Meeting with Barangay LGU February 28, 2024

1:00PM, Session Room

Barangay Hall, Villa Angela, Balulang

lowerbalulanghealthcenter@gmail.com
Lower Balulang Health Center
1. Flow of Program
a.
b.
2.
a.
b.
c.
d.
3.
a.
b.
 Ameerah S. Sani-Racman, MD
Medical Officer III

Jahzeel Mae H. Mejia, RN

Our Staff Public Health Nurse

Our personnel is composed of

1 MO, 1 PHN, 2 Midwives
Elvira A. Cugay, RM
and 3 HRH Nurses Midwife III

Janette P. Durano, RM
Midwife II
 Janievib E. Salvo, RN
HRH Nurse, DOH RO10

Our Staff
Deborah B. Udasco
Our personnel is composed of HRH Nurse, DOH RO10
1 MO, 1 PHN, 2 Midwives
and 3 HRH Nurses

Abelita A. Corporal
HRH Nurse, DOH RO10
 Conchita D. Nob Arsenia C. Aldave Maribeth M. Tan Virgie M. Pacudan

Joan Iris B. Mabaylan Gloria S. Magdugo Marlyn D. Caballero Nellie D.

Mangondatu

Arlyn M. Branzuela Celeste M. Tessie I. Salas Ma. Rodessa O.

Gayramara Torreta

Judy P. Galdo Vicenta S. Ladesma Aida A. Lomandong Shiela Marie L.

Ramos

Our BHWs Celedonio S. Belamia

Jr.
Loidaliza Viscayno Evelyn Mondelo
Sherlita Albores Eliren Macapayad
Dulce Libarnes Nimfa Tiauson
Mares Igbalic Everlita Abonitalla
Marife Joaquin Clawden Napigkit
Riza Mae Sereño

Our BNSs
 Services We Offer

National Immunization
Maternal and Child Care Family Planning
Program

Adolescent Friendly Noncommunicable

National TB Program
Facility Diseases

Cancer and PWD

Consultation Mental Health
Services
 National
Immunization
Program
This Program caters to the immunization
needs of the community. It includes the
Routine Immunization for children (0 - 24mos),
adolescent immunization (HPV) and adult
immunization (Flu and PCV23).
Completion of Routine Immunization

79.84% 70.59%
Annual Coverage Rate per Antigen
Defaulters per Purok
1 4
Governance and Leadership
Involves the supervision and overall planning
of the program and coordination with the LGU
and other pertinent organizations.
Demand for Services
Refers to consumers’ or community’s
desire and willingness to expend to
avail the services of the program.

5
Monitoring and Evaluation

2
Capacity Building
Includes the abilities and functions of the
staff members who work under the NIP.
Comprises of the systems that observe,
check, and keep continuous record of the
processes and data of the program.

3
Service Delivery
Involves the regular execution of the
program plans including actual vaccination
materials and logistics.

5 Aspects of the NIP

 1
Governance and
Leadership

4 5
Demand for
Services
2
Capacity Building
Monitoring and
Evaluation

3
Service Delivery

Program Flow of NIP

1 Challenges 2 Proposed
Encountered Solutions
Concerns and Activities that can help
problems that led to solve the problems and
low accomplishments. increase our overall
outputs
Governance and
Leadership
1 Challenges Encountered 2 Proposed Solutions
Attend and/or schedule regular meetings with BLGU
Coordination with BLGU can be improved
(through Kap. Micabani and Kag. Jay Acaylar)

Absence of a Barangay Ordinance regarding the Lobby to BLGU the need for an ordinance on
implementation of RA 10152 Child Immunization as mandated by RA 10152

Lack of operational funds for Reaching Every Purok Craft and present a budget plan for REP
(REP) sessions sessions for the entire year

Need of an annual/quarterly schedule for REP Craft an annual/quarterly schedule for REP sessions
sessions per purok specifying point persons and logistics

Submit monthly report to Kag. Acaylar regarding

Absence of monthly report of Health Center to BLGU
Health center accomplishment per month

Governance and Leadership

Capacity Building
1 Challenges Encountered 2 Proposed Solutions
Conduct a lecture on masterlisting ang data
Personnel’s need for training and updating skills in
recording
masterlisting and recording
(Already done c/o Relief International last 1/22/24)

Need of training and empowerment of BHWs and BNS Lecture and return demonstration of personnel
on health teaching skills regarding immunization on doing health teaching about immunization

Nurses’ and midwives’ need on regular updating of Attend seminars on immunization protocols
knowledge and skills on immunization protocols and and guidelines and share information to other
guidelines health center personnel regularly

Capacity Building
Service Delivery
1 Challenges Encountered 2 Proposed Solutions

Regularly check with NIP nurse coordinator the

Insufficient vaccine stocks (i.e., Pentavalent vaccine) availability of Penta vaccines; request and acquire
stocks - ongoing

Acquire new fridge thermometer from CHO (or

One of the two fridge thermometers is not calibrated
from BLGU if available)

Coordinate with Safety Officer Mundo for

Lack of regular collection of sharps
management of medical wastes - ongoing

Service Delivery
1 Challenges Encountered 2 Proposed Solutions

Coordinate and conduct more REP sessions this

Inadequate REP sessions done since pandemic due to
year (2024) to reach more defaulters and new
limited movement
enrollees to program

Set up a catchment location in Oro Culai by utilizing

Clients from puroks near the border go to Macanhan
the daycare center, and by holding immunizations
Health Center rather than to our center.
there twice a month.

Service Delivery
Demand for Services
1 Challenges Encountered 2 Proposed Solutions
Be more proactive in engaging the community by
distributing posters, infographics, pamphlets in
puroks (house-to-house)

Insufficient effective information dissemination Setup and maintain social media page (ongoing
regarding free vaccination on Facebook)

Visitation to institutions around Lower Balulang i.e.,

schools, churches, mosques, HOA, etc. and perform
Key Informant Interview (KIIs) with selected
institutional leaders concerning immunization

Insufficient health education strategies and initiatives Coordinate with CHO-HEPU and conduct heald
in puroks regarding vaccine safety and effectiveness education activities in puroks

Demand for Services

1 Challenges Encountered 2 Proposed Solutions
Absence of patient satisfaction surveys to know the
Conduct client feedback survey every Thursday
needs and preferences of the clients from the ground

Lack of incentives/rewards for those who complete Incentivize completion of routine immunization
their vaccination on schedule schedule, but discourage monetary incentives.

Bare interior design/setting and lack of ambience of Improve health center setup by putting up more
health center posters and informative resources.

Demand for Services

Monitoring and
Evaluation
1 Challenges Encountered 2 Proposed Solutions

Records and documents can still be better organized Maintain an offline and online recording system

No regular schedule of updating the masterlist of Setup a community profile and regularly update
BHWs per purok the masterlists

Request from CHO or BLGU to employ IT or

Absence of IT personnel encoder for maintenance of electronic medical
record (EMR) system

Regular updating of defaulter tracking list and

Follow up system and defaulter tracking can be
conduct follow up via phone call/text or house-
improved
to-house visitation with BHWs

Monitoring and Evaluation

 Community
1. Set Up a Community Profile
2. Make a Community Diagnosis
3. Update Community Spot Map
4. Improve Community presence and engagement
- via FB, messenger, posters, infographics,
2024 Goals 5. Strengthen partnerships with community
institutions (schools, churches, mosques, etc.)
and other government and non-government
offices (i.e., DSWD for 4Ps, BFP, Cagayan
Youth, etc.)
6. Conduct More Health Education and Health
Promotion activities
 Health Center
1. Organize a Functional Records System - logbooks,
forms, folders, online databases
2. Craft a Health Center Guideline Book for Protocols
3. Transition to an Electronic Medical Records System
(iClinicsys)
2024 Goals 4. Transition to becoming an E-Konsulta Center
5. Gain Level 2 as AFHF
6. Facility Structural and Physical Improvements
7. Consistency in Having Medicine Supplies
8. Organization and management of medical and
administrative supplies
9. Set up a Routine Calendar of Activities
10. Setup Algorithm for Daily Operation of Health Center
1 2
Planning and Mobilizing Societal Power and Community
Influence

3 4
Finances and Material Assistance Cooperation and Coordination

Where does the LGU come in?