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KAKAMPPI
KALUSUGAN SA KAMAY NG PAMILYANG PILIPINO
HEALTH IN THE HANDS OF THE FILIPINO FAMILY.
BIEN ELI NILLOS, MD, MHSS
bayenmd@gmail.com
Twitter @docbienevolent
www.facebook.com/BENPhilippines
“The Inspiration of the idea of KAKAMPPI started
with this man, my father, who has always been my
personal “kakampi” ever since.”
BAYANI NILLOS
May 30, 1954 – October 24, 2016
“Family is not the important
thing. It’s everything.” (Michael J. Fox)
MY PATIENT’S FAMILY MY MOTHER
Mother’s Role – first responder, direct caregiver,
decision-maker (especially when educated)
Father’s Role – support to the first responder, indirect
caregiver, decision-maker (decision-point = capacity)
Children’s Role – second responders if parents or other
siblings are sick, indirect/direct caregiver, traditionally not
decision-makers unless necessary.
Relative’s Role (grandmother, aunt/uncle) – proxy
responders/proxy caregivers, traditionally not decision-
makers unless necessary or residing with the family.
SICK MEMBER IS ADULT
IF CHILD
Secondary Prevention
Primordial/Primary
prevention
prevention of risk factors themselves, beginning with change in social and environmental
conditions in which these factors are observed to develop.
REASONED ACTION APPROACH
“INCREASED KNOWLEDGE AND
SKILLS of frontliners or the lack thereof
can mean life or death for a family
member”
KAKAMPPI
 HEALTH PROMOTION PROGRAM
 Health Literacy + Environmental Modification (Enabling Environment)
Health Literacy
1. Point person per family trained
(modular) on basic primary care
skills for non-health
professionals
2. How-to’s on prevention and first
aid on common illnesses/injuries
3. How to be family health
educator and lead.
LGU actions:
1. Improving access to health services
2. Provision of supplies
3. Provision of health workers
4. Water system, food source
5. Health information system
FLOW OF
KNOWLEDGE
KAKAMPPI families
Support for Health Literacy
 Numeracy affects decision-making about health risks (Zikmund-Fisher
et.al, 2011; Hamstra et. Al., 2015, Smith et. Al., 2016, Petrova et. Al., 2016)
 Individuals with the skills and confidence to become actively engaged in
their health care have better health outcomes (Hibbard, Peters, Dixon and
Tusler, 2007, Smith, Curtis, Wardle, von Wagner & Wolf, 2013.)
 Health Literate Care Model that would infuse health literacy into all
aspects of a health care organization (Koh, Brach, Harris & Parchman,
2013)
How do we design the KAKAMPPI
Modules
 Use narrative communication (Green, 2006, Mazor et al., 2007)
 Use pictures to improve health communication
(Houts, Doak, Doak, Loscalzo, 2006)
 Chunk information to improve audience comprehension and recall (Doak,
Doak, & Root, 1996)
 Design for improved comprehension among limited health literacy
populations (Berkman, Sheridan, Donahue, Halpern, et al., 2011)
Other components of KAKAMPPI
 Training of trainors
 LGU commitment to complement health knowledge with enabling
environment where knowledge can be applied.
 LGU can provide incentives to ensure full attendance to the face-to-face
training sessions (upon completion of all modules or every module)
 A signage for every house that has a family that has completed training to
boost promotion of program and promote a sense of association among
KAKAMPPI trainees/families.
 Meet regularly with KAKAMPPI trainees for updates or follow through
discussions
 Use of technology as teaching methodology or monitoring or continuing
learning.
 Research – documentation of emerging knowledge
Prerequisites
 Health Leaders must be transformed and committed (health as priority)
 Health Leaders must be familiar and believer of Primary Health care as an
approach.
Bawat Pamilyang Pilipino ay Kakampi
ng pamahalaan para sa ikabubuti ng
kanilang kalusugan at ikauunlad ng
bayan.
Maraming Salamat po
BIEN ELI NILLOS, MD, MHSS
BAYENMD@GMAIL.COM

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Kalusugan sa Kamay ng Pampilyang Pilipino (KAKAMPPI)

  • 1. KAKAMPPI KALUSUGAN SA KAMAY NG PAMILYANG PILIPINO HEALTH IN THE HANDS OF THE FILIPINO FAMILY. BIEN ELI NILLOS, MD, MHSS bayenmd@gmail.com Twitter @docbienevolent www.facebook.com/BENPhilippines
  • 2. “The Inspiration of the idea of KAKAMPPI started with this man, my father, who has always been my personal “kakampi” ever since.” BAYANI NILLOS May 30, 1954 – October 24, 2016
  • 3. “Family is not the important thing. It’s everything.” (Michael J. Fox)
  • 5. Mother’s Role – first responder, direct caregiver, decision-maker (especially when educated) Father’s Role – support to the first responder, indirect caregiver, decision-maker (decision-point = capacity) Children’s Role – second responders if parents or other siblings are sick, indirect/direct caregiver, traditionally not decision-makers unless necessary.
  • 6. Relative’s Role (grandmother, aunt/uncle) – proxy responders/proxy caregivers, traditionally not decision- makers unless necessary or residing with the family.
  • 7. SICK MEMBER IS ADULT IF CHILD Secondary Prevention
  • 8. Primordial/Primary prevention prevention of risk factors themselves, beginning with change in social and environmental conditions in which these factors are observed to develop.
  • 10.
  • 11. “INCREASED KNOWLEDGE AND SKILLS of frontliners or the lack thereof can mean life or death for a family member”
  • 12. KAKAMPPI  HEALTH PROMOTION PROGRAM  Health Literacy + Environmental Modification (Enabling Environment) Health Literacy 1. Point person per family trained (modular) on basic primary care skills for non-health professionals 2. How-to’s on prevention and first aid on common illnesses/injuries 3. How to be family health educator and lead. LGU actions: 1. Improving access to health services 2. Provision of supplies 3. Provision of health workers 4. Water system, food source 5. Health information system
  • 15. Support for Health Literacy  Numeracy affects decision-making about health risks (Zikmund-Fisher et.al, 2011; Hamstra et. Al., 2015, Smith et. Al., 2016, Petrova et. Al., 2016)  Individuals with the skills and confidence to become actively engaged in their health care have better health outcomes (Hibbard, Peters, Dixon and Tusler, 2007, Smith, Curtis, Wardle, von Wagner & Wolf, 2013.)  Health Literate Care Model that would infuse health literacy into all aspects of a health care organization (Koh, Brach, Harris & Parchman, 2013)
  • 16. How do we design the KAKAMPPI Modules  Use narrative communication (Green, 2006, Mazor et al., 2007)  Use pictures to improve health communication (Houts, Doak, Doak, Loscalzo, 2006)  Chunk information to improve audience comprehension and recall (Doak, Doak, & Root, 1996)  Design for improved comprehension among limited health literacy populations (Berkman, Sheridan, Donahue, Halpern, et al., 2011)
  • 17. Other components of KAKAMPPI  Training of trainors  LGU commitment to complement health knowledge with enabling environment where knowledge can be applied.  LGU can provide incentives to ensure full attendance to the face-to-face training sessions (upon completion of all modules or every module)  A signage for every house that has a family that has completed training to boost promotion of program and promote a sense of association among KAKAMPPI trainees/families.  Meet regularly with KAKAMPPI trainees for updates or follow through discussions  Use of technology as teaching methodology or monitoring or continuing learning.  Research – documentation of emerging knowledge
  • 18. Prerequisites  Health Leaders must be transformed and committed (health as priority)  Health Leaders must be familiar and believer of Primary Health care as an approach.
  • 19. Bawat Pamilyang Pilipino ay Kakampi ng pamahalaan para sa ikabubuti ng kanilang kalusugan at ikauunlad ng bayan.
  • 20. Maraming Salamat po BIEN ELI NILLOS, MD, MHSS BAYENMD@GMAIL.COM

Editor's Notes

  1.  (1) presenting essential information by itself (i.e. (sic) information on hospital death rates without other distracting information, such as information on consumer satisfaction); (2) presenting essential information first (i.e. (sic) information on hospital death rates before information about consumer satisfaction); (3) presenting health plan quality information such that the higher number (rather than the lower number) indicates better quality; (4) using the same denominators to present baseline risk and treatment benefit; (5) adding icon arrays to numerical presentations of treatment benefit; and (6) adding video to verbal narratives.