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
Accomplishments for the past 3 years
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
Accomplishments for the past 3 years
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
Courtesy call to municipal and barangay officials
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
Phase Date Specific Activities Expected Output /Outcomes
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
Courtesy call to municipal and barangay officials
Training of Bulilit Health Scouts in 8 barangays (3 for January and February, 2 for March)
Evaluation of Bulilit Health Scouts knowledge of the different modules
Time Table Of ActivitiesPhase Date Specific Activities Expected
Output /OutcomesEvaluation and Planning
April 2011 – May 2011
Courtesy call to municipal and barangay officials
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
Phase Date Specific Activities Expected Output /Outcomes
Implementation June 2011 – November 2011
Courtesy call to municipal and barangay officials
Training of Bulilit Health Scouts in 17 barangays (2 for June, 3 for each of the remaining months)
Evaluation of Bulilit Health Scouts knowledge of the different modules
Evaluation December 2011
Evaluation of Bulilit Health Scouts Program
Synthesis of UP PGH Pediatrics Community Program for 5 years