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Province of Romblon - UNDP in the Philippines

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70<br />

and logistics support to local governments<br />

to combat <strong>the</strong>se diseases. The LGUs on <strong>the</strong><br />

o<strong>the</strong>r hand implement <strong>the</strong>se programs and<br />

try to conta<strong>in</strong> cases and provide curative<br />

treatment. The RHUs conduct sputum and/<br />

or x-ray tests and provide treatment to those<br />

with positive results.<br />

C. Challenges<br />

Although tuberculosis is now a curable<br />

disease, it is sad to note that <strong>the</strong>re are<br />

still plenty <strong>of</strong> cases <strong>of</strong> death associated<br />

with <strong>the</strong> disease. One major h<strong>in</strong>drance <strong>in</strong><br />

fully implement<strong>in</strong>g <strong>the</strong> tuberculosis control<br />

program is <strong>the</strong> attitude <strong>of</strong> <strong>the</strong> people<br />

<strong>the</strong>mselves, particularly those <strong>in</strong> remote<br />

barangays, <strong>of</strong> ignor<strong>in</strong>g <strong>the</strong> symptoms<br />

associated with tuberculosis. Unless <strong>the</strong><br />

patient actually coughs blood, most people<br />

show<strong>in</strong>g symptoms <strong>of</strong> <strong>the</strong> disease do not<br />

seek consultation and just go on with <strong>the</strong>ir<br />

daily lives, as if everyth<strong>in</strong>g is f<strong>in</strong>e. Hence, if<br />

<strong>the</strong> disease is already at its worst stage with<br />

complications, even if <strong>the</strong>y seek treatment at<br />

LGU Health Scorecard<br />

With <strong>the</strong> implementation <strong>of</strong> <strong>the</strong> PIPH, <strong>the</strong>re<br />

is a massive <strong>in</strong>formation campaign on improv<strong>in</strong>g<br />

health statistics through LGU scorecards<br />

that shows each municipality’s past and current<br />

stand<strong>in</strong>g on program implementation. Th is encourages<br />

those that do not fare well to improve<br />

<strong>the</strong>ir stand<strong>in</strong>g by closely scrut<strong>in</strong>iz<strong>in</strong>g <strong>the</strong> causes<br />

and reasons for such lower accomplishments and<br />

explor<strong>in</strong>g ways to improve <strong>the</strong>m. RHUs are also<br />

encouraged to seek accreditation to be a Tuberculosis<br />

Directly Observed Treatment Scheme<br />

(TB DOTS) center to better provide rehabilitative<br />

<strong>in</strong>tervention to patients with tuberculosis.<br />

<strong>Prov<strong>in</strong>ce</strong> <strong>of</strong> <strong>Romblon</strong><br />

this stage, it is already too late. At this po<strong>in</strong>t,<br />

sometimes death is <strong>in</strong>evitable because <strong>the</strong><br />

body’s resistance is already gone. The<br />

“bahala na” (come what may) attitude that<br />

consigns <strong>the</strong>ir fate to God sometime h<strong>in</strong>ders<br />

<strong>the</strong> immediate provision <strong>of</strong> treatment that<br />

can prevent loss <strong>of</strong> life. This is one <strong>of</strong> <strong>the</strong><br />

tough challenges for <strong>the</strong> LGUs and <strong>the</strong><br />

prov<strong>in</strong>ce to surmount, and to effectively<br />

provide <strong>the</strong> necessary <strong>in</strong>tervention to those<br />

<strong>in</strong> need <strong>of</strong> medical attention.<br />

Ano<strong>the</strong>r challenge relative to <strong>the</strong> issue<br />

is how to encourage <strong>the</strong> people to submit<br />

<strong>the</strong>mselves for sputum test. People <strong>in</strong><br />

remote areas tend to be unaware <strong>of</strong> <strong>the</strong><br />

varied health services provided by <strong>the</strong><br />

government. Likewise, poverty also played<br />

a major role <strong>in</strong> <strong>the</strong>ir choice <strong>of</strong> not avail<strong>in</strong>g<br />

<strong>the</strong> services as <strong>the</strong>y really have to spend<br />

money for transportation expenses and<br />

m<strong>in</strong>imal amount for <strong>the</strong> sputum test. These<br />

reasons discourage <strong>the</strong> really poor people<br />

to seek medical <strong>in</strong>tervention even if <strong>the</strong>y<br />

suspect that <strong>the</strong>y are ill.<br />

Status Report on <strong>the</strong> Millennium Development Goals Us<strong>in</strong>g CBMS Data

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