Republic of the Philippines

DEPARTMENT OF SCIENCE AND TECHNOLOGY FM-TS-TTC F10

Revision 0
Cordillera Administrative Region 08-31-17

TRAINING REPORT

Title : RxBox 1000 Super User Training

Lead/ Implementing Agency : Department of Science and Technology

Cordillera Administrative Region

Date and Venue : December 7-10, 2021 (Physical) at Hotel

Supreme Convention Plaza, Baguio City

I. Highlights

A. Introduction:

The DOST-CAR has organized and conducted RxBox 1000 Super User Training for
the RHU personnel of partner Rural Health Centers in the region. The project entitled
“Roll out of 1000 RxBox Telehealth Devices in Selected Rural Health Centers in the
Philippines was funded by the Philippine Council for Health Research and
Development- DOST in collaboration with Up Diliman- Electronics and Electrical
Engineering Institute and Department of Health. The RxBox 1000 is one of the
flagship programs which features the Philippines’ first and only telehealth system that
is able to integrate a biomedical device, an electronic medical record system, and
telemedicine. The biomedical device has a tablet computer and medical sensors that
can capture physiologic signals, store the data as an electronic medical record and
send them to clinical specialist should there be need for specialized care.

The Super User Training (SUT) aims specifically to identify and train local health
professionals as “super user” in acquiring both he domain expertise and technical
know-how on the different program components. Subsequently, this will streamline
the local health unit’s workflow and standardize the training strategies and procedures
of the project.

While training health personnel in primary care to use the RxBox may be relatively
simple, an appreciation of the local healthcare landscape and its relation to the
National Telehealth Service Program (NTSP) through telemedicine, and electronic
medical record is needed to motivate continued use of the device where it is deployed.

B. Implemented Activities

Day 1- December 8, 2021

Ms. Allyssa P. Oppas of DOST-CAR served as the master of ceremonies. The

training- workshop was opened by our very own Regional Director, Dr. Nancy A.
Bantog.

Orientation on the RxBox project was presented by Ms. Mary Ann Payangdo
highlighting the RxBox project implementation process and the device testing that the

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Republic of the Philippines
DEPARTMENT OF SCIENCE AND TECHNOLOGY FM-TS-TTC F10
Revision 0
Cordillera Administrative Region 08-31-17

sensors and components undergone to ensure the quality and safety of the device.
Then, the presentation of Mr. Rey Sagandoy on the overview of Universal Health
Care and the eHealth in the Philippine Healthcare System. He also included the ethical
and legal aspects of eHealth focusing on the telemedicine. Next is the delivery of Mr.
Santi Pinos-an on the topic good quality data using a game analogy. To expound more
on the importance of using the monitoring devices, Dr. Pisces Jean Alunes-Chog-ap
presented the importance of Maternal-Fetal Monitoring during Pregnancy. She
highlighted the normal and abnormal reading in the Fatal Heart Tone monitor and
Uterine contraction monitor. Another device component is the ECG-
Electrocardiogram which was explained by Dr. Florence V. Poltic, wherein she gave
emphasis on the readings and the comparison of the normal and abnormal ECG
readings. At the end of the presentation, the floor was open for any question and
discussion. To sum up the day, the Pretest was then answered by the participants after
the presentations to clarify the correct answers.

Day 2- December 9, 2021

Recapitulation of the previous activity was given by the participant from the
rural health unit of Pudtol in the province of Apayao. With no other question from the
previous topics, Mr Pinos-an presented the RxBox hardware and the general
workflow. Then, a demonstration on how to use the RxBox device. First is the Vital
signs module composed of the temperature sensor, the pulse oximeter and the BP
apparatus. Next is the Maternal- Fetal Monitor module which has the fetal heart tone
monitor, fetal marker and the maternal tocometer. Another is the Electrocardiogram
module that monitor the heart electrical activity and lastly is the Partograph module
on the labor monitoring of pregnant mothers. After the demonstration, the participants
were given the device for their hands-on practice and a group demonstration on the
use of each sensor. To elaborate further the collaborations of agencies between the
DOH and DOST in the implementation of the RxBox project, Ms. Caroline R.
Mamaradlo discussed the integration of the iClinicsys as Electronic Medical Record
connected to the RxBox device. There are some concerns of the participants regarding
the system, however, Ma’am Mamaradlo gave assurance of the onsite installment and
monitoring of the concern personnel on the use of the system.

After the lunchbreak, the participants had their return demonstration on the use
of the RxBox wherein every RHU has the clinical setting from assessment of the
patient to the consultation of the medical doctor. The participants were able to
perform the return demonstration with minimal corrections. They were able to
appreciate the use of the device in their RHUs and claim the daily use will enhance
the skill and utilization.

Day 3- December 10, 2021

Opening prayer was led by the participant from the province of Ifugao and the
recapitulation was presented by Ms. Elsie of Pasil RHU from the province of Kalinga.
With no other concerns from the previous topic, the lecture on the proper care of the
device and sensor and issue management was discussed by Ms. Mary Ann Payangdo.
The participants then had a short activity on reporting issues and then they presented
focusing on the Assess, Troubleshoot and Report. Learning insights and appreciation
of the activity was then presented by the participants from each RHU partners. They

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 Republic of the Philippines
DEPARTMENT OF SCIENCE AND TECHNOLOGY FM-TS-TTC F10
Revision 0
Cordillera Administrative Region 08-31-17

express their gratitude as one of the partners in this project and the timeliness of the
device as an additional tool for the RHU. Certificates of completion was awarded to
the participants in the presence of Ms. Bannylyn Andres. Also, to formally adjourn
the activity, the closing message was delivered by Ms. Bannylyn Andres in the
absence of ARD Pepita S. Picpican.

Participants
The following table presents the breakdown of participants who attend physically.

Male Female Total

Total Number of Participants 37 100 137
Number of participants by institutional affiliation
⮚ Government Agencies (DOH-CAR, 3 4 7
DOST-CAR)
⮚ RHU personnel 8 19 27

⮚ Private Sector 0 1 1

The activity was actively participated by the Municipal Health Officers, Nurses,
Midwives and IT personnel from the different RHUs in the region. The three days
hands-on training was participated by Pudtol RHU in Apayao, Aguinaldo RHU and
Tinoc RHU of Ifugao, Pasil RHU of Kalinga, Bakun RHU and Kapangan RHU of
Benguet and Paracelis RHU of Mt. Province. The participants form the province of
Abra namely Daguioman RHU and Tineg RHU was not able to attend the said
activity due to vaccination targets and simultaneous municipal activity. The training
was facilitated by the RxBox Project staff and assisted by DOST-CAR personnel. The
partner agency of DOH-CHD-CAR also sent their personnel for the presentation of
collaboration in the project. Some resource speakers are also from the private sector
and the academe.

C. Training Evaluation

The criteria used in rating are: the training content was well organized; the training
met my expectations; applicability/ relevance/ adaptability of the webinar to current or
future activities or operation; time management; ability of speakers to respond to the
participant’s queries; organization of the activity; and facilities/ venue.

The criteria were evaluated by the participants using the adjectival ratings of E-
Excellent; VS-Very Satisfactory; S- Satisfactory; F-Fair; and P-Poor. The numerical
ratings are 5, 4, 3, 2, and 1, respectively.
NO. CRITERIA 5 4 3 2 1 Total Weighted
Score Score

1 The training content 65 40 105 4.57

was well organized and
easy to follow 61.90 38.10
% %

2 The training met my 70 36 106 4.61

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Republic of the Philippines
DEPARTMENT OF SCIENCE AND TECHNOLOGY FM-TS-TTC F10
Revision 0
Cordillera Administrative Region 08-31-17

expectations 66.04 33.96

% %

3 Applicability/ 85 24 109 4.74

relevance/ adaptability
of the training to 77.98 22.02
current or future % %
activities or operation

4 Time management 75 24 6 105 4.57

71.43 22.86 5.7

% % 1
%

Ability of Speaker to 55 40 6 101 4.39

respond to the
participant's queries 54.46 39.60 5.9
% % 4%

6 Organization of the 65 32 6 103 4.48

activity
63.11 31.07 5.8
% % 2
%

7 Facilities/ Venue 55 48 103 4.48

53.40 46.60
% %

8 Over-all Evaluation of 65 36 3 104 4.52

the Training
62.5 34.62 2.8
% % 8%

AVERAGE 4.545

The Overall Average is 4.545 which is Very Satisfactory.

Comments and Suggestions:

Comments and Suggestion Action/ Recommendation

1. Looking for more device. Your We have the system for
assistance especially for ITs always on monitoring that can be used
call. Thank you very much. remotely. The technical team can
provide assistance.

2. On call IT of DOST in case we Pregnant patient for the

encounter problems with the RxBox and demonstration of maternal fetal
no internet signal in the municipality. monitoring for actual reading in
Pregnant patient be available during the device, however, we can not

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Republic of the Philippines
DEPARTMENT OF SCIENCE AND TECHNOLOGY
Cordillera Administrative Region
demo of EFM.
3. More advance technologies for
diagnostics.
4. Internet and referral institution. More
training and monitoring.
5. Great job! And hoping for more
devices. “Merry Christmas everyone”
6. Continue technical support in the
future. Continue to provide excellent or
outstanding training like this for the
future. Better health system in rendering
health services in the optimum level.
7. How to refer? We should have a
uniform referral center for all recipients
of RxBox.
8. Internet connection. On the demo and
return demo session, for the pax to
appreciate, kindly bring along pregnant
patient and other materials needed.
Baka naman pweding madisinfect ang
room or nalinisan ti rooms for
participants. Thanks. The food is good
& venue. Maliliit ang powerpoint di
Mabasa.
D. Financial Report:
Actual
Proposed
Expenses Variance (PhP)
Expenses (PhP)
(PhP)
254,600.00 213,750.00 40, 850.00
The conduct of the training on RxBox 1000 Super User Training was charged to the
Department of Science and Technology-CAR under the PCHRD funds.
E. Photo documentation
FM-TS-TTC F10
Revision 0
08-31-17
have participants that is pregnant
due to some travel restrictions.
Thank you!
Trainings will be provided as
needed in the deployment of the
device and monitoring will be
daily through the system.
Thank you!
As discussed for the post-
deployment, the system for
monitoring and evaluation will
be use for continuous provision
of technical assistance and
monitoring in the use of the
device.
The DOST will provide for the
device as a tool in the RHU. The
need for other stakeholders in the
implementation of the referral
system. This concern will be
coordinated to the DOH regional
office through our focal person.
The device will have a router that
help in the enhancement of
internet connection.
For the next training, we will use
bigger font size for power point
presentation. Thank you.
Remarks
After coordination with
the participants, only 30
confirmed to avail
accommodation.
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Republic of the Philippines
DEPARTMENT OF SCIENCE AND TECHNOLOGY FM-TS-TTC F10
Revision 0
Cordillera Administrative Region 08-31-17

https://drive.google.com/drive/folders/
17v8CMJGYKbCUUCKdCNNnrPMK1XVO-iqT

Prepared By:

MARY ANN A.
PAYANGDO
RTC-RxBox Project

Approved By:
Reviewed By:

NANCY A. BANTOG
PEPITA S. PICPICAN Regional Director, DOST-CAR
ARD-TSD, DOST-CAR