BARMMHealth in collaboration with the Ministry of Health
And BASILAN Provincial Health Office CHO - LAMITAN cQI FY 2021
Workshop 1: Review of Local Data
1. Basic information
RHU Name of QI team Designation Roles Mobile No Email address FB
members RHU Lamitan CHO Dr. Afreen Amerin City Health Officer cQI Member 09060418864 Ms. Zoraida Andong FP Coordinator cQI Member 09173127038 Ms. Dina Tinay – Tinay MCH Coordinator cQI Member 09178942263 Mr. Dondee Labradores FHSIS Coordinator cQI Member 09276728553 AY Coordinator cQI Member BHW cQI Member Ms. Joey Leonardo LYDO cQI Member Dr. Rima Hassan SB on Health cQI Member Ms. Jam-Jam Asdaon CL cQI Member 09058006494 cQI Member
2. Key FP/MCH indicators: (number and %) Lamitan CHO
Quarter/Year CYP mCPR Methods Pills DMPA LAM PSI IUD BTL NSV SDM Q4 2019 51.52% 52 61 31 55 10 9 0 0 Q1 2020 25.79% no data no data no data no data no data no data no data no data Q2 2020 25.79% no data no data no data no data no data no data no data no data Q3 2020 25.79% no data no data no data no data no data no data no data no data Q4 2020 23,88% 177 190 171 144 26 18 0 0 Q1 2021 23.35% no data no data no data no data no data no data no data no data 4, 979 Q2 2021 23.35% no data no data no data no data no data no data no data no data 4, 979 4. New Acceptors (number and %) Quarter/Year CYP mCPR Methods Pills DMPA LAM PSI IUD BTL NSV SDM Q4 2019 51.52% 64 59 229 46 12 0 0 0 Q1 2020 25.79% 0 0 0 0 0 0 0 0 Q2 2020 25.79% 0 0 0 0 0 0 0 00 Q3 2020 25.79% 0 0 0 0 0 0 0 0 Q4 2020 23,88% 181 220 676 51 76 0 0 0 Q1 2021 23.35% no data no data no data no data no data no data no data no data 4, 979 Q2 2021 23.35% no data no data no data no data no data no data no data no data 4, 979
Provide update on how QI sites implemented their plans?
Lamitan RHU Priority Concern is Risk behaviors among adolescents/youths with rising number of teenage pregnancies Local Situation: There was a decrease of about 34% (from 830 in 2018 – 549 in 2019) in the total number of teenage pregnancies recorded Like any other MUSLIM community, teenage pregnancy is common due to cultural norms and beliefs Some cases of teenage pregnancy are due to incest, rape and basically child abuse causing risky behaviors Teenage pregnancy is already a perceived problem, addressed via emerging innovative strategies (KASANYANGAN SI KAMAKANAKAN) still needing further enhancement and assured sustainability Gaps AIMs for IMPROVEMENT Change Ideas (Local Solutions) Process indicators 1) Awareness on AYRH Lamitan City Health Office will 1) Increase demand generation 1) Increasing AYRH services services not fully become a LEVEL III AYRH facility activities via school to school seeking behaviors among disseminated by the end of 2022, with quality campaign, social media , youth teenagers of at least 20-30% active services readily available and development sessions and every quarter 2) Less profiling/master listing accessible to all teens involvement of SK and MRL’s 2) Updates of WRA masterlist of patients 2) Mobilization of BHW’s in active done on a monthly basis; profiling and increasing reports of at least 3) Inconsistent conduct updating/masterlisting of WRA 5-10% noted among of demand generation to include 10-19 y/o midwives/nurses activities 3) Ensure regular conduct of 3) Decreasing rate of teenage 4) Irregular monitoring AYRH activities as scheduled pregnancies of at least 10- of AYRH services despite the presence of emerging 20% at the end of 2022 implementation such and re-emerging diseases as USAPAN teen 4) Decreasing rate of teenage moms and USAPAN 4) Regular monitoring of AYRH pregnancies of at least 10- barkadahan among services implementation on a 20% at the end of 2022 schools quarterly basis 5) Increasing AYRH services 5) Lack of enough 5) Involvement of other partner seeking behaviors among resources (logistics agencies (URC,DepEd,CSWD teenagers of at least 20-30% and finance) and Youth Development Office, every quarter MOH-BARMM and other 6) Ensured conduct of at least provincial FP coordinators) in 25% of required number of the procurement and ensuring AYRH services (Usapan 6) AYRH services availability of supplies sessions) every quarter implementation was 6) Contingency measures for disregarded or less 7) Readiness assessment will be implementation be STRICTLY prioritize due to conducted at least 2x/year, instituted among FP/AY emerging diseases with ensured target of coordinators (POLIO/COVID-19) requirements reached of at 7) Gradual meeting of requirements least 50% yearly until 2022 7) Still working on completion of to meet the target date of 8) Decreasing rate of teenage remaining application for a level III facility pregnancies of at least 10- requirements for a through the help of our esteemed 20% at the end of 2022 LEVEL III AY facility partners 8) Resistance still present 8) Gradual and persistent conduct among some MRL’s of activities involving MRL’s due to conflicting until resistance is minimize to a beliefs tolerable level 9) Involvement of non-resistant MRL’s as resource speakers in USAPAN activities
Any success story?
Transforming Health Facilities s to an Adolescent-friendly Spaces Making quality adolescent -friendly health-ASRH-FP Services accessible Job aid tools utilized at designated Adolescents Friendly Health Facility - HEEADSS is performed as integral part of regular services for AYs Engaging diverse youth populations through segmented demand generation Continuous FP AY Services during COVID – 19 Pandemic through Mobilizing BHERTS / ARH interventions (information-education- counseling services, advocacy) Teen Moms and their husbands were informed of family planning and reproductive health services; Ensuring age-disaggregated data, analyses and advocacy for adolescent and youth health and development Partnership with Hospital as referral facility Integration of ASRH in the school curriculum IEC to schools and communities – Usapang Barkadahan Message Development for ASRH Partnership with Religious Leaders, Islamic Teachers (Ustadz/ Ustadja) What are the Facilitating Factors? Linkage with government agencies, NGOs, Pos Increasing Political Commitment What were the challenges met? COVID 19 Pandemic hampered the Regular Conduct of Community Outreach such as the ROSE Caravan Health personnel were maximized during the Pandemic and Resbakuna Recommendations Conduct another wave of training for peer educators and service providers. Putting up of hotlines for AY Print out messages for AY Start AFHF level 1 in all BHS Assessment of RHU AFHF Level 3 Continue Moblizing BHERTs to reach More Adolescents parents
(Clinical Sociology - Research and Practice) Howard M. Rebach, John G. Bruhn (Auth.), Howard M. Rebach, John G. Bruhn (Eds.) - Handbook of Clinical Sociology-Springer US (2001) PDF