Salud Bikolnon Edition no. 17

Salud Bikolnon I January - March 2017

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SaludBIKOLNON

DEPARTMENT OF HEALTH REGIONAL OFFICE V Health Promotion Unit Legazpi City, Albay Tel. No. : (052) 483-5656 loc. 551 Email: dohbicolhpu@gmail.com www.ro5.doh.gov.ph www.facebook.com/dohrov

The COVER HEALTH FOR ALL FILIPINOS. This year, Salud Bikolnon features success stories of patients, program implementation good practices and commendable health services of health workers.

Meet Joel. He can now walk after his 18-month therapy at the PWD Rehabilitation and Referral Center in Tinambac, Camarines Sur. He has defeated cerebral palsy with a smile.

The Philippine Health Agenda 2016-2022 guarantees every Filipino’s access to health services in all stages of life -- “All for Health, Towards Health for All”.

EDITORIAL

NEXT Issue . . .

Board & Staff

Chairman Napoleon L. Arevalo, MD, MPH

OIC - Director IV

Vice Chairman Ernie V. Vera, MD, MPH, CHA

Director III

Members

Search and Seek. The Department of Health Regional Office V intensifies the prevention of dengue as it celebrates the 7th ASEAN Dengue Day on June 15, 2017 in Legazpi City. Health Secretary Dr. Paulyn Jean Rosell-Ubial graced the national event and imparted that we should make 4S a habit so that we can fight and eliminate dengue-carrying mosquitoes and protect ourselves and loved ones against dengue.

This year’s theme, “Search (and destroy mosquito breeding places) and Seek (early consultation)”, highlights everyone’s role in dengue prevention by practicing the 4S.

Norberto A. Balane, Jr., CPA, MPA Arnulfo C. Carandang, MD, MPH Alan Lucañas, MD Ms. Noemi A. Bron, HEPO III Mr. Kenn S. Nuyda, HEPO II

Editor-in-Chief Ms. Noemi A. Bron, HEPO III Associate Editor Mr. Kenn S. Nuyda, HEPO II Writer & Layout Artist Danica D. Caballero Photographer / Sharon B. Besmonte Circulation-in-Charge Crisostomo Dado, Jr. Contributors Hael Lanchet L. Germones Elaine Ann Barcarce Emily Escueta-Saulon Niña Albie Dulay Omar T. Torrenueva Michael Arvie Tribiana Raboni Estopare Araguirang

IN THIS ISSUE 4

Uphold RPRH: WE Make

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DOH RO V celebrates Oral

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Sec Ubial lays down PHA in

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Magandang buhay

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Step towards hope

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Understanding Leprosy,

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Tooth Fairy Mother’s View on

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Keeping your teeth shiny and

Change for Women Health Month celebration Bicol

everyJuan!

Conquering the stigma Oral Health white

Health Headlines Uphold RPRH: WE Make Change forWomen

YES FOR RPRH! Dr. Rita Mae Ang-Bon explains to the media the importance of RPRH law in attaining the ‘Zero Unmet Need for Modern Family Planning’ and how it improves the health of women in reproductive years.

As part of the celebration of Women’s month, the Department of Health Regional Office V advocates the Responsible Parenthood and Reproductive Health (RPRH) law to ensure the health and well-being of women by preventing highrisk pregnancies, preventing unwanted/unplanned pregnancies, maternal deaths and responding to unmet needs of women.

The 2017 National Women’s Month’s theme “WE Make Change Work for Women”, shall focus on the full implementation of the Magna Carta for Women (MCW) or Republic Act 9710. The theme emphasizes that women should be active drivers in bringing about positive changes in our community and they should also reap from development efforts. This shall not be possible without addressing the health needs of women which the RPRH law implements.

One of the Socio Economic Agenda of President Rodrigo Duterte is to strengthen the implementation of the RPRH law to enable individuals, especially poor couples, to make informed choices on family planning. RPRH law also known as Republic Act 10354 is a national policy that mandates the Philippine government to comprehensively address the needs of Filipino citizens when it comes to responsible parenthood and reproductive health. As such, the RH Law guarantees the following: (1) access to services on Reproductive Health (RH) and Family Planning (FP), with due regard to the informed choice of individuals and couples who will accept these services, (2) maternal health care services, including skilled birth

“In

attendance and facility-based deliveries, (3) reproductive health and sexuality education for the youth, and (4) regular funding for the law’s full implementation.

In the country, 81% of women of reproductive age either want to delay or prevent pregnancy; and 18% of our women do not have access to contraceptives based on the National Demographic and Health Survey 2013. The lack of access to FP services put them at risk of unplanned/ unwanted pregnancy which may lead to high risk pregnancies or even death.

In 2016, the Bicol region had 96,714 deliveries in which 90.02% were attended by skilled health professional and 89.84% delivered at a DOH recognized facility. Although this rate is within the national target, the remaining 10% can be attributed to the 115 maternal death rate in the region.

the country, 81% of women of reproductive age either want to delay or prevent pregnancy and 18% of our women do not have access to contraceptives. . .”

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On January 9, 2017, President Duterte signed Executive Order no.

12, entitled “Attaining and Sustaining ‘Zero Unmet Need for Modern Family Planning’ through the strict implementation of the RPRH Act, Providing Funds therefore and for other purposes”. This aims to intensify and accelerate the implementation of critical actions necessary to attain and sustain ‘Zero Unmet Need’ which can possibly answer the needs of marginalized and underserved individuals desiring family planning services. /ddc

DOH ROV employees

celebrate Women’s Month Celebrating Women’s Month the relaxing and fun way!

DOH RO V women employees enjoyed the month-long celebration of women’s month this March 2017. The Gender and Development Committee of DOH lined-up activities to empower the employees and educate them on Women’s rights and violence against women and children (VAWC). This included lectures, the One Billion Rising Walk against VAWC, zumba execise, ‘Laro ng Lahi’, ‘Kakaibang Talent Contest’ and free beauty and spa services.

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Health Headlines DOH RO V celebrates Oral Health Month

Launches fluoride application to children 12-23 months old Are your pearly whites selfie ready? It is high time that Filipinos start to prioritize their oral health.

SAVE OUR TEETH. (top) Dr. Lulu Ramos-Santiago gives emphasis on the importance practicing proper oral hygiene especially of children. (above) A dentist applies fluoride varnish to a child’s teeth during the activity.

To increase awareness of the public on oral health, the Department of Health Regional Office V launched the 1st Regional Oral Health Summit with the theme “Ngiping Inalagaan at Pinagyaman, Hatid ay Ngiting ‘di Kukupas Kailanman” on February 14, 2017 in Legazpi City. This year’s theme resonates the importance of proper oral hygiene and maintenance in preventing oral diseases.

significant enough to affect work performance, nutrition, social interactions, income, and self-esteem.

Dental carries and gum disease are preventable. “There should be awareness in proper oral hygiene and this should be taught and practiced in all stages of life”, Dr. Santiago added. “Among these practices include balanced diet, correct eating habits, avoiding sweets, brushing the teeth after every meal with fluoride tooth paste, regular flossing of teeth, healthy lifestyle and regular visits to the dentists”.

“. . .82.3% of Bicolanos suffer from tooth decay and 45% have gum disease. . .”

The summit was part of the celebration of the Oral Health Month which aimed to increase oral health consciousness among Filipinos especially among children.

A mass sodium fluoride varnish application to 12-23 months old toddlers was the highlight of the activity.

Provincial Health Officers and Provincial and City dentists of the region came to signify their support to the program.

Dental caries or tooth decay is the most common chronic disease of all ages in the Philippines. According to the National Monitoring and Evaluation Dental Survey conducted by DOH in 2011, 87.4% or 8 out of 10 of Filipinos suffer from tooth decay and 48.3% have gum disease. In Bicol region, the same survey revealed that 82.3% of Bicolanos suffer from tooth decay and 45% have gum disease. These diseases result from lack of oral hygiene and can eventually lead to early loss of teeth.

“Tooth decay and gum diseases do not directly cause disability or death.

However, these can weaken bodily defenses and serve as portals of entry to other more serious and potentially dangerous systemic diseases and infections,” said Dr. Lulu Ramos-Santiago, Oral Health Coordinator. Serious conditions include arthritis, heart disease, endocarditis, gastro-intestinal diseases, and ocular-skin-renal diseases. Aside from physical deformity, these two oral diseases may also cause disturbance of speech and pain

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“Oral health is fundamental to our overall health, well-being and quality life.”

Read about Dr. Lulu’s experience in keeping her son, Daniel Zeth, orally fit on page 22.

Belly Gud for Health on its 3rd year In promoting healthy lifestyle, the Department of Health Regional Office V through the Non-communicable Disease Prevention and Control (NCDPC) cluster launched the 2017 Belly Gud for Health on March 14, 2017 in Legazpi City.

BE FIT THIS 2017. (left) Regional Director Dr. Napoleon L. Arevalo encouraged the participants to practice healthy lifestyle and maintain an ideal body weight. (top right) Challengers enjoy the dance exercise during the activity. (bottom right) A challenger consults a nutritionist from Albay Provincial Health Office of her ideal daily calorie intake.

The “Belly Gud for Health” is a high waist reduction program that aims to attain and maintain a required waist circumference of <90 cm for males and < 80cm for females.

On its 3rd year, Belly Gud for Health targeted government employees in the region where challengers shall compete by team composed of eight members. Twenty teams from different government agencies

signified to join the challenge – making a total of 160 challengers to journey the road to fitness. The challenge will run for 8 months (March to October 2017) where members of the team shall be regularly monitored and evaluated. The best team shall be awarded with cash prize and incentives during the Salud Bikolnon Awarding Ceremony on December 2017.

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Sec Ubial lays down PHA in Bicol “Health is everyone’s concern. It cannot be the sole concern of the health professionals, so everyone in the community must be involved and contribute to the health and well-being of the community,” said Secretary of Health Dr. Paulyn Jean Ubial during the Bicol Health Convention on January 20, 2017 in Legazpi City.

Sec Ubial laid down the Philippine Health Agenda (PHA) 2016-2022 during her visit in the region. She was invited as guest speaker during two conferences of Bicol University and took opportunity in advocating PHA and its battlecry “all for health towards health for all”. Her itinerary in the region included visits to the Department of Health Regional Office V, Bicol Regional Teaching and Training Hospital, Bicol Medical Center, Malinao Treatment and Rehabilitation Center, Camarines Sur Treatment and Rehabilitation Canter, Bicol Sanitarium and Ziga Memorial District Hospital.

In every facility, the secretary discussed the goals and strategies of PHA and the three marching orders of President Rodrigo Duterte – war on illegal drugs, war on corruption, and war on poverty and ill-health. “The PHA has three goals. One, financial protection. Filipinos especially the poor are protected from high cost of health care. The second is to attain better health outcomes. Filipinos achieve the best possible health outcomes with no disparity. And lastly, the goal of responsiveness. Filipinos must feel respected, valued, and empowered in all of their interaction with the health system”, said Secretary Ubial.

The PHA also has three guarantees. The first one, “All Life Stages & Triple Burden of Disease”, simply means that DOH will ensure services that keep the well healthy, and the sick return to their full health.

The second guarantee is that all Filipinos, especially the poor and those who live in Geogically Isolated and Disadvantaged Areas (GIDAs), will be able to access various levels of care in well-defined and functional networks of facilities, that is not fragmented individual facilities.

The third guarantee is all about ensuring that all Filipinos have financial freedom when accessing services because of health insurance. With this, the poor will be enrolled to the Philippine Health Insurance Corporation (PhilHealth). Services shall be financed predominantly by PhilHealth where it will be the gateway for free and affordable care.

Also included in the PHA is the interconnectivity of all hospitals and public health systems in terms of service delivery network (SDN). This in turn, can provide annual check-up to all Filipinos for early detection of illness and appropriate and timely referral to tertiary hospitals.

“Let’s work together in achieving all for health towards health for all”, Sec. Ubial said. /ddc

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Health for All. (top) Secretary of Health Dr. Paulyn Jean Ubial gives her speech about the Philippine Health Agenda during her visit in the region. (above) Sec. Ubial together with Assistant Secretary Nestor Santiago, Jr. prints her thumb mark on the “Tree of Hope” of the Malinao Treatment and Rehabilitation Center.

The DOH Region V family pose for a photo with the secretary.

The DOH Region V employees grab the opportunity to have a photo with the secretary.

Dr. Maria Estrella Litam, Hospital Chief of Bicol Medical Center together with DOH Regional Director Dr. Napoleon Arevalo, lead the tour for Sec Ubial inside the hospital.

Sec Ubial together with Dr. Rogelio Rivera during the tour at the Bicol Regional Training and Teaching Hospital.

The staff of Malinao Treatment and Rehabilitation Center during a photo with Sec Ubial.

The staff of Bicol Sanitarium smile for a photo with the secretary.

Sec Ubial during a photo with the staff of Camarines Sur Treatment and Rehabilitation Center.

The National Nutrition Council staff in a photo with Sec Ubial.

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RABIES-FREE VISION. (left) As part of the celebration of Rabies Awareness Month, stakeholders launched the Naga City Pet Day on March 12, 2017 where the Naga CVO offered free anti-rabies vaccine, castration and deworming of pets. (right) Barangay Tanods of Naga City undegoes a Dog Catching Training Course.

Naga CVO urges collective effort on rabies by: Emily Escueta-Saulon Naga City Vet Office

Let’s all work together for a rabies-free community!

The Naga City Vet Office (CVO) advocates for a collective responsibility of stakeholders in eradicating rabies not only in the city but in all communities.

The CVO has been in the forefront in the prevention and eradication of rabies by means of systematic strategies -- this include regular massive house to house anti-rabies vaccination, stray animal catching, castration and heightened information drive covering all schools and barangays. However, despite of the efforts there is still a recurrence of rabies cases in the city.

A TIRED DOG IS A HAPPY DOG. A participant with his dog rests for a while after the Fun Walk during the Naga City Pet Day.

As per the CVO’s investigation, all stray animals caught came from nearby municipalities. It was also identified that stray animals are the primary source of rabies transmission.

What we can do Pet owners should become responsible and have their pets vaccinated with anti-rabies regularly.

Barangays should establish immediate response when they encounter a stray or rabid dog in their locality. They can opt to put up an impounding center too.

On rabies education, the Department of Education can incorporate rabies in the academic curricula to mainstream prevention and promote responsible pet ownership.

The Department of Health can sustain the provision of free vaccines and immunoglobulins at Animal Bite Treatment Centers.

The Local Government Unit can legislate systems and protocols in the eradication of the disease by unifying efforts within the region.

Anti-Rabies Act of 2007 (RA9482) deliberately laid down every role of each stakeholder for a decade now. Naga CVO implores for strong implementation of all LGUs. Each should comply with registration, anti-rabies vaccination requirement, practice stray animal catching, establish an impounding center and popularize surveillance to be more vigilant in resurgence of rabies disease.

“The possibility of a rabies-free city or community is not far from reality if all has a mindset of collective responsibility.”

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TOGETHER ON HEALTH. Members of the Magandang Buhay club pose for a photo while showing their signature pose after their monthly club health activity in Barangay Solong, San Miguel, Catanduanes.

MAGANDANG BUHAY everyJUAN!

by Omar T. Torrenueva, RN and Michael Arvie T. Tribiana, RN NCD point persons, San Miguel, Catanduanes

MAGANDANG BUHAY everyJUAN (everyone)! Reaching every Filipino who suffers from an overly sweet life and highly pressured vessels is the utmost priority of the Hypertension and Diabetes Mellitus Club of the Municipality of San Miguel, Province of Catanduanes.

Pursuant to the Department of Health Administrative Order No. 2016-0014 stating the Implementing Guidelines on the Organization of Health Clubs for Hypertension (HPN) and Diabetes Mellitus (DM), the Municipal Health office of San Miguel, Catanduanes headed by Dr. Lilian L. Olfindo organized the â&#x20AC;&#x153;MAGANDANG BUHAY Clubâ&#x20AC;? the HPN and DM club of San Miguel.

The club aims to improve health status of our HPN and DM clients through the use of core activities that are relevant to their condition. Core activities include lifestyle improvement activities such as diet modification, physical activities, smoking cessation and reduction of alcohol intake.

Nurses of the Nurse Deployment Program (NDP) conduct monthly health education, replenishment of free medications, periodic measurements of vital signs and mental health improvement activities in every barangay. These activities fosters bonding between health care workers and patients.

Meet Tatay Juan Tatay Juan is a 72 year-old resident of Barangay Siay, a former abaca stripper, a bread winner and a dedicated father of his twelve (12) children. Two years ago, Tatay Juan met an

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HAPPY AND WELL. Tatay Juan (Left) gives his best smile and signature pose of Magandang Buhay Club of Barangay Siay with Omar Torrenueva, NDP of San Miguel.

accident that made him blind and incapable of supporting his family’s income. He did not seek immediate medical attention after the accident because of financial constraints. This, unfortunately, resulted to the total loss of his eyesight.

Now, Tatay Juan has to face another challenge in his life.

His blood pressure has elevated. He frequently experiences dizziness, headache and nape pain. He is willing to go to the Rural Health Unit of San Miguel for medical consultation but his physical condition is hindering him to go.

Road to health In order to reach the Rural Health Unit, he needs to cross a river boarding a wooden banca and ride a public vehicle to travel from his home which is approximately 30 minutes away.

Maugma ta ang mga highblood gailibahan, gailisturyahan buda nakamatid ning manungod sa helang na namati namu.

Matalagbuan na naman kita sa masunod na bulan” (“I like the club very much. It is a big help to us because health care workers are here at the barangay and they are continuously monitoring us. We can easily raise and ask our concerns on the medicines given to us by the government. I want to say thank you for the free maintenance medicines. We are happy that we have a support group and we also learned a lot about our condition. I’m looking forward to meet them again next month!”), Tatay Juan expressed after the first meeting of MAGANDANG BUHAY Club of Barangay Siay last March 28, 2017. This is truly an inspiration for the RHU staff to work harder for the improvement of the club.

“. . .I like the club very much. It is a big help

to us because health care workers are here at the barangay and they are continuously monitoring us. . .”

Tatay Juan sought for medical attention at the RHU. An assigned NDP nurse assessed his condition using the NonCommunicable Disease (NCD) High-Risk Assessment and Protocol on Philippine Package of essential NCD Interventions (PHILPEN) on the Integrated Management of Hypertension and Diabetes for Primary Health care facilities.

He was diagnosed as hypertensive and was immediately registered in the hypertension registry. He was given a NCD Booklet, Color Coded Identification Card based on the World Health Organization/International Society of Hypertension risk prediction chart and anti-hypetension medicines. Finally, he was enrolled to the Magandang Buhay Club – Barangay Siay Chapter!

“Gustong gusto ko ining club. Dakulang tabang talaga ini samo ta nadadayo na kami, namomonitor na kami buda igwa kaming nahahaputan sa mga yatao ning gobyerno na mga bulong. Salamat ta libre ang bulong na yatao ninyo.

As Magandang Buhay Club progresses, the RHU planned for future activities. This would involve of family members to encourage full participation of the member on health promotional activities and social activities like team building, fund raising activities and HPN and DM Summit.

Dr Lilian Olfindo, MHO of San Miguel is optimistic that through MAGANDANG BUHAY Club, it will strengthen our battle against NCDs and it will ensure continuity of care to prevent complications. “We expect better health outcomes and better outlook in life of our patients through the formation of this club that acts as support group at the barangay level. We are pleased that we are being recognized as the first municipality in Catanduanes to organize this kind of health club.

As of March 2017, 11 out of 24 Barangays of San Miguel had already established their own club. “We are planning to organize an ‘HPN and DM club summit’ on August 2017 to further raise awareness on the prevention and management of hypertension and diabetes” Dr. Olfindo added.

SIGNATURE POSE. Magandang Buhay Club (Siay Chapter) members facilitated and organized by Michael Arvie T. Tribiana (center), NDP of San Miguel, Catanduanes.

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The Cover

Step towards

HOPE

“Nagpapasalamat ako sa programang ito dahil na alagaan ang anak ko at tuluyan na po siyang nakalakad”, said Mrs. Nelia Legarto as she expressed her gratitude during an interview.

Her five-year-old son, Joel Jr., has cerebral palsy (CP) and is currently undergoing therapy sessions at the Person with Disability (PWD) Rehabilitation and Referral Center in Tinambac, Camarines Sur. Joel was just one year old when he was diagnosed with CP. Mr. Rommel Escolano, Tinambac Municipal Hospital Nurse, referred him to the Municipal Social Welfare and Development (MSWD) of Tinambac for assistance and enrolled him to the Community Based Rehabilitation Program (CBRP) for PWDs. Now, he is one of the three successful patients of said program.

The rehabilitation program Mrs. Legarto was thankful for the intervention given to his son.

“Si Joel noon ay lagi lang nakadapa. Hindi din nya nakokontrol ang ulo nya kaya kailangan siyang alalayan para hindi mauntog.

Ngayon, sa tulong nitong programa, nakakapaglakad na si Joel at meron na syang head control.” Joel underwent a two-hour therapy session once a week with Mr. Escolano. His parents were taught of basic therapy skills so that they can continue at home for the rest of the week.

The challenge that came with the implementation of the program is the inconsistent attendance of patients for the therapy sessions and lack of equipment. “Syempre malalayo kasi ang bahay nila mula sa municipal hospital at mahirap mag byahe kaya ang iba hindi na nakapagpatuloy. Kaya naman nagsagawa kami ng weekly home visit sa ilang pasyente,” said Mr. Escolano. “Isa pa sa challenge sa amin ay ang kawalan ng gamit sa pag therapy. Nag improvise na lang kami.”

Because of the dedication and creativity of the health workers, there are already three successful patients in the program including Joel. Currently the rehabilitation center caters to 18 epilepsy patients, 13 cerebral palsy patients, 3 CP with epilepsy patients and 25 patients with mental health issues. There are also other 149 patients who irregularly report for therapy and check-up. With this number of cases, the health workers cannot totally meet the great demand in conducting therapy sessions.

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LITTLE STEPS, BIG FUTURE. Joel Legarto Jr., 5 years old, walks on his own after his 18-month therapy at the Community Rehabilitation in Tinambac, Camarines Sur. His mother, Mrs. Nelia Legarto (in yellow shirt), follows her son’s every step.

Partnership and collaboration The CBRP for PWDs in Tinambac was the result of the partnership of the Department of Health, Local Government Unit, Department of Social Welfare and Development, and the HELP Learning Center Foundation, a non-government organization in Naga City. In 2014, the DOH together with HELP Learning Center conducted three batches of CBRP trainings to health workers in Camarines Sur. This is when LGU Tinambac entered into a Memorandum of Agreement (MOA) with HELP Learning Center Foundation to further improve the services for PWDs. The said NGO provided training and mentoring to health workers in administering therapy to patients. Mr. Escolano and Ms. Margie Sidayen, RM were the pioneer recipients of the training. The NGO conducted several medical missions in Tinambac particularly on the diagnosis of epilepsy, cerebral palsy and mental disorders.

In 2016, DOH Regional Office V provided LGU Tinambac, Camarines Sur and LGU Cataingan, Masbate with a PWD Rehabilitation and Referral Center. The building serves as a site for the referral and rehabilitation therapy of PWD patients within their inter-local health zone. The LGU will cater patients from other municipalities once it is fully established.

UNENDING HOPE. (L)Mark Christian Balote, 13 years old, and (R) Rex Blanca, 4 years old, can now walk after 18 months of therapy at the Community Rehabilitation in Tinambac, Camarines Sur. They are full of hope for their future.

The CBRP in Tinambac was established since 2007 through the leadership of Mayor Ruel T. Velarde and Dr. Francisco A. Severo IV, Municipal Health Officer and in coordination with MSWDO and DOH. Mayor Velarde initiated the program to address the number of impairment cases in the municipality. Currently, the PWD program continues to prosper with the support of the current Mayor Hon. Ruel B. Tuy. More challenges As of February 2017, the facility temporarily ceased its operations due to the transfer of Mr. Escolano and Ms. Sidayen to other offices. The LGU has already designated a new therapist who is now undergoing training at the HELP Learning Center Foundation.

“Malaking tulong po itong programa. Ang hiling lang namin ay magpatuloy pa ito para maraming matulungan tulad ng anak ko,” said Mrs. Legarto. The collaborative effort of the stakeholders has helped the patients’ rehabilitation.

The Department of Health Regional Office V funded the construction of the PWD Rehabilitation and Referral Center Building in Tinambac, Camarines Sur. The building was inaugurated on March 11, 2016.

This year, the DOH is looking for ways to further assist the LGU with the provision of basic rehabilitation equipment to the facility.

Many parents are hoping for the immediate resumption of the therapy sessions for the continuous improvement of their PWD patients. The LGU and its partners continue to look for possible ways to improve their services to PWDs including more fund allocation to augment manpower and to acquire more equipment.

Truly, this intervention is every patient’s step towards hope for a better future./ddc With reports from Mr. Bernardo O. Aguay Jr., Universal Health Care Implementer of Ms. Josephine P. Batalla, RN, MAN - Development Management Officer IV of DOH Camarines Sur.

Ms. Margie Sidayen (white uniform) giving therapy session to one of the patients.

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Understanding Leprosy, Conquering the stigma

by Hael Lachet L. Germones, RMT Rural Health Unit - Manito, Albay

Meet Sophia, ( not real name ) 21 years old. She has leprosy. She was born in one province in Visayas.

She began experiencing joint pain, hypo pigmentation of the skin when she was 8 years old. Because of financial constraints, her family sent her to Manila to find a job. She worked as house maid in Manila, and few years after that she met her boyfriend who is from Manito, Albay.

She noticed numbness in her fingers, ulcers like wound in the feet, lesions, hypo pigmented skin patches with definite sensory loss. She consulted few public and private hospitals in Manila, but she failed to get the correct diagnosis for her ailments. Later on, she chose to live with her boyfriend in Bicol.

Diagnosis It was only last August 2016, when Bicol SanitariumBicol Regional Teaching and Training Hospital (BRRTH) Team headed by Dr. Rolly Zantua and the Rural Health Unit of Manito headed by Dr. Michaelangelo C. OĂąate conducted a Kilatis Kutis C amp aig n .

S o p h i a went to the consultation site with little hope that she might be diagnosed and given the right medical treatment.

Upon physical examination, the attending physician diagnosed that it was leprosy, he requested for a confirmatory Slit Skin Smear test at the RHU Manito laboratory. When the result came, the microscopic reading was 4+ making her as Multi-bacillary Leprosy patient. The slit skin smear test is a valuable, cost-effective tool in confirming and managing leprosy.

She immediately started with standard Multi Drug Therapy at RHU Manito and continues treatment until 12 months. Sophia is now on her last 2 months of medication. She gradually recovered from this disease though it is not easy because of the adverse reactions of the treatment. Comprehensive

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information and quality health care must be taken along the treatment to help the patient recover.

The enemy Leprosy is a chronic infectious disease caused by Mycobacterium leprae. It affects the skin and peripheral nerves.

The disease has been around since ancient times, often surrounded by terrifying, negative stigmas, and tale of leprosy patients being shunned as outcast.

Leprosy was also mentioned in the bible in 2 Kings 5:3, when a great man Naaman, a commander of the army of Syria was infected with this plague.

Outbreak of leprosy has affected, and panicked people on every country. In the old civilizations, leprosy was incurable, mutilating and contagious.

However, leprosy is actually curable. You can catch it only if you come into close and repeated or prolonged contact with nose and mouth droplets from someone with untreated leprosy.

Interventions The Department of Health through the Bicol Sanitarium is regularly conducting trainings for the frontline health workers to understand more about leprosy. This provides more technical expertise on health workers on case finding, microscopy diagnosis through the slit skin smear and contact tracing to individuals and families exposed to this disease.

Bringing rapid diagnostics to hard-to-reach communities may be â&#x20AC;&#x153; out of

the boxâ&#x20AC;?, but just like the Detect Tuberculosis campaign experience, it has proven to be effective in finding undiagnosed, usually â&#x20AC;&#x153; missedâ&#x20AC;? leprosy patients early, thus limiting disease spread.

The DOH together with Local Government Units is regularly conducting extensive Kilatis Kutis Campaign. This promotes awareness, fights stigma and ultimately provide quality health care to vulnerable communities.

Conquering stigma

GETTING BETTER. The picture was taken last March 24, 2017 during a home visit and follow up check up of Sofia. She is very grateful to the team. (L-R) Smiling for a photo are Ms. Famela Fatima Magdaong, Nurse, Ma. Teresa Bautista, Midwife, Sophia ( blue shirt ) and Ms. Hael Lachet L. Germones, Medical Technologist.

In many health conditions, people are severely affected by health- related stigma and discrimination. The DOH and its partners identified several levels at which interventions and strategies are being implemented. These are intrapersonal, interpersonal, community- government/structural level.

Although a lot of work has been carried out on stigma and stigma reduction, far less work has been done on assessing the effectiveness of stigma reduction strategy. The effective strategies identified mainly concentrated on the individual and community level.

In order to reduce health-related stigma and discrimination, single level and single target group are not enough. What is required is the patient-centered approach, which starts with intervention targeting the interpersonal level, to empower affected persons to assist in the development and implementation of stigmareduction programs.

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Oplan TseKap: a key to better

HEALTH

NO PAIN, NO GAIN. A patient receives free anti flu vaccine during the Oplan Tsekap.

by Raboni Estopare Araguirang Public Health Associate, DOH Sorsogon

Milagros Abardo Asusano, 54 years of age, mother of one testifies that Oplan TseKap is a great help for them as it provided free health services, medicines, and addressed their health concerns.

“Sa adlaw nung tsekap, yaon ako duwang semanang ubo tapos pig resetahan ako ni Dr. Flores ning katorseng tableta ning Cotrimoxazole tapos treseng Ferrous Sulfate. Maynit ang pag ako samun sang programang yani sang DOH. Naga mawut akong ipadagos yaning programa lalo na sa mga arayong lugar na indi maka adun o indi kaya makapag pa tsekap sa RHU dahil sa kapobrehan,” (During Oplan TseKap, I had cough for almost two (2) weeks, and Dr. Flores gave me a prescription of about fourteen (14) tablets of Cotrimoxazole and thirty tablets of Ferrous Sulfate. They welcomed us warmly with this new program of DOH and I hope this will continue especially to those people who are far from the health facility and can’t go due to poverty.), Asusano said.

OPLAN TSEKAP Under the first one hundred (100) days of the Philippine Health Agenda from September 15 to December 23, 2016, the mandate of the Department of Health (DOH) is to facilitate access and provide essential package health services to the poorest and marginalized sector of our communities.

Based from DSWD data, there is an estimated 1.4 million individuals who belong to the National Household Targeting System (NHTS) in Bicol region and 194,220 are in the province of Sorsogon. During the TseKap implementation, DOH should ensure service delivery to 100% of NHTS members in the region within the first 100 days of the Philippine Health Agenda.

Ms. Milagros Abardo Asusano (left), a resident of Vinisitahan, Donsol, Sorsogon, expresses her appreciation to the Oplan TseKap program of DOH during an interview. eye and ear examination, mental health status exam, laboratory tests, health education, and hypertension and diabetes diary.

“I

Espartinez, said that Oplan TseKap gave them the opportunity to properly disseminate information on health and to craft effective strategies for every check-up.

hope this will continue especially to those people who are far from the health facility and can’t go due to poverty. . .”

The free essential health services include complete physical examination, weight and height measurement, blood pressure reading,

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Salud Bikolnon I January - March 2017

The Provincial DOH Office (PDO) Sorsogon Development Management Officer IV and officer-in-charge during that period, Eden E.

It also strengthened the service delivery network with stakeholders and established relationship with clients by knowing their needs.

“We faced different struggles, issues and dilemmas in conducting this new program, but it did not hinder us in rendering care with love and respect to each individual in the community regardless of their economic and health status. With this program, it helps

us to know and identify those individuals who need medical attention as early as possible and intensify the activities in decreasing any health risk,” she said.

The Kagawad on Health of Vinisitahan, Donsol, Sorsogon, Lolinia Arevalo Marbella, said that many people residing there do not have the capacity to go to the RHU due to financial constraints. “I hope that this program will continue from generation to generation. It created a big impact not just in our lives but to everyone who were touched by this program especially the poor and those who live in far flung, mountainous areas, and areas not accessible by any means of transportation.

Thus, DOH ensures that all identified NHTS members and poor individuals will be provided with free essential health services in the sense that no one should be deprived of his/her human rights, one of which is the access to basic medical and health services, freely and with no boundaries.

“Having a short period of time to reinforce what Oplan TseKap is all about, we did not consider it as a problem. Instead, we believed that having this program, many people will have better access to health, making the healthcare services accessible and available for them all the time,” said Espartinez.

Registered Medical Technologists conduct blood typing, urine and stool analysis.

Oplan TseKap has served the poorest and marginalized sectors in several communities of Sorsogon. This program continues to increase the awareness of every person who take their health for granted. And through this, it brings accesible health services to the community especially the NHTS members who need more medical or health assessment.

As of December 23, 2016, over 298,651 poor (NHTS) individuals were provided with health services in the province of Sorsogon. This placed Sorsogon province at the number one spot based on the accomplishment having 153.77% in Bicol region.

Oplan TseKap will continue to break the health gaps in order to ensure better access to healthcare service. This also improved the service delivery network through initiatives of the government and other stakeholders in the community.

When asked of what could be the biggest accomplishment of DOH and Oplan TseKap, Espartinez answered, “Making a difference to the lives of these people by simply giving them a free and quality healthcare today and in the days after .”

Salud Bikolnon I January - March 2017

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Let’s talk heart to H.E.A.R.T

by Niña Albie Dulay Information Officer, POPCOM

“Hindi required na sa Valentine’s Day mo ‘yan (virginity) ibigay, dapat sa inyong kasal ay matiyaga siyang maghintay.”

The successful launching of the first Information and Service Delivery Network (ISDN) for Adolescent Health and Development (AHD) on February 14, 2017 at Tabaco National High School was made possible by the multi-sectoral collaboration of the LGU, government and non-government sector, the media, academe and faith-based organizations. In the photo are the ISDN members headed by POPCOM-V (Dir. Magdalena Abellera, 4th from Left, back row) and LGU Tabaco (Hon. Mayor Krisel Lagman-Luistro, 8th from left and Hon. Councilor Sheina C. Honrubia, 7th from left) after the signing of the ISDN agreement.

The Commission on Population (POPCOM) Regional Office V celebrated the Adolescent Health and Development (AHD) Month which highlighted the Heart to H.E.A.R.T campaign on February 14, 2017 Valentine’s Day. This aimed to create awareness on the increasing number of HIV/AIDS victims and teenage pregnancy in the country. AHD Month will be celebrated every month of February starting this year.

The campaign talked about the H.E.A.R.T. issues of adolescents and teens such as: H – HIV/AIDS E- Early Sexual Encounter A – Adolescent Sexuality R – Reproductive Health T – Teenage Pregnancy

Our status The Department of Health reported on December 2016 through the HIV and AIDS Registry of the Philippines (HARP) that there were 750 new HIV antibody zeropositive individuals. Most (96%) of the cases were male. More than half belong to the 25-34-year age group while 29% were youth aged 15-24 years.

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Salud Bikolnon I January - March 2017

In 2016, the DOH recorded 9,264 cases of HIV/AIDS, including 1,969 deaths.

On February 3 this year, before we hit the week of Heart’s Day celebration, a study of the National Institute of Health (NIH) at the University of the Philippines-Manila revealed that more aggressive Thai strain of HIV was seen among infected Filipinos and this could be one of the reasons for the continuous increase in new infections.

On the other hand, the most recent Young Adult Fertility and Sexuality Study 4 (YAFS 4) Further Studies showed that in 2013, 13.7 percent of females 15-19 year-old have begun childbearing. This is more than half of increase from 2002 (6.2 percent).

In Bicol, the percentage of females 1519 year-old who have begun childbearing have increased from 8.2 in 2002 to 8.8 in 2013. This also reflects the increase in the number of births by teenage mothers rising from 12, 228 in 2011 to 12,719 in 2014.

Although teenage fertility in Region V is second lowest in the country, there had been a rise in the prevalence of premarital sex among Bicol youth from 17.1 % in 1994 to 25.4% in 2013. The data reveals that one

in every four youth (25.4%) had premarital sex experience. Majority (84.6%) of them have engaged in their first premarital sex without any use of protection against STI/ HIV and pregnancy.

Also, according to YAFS 4 Further Studies, the average age of first sexual encounter in the country is 17 years old for both male and female. Most of these encounters happened at home when parents are away. Some of the YAFS 4 papers cite the strong influence of the internet on early sex among youth.

Campaign with a heart The activities conducted for the AHD month celebration in Bicol included a film showing of Adolescent Health and Development (AHD) films on February 14 with 200 Grade 9 and 10 students of Cabagnan High School in Legazpi City.

A U4U campaign cum launching of the Information & Service Delivery Network (ISDN) for Adolescent Health & Development (AHD) of Tabaco City was held on the 15th. Said ISDN members have also undergone a Population and Development Training a day after the launching held at

Hotel Fina in Tabaco City. A U4U Facilitators Training and Teen Trail was also conducted on the 27th-28th in partnership with the City Population Office of Legazpi.

The You-for-You (U4U) Teen Trail Initiative is a communication campaign to prevent early sex among teens. It aims to increase the knowledge of Filipino youth on delaying

sexual debut, preventing teen pregnancy and avoiding sexually transmitted infections. U4U engages young women and men aged 10-17, both in school and out of school.

The Agency hopes to influence the adolescents of this generation to develop life skills that will help them in making the right choices and decisions on matters of

sexual and reproductive health.

We urge the stakeholders particularly the academe, media, government institutions, religious and faith based organizations and civil society organizations to support our advocacy campaign on Zero Teenage Pregnancy and have a heart to H.E.A.R.T talk with their children and adolescents.

Salud Bikolnon I January - March 2017

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Tooth Fairy Mother’s view on Oral Health She believes that general health begins at home, and, a child will never be healthy if he is not orally fit. digestion starts is beneficial.

It can also affect the development of personality especially in children. “If you are orally fit, you can gain confidence and you will not be shy in speaking or be conscious of bad breath. A complete set of teeth is also essential to proper speech development of children and nourishment”, she added. “Also, you don’t want your child to suffer from toothaches that can disrupt their growth, sleep, nourishment and school performance”.

When to start Most of the first time mothers lack awareness on how to care for the baby’s temporary teeth. By the time first tooth erupts, as early as 5 months old, parents are advised to gently rub the tooth using clean cloth or gauze. At this point, toothpaste with fluoride should be used in a smear layer on a toothbrush, cloth or gauze at least twice a day especially before bedtime.

“Kailangan natin i-correct ang paniniwala na mapapalitan lang naman ang baby teeth ng permanent teeth kaya ok lang na masira ito”, said Dr. Lulu.

SMILE!! Dr. Lulu Ramos Santiago and Baby Daniel Zeth smile for a selfie.

Dr. Lulu Santiago-Ramos juggles her work as the oral health program coordinator of Department of Health Regional Office V and being a mom to her one-year-old son, Daniel Zeth. She is a true advocate on oral health at work and at home.

“.

As a dentist, she’s dedicated in bringing white beaming smiles to every Bicolano. “Oral health is essential and beneficial to everyone”, said Dr. Lulu. “It does not only deal with our teeth. It encompasses the overall health of the mouth – including the gums, tongue, lips and cheeks.”

Early loss of the temporary or baby teeth can lead to overcrowding of the permanent teeth in the future. Since they serve as the guide for the permanent teeth to be in normal occlusion to achieve its function. “Kaya dapat ingatan natin ang mga ngipin ni baby from the time na tumubo ang unang ngipin at the age of 5 – 6 months”.

Keeping strict with Baby Daniel Zeth When it comes to her son, Dr. Lulu is strict in keeping him free from dental caries. “As a dentist, strict ako sa oral health but as a mom mahirap ang pag maintain ng oral health ng anak” she said.

“It is natural for children to resist cleaning of teeth, but you should take it slow and introduce brushing of teeth regularly and positively, ika nga make it a habit”.

. .Kailangan natin i-correct ang paniniwala na mapapalitan lang naman ang baby teeth ng permanent teeth kaya ok lang na masira ito. . .”

Start ‘em young Oral health gives benefits on better speech, aesthetic, nutrition and mastication (eating and biting). “That’s why it is that essential”, she explains. With improved oral health you can provide yourself good nutrition to chew and taste your food properly. We nourish our body from the food we eat. So taking extra care of our mouth where

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Salud Bikolnon I January - March 2017

She and her husband exert an effort in maintaining Daniel Zeth’s oral health. “Even until now, 1 year and 8months na si baby, struggle pa din ang pag brush ng ngipin, laging my kasamang iyakan, but it doesn’t stop us. We are telling him that one day he will thank us keeping his sparkly white teeth. Ginagawa namin ang knee to knee position para mas madali ang paglinis ng ngipin nya”.

Dr. Lulu also makes sure that baby Daniel does not sleep without brushing and with a bottle of milk at night, or if “hindi talaga mapipigilan because it’s his way to fall asleep we make sure to flush

BEAMING SMILE. Baby Daniel Zeth’s selfie shows his pearly white teeth. it out with water after milk”. Infant formula milk contains sugar which can cause tooth decay with poor oral hygiene. She also discourage early introduction of sweets, starchy and sugary snacks, carbonated drinks and sweetened beverages to children as pacifier, to decrease the prevalence of dental caries among children. Instead, introduce to your children at an early age to eat healthy food such as fruits and vegetables.

What parents should remember To make sure a child is orally fit, Dr. Lulu suggests important tips for parents.

Tooth brushing with fluoride at least twice a day or after every meal is the most important rule in oral hygiene especially before bedtime. Brushing the teeth should at least last up to two minutes so that the teeth can absorb the fluoride from the tooth paste. It should reach all the area in the mouth including the gums, cheeks and tongue. Also, make sure your tooth paste contains 1000 to 1500 ppm (parts-per million) fluoride to attain protection from dental caries.

Parents should be consistent and positive in teaching their children proper oral hygiene and should set as an example themselves. Make sure that the children

SAY CHEESE. Dr. Lulu with her husband and Daniel Zeth smile for a family photo. have adult supervision when brushing their teeth until they master the correct brushing technique. Make it a habit after meal to brush the teeth together with your children to develop proper oral hygiene and maintenance. A simple daily routine of brushing one’s teeth can be a good family bonding moment. So, be creative and make the experience fun.

Importantly, it is advised to visit the dentist twice a year for consultation so that dental problems will be addressed early. “Tayo kasi ay sanay na pumupunta sa dentista kapag masakit na ang ngipin, na kadalasan ay sirang sirang na at unsavable kaya binubunot na po.

Let’s take note na wala pa ring makakapalit sa tunay na ngipin, masarap kumain kapag kompleto ang ngipin.”

“We should remember that a good set of teeth aides in attaining proper nutrition, less disease and more confidence to children. They will benefit from this until old age with brighter future”, she added.

Indeed, oral health is essential to one’s overall health./ddc

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Keeping your teeth shiny and white You’re browsing photos in your social media account when you suddenly noticed someone posted a photo of you and your teeth are as yellow as bananas. You might panic! You’ll probably ‘untag’ your profile from the awkward photo or ask your friend to delete it. Embarrassing, right?

In today’s social media frenzy, we want to present ourselves the best as possible.

That’s

why

photo

enhancement

applications are invented and widely used these days. These ‘apps’ can enhance your face and even whiten your teeth! Amazing!

But, wouldn’t you want white teeth in real life? Here’s how.

*Photo grabbed from the internet.

Avoid stains There are variety of foods and drinks that stain our teeth. These can discolor and even erode our tooth enamel, the white outer layer of our tooth.

Deeply colored sauces like tomato sauce, soy sauce and curry can discolor our teeth. Vibrant colored fruits like blueberries, blackberries, and cherries can do the same too. Just make sure to brush after eating to lessen the effect.

On the other hand, citrus fruits like lemon and orange are acidic and can erode our tooth enamel which exposes the yellowish part of our tooth called dentin, the tissue beneath the enamel made up of calcium and phosphate

your

teeth

for consultation and dental

and

cleaning.

limit consumption of sugary and starchy foods from now on. Sugar and starch stick to teeth and serves as a meal for the bacteria. The bacteria produce acid which leads not only tooth discoloration but tooth decay.

Keep the habit Maintaining a beaming white teeth can be as simple as brushing your teeth after every meal.

The color of our teeth changes as we age and discoloration is usually caused by plaque buildup.

Coffee, tea, wine, and chocolates can also result

– a hardened plaque usually brown or pale

softer and damaged. The same goes to sports drinks, energy drinks and carbonated drinks like cola and soda which are acidic and usually dyed. These can eat away enamel if consumed frequently. Dentists advise to use a straw when drinking beverages or drink water to neutralize the mouth or brush your teeth afterwards.

If you have a sweet tooth, you should take

Salud Bikolnon I January - March 2017

they become bigger irreversible problems.

Don't Light Up that stick Smoking is not only dangerous to health but also causes brown stains that penetrates the tooth enamel – making it hard to remove by just brushing alone.

The longer you smoke, the

more deeply rooted the stains become.

Smoking also causes bad breath and gingivitis

Dental plaque is a sticky colorless deposit on the

contain tannic acid which makes the enamel

Your dentist can catch

dental problems early and give remedies before

great in staining your pearly whites. Tobacco

crystals.

to tooth discoloration from yellow to grey. They

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extra care of

surface of the teeth that later turns into tartar yellow deposits on teeth. It is composed of the Streptococus Mutans and other microorganisms in the mouth.

(gum disease), and increases the risk of most types of cancer including oral cancer. If you’re a smoker, consider quitting now not only to keep your teeth white but also to lessen health risks and enjoy a healthy life.

When these bacteria feed on

Be mindful of your oral health and keep your

the sugar and starch it produces acid which is

teeth shiny and white. Keeping a healthy mouth

responsible for teeth stains and worse – cavity

only takes regular brushing, flossing and visiting

and tooth decay! Regular brushing with fluoride

the dentist. So ready your cameras, smile wide

toothpaste and flossing helps whiten your teeth

and say, “white teeth!”/ddc

and keeps your mouth healthy.

Also,

the

Department

of

Health

highly

recommends visiting your dentist twice a year

SOURCE: http://www.webmd.com/oral-health/ss/slideshow-10secrets-to-whiter-teeth; http://www.webmd.com/oralhealth/features/plaque-causes

Health Sport More teams, more commitment on 4th Global Cup This heart month, the Department of Health Regional Office V held the 4th Global Cup basketball and volleyball invitational tournament with the theme “Give love, Give Blood Always” from February 8, 2017 until March 4, 2017 at the Healthy Lifestyle Complex, DOH compound.

A total of eighteen government agencies joined the event which is divided into three sub-categories in order to establish fair competition – Local Government Unit, Non-uniformed (government agencies) and Uniformed personnel.

All participating teams were encouraged to schedule regular mobile blood donation activity in their offices or they can personally visit the Bicol Regional Blood Center if they wish to donate.

It was a historic win for the Department of Health as they outscored the Bicol Regional Training and Teaching Hospital for the National Government Agency category during the basketball tournament.

Meanwhile, the Philippine National Police defended their three-year championship title for the uniformed personnel category making the Bureau of Fire and Protection on second spot. It was a double championship for LGU Sto Domingo for being number one for the LGU category on basketball and also bagging this year’s women’s volleyball championship title.

“This event does not only strengthen partnership and inter-government camaraderie but it is also a means to advocate healthy lifestyle which is good for the heart and voluntary blood donation”, said Atty. Leo Archival Imperial, commissioner of the Global Cup tournament. “We are glad that more teams joined this year.

This activity serves a reminder on the importance of physical exercise in the improvement of our health. Likewise, this shall encourage everyone especially the participating teams to commit to regularly donate blood all year round.”

LGU Sto. Domingo (top), DOH RO V (middle) and PNP RO V (above) pose a groupie after receiving their awards during the 4th Global Cup Basketball and Volleyball Tournament.

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Insights

The less-heard calling

by Elaine Ann S. Barcarse, RN Nurse Deployment Program Libon, Albay

pen, paper, thermometer and stethoscope

we say hello to the grassroots of the community,

a hand to hold and a prayer of hope,

the experience with you uplifts and gives us energy

walking through the aisle so white

the baby's first cry is like music to us

and stay awake like an owl at night

when a miracle happens right in front of us

the fair skin is now sun-kissed,

the simple smiles we received from you

because of outdoor health service outreach

and recognize different faces old and new.

traveling the choco-rocky-road

for the appreciation at most there is,

when rain pours hard and heavy as gold

is an award of satisfaction and bliss

vaccines, forms and medicine packs

money is not our sole priority

are some things we carry, often lacks,

because there is richness in every duty,

been yelled for insufficient supply

but it does not mean we need not to live

but math is'nt easy when budget runs dry

our faith is strong and we believe

we are not an exemption for sickness

for the bonds we shared in a moment

though we strive to promote health-wellness

is a meaningful journey as it

humans, we are, we have to pee and heads that ache and stomach empty

was meant, we serve and care and keep trying because we answered the

remember the nurse you shouted at last night is a mother of a boy who has cancer to fight, the one you laughed about the eyes with dark circles, is a daughter who misses her home and family's laughters it breaks our hearts to see you mourn over a death of a love one in the break of dawn we tried our best to save lives, it pierces us inside like a hundred knives

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Salud Bikolnon I January - March 2017

less-heard calling.

Comedy Cure ABCs

I WONDER

BUTI NA LANG

Boy: Baby love ko, i-dedescribe kita from A to K.

Bakit ang mga pinoy hindi marunong sumagot?

1. Kumain ka na ba?

-Busog pa ako 2. Nandyan ba ang nanay mo?

-Bakit po?

3. Anong oras na?

-Maaga pa 4. Paano mo ginawa yan?

-Madali lang to 5. Bakit wala ka kahapon?

-Absent ako eh At ang all time favorite na: 6. Saan ka na?

-Malapit na ako, wait lang!

Sha: Bes, nahulog ang cellphone ko from 3rd floor!

Girl: Wow. Nakaka in-love. Sige nga!

Boy: You’re adorable, beautiful, charming, delightful, exciting, fabulous, gorgeous, hot...

Girl: OMG! Kinikilig ako! Eh ano naman ang I-J-K? Boy: I’m Just Kidding.

ALDEN Ace: Ano ang gagawin ni Alden kapag naubusan ng battery?

Gelo: Ano?

Mister: Talaga daddy na ako?

HARLEM SHAKE Paula: Tara bes, harlem shake tayo.

love?

Magiging

Misis: Hindi love, dito na titira nanay ko.

Cel: Ayy!! Ayoko.

Paula: Bakit naman?

Cel: Baka mahal eh, coke float nalang.

Got a

Sha: Buti na lang naka airplane mode yun!

SABI NI LOLA Hindi lahat ng party masaya.

- Ang 3rd party ba masaya?

Hindi lahat ng 13 ay malas.

- Ang 13th month pay ba malas?

Hindi lahat ng positive masaya.

- Ang HIV positive ba masaya?

MAGIGING DADDY Misis: Love, malapit na tayong maging tatlo dito sa bahay.

Ace: Richards.

Kate: OMG bes! Ang saklap na man!

JUST CURIOUS Student: If a single teacher can’t teach us all the subjects, then how can you expect a single student to learn all subjects?

FUNNY JOKE

Hindi lahat ng hinog masustansya at masarap.

- Ang pigsa ba masustansya?

DONASYON Father: Ang lahat ng gustong magdonate ay tumayo pagtugtog ng organ. Sige tugtog!

Organista: Father, ano po ang tutugtugin ko?

Father: Pambansang Awit.

to share?

Send us your jokes and make us laugh to tears!

Email your funny, corny or witty jokes to dohbicolhpu@gmail.com or leave a message at www.facebook.com/dohrov.

Salud Bikolnon I January - March 2017

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Salud Bikolnon I January - March 2017