. Mobile
4. CONTINUING EDUCATION
A. Ladder-type Training Course
I. Pre-course: Community Assessment Part 1
II. Module 1: Basic Health Orientation and Skills
a. Health Primer
i. International
ii. National
iii. Local
b. Health Awareness
i. Concept of Health and Disease
ii. Nature and Mankind
iii. Sanitation (Hygiene and Environment)
iv. Food and Nutrition (Malnutrition Monitoring)
v. Potable Water Supply
c. Health Skills
i. Vital Signs
ii. Traditional Medicine (Herbal Making)
iii. Common Signs and Symptoms (Cause and
Management)
III. Community Assessment Part 2
IV. Module 2: Health and Disaster Resilience
d. Disaster and Hazards
i. Concept of Health and Disaster
ii. Natural and Man-made Disasters
iii. Health Implications
iv. Disaster Cycle
b. Health Skills
i. Home Remedies and Wound Management
ii. Basic Medicine and Drug Orientation
iii.
V. Module 3: Maternal and Child Care
a. Women’s Health and its Wholeness
i. Culture, Economy, and Society
ii. Sexuality and Reproduction
iii. Coercion and Violence
iv. R.A. 9710: Magna Carta for Women
b. Health Skills
i. Conception and Pregnancy
ii. Complications of Pregnancy
iii. Labor and Delivery
iv. Breastfeeding
v. Family Planning
VI. Module 4: Organization Building
c. Leadership and Management
i. Leaders and Managers
ii. Committee System
iii. Concept of Assessment and Evaluation
iv. Building a Positive Culture
v. Role Recognition
 d. Workshop
i. Teaching and Public Speaking
ii. Psychosocial Intervention Training
iii. Health Program/Campaign Creation
iv. Proposal Making
e. Establishing the Guidelines
B. Exchange Training and Hospital Exposures
5. INVOLVEMENT AND INTEGRATION
A. The Community/People’s Organization
I. Nomination and Selection of Participants
II. Training and Facility Location
III. Personnel
IV. Accommodation
B. The Foundation
I. Courtesy Calls and Accreditation to the Local Government.
II. Project Orientation: Roles and Responsibilities
III. Training Supplies and Materials
IV. Training Resource Person
V. Equipment Supplementation
VI. Construction Materials
VII. Construction Monitoring
VIII. Networking of Medicine and Medical Volunteers
IX. Project Reports and Liquidation
X. Registration of Facility
6. IMPLEMENTATION, SUPERVISION AND SUPPORT

I. CONSULTATION PHASE (Month 1-3)

The Foundation will conduct a series of consultation meetings with community
leaders, people’s organization, and other institutions working within the areas to unify the
project’s objectives, accommodate first-hand suggestions from the recipient community, and
align other existing programs.

FINEST LOCATION FOR CONSTRUCTION

During the unification of the project, the community leaders and their people’s
organization is endowed to locate potential areas for the health facility to be built and provide
a temporary location for the trainings.

PROVISION OF AN ASSEMBLY
1 week after the meeting, an assembly of potential CHWs will be scheduled. The
Foundation will attend and support the community/people’s organization on their nomination
and selection of the participants.

ORIENTATION OF TRAINING COURSE

Participant profiling, discussion of needs, presentation of roles and consolidation of
the training schedules will be conducted. A community assessment will also be scheduled
prior to the training course proper.

COURTESY CALLS AND ACCREDITATION

Preparation and delivery of letters and other needed documents to the offices of the
Provincial, Municipal, Barangay government units.

II. Pre-implementation Phase (Month 4-6)

COURTESY AND ACCREDITATION FOLLOW-UP

Sudden changes and additional requirements that shall be implied by the local
government units during the course of accreditation shall be dealt early for immediate
supplementation.
LOT SURVEY
The provided location of the birthing home will be measured and examined for
hazards, physical features, boundaries, waste management, and accessibility.

LEARNING TOOLS
Training modules and survey tools will be produced and provided to each of the
participant.

NETWORKING FOR MEDICAL PROFESSIONALS

Medical missions are incorporated after each training to serve as their culmination to
stage their newly acquired skills and able to learn the process of conducting such program.

COMMUNITY ASSESSMENT TRAINING

Theoretical inputs and workshops will be given to the 20 participants each area. The
5-day training shall be held at the temporary training centers.

III. Implementation Phase (Month 7-30)

Health facility set-up, training and health campaigns will be simultaneously
implemented in each area. The trainers will move on to another area after the 7-day formal
learning session and culmination then a supervising personnel comes in to facilitate the
trained participants in completing a set of requirements and campaigns to be able to continue
to the next module. Health campaigns are continuous in nature and levels-up with every
module completed. There will be but not limited to 10 households assigned to each trained
participant as their focus group.

ALLOCATION OF DAYS PER AREA

A. Community Wellness Clinic

Construction:
183 days

B. Training Course

a. Module 1: 30 days BASIC HEALTH ORIENTATION AND SKILLS

6 days Stay-in Training & Workshop
1 day Culmination: Medical Mission

Health Campaign:
Sanitation and Nutrition Drive (Family Orientation)
Vital Signs Monitoring

20 days Completion of Skills Requirements for Module 2

2 days Assessment and Evaluation
1 day Case Presentation

b. Module 2: 50 days HEALTH AND DISASTER RESILIENCE

6 days Stay-in Training & Workshop
1 day Culmination: Medical Mission

Health Campaign:
Sanitation and Nutrition Drive (Implementation)
Vital Signs Monitoring

40 days Completion of Skills Requirements for Module 3

2 days Assessment and Evaluation
1 day Case Presentation
c. Module 3: 50 days MATERNAL AND CHILD CARE
6 days Stay-in Training & Workshop
1 day Culmination: Medical Mission

Health Campaign:
Sanitation and Nutrition Drive
Vital Signs and Pregnancy-Risk Monitoring
Potable Water Supply

40 days Completion of Skills Requirements for Module 4

2 days Assessment and Evaluation
1 day Case Presentation

IV. Consolidation Phase (Month 31-36)

A provision for an assembly to all trained health workers in enhancing the
cohesiveness as well as direct discussion especially on the difference in tribal diversity, the
adversities faced, and the strategies made throughout the program.

d. Module 4: 30 days ORGANIZATION BUILDING

6 days Stay-in Training & Workshop
2 days GENERAL ASSEMBLY

Medical Mission Procedure:

1. Consultation
a) Community Leaders
b) Partner Institution
2. Planning and Strategy Drafting
a) Tasking
i. Preparation
ii. Technical
iii. Finance Generation
iv. Manpower
3. Implementation
a) Preparation
i. LGU Courtesy
1. Provincial
a) NCIP
b) Tribal
2. Municipal/City
3. Barangay
4. Purok
*NOTE:
a. Makakuha og receive copy/Endorsement letter sa matag LGU.
b. Dili mu-proceed sa usa ka misyon kung walay 3 out of 4 sa mga kortesiya.
c. Bonus nalang depende sa kapitan kung okay ra nila nga mudiretso na lang
ug misyon.

ii.Area
1. Demographics
2. Logistics
3. Venue sa Misyon
4. Linkaging/Coordination sa Local Health Workers
NOTE:
a. 1 week minimum nga igahin nga panahon.
b. Dili mumubo niana aron maka-adjust pa sa mga kausaban.
c. Sa mga QRTs: Stat ang preparation (1 day max)
d. Venue:
i. Lapad nga lugar
ii. Maayong bentilasyon
iii. Adunay shed
1. Pwedeng:
a) Simbahan
b) Gym/Covered Court
c) Eskwelahan
iv. In the maximum adunay kuryente (depende sa area)
v. Adunay source sa limpyong tubig
vi. Andam sa mga lamesa, bangko, trapal, Sound system (kung naa
lang) for Registration/VS, Consultation, Dispensing, Surgery, Dental
vii. Sa dental ug tuli: Need nga adunay exclusive nga lugar (dili makita sa
kadaghanan o exposed).

b) Technical
i. Supplies/Materials
1. Registration Box
a) Forms
i. Master List (for Clients)
ii. Attendance ( for Personnel and Volunteers)
iii. Consultation (Px Record)
1. Medical/Sx
2. Dental
iv. Rx
v. Laminated Priority Numbers (1-100)
b) Supplies
i. Ball-pen
ii. Pencil No.2
iii. VS Kit
1. BP
2. Stethoscope
3. Digital Thermometer
iv. Timbangan (Foot Scale)
v. Pulse Oximeter
vi. Infra-Thermometer
vii. Penlight
viii. Registration Tarpaulin
ix. Packaging Tape
x. Stapler ug Bala
xi. Permanent Marker
xii. Tie Box
xiii. IDs
xiv. Camera
xv. Gunting
2. Pharma Box
a) List of Medicines
i. Cardiovascular
1. Antihypertensive
(Losartan,Captopril,Amlodipine, Metoprolol)
2. Antiglycemic
(Metformin)
ii. Antipyretic/Analgesics/Anti-inflammatory
1. Acetamenophen
(Paracetamol)
2. NSAIDS
(Mefenamic, Diclofenac)
iii. Respiratory
1. Antitussive
(Guaifenesin)
 2. Mucolytics/Expectorants
(Carbocisteine, Lagundi, Ambroxol)
3. Bronchodilators
(Salbutamol, Salbu+ipra Nebules)
iv. Gastrointestinal
1. Antispasmodic, Anti-emetics, Anti-motility
(Dicycloverine, Domperidone, Hyoscine)
2. Antacids, H2-Blockers, PP Inhibitor
(Almag, Omeprazole, Ranitidine)
3. Antihelmentic
(Mebendazole, Albendazole)
4. Antidiarrhea (ORS, Zinc SO4)
v. Supplements and Vitamins
(MV+ Iron, B-complex, Ascorbic acid)
vi. Antibiotic
(Amoxicillin, Cefalexin, Cloxacillin, Ciprofloxacin,
Cotrimoxazole, Metronidazole, Gentamycin
Ointment/drops)
vii. Antihistamine (Cetirizine, Loratidine, Chlorphenamine,
Phenyl/propanol/amine)
b) Gunting
c) Alcohol 1 bot
d) Supot/ Ziplock
e) Ball-pen
f) Stapler c Bala
g) Garbage Bag
h) Measuring Cup/Dropper
i) Distilled H2o
3. Consultation
a) E-Kit
i. Drugs
1. Ranitidine Amp
2. Al+mag
3. Nifedipine
4. Captopril
5. Paracetamol Amp
6. Metoclopramide Amp
7. TT
8. Loperamide
ii. Supplies
1. Flash Light
2. VS Kit
3. Portable Nebulizer + Kit
4. Syringes (1cc,3cc,5cc,10cc)
5. Needles (G23-G26)
6. Minor Surgery set
a) Anesthesia (Lidocaine HCl 2%) 1box
b) Hemostat 2pcs
c) Needle holder 1pc
d) Suture c Needle (cutting) 1box
e) Mayo Scissor/metz 1pc each
f) Kelly Straight 1pc
g) Kelly Curve 2pcs
h) Thumb or Tissue Forceps 1pc
i) Kidney Basin 1pc
j) Surgical Blade 15 or 11
k) Blade Holder No.3 or No.4 1 pc
7. Povidone Iodine 1bot
8. Alcohol 1bot
9. Hydrogen Peroxide 1bot
 10. OS 100s pack
11. Plaster 1box
12. IV Fluids - PNSS500cc 2bots ug D5LR500cc 2
bots
13. Macroset 2sets
14. Microset 2sets
15. IV Cannula
a) G20-26 2pcs each
16. Laminated List for Inventory
17. Forms (Px Record, Rx)
iii. Doctor’s Kit
1. Candies
2. Biscuit
3. Tissue/wet wipes
4. Alcohol 1 bot
5. Tape measure 1
6. H2O
7. Penlight 1pc
8. Tongue Depressor 1box
4. Surgery Box
a) Minor Surgery (check consultation list)
b) Anesthesia (Lidocaine HCl 2%) 20ml vial 1box
c) OS
d) Plaster
e) Cotton Balls
i. Refer at e-Kit
f) Surgical Gloves (M,L)
g) Lysol 500ml 1 bot
h) Brush
i) Sabon Panlaba
j) Tray
k) Eyesheet (Papel)
l) Palanggana (3pcs)
m) Drapes/Curtains
n) Paper Plate + holder
o) Garbage Bag
p) Sharps Container
q) Towels
r) Newspaper
s) Packaging Tape
5. Dental Box
a) Dental Set
b) Dental Anesthesia (Lido+Epi Carpule) 2boxes
i. NOTE: 1carpule/px (max.2)
c) Topical Anesthesia
d) Dental Needle
i. Long 1box
ii. Short 1box
e) Cotton Balls
f) Working gloves (M,L)
g) Alcohol
h) Lysol
i) Brush
j) Sabon Panlaba
k) Palanggana (3pcs)
l) Towel
m) Drapes/Curtains
n) Garbage Bag
o) Sharps Container
p) Medicine
 i. Mefenamic 5 caps/px
ii. Amoxicillin 21 caps/px TIDx7days
iii. Tranexamic Acid 1 cap PRN
q) Paper plate + Holder
r) Surgical Mask (earloop)
c) Finance Generation
i. Logistics
1. Transportation - PhP 10,000.00
a) Van - PhP 3,000.00
b) Truck - PhP 4,000.00
i. NOTE: Minimum FREE, Maximum RENT (least)
c) Fuel - PhP 3,000.00
ii. Funds
1. Medicines and Supplies
a) Sponsor/Donations/Solicitation
2. Operational
a) Budget: PhP 250.00 per patient
iii. Food
1. Snack
a) PhP 10.00/snack x 3 snacks = PhP 30.00
2. Meals
a) PhP 50.00/meal x 3meals = PhP 150.00
3. H2O
a) PhP 25.00/Container x 4 Containers = PhP 100.00
4. Rice
a) PhP 40.00/kg (5pax/kg) x 3meals
iv. Sample:
a) Transportation =
b) Medicines and Supplies (400 px)
i. PhP 250.00
X 400 px = PhP 100,000.00
c) Food (35pax staff + Volunteers)
i. Snacks
1. 30.00 x 35 = PhP 1,050.00
ii. Meals
1. 150.00 x 35 = PhP 5,250.00
iii. H2O
1. 100.00 = PhP 100.00
iv. Rice
1. 35pax/5pax/kg
xPhP40.00
x3meals = PhP 840.00
TOTAL PhP 107,240.00
PhP 120,000.00

d) Manpower
i. Full Services (3n1)
1. Ratio
a) Registration
i. Registrar (1:100)
1. Requirement - Kaantigo ug Paspas musulat
ii. VS (1:50)
1. Requirement - minimum CHW Level
iii. Marshal (1:100)
1. Requirement - Alisto ug Oryentado sa flow
b) Consultation
i. Doctor (1:50)
ii. Marshal (1:100)
c) Surgery
i. Surgeon (1:50)
 ii. HW/RN (1:50)
1. Requirement - Kabalo Mutuli ug Mutanggal Cyst
iii. Auxiliary (2 persons)
iv. Tig-prepare (2 persons)
d) Dental
i. Dentist (1:50)
ii. Registrar (1:100)
1. Requirement - Kaantigo mu-VS, musulat
iii. Dispensing (1:100) - Kaantigo mupasabot
binisaya/nilumad
iv. Auxiliary (2 persons)
e) Pharma
i. Pharmacist (1:100)
ii. HW or PA (1:100)
1. Requirement - Kamao musulat/mubasa sa
reseta/mupasabot binisaya o nilumad
iii. Marshal (1:100)
1. Requirement - Alisto
f) Overall (Operationals)
i. Food Personnel/Committee
1. Tigluto (1:50)
2. Server (1:50)
ii. Liaison Personnel (1)
iii. Documentation (1)
ii. One Service Mission
1. Refer to per department ratio
iii. Sample:
1. 200 px Medical
2. 100 px Dental
3. 100 px Tuli
Manpower:
Food
Tigluto - 1
Server - 1
Liaison - 1
Documentation - 1
Consultation
Doctor - 4 4
Marshal - 2
Dental
Dentist - 2 2
Registrar - 1
Dispense - 1
Auxiliary - 2
Surgery
Surgeon - 2 2
HW - 2
Auxiliary - 2
Tig-prep - 2
Registration
Registrar - 2
VS - 2
Marshal - 2
Pharmacy
RPh - 2 2
HW/PA - 2
Marshal - 1
TOTAL - 35pax 10licensed

e) Existing Equipment:
 i. Laptop - 4
ii. Printer - 2
iii. Projector - 1
iv. Motor - 1
v. Vehicle - 1
f) Projected Needs:
i. Camera - 1
ii. Internet - 1
iii. Foot Scale - 1
iv. Gallery Boxes(BIG) - 3
v. Gallery Box (Small) - 1
vi. E-Kit (Tool Box) - 1
vii. Cooler Jug (Small) - 1
viii. Pulse Oximeter - 2
ix. Infra Thermometer - 2
x. Penlight - 4
xi. Flash light - 2
xii. Battery AAA - 4
e. Standard PPE/Dress Code
a) Pusod ang Buhok
b) Trimmed Nails
c) No Nail Color
d) Jeans/Cargo Pants
e) Rubber Shoes
f) Light Make-up
g) No Sleeveless
h) No Jewelry
i) Navy Blue Scrubs Upper (Staff)
j) Navy Blue Shirts (Volunteers)
f. RULES/POLICIES
a) Puli-puli pag magkaon (No Noon Break)
b) Assessment after Mission/Mag-ihap sa Top 5 diseases
c) Dili kalimtan nga mag-actual orientation pagabot sa area
d) ALWAYS jud nga Buddy system
e) Magdala ug baunan, kutsara, tinidor, tumbler
f) Magdala Extra Shirt
g) Tanan questions is si focal person lang ang pwedeng mutubag
h) One line command lang aron di magyagaw
i) Bawal pictyuran ang px sa dental ug tuli nga apil ang dagway
j) Magatalaga ug SQ marshal nga gikan sa han-ay sa insti
k) Musalmot ang tanan sa restoration after mission
l) Circle time 30minutes before Departure time
m) Unsay naprepare na food mao na, dili mag-inarte
n) Cut-off sa Registration is 1PM
o) Sabay muabot sabay mulakaw. Walay mag-apas2
p) Asseson ang mga kakulangan ug inote sa MM logbook ang collated data
plus mga evaluation sa mga participants