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Entila, Rolando A. |
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A model for a school-local government partnership toward an empowered community health care delivery system / |
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Rolando A. Entila. |
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46 |
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| Dimensions |
28 cm. |
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xiii, 141 pages |
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Thesis (Ph.D.)-- Pamantasan ng Lungsod ng Maynila, 2005.;A dissertation presented to the faculty of Graduate School of Management in partial fulfillment of the requirements for the degree Doctor of Public Management. |
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ABSTRACT : This study attempted to assess the health care delivery system and programs on the 21 barangays in San Pedro, Laguna as basis for proposing a Model for School-Local Government partnership strategy in responding to the health needs of the community. Specifically, answers to the following questions were sought. 1. What is the profile of respondents in the health care delivery as to the following demographic variables : a. College Student b. Faculty c. Health care workers d. Barangay officials 2. What is the present condition of the health care delivery system in the respondent-barangays as rated by the respondents in the following areas of concern? 3. Is there a significant difference in the rating among the respondents when they are grouped according to areas of concern? 4. What is the level of involvement of the local government unit in the implementation of the different health programs? 5. To what extent have the health unit staff members performed their functions and activities? 6. What is the degree of seriousness of the problems encountered in the health sector in the following areas? 7. What partnership model recommended to enhance the health care delivery in the respomdent - barangays? Basically, descriptive statistics was used in analyzing and interpreting the data. Simple percentage was used to depict the demographic profile of the participants and the community. Weighted mean/average was applied to the data on community health assessment, while Analysis of Variance (ANOVA) was used to determine the significant difference between and among the mean scores of the groups of participants. The following are the findings of the study : Majority of the barangay officials are male, regardless of gender, the average age is 42 years old at the time of the study. All the respondents of the study have undergone formal schooling with the bachelor's degree holders. The rest are undergraduates, while the others earned units leading to a master's degree. Majority of the health care workers are female. The health personnel consists of municipal health officers/doctors, nurses, midwives, dentists, and sanitary inspectors. Their ages ranged from 21-50 years old with an average age of 40 years. Their length of service, ranged from 3-14 years with an average of 4 years. There were more female faculty members than the males. Their ages ranged from 21-50 years old with an average age of 36 years. Majority had earned a bachelors degree while only two had earned master's units. Further, they have rendered services from 3 to 9 years with an average of four years in service. Findings showed that the health objectives relative to control of communicable diseases, health of mothers and infants, environmental sanitation, drug abuse, and population level, have been attained to the moderate extent. The lowest mean value pertained to drug abuse while the highest went to maintaining an acceptable level of population. Generally the health programs had been implemented to the moderate extent. Having the highest mean value is the project on the improvement of the nutritional status of the population followed by lowering of population growth, while the lowest refers to provisions for adequeste health services. Results indicated that the programs had been implemented to the little extent. However, construction of additional health units, and provision for transportation facilities were done to the moderate extent. Provisions relative to funds and manpower support were implemented to the little extent. The activities under the program had been implemented to the moderate extent. These included delivery of family planning services, manpower training, information dissemination and research. Generally this area had been implemented to the moderate extent but the barangay members felt that this program was implemented to the little extent only. The lowest mean value pertained to education of supplementary feeding for the public while the highest was obtained in the expansion of feeding program. The different activities in this area had been implemented to the moderate extent. Upgrading and expansion of general services obtained the highest mean value while intensification of immunization program of infants/preschoolers and provisions for adequate drug and diet supplement got the lowest value. It was also found that this area had been implemented to the moderate extent. Obtaining the highest mean value was improvement of existing sanitary facilities, water supply and disposal of pollution control. Launching of vigorous and sustained health education program got the lowest mean value. This area was found to have been implemented to the moderate extent. The four groups of respondents gave the same descriptive rating with the barangay officials giving the lower mean values. The highest mean value pertained to enforcement of laws on drug while the highest referred to treatment and rehabilitation. This area was also found to have been implemented to the moderate extent. Reduction of the incidence and prevalence of periodontal disease obtained the highest mean value while the lowest went to fluoridation and dental health education. The four groups of respondents gave a similar rating of moderate extent. Provisions to regulate, production, sale of food and drug has a higher rating than provision to ensure a safe and ready supply of quality food. It was found that the LGU's were moderately involved in the program on population control, nutrition, maternal and child health, environmental sanitation, drug abuse, health education, dental, and food and drug control. The functions of the MHO were performed to full extent but the students felt that this had been performed to the moderate extent. Among the groups of respondents, the barangay officials gave th highest rating. Nevertheless, all their ratings corresponded to full extent. Generally, it was revealed that the nurses performed their functions to the moderate extent but as perceived by the barangay officials the nurses performed their functions to the full extent. It was perceived by the barangay officials and the health workers that the midwives had performed their functions to the moderate extent. It was disclosed that the dentists have performed their functions to the moderate extent. However, the barangay officials gave a higher rating than the health workers. It was found that the functions of sanitary inspectors were done to the moderate extent. The problem ecountered ranged from serious to very serious. However, the combined scores of the respondents obtained averaged and corresponded to serious. The problems were ecountered to the areas of health, resources, and management. From the findings of the study, the following conclusions were drawn : 1) The health objectives in all programs and projects have not been achieved to the highest level. The same was true with implementation of health programs, programs for strengthening health services, population control, nutrition, environmental sanitation, drug abuse, dental health, food and drug control, and mental child care, 2.) The local government unit (LGU) personnel are not actively involved in the implementation of the health programs and projects of the Department of Health, except the staff of Health Center, 3.) Generally, the delivery of health services to the people in the community needs strengthening in terms of management system, policies and financial resources. 4.) The existing conditions of the health care delivery system in the respondent-barangays create the need for the local government unit to collaborate with other agencies or institutions which can provide health care services 5.) Generally, the respondents of the study are in their adulthood. They have attended formal schooling but vary in their level of educational attainment, chronological age and their perceptions on the level of implementation of the health care services in the community. 6.) The delivery of health care services to the people still lacks strengthening in terms of type and quality of services, members of the health personnel, and financial resources. |
| 520 ## - SUMMARY, ETC. |
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| Summary, etc. |
7.) There is no organized structure of school and community partnership of collaboration which is managed jointly by school personnel and responsible people in the community. 8.) The problems encountered in the implementation of health care projects, programs and other activities have seriously affected the members of the communities. 9.) The role status of the respondents influenced their perceptions on the existing conditions of the health care delivery system in their respective barangays. 10.) The community activities done by the schools in their immediate communities are not pre-planned nor a part of the schools annual action program. 11.) The areas that need improvement toward the establishment of a school-community partnership are organizational structure, statement of mission, vision, and goals, financial resources, policies, and community development projects and programs. The primary basis of the following recommendation is the absence of an organized structure for school-community partnership of the school involved in the study. Thus, in order to establish a partnership with the community the following recommendations are offered : 1.) The Local Government Unit and Department of Health need to strengthen its involvement and participation by forming a committee in each barangay. 2.) The barangay chairmen should play an active role in the implementation of the health care programs and projects. 3.) The department of Health through the health center should monitor the implementation of the health programs and projects by requiring the submission of annual reports on accomplishments. 4.) The school involved in the study should initiate steps to collaborate with a selected community (b |
| Uniform Resource Identifier |
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|
| -- |
|
| Make and model of machine |
|
| 767 ## - TRANSLATION ENTRY |
|---|
| Title |
|
| -- |
|
| Record control number |
|
| 770 ## - SUPPLEMENT/SPECIAL ISSUE ENTRY |
|---|
| Title |
|
| -- |
|
| Record control number |
|
| International Standard Serial Number |
|
| 773 ## - HOST ITEM ENTRY |
|---|
| Main entry heading |
|
| -- |
|
| Place, publisher, and date of publication |
|
| Related parts |
|
| Material-specific details |
|
| Title |
|
| Edition |
|
| -- |
|
| Relationship information |
|
| Abbreviated title |
|
| 775 ## - OTHER EDITION ENTRY |
|---|
| Title |
|
| -- |
|
| Record control number |
|
| International Standard Serial Number |
|
| 776 ## - ADDITIONAL PHYSICAL FORM ENTRY |
|---|
| Uniform title |
|
| -- |
|
| Main entry heading |
|
| Place, publisher, and date of publication |
|
| Edition |
|
| International Standard Book Number |
|
| Relationship information |
|
| Title |
|
| International Standard Serial Number |
|
| Physical description |
|
| Qualifying information |
|
| Record control number |
|
| 780 ## - PRECEDING ENTRY |
|---|
| International Standard Serial Number |
|
| -- |
|
| Main entry heading |
|
| Related parts |
|
| Title |
|
| Record control number |
|
| 785 ## - SUCCEEDING ENTRY |
|---|
| Title |
|
| -- |
|
| Record control number |
|
| Main entry heading |
|
| International Standard Serial Number |
|
| 787 ## - OTHER RELATIONSHIP ENTRY |
|---|
| International Standard Serial Number |
|
| -- |
|
| Place, publisher, and date of publication |
|
| Related parts |
|
| Relationship information |
|
| Title |
|
| Record control number |
|
| 800 ## - SERIES ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
|
| -- |
|
| Dates associated with a name |
|
| Language of a work |
|
| Date of a work |
|
| Title of a work |
0 |
| Fuller form of name |
|
| Volume/sequential designation |
|
| 810 ## - SERIES ADDED ENTRY--CORPORATE NAME |
|---|
| Corporate name or jurisdiction name as entry element |
|
| -- |
|
| Subordinate unit |
|
| Date of a work |
|
| Title of a work |
|
| -- |
|
| Volume/sequential designation |
|
| 830 ## - SERIES ADDED ENTRY--UNIFORM TITLE |
|---|
| International Standard Serial Number |
|
| -- |
|
| Uniform title |
|
| Name of part/section of a work |
|
| Number of part/section of a work |
|
| Language of a work |
0 |
| Volume/sequential designation |
|
| 942 ## - ADDED ENTRY ELEMENTS |
|---|
| Institution code [OBSOLETE] |
|
| -- |
lcc |
| Item type |
Book |