University of Luzon Graduate School

Dagupan City

Appendix A
Letter of Request to Conduct the Study

22 December 2018

DR. CARMELO JOHN E. VIDAL

Dean, Graduate School
University of Luzon

Dear Dr. Vidal:

The undersigned is conducting a study titled, Integrated Management

of Childhood Illness (IMCI) in Community Health Centers (CHCs) in
Baguio City, in partial fulfillment of her requirement in the Master of Arts
in Nursing (MAN) Program.

The study primarily aims to determine the extent of implementation of

IMCI in the CHCs, the factors that could have affected its implementation,
and the possible explanation of the extent of implementation. The
researcher believe that the findings of this study can help not only the
health workers in the said CHCs but the policy and decision makers as
well in the City Health Office and DOH-CAR, with regards to the
improvement or strengthening of the implementation of IMCI as a child
survival strategy.

In this regard, may the undersign seek your approval of the conduct of
this study. Your approval will greatly help primarily the undersign
student fulfill her requirement, and most of all, the health workers who
implements the IMCI program in the City of Baguio.

Thank you very much in anticipation of your approval.

Respectfully yours,

(SGD) JOCELYN M. ERORITA-DELA VEGA

MAN Program Student

Noted by:

(SGD) Dr. MARIBETH J. DULNUAN

Adviser

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Appendix B
Letter of Request to Gather Data

07 January 2019

DR. ROWENA P. GALPO

City Health Officer
Baguio City Health Office
T. Alonzo St., Baguio City

Dear Dr. Galpo:

The undersigned is conducting a study titled, Integrated Management

of Childhood Illness (IMCI) in Community Health Centers (CHCs) in
Baguio City, in partial fulfillment of her requirement in the Master of Arts
in Nursing (MAN) Program.

The study primarily aims to determine the extent of implementation of

IMCI in the District Health Centers, the factors that could have affected
its implementation, and the possible explanation of the extent of
implementation. The researcher believe that the findings of this study can
help not only the health workers in the DHCs but the policy and decision
makers as well in the City Health Office, and DOH-CAR with regards to
the improvement or strengthening of the implementation of IMCI as a
child survival strategy.

In this regard, may the undersign seek your approval to conduct the study
and gather the necessary data from the 16 District Health Centers in
Baguio City.

Attached is a copy of the questionnaire that will be used to gather the

necessary data for the study.

Thank you very much in anticipation of a favorable response.

Respectfully yours,

(SGD) JOCELYN M. ERORITA-DELA VEGA

MAN Program Student

Noted by:
(SGD) Dr. MARIBETH J. DULNUAN
Adviser, and MAN Program Coordinator

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Appendix C

Sample Letter for the Validators

03 January 2019

DR. NORENIA DAO-AYEN

Associate Dean, School of Nursing
Saint Louis University
Bonifacio St., Baguio City

Dear Dr. Dao-Ayen:

Greetings of Peace!

The undersigned is conducting a study titled, Integrated Management of

Childhood Illness (IMCI) in Community Health Centers (CHCs) in Baguio
City, in partial fulfillment of her requirement in the Master of Arts in Nursing
(MAN) Program.

The study primarily aims to determine the extent of implementation of IMCI in

the CHCs, the factors that could have affected its implementation, and the
possible explanation of the extent of implementation. The researcher believe
that the findings of this study can help not only the health workers in the said
CHCs but the policy and decision makers as well in the City Health Office and
DOH-CAR with regards to the improvement or strengthening of the
implementation of IMCI as a child survival strategy.

As an expert in the field of interest, may I seek your assistance in validating the
content of the research instrument before the actual data gathering procedure.
Your utmost comments and suggestions will definitely help in the process of
organizing and integrating the accuracy and validity of the instrument.

Attached is a copy of the questionnaire, the statements of the problem, and the
content validity index for your perusal.

Your assistance is deeply appreciated.

Respectfully yours,

(SGD) JOCELYN M. ERORITA-DELA VEGA

MAN Program Student

Noted by:

(SGD) DR. MARIBETH J. DULNUAN

Adviser, and MAN Program Coordinator

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Appendix D
Letter for the Respondents

07 January 2019

Dear Respondents:

The undersigned is conducting a study titled, Integrated Management

of Childhood Illness (IMCI) in Community Health Centers (CHCs) in
Baguio City, in partial fulfillment of her requirement in the program
Master of Arts in Nursing (MAN). The researcher believe that the findings
of this study could help in the policy and decision making with regards to
the improvement or strengthening the implementation of IMCI.

As the PHN and considered manager of the DHC, your participation is

highly requested. It is stressed that your participation in this study is
voluntary and all efforts to protect your identity and to keep the
information confidential will be taken and strictly observed.

This questionnaire has three parts: the profile, the criteria measuring the
extent of IMCI implementation, and the factors that could hinder the
implementation of IMCI. Please answer all of the items as honestly and as
objectively as possible. The questionnaire can be answered with the help
of the IMCI trained personnel.

Your perception, observation, and cooperation is deeply appreciated.

With high esteem and regards,

(SGD) JOCELYN M. ERORITA-DELA VEGA

MAN Student

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Appendix E

Sample Participant Informed Consent

“Integrated Management of Childhood Illness in Community

Health Centers in Baguio City”

I, Ms. Jocelyn M. Erorita-dela Vega, a student of the Master of Arts

in Nursing (MAN) Program in the University of Luzon, is conducting a
research study titled, “Integrated Management of Childhood Illness in
Community Health Centers in Baguio City”. The study aims to determine
the extend of implementation of IMCI in the community health centers in
Baguio City. As the Public Health Nurse in your District and the best
source of information, may I invite you to participate in the said research
study.

Please be informed that there are no known risks if you decide to

participate and there are no costs to you for participating in the study.
On the other hand, there will be no monetary compensation to be given
for your involvement in the study.

The questionnaire will take about 15 to 20 minutes to complete,

and if selected, the interview will take about 30 to 45 minutes but will not
be conducted on the time of the answering of the questionnaire. The
interview will be set on your most convenient time. The information that
you will provide will not only help you plan the IMCI program
implementation but will assist the administrators of both the City Health
Office and the Department of Health-Cordillera Administrative Region in
the decision- and policy-making for the IMCI program. The result of this
study will likewise benefit the nurse educators teaching IMCI and the
other health practitioners in efficiently delivering health services through
the IMCI strategy.

The data collection will follow the ethical procedure wherein your
identity will be considered anonymous. This will assure you that no one
will be able to identify you or associate your answers to your identity.
Likewise, the information you provided will be treated with utmost
confidentiality. Should the data be published or disseminated, no
individual information will be disclosed.

Please take note too that your participation in this study is

voluntary. You are free to decline to answer or to participate, in case you
do not wish for any reason. Should you wish to withdraw from the study,
you may verbalize your intent to the researcher.

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Should you have any other questions about the study, please
contact the researcher on the following numbers: 0917-675-2011 (Globe)
or 0921-506-3695 (Smart).

Thank you in anticipation of your participation.

Jocelyn M. Erorita-dela Vega

Researcher

PARTICIPANT’S CONSENT

Check the items:

_____ I have received enough information about this study

_____ I have had an opportunity to ask questions and discuss this

study

_____ I have received satisfactory answers to all my questions

_____ I understand that I am/ the participant is free to withdraw from

this study

_____ I AM WILLING to take part in this study

_____ I AM NOT WILLING to take part in this study

__________________________________________ ________________
Name and Signature of the Respondent Date

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Appendix F

Sample Questionnaire

“Integrated Management of Childhood Illness (IMCI) in Community

Health Centers (CHCs) in Baguio City”

Please answer the questionnaire sincerely.

Part 1. Please put a tick ( √ ) mark on the space that corresponds to your
answer.

Does your District Health Center have an IMCI Trained Personnel?

Yes: _______ No: ______

If No: Please explain briefly why your DHC has no IMCI trained personnel:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
__________________________________________________________. Thank You

If Yes, please indicate who and how many are trained in IMCI:
If PHN: (how many) ________ if Midwife: (how many) _______

What Type of IMCI Training was attended?

_____ Standard 11-Day Training Course
_____ Short Abridged (5-Day) IMCI Training Course
_____ IMCI Computerized Adaptation and Training Tool (ICATT)

How many months has/have the trained personnel been practicing IMCI
(since training in IMCI)?
_____ 1-11 months _____ 12-23 months _____ 48 months or more
_____ 24-35 months _____ 36-47 months

Part 2. Extent of Implementation of IMCI in your District Health

Center (DHC). Please measure the extent of IMCI implementation in your
DHC using the following criteria:

A. Human Resource Capacitation refers to the activities or strategies

being done by the Department of Health and the Local Government
Unit (LGU) to improve the skills of health workers through training

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and provision of learning materials to ensure the reinforcement of

correct assessment and management of sick children and infants.

For the criteria on human resource capacitation, use the scale below:
Extent of IMCI Scale Qualitative Description
Implementation Value
Very Satisfactorily 4 The activity/criterion is always or 90-100
Implemented percent carried out or applied.
Satisfactorily 3 The activity or criterion is often or 50 to
Implemented 89 percent carried out or applied.
Poorly Implemented 2 The activity or criterion is seldom or 25 to
49 percent carried-out or applied.
Not Implemented 1 The human resource activity or criterion
is never carried-out or applied.

Please put a tick ( √ ) mark on the space that corresponds to your

answer.
Extent of
Human Resource Capacitation Implementation
VSI SI PI NI
1. All IMCI Implementors:

a) underwent hands-on clinical practice;

b) trained on caring for the sick child in the
community;
c) trained on caring for the newborn at home;
d) trained on caring for the healthy child at home;
e) received regular and periodic updates on IMCI
strategy.
2. IMCI Training is included as part of the in-service
training of all health workers.
3. On-the-job mentoring is being done in the DHC.

B. Health Systems refers to the existing schemes, the organized or

established procedures or processes that the DHCs are
implementing to achieve the goals and objectives of IMCI. This
would include the provisions of supplies, services, and facilities to
facilitate the implementation of IMCI.

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For the criteria on health systems, use the scale below:

Extent of IMCI Scale Qualitative Description
Implementation Value
Very satisfactorily 4 The essential supplies, equipment,
Implemented facilities, and instruments are always
available and functional
Satisfactorily 3 The essential supplies, equipment,
Implemented facilities, and instruments are often
available and functional
Poorly Implemented 2 The essential supplies, equipment,
facilities, and instruments are seldom
available and functional
Not Implemented 1 The essential supplies, equipment,
facilities, and instruments are never
available and functional

Please put a tick ( √ ) mark on the space that corresponds to your

answer.

Extent of
Health System
Implementation
VSI SI PI NI
1. IMCI service is provided on a daily basis.
2. IMCI service is provided to all visiting
children.
3. The DHC have allocated budget for
operational IMCI service and implementation
(form procurement or reproduction, booklet of
chart procurement, program for IMCI
promotion to the community).
4. The IMCI trained personnel have received
followed-up visits from IMCI
facilitators/supervisors at least once.
5. Availability of all essential medicines for use of children
under 5 years old
Pre-referral treatments (injectables)
a) Ampicillin
b) Benzyl Penicillin
c) Diazepam
d) Gentamycin
Oral Drugs for Home Treatment
d) Amoxicillin
e) Cotrimoxazole

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f) Ciprofloxacin
g) Paracetamol
h) Nystatin (oral suspension)
For Rehydration
l) New Standard/Low osmolality ORS
m) IVF NaCl 0.9%
n) IVF Lactated Ringers Solution
Treatments/Supplements
o) Albendazole/Mebendazole
p) Iron syrup
q) Iron/Folate tablets
r) Vitamin A
s) Zinc (Tablets/syrup/drops)
Other Treatments
t) Gentian Violet
u) Salbutamol Inhaler
v) Quinolone ear drops
w) Tetracycline eye ointment
6. Availability of facilities and infrastructure for IMCI
a. Room for IMCI/enough space to assess
the child
b. Updated IMCI recording Forms
c. Updated IMCI chart booklet
d. Updated IMCI wall charts
7. Availability of essential medical devices for IMCI
a. Blood pressure meter with a cuff for
children.
b. Respiratory timer for acute respiratory
infections.
c. Mid-upper arm circumference tape
8. The DHC has well-established referral care
and mechanism (like the use of referral slips,
on-call ambulance drivers)
9. The DHC is regularly and periodically
monitored and evaluated for IMCI
implementation

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C. Community Approaches refers to the organized or established

activities or strategies that the health workers are implementing in
their area of responsibilities/catchment barangays to gain the
cooperation, the participation, and the support of the target
clientele or of the whole community. This would include the
conduct of health education activities, health promotion strategies,
and the integration of IMCI in other related government projects
and activities.

For the criteria on community approaches, use the scale below:

Extent of IMCI Scale Qualitative Description
Implementation Value
Very satisfactorily 4 The activity is always or 90-100
Implemented percent done.
Satisfactorily 3 The activity is often or 50 to 89
Implemented percent done
Poorly Implemented 2 The activity is seldom or 25 to 49
percent done
Not Implemented 1 The activity or criterion is never
done

Please put a tick ( √ ) mark on the space that corresponds to your

answer.
Extent of
Community Approaches Implementation
VSI SI PI NI
1. The DHC health workers conduct programs for
the promotion of IMCI to the community.
2. The midwives counsel during child services in
the DHC.
3. The DHC health workers integrate IMCI with
other related community programs (like
counselling the mothers/caregivers on how to
feed the child during feeding programs/activities;
signs of good attachment while breastfeeding
during maternity or prenatal classes)
4. The DHC health workers conduct information
dissemination activities (i.e., distribution of
posters or leaflets, home visits, and the like.

Part III. Factors hindering the implementation of IMCI. Based on

your observation and experience, which of the following factors are
hindering or holding back the implementation of IMCI in your DHC. You

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can identify as many as you can. Please put a tick ( √ ) mark on the space
that corresponds to your answer.

Behavioral and Environmental Factors

1. IMCI guidelines require adequate time for implementation.

2. Care takers/mothers cannot tolerate the long assessment and
treatment time.
3. Lack of compliance by parents and guardians during home
treatment.
4. Lack of follow-up and adherence to IMCI guidelines by the
health worker.
5. Problem of community acceptance. The caretakers/mothers
prefer to be seen by a doctor than by a health worker using
IMCI process.
6. Lack of time to conduct counselling because of long
assessment and treatment time
7. Some mothers/care takers are not satisfied with the approach
since most believe that the more drugs given to the child the
better the treatment/management.
8. Others (please specify)

Educational and Ecological Factors

1. Shortage/high turnover of health care workers compared to

very many children seeking treatment.
2. Lack of supervision on IMCI implementation in the
3. IMCI guidelines is not user friendly
4. Shortage or absence of forms/tools/facilities and
infrastructures to support IMCI
5. Shortage of essential drugs especially for treating pneumonia,
diarrhea (ORS), and malaria
6. No drug administered to the children with green classification.
7. Insufficient training. The Health Worker feels that the training
was too short to learn the necessary skill.
8. Insufficient years of IMCI practice. The health worker feels that
he/she does not have the necessary competence to do IMCI on
sick children or infant.
Others (please specify)

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Appendix G

Interview Guide

1. How will you describe your training in IMCI?

2. How do you find the IMCI algorithm?

3. How is IMCI implemented in your DHC? How often is IMCI strategy

used for under-five children?

4. How do you procure or replenish your supplies for IMCI?

5. When was the last time your trained IMCI health workers were

visited by facilitators/supervisors for follow-up?

6. How is IMCI implementation in your DHC monitored and

evaluated?

7. How do you promote IMCI program in your community?

8. What are the problems you usually encounter in the

implementation of IMCI in your DHC?

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Appendix H

Validation Form to Establish the Content Validity

of the Questionnaire

Name of Validator: ________________________________________________

(Optional)

DIRECTION: Attached with this validation form is a questionnaire containing

items pertaining to the “INTEGRATED MANAGEMENT OF CHILDHOOD
ILLNESS IN COMMUNITY HEALTH CENTERS IN BAGUIO CITY”. Kindly
evaluate the items and indicate the extent of your appraisal in each item as
listed by putting a check mark (√) on the blank space opposite each criterion
using the corresponding scale as indicated:

Excellent Very Good Fair Poor

Indicators Good
(5) (4) (3) (2) (1)
A. Representation of the content
1. The questionnaire
proportionally represents the
extent of implementation of IMCI in
the CHC.
2. The questionnaire is logically
distributed with respect to extent
of implementation of IMCI in the
CHC.
B. Suitability of the Survey
Questionnaire
1. The questionnaire is worded in
brief and concise manner that
caters to the ability of the Public
Health Nurse.
2. The Survey questionnaire is
worded to cater to the
comprehension of the Public
Health Nurse.
C. Suitability of the Questionnaire
to the Behavioral Pattern of the
Public Health Nurse
1. The questionnaire reflects the
actual status of the
implementation of IMCI in CHCs in
Baguio City.
2. The questionnaire is written to
cater to the behavioral pattern of
the Public Health Nurse.

_____________________________________________
Name and Signature of Validator

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Appendix I

Result of Validators’ Rating Establishing the

Content Validity of the Questionnaire

(N=4)

M DE
Indicators (5) (4) (3) (2) (1)
A. Representation of the content
1. The questionnaire 1 3 4.25 Ex
proportionally represents the
extent of implementation of
IMCI in the CHC.
2. The questionnaire is 4 5.0 Ex
logically distributed with
respect to extent of
implementation of IMCI in the
CHC.
B. Suitability of the Survey Questionnaire
1. The questionnaire is worded 4 5.0 Ex
in brief and concise manner
that caters to the ability of the
Public Health Nurse.
2. The Survey questionnaire is 2 2 4.50 Ex
worded to cater to the
comprehension of the Public
Health Nurse.
C. Suitability of the Questionnaire to the Behavioral Pattern of the Public
Health Nurse
1. The questionnaire reflects 3 1 4.75 Ex
the actual status of the
implementation of IMCI in
CHCs in Baguio City.
2. The questionnaire is written 3 1 4.75 Ex
to cater to the behavioral
pattern of the Public Health
Nurse.
OVERALL MEAN 4.75 Ex

Legend:

Scale Scale Limit Descriptive Equivalent

5 4.20 – 5.00 Excellent (Ex)
4 3.40 – 4.19 Very Good (VG)
3 2.60 – 3.39 Good (G)
2 1.80 – 2.59 Fair (F)
1 1.00 – 1.79 Poor (P)

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Appendix J

Result of Reliability Test

Summary Item Statistics

Mean Minimum Maximum Range Maximum / Variance N of Items
Minimum
Item Means 2.610 1.100 3.900 2.800 3.545 1.026 45

Scale Mean if Scale Corrected Cronbach's

Item Deleted Variance if Item-Total Alpha if Item
Item Deleted Correlation Deleted
VAR00001 127.0000 168.444 .032 .841
VAR00002 127.0000 168.444 .032 .841
VAR00003 127.0000 168.444 .032 .841
VAR00004 127.0000 168.444 .032 .841
VAR00005 127.9000 158.544 .283 .838
VAR00006 128.0000 162.667 .463 .834
VAR00007 127.3000 167.344 .087 .840
VAR00008 127.8000 167.956 .043 .841
VAR00009 127.1000 169.211 -.023 .841
VAR00010 127.0000 173.111 -.304 .845
VAR00011 127.2000 167.956 .013 .844
VAR00012 128.0000 159.111 .291 .837
VAR00013 127.3000 163.789 .193 .839
VAR00014 129.3000 157.789 .691 .829
VAR00015 129.3000 157.789 .691 .829
VAR00016 129.3000 157.789 .691 .829
VAR00017 129.3000 157.789 .691 .829
VAR00018 129.4000 163.378 .704 .834
VAR00019 128.4000 151.156 .447 .832
VAR00020 127.9000 171.656 -.121 .855
VAR00021 129.4000 163.378 .704 .834
VAR00022 127.0000 159.778 .497 .832
VAR00023 128.1000 155.433 .385 .834
VAR00024 128.5000 150.722 .509 .830
VAR00025 126.8000 163.956 .402 .835

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VAR00026 129.3000 157.789 .691 .829

VAR00027 129.4000 163.378 .704 .834
VAR00028 129.4000 163.378 .704 .834
VAR00029 126.7000 163.789 .482 .835
VAR00030 126.6000 165.156 .481 .836
VAR00031 129.4000 163.378 .704 .834
VAR00032 127.7000 156.233 .314 .838
VAR00033 129.4000 163.378 .704 .834
VAR00034 126.6000 165.156 .481 .836
VAR00035 129.4000 163.378 .704 .834
VAR00036 129.3000 164.900 .378 .836
VAR00037 127.9000 149.656 .499 .830
VAR00038 126.6000 165.156 .481 .836
VAR00039 127.0000 160.444 .459 .833
VAR00040 127.2000 169.956 -.071 .843
VAR00041 127.2000 169.956 -.071 .843
VAR00042 128.3000 155.567 .435 .832
VAR00043 126.7000 168.011 .089 .840
VAR00044 128.2000 149.511 .591 .827
VAR00045 126.9000 160.322 .472 .833

Reliability Statistics
Cronbach's Cronbach's Alpha Based on N of Items
Alpha Standardized Items
.839 .888 45

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Appendix K

Bracketing Notes

Bracketing is a methodological device of phenomenological inquiry

that requires the researcher to identify and hold in abeyance preconceived

beliefs and opinions about the phenomenon under study (Polit and Beck,

2017). It involves the realization of an honest examination of the values

and interests of the researcher that may influence the research work. It

is therefore important that researchers of qualitative studies identify

areas of potential bias and minimize their influence by bracketing.

Mental Preparation

The researcher has been an IMCI Nurse Educator for nearly 14

years now. Her knowledge and experience in IMCI, however, are limited

in the academe – the “whats” “hows” and “whys” of IMCI as a case

assessment and case management strategy, and in the supervision of

student nurses in the health centers. Her knowledge and experiences do

not include how IMCI is implemented as a program in the

community/district health centers. She has observations but none of its

explanations.

The researcher has likewise been teaching Nursing Research for 10

years. For someone who teaches research and who conducts researches,

the current research methodology is not her first encounter. Having said

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that, the researcher is adept in detaching her personal views and values

from shreds of evidence and actualities. To maintain objectivity therefore,

the researcher put aside her knowledge and experiences and adopted an

attitude of conscious ignorance in order to understand new information

and accept without prejudice the result of this investigation. As a result,

the researcher is not sure and is curious about what new information can

this study generate after its completion.

To avoid preconceptions on the topic under study, the literature

review focused on the quantitative aspect of the study and reviews on the

experiences of health workers were suspended until the thematic analysis

of the responses are completed. At this stage, the researcher remains

curious and uncertain whether there will be works of literature to support

the qualitative result of the study.

Data Collection

The data collection of the qualitative phase did not start until the

quantitative data were analyzed. The interview guide, therefore, was only

generated based on the result of the quantitative phase. The interview

questions were constructed as open-ended and probing in nature instead

of leading. To ensure that broad coverage of issues is achieved during the

interview, the interview questions were not asked in the same sequence

as it is prepared. Rather, the interview proceeded following the cues of the

participants. The interview, therefore, was guided by the schedule and

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not dictated by it. The participants were allowed to introduce issues on

which the researcher had not previously thought.

To capture the responses accurately, an audio recording was

employed. The note taking was only used for reference of the idea and not

totally for analysis.

Data Analysis and Interpretation

The narrative materials were verbatimly transcribed, including the

participants’ expressions and emphasis to assure that what the

participants are trying to say are captured as it is. Likewise, the

transcriptions were analyzed in the vernacular language used by the

participants to avoid changing the meaning of what was originally said.

During the analysis and interpretation stage of the study, the

researcher is reminded again to detach herself from previous knowledge

and experiences so as not to filter or control the new information being

provided by the responses. The researcher likewise avoided the use of

metaphor in developing the themes to prevent supplementing the idea or

meaning of the responses with subjectivity. Simple and direct words were

therefore used as a theme for the clustered meanings.

After the categorization was done and the themes have already been

identified, the coded responses are then translated contextually by a

linguist to assure that the meaning of the responses was not changed and

that no other ideas where added.

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The results of the qualitative data were then validated by returning

to the study participants to ensure that their experiences were correctly

interpreted.

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Appendix L

Statistical Computation of the Extent of IMCI Implementation

According to Human Resource Capacitation

Extent of Implementation
Human Resource Capacitation M DE
4 3 2 1
1. All IMCI Implementors: a) underwent
8 7 3.53 VSI
hands-on clinical practice;
b) trained on caring for the sick child in
8 7 3.53 VSI
the community;
c) trained on caring for the newborn at
8 7 3.53 VSI
home;
d) trained on caring for the healthy child
8 7 3.53 VSI
at home;
f) received regular and periodic
7 7 1 2.40 PI
updates on IMCI strategy.
2. IMCI Training is included as part of
the in-service training of all health 7 7 1 3.40 VSI
workers.
3. On-the-job mentoring is being done
5 10 3.33 VSI
in the DHC.
OVERALL MEAN 3.32 VSI

According to Health Systems

Extent of Implementation M DE
Health System
4 3 2 1
1. IMCI service is provided on a daily
8 7 3.53 VSI
basis.
2. IMCI service is provided to all
7 6 1 1 3.27 VSI
visiting children.
3. The DHC have allocated budget for
operational IMCI service and
implementation (form procurement or
2 4 5 4 2.27 PI
reproduction, booklet of chart
procurement, program for IMCI
promotion to the community).
4. The IMCI trained personnel have
received followed-up visits from IMCI 3 5 2 5 2.40 PI
facilitators/supervisors at least once.
5. Availability of all essential
medicines for use of children under 5
years old
a) Amoxicillin 6 7 1 1 3.20 SI
b) Ampicillin (injectable) 3 2 10 1.53 NI

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e) Benzyl Penicillin 1 1 13 1.20 NI

Diazepam 2 13 1.13 NI
g) Ciprofloxacin 5 1 1 8 2.20 PI
h) Cotrimoxazole 6 4 1 4 2.80 SI
i) Gentamycin injection 2 13 1.13 NI
j) Low osmolality ORS 7 6 2 3.33 VSI
k) Salbutamol Inhaler 2 4 3 6 2.13 PI
l) Zinc Tablets 2 4 2 7 2.07 PI
m) Albendazole/Mebendazole 10 5 3.67 VSI
n) Gentian Violet 3 1 11 1.47 NI
o) IVF NaCl 0.9% 2 13 1.13 NI
p) IVF Dextrose 10% 2 13 1.13 NI
q) Iron syrup 12 3 3.80 VSI
r) Iron/Folate tablets 13 2 3.87 VSI
s) IVF Lactated Ringers Solution 2 13 1.13 NI
Nystatin 2 13 1.13 NI
v) Paracetamol 13 2 3.87 VSI
x) Quinolone ear drops 3 12 1.20 NI
y) Tetracycline eye ointment 4 6 1 4 2.67 SI
z) Vitamin A 13 2 3.87 VSI
6. Availability of facilities and infrastructure for IMCI:
a. Room for IMCI/enough space to
7 7 1 3.40 VSI
assess the child
b. Updated IMCI recording Forms 6 6 2 3.07 SI
c. Updated IMCI chart booklet 6 5 4 3.13 SI
d. Updated IMCI wall charts 1 5 3 6 2.07 PI
7. Availability of essential medical devices for IMCI
a. Blood pressure meter with cuff for
11 4 3.73 VSI
children.
b. Respiratory timer for acute
4 5 2 4 2.60 SI
respiratory infections.
c. Mid upper arm circumference tape 9 5 1 3.53 VSI
8. The DHC has a well-established
referral care and mechanism (like use of 9 5 1 3.53 VSI
referral slips, on-call ambulance drivers)
9. The DHC is regularly and periodically
monitored and evaluated for IMCI 1 5 3 6 2.07 PI
implementation
OVERALL MEAN 2.52 SI

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According to Community-Based Approaches

Community Approaches Extent of Implementation M DE

4 3 2 1
1. The DHC conducts programs for the
7 8 2.47 PI
promotion of IMCI to the community.
2. The midwives counsel during child
11 2 1 1 3.31 VSI
services in the DHC.

3. The DHC integrates IMCI with other

related community programs (like
counselling the mothers/caregivers on
how to feed the child during feeding 10 5 3.44 VSI
programs/activities; signs of good
attachment while breastfeeding during
maternity or prenatal classes)
4. The DHC conducts information
dissemination activities (i.e.,
7 8 2.31 PI
distribution of posters or leaflets, home
visits, and the like.
OVERALL MEAN 2.88 SI

Legend
Scale Statistical Limit Descriptive Equivalence Symbol
4 3.26 – 4.00 Very Satisfactorily Implemented VSI
3 2.51 – 3.25 Satisfactorily Implemented SI
2 1.76 – 2.50 Poorly Implemented PI
1 1.00 – 1.75 Not Implemented NI

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Appendix M

Qualitative Data Analysis

Verbatim Categorization Cluster Theme Emerging

Theme
How will you describe
your training in IMCI?
DHC1:
Very informative dyay
training, da nagado ti
barbaro nga information
nga naadal mi. tapos,
nagmayat ngay dyay
panaka deal mi idyay
patients, nu kasatnu mi
nga urasen dagidyay
forms. Dyay lecture mi
ket one day, Monday,
tapos dyay clinical
exposure mi ket
Tuesday aginggana
Saturday nga half day.
Compressed dyay
booklet mam. With dyay
background idi college,
haan kami met unay
narigatan. Kaya lang,
maymayat kuma nu ada
nga kanayun ti update
training tapnu haan nga
malipatan ken
maupdate kami metten.
Pero uray awan, ket
okay met latta, kaya
paymet latta nga
aramiden.

DHC2:
1. nagatiddog, at tsaka
yong lecture niya talaga
dahil pag hindi naming
natapos talagang
hanggang 11 ng gabi.
Ada hands-on me idyay
training, sa clinical at sa

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hospital dyay mismo

nga ward.

Halos parehas mam

dyay 11 day ken ICATT,
pero dyay one week
lang ba un or 6 days
dyay ICATT, parang in
kwa da amin mam,
incompress da amin.
Ada met lang ti clinical
practice na dyay isunga
as in, naka kwa met
ketdi okay met dyay
schedule na isunga
kelangan 6:30 ada
kaming dyay hospital
idyay mismo nga ano,
kasi 3 or 2 days nga
diductics tapos 4 days
something like that.

Comprehensive isunan.

DHC3:
okay siya, kasi
malalaman mo ung mga
basic to do, case to case
basis, on what to do, as
nasa primary health
care, at least may basis
kung ano ibibigay or
gagawin sa pasyente, in
the absence of the
doctor.

Noong first, mahirap

ung training, pero
naliwanagan naman
kasi may chart na
sinusundan. Tsaka, ung
napag aralan ko noon
sa undergrad regarding
IMCI, siya pa rin naman
ngaun, ung sa training.
Siguro kahit wala kang
training kakayanin pa
rin naman kasi naituro

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noon tsaka pwede ka

naming magpractice,
pero siyempre iba pa rin
naman ung may formal
training.

For me, okay na ung

training process eh,
palagay ko wala naming
kulang, kasi as applied
now ditto sa health
center, meron naman
ung doctors to help us
during the consultation.
Sana lang, ada tu
manen ti update
training.

Kasi pag wala ung mga The algorithm Non-adherence Disapproving

doctors, we do the IMCI, is too long of HWs Attitude
pero we go directly dun that is why it
sa kung ano ung is not
problem ng pasyente, completely
like kung cough and utilized
colds, dun agad kami sa
pneumonia. Hindi na
rin kami nag aassess
nung ibang areas like
kung may anemia ba, or
ear infection. Kasi sa
dinami dami ng
pasyente, kulan yung
oras para kumpletuhin
ung buong process.

DHC4:
Stressful, ung time,
overtime palagi, time
consuming, tapos pauli-
ulit. Pero effective ung
ginagawa ng mga
trainors para maretain
ung information.
Nakaka enhance naman
siya ng skills.

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masyado ngang marami,

parang sobra nga rin
yata eh.

How do you fine the

IMCI algorithm?
DHC1:
Nu mai-apply talaga Algorithm is Non-adherence Disapproving
dyay algorithm, medyo too long that it of HWs and Attitude
attiddog. Karkaro nu, prolongs community’s
tiga-tigaysaem gamin assessment non-acceptance
dyay ada idyay form eh. and
One by one ya, tapos management
icompare mo pa siya of complaints,
doon sa booklet, sa and the
chart, kaya kelangan waiting time of
magkatabi yan palagi. patients
Pero okay naman siya.
Ngem dyay turn-around
time lang ngay ti
pasyente, nu
maminsan,
mapaatiddog, nu ifollow
mo nga talaga as in
didyay.

Siyak ditoy, ifo-follow ko There is no Non-adherence Disapproving

dyay forms, pero dagitoy guarantee of HWs Attitude
kakadwak, nga haan that that
nga natrain, in re- the
echoek lang kanyada, assessment
insurok lang nu kastnu form is
nga usaren dyay form, completely
haan kong ngay done or
makitkita mo a fol- followed.
follow, kasi ada kanya
kanya nga schedule mi
nu sino ti ag IMCI tatta,
sino ti agpost-con, kas
inga, bassit kami. Uray
adu ti umay nga
pasyente, no sino naka
schedule, isu lang ag
IMCI kasi bassit kami.

DHC2:
Dyay booklet, pabali-
baliktad isunga inxerox

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mi idi training tapnu

diretso, ung algorithm,
madali namang sundan.

Actually okay naman na Algorithm is Community’s Disapproving

rin siya mam, nu dyay too long non-acceptance Attitude
application ditoy health that is why
center mam, nu ada nga patients’
talaga ti pasyente ket, mothers prefer
talaga nga mabayagan doctors over
ngay, and then usually HWs to see
ti kayat ngay ti pasyente their sick
ket doctor ti mangkita children.
kanyada, uray i-explain
mi nga na train kami,
ada ti haan mga
maiswasn nga kayat na
latta ti doctor nga
mangkita kanyada.

Maraming ba instances
na ganun na ayaw
nilang nurses ang
tumingin sa kanila? NU
ada ti doctor mam,
ngem nu umay da nga
awan ti doctor, okay
lang met kanyada, awan
choice da.

DHC3:
Ang totoo mam,
maganda ung algorithm
ng IMCI, madaling
sundan. Kaya lang Algorithm is Non-adherence Disapproving
napakahaba, kaya di too long of Attitude
naming lahat ginagawa. that is why its HWS
Kung ano lang ung not totally
problem ng pasyente, used.
yon lang ang inaassess
naming.

DHC4:
Yon nga, masyadong Algorithm is Non-adherence Disapproving
complicated ba, na yong complicated of HWs Attitude
paulit-ulit. Tama yon and too long
holistic approach mam that is
ang concern niya lang

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kasi kung ubo lang consumes

tapos tatanungin mo pa time.
ung iba kung nabigyan
na siya ng Vit A. ganun.
Time consuming talaga
siya mam.

How is IMCI
implemented in your
DHC? How often is IMCI
strategy used for under-
five children?
DHC1:
dyay training ko,
magamgamit ko isuna
every consultation, kasi
allowed kami nga
aghandle ti underfive.
No kunwari dyay parent Care Non-acceptance Disapproving
ket medyo sckeptical, takers/care of community Attitude
apan mi irefer ken doc, givers prefer
pero under IMCI me doctors
latta dyay pasyente. Adu
met kasi ti willing nga
parents, isunga no
maminsan, gapo ta
ammo dan nga kasdyay,
um-umay dan uray
awan ti consultation
days, kasi ammo dan
nga kasdyay, nga
mabalin, kaya lang ada
talaga ti other parents
nga may prefer da ti
doctor, ngem nu awan
talaga ti doctor ket
kayat da talaga ti
doctor, irefer mi na lang
isuda idyay BGH.

DHC2:
at our level, parang
naawa ka din naman at
iniisp din naming na
alangan met nga apan
pay ospital dayta itravel
na, dyay kaya mi nga

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aramiden aramiden mi,

in case nga awan dyay
doctor, ada latta dyay
umay nga uray haan
nga nakaskedule, i-IMCI
mi.

So anytime nga ada HWs don’t use HWs non- Disapproving

umay ket ma IMCI mi. ti forms because adherence Attitude
problema talaga mam assessment
ket, dyay form, haan takes longer.
kami talaga nga, kasi Case
mabayagan ngay nga assessment
agpayso. Haan mi nga are cut short.
sursuruten dyay form
mam, kasla ngay nga
shortcut. Sa totoo lang
mam. No anya lang ti
imbaga da nga
symptoms da, isu lang ti
kitaen mi, shortcut nga
talaga, kasi dyay time.

DHC3:
Pag walang mga There is no Unclarified roles Unspecified
doctors, we do IMCI for clear and policy
the underfive. Pero pag instruction inexplicit
nandyan sila, sila na regarding who procedures.
lahat pati sa underfive. should do
Kasi may mga interns IMCI strategy
din kasi tayo, eh minsan and when
wala din silang should IMCI
ginagawa, so sila na ang be used.
tumitingin sa pasyente.

Sa pinang galingan kong

center, some MOs
binibigay talaga nila sa
nurses and midwives
yong underfive. Pero
dito, hindi.

DHC4:
Dati sa ibang health No uniform Unclarified roles Unspecified
center, ganun po ang procedure or policy
ginagawa kahit nandyan instruction on
ung doctor, sa amin ang who should do
underfive, pero dito IMCI strategy

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hindi kasi laging may for

doctor at doctor ang consultation
gusto nilang tumingin of sick
sa pasyente nila. may children.
mga reklamo kasi ang
mga patient. Like
number 1, wala kaming
binibigay na gamot.
Panay advice ang
binibigay naming.
Number 2 ung time nga,
it takes more than 15 Mothers prefer Non-acceptance Disapproving
minutes lagpas, tapos the doctors of community attitude
wala pa silang over the
makukuhang gamut, eh nurses
pumunta sila sa clinic because of the
para magkonsult ng prolonged
doctor, hindi naman time of
mga nurses ang gusto consultation
nilang tignan, hindi when IMCI is
naman saw ala silang used, and
tiwala sa amin pero kasi because with
ang gusto nila kaagad is nurses,
gamut, at tsaka ung sometimes no
mabilisan ba na medications
gamutan ng mga bata, are given
ganun ang gusto nila,
pero ang namgyayari
kasi sa amin is more on
advice, tapos minsan
walang gamot, kahit
nandyan ung doctor.
“nandyan naman ang
doctor, bakit hindi
naming nakikita, bakit
kayo nalang”.

(walang gamot dahil sa

green classification)

Maganda ang IMCI kasi

kelangan din
magkaroon ng
knowledge ang mga
nurses kasi hindi
naman lahat ng health
centers ay laging may
doctor. Nagkataon lang

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ditto sa amin na lagging

may doctor

Sa akin lang, ang IMCI Implementatio Non-adherence Disapproving

is hindi talaga ma apply n of IMCI of HWs and attitude
pag nandto sa centro strategy is community’s
kasi ang hinahanap being affected non-acceptance.
talaga is mga doctors, by the
gamot talaga ang community’s
hinahanap hindi ung preference of
puro advice. doctors and
the
prescription of
medicines
over nurses
and health
advices.
How do you procure or
replenish your supplies
for IMCI
implementation?
DHC1:
Dyay forms nga
magamgamit mi tatta
ket dyay pay laeng
forms nga inalak from
trainings kaso adu dyay
innalak. Haan mi pay
na try nga ag procure or
request. Nu maibos ton,
baka ag request kami
idyay DOH, or idyay
main. Ngem nu awan
talaga, ti aramid mi
gamin ditoy no awan
forms, ag papaxerox
kami nalang.

Dyay ag agas, nu HWs are Inexplicit Unspecified

maibos, ada ti stock uncertain of procedure policy
replenishment form nga how should
maisubmit. Dagidyay, supplies be
IM meds nga essential replenish.
drugs ti IMCI, haan nga
maiproprovide ditoy
health center, kasi awan
ti stock, haan da met
nga mangmangtted.

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Haan ko nga agpayso

nga ammo ah met nu
dapat nga ireguest mi,
ngem siguro dapat. Wen
nga pagpayso ta
damageg man. Pati IV
fluids, awan. Awan pay
laeng tatta ngem oon
ssiguro nu ag-operate to
dyay birthing clinic.

During referrals, haan Pre-referral Non-adherence Disapproving

kami nga agit itted ti IM drugs are not of HWs and attitude and
antibiotics ditoy, kasi given because inexplicit unspecified
haan nga available, Iref- of the procedure policy
refer mi pay nga umuna availability of
ken doc dyay case ti drugs, and the
patient, nu talaga ng uncertainty of
kelangan nga mairefer the need to
talaga, iyaramidan mi ti refer.
referral form. Awan ti IM
antibiotics, ngem dyay
oral, isu ti it itted mi
laeng.

DHC2:
Actually, awan ngay nga
agpayso ti forms mi. ti
us-usaren mi laeng ket
dyay nabati idi training.
Nagpa photo copy na
lang kami. Hindi na rin IMCI strategy Non-adherence Disapproving
kami gumagamit ng is not fully of HWs attitude
forms, dahil naubos, used during
awan supply, and then, consultation
un nga sorry, talagang because of
time consuming talaga unavailability
siya. Although kung of forms and it
alam na naming dyay as is time
in problema, un na lang consuming.
ang ina address namin
kaagad, the rest,
haanen. Dyay
underweight ma che
check met ketdi kasi
mawe-weight damet ta
ada ti BNS.

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Hindi ko rin po alam HWs are Inexplicit Unspecified

kung paano ang uncertain how procedure policy
purchasing. Pero supplies are
usually mam, ang replenish
supply is galing sa City because there
hall (LGU), may is no standard
planning activities, nga or exact
ikwa ti medical officers procedure to
nu anya ti kailangan da follow.
nga i-request. Tapos ag
meeting da iforward iti
supply officer. Dagidyay
dadduma nga agas,
haan talaga kami maiik
ikan, like ung mga IM
drugs. Haan talaga kami
maiik ikan. Ever since,
parang hindi sila
humihingi ng ganito
(referring to the list of
IM essential drugs for
IMCI). Ang pagkaka
alam ko kasi mam, mai Case Non-adherence Disapproving
ref-refer met nga dagus management of HWs. attitude
isunga haan kamin nga procedure in
agit-ited. Sa pre-referral IMCI is not
treatments kunwari ng completely
severe pneumonia, oral followed
meds lang ang binibigay because of
namin, amoxicillin lang unavailability
or co-trimoxazole, of supplies.
kasdyay lang ti
nadanunan mi met,
kahit noong nasa ibang
health center pa ako.
Pati mga IVFs, wala din
stock kasi di naming
ginagawa. Ung iba
(gentian violet, zinc
tablets), dati ada, pero
tatta awan metten.
Although haan ko lang
ammo, baka ada idyay
main, haan lang nga
makadanun ditoy, ada
idyay pharmacy. Siguro
nu kenlangan mi, ag
request kami dyay

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pharmacy. So basically,
nu anya lang ti
mairequest ti medical
officer, isu lang ti
maitted… ada idyay
planning da. Although
idi, damdamagen da nu
anya ti kelangan nga
meds, pero haan
metten. Baka in base
dan idyay old.

DHC3:
As of now, wala kaming
ginagamit na forms, Forms are not Inexplicit Unspecified
when we admit, diretso being procedure and policy and
na lang dun sa replenish non-adherence disapproving
consultation forms or because it is of HWs attitude
patient’s record. Hindi uncertain
ko po alam kung bakit how. Likewise,
wala ding forms. 2016 case
ako nandito, ever since assessment is
wala akong nakitang not completely
ginamit na IMCI forms. I done because
have been to other of
centers, pero ganun din, unavailability
parehas lang wala din of forms.
silang forms. Even the
practice, parehas lang
din. Kung ano lang ung
signs and symptoms,
yon lang din.

Ung mga gamot, Mam

kasi hindi siya madalas
magamit or minsan lang
nagamit… tsaka mam
dun sa procurement
plan namin walang na
proprocure na mga
ganung request ang mga
MOs natin. Ang
procurement plan kasi Procurement Inexplicit Unspecified
mga MOs ang plans have no procedure policy
nagpreprepare. At times, specific
tinatanong kami kung procedure, as
ano yong mga kelangan indicated by
ng centers, minsan the word

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hindi. Pero when it “minsan oo,

comes dun sa mga IM minsan hindi”
antibiotics na pre-
referral treatments, wala
pa naman ever since.
And base sa experience
ko, never pa kami
nagbigay ng ganung
gamot sa centers.

DHC4:
Dito mam, katulad ng
sinabi ko na man, hindi
ako sure kung may
naitagong forms kasi
hindi na nga kami
gumagawa ng IMCI,
since lumipat ako ditto IMCI is no Non-adherence Disapproving
mam ng 2016, hindi na longer being of HWs attitude
po kami nag IIMCI, so practice. As
hindi na napractice ang previously
IMCI, hindi na rin na explained that
observe ung mga IMCI is only
booklets kung updated used for
pa, ung wall charts, ung admission
diarrhea na lang yata purposes and
ang nandyan pa. no longer for
case
management.

Hindi po complete ung

mga gamot sa IMCI kasi
procurement po kasi un.
Nasa main office po
kung alam nilang in
demang ung gamot mag
procure po sila, Yong
mga IM antibiotics hindi IM pre-referral Non-adherence Disapproving
po kami gumagamit nun medications of HWs attitude
mam, so ditto sa health are not
center, hindi po kami provided
nag rerequest ng mga because they
IM antibiotics, hindi rin are not being
po sila nagbibigay ng IM used (Pre-
meds for IMCI. Kahit sa referral
ibang health centers treatments are
walang binibigay. Kahit

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noong nag start na ang not being

IMCI implementation, practiced)
wala naman pong
binibigay. Kaya pag
narerefer kami, ung mga
orals lang ang binibigay
namin. Kasi malapit
naman ang hospital
kung saan irerefer ang
patient, within 30
minutes, kayang dalhin
sa hospital ang
pasyente, kaya pwedeng
madelay ung IM
injection. Orals na lang.

When was the last time

your trained IMCI
health workers were
visited by
facilitators/supervisors
for follow-Up?

DHC1:
Awan ngay mam ti ideak HWs are not Inexplicit Unspecified
no na follow-up dan sure whether procedure policy
dagidyay kakadwak nga they were
midwife. Nanipud ada being
ak ditoy ket awan met ti followed-up or
napansin ko nga im when will they
immay. be followed-
up.
Siyak, kunada met ngay
basta within 6 months
ket ummay dak ifollow
up. Eh, 3 months pay
laeng,,, baka soon.

DHC2:
Mam awan pay ti nag No exact or Inexplicit Unspecified
follow-up, actually regular procedure policy
kunada within ay after 6 schedule for
months ba un, awan visitation
pay mam, kasi wala pa
yatang six months.

(If kayo ang masunod,

kelan niyo gusto ma

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follow-up?) Earlier
kuma mam 3 months.
At least once or twice a
year dakami nga ma
follow-up. Kasi nga
actually gusto talaga
nila is doctor, pero pag
marami at wala talagang
doctor, kami ang
tumitingin.

DHC3:
Since, napunta ako dito, No regular or Inexplicit Unspecified
wala pa akong nakitang specific procedure policy
nag follow-up or nag schedule for
visit sa mga trained follow-up
IMCI personnel. Sana visits.
nga, may regular visit
from facilitators or
trainors para,
namomonitor din ang
IMCI.

DHC4:
Never pa po ako na No regular or Unspecified
follow-up mam since specific Inexplicit policy
2014, honestly, kahit schedule for procedure
once a year lang ma follow-up
follow-up. Kasi dito sa visits.
amin, ang idea ko po is
ang IMCI is pag wala
lang doctor, eh usually
ditto naman eh may
mga doctor, madalas na
may doctors, compared
sa malalayong lugar,
iyon pwede siguro dahil
malayo ang hospital sa
kanila clinic lang ang
meron, pero ditto
masyadong malapit,
madaming hospitals
ditto. Hindi rin naming
napra practice eh.

How is IMCI
implementation in your

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DHC monitored and

evaluated?
DHC1:
Kasla met lang dyay HWs are Inexplicit Unspecified
follow-up, kasla awan uncertain if procedure policy
met. there is
monitoring
DHC2: and
Ada ti disease survey mi evaluation of
nga monthly, pero nu IMCI.
specific nga reports
regarding IMCI, kasla
awan. Ada idi ti immay
nga nag check iti
medicines, pero haan ko
nga malagip nu katnu
daydyay, nabayag sa
metten.

DHC3:
Mam parang wala pang
nagmonitor sa amin sa
IMCI. Kung meron man,
hindi siguro naming
napansin kasi baka
hindi specific or
nakadetail na IMCI ang
minomonitor nila. Kung
baga generic ung
criteria or tanung.

DHC4:
Parang wala po yatang
monitoring na
nangyayari. Among the
different programs kasi
mam, parang hindi
naman siya pinupush
ng agency.

How do you promote

IMCI program in your
community?
DHC1:
Idyay community
assemblies me, mam, ag
con conduct kami met
lang ti IMCI idyay,

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Awan ngay ti reading

materials regarding HWs are Inexplicit Unspecified
IMCI, ada ti posters idi uncertain on procedures policy
pero old den… na who should be
obsolete ten. CHO or preparing the
DOH gamin ti agaramid reading
kuma. materials for
IMCI.
DHC2:
During mothers class,
umay da agayab ti ag
lecture, ada met ti
lectures about
management at home,
maiincorporate, family
planning, immunization
nga mainayon ti child
care. Other promotional
activities, ada ti IEC HWs are Inexplicit Unspecified
corners ti barangay, ada uncertain on procedures policy
immunization pero who should be
awan pay inaramid da preparing the
regarding IMCI, parang reading
wala akong nakikita. materials for
Hindi yata gumagawa IMCI.
ang LGUs ng mag
reading materials para
sa IMCI.

DHC3:
Actually, wala eh. Since HWs do not Non-adherence Disapproving
dumating ako dito, wala conduct of HWs attitude
pa kaming ginawang promotional
activity for IMCI, hindi activities
pa rin kami nag try. because of
availability of
Wala din mga reading funds for the
materials like leaflets conduct of the
para sa public. Pero activity and
Noon, may mga wall other
charts on algorithm ng resources like
IMCI process, pero dahil time.
sa bago tong building
ngaun, ayaw nilang
magkabit kami ng kung
ano-anong posters, kaya
pansin mo din mam,

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wala ni isang poster na

naka hang ngaun.

Mostly, kasi ang

allocation ng budget ng
health centers
napupunta talaga sa
supply ng gamot, pero,
hindi pa naming na try HWs do not Non-adherence Disapproving
ung sa information conduct of HWs attitude
dissemination activities promotional
for IMCI. Kasi siyempre activities
pag nagconduct ka ng because of
programs or activities availability of
gagastos ka at ung oras funds for the
pa. conduct of the
activity and
May mga collection of other
fees kami, pero un resources like
nireremit sa city hall. time.
Kasi pag ang supply
galling sa city hall may
bayad, pag galling sa
DOH libre. Example ung
injectable contraceptive,
pag city hall 60 pesos,
pero pag galing sa DOH
libre pero yon ung
masakit.

DHC4:
Hindi kami nagka IMCI Non-adherence Disapproving
conduct ng info drive Promotional of HWs attitude
regarding IMCI, wala activities are
ding mga reading not done
materials regarding because it is
IMCI. Kasi mam, hindi not part of the
rin naman madalas practice.
gawin or di na
ginagawa.

Hindi naman sa hindi IMCI Non-adherence Disapproving

na kami nag IIMCI, algorithm is of HWs attitude
ginagawa pa rin naming no longer
pero di naming being used for
sinusunod yong forms, case
nag advice pa rin kami, assessment
pero si doctor pa rin ang and case

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tumitingin. Gaya ng management

steam inhalation, ORS, but for
kung kumpleto na ba admission
ung bakuna, tinatanong purposes only.
pa rin naman naming
kung nabigyan ba ng Vit
A pero ung hindi na ung
sinusunod naming ung
forms. Parang history
na lang, inassess lang
gamit ang IMCI, kung
may fast breathing,
titignan pa rin naming
kung may intercostal
retractions ganun pero
irefer pa rin agad, may
doctor naman, hindi na
kami ung mag first line,
Ginagamit as basis for
assessment, pero hindi
klina classify, tapos
treatment.

What are the usual

problems that you have
encountered with
regards the
implementation of IMCI
in your DHC? Why do
you think this is
happening?
DHC 1:
Sana, dagidyay
commodities nga
kasapulan, dagidyay
supply, drugs available
kuma nga kanayun. Nu
haan gain, masapul nga
ireseta, dyay laeng, nu
gatangen da ba..

kaadwan na ket haan

nga compliant ti
pasyente nga asubli for
follow-up check up,
parehas idyay naikkan
ti agas ken haan, kasi
usually ti response ti

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parents ket nu ayos

dyay anak dan, haan
dan nga ag follow-up
kasi okay metten. Next
time nga umay da ket
agsakit da manen. Ada
met latta dyay
compliant da ti follow-
up. Ngem ad addo latta
dyay haan nga agsubli.
Uray dagidyay pasub-
sublien ti doctors ket
haan da nga agsubli. Nu
kimmaro lang manen
dyay marikrikna da,
sadantulang manen
umay.

DHC2:
Actually, way back idi Care Non-acceptance Disapproving
ada ak pay laeng idyay takers/care of community attitude
dadduma nga center ket givers are
medyo ada ti agreklamo used to
nga “tubig tubig receiving
manen?” (laughs) “awan medications
man lang ti ited yu nga or
agas? Danum danum prescriptions
latta manen?” ada nga that when
talaga met ti mang ibaga nothing is
met nga kasdyay. Nu given and
kasdyay, ibagbaga mi home remedy
met nga nu talaga is instructed,
kailangan ti agas ket ma they become
presriban met isuda, nonconformin
ngem nu haan met nga g.
kelangan ti agas, haan
nga kelangan nga
maikkan. Pero nu
maminsan ket, ag
second opinion da. NU
apan da idyay private
kanu ket maikkan ti
agas. Ta di ba datayo
ket ag base tayo laeng ti
RR, siyempre nu normal
met, santo awan met ti
sabali, uray water water
lang, home remedy.

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Actually, ada kanyami

met lang dyay Both MOs and Unclarified roles Unspecified
implementation, ada PHNs knows policy
kanyame met lang. kasi their
nire require naman na responsibility
talaga ng mga medical with IMCI
officers na ang underfive implementatio
eh sa amin na daw n. However,
talaga.. “sa inyo, dahil there is no
na train naman na clear cut
kayo, dapat sa inyo na policy on who
ang underfive” and then and when
dyay haan mi nga kaya, should IMCI
irefer mi metlang be
kanyada, nu co-morbid implemented.
siguro nga patients, as
in, isuda ti irefer mi
kanyada. Actually
imbaga da metten
piman nga kwa sa amin
na ang underfive. Un
lang mam, iniisip din
naming, nga nu adu ti
interns, alangan met
nga kwa, (Laughs),
isunga nu ada da, isuda
aminen, pati underfive,
tapos totok naman kami
sa ibang
responsibilities.

Santo, ditoy kasi, Care

biruken da met latta ti takers/givers Non-acceptance Disapproving
doctor, nasanay ti tao ti prefer doctors of community attitude
doctor, uray dakami over nurses to
dapat ti mangkita check on their
kanyada, apan da met sick children.
latta ti doctor. Uray
pagsampet da pay laeng
ditoy, agbiruk da ti
doctor, daydyay laeng,
nu haan nga schedule ti
general konsultatation,
talaga nga i-IMCI me
isuda.

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Ang problema talaga HWs do not Non-adherence Disapproving

mam, hindi kami use forms for of HWs attitude
gumagamit ng form, un assessment
ung siguro lapses and
naming, kasi time management
consuming, tapos nu because of it
lima da di… nagbiit da is time
pay nga maburyong ti consuming
dadduma, haan da
kayat nga mabayagan,

Siguro kelangan lang na

masanay din ang mga
tao.

DHC3:
Madalas mam, naiirita Care Non-acceptance Disapproving
sila, lalo na pag walang takers/givers of community attitude
gamot na ibibigay sa prefer
pasyente, kasi nga medication
green classification. prescriptions
Kaya gusto nila minsan, over home
punta na lang sa ospital remedies and
pag wala kaming doctor. health
May mga mothers kasi teachings
na gusto gamot agad,
kaya pag wala kang
binigay na gamot dahil
di naman kelangan, ah
parang sayang lang na
pumunta sila sa health
center, kasi wala naman
palang gamot na
ibibigay. Pag ganun,
pinapaliwanang na lang
namin na base sa
assessment, hindi
kelangan ng bata ng
gamot kaya health
teachings lang.
IMCI Disapproving
May times din kasi na algorithm is Non-adherence attitude
medyo madaming not being of HWs
pasyente kahit walang followed
consultation, so we do because of the
IMCI, eh kulang kami. prolonged
Napapahaba ung waiting time of
waiting time ng patients

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 University of Luzon Graduate School
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pasyente. Kaya pag

severe ung case ng
pasyente, initial
assessment lang, tapos
refer agad na sa
hospital.

DHC4: Care Non-acceptance Disapproving

kasi ang gusto naman takers/givers of community attitude
ng pasyente eh Makita prefer doctors
ng doctor, makakuha ng and
gamot, maagapan ung medication
sakit ng bata, un lang, prescriptions
hindi ung ang dami mo over the PHN
pang tinatanong, tapos and IMCI
wala ka din naming management
ibibigay na gamot,
parang nadidismaya sila
na pagpunta nila ditto,
ganun lang pala, lalo
silang hindi
magkakaroon ng tiwala
sa health practitioners
na ganun, more on
salita salita, ung pala
kelangan ng gamot,
hindi naman nabigyan.
Siguro mam sa mga
probinsiya na malayo
ang mga hospital, tapos
walang available doctors
talagang pwede un
mam, tapos available
pa ung mga gamot nila,
mga orals nila, pwedeng
pwede ung IMCI.dito sa
city, I don’t think na
kelangan

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CURRICULUM VITAE

PERSONAL DATA:

Name: JOCELYN MIRANDA ERORITA-DELA VEGA

Date of Birth: July 15, 1973
Age: 45
Sex: Female
Status: Separated
Citizenship: Filipino
Religion: Iglesia Ni Cristo
Height: 5’ 1”
Weight: 64 kgs.
Parents: Heusmundo Edralin Erorita
Rosalia Rivera Miranda-Erorita

EDUCATIONAL BACKGROUND

Elementary: Elpidio Quirino Elementary School

Irisan, Baguio City
1980-1986
Salutatorian

Secondary: Irisan National High School

(Formerly PCHS-Quirino Annex)
Irisan, Baguio City
1986-1990
Valedictorian

College: Benguet State University (BSU)

La Trinidad, Benguet
1990-1994

Bachelor of Science in Nursing

General Weighted Average: 1.74
State Scholar,
Florence Nightingale Awardee

Graduate Studies: University of the Cordilleras

Baguio City

Master of Arts in Education (MAEd)

Major in Educational Management
AY 2009

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 University of Luzon Graduate School
Dagupan City

Thesis title: “Effectiveness of Staff

Development Program of the College of
Nursing in the University of the
Cordilleras”

University of Luzon
Dagupan City

Master of Arts in Nursing (MAN)

Major in Nursing Administration
AY 2019
Meritus

GOVERNMENT EXAMINATIONS:

Licensure Examination for Teachers

September 2013
GWAR: 79.80

Nurse Licensure Examination

May 1994
GWAR: 81.0

Civil Service Eligibility (Professional)

March 1994
GWAR: 85.68

WORK EXPERIENCE:
September 2004 - Present Clinical and Classroom Instructor
College of Nursing,
University of the Cordilleras

April 2003 - September 2004 Economist II

Policy and Strategic Research Service
(PSRS),
Department of Agrarian Reform Central
Office

October 2001 - April 2003 Economist I

Policy and Strategic Research Service
(PSRS),

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 University of Luzon Graduate School
Dagupan City

Department of Agrarian Reform Central

Office

June 1997 - October 2001 Clerk II

Policy and Strategic Research Service
(PSRS),
Department of Agrarian Reform Central
Office

July 1995 - May 1997 Researcher/Analyst

Production and Dissemination Brach
(PDB)
0G2, Philippine Army, AFP

MEMBERSHIP TO ACCREDITED PROFESSIONAL ORGANIZATION

Member, Mother and Child Nurses Association of the Philippines –

Dagupan Chapter

Member, Philippine Nurses Association (PNA)

Baguio Chapter

Member, Philippine Nursing Research Society (PNRS)

Baguio Chapter

TRAININGS/SEMINARS/CONVENTIONS ATTENDED
September 29, 2018 MCNAP Chapter Convention “Maternal
and Child Nursing Beyond Borders to
Attain Best Practices”,
UL Multipurpose Hall,
Perez Blvd, Dagupan City

September 22, 2018 Professional Development Session on

“Effective Communication within the
Professional Organization”
UL Multipurpose Hall,
Perez Blvd, Dagupan City

June 12, 2018 CRHRDC Seminar-Workshop on

Grounded Theory
CSS-AVR, University of the Philippines
Baguio City

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 University of Luzon Graduate School
Dagupan City

June 7, 2018 CRHRDC Seminar-Workshop on

Statistics and Computer-Aided Analysis
AFS Hall, University of the Philippines
Baguio City

May 10-11, 2018 CRHRDC Proposal Writing Writeshop

Phase 2: Detailed Proposal Development,
AFS Hall, University of the Philippines
Baguio City

April 27, 2018 CRHRDC 7th Regional Health Research

Conference
Auditorium, University of the Cordilleras
Baguio City

April 16-17, 2018 CRHRDC Proposal Writing Writeshop

Phase 1: Capsule Proposal Development,
El Ceilito Inn, North Drive
Baguio City

April 13, 2018 CRHRDC Training on Podium and Poster

Presentation
NEDA-CAR Regional Development
Council
Conference Hall, Leonard Wood Road
Baguio City

March 3, 2018 2018 University-Wide Research

Conference theme: “Nurturing and
Sustaining Research Culture at UL”,
UL Multipurpose Hall,
Perez Blvd, Dagupan City

February 23, 2018 11th MDCON Research Congress themed:

“Nursing Research and Evidence-
Based Practice: Ethical and Legal
Perspectives”
Manila Tytana Colleges, Pasay City

November 11, 2017 COREGIVE Lecture on “Vascular Quest”,

Notre Dame de Chartres Hospital,
Baguio City,

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Dagupan City

September 23, 2017 First MCNAP Chapter Convention

“Enhancing the Role of Maternal and
Child Health Nursing through Clinical
Practice”
UL Multipurpose Hall,
Perez Blvd, Dagupan City,

March 25, 2017 18th Regional Nursing Research Congress

themed, “Upholding Integrity in
Research: Principles and
Responsibilities in Scientific Writing
and Publication”,
Center for Culture and Arts Theater,
St. Louis University, Baguio City

January 18, 2017 10th Manila Doctors College of Nursing

Research Congress themed, “Building
the Science and Practice of Nursing
Through Innovative Evidence-Based
Research Discourse”,
Manila Tytana Colleges,
Pasay City, Manila

December 9, 2016 Fundamentals of Health and Wellness,

Nursing Laboratory,
University of the Cordilleras
Baguio City

December 8, 2016 Trailblazers in Science: Lecture Series

by the National Scientists
The Manor at Camp John Hay,
Baguio City

December 6-7, 2016 Regional Seminar Workshop on Research

Upgrading and Performance Evaluation
The Manor at Camp John Hay,
Baguio City

February 15, 2016 Mother and Baby Friendly Hospital

Initiative and Breastfeeding,
Under-Five Clinic Conference Hall,
Baguio General Hospital and Medical
Center Baguio City

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Dagupan City

June 26, July 2-3, 2015 Research Proposal Writeshop

Cordillera Regional Health Research and
Development Consortium (CRHRDC),
Ating Tahanan, South Drive, Baguio City

TRAININGS/SEMINARS/CONVENTIONS ATTENDED AS
RESOURCE SPEAKER

July 3, 2018 “Nursing Documentation: A training

workshop on Focus Charting”
Luzon Medical Center, INC. Conference
Room, Tapuac,
Dagupan City

April 11 and 12, 2018 “Understanding Statistics in Quantitative

Research”
NLAB, UC, Baguio City

March 17, 2017 “Traditional Healing Practices of

Manbunong in Benguet” during the
Enterostomal Therapy Nurses Association
of the Philippines (ETNAP) 7th Annual
Convention and Scientific Meeting with
the theme “Cultural Relativism and
Ethnocentric Challenges in Ostomy
and Wound Care: An Evidence-Based
Approach
City State Hotel, Manila

November 20, 2016 “Traditional Healing Practices of

Manbunong in Benguet”, during the
“Piyestang Luzon, 2016”,
Angeles City Library, Pampanga

February 13, 2016 “Evidenced Based Practice Habits: Putting

More Sacred Cows Out to Pasture” - In-
Service Training Program themed,
“Critical Care: Leaping Forward:
Putting Evidence Into Practice
BGHMC, Alumni Hall (Dietary Hall)

176

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