Cagayan State University College of Medicine

AWAN TA MATTAKI

TU DENGUE TAW TA CAMASI;

A Dengue Prevention and Control Program

in the community of CAMASI, PENABLANCA

A Community Paper Presented

to the Faculty of the College of Medicine,

Cagayan State University –Carig Campus.

In Partial Fulfillment of the Requirements for the

Degree of Doctor of Medicine

Submitted by:

Aguimbag, Jan Seraphin R.

Bueno, Ciarra Joy

Dela Cruz, Roman Gedrick A.

Jacob, Dominos Rion R.

Manauis, Nisan Joanne C.

Prudencio, Maria August P.

Soriano, Shaira A.

JULY 2022
            

Cagayan State University College of Medicine

ACKNOWLEDGEMENTS

The researchers express their profound gratitude and sincere appreciation to several

people who are instrumental in the preparation and completion of the study. Their unwavering

support, concern, patience, guidance, cooperation, love, prayers, and encouragement have helped

so much to nurture their career and aspirations in life.

They therefore acknowledge the following:

 Hon. Washington M. Taguinod, the municipal mayor for his warm welcome to

their town of Penablanca, Cagayan and allowing the clerks community exposure. 

 Dr. Mila F. Simangan, Dr. Sherilyne Tabije and the whole Municipal Health

Office Staff for extending their knowledge and skills and for the patience in

teaching us invaluable wisdom 

 Hon. Zenaida S. Leones and all the barangay staff for allowing us to use Barangay

resources in the conduct of the community paper.

 Ma’am Haydee Sibal and the Barangay Health workers for the guidance and

tolerance and exposing us first-hand to the problems in the community and for the

trust in letting us handle the patients ourselves. 

 Dr. Rei Kristoffer Ubina, for his utmost guidance, constant check-ups and updates

and for his valuable contributions, comments and suggestions regarding this

rotation.
            

Cagayan State University College of Medicine

 Their family and friends, for their encouragement, love, moral support, and

financial support.

  Finally, to almighty God, for giving them good health, strength, wisdom, and courage in

the completion of the study.

            

Cagayan State University College of Medicine

ORGANIZATIONAL CHART
            

Cagayan State University College of Medicine

INTRODUCTION

Camasi is a barangay adjacent to the Poblacion in the 1st class municipality of

Peñablanca, in the province of Cagayan. Its population as determined by the June 2021 Census

was 4,429 which represented 8.03% of the total population of Peñablanca and is growing at a

rate of 7%. It is a relatively large barangay with 7 zones located vastly from rural developed

areas to areas in the base of the mountain. 

Dengue is a major public health problem in the Philippines and is endemic in all regions

of the country. The country's outbreaks are largely seasonal, with most episodes occurring during

the wet season (June–February). Dengue viruses are spread to people through the bite of an

infected Aedes species (Ae. aegypti or Ae. albopictus) mosquito. In the surveys conducted using

the Family Assessment Guide, 93.84% of the samples reported to have noticed the increased

number of mosquitoes around their environment and compounds. 

In the recent months of June and July, there have been 10 recorded cases of residents

suffering from Dengue mainly in Zones 1, 2 and 3. All of those affected appear to be 10-23 years

old and have been hospitalized due to said disease. This has raised concern among both the

residents and the Local Government unit to take action and prevent further infections from

occurring. Thus, this program was conducted.

            

Cagayan State University College of Medicine

RATIONALE

The community of Camasi, Peñablanca is alarmed by the heightening number of Dengue

cases and the group has decided to respond by adapting the campaign to combat dengue by

encouraging the barangay to do the DOH program of Enhanced "4S". “4S” stands for “Search

and destroy” mosquito breeding sites; “Secure self-protection measures” like wearing long pants

and long-sleeved shirts, and daily use of mosquito repellent; “Seek early consultation”; and

“Support fogging/spraying.”

Since the increase of the number of cases, the group has done ocular inspection of the

sites that might house larvae and the multiplication of mosquitoes. This means visiting the areas

where there are reported cases and checking sites with stagnant water such as empty bottles, tires

and drums that might house the vector and educating the people to cover their water supplies and

knock down bottles, tires and even bottlecaps. They were also instructed to clean daily to disrupt

all possible housing sites

Effective vector control measures are critical to achieving and sustaining reduction of

morbidity attributable to dengue. Preventive and vector control interventions aim to reduce

dengue transmission, thereby decreasing the incidence of the infection and preventing outbreaks

of the disease.
            

Cagayan State University College of Medicine

STATEMENT OF THE OBJECTIVES.

A. GENERAL OBJECTIVES

B. SPECIFIC OBJECTIVES
            

Cagayan State University College of Medicine

METHODOLOGY

The initial comprehensive assessment was done by reviewing all relevant documentation

that has emerged through the review of records and summary provided by the Barangay Health

Center and the Barangay secretary. Results revealed a total population of 4429 with 1304

families and 956 households as of June 2021.

Household Percentage Amount of samples

Zone 1 209 21.6 60
Zone 2 148 15.3 42
Zone 3 110 11.4 31
Zone 4 182 18.8 52
Zone 5 73 7.5 21
Zone 6 78 8 22
Zone 7 169 17.4 48
Total 969 100 276
The researchers got the sample size and distribution using the Modified Cochran’s

formula. The formula is considered especially appropriate in situations with large populations. A

sample of any given size provides more information about a smaller population than a larger one,

so there’s a ‘correction’ through which the number given by Cochran’s formula can be reduced if

the whole population is relatively small (Glen, 2001). Below are the computation and the

tabulated data for the sampling size and distribution

After getting the number of total samples, the amount of samples per zone were

computed using the ratio of each zone to the entire population of Camasi. This yielded 60

samples for Zone 1, 42 samples for Zone 2, 31 samples for Zone 3, 52 samples for Zone 4, 21

samples for Zone 5, 22 samples for Zone 6 and 22 samples for Zone 7 for a total of 276 samples.
            

Cagayan State University College of Medicine

2
Z pq
Cochran’s Formula: n0= 2
e;

n0
Modified Cochran’s Formulan: n 0−1
1+
N

Where:
N- total population
n0- Cochran’s sample size recommendation
n- sample size
e- error at 5% (0.05)
Z- value of normal variables (1.96) for a reliability level of 0.95 (error of 5%)
p- largest probable proportion (0.50)
q- 1-p

Computation:

( 1.96 )2 (0.5)(0.5)
Cochran’s n0 = 2
(0.05)

n0 = 384.16

Modified Cochran’s

384.16
n = 384.16−1
1+
969

n = 276
            

Cagayan State University College of Medicine

SCOPE AND LIMITATION OF THE STUDY

Due to the constraints of time and the location of the houses, Cochran’s sampling method

was used to calculate the minimum sample size to be used to represent the whole of the

population given a desired level of precision, desired confidence level, and the estimated

proportion of the attribute present which resulted in 276 respondents.

            

Cagayan State University College of Medicine