TH E P O LILLO H EALTH M IS S IO N

2 0 0 8 :R e p o r t b y

. . .G r a c e M M a a n o M D H e a lt h P r o je c t C o o r d in a t o r

P h il ip p in e Au s t r a lia n M e d ic a l ( )A s s o c ia t io n P AM A

, P a s t Yo u t h D ir e c t o r R o t a r y C lu b o f G o s f o r d We s t

TH E P R O J EC TFREE MEDICAL CONSULTATIONSFREE SURGICAL OPERATIONSFREE GYNAECOLOGICAL PROCEDURESFREE DENTAL EXTRACTIONSHEALTH EDUCATION ON BASIC LIFE SUPPORT, FIRST AID, OBSTETRIC EMERGENCIES FOR BARANGAY HEALTH WORKERS (BHWs)

TH E P R O J EC T

APRIL 6-8, 2008 (HEALTH MISSION)APRIL 9, 2008 (HEALTH TRAINING)VENUE: POLILLO MEDICARE HOSPITALPOLILLO ISLAND

QUEZON PROVINCE PHILIPPINES

WHY DO A MEDICAL MISSION?

WHY NOT???

WHY PHILIPPINES?One of the third-world countriesSouth East Asia300,000 km2 (72nd)90.5 million population estimate in 2008 (12th)GDP is 47th largest in the world(over US$ 117.5 billion)More than 11 million overseas Filipinos worldwide (11% of the population)7, 107 islands

WHY POLILLO ISLAND?

Lie s in t h e n o r t h e a s t e r n

p a r t o f t h e P h ilip p in e

a r c h ip e la g 3 H a s

:m u n ic ip a lit ie s, , P o lil lo B u r d e o s

P a n u k u la n P o p u la t io n o f

5 5 ,0 5 1 ( a s o f2 0 0 0 )1 1 ,0 3 6 h o u s e h o ld s2 N e ig h b o r in g

:is la n d s P a t n a n u n g a n a n d

J o m a lig : M a in O c c u p a t io n

/F is h in g F a rm in g

TH E P R O J EC TVEN U E

TH E P O LILLO

M ED IC AR E

H O S P ITAL

TH E IS LAN DH O S P ITAL

POLILLO MEDICARE HOSPITAL Th e o n ly h o s p it a l in t h e

is la n d

2 2 3 d o c t o r s & s t a f f

10 - b e d c a p a c it y

- In f ir m a r y le v e l o f c a r e

2 - h o u r b o a t r id e t o t h e n e a r e s t D is t r ic t H o s p it a l

2 -3 a n d a n o t h e r h o u r b y -la n d t o r e a c h t h e t e r t ia r y le v e l P r o v in c ia l H o s p it a l

POLILLO HEALTH PROFILEINFECTIOUS DISEASES:

TuberculosisPneumoniaCough and coldsGastroenteritisSkin diseases: Scabies

CHRONIC DISEASESHypertension/ Ischemic Heart

StrokeThyroid dysfunctionsDiabetes MellitusSu

SURGICAL CASESGoitersHerniaLumps and BumpsMoles

SPONSORS

Philippine Australian Medical Association – Filipino doctors in NSW, mostly GPs based in Sydneyplanning stage in 2006, fundraising in 2007, 1st project actualization in 2008Raised $5,000aud for the mission

Rotary Australia World Community Service (RAWCS)

Travel insurance and tax deductibilityClub endorsement:

Rotary Club of Gosford West (District 9680)Rotary Club of Lucena South (District 3820)

PROJECT PARTNER-SPONSOR

UGNAYAN NG PAHINUNGODVOLUNTEER CORPSUniversity of the Philippines Manila

Philippine General Hospital (PGH)Manila, PhilippinesProvided fund supplementation for surgical/anaesthetic suppliesProvided the volunteer doctors/surgeons, dentists, nurses,allied health personnelConducted the ocular inspection, managed all local coordinations

LOCAL GOVERNMENT SUPPORT

Office of the Provincial GovernorProvided boat transportation from Dinahican Port to Polillo

Office of the Mayor of PolilloProvided food for the volunteers during the 4 day mission

The volunteers accommodation and transport from Manila to the port sponsored by PAMAPolillo Medicare Hospital staff and Barangay Health workers complemented the manpower

THE HEALTH MISSION OUTCOME

GENERAL SURGERIES: 13MINOR SURGERIES: 76CIRCUMCISION: 58

GYNAECOLOGICAL SURGERIES: 4PAP’S SMEAR: 33

MEDICAL CONSULTS: 508DENTAL PROCEDURES: 257

THE HEALTH TRAINING OUTCOME

120 Barangay Health Workers attended

Whole day seminar

Lunch and snacks were provided

(c/o PAMA)

Lecture topics:First aid: wound care, splints, transporting the injured

Basic Life Support

Handling Obstetric Emergencies

HEALTH MISSION EXPENSES SUMMARY

Medical & Surgical supplies:Php 138,407.80 (~4,000aud)

Pathology expenses:Php 13,130.00 (~350aud)

Volunteers transport,food & accom:Php 99,646.68 (~2600aud)

Health training meals:Php 5,650.00 (150aud)

Freebies (c/u LGU): Boat transpo (~500aud), Generator gas (140aud), Food for 40people x 4days (`400aud)

HEALTH MISSION BUDGET

From PAMA $5000 audAnonymous Donor Pledge $5,000 audTOTAL BUDGET= $10,000 aud

TOTAL EXPENSES:Php 257,434.48/ 38 = $6774.59

Remaining Budget given as donationPhp 30,000 (~$789) donated for sutures, fetal heart doppler, cholesterol meter and suction machinePhp 10,000 (~$263) for supporting expenses of patients with morbidity/post-surgical complications

NEEDS ASSESSMENTPolillo island being a far-flung hospital will benefit from upgrading of level of health services offer: from infirmary to at least secondary level facilities/servicesTo accomplish the above, upgrading of the following is mandatory:

Manpower resourcesHospital facilities and equipment

Meantime, HEALTH IMPROVEMENT AND DISEASE PREVENTION should be given emphasis.

P R O J EC T P R O P O S ED FO R

H EALTH M IS S IO N2 0 0 9Procurement of X-RAY, ECG and Ultrasound

machine for Polillo Medicare HospitalSponsor Surgical in-service training and practice accreditation of the two Medical Officers in the hospitalSponsor training in Advanced Cardiac Life Support and other Emergency Life Support courses for health staff Coordinate with the Provincial office efforts and proposal to upgrade hospital facilities and level of careCoordinate and support HEALTH EDUCATION AND DISEASE PREVENTION PROGRAMS that will reach out to far-flung areas of the island.

2009 PROJECT BUDGET ESTIMATE

$25,000- Xray machine +/- ECG, USS

$1,000- for staff training support

$500 – for health education programs

Plan:

Solicit from Rotary Clubs

Solicit from Medical Equipment companies

Personal donations

Not the end….

…….. t h e c h a lle n g e h a s !ju s t b e g u n

THANK YOU(movie presentation follows for 3 minutes)