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Dagcutan, Maxine Lei Marie

A reflection on the Case Study on Muncipality of Malaya Compostela Province

Over the course of history, various fields of medicine and public health have studied the

environmental and social determinants of health and involved the public itself in identifying

and addressing public health problems. More recently however, “research aimed at creating

knowledge about health and disease has been emphasized, often using the randomized

clinical trial as the gold standard.” This research has tended to stress individual rather than

social or environmental risk factors, and to separate researchers and public health

practitioners from the public at-large as the health experts.

Such an emphasis on medical intervention over prevention as well as behavioral risk

factors over social determinants has obscured the contributions of environmental factors to

health and disease. One example in the Case Study on the Municipality of Malaya,one can

see a large chunk of its population belongs to laborers and unskilled workers , doting the fact

that almost all of the workers are in blue collared jobs. As health workers, it is our job to not

only draw conclusions on statistics alone but to be able to see the area first hand, that alone

will be the best way to adequately decide the actions possible for the rehabillation of a


These social and local environmental factors play a large role as evidenced by the

growing disparity between the health status of rich and poor as well as between cultural

groups. Furthermore, although the government has provided media information drive and

have contributed to increased knowledge about public health issues and improved health

status, there is often a gulf between that knowledge and its application. As health-care

workers,the promise of community-based programs is to help fill these inequity and action

gaps. As in developing nations, in developed areas strive to expand access to groups that
Dagcutan, Maxine Lei Marie

experience significant barriers to health care. These barriers are similar to those in

developing nations: poverty, lack of transportation, low levels of education and literacy, and

misconceptions about health care services and disease. Community Healthcare workers are

often the unsung heroes not only in the medical field but also in the most general sense.

Though most are not as well compensated as other private insured healthcare workers, the

passion to help a community is what often drives them to give the very best service they could