Development of a Service Model for the Enhancement of the Medico-Dental Program Based on Morbidity Reports by RS Estoque, DPA and EG Natividad, MD

ABSTRACT

This research is aimed at the development of a service model for the enhancement of the medico-dental program based on morbidity reports generated from January 2008 to December 2008.

The problems:
1. What are the top (3) three complaints/diseases reported for the students of TIP – Manila?
2. What are the top (3) three complaints/diseases reported for the personnel of TIP – Manila?
3. What is the ideal service delivery model for the enhancement of the Medical – Dental services?

Findings:
1. Results shows that the top three (3) complaints/diseases for the TIP - Manila students are as follows; head and neck complaints/diseases with 943 cases, mouth and ENT complaints/diseases with 857 cases and respiratory system with 437 reported cases. This denotes that among the students of Technological Institute of the Philippines – Manila, complaints such as headaches, dizziness, and stiff necks is the leading complaint, followed by acute nasopharyngitis, acute tonsilopharyngitis, sore throat and toothache.
2. Table two shows that the top three (3) complaints/diseases for the TIP – Manila personnel are as follows; head and neck complaints/diseases with 308 cases, followed by mouth and ENT complaints/diseases with 285 cases and gastrointestinal system complaints/diseases with 204 reported cases. This denotes that among the personnel of TIP – Manila, the top complaints/diseases are headaches, dizziness and stiff necks. This is followed by complaints such as acute nasopharyngitis, acute tonsilopharyngitis, sore throats and toothaches.
Surprisingly, gastrointestinal system complaints/diseases displace respiratory complaints/diseases as the third leading personnel complaints with reported cases of 204 (for the gastrointestinal system) against 112 (for the respiratory system) cases.
3. The Medical – Dental services is suggested to tailor made its delivery according to the peak and number of complaints of students and personnel. Based on the morbidity report generated for the past school year, the purchase and supply of medicine should correspond with the frequency of diseases manifested. Ideally, there must be no shortage of free medicine related to the top three (3) complaints from the TIP - Manila students as well the personnel of TIP – Manila (i.e. head/neck, mouth and ENT, respiratory system and gastrointestinal system).
Additional trainings must be given to the personnel of Medical – Dental services in congruence with the projected results of this research. In fact, the Medical – Dental services could even play a proactive role by spearheading and giving a free seminar regarding the top three (3) complaints/diseases generated from the students and personnel.
A room to room campaign is suggested to be conducted regarding the prevalent illnesses/diseases of the season. From time to time, Medical – Dental staff should disseminate health information related to seasonal illnesses/diseases.
Students ought to be enticed to read medical information from the MDS bulletin board as a source of additional information. This is hoped that such would increase medical awareness and consciousness.
A free health counseling program is suggested to be instituted in the institution. If there is a counseling drive for the Guidance Office, the same should also apply for the Medical – Dental Services.
A vaccination health program was already begun this year (i.e. hepatitis b screening and hepatitis b vaccination). Next school year, a cervical cancer vaccination and flu vaccine is on line for implementation.
A linkage with the Rotary Club International is suggested to be pursued for the sole purpose of extending health services (vaccination) to the community outreach program of the institution (e.g. oral-polio, BCG, DPT and hepatitis b vaccines).
A strengthened referral system by the MDS is suggested as a preventive practice for the students as well as the personnel of the institution. More follow-ups should be conducted by MDS.

Recommendations:
1. The Medical – Dental Service is recommended to anticipate and act proactively in dealing with the recorded complaints/diseases of the students of TIP – Manila.
2. The Medical – Dental Service is recommended to anticipate and act proactively in dealing with the recorded complaints/diseases of the personnel of TIP – Manila.
3. The programs and activities of the Medical – Dental Service should be in consonance with the suggestions and recommendations of the proposed service delivery model.