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Mu Relief xCOVID19 Excellent Innovative Practices - Dingalan, Aurora
- 1. M U R E L I E F X C O V I D 1 9 E X C E L L E N C E A W A R D S F R A T E R N I T YM U S I G M A P H I COMMUNITY MOBILIZATION IN THE TIME OF COVID-19 BRENT VIRAY, MD, MPM-HSD MU SIGMA PHI 2013 MU RELIEF COORDINATOR – DINGALAN, AURORA THE DINGALAN, AURORA EXPERIENCE
- 2. M U R E L I E F X C O V I D 1 9 E X C E L L E N C E A W A R D S F R A T E R N I T YM U S I G M A P H I DINGALAN, AURORA
- 3. M U R E L I E F X C O V I D 1 9 E X C E L L E N C E A W A R D S F R A T E R N I T YM U S I G M A P H I
- 4. M U R E L I E F X C O V I D 1 9 E X C E L L E N C E A W A R D S F R A T E R N I T YM U S I G M A P H I
- 5. M U R E L I E F X C O V I D 1 9 E X C E L L E N C E A W A R D S F R A T E R N I T YM U S I G M A P H I STRANDED PEOPLE IN THE CHECKPOINT
- 6. M U R E L I E F X C O V I D 1 9 E X C E L L E N C E A W A R D S F R A T E R N I T YM U S I G M A P H I COMMUNITY MOBILIZATION
- 7. M U R E L I E F X C O V I D 1 9 E X C E L L E N C E A W A R D S F R A T E R N I T YM U S I G M A P H I
- 8. M U R E L I E F X C O V I D 1 9 E X C E L L E N C E A W A R D S F R A T E R N I T YM U S I G M A P H I
- 9. M U R E L I E F X C O V I D 1 9 E X C E L L E N C E A W A R D S F R A T E R N I T YM U S I G M A P H I RELIEF KITCHEN OUTCOMES 25-30 PRIVATE AND PUBLIC KITCHENS MOBILIZED 4362 MEALS PHP 65,900 TOTAL COLLECTION
- 10. M U R E L I E F X C O V I D 1 9 E X C E L L E N C E A W A R D S F R A T E R N I T YM U S I G M A P H I
- 11. M U R E L I E F X C O V I D 1 9 E X C E L L E N C E A W A R D S F R A T E R N I T YM U S I G M A P H I
- 12. M U R E L I E F X C O V I D 1 9 E X C E L L E N C E A W A R D S F R A T E R N I T YM U S I G M A P H I
- 13. M U R E L I E F X C O V I D 1 9 E X C E L L E N C E A W A R D S F R A T E R N I T YM U S I G M A P H I SURGICAL TELECONSULTATION
- 14. M U R E L I E F X C O V I D 1 9 E X C E L L E N C E A W A R D S F R A T E R N I T YM U S I G M A P H I MARAMING SALAMAT PO!
Editor's Notes
- Dingalan is a 3rd class municipality in the province of Aurora with an approximate of 25,000 population.
- The World Health Organization (WHO) has recently declared coronavirus disease 2019 (Covid-19) a public health emergency of international concern.The novel coronavirus, first isolated in Wuhan City, Hubei province, China last December 2019, has caused global pandemic. It was pointed out by the Lancet that Covid-19 presents different challenges to high income and low income or middle-income counties (LMIC). Pandemics such as this may easily overwhelm LMIC health systems. It mentioned that the severity of the Covid-19 pneumonia poses great strain on critical care resources in hospitals, especially if they are not adequately staffed or resourced.
- The LGU of Dingalan Aurora has held the line for COVID-19 to spread from nearby municipalities. The stringent implementation of the quarantine protocols and COVID-19 precautions had brought them 0 cases as of this date. However, some were left behind, especially the people stranded in the checkpoint
- As mentioned in OXFAM, communities must be at the center of every response. The people should be asked for the solution in their overarching problems. Communities are always the expert on their own lives and needs and will be better placed to advise on how to engage. Communities are resilient and will always find solutions. This is how community-led initiatives bring great impact to the needs identified and how it will be addressed
- The Relief Kitchen initiative was a community-oriented endeavor that addressed immediate needs of the people stranded in the quarantine areas. This was started by Nurse May Cel Dumaya-Viray, Ms. Raiza Yabut-Policarpio, Mr. Rye Tipay and Mr Herald Villarca. This is a non-profit project that aimed to provide nutritious food to the people and the poor. Their setup up is to promote the activity to well-doing families and individuals in Dingalan to help the poor.
- Their food serving was laid on banana leaf plate to decrease carbon footprint and trash. The project also mobilized the community in a state of “Bayanihan” where everyone is accountable in each and everyone. They had rotating kitchen sponsors from the central Poblacion up to the geographically isolated and disadvantaged areas with volunteer cooks and servers.
- Under Dra. Lani Cebedo and Nurse May Cel Dumaya-Viray, they mobilized the rural health unit to be COVID-19 ready. Precautions done were – limited consults; physical distancing on queue; foot bath on entrance; one-way patient traffic; separate entrance and exit; physical barriers on consultation tables; handwashing stations; reinforcement of the use of mask; and disinfection practices.
- The personal protective equipment (PPE) given by the ROJ donors, MU relief and Help Thru was delivered to the municipality of Dingalan. Since I was a previous municipal health officer of the area, I partnered with the present health workers in the rural health unit and provincial community hospital to administer capacity-building activities to manage COVID-19 in the hospital setting, and in primary health care level.
- However, challenges went in the way and the original plan was hampered. I was not allowed to go thru the barrier
- Since physical capacity building is not possible, TELECONSULTATION or REMOTE CONSULTATION was utilized. Whenever there were problematic cases that needs specialty opinion, the health workers seek consult to me. Since I am specializing in surgery, surgical cases were given disposition on the onset of consult. Other specialty cases were referred to other colleagues with the respective competency. With this teleconsultation, unnecessary exposure from, transfer to Cabanatuan were decreased. A case in point is an elderly patient who was a diagnosed case of nasopharyngeal cancer. Teleconsultation feeded me with the details of the patient and the decision was made after a biopsy was done at PGH. Radiotherapy was done at Cabanatuan with proper coordination. This efficiency also saved a lot of impoverish spending on the part of the patient since repeated travel to a Cabanatuan and manila will cost them their livelihood. This is also the case for patients with non-emergent cases like biliary colic from gallstones. Immediate feedback from teleconsultation made it easier for health workers to address the pain immediately. Also, patients were assured that their case is not that emergent and it can still wait until the COVID -19 pandemic subsides. It also afforded them much savings since they would not have to go to the city only to be sent home due to COVID precautions. Explaining to them that going to the hospitals will do them more risk than benefit.
- The collective initiatives done in Dingalan, Aurora made it successful for the municipality to have ZERO cases without a health worker being infected. Sustainability of the projects will be possible with a proactive community who realizes their needs in the midst of this pandemic and possibly in the future.