High Prevalence of Individuals with Uncontrolled Hypertension
Approximately 1.13 billion people are diagnosed with hypertension worldwide. In the year 2015, one in four men (1 in 4) and one in five (1 in 5) women had hypertension, while less than one in five people have the problem under control. The Philippines is no exception to this persistent problem as it remains to be the leading cause of mortality and morbidity in the country. Over twelve million people are burdened with this disease yet more than half are still unaware of their condition. Barangay Bag-Ong Dalaguete, a home to approximately four hundred seventeen (417) individuals is not spared by this disease. Based on the initial house-to-house survey, 12.73% are identified as Pre hypertensives (35 of 275), while 17 individuals were already diagnosed with hypertension, 12 out 17 (70.59%) have uncontrolled hypertension and admitted to be non-compliant to their maintenance medications.
To increase the number of controlled hypertensives from 17% to 90% in Barangay Bag-ong Dalaguete, Mahayag, Zamboanga del Sur by the year 2020.
1. Lack of programs and strategies against hypertension in the barangay level.
2. Lack of training experiences and/or seminars of the barangay health worker in proper monitoring and referral of hypertensive individuals.
3. 12.73% (35 out of 275 adults) of the total population were identified to be pre-hypertensives.
4. 6.18% 17 out of 275 adult individuals are identified hypertensives.
5. Among the identified hypertensive individuals, 70.59% (12 out of 17 hypertensives) have uncontrolled hypertension.
6. Among the identified hypertensive individuals, only 47.06% (8 out of 17 hypertensives) are enrolled to the local hypertension club
7. Absence of monitoring and referral system for hypertensive clients at the barangay level.
8. 61% of the population are identified cigarette smokers
9. 64% of the population indulge in alcoholic beverage drinking.
1. Identification of target hypertensive individuals and BP monitoring
2. Formulation of strategic plan with the community leaders to ensure their cooperation in finding solutions to manage hypertension.
3. Increase knowledge and awareness of community residents regarding hypertension, importance of medication compliance and healthy lifestyle promotion
4. Strengthening of the referral system of hypertensive clients in collaboration with the Rural Health Unit and local hospital
Accomplishments and Updates
Update as of 2020
Progress of Hypertensive Residents in Barangay Bag-Ong Dalaguete, Mahayag, Zamboanga del Sur.
Specific objective 1: Identification of target hypertensive individuals and its monitoring with in the community population.
"Identification of Hypertensive Individuals"
Beginning the community exposure since 2016, several health problems were identified but the one that directly hit home was the high incidence of uncontrolled hypertensive individuals that was found after a series of assessment linked to poor diet and lifestyle practices and even more so with poor health seeking behaviors. The team came up with a community health plan targeting different aspects to solve this health problem and the factors that contribute to it.
"Mass Diagnosis & Enrollment of Hypertensive individual to RHU's Hypertension Club"
The team reassess and monitor hypertensive individuals through house-to-house survey and mass assembly every 6 months to assess & evaluate improvement of their blood pressure status and to enroll newly identified hypertensives in the community.
For the past four years, at least once every community exposure the team has sought to it that we monitor all hypertensive individuals. We see to it that we assess all individuals that are above 18 years old. We have visited every household for a minimum of 7 times, we have conducted house-to-house surveys, monitoring, and announcements more or less than 10 times. We are welcomed by it’s individuals that we see our selves as part of the community.
"Reassessment and monitoring of Hypertensive Individuals"
Specific objective 2: Formulate strategic plan with the community leaders to ensure their cooperation in finding solutions to manage hypertension.
"Empowering Community: Oplan Bantay Presyon Program"
To empower the community and hypertensive individuals to take charge of their health, the team created a Hypertension monitoring team composed of BHW, Kagawad for health, and selected wiling community residents who are also hypertensives to be part of Hypertensive Monitoring Team.
BP Patrollers Series of Training 2018, 2019 & 2020
"DETECT - PROTECT - CORRECT"
Return Demontration additional training of BP Patrollers
The team conducted another series of training and return demonstration for additional BP Patrollers in the community. In this event, a Focus Group Discussion on the topics listed below were also discussed.
Training of additional volunteers for BP taking. In line with one of our community health problems of “High Prevalence of Uncontrolled Hypertensives”, our team envisions a self sustained community, able to move independently and is knowledgeable on what to look for and do next when it comes to hypertension. When left alone our active volunteers are able to take and monitor your blood pressure, they also know when and whom they should refer to in special cases like hypertensive urgencies and of the sorts. ALTAPRESYON, AKSYUNAN. 💊💉
"Turn Over of BP Apparatus to each Purok BP Patrollers"
As part of the team’s solution in tackling the problem of hypertension, for sustainability we created and taught a health monitoring team skills on BP taking, assessment and hypertension referral. These independent skills will be left with the community even after we have left the community and have graduated. BP Apparatuses were also turned over to each purok patrollers for monitoring of blood pressure of each purok constituents.
Specific objective 3: Increase knowledge and awareness of community residents regarding hypertension, importance of medication compliance and healthy lifestyle promotion
"Health Education Series"
The team conducted another series of health education activities to augment or correct the knowledge of community residents as well as to raise awareness of hypertension, importance of medication compliance and healthy lifestyle promotion.
Evaluation of Knowledge: Pre & Post Testing
Lecture and Interactive discussion on Hypertension and its effects, risk factors, prevention by living a healthy lifestyle with accompanying proper diet, management and control, importance of medication compliance and identification of complications related to hypertension
The high incidence of uncontrolled hypertensive individuals is not only the problem of those who have hypertension but everyone who are at risk to have it, making the whole community a part of the solution to the problem. With this, for every mass assembly we see to it that we can impart health education to the people. We impart knowledge and solutions from a medical, individual and community perspective. Solving a problem involves several factors to be addressed and with the right knowledge on how to prevent a problem leads to a conclusion that there may not be a need to solve a problem that will not be there.
"Mass Diagnosis of Hypertension & Arthritis (Dec. 2019)"
Working hand in hand with our Rural Health Unit headed by our MHO Dr. Wilson Lumapas to help in early detection, and to enroll our hypertensive patients in Hypertensive Club for monthly supply of maintenance medication and for continuous health education activities.
Thank you Doc and Mahayag RHU for your continuous support to our community!