00:00For those who are still young, tigdas and bulutong, it's like the summer period or the time when it's hot.
00:09There are a lot of cases. How can we change the perspective of parents that it's not mpox, maybe it's tigdas or bulutong.
00:20That's right. Mpox is the offspring of smallpox. Smallpox has been eradicated for a long time.
00:27Chickenpox, herpes zoster are the offspring of varicella zoster and herpes zoster. They are the offspring of both of these diseases, measles, chickenpox, bulutong tubig, and herpes.
00:46Those are preventable with vaccines. We call them vaccine-preventable diseases.
00:54We have scheduled the National Immunization Program where children can receive nine vaccines that are vaccine-preventable.
01:07When we came from the outbreak in Barb, because there were a lot of children there who were not vaccinated with measles, we made a measles outbreak response immunization.
01:17We were able to vaccinate 1.2 million children with the help of health workers in Barb.
01:24The spread of measles was confirmed there. It's the same here in Pertusis. A few months ago, all the towns had an outbreak of Pertusis so we did a catch-up immunization.
01:40We had pentavalent vaccine. There are five vaccines, measles, mops, rubella, DPT, diphtheria, Pertusis, and lepinos.
01:50Those are five vaccines that we pushed to give to all children below six years old. Actually, below two should be given and two doses are needed.
02:02It's just a single dose and the parents are really asking for it.
02:07Yes, it's scheduled. To the newly born mothers, they are really asking for vaccines to be given to their children.
02:14The first one is hepatitis, then DCG, then pentavalent vaccines, and actually, we also have a vaccine for nine years old, HPV, human papilloma virus.
02:28This is being bought by the Department of Health and given to other health centers where our LGU is scheduling the injection.
02:37This is free. Others go to their pediatrician, to their own doctor, and pay to get this, those who can afford it, who don't go to the health center.
02:49But in the health center, it's usually available. Sometimes, it's out of stock, especially if it hasn't arrived yet.
02:58But the moment you ask, the moment our stocks arrive, you should get your children vaccinated because these are proven, this is not the newly discovered vaccine,
03:09this is the age-old, 1960s vaccine. If it's not vaccinated, we will have measles and pertusis outbreak.
03:19All right. But the problem is if you have a health center nearby, in remote areas, because sometimes, we can only get close to barangay health stations.
03:29That's right. We are buying this from our government. We spent about P4 billion of tax money to buy all these vaccines.
03:39Then we distribute this to regional offices. Then the regional offices of DOH are giving this to every province and municipality.
03:48Of course, some are running out and some are not being given. That's how it is.
03:55Because we are ratioing it to all the children. We have about two million kids almost every year.
04:05Of all the kids targeted to be vaccinated, what is the coverage that you have achieved so far?
04:12If you're saying there are a lot of vaccines, how many percent of our kids below 6 years old are fully immunized?
04:20Our record is 61%. It should be 95%. That means there are many who are not available for vaccines.
04:30In Malu, we have zero-dose children. This is the child who was not able to receive even one more vaccine.
04:39Zero-dose means the other child who received the first dose is okay. They are protected even partially.
04:45Before, we were number four in the world in the number of zero-dose children.
04:51But because of the efforts of DOH, we went down. We were not in the top five.
04:57We were beaten by the efforts of the health workers. The problem is we were number six.
05:03But slowly, Malu, I feel we can get out of the top ten.
05:08Is there a lack of vaccines, supply, health centers, or funds?
05:13Usually it's the system. I think it's the logistic supply chain management.
05:20I was told that when the mother goes to the health center on her day off, there's no vaccine.
05:27I said, what is this? You go to any island in the Philippines, there's soft drink, there's beer, there's cigarette, you go to Sari-Sari store. Why is it like that?
05:38Of course, it's hard to bring a bag if you travel for a long time.
05:44That's right.
05:46It's really hard because it's a logistics issue in the province.
05:49What I call that, Malu, is the hidden cost of health care.
05:54We analyze that. There's a vaccine in the health center, but they're spending P100 for two passengers, P50 to travel for an hour to get to the health center.
06:07Sometimes they need that money for food.
06:10Correct. All right.
06:11Sometimes, there's no one to take care of the other siblings, the four-year-old, five-year-old. They will bring the newborn, but there's no one to buy it.
06:21It's really hard to go. I said, let's go one by one to find out who's not vaccinated and e-house to house.
06:30Because it's expensive. If you've been to the islands in the Philippines, in the provinces, the health center is really far.
06:37Most of the time, it's far. Sometimes, they don't know where the health center is.
06:42What day the doctor or nurse is there.
06:44That's right. Or if the vaccine is available.
06:47That's one of our difficulties.
06:49We call that the hidden cost of health care.
06:53Unless you bring it, you won't be vaccinated.
06:57So my order to DOH is to partner with the barangay health worker and go to Purok.
07:03I call it Purok Kalusugan.
07:05Go to Purok. There are Purok leaders there.
07:08They know who are the children under six in one area.
07:12They know who are the pregnant mothers.
07:15They know who are the elderly with diabetes and hypertension.
07:18Let's find them and offer the health services.
07:22It's a different mentality because before, they were just waiting at the health center.
07:27If there's no massage and no time, they won't go there.
07:32If you go to a house, you say you will get vaccinated.
07:36We heard that you are two years old.
07:38Here, we brought the vaccine.
07:40You can talk to your grandmother.
07:42You can talk to your mother.
07:44Sometimes, you can talk to other siblings.
07:45You can see that the siblings are malnourished.
07:48You can see that your grandmother has diabetes and high blood pressure.
07:50There's no medicine.
07:51You can see that your father has TB.
07:53I want to go back to that time when doctors and health workers really went there.
08:00The poor leaders know everything there.
08:02So let's go there and bring the services to them.
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