2019 ANNUAL REPORT
Our service never ends… From helping amputees walk again, restoring eyesight of nearly blind, doing preventive measures by early detection of eye impairments of children in schools, healing the emotional and physical scars of burn victims and providing intervention, conducting clinical care to those who are hearing impaired and surgical care to patients as well as extending our health services to creating health policies and conducting research and to the addition of Women’s Health Screening Project to our growing services, the year 2019 is definitely another productive year for Physicians for Peace Philippines. We are also blessed and showered with great partnerships, gracious donors and volunteers who willingly supported our activities and endeavors and made our year a very fruitful and fulfilling one.
a. WALKING FREE
Mobile P.O.W.E.R. Project
PFPP launched the very first mobile van of its kind in the Philippines, the Mobile P.O.W.E.R. (Prostheses, Orthoses, Wheelchairs EmpoweRment) Project on December 3 at the Philippine Medical Association (PMA) Grounds.
The Mobile P.O.W.E.R. Project is a mobile unit driven mission towards increasing access and improving disability-health services in the underserved areas of our marginalized countrymen. PFPP will be bringing the mobile van to different place to assess and provide prostheses, orthoses, and assistive devices such as wheelchairs, crutches, walkers and canes.
We would like to express our deepest gratitude to Juanita and Vicente Hao Chin Chua Foundation, Inc. (JVHCCFI) for donating the mobile van to PFPP and to Engineer Jun Bonifacio for his hard work and unstinting effort in bringing PFPP’s vision for the Mobile P.O.W.E.R. Project into life.
Together with our partner, Latter Day Saints Charities (LDSC) who provides us with wheelchairs and other assistive devices, PFPP will be travelling across the country to conduct missions in remote areas and provide prostheses, orthoses, wheelchairs and other assistive devices to more PWDs (Persons with Disabilities) and CWDs (Children with Disabilities).
PFPP’s Walking Free Team was able to visit and serve the patients of San Juan City and San Andres, Manila; Dapitan City, Zamboanga del Norte; Baler, Aurora; Balaoan, La Union; Lipa City, Batangas; San Andres, Atimonan, and Lucena City, Quezon; Naga and Sipocot, Camarines Sur; Biñan, Laguna; Kalibo, Aklan; Boracay; San Remigio, Cebu; Sarangani; Guiguinto, Bulacan; Masbate; Iloilo City and Mapanas, Northern Samar.
Furthermore, our partnership with LDSC has been renewed and will continue for year 2020. We also have a new contract with them for our Seeing Clearly Program (SCP).
b. SEEING CLEARLY PROGRAM
This year, PFPP was able to visit schools in San Remigio, Cebu; Dapitan City, Zamboanga del Norte; Guinayangan, Quezon; Kidapawan City, Cotabato; Naga City, Camarines Sur; Cabanatuan City, Nueva Ecija; Kiblawan, Davao del Sur; and Valencia, Negros Oriental for Vision Screening.
We were able to revisit some schools from last year’s SCP missions: Orchard Elementary School and Ayala Elementary School in Pampanga, Tangos Elementary School in Navotas City, Pio Valenzuela Elementary School in Valenzuela City and Aya Elementary School, Guinto Elementary School and Talumpok North Elementary School in Batangas for monitoring and evaluation of students, teachers and parents.
PFPP conducted lectures and training on Visual Acuity or Screening and Basic Eye Care for 144 teachers, parents and BHWs in San Andres, Quezon; Cabanatuan City, Nueva Ecija; Dapitan City, Zamboanga del Norte; and Valencia, Negros Oriental.
Moreover, PFPP went to Biñan, Laguna; Guinayangan, Quezon; San Andres, Quezon; Lipa City, Batangas; Lucena City, Quezon; Masbate; Pasuquin, Ilocos Sur; Maricaban, Pasay and Mapanas, Northern Samar to address Errors of Refraction in communities.
PFPP was also able to evaluate 116 patients with cataract from the communities of San Pedro, Laguna; Lipa City, Batangas; Atimonan, Lucena City, and San Andres, Quezon and 39 patients were identified as candidates for cataract operations. Together with our mission partners, we arranged their operations to nearby eye clinics in their area, same number have been successfully operated on and are now cataract free.
c. HEARING HEALTH CARE PROGRAM
Through our partnership with Rotary International District 3820, Hearing Health Care Program was included as part of our services during Rotary missions. We were able to send audiologists on mission sites to conduct hearing tests for students.
d. BURN CARE AND REHABILITATION PROGRAM
The Department of Rehabilitation Medicine of Philippine General Hospital (PGH) Subacute Burn Rehabilitation in collaboration with PFPP Burn Care and Rehabilitation Program admitted and cared for 14 burn patients for the year 2019.
PFPP Burn Care Program conducts an activity every year which aims to foster camaraderie among patients as well as rehabilitation medicine staff and touch base with our patients to get the latest updates on their functional status, present day work and activity.
Through the support of Tan Yan Kee Foundation, we have concluded a successful and interesting educational field trip at The Mind Museum for the children and adult burn survivor patients previously admitted and cared by the subacute burn rehabilitation unit last March 30.
e. MULTI-SPECIALTY AND SURGERY PROGRAM
Last February 1, PFPP, together with Our Lady of Peace Foundation, we went to Guinayangan, Quezon to serve the local residents with free minor surgery operations and was able to evaluate 79 patients and 57 of them underwent minor surgery.
f. WOMEN'S HEALTH SCREENING PROJECT
The project aims to provide screening services for Women particularly for breast and cervical cancers and does not just allow access to vital services but also provide preventive services through screening instead of the usual rehabilitative or curative services. It is more cost-effective too since it prevents severe illness through early detection of cancer.
In preparation of the official launch of the project, PFPP brought the Women’s Health Screening Project in Lipa City, Batangas on August 31 during the healthcare mission with Rotary Club of Lipa South to observe the screening procedure and be able to plan necessary arrangements for the official launch.
On October 11, 2019, PFPP officially launched the Women’s Health Screening Project in Naga City through the help of and partnership with Rotary International District 3820. PFPP organized a program to present the concept of Women’s Health Screening Project at SM City Naga Activity Center.
PFPP Trustee and Program Director, Former DOH Secretary Dr. Paulyn Ubial and Ms. Carmen Zubiaga, former Executive Director of National Council on Disability Affairs (NCDA) also conducted lectures on Sexual and Reproductive Health of Women, including women with disabilities.
Health workers and women of reproductive ages from the towns of Naga, Tigaon, Goa, Ocampo, Sagñay and San Jose attended the event. PFPP also invited the group of women with disabilities to effectively create awareness on the importance of breast and cervical cancer screening for women’s health.
The program was followed by the free screening activity at CBD Hotel where four rooms were converted into clinical setting for the breast and cervical cancer screening of women. Almost a hundred of women were screened during the activity and 25 of them are women with disabilities.
Aside from the free screening, health workers were also trained on how to conduct breast and cervical cancer screening for their health offices. PFPP also distributed vitamins such as Calcium tablets and Ferrous Sulfate with Folic Acid tablets for those who attended the event.
With the success of the launch, many Rotary Clubs have signified their interest in the project for their future club activities. We will also include the Women’s Health Screening Project on our upcoming Tagum, Davao Multi-Specialty Mission on January 2020.
PFPP-ROTARY INTERNATIONAL DISTRICT 3810 PARTNERSHIP
Rotary International (RI) District 3820, under Governor Everett “Evette” Olivan, partnered with PFPP to bring quality health services such as our Walking Free, Seeing Clearly, Hearing Health Care programs and Women’s Health Screening Project to different communities.
RI D3820 and PFPP held its very first mission in Naga City, Camarines Sur on June 28 as a kick off activity to start the Rotary Year 2019-2020 and has been a continuous service project around the different clubs since then.
PFPP have been to Biñan, Laguna; Atimonan and Lucena City, Quezon; Lipa City, Batangas; and Masbate for healthcare missions. For the year 2020, our service continues as we carry out more healthcare missions in Gumaca, Quezon; Daet and Legaspi, Camarines Sur and Lipa, Batangas.
The objective of this partnership is to be able to reach more patients in underserved areas and bring our quality health services to these areas. RI D3820 and its clubs covers a wide range of service area around the country which we were able to provide with our quality health services.
Updates: Phase 3 of PFPP-UNICEF Project, Children with Disabilities
Service Delivery Network Children with Disabilities developed and implemented
♦ Davao (SPMC) - SPMC ACCESS has been contracted as implementor of Developmental Disability Package; Davao Regional Operational Plan and Memorandum Circular Approved and partially implemented
♦ NCR (PGH) - PGH Access Hub Renovation completed, operations being started in phases. PFP submitted a draft operational plan in 2017 and currently being enhanced by the hub management.
♦ Eastern Visayas (EVRMC) - EVRMC hub construction almost completed, but not yet operational. Awaiting new equipment request and PhilHealth contracting for mobility
Barriers to Contracting
1. Current barriers in contracting of CWD packages
♦ Developmental: Dev Ped & speech therapist, Assessment tools
♦ Vision: Low Vision assistive devices
♦ Mobility: Equipment & Training requirements
♦ Hearing: Audiologists & speech therapist, assistive devices
2. Meeting with PhilHealth last November 25, 2019
3. Revisions were suggested on SATs and claim forms
Barriers to Implementation
1. Revision of claim forms
♦ According to PhilHealth NCR RO, it has to be specifically indicated in the claim forms that not all mandatory services listed will be provided for each patient
♦ Use “and/or” statements in claim forms
2. PhilHealth IT System
♦ IT system does not include CWD packages yet
♦ Discussed with PhilHealth any support PFP can provide to expedite the process
3. Orientation of PhilHealth Z-Benefit Package for CWDs Navigator
♦ During initial implementation, pre-authorization of patients is delayed because of unfamiliarity with rate circular
♦ Currently requesting for PhilHealth orientation for CWD package implementation
And as reported by the Department of Health (DOH), the first confirmed polio case in the Philippines was Junaisah Diator, a 4-year-old girl from Marogong, Lanao del Sur.
UNICEF who has been supporting the efforts of DOH sought help from PFPP to have Junaisah and her parents be transported to Manila for early intervention.
On November 6, Junaisah and her parents finally arrived in Manila and were immediately taken to the PGH for assessment and rehabilitation and to receive further therapy and rehabilitation at PGH ACCESS Hub.
Junaisah has poor mobility function due to acute flaccid paralysis and greatly depends on her mother’s assistance. She received two sessions of therapy since then and had shown great improvements with walking, standing and balancing.
Furthermore, she is the very first beneficiary of the Children with Disabilities - Mobility Benefit Package from PhilHealth which means that her assessment, provision of assistive technology and rehabilitation services are now covered by Philhealth. We were able to provide her with needed assistive devices such as wheelchair, walker and her custom-made KAFO (Knee Ankle Foot Orthosis) braces.
Junaisah and her parents went back to Lanao del Sur on November 20 and will continue receiving rehabilitation services in Amai Pakpak Medical Center (APMC).
Community-Based Rehabilitation (CBR) in Mapanas
On July 15, PFPP-UNICEF Team held a healthcare mission for patients with visual and hearing impairments and provision of mobility and assistive devices. We were able to refract 72 patients and all of them were given with prescription eyeglasses, provide 6 wheelchairs and 3 assistive devices to patients and 34 patients were assessed and evaluated by our audiologist.
Our team also conducted a lecture on Early Childhood Care and Development (ECCD). We have a total of 10 Barangay Health Workers (BHWs) trained under ECCD for mobility and developmental disability and 7 midwives and 3 nurses trained for hearing and vision.
For this year, 19 patients underwent CBR by our physical therapist in Mapanas, Mark Alday. Nine patients were also assessed and referred to nearby PT clinic and hospital for further intervention and 58 babies were screened using the newborn hearing screening machine.
Rehabilitation is “a set of interventions designed to optimize functioning and reduce disability in individuals with health conditions’’ (WHO, 2018). The recent Philippine Burden of Disease study included diseases that result in heavy burden of care, loss of economic productivity, and poor quality of life -- including ischemic heart disease, hemorrhagic stroke, low back pain, and diabetes mellitus (Epimetrics, 2017). All these conditions require good rehabilitation services to restore productivity, improve quality of life, and manage complications. The Philippine Health Insurance Corporation (PhilHealth), the Philippine’s service purchaser for the provision of health services, previously developed rehabilitation medicine packages. These are, however, limited to inpatient case rates for cardiac rehabilitation and stroke, and outpatient care packages for Children with Disabilities. This project aims to improve health outcomes, quality of life and productivity of adult Filipinos (18 years and above) who will need rehabilitation services through financial risk protection.
This study is divided into three streams of work: 1) Evidence Synthesis and Standards Setting; 2) Costing Analysis; 3) Epidemiologic Analysis. The Evidence Synthesis and Standards Setting is focused on the review of the practice of rehabilitation medicine in the Philippines to determine interventions and services that are proposed for inclusion in the benefit packages for rehabilitation services. The Costing Analysis aimed to determine the various costs in the provision of the services. The Epidemiologic Analysis aimed to identify the epidemiological data of diseases requiring rehabilitation services to determine the potential users of benefit packages.
Evidence Synthesis developed the pathway of care and menu of services for the provision of rehabilitation medicine services through data triangulation - key informant interviews, focus group discussions, and review of literature. Costing Analysis identified actual costs of professional rehabilitation services, medicines, and supplies in public and private hospitals through surveys across 6 regions nationwide. In the epidemiologic analysis, data from a total of 101 studies were extracted for modelling using WHO DISMOD II. The proportion of disabled people is rising and now stands at about one billion worldwide. The situation becomes even more alarming with data showing that 80% of these people reside in developing countries. A benefit package for rehabilitation services will serve as a form of financial risk protection for populations vulnerable and affected with some form of disability.
PFPP Rehab Team Progress Report to PCHRD (October 23)
PFP USA and PFP Philippines hosted a Fellowship Dinner for the Delegates of the 6th G4 Alliance Permanent Council Meeting held on November 19 at the Bayanihan Conference Center in Mandaluyong,
Manila. We prepared a short program for the delegates to share with them the efforts of our organization in serving humanity in the Philippine archipelago.
The meeting was attended by PFP USA, Mr. James “Jamie” Morgan (Chief Executive Officer) and Dr. Kathleen Casey (Chief Medical Officer and Trustee) who were also present during PFPP Fellowship Dinner. It was a great night of socialization for the delegates and PFPP and a happy reunion between PFP USA and PFPP.
PFPP Fellowship Dinner with G4 Alliance
PFP USA visited PFPP Office in Intramuros, Manila
PFPP Send-off Dinner for PFP USA CEO Jamie Morgan and Trustee Dr. Kathleen Casey
PARTNERSHIPS AND MEMBER ORGANIZATIONS
♦ United Nations International Children’s Emergency Fund (UNICEF)
♦ Latter Day Saints Charities (LDSC)
♦ Philippine General Hospital (PGH)
♦ Philippine Council for Health Research and Development (PCHRD)
♦ Philippine Health Insurance Corporation (PhilHealth)
♦ United States Agency for International Development (USAID)
♦ Physicians for Peace (PFP) USA
♦ Filipino American Association of Central New Jersey (FAACNJ)
♦ Romy and Mona Buerano & Friends (New Jersey, USA)
♦ Philippine Medical Association of Southeast Virginia (PMASEV)
♦ Silahis Arts & Artifacts
♦ Philippine School of Prosthetics & Orthotics (PSPO)
♦ University of the East Ramon Magsaysay Medical Center (UERMMC)
♦ Kapampangan Development Foundation (KDF)
♦ Eastern Visayas Regional Medical Center (EVRMC)
♦ Department of Education (DepEd)
♦ Philippine Eye Research Institute (PERI)
♦ Southern Philippine Medical Center (SPMC)
♦ Department of Health (DOH)
♦ Philippine Airlines (PAL) Foundation
♦ Manila Elks Lodge 761 (Elks Club)
♦ ERL Foundation
♦ Rotary Clubs of Rotary International District 3810
♦ Rotary Clubs of Rotary International District 3820
♦ Innerwheel Clubs
♦ Isabela Society
♦ Angat Buhay, Office of the Vice President (OVP)
♦ AKAP Pinoy
♦ Rotary Club of Kenilworth, RI D1060
♦ Norfil Foundation
♦ Philippine Amusement and Gaming Corporation (PAGCOR)
Member Organization of:
♦ Association of Foundations (AF)
♦ National Committee for Sight Preservation (NCSP)
Registered Organization of:
♦ Department of Social Welfare and Development (DSWD)
Accredited Organization by:
♦ Philippine Council for NGO Certification (PCNC) – until 2022