User talk:Lorraineador/sandbox

Peer Edit Responses

Lorraine, The articles you chose seem perfect for getting more information on the specific work you will be doing with your PE. I am impressed by the fact that you are improving 3 articles! Good for you. In terms of my responses, I'll separate my notes by article.

For "Health in the Philippines" (https://en.wikipedia.org/wiki/Health_in_the_Philippines) - This article seems very bare so it's great that you are adding to it

- I think you could have more sources cited in your first paragraph about Health in the Philippines (although the Grundy source does look reputable, it may just improve your additions to have some more sources cited).

- Similarly, you could add more sources to the History section. While the dates look good, could you maybe go back further in time than 1991? It may be interesting to look at the differences in history of medicine in the Philippines versus Western medicine.

- I really like your addition of the Barriers to Healthcare. Could you possibly add information that is more Philippines specific? (for example, poor communities "suffer a higher burden of disease due to inequities in access to services and health status" could apply to many other places as well, but what about the Philippines provides a barrier to health services?

- Your paragraph on pharmaceutical prices is great.

- One thought that I had was maybe you could add a paragraph in this article with a link to your second article, Barangay Health Volunteers, about the health volunteer service that is offered? Then you could add that to "see more" at the bottom of the article to further connect your two Area articles.

For "Barangay Health Volunteers" (https://en.wikipedia.org/wiki/Barangay_Health_Volunteers) - I think the structure of this article is far better than the first article, but your contributions definitely still seem integral.

- One note about the History section would be to connect the creation of this service with the history. Right now, it seems like responsibility was shifted from the federal government onto municipal governments but you do not directly go into how this transition resulted in the Barangay Health Volunteers.

- With the Limitations section, I have a similar comment to one that I had in your previous article. What about the Barangay Health Volunteers limits them specifically versus community health workers as a whole? Also, while the World Bank is a reputable source, it is also an organization that is largely criticized for being biased / taken from a very outside perspective. Are there any other accounts of the Barangay Health Volunteers that seem more local that you could draw on?

- Overall, I think your contributions to this article are great!!

For "Community Health Workers" (https://en.wikipedia.org/wiki/Community_health_worker) - This article is obviously a bit more developed than your last two which makes contributions a bit more difficult, but I think what you have written in your sandbox looks great.

- I like how you are weighing the pros and cons of the CHWs. How are you going to add this into the article, though? (maybe in the Current Status section?) (I also feel like "Current Status" could be renamed...kind of a misleading title!)

- Are you going to add a paragraph on Barangay Health Volunteers to the Current Programs section of the article? Your previous research could serve as a sort of case study in this section.

- I know that there are lots of sources that talk about CHWs out there...I would recommend looking on PubMed or some of Berkeley's databases to get some more scholarly sources!

Overall, Lorraine, your progress looks great! I think every contribution that you intend to make is needed and well written. I do think that you could find a few more sources to add to your Bibliography, but other than that I'd say you're on a great track. I hope you have the best time in the Philippines... :) and I hope this helps!!

Best, Ariabd (talk)

Vicentia's Peer Review

AREA

Health in the Philippines

The Ministry of Health, or the Department of Health, governs healthcare and provides national health policies and standards.The the provision of health services is overseen by local government units (LGUs) and private sector agencies. They are responsible for providing health services to communities. The Philippines healthcare system has three tiers of levels of care: primary services brought by barangay health units, rural health units, and city health offices, secondary services by municipal or district hospitals, and tertiary services by provincial and regional hospitals as well as medical centers. [1] (Grundy)

History

The 1991 Republic Act No 1760, or the Local Government Code, gave local health boards the authority over decisions about the made on delivery of health services and financial management. In 1995, the National Health Insurance Act replaced the Medicare Act of 1969 and led to the implementation of universal health coverage. It established the Philippine Health Insurance Corporation to be a form of single-payer national health insurance. (Chakraborty)

Barriers to Healthcare

Poor communities suffer a higher burden of disease due to inequities in access to services and health status. Since Financing for LGUs (maybe you could define LGUs, or give ts full name) often vary and the benefits package for insurance plans may be unfavorable,(.) Some communities face difficulties accessing public health services. In addition, most Healthcare payments are made out of pocket, especially when receiving care from privately owned institutions. Barangay health stations serve as primary public health facilities and are staffed by doctors, nurses, midwives, and barangay health volunteers.

Pharmaceutical prices in the Philippines are high and can often defer deter people from utilizing health systems due to an inability to pay. (Son) Despite the existence of a national health insurance, most healthcare payments are made out of pocket. Medicines are supplies account for the largest share of household medical expenses, at 49%, compared to 33% share of bills for hospital stay and 10% for consultation and treatment. (World Bank)

Barangay Health Volunteers

They (would be helpful to define they) provide preventive health services and treatments for minor injuries and illnesses, such as first aid, maternal and child health services, and community-based interventions including immunizations. Services are free of charge and most often cover medications for patients. (Chakraborty)

The Barangay Health Workers' Benefit and Incentives Act of 1995 provided training for volunteer workers. (East Asia)

History

With the decentralization of healthcare through the 1991 Local Government Code, the responsibility of delivery of primary health services were was transferred from the central government to locally elected provincial, city, and municipal governments. Health services were previously funded and managed by the Department of Health but were transferred to the local governments after the devolution of the healthcare system. (Lakshminarayanan)[2]

Limitations

Volunteers may often be limited in knowledge due to new advances in medicine. Training is crucial for barangay health workers to improve their health knowledge and competency.. This sentence seems like an observation you made, or personal sentiment, without a citation.

There is a perception that barangay health stations provide low-quality health services and have low-client satisfaction. With funding limitations, barangay health stations struggle with lack of medicines and supplies, long wait times, declines in quality of facility infrastructure, and lack of proper training and staffing. [3](World Bank) However, because some rural areas do not have access nearby to private and government services, the poor heavily depend on these primary facilities.

SECTOR

Community Health Workers

Community health workers contribute to community development and can help communities improve access to basic health services. (;) They are most effective when they are properly trained to provide information and services to the community.[4]

Thinking points:

How are CHWs similar to BHWs?

Community health worker is an umbrella term that encompasses the roles of barangay health workers. They (maybe define the "they" here) are similar in many ways, most importantly, their ability to facilitate community development and goal to improve access to information and resources. Barangay health worker is a term specific to the Philippines.

Why is CHW a good idea?

Community health workers are a good idea because they incorporate community engagement. In having community members encourage others in accessing information an resources to better health, there are many potential benefits, such as increased social interactions and community building.

Why is CHW a bad idea?

The responsibility of health can be shifted from the state to the individual (i.e. community) or the community. There could be a deep reliance on community health workers to fill the gaps in resources, especially to poor/rural communities (this sentence seems like a personal sentiment or argument). Training that community health workers receive may be limited and thus may not be enough to effectively help the community. (this sentence also seems like a personal observation, it does not seem encyclopedic).

How effective are community health workers? [5]

Community health workers are the most a promising form of delivering health services to resource-constrained areas. They are seen as secondary health services in most low-income countries are available as a service to the community.

Barangay corruption [6]

According to the World Bank, many Observers (of what) have claimed that the poverty in the Philippines is a direct result of corruption. . Shifting the responsibility of healthcare from the federal government to the local governments has increased local authority and has made communities susceptible to lack of access to basic services.

Review notes

You made great and thoughtful contributions towards the articles. It seemed to me that you usually did not cite some sentences and contributions you made. I also noticed that some of your contributions did not have an encyclopedic tone to it; some had the tone of an essay. There were very few grammatical errors I also noticed that some of the sentences, which were not cited, seemed more of arguments than facts. Overall, your contributions were good. I would recommend that you cite every contribution you make and try to avoid an essay tone. Also, the link to the Lakshminarayanan article is not working, as well as the link to World Bank (2001) article is also not working.

Great job!

Vicentiagyau (talk) 22:17, 19 March 2018 (UTC)