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National Office: Christian Children’s Fund- Philippines

Project Name: Families and Children for Empowerment and Development

(FCED) Foundation, Inc.

Project ID: 1849

Beneficiaries: 239 children – medical check-up

(Direct/Indirect) 83 – undergoing DOTS

Total Budget: Php 202,634.77

Program Duration: October 2007-February 2009

Prepared by: Ms. Rhea Villarubia and Ms. Norilix A.Mansos

Health Coordinator Project Manager

Date Submitted: July 18, 2008

1. Context/Program Overview

There are five areas, namely Barangay 826, 827, 828, 842 and 843,
which are supported by the Gift of Love project. These areas were selected
for the said project because they are the newly adopted communities of the
CCF assisted project. They have been supported by CCF since 2004.
The communities belong to the urban poor areas of Manila. The
housing conditions are congested with limited or inadequate ventilation. The
basic social services provided by the government for health, education,
livelihood and social protection are inadequate due to the high population
density. With these conditions, the families and the children are vulnerable to
many problems.
One of the perennial problems of the said communities is the high
incidence of malnutrition. Out of 10 children, three are malnourished and
sickly children. Despite the nutrition education and supplemental feeding
done by the project and other organizations in the areas, the progress of the
weights of the children is very minimal. Many children are still sickly and
To address these issues and to determine the causes of the sickly
condition of the children, FCED conducted a comprehensive medical check-
up to all the CCF assisted children. It appears that 34% of the 300 children
have primary complex or pulmonary tuberculosis. However, the government
has very limited health services. The Health Centers are not providing
medicines for children with Primary Complex because they prioritize giving
medicines to the adults.
Through the Gift of Love project, the children were assisted to have a
thorough medical check-up and they were provided with medicines for at least
3 months to 9 months of successive treatments.

2. Objective for item provision and utilization

a. Output 1

• Medical Check-up
1. Three hundred thirty (330) children have completed comprehensive
medical check-up which includes chest x-ray, CBC (Complete Blood
Count), PPD/Skin Testing, Urinalysis and Fecalysis.
2. 50% of the 330 children beneficiaries were diagnosed to have been
infected with Pulmonary Tuberculosis.
b. Output 2

• Treatment Phase

1. One hundred sixty five (165) children who were diagnosed to have
Pulmonary Tuberculosis are being treated accordingly.

c. Output 3

• Monthly Check-up/ Follow-up

1. All children who are being treated are to be checked up monthly and the
problems encountered during the treatment process are being addressed.

3. Progress Review

a. Overall Progress towards gift catalogue outputs and

expected outcome

Directly Observed Treatment Short Course (DOTS) project was started

last October 2007. There were 330 children who were the target beneficiaries
from the five (5) newly assisted CCF barangays. Out of three hundred thirty (330)
children, only 245 underwent the medical check-up which included chest X-ray,
CBC (Complete Blood Count), PPD / Skin testing, Urinalysis and Fecalysis.
Based on the findings, 103 children were diagnosed to have Pulmonary
Tuberculosis. However, there are only 83 children who are undergoing the
treatment because the rest refused to cooperate. These children underwent
deworming treatment prior to the administration of PTB medicines. The children
were classified as follows with the corresponding duration of treatment:

• Class I (3 months) - 3 children

• Class II (9 months) - 56 children
• Class III (6 months) - 24 children
Total: 83 children

The parents of children who started the PTB medication signed a waiver
ensuring the project that they are aware of their responsibilities through out the
duration of the treatment process.

The project organized a group of leaders who were called treatment

partners consisting of twenty one (21) parents to ensure effective and efficient
implementation and monitoring of the program.

There will be monthly check-ups to be conducted to monitor the health

status of the children until the completion of the treatment on February 2009. The
first monthly check-up was conducted last June 30, 2008.
b. Capacity Development

The parent leaders who were organized to monitor the project was
oriented on Pulmonary Tuberculosis and the treatment process by Dr. Locson,
DOTS consultant/physician. The sessions among parents about PTB patients are
on-going through the project and with the help of the district health center. The
sessions aim to increase the awareness of the parents about the disease which
is 5th among the 10 leading causes of death.

In addition, the health coordinator conducts regular monthly meeting with

the treatment partners not only to monitor the project’s implementation but also to
assist them in their difficulties and problems encountered in the community
during the treatment process.

4. Impact on Direct and Indirect Beneficiaries

There are 239 children who benefited from the medical check-up. From
the 239, there were 228 CCF sponsored children and 11 siblings were assisted.
From the 228 CCF sponsored children, 83 are now undergoing medication.
(Please see attached list of Gift of Love beneficiaries.)

5. Implementation Strategy Review

a. Participatory/Consultative Processes

The project bought the PTB medicines in bulk and stored in the office. The
health coordinator is the one in charge of monitoring the provision of medicines
to the treatment partners every week. Each treatment partner was provided with
the list of children assigned to them. The treatment partners are responsible for
administering the medicines to the children daily. Medicines administered are
recorded daily and it should be countersigned by the parents. Daily records of
medicines administered will be presented to the health coordinator prior to the
provision of succeeding medicines.

The community mobilizer together with the treatment partners has a

regular meeting with the parents of children undergoing the PTB treatment to get
feedback and observation about the health progress of their children.

The children who are undergoing the PTB treatment were reported to the
district health centers for possible access of the health services which could help
in their recovery.
b. Sustainability

The treatment of children infected with Pulmonary Tuberculosis is done

through the DOTS program. The parent leaders in the area were trained to
become treatment partners who are responsible in ensuring that the program is
being implemented efficiently and effectively. In this strategy, the health progress
of each child is closely monitored and cases are being reported for immediate
action and follow-up. This also ensures high success rate since children drinks
their medicines regularly. Likewise, complete provision of medicines to children
depending on the duration of their treatment ensures sustainable impact to their
full recovery.

6. Management Effectiveness

Monthly Achievements by output A M J J A S O N D J F M A M J

Output 1: Medical Check-up

1. Identification of target beneficiaries

2. Coordination with the barangays

3. Coordination with DOTS

4. Canvass mobile clinics for medical

5. Actual conduct of medical check-
6. Reading of laboratory results and
7. Communicated to the project
regarding the list of children for


Output 2: Treatment Phase

1. Orientation with parents and treatment  

partners on Pulmonary Tuberculosis

2.Administration of deworming 

2. Administration of PTB medicines

(from July 2008 to February 2009)
Monthly Achievements by output A M J J A S O N D J F M A M J
 
Output 3: Monthly check-up/Follow-up

1. Meeting with the treatment partners 

2. Submitted list of patients to the DOTS
consultant/ physician

3. Actual conduct of first monthly check-

The implementation was delayed because the project had difficulty in

finding a physician to administer the medical check-up as well as the mobile
clinic that can provide the laboratory services to the children. Initially, it was
coordinated with the district local health center. However, with the large number
of children and lack of expertise to manage the DOTS program, they refused to
accommodate the children.

It was a major challenge to the project that there were uncooperative

parents who did not bring their children during check-up and laboratory schedule.
This also contributed to the delay of the completion of the diagnosis.

Clustering of children among treatment partners in the respective

communities was done by the project. It became manageable for them to monitor
the children’s health status. Aside from the daily administration of medicines,
they also conduct regular home visits and gives feedback to the social worker.
This strategy helped the project to individually monitor the status of children.
Hence, they were immediately provided with proper intervention.

7. Financial Reporting (Appendix)

(Please see attached financial report.).

8. Material Collection (Photographs and Stories)

a. Success Story

One of the assisted families by the Gift of Love Project is

the family of CCF Sponsored Child – Earl Justine Labandia. The
problem of the family started when the eldest child, Humphrey
Labandia, got sickly oftentimes with cough, colds and asthma.
Humphrey had been sick with primary complex before and it
recurred last October 2007. There were many medications and
series of tests that the child underwent but it was only last March
5,2008 that the doctor in the hospital finally diagnosed that the
child has Pulmonary Tuberculosis- Class 3 and needs to be
treated for 6 consecutive months. During that time, the head of
the family just got laid off from his work so the mother had the
hard time finding resources to support the medications of her
child. She sought the assistance of FCED for medical assistance,
her relatives, a congressman and the City Social Welfare and
Development Office. However, since the family is in a financial
crisis, the resources were still inadequate. It was just timely that
the Gift of Love Project was fully implemented in FCED.

Through the Gift of Love project, she discovered that it was

not only the eldest child who has the sickness. She learned after
the medical check-up that the CCF sponsored child- Earl Justine-
also has primary complex and needs to be treated. This helped
her understand the reason behind the low appetite and the sickly
condition of the children. The Gift of Love project supported the
thorough medical check-up, the medicines and the follow-up
check-up of the sponsored child. The sibling also benefited
because the project gave the child medicines for the continuous
treatment of Humphrey.

The mother noticed the remarkable improvements to her

children. The nodules behind the ears of the children which the
mother tries to explain to her sons as “marbles” have
disappeared. The appetite of the children has greatly increased.
Before, the eldest son (Humphrey) is only able to eat a plate full
of rice but now, he can eat 2 plates of rice in one meal. The 2nd
son CEarl Justine) used to eat ½ plate of rice but now, he can eat
1 plate of rice. The appetite of children for vegetables was
increased also. The mother provides them with vitamins that she
was able to solicit to further improve their health conditions. The
children have been very energetic unlike before that they were
sad looking and sickly. Their weights have greatly improved.
Through the continuous medications, 6 kilos were gained by
each child in the course of the treatment. The mother observed
that her sons have grown taller.

The mother is happy with the support from the Gift of Love
project. Being a community leader, she said that it is a great help
and great solution to the problems of the children (“…Sa
community, malaking solusyon, malaking tulong sa problema ng
mga bata.”) As a mother, she said that “It has been a great help
for my children to be cured from the illness. I am happy because
my children gained weight unlike before that they were very
thin. I am happy because the children increased their appetite;
they became energetic and not sickly.” ( …”Sa anak ko,
malaking tulong para magamot anak ko. Natuwa ako kasi
tumaba anak ko di tulad ng dati na payat. Natuwa kasi gumana
kumain, naging masigla at di na sakitin.”

b. Photos
(Please see attached photos.)