Lakbay Buhay Kalusugan Practical Guide
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For additional inquiries, contact:
Dr. Ivanhoe Escartin Director National Center for Health Promotion (NCHP) 2
nd Floor, Building 18
Department of Health Compound Avenida Rizal, Sta. Cruz, Manila Tel: (632) 743-8438 E-mail: [email protected] NCHP LBK Focal Persons: Anthony Roda E-mail: [email protected] Edna Nito E-mail: [email protected] Marivic Madura E-mail: [email protected]
Joel Javellana E-mail: [email protected]
Department of Health NCHP, 2012 Photographs by Igor Dashevskiy, Gary Buenavista, Nancy Pizarro, Nilo Yacat, Honelyn Alipio
Lakbay Buhay Kalusugan (LBK) is a Public-Private Partnership for health promotion and basic health care services. It is made possible by a partnership among the Philippines Department of Health-National Center for Health Promotion, Local Government Units, United States Agency for International Development (USAID), and private partners such as the Dona Marta T. Hernandez Foundation of Victory Liner Inc., Melawares, Air21, OMF Literature Inc., Dakila – Philippine Collective for Modern Heroism, Manila Broadcasting Company, UNTV, Center for Community Journalism and Development, Philippine Press Institute, the Alliance of Young Nurse Leaders and Advocates International, Inc.
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What is LBK?
Lakbay Buhay Kalusugan (LBK), or Journey to a Healthy Life, is an innovative public health initiative of the Department of Health (DOH) through the National Center for Health Promotion (NCHP).
LBK uses the concept of a health promotion caravan with a travelling bus as a platform for DOH and local government units to reach poor families and communities with messages on key healthy behaviors and basic health care services.
LBK is popularizing the Aquino Government ‘s health agenda to provide universal access to health care. It aims to increase awareness on healthy behaviors in maternal and child health and nutrition, tuberculosis, and family planning with the key message of “No One is Left Behind: We are All Drivers in this Journey to Health.”
More than that, the LBK is a fun and interactive way to teach mothers, fathers, and children how to stay healthy.
This health promotion caravan is yet another way to demonstrate your local government’s commitment to ensuring the physical well being of your communities.
LBK made its first historic stop in March 2011 in Capas, Tarlac, where at least 1,500 Aetas benefited from the LBK experience. In its first year, LBK made 13 stops in hard-to-reach areas across the Philippines, reaching over 38,000 individuals, including about 3,000 pregnant women and 10,000 children with basic health care services. In the coming years, LBK promises to reach more poor communities as it continues to bring basic health messages and services to the public.
Welcome aboard! We are glad you are joining us on this exciting journey toward improving the health of your communities.
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The LBK is a festive health event that aims to bring essential health information and basic family health services to the people who need them most. It has three distinct features:
1. Mobile consultation and exam clinic
LBK uses a colorfully designed customized bus that doubles as a mobile maternal and child health clinic. It has a waiting area, consultation rooms and examination rooms for women and children where local health service providers offer antenatal, postpartum and child care with integrated family planning and nutrition counseling.
2. Interactive health promotion exhibit
LBK offers a guided tour of an interactive health exhibit, where people learn key health messages in maternal and child health, family planning, nutrition, tuberculosis, hand-washing, and healthy lifestyle. Specially trained local health volunteers manage the interactive exhibit.
3. Health classes
Local health workers can do their share in the conduct of the LBK by teaching the participating men and women basic health concepts and practices using job aids for health classes on maternal health, child health and family planning. The conduct of health education classes and entertain-educate activities on health-seeking practices makes LBK even more beneficial while being fun and exciting.
To complement its major components, LBK has:
A storytelling area for children on various health subjects;
Educational radio spots played before and during LBK event;
Educational video segments on the bus;
Special male involvement classes; and
A videoke station for those who want to sing their way to a healthy life.
What is LBK?
LBK is health caravan bringing messages
and services to those in need, marshaling
commitment and resources from an array
of private and public partners in health
care, health promotion and media.
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What does it take to do LBK?
Behind the fun and festive setting of LBK is the work of many people. LBK has shown that public and private sectors can work together to bring health information and basic health care services closer to people.
Imagine a public bus about to go on a tour without fuel, a driver, passengers, and a clear and definite direction. Similarly, the LBK cannot run successfully without the following:
Map: Identify and clarify specific health goals for
your LBK and how you can reach them.
Passengers: Keep in mind that LBK is all about
the people you serve – and their health needs.
Driver: LBK needs commitment and support of
individuals and groups alike, including volunteers, to succeed.
Fuel: LBK needs resources, including people,
time and money, to run successfully.
How to conduct LBK?
Here are seven easy steps:
1 Introduce LBK to your local leaders and
decision-makers
2 Set the date and find the site
3 Organize your LBK team
4 Mobilize resources
5 Promote your LBK
6 Roll out your LBK
7 Assess your LBK
Who benefits from LBK?
Pregnant and postpartum women
Parents and caregivers of children under five
Children 0-14 years old
Young couples without children
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1 Introduce LBK to your local leaders and decision-makers
Meet with your Governor and/or Mayor(s) to
present the concept of LBK and its benefits.
Representatives from DOH’s National Center
for Health Promotion and Center for Health
Development can help you with your
presentation.
Use PowerPoint presentation and hand out an
LBK briefer. In your presentation, highlight the
following key points:
LBK is for people who need health
information and health care services the
most. You may consider those who live in
geographically isolated and disadvantaged
areas (GIDA) or communities with
beneficiaries of the government’s
Conditional Cash Transfer program.
LBK is an effective way to demonstrate
that your local government unit is
committed to addressing the basic health
needs of its constituents.
LBK is as much about providing health
services and promoting health awareness.
LBK needs the support of several agencies
and private partners to be most effective.
LBK improves relationship between health
workers and volunteers with communities
they serve.
To succeed, LBK needs additional financial
support ranging from PhP 50 to 75 per
person, or approximately PhP 50,000 to
75,000 to reach 1,000 beneficiaries during
a 1-day event. (Final estimates depend on
local government’s resources, cost of
meals, additional activities, cost of
medicine, etc.).
See the Toolkit for a PowerPoint presentation and illustrative budget.
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2 Set the date and find the site
Set the date for the conduct of LBK.
The date should be convenient to all
partners-organizers and LBK beneficiaries.
Check with NCHP on the availability of the
LBK bus.
Find your LBK site.
Choose a municipality/city/barangay that
meets the following criteria:
The site has large number of pregnant
or postpartum women and children
under 5 years old;
LBK bus can travel to the area;
The site has open-air or covered area
that can accommodate at least 1,000
people (If open-air, tents should be
provided);
The site has water and sanitation
facilities.
Select a venue (examples):
Basketball court and surrounding area
Open field
Town plaza
School ground (provided not disruptive
of school activities)
Be familiar with the LBK stations:
1. Registration and clients’ screening
2. Bus
3. Interactive exhibit
4. Health classes
5. Pharmacy
6. Storytelling and play area for children
7. Waiting area
8. Entertainment
9. Redemption
10. Food distribution
11. Other stations based on individual
needs of local government units
See the Toolkit for a typical LBK venue.
“Information dissemination, especially through a health fiesta event, is one way of effectively reaching out to the Filipino people. A lot of people benefited from the event and
went home with a new [health] perspective and understanding.” Dr. Sharlene A. Sy, Municipal Health Officer, Sagay City, Negros Occidental
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3 Organize your LBK teams
Identify and invite individuals, groups and/or
agencies to participate in LBK. These include,
but are not limited to, the following:
Provincial/city/municipal health office Local NGOs or CBOs Local media professionals Health providers and volunteers Private sector
Hold meetings to orient your local LBK
partners and discuss roles and responsibilities.
Train health providers and volunteers in
interpersonal communication and counseling
for the interactive exhibit and health classes.
At least one day before LBK, conduct a dry
run with the following teams:
Participant Mobilization Team
identifies potential participants and
ensures their presence during LBK.
Logistics Team provides overall
logistical support.
Support-Raising and Media
Team taps potential partners and
ensures local media coverage.
Program Team prepares and runs
the program.
Implementation Team conducts
triage, provides health care services,
runs health exhibit and health classes.
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Human and material resources for each LBK station
Station 1: Registration and clients’ assessment
Attendance sheets ID cards LBK stations completion card Medical supplies 6 health workers and volunteers
Station 2: Bus Station 3: Interactive exhibit Station 4: Health classes
Medicines Medical supplies Registry book LBK video segments DVD Client-education materials 4 teams of health workers
Assembled interactive exhibit Fliers Chairs Banderitas 13 health volunteers
Job aids Client-education materials Chairs Sign up sheets 6 midwives (2 for each class)
Station 5: Pharmacy Station 6: Storytelling and play
area for children Station 7: Waiting area
Medicines Vitamins (optional) 2 health workers or volunteers
Storybooks Mats Toys 2 health volunteers
Chairs Videoke machine LBK videoke DVD 2 health volunteers
Station 8: Entertainment Station 9: Redemption Station 10: Food distribution
Podium Sound system with microphones LBK radio spots CD
Giveaways 2 health volunteers or other LBK organizers
Packed meals (optional) Water stations
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4 Mobilize resources
Secure commitment from partners to sponsor any of the following items:
Meals for organizers during meetings and LBK event
Meals for participants and guests Tents (for outdoor venue) Chairs (minimum of 500) Tables (minimum of 30) Sound system Videoke machine Fiesta buntings (banderitas) Water stations Medicines and/or vitamins Basic medical equipment and supplies
for bus and triage Giveaways.
5 Promote your LBK
Mobilize your health workers and volunteers
to inform the beneficiaries about your LBK,
and to come up with a list of participants.
Coordinate with your Public Information
Officer for the distribution of press releases
and airing of the LBK radio spots in advance.
Hold a press conference for local media
professionals before or during your LBK event.
Send invitation letters to partners, schools,
organizations, and other local officials.
See the Toolkit for a sample press release and invitation letter.
In December 2011, a total of 154 LBK beneficiaries from six provinces were randomly selected and interviewed in their households. Most of the respondents were from the lowest social-economic class (84%) with elementary education (50%). One in two (49%) of those interviewed liked LBK mostly for its information, followed by giveaways (32%), and free consultations (16%). Recall of health messages was highest for childcare (54%) and family planning (48%).
TNS, 2012.
LBK Toolkit
LBK jingle lyrics
LBK sample PowerPoint presentation
LBK illustrative budget
LBK sample program
LBK checklist of tasks, roles and responsibilities
LBK sample press release
LBK sample partner invitation letter
LBK dry run checklist
LBK sample Quick Feedback Survey (intercept interviews)
LBK audio-visual package Preselect thematic songs for videoke LBK video segments on prenatal care and breastfeeding LBK radio spots on prenatal care, healthy spacing of
pregnancies, and more.
6 Roll out your LBK
Hold a dry run, or practice LBK flow at least
one day before your LBK event.
Discuss the program flow with all
organizers.
Do a walk-through or simulate clients’
flow through the stations.
Do a walk-through interactive health
exhibit.
Check out the venue and supplies.
Test your audio-visual/sound
equipment.
Do a “recorida” or mobile parade, announcing
the start of LBK event in the community.
Review your checklist and get ready to
undertake the LBK in your area.
See the Toolkit for the LBK checklist and sample LBK program flow.
7 Assess your LBK
Mobilize at least four barangay health
workers to administer the Quick Feedback
Survey among select beneficiaries.
Hold a meeting with all your organizers at the
end of each day of the LBK event. The
Municipal Health Officer may facilitate the
evaluation and the daily meetings.
Discuss what went well and what
could still be improved.
Discuss the next steps to pursue after
your initial foray into the LBK.
Document the discussion and prepare
a one-page report that you may share
with your local chief executive/s as
well as with the DOH.
See the Toolkit for the Quick Feedback Survey form.
The LBK Toolkit is a CD that contains files and materials to help you plan and implement your own LBK.
DOH NCHP, 2012