Barangay Motibot has taken a step into becoming a frontier for change. For this exposure, problems centered on the hypertension, emergency response, toilet facilities, SWM, tuberculosis and pet ownership have been set in motion. These plans evoked a sense of fulfillment, not only on the part of the health workers involved, but also for the residents themselves because they’ve come to get themselves involved. 

    This exposure centered on coordination and cooperation. Countless letters have been sent and addressed to the municipality’s mayor and the barangay’s council for the fulfillment of projects that really needed support for their fruition. However, no journey is guaranteed absolute perfection. Still, roadblocks were encountered along the way of our plans and these roadblocks really reflect the people’s capacity for accepting change as well as their cooperation. Some council members are  polar and aloof which played a major part in some delays and setbacks. But, due to the cumulative effort and resourcefulness of our group, we managed to push through and delivered good results. 
Some of the activities included health teaching caravans encompassing the above mentioned key problems and postage of IEC materials to campaign for our projects. In addition to what was stated, the biggest highlights were out zumba sessions, our BLS training and SWM campaign which took a huge toll on our physical and mental capacities. 

     The exposure wasn’t as smooth sailing as we hoped for it to be, but it was fulfilling to see many people getting involved in our zumba sessions and health teaching sessions with members of the 4P’s and in schools. Hopefully, the momentum for the group can continue to progress in order to build an established and healthier Motibot.

The Ateneo de Zamboanga School of Medicine, Team Motibot together with the barangay health workers conducted a 5-day Waste Analysis Characterization Study (WACS): to know the highest percentage waste generated in Barangay Motibot. The theme for this year’s exposure for solid waste management community health plan “Tungod Mo Limpyo Mo, Basura Mo Hipuson Mo” in which selected households were chosen per sector to be involved in the study. A total of 61 households were chosen, 10 percent of the total households per sector. The school, health center, satellite markets and general stores were also included in the study. Each chosen households and establishments were provided with 4 sacks, each properly labelled with biodegradable waste (Malata), recyclable waste (Magamit Pa), residual waste (Dili Malata) and special waste (Makahilo), along with distributed sacks a pamphlet was also given. Each waste generated per household and establishment were collected daily and a representative was required to sign in WACS monitoring sheet, waste per household were weighed individually, and gathered together for a cumulative weight. 


After 5 days of collection, each data obtained were analyzed and summed up to know the most number of waste generated in Barangay Motibot.  A total of 247kg of waste was collected, which includes 106.9kg (43.28%) Biodegradable waste, 63.7 (25.79%) Recyclable waste, 59.1kg (23.93%) Residual waste, and 17.3kg (7%) Special waste. Collected biodegradable waste were disposed off in a compost pile made by the group in an area allotted by the barangay health worker, recyclable waste were brought to junk shop to generate some funds for the snacks of the team, special and residual waste were brought to the material recovery facility to be collected by the dump trunk. 

The treatment of hypertension begins with accurate measurement. 
In order to identify hypertensive individuals, mass BP taking was done by the team using the 2017 AHA guidelines.  61 hypertensive individuals were identified and 56 among them have uncontrolled hypertension leaving only 5 individuals with controlled hypertension. These individuals were enlisted in the Barangay Motibot Hypertension Club otherwise known as Hugpong Kontra Hypertension. 

In order to empower the club, the conduct and monitoring of activities for hypertension were  turned over to the club officers along with a logbook that they can use for record keeping.
Monitoring is equally important with knowing one’s hypertension stage.  Monitoring booklets were given to each member of the club which they can use to keep track of their blood pressure levels. Important points on hypertension were also included in the booklets.

The BHWs were further equipped on manual BP taking through the conduct of a training and workshop. A manual BP set was also turned over to the BHS.

TB remains a major public health concern, with the infectious disease among the top killers of Filipinos for almost a decade now. According to the gathered data at Sindangan Rural Health Unit, it is also included in the top leading causes of mortality in Brgy. Motibot. Together with the community, Team Motibot came up with strategies to help control and prevent the spread of this deadly disease. Our core group, Team moTBot had undergone a few lectures and trainings to start the implementation of the NTCP in the barangay. This recent exposure highlighted the health teachings to emphasize the must-knows about the disease to the community. Major programs are planned ahead for Team moTBot on the next exposure to ensure sustainability of the program.

Basic Life Support Training and first aid was conducted last January 20, 2020 in Barangay Motibot covered court. Our group spearheaded this 1-day training with Nurullaji Aguil, our group mate who is a licensed EMT-B, who became the key speaker. This training was assisted by MDRRMC of Sindangan who provided the needed equipment for the said event.

The BLS training was attended by the 30 members of the BMERS core team. They were trained with: first aid and proper wound care, 1 rescuer adult and infant Cardio-Pulmonary Resuscitation (CPR), bandaging, and lifting. 

Pre-test and post-test were given to every participant to evaluate what they have learned during the training. Return demonstration was also done to evaluate whether they have acquired the skills of providing high quality CPR to adults.

At the end of the training, BMERS core team signed and swore an oath to provide BLS to anyone in need. 

Barangay Motibot Emergency Response System (BMERS) aims to provide immediate response when medical emergencies happen in Barangay Motibot. This month, the group started with orienting the key persons of Motibot regarding the importance of having an emergency response system and what BMERS is all about. Key persons included were the Barangay Captain, Councilors, Barangay Health Workers, Barangay Nutrition Scholar, Barangay Nurse, Barangay Officials, Sangguniang Kabataan, and representatives from sector 1 to 7.

Together with the key persons who attended, the BMERS management plan flowchart was formulated. Basically, Barangay Captain will be in charge with the over-all transactions concerning medical emergencies which will be responded by respective Councilor or In-charge of the sector where the incident took place. 

After formulating the BMERS management plan flowchart, core team was then appointed. Councilors from different sectors were asked to appoint representatives from their sector who are fit to respond to emergencies and perform BLS to be part of the core team. The next activity that we conducted was the Basic Life Support training. BMERS core team was trained with first aid and BLS for them to be equipped with knowledge and skills in case of emergency. 

Finally, BMERS hotline was also started. IEC materials were posted in different areas of the Barangay - market, bakery, school, stores, health center, and streets. 

Waste management is defined as the activities and actions required to manage waste from its inception to its final disposal. This includes the collection, transport, treatment and disposal of waste, together with monitoring and regulation of the waste management process. Improper disposal of barangay solid waste can create unsanitary conditions, and these conditions in turn can lead to pollution of the environment and to outbreaks of vector-borne disease—that is, diseases spread by rodents and insects.

A crucial part in the solid waste management process is for the core team to be able to identify and analyze the current situation of the community to provide a firm basis for critical planning decisions and to be able to acquire baseline data that can be the basis for future evaluation of changes and impacts of the planned solid waste management programs and activities. In line with this, the team conducted a Waste Analysis and Characterization Study (WACS), a 5-day collection, processing and analysis of waste generated from various sources in barangay Motibot. The study aims to gather baseline data regarding waste quantity and composition so that the team may be able to create relevant waste management programs and activities. The results of the study showed that out of the 247kg of waste collected; 43.28% of the wastes are biodegradable, 25.79% are recyclable, 23.93% are residual and 7.00% are special trash. This shows that waste management programs should be geared more towards biodegradable and recyclable types of wastes.

Education and information dissemination campaigns also started beginning with lectures conducted to the community people, barangay council, and grade school students in Motibot Elementary School. This activity aims to increase the knowledge of the community regarding solid waste management. Pre-tests and post-tests were given to measure the lecture’s effectivity. Pamphlets, containing proper segregation information and ordinances implemented in the barangay, were also handed to households to supplement the lectures given. Lastly, posters were placed in key locations in the barangay including, the seven (7) Material Recovery Facilities (MRFs), school bulletin boards and the barangay hall. All of these are only few of the planned programs of the team to ensure that the goal of increasing the number of households practicing solid waste management in barangay Motibot is achieved by year 2022.