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LUMBIA SQUAD IN ACTION....
FIRST PHASE (FEBRUARY, 2023)
Core group “Bantay Presyon Team”
Core group “Bantay Presyon Team”
A core group named the Bantay Presyon Team (BPT) with 10 selected members consisting of 4 barangay health workers, 1 barangay nutrition scholar, 3 barangay kagawads, and 2 hypertensive individuals. A session was done to inform them about their tasks for the upcoming hypertension-related activities and also about their roles and responsibilities in the community
Workshop on BP taking
Workshop on BP taking
Workshop on proper blood pressure taking was held on February 23, 2023, at Barangay Lumbia, Ipil Covered Court. The training was done together with the Basic Triage Training from our other CHP on Insufficient Barangay Health Emergency Response Capacity. The training was attended by barangay health workers, the barangay nutrition scholar, barangay kagawads, and volunteers. A lecture and checklist were made for the return demonstration of our BPT, gaining an average score of 90.67%.
Mass Blood Pressure Taking
Mass Blood Pressure Taking
Mass BP taking was conducted on February 27, 2023 and March 2, 2023 at Barangay Lumbia, Ipil covered court by the AdZU medical students and Barangay Presyon Team. Only 94 residents of the barangay participated in our two days of mass BP taking. A master list with a total of 61 hypertensive individuals was made for monitoring their blood pressure, whether it was controlled or not.
Utilization of NCD Risk Assessment Form
We were able to utilize the risk assessment form to interview all participants and compute for their BMI during the mass BP taking, and counseling was given on the primary prevention of hypertension to those who were not hypertensive and on how to control their blood pressure by way of compliance and other preventive measures to the hypertensive individuals.
Health Advocacy on Hypertension
Health Advocacy on Hypertension
Last March 13, 2023, Health advocacy on Hypertension was conducted at Barangay Health Station of Lumbia, Ipil, Zamboanga Sibugay. The team talked about how important it is to monitor their blood pressure especially those who are already hypertensive individuals.
The team have produced a leaflet on hypertension indicating its description, symptoms to watch for as well as preventive measures on how to mitigate the effects of hypertension. It was a productive approach since most of the residents were unaware of the significance of hypertension with regards to their health. This health promotion campaign is one of the strategies of the Team in the desire to control the emerging number of uncontrolled hypertensive individuals in Barangay Lumbia.
House-to-house Visitation
Last February 2023, the team went to four puroks in Barangay Lumbia, Ipil, to conduct a house-to-house visit to check the blood pressure of residents aged 18 and above for early detection of at-risk individuals for hypertension. But our target during that time was to visit the suspected hypertensive individuals identified during our last survey in September 2022. Only 50 individuals had their blood pressure checked during our visit, and among the 48 unconfirmed hypertensives, only 7 were diagnosed and added to the master list for hypertension.
Establishment of Monitoring System
Establishment of Monitoring System
One of the activities to be done in the strategy of establishing a monitoring system is the production and distribution of booklets to all hypertensive individuals for blood pressure monitoring and a record of their treatment regimen. The booklet has a cover page, and inside you can find client information like the name, age, sex, civil status, contact number, and their proper location in Barangay Lumbia. Aside from that, you can also see in the booklet their record of the treatment regimen the client is taking, some information on the classification of hypertension based on JNC 8, and health teachings on the complications and prevention of uncontrolled hypertension. At the back of the booklet, you can find a reminder about medication compliance and regular monitoring of their blood pressure.
These booklets were distributed during our house-to-house visits and mass blood pressure measurements. Before handing the prepared booklets to the hypertensive clients, we briefed them on their contents.
SECOND PHASE (AUGUST, 2023)
Health Education Campaign on Hypertension: Aksyon Kontra High Blood
On March 13, 2023, health advocacy on hypertension was conducted at the barangay health station in Lumbia, Ipil, and Zamboanga Sibugay, together with some hypertensive individuals and core group Bantay Presyon Team members. The team talked about how important it is to monitor their blood pressure, especially for those who are already hypertensive. The team has produced a leaflet on hypertension indicating its description, symptoms to watch for, and preventive measures on how to mitigate the effects of hypertension.
Another session of a health education campaign on hypertension was conducted during the barangay health assembly on August 23, 2023, by the team and Barangay Presyon Team. 61 residents of the barangay participated.
“DASH Diet lang Malakas” a lecture on promotion of good nutrition
To help hypertensive individuals manage and reduce high blood pressure (hypertension) through dietary choices, a lecture on the DASH diet was held on August 20, 2023. This type of diet would help hypertensive individuals and would serve as a lifestyle modification strategy, as dietary changes are a key component of managing hypertension, often in conjunction with other lifestyle changes such as regular exercise and stress reduction.
On the same day, non-hypertensive residents also came, which was beneficial for them because this kind of diet attempts to lower the chance of developing hypertension, particularly in individuals that have a family history or other risk factors for high blood pressure, and it also enhances overall heart condition.
A leaflet for the DASH diet that is translated into Bisaya dialect was given to the residents who attended the lecture that day. It emphasizes foods that are beneficial for the cardiovascular system, reducing the risk of heart disease, stroke, and other related conditions like diabetes.
“Usok Iwasan para-Buhay ay Maingatan” Smoking Awareness Campaign
On August 31, 2023, students from Jesus Lauron Elementary School at Barangay Lumbia, Ipil, Zamboanga Sibugay, particularly Grades 4,5 and 6, were taught about the detrimental health effects of smoking, including lung cancer, heart disease, respiratory issues, and various other smoking-related diseases. It was also emphasized during the lecture the risks and consequences of tobacco use and protecting non-smokers from the harmful effects of secondhand smoke.
The team has produced a leaflet, "Ang lawas sa tawo nga hinabako," that emphasizes the long-term health benefits of quitting, including improved lung function, a reduced risk of cancer, and increased life expectancy.
“Lambo Lumbia tara na’t mag Zumba”
The team, in partnership with the SK council, conducted a weekly physical exercise regimen held at the covered court of Barangay Lumbia, Ipil, to promote physical activity and provide a way to stay active. It was attended by residents of a mix of ages, from young to old, since the Zumba dance does not require any prior dance experience to participate and is accessible to people of various fitness levels. Maintaining an active lifestyle can have long-term health benefits, such as reducing the risk of chronic diseases like diabetes, hypertension, and obesity. Before heading back to Zamboanga City, a USB containing various Zumba videos and music was handed over to the SK chairwoman for them to utilize and sustain the Zumba exercise in the barangay.
House-to-house visitation to identify hypertensive individuals in the barangay
August 2023, the team conducted another house-to-house visit to four barangays to assess the blood pressure of identified hypertensives, whether their blood pressure got controlled or not, and also their adherence to medication, utilizing the Morisky Questionnaire.
Intensifying the skills of BHWs and BPT through a series of mass blood pressure measurements utilizing the NCD risk assessment form of PHIL-PEN
Another mass BP taking was conducted during the health assembly at the barangay. 61 residents of the barangay participated on August 23, 2023, where 4 individuals were referred for diagnosis and management of hypertension, now with an updated list of 65 hypertensive individuals.
Procurement of BP apparatus
Procurement of BP apparatus
On August 17, 2023, 4 pieces of BP apparatus were procured through sponsorship from a private individual, and on August 31, 2023, 1 BP apparatus was turned over to the Barangay Health Station, which is situated on Purok Mauswagon. The procured BP apparatus will support early diagnosis and monitoring of blood pressure. The other 3 sets of BP apparatus will be handed over once BP stations are constructed and available in each purok of Guma, Lubi, and Mahayag, hopefully by our next exposure.
Referral scheme for BHWs and BPT
A referral scheme was created and checked by Dr. Yrl Phares Martin Agbayani, MHO, and BHS-Midwife, and their suggestions were also included to further improve the scheme. The scheme was turned over last August 2023 in the barangay health station, and this would allow the barangay health workers to refer at-risk individuals for further assessment and diagnosis of hypertension.
Spot map for hypertensive individuals
The spot map was created, and the team utilized push pins: red for individuals with uncontrolled hypertension and white for hypertension with controlled blood pressure. Last September 2023, the spot map was turned over in Barangay Health Station to track the locations of hypertensive individuals, on which there are 22 identified hypertensive individuals living on Purok Mauswagon, 23 identified hypertensive individuals living on Purok Mahayag, 12 identified hypertensive individuals living on Purok Lubi, and 8 identified hypertensive individuals living on Purok Guma.
Medication adherence of hypertensive individuals in barangay Lumbia
In August 2023, the team assessed the medication adherence utilizing the Morisky Questionnaire of Medication Adherence; this was done along with the house-to-house visit of an identified hypertensive. The responses to these questions are scored, and the total score provides insights into a patient’s medication adherence behavior. High scores may indicate good adherence, while low scores may suggest poor adherence, which can be a concern in managing hypertension.
THIRD PHASE (MARCH, 2024)
“Lambo Lumbia tara na’t mag Zumba 2.0”
As continuation, together with the newly elected officials of Brgy. Lumbia, the team initiated the conduction of weekly physical exercise regimen held at Purok Mauswagon Multipurpose Hall and Purok Mahayag covered court . To strengthen the advocacy of promoting physical activity and provide a way to stay active.
The said Zumba sessions were actively participated by different residents coming from Purok Mauswagon, Lubi, Mahayag and Guma.
Mass Blood Pressure Taking
Mass Blood Pressure Taking
Mass BP taking was conducted on March 06, 2024 at Mauswagon covered court, Brgy. Lumbia, Ipil by the AdZU medical students and Bantay Presyon (BP) Team. Fifty- seven residents of barangay participated including those of the 64 hypertensive individuals.
BP station for Purok Mahayag, Lubi and Guma
In order to improve early detection and enhance the monitoring system of hypertensive individuals, the AdZU medical students in collaboration with the barangay officials of Lumbia, established an accessible location for BP monitoring.
Three locations (Purok Mahayag, Lubi and Guma) were identified to set-up a BP monitoring station for each purok for easy access
FGD with the NCD club members
FGD with the NCD club members
Focus Group Discussion was initiated by the project heads of Hypertension CHP team. Together with the barangay’s attending nurse, midwife and Barangay health workers. The team work hand in hand to discuss and update the hypertensive individuals about health education , reminders of their hypertensive meds and current health status.
House-to-house visit for reassessment of BP and compliancy of hypertensive individuals
March 2024, the team continued conducting another house-to-house visit to four barangays to assess the blood pressure of identified hypertensives, whether their blood pressure got controlled or not, and also their adherence to medication, utilizing the Morisky Questionnaire.
FOURTH PHASE (NOVEMBER, 2024)
“House to house visit for monitoring of hypertensive individuals”
As continuation for monitoring of blood pressure and adherence to medication using morisky questionnaires, the team regularly conduct house to house visit in taking their latest blood pressure as well as comparing their results with the previous ones
Mass BP Taking
Mass BP Taking
Mass BP taking was conducted on November 17, 2024 at Mauswagon covered court, Brgy. Lumbia, Ipil by the AdZU medical students and Bantay Presyon (BP) Team. This event was held during the senior citizen monthly meeting.
BP station in the making...
In order to improve early detection and enhance the monitoring system of hypertensive individuals, the AdZU medical students in collaboration with the barangay officials of Lumbia, established an accessible location for BP monitoring.
For this exposure, the Mahayag BP station set-up was started and other BP station at other puroks were to follow in the next few months
“Lambo Lumbia tara na’t mag Zumba 3.0”
The team, in partnership with the Barangay council as well as the BHW personnel, conducted a weekly physical exercise regimen held at the covered court of Purok Mauswagon Barangay Lumbia, Ipil, to promote physical activity and provide a way to stay active. The following week is held at the Purok Mahayag so that residents that are from the center have easy accessibility to the venue and Zumba program. The same goes for other purok so that everyone can attend the Zumba sessions.
FIFTH PHASE
(JAN-MAR 2025)
House to House Visit
Continuation of monitoring of blood pressure as well as the adherence to medication using Morisky Questionnaires
Introducing Team Banday Presyon 2025
With Blood Pressure Taking
Training Done
January 18, 2025
The team conducted a refresher course and blood pressure
monitoring training for the new members of the Bantay Presyon Team (BPT).
Return demonstration also done and all participants
attended the training passed
MASS BLOOD PRESSURE TAKING
MASS BLOOD PRESSURE TAKING
Done on January 8 and January 19, 2025
No individuals required referral for further
evaluation
No new hypertensive cases were added to the monitoring list
With Counselling Sessions
During the Mass BP Taking, counseling on the non-pharmacological approach to offer a range of options to address hypertension and minimize its
side effects and complications and help manage their condition effective.
FIFTH PHASE
(APRIL-MAY 2025)
House-to-house Reassessment
House-to-house Reassessment
From April to May 2025, the Bantay Presyon Team conducted house-to-house blood pressure monitoring in the four puroks of Barangay Lumbia and encouraged the hypertensive residents to continue their regular BP monitoring in the barangay health station or near BP station.
"PAKINGGAN MO, KALUSUGAN MO" DAILY HYPERTENSION AWARENESS BROADCAST
"PAKINGGAN MO, KALUSUGAN MO" DAILY HYPERTENSION AWARENESS BROADCAST
On May 14, 2025, the barangay official received a megaphone as part of the "Pakingga Mo, Kalusugan Mo" initiative. This tool will be used to broadcasat pre-recorded messages that raise awareness on hypertension and promote healthy lifestyle habits in the community
TURNING OVER OF MOBILE PHONE
TURNING OVER OF MOBILE PHONE
One (1) smartphone was officially turned over to the Bantay Presyon Team to support the SMS-based daily medication reminders and regular blood pressure monitoring for hypertensive residents to enhance medication adherence and promote consistent BP checks.
MASS BP TAKING
MASS BP TAKING
Mass blood pressure monitoring activities were conducted on April 10 and May 8, 2025 together with the Bantay Presyon Team, at the Mauswagun Covered Court. Community residents actively participated, and we are glad to report that no referrals were needed, indicating generally healthy BP levels.
BP STATION
BP STATION
Two (2) newly constructed blood pressure stations were completed at Purok Lubi and Purok Mauswagun. These stations will serve as accessible sites during holidays or whenever barangay health station is not open or available for blood pressure monitoring or checkup.
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