BULILIT HEALTH SCOUTS A CHILD TO CHILD APPROACH TO COMMUNITY HEALTH DEVELOPMENT UP-PGH DEPARTMENT OF PEDIATRICS

BULILIT HEALTH SCOUTSA CHILD TO CHILD APPROACH TO COMMUNITY HEALTH DEVELOPMENTUP-PGH DEPARTMENT OF PEDIATRICS

Demographics of San Juan

Second class municipality in the Province of Batangas, Philippines

Occupies the easternmost of the Province, 43 km east of Batangas City

Has a population of 87, 276 people in 16, 519 households

Has 42 barangays divided into 12 clusters Each barangay is headed by a barangay

captain and one sangguniang kabataan chairperson

UP-PGH - San Juan Partnership As a directive from UPCM Chancellor UP-CHDP as the organizing unit Initial plan: For Pediatrics Department to

develop a school program in collaboration with the CHDP plans

Accomplishments for the past 3 years

Community diagnosis as to the most common childhood illnesses (diarrhea, parasitism, Impacted cerumen, pediculosis, URTI/ Asthma, Child Abuse)

Development of teaching modules for all the 6 identified illnesses

Descriptive study on the K, S, A of elementary public school teachers with regards accomplishment of DepEd Health Form

Workshop for teachers as health partners in accordance with result of study conducted


Computer-based training of IMCI to interns and residents rotating in San Juan (Pilot Study)

Study on the awareness of San Juan on Child Abuse, followed by a workshop by the UP-PGH Child Protection Unit, headed by Dr. Madrid


Directive from UP-CHDP to focus on Child Advocacy rather than School Health

Development of concept of Child-to-Child Approach

Goals

Develop the child-to-child education aiming to equip key children in each barangay with the appropriate knowledge, skills and attitude on common childhood illnesses

That other children within their families, schools and communities be equipped with the exact same knowledge, skills and attitude through hand me down training

Reduce morbidity and mortality of children by making the children themselves knowledgeable on the common childhood illnesses in their area

Most common childhood health concerns/illnesses

Diarrhea Intestinal Parasitism Impacted Cerumen Pediculosis Upper Respiratory Tract Infections Asthma Child Abuse

Child-to-Child Approach

Refers to a style of child empowerment where children are active participants in their own development and the development of other children

Based on the belief that children, from whatever circumstances, are capable of helping themselves

Assumes that children will gain more from their development if they are active participants in the development process rather than passive recipients

Child to Child Approach

Programs employing the child-to-child approach aim to empower children with skills, knowledge and attitude to enhance not only themselves but to give them the ability to reach out to other children

Children who have acquired the appropriate skills, knowledge and attitude through various training programs are then able to share those assets with other children, in a variety of venues and using a variety of mediums

Pilot Study in Nagsaulay, San Juan Conducted in a public elementary school Grades 5-6 students previously involved

in health-related activities Following modules were done: Diarrhea,

Parasitism, Sexual Abuse

“Bulilit Health Scouts” Training Outline

“Getting to Know You” Introduction of the Training Workshop Training Workshop covering 6 modules:

Diarrhea Intestinal Parasitism Impacted Cerumen Pediculosis Upper Respiratory Tract Infections and

Asthma Child Abuse

“Getting to Know You”

The task of the workshop facilitators to make the children at ease with themselves and each other in order for them to participate well and be productive in the workshop.

Activities: Special names Name Game

Introduction of the Training Workshop

Objectives Be able to impart the goals of the workshop

to the children Be able to instill in them a sense of

responsibility

Training Module for Diarrhea

Objectives Define Diarrhea Understand the effects of continuous diarrhea

and vomiting Know the signs of a dehydrated child Know that one can give oral rehydration

solution to a child with diarrhea Know how to prepare oral rehydration solution

at home Know several methods by which diarrhea can

be prevented Know the proper technique of hand washing Know how to administer oral rehydration

solution in a child and older child with diarrhea

Training Module for Parasitism Objectives

Define what a Parasite is Understand how parasites are acquired and

how parasites affect the body Identify the signs and symptoms of a child

with parasitism Know several methods by which parasitism

can be prevented

Training Module for Impacted Cerumen

Objectives Appreciate the importance of hearing Know what is an ear wax Know what is the meaning of impacted

cerumen Know how to clean their ears properly

Training Module for URTI and Asthma

Recognize that URTI and asthma are two different disease entities

Describe symptoms and course of URTI Describe how an asthma attack feels like Identify that asthma is a chronic and

relapsing disorder Give ways by which an asthmatic can

handle an asthma attack

Training Module for Child Abuse Objectives

Identify a child’s rights Identify a child’s role in the society Understand what Child Abuse is Differentiate the different types of child

abuse Recognize sexual abuse (through

identifying good touch versus bad touch)

Time Table of Activities

Phase Date Specific Activities Expected Output /Outcomes

Planning January – May 2010

Courtesy call to municipal and barangay officials

Panel review of 6 modules Revision of modules Gathering of barangay data Establish timetable for

implementation of modules

Revised modules

Timetable completed from January 2010-December 2011

Map of San Juan Batangas, list of 42 barangays

Time Table of ActivitiesPhase Date Specific Activities Expected Output

/OutcomesPlanning June 2010 Courtesy call to municipal and

barangay officials Introducing the concept of Child-

to-Child Education to school officials of all barangays in San Juan Batangas (through joining the pre-school year meetings of both east and west barangays)

Creation of memorandum of agreement with school officials with regards to implementation of modules

Identification of children who attended the Child-to-Child modules by the social work department to be part of pool

Coordination with girl/boy scout coordinator per cluster for incorporation in this program

List of all schools in San Juan Batangas where Bulilit Health Scouts will be recruited

Names of at least 10 Bulilit Health Scouts per school

Names of barangays/schools to be visited per month

Signed memorandum of agreement

Time Table Of ActivitiesPhase Date Specific Activities Expected

Output /OutcomesImplementation July 2010

– November 2010


Training of Bulilit Health Scouts in 17 barangays (2 for June, 3 for each of the remaining months)

Breakdown of activities per week:o Tues: “getting to know

you”.o Wed – Fri: module 1 to 6 o Last week of the month –

reporting/ presentation of the month’s accomplishments

Evaluation of Bulilit Health Scouts knowledge of the different modules

Time Table Of Activities


End of the Year Evaluation

December 2010

Evaluation of Bulilit Health Scouts Program (July to November)

End of the Year Evaluation

Implementation January 2011 – March 2011


Training of Bulilit Health Scouts in 8 barangays (3 for January and February, 2 for March)


Time Table Of ActivitiesPhase Date Specific Activities Expected

Output /OutcomesEvaluation and Planning

April 2011 – May 2011


Graduation Rites for Bulilit Health Scouts

Meeting with Municipal Health officer, Mayor and other barangay officials reporting on the progress of San Juan

Joining the pre-school year meetings of the remaining barangays not yet visited

Evaluation of Bulilit Health Scouts Program (January to March)

Summary of activities from June 2010 to March 2011 including list of the Bulilit Health Scouts and their respective schools

Signed memorandum of agreement with remaining schools

Time Table Of Activities


Implementation June 2011 – November 2011


Training of Bulilit Health Scouts in 17 barangays (2 for June, 3 for each of the remaining months)


Evaluation December 2011

Evaluation of Bulilit Health Scouts Program

Synthesis of UP PGH Pediatrics Community Program for 5 years

Thank You!

Documents

BULILIT HEALTH SCOUTS A CHILD TO CHILD APPROACH TO COMMUNITY HEALTH DEVELOPMENT UP-PGH DEPARTMENT OF PEDIATRICS