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Upon identifying and prioritizing the top three health problems in Barangay Lindang, intervention plans are developed through the Community Health Assessment Plan (CHAP). This process involves carefully strategizing and designing targeted programs and activities aimed at addressing each health issue. By integrating community participation and evidence-based approaches, CHAP ensures that interventions are both relevant and sustainable, ultimately improving the overall health and well-being of Barangay Lindang residents.
TOP 1: High Prevalence of Hypertension
Cues:
Hypertension ranks as the 1st cause of morbidity in the barangay as of 2023.
Three reported mortalities in the year 2024 due to acute myocardial infarction (the second leading cause of mortality in 2023) caused by chronic hypertension.
As of 2024, there are a total of 63 diagnosed hypertensive residents in the barangay.
As of 2024, only 5 residents with hypertension undergo monthly blood pressure monitoring.
The barangay health station is inadequately equipped for blood pressure monitoring as its stethoscope and sphygmomanometer are nonfunctional.
As of 2024, risk assessment of residents 20 years old and above identified multiple factors contributing to an increased risk of hypertension.
Out of 235 individuals, 32 (13.6%) have a family history of hypertension.
Out of 235 individuals, 80 (34.04%) are overweight, 15 (6.38%) are obese class 1, and 1 is classified as obese class 2.
Out of 232 individuals, 105 (44.7%) have a waist circumference above normal standard.
Out of 232 individuals, 57 (24.4%) are smokers.
Out of 232 individuals, 103 (43.4%) are alcoholic drinkers, 16 (6.8%) of which are regular drinkers.
Out of 232 individuals, 73 (31%) consume more than the WHO recommended dose of sodium consumption per day.
Among the 63 diagnosed hypertensive residents, 18 (28.5%) do not take maintenance medications, and 11 (24.4%) among the 45 hypertensive residents taking maintenance medication have poor compliance with a Morisky Medication Adherence scale of 0 and 1.
None of the residents utilize the proper herbal plants as management and adjuncts for treatment of hypertension.
Out of 45 hypertensive individuals on maintenance medication, 26 (57.77%) had uncontrolled blood pressure readings on two separate occasions despite taking antihypertensive medications.
General Objective:
To reduce the prevalence of hypertension from 15% to 12% among individuals 20 years old and above in Barangay Lindang by the year 2027.
Specific Objective:
Enhance the availability and accessibility of resources for hypertension management.
Strategies:
Establish a Barangay Health Board for the procurement of the necessary equipment and supplies at the Barangay Health Station.
Increase the knowledge of hypertensive individuals regarding pharmacological and nonpharmacological management of hypertension and the importance of adherence to maintenance medications.
Strategies:
Educate the residents with known hypertension on the management of hypertension and importance of adherence to maintenance medications.
Alagang Puso seminar on the Importance of Proper Monitoring and Adherence to Hypertensive Maintenance Medications.
Educate the residents on the proper use of the DOH approved medicinal plants.
“Herb-mazing!”- Lecture on the proper use of DOH approved medicinal plants.
Improve the capacity of BHWs in monitoring blood pressure and addressing non-adherence to hypertension medications.
Strategies:
Train Barangay Health Workers on the correct techniques for measuring blood pressure, as well as proper procedures for monitoring and securely storing hypertension-related documents.
Raise the awareness of residents 25 years old and above about the risks of hypertension associated with unhealthy lifestyle practices.
Strategies:
Educate residents aged 20 and above on lifestyle factors and practices that directly impact their risk for hypertension.
“Panglawas sa Puso” - Seminar on lifestyle factors and practices that directly influence the risk of hypertension.
Develop a weekly schedule for zumba exercise
TOP 2: Prevalence of Malnutrition among children 0-59 months old
Cues:
The Barangay Nutrition Scholar recorded under-five Malnourished in the community. Specifically, these are the numbers:
12.77% (6/47) of children aged 0-59 months were reported to be stunted and 4.26% (2/47) were severely stunted.
2.13% (1/47) of children had Moderate Acute Malnutrition (MAM).
6.38% (3/47) of children were found to have borderline MAM.
8.51% (4/47) of children were underweight and 2.13% (1/47) were severely underweight.
Mothers' Knowledge, Attitude, and Practices on Child Nutrition and Feeding:
Food Sources Knowledge: 0% identified food sources for Protein, Vitamin A, Calcium, Iron, and Vitamin C.
Knowledge of Nutritional Guide: 100% unaware of Pinggang Pinoy and FNRI's Nutritional Guide Pyramid.
Exclusive Breastfeeding: 21.28%: Less than 6 months
Complementary Feeding: 48.94%: Start at 6 months, 29.79%: After 6 months, 17.02%: Start at 4 months, and 4.26%: Before 4 months
Portion Size Uncertainty: 23.40% unsure how to manage portion sizes.
Meals Per Day: 23.40% eats less than 3 meals/day
Food Security and Availability
Commonly Accessible Foods:
Fish from Zamboanga Sibugay River
Vegetables from home gardens
Rice from local farms
Preferred Food Purchases:
Daing, bagoong, noodles, sardines, canned goods
Bought from sari-sari stores for affordability, shelf life, and convenience
Meal Skipping:
23.40% (11/47) skipped meals due to food access issues, mostly once a week
Challenges in Accessing Nutritious Food:
65.96% (31/47) cited distance as the main challenge
61.71% (29/47) rely on homegrown gardens for food
Garden Challenges:
Issues with soil infertility, lack of motivation, and seed shortages
Seeds previously provided by DA are no longer available
Local Markets and Stores:
17 sari-sari stores and 2 markets observed
Residents travel to Diplahan market due to limited local supplies
Purchase from nearby stores due to financial constraints and availability
Barangay Intervention Programs
Feeding Programs:
Only 1 program was allocated for the nutrition of the children.
Measuring Tools Available:
Height board and weighing scale were both borrowed from another barangay.
General Objective:
To decrease the prevalence of malnutrition among children aged 0-59 months old of Barangay Lindang, Diplahan, Zamboanga Sibugay by 40% by the year 2027.
Specific Objective:
To improve the nutritional knowledge of mothers with children aged 0–59 months.
Strategies:
Educate the mothers with children aged 0–59 months on proper nutrition .
Setting up a Community Nutrition Information Board, which will be displayed at the Barangay Health Station and each purok, presenting nutrition tips, affordable meal ideas, and reminders about healthy feeding practices.
Establishment of Mother’s Club for peer support, sharing effective strategies, and promoting community-based learning.
To increase access to affordable and nutritious food sources within the community.
Strategies:
Establish a community seed bank and agricultural support services to ensure access to nutritious crops for home gardening and small-scale farming.
Expand school-based gardening programs.
To provide training for parents and caregivers on sustainable meal planning, effective budgeting, and preparing nutritious meals to enhance household food security and child nutrition.
Strategies:
Organize training programs centered on nutritious meal planning and effective budgeting.
To collaborate with the Barangay Council, BHWs, and BNS to strengthen and sustain nutrition programs aimed at preventing malnutrition within the community.
Strategies:
Organize training programs involving the BHWs and BNS for malnutrition prevention.
Build partnerships and secure support for policy development.
TOP 3: Prevalence of Adolescent Pregnancy
Cues:
Presence of 8 pregnant adolescents in the community as supported by primary data, from years 2021 to 2024.
The 15 - 19 year old population makes up the second most in the total population of Barangay Lindang (10%) and is most at risk for recurrence of teenage pregnancy.
Lack of sexual knowledge on certain topics as identified by surveyors in the community.
Behavior
Social factors:
83.33% had a family history of teenage pregnancy.
16.67% had a history of alcohol use.
All participants engaged in unsafe sexual practices during their first sexual contact.
Environmental factors:
All (100%) live in high-conception-rate neighborhoods.
None were currently studying, employed or in training but 50% planned to return to education
Culture
Adolescent pregnancy:
83.33% had a family member with a history of adolescent pregnancy.
83.33% were influenced by traditional gender roles.
Ideal age of pregnancy: 42.4% of respondents preferred <25 years old.
Religion
Religious Demographics:
Roman Catholic: 65%
Seventh-Day Adventist: 10%
Primitive Baptist Church: 9%
Only the Seventh-Day Adventist faith supports the use of hormonal contraceptives.
Service Delivery
Adolescents as young as 15 can access contraceptives through the Barangay Health Worker (BHW) with proper guidance.
Limited awareness among adolescents creates a perception that contraceptives are inaccessible, despite their availability.
Education
Sex education is not formally included in the curriculum
None of the teachers or school administrators have received formal training in teaching sexual education.
General Objective:
To decrease the overall incidence of teenage pregnancy by 50% in Barangay Lindang by the year 2027.
Specific Objective:
To increase the knowledge of parents in Barangay Lindang on reproductive health education.
Strategies:
Implement a comprehensive community education program for parents of Barangay Lindang.
To increase awareness of adolescents in teenage pregnancy prevention in Barangay Lindang through established peer to peer support group capacity building.
Strategies:
Establish a youth-driven model of support and education.
Healthy Young Ones Workshop: Workshop for students as peer educators to lead and facilitate discussions about teenage pregnancy prevention and Reproductive Health. Topics including but not limited to the following (DOH Healthy Young Ones).
To enhance capacity to deliver effective reproductive health education and counseling among educators in Barangay Lindang National Highschool.
Strategies:
Promote collaboration on teachers in Barangay Lindang National High School with key stakeholders to ensure proper health education.
To promote the sustainability of reproductive health services through existing policies and initiatives.
Strategies:
Collaborate with Barangay Officials in strengthening reproductive health services
Conduct lectures to teachers of Barangay Lindang on topics including but not limited to the following:
Puberty
Reproductive system
Sexually transmitted infections
Contraceptive methods
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