Action Plan: College of Nursing

West Visayas State University
COLLEGE OF NURSING
La Paz, Iloilo City
ACTION
PLAN
By
Alavarta, Andrei Prince
Borra, Angelo James
Calucab, Erika Marie
Cervantes, Roselle Jade
Demetillo, Sarah Joy
Juaneza, Kyla Joane
BSN 1-C
A. IDENTIFICATION OF THE PROBLEM
A treatment program should be justified on the basis of epidemiological evidence of the
situation which is why the group have identified that the current program is in need of
modification. Although the local health unit conduct mass deworming twice each year, the group
found it lacking as there were inconsistencies in terms of monitoring the bodies of water near
households and the results of deworming. The lack of focus on such activities hinder them from
identifying the real source of parasitic infections and if there are still cases which they do not know,
as this is a must for them to eradicate such infections and minimize the possibilites of
reoccurrence.
B. ADVANTAGES AND DISADVANTAGES OF THE EXISTING PLAN
1. Health education and health promotion
Deworming programs have clear cross-sectoral benefits that mandate collaboration among
health and education officials, corporate donors and development partners to maximize impact in
the community.
Advantages:
Obtain motivation to implement and promote strategies to prevent parasitic infections.
Disadvantages:
Sometimes not all can attend seminars or conferences and also not all can be reached by the
health information due to demographic isolation
2. Public awareness
It is to raise the awareness of the public about these cases and for them to be aware of the
dangerous effects.
Advantages:
The degree of awareness pre-determines the prevention and control measures.

Disadvantages:
Information cannot be disseminated to some areas and people due to demographic isolation or
lack of interest about the topic.
3. Deworming Programs
Citizens can be treated effectively with two singledose pills: one for all the common intestinal
worms (hookworms, roundworms, and whipworms) and the other for schistosomiasis (bilharzia).1
The treatment is safe, even when given to uninfected children. The most commonly used drugs for
the treatment of common intestinal worms are albendazole (400 mg) or mebendazole (500 mg).
Advantages:
Regular deworming contributes to good health and nutrition of children especially at school
age.
Disadvantages:
Expected side effects of deworming are vomiting, nausea and stomach ache as well as
worms coming out of the mouth, nose and ears, in worst cases. Sometimes they do not follow-up
the health status of the clients after deworming programs.
C. ACTION PLAN DETERMINED BY THE GROUP

The group have come to a plan which was modified from their current interventions. Mass
deworming twice a year and dissemination of information about such infections and its effects
must still be maintained though there is a need to seek further information and have a good and
growing knowledge based on the case. There is also a need to conduct researches since this is what
they lack, in order to know what areas are more prone to parasitic infections and how do they
prevent or stop its growth.
Another thing which should be emphasized is the practice of preventive measures in the
part of the community members and the households since the information dissemination is not
sufficient enough to educate them on the proper ways of infection control and to monitor if they
put into practice the teachings which have been shared to them. Intensive monitoring is essential
since we could not properly evaluate the effectiveness of the implemented programs if we rely on
connections from the local health unit to barangay health workers, since there maybe instances
that health teachings are not properly put into practice by community members. The group
therefore plans to address the problem through constant evaluation and consistent monitoring of
occurrence of parasitic infection in the community at the same reinforcing this with household to
household visits to teach about the preventive measures like proper hand hygiene, appropriate
waste segregation and disposal and lastly health promotion as well.
D. RATIONALE OF THE CREATED ACTION PLAN
The amount of harm caused by parasites to the health of communities depends on several
factors such as species, prevalence and/or intensity of infection, the interaction between the
parasites and concurrent infections, the nutritional and immunological status of the population and
numerous socio-economic factors. Their significance is extremely difficult to assess because most
of these infections are asymptomatic with very low morbidity and mortality. Therefore the public
health significance is always measured by the prevalence, intensity of the infection and association
of these infections with human nutrition, growth and development of children and work
productivity in adults.
Although the prevalence of parasitic infections is high, the morbidity and mortality caused
by these infections is very low. They are usually considered an unimportant problem. Besides that,
the statistics for hospital admissions due to intestinal parasitic infections are also scarce although
the WHO estimates suggest that there may be some 3.5 million cases admitted annually with
clinical disease associated with nematode infections. Intestinal parasitic infections associated with
clinical disease are well documented. Ascariasis can result in often-fatal intestinal obstruction;
hookworm infection can cause iron deficiency anemia; trichuriasis is associated with chronic
dysentery and rectal prolapse. Amebiasis can result in dysentery and extraintestinal complications;
giardiasis is associated with acute diarrhea, steatorrhea and lactose intolerance. Ascariasis was the
cause of intestinal obstruction in 5-35% of all pediatric cases in a comparison of studies conducted
throughout the tropics.
•
The most effective control program of parasitic infections is an integrated approach with
community participation. The long-term objective is to reduce the prevalence, intensity of
infection and severity of parasitic infections to levels at which they cease to be of public health
significance. Due to constraints at the national and individual levels, control of infection using the
above methods have become unrealistic besides taking a long time.
E. METHODOLOGY OF CONDUCT OF THE ACTION PLAN
The group have identified the problems regarding the different health programs of the local
health government. With this, the group conducted interviews to determine the extent and presence
of parasitic infections in the community.
A member of the group conducted interviews last March 9 with 10 households as
respondents. According to the results, there are often cases of parasitic infections. the group went
to the local government unit of Pavia to conduct interviews to public health nurses. They expressed
that although they have been implementing mass deworming to manage parasitic infections, they
still lack monitoring of the program and adequate research.
Correspondingly, with the data gathered, the group focuses on the improvement of the
program by establishing health teachings, conduct researches, practice of preventive measures in
the part of community members of households and intensive monitoring in evaluating efficacy of
the implemented programs. Short term and long term target goals are determined.
Short Term Goal:
Members of each household is able to practice preventive measure which include proper
hand hygiene and appropriate waste segregation and disposal as well.
Long term Goal:
Wide ranged progress of community health programs based on implementation of
evidence-based practices due to further research. This would also include the improvement of
community waste disposal which is far from sources of clean and potable water.
To sum it all up, it is identified that there is a need to modify the current programs of the
local health unit with regards to the prevention of parasitic infection as well as provide health
teachings to the members of the locality.

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West Visayas State University

B. ADVANTAGES AND DISADVANTAGES OF THE EXISTING PLAN

1. Health education and health promotion

Obtain motivation to implement and promote strategies to prevent parasitic infections.

The degree of awareness pre-determines the prevention and control measures.

C. ACTION PLAN DETERMINED BY THE GROUP

D. RATIONALE OF THE CREATED ACTION PLAN

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