Province of Romblon - UNDP in the Philippines
Province of Romblon - UNDP in the Philippines
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