Dr. Aldrin Q.

Ibbo Medical Director

Good morning! I am writing this proposal letter to serve as a recommendation that has something to do with upgrading our Hospital/Organization with purposely touching my own skills and expertise. Generally speaking, as a member of a Health Care Team, I would like to decrease problems regarding the Food Intake and increase Proper Food preference of any residence of Bongao Doctors Hospital in a way of a Health (Nutrition) Education which could be a good help and influence to the welfare to become part of coping mechanism towards different diseases. Here are some detailed explanations about why I want to pursue this idea. Beneficiaries / Target respondents Patient/Patients relative Reasons For them to learn more idea about the given topic and to add knowledge and insights for them to be aware on the importance of a good health through good and proper nutrition. For them to be oriented about nutrition knowledge that can also serves as a cure and prevention to different diseases based on Medical Nutrition. For them to refresh their knowledge about the field of nutrition as a part of cure and prevention for their clients and patients.

Staff and other Allied Health Care Team

Doctors

As a Public Health Nutritionist, I highly nominate myself to render this type of services and to be able for me to practice my own expertise with in my own capacity as a Nutrition Educator on our good Hospital. Furthermore, the said proposal will be basing on the Annual Calendar of the Department of Health year 2011 with the primary goal of Educating Health Publicly. On my very own way, the planned annual activity of the DOH will be part of my proposal through a Public Health Nutrition. Thank you very much. Ar-Qaishier Sahali Tarabasa Nutritionist-Dietitian

PROJECT INFORMATION Name of Organization: Bongao Doctors Hospital Project Title: HEALTH (NUTRITION) EDUCATION DIET COUNSELING Project Summary: The Purpose of this proposal is to render a type of services which is believed to give help to the welfare/ Hospitals residence through Nutrition Education and by conducting a Diet Counseling to the concerns of the Bongao Doctors Hospital.

Prepared by: Ar-Qaishier Sahali Tarabasa, R.ND

PROJECT SUMMARY This project proposal is intended to the welfare and to the residence of Bongao Doctors Hospital. It will serve as a helping hand to those involved during the session by giving a Nutrition Education and by conducting a Diet Counseling to the patient individually. By doing a Nutrition Education, the Nutrition Educator will be teaching to the staff and to other Hospitals residence about Nutrition and sometimes it will be based upon the demand and trends. The said session will be held at any area of the Hospital aiming to cater the needs of the people in it. On the other hand, Diet Counseling will be done by a Dietitian, he/she will explain to the patient of what are the food allowed and to be avoided based from the interpreted data given by different department of the Hospital, prescribed diet by the attending Physician and problems complained by a certain patient. It will be conducted on patients room and can only consume 3-5 minutes of conversation.

PROJECT BACKGROUND Tawi-Tawi lies in the southernmost region of the country, is considered as one of the poorest provinces in the Philippines, the province is teeming with abundant and rich marine resources but most of the people live in poverty due to unstable economic livelihood. Hence, access to quality Health Care is a problem of the people with insufficient health facilities like hospital and limited financial resources. In fact the province experience high maternal and infant mortality rate. Coupled with poor health condition, is the lack of manpower of the different health department in delivering the basic health services and implementing Public Health program. Public Health is a science and art of preventing diseases, prolonging life and promoting health through organized community effort to enable every citizen to realize his birthright of health and longevity. Also, it is an effort organized by society to protect, promote and restore the peoples health through the application of science, practical skills and collective actions.

The 2008 National Nutrition Survey(NNS) is the 7th in the series of National Nutrition Survey undertaken once every 5 years by the Food and Nutrition Research Institute of the Department of Science and Technology ( FNRI-DOST). From the outcome Data of the National Nutrition Survey (NNS), a high prevalence of underheight-for-age or stunted pre-schooler was mostly observed in MIMAROPA, Bicol and all the region in Visayas and Mindanao.(under nutrition among 0-5 years old children, by region). Tawi-Tawi was one of the provinces with high magnitude of underweight adolescents. (11-19 years old adolescents, by region and province). ARMM was also one of the regions with highest prevalence of underweight among lactating mothers.

PROJECT GOALS AND OBJECTIVES GOALS A generalized equity among the residence of Bongao Doctors Hospital toward Nutrition as an ART and SCIENCE which can be possibly applied by an individual for everyday life. And to support the Department of Health Annual Calendar by implementing the planned activity, publicly.

HEALTH ( NUTRITION) EDUCATION OBJECTIVES: To be able for the Hospitals residence ( Doctors, Staff and Patients relative) to identify differences of the ideas based on the given topic. To be able for the Hospitals residence ( Doctors, Staff and Patients relative) to apply the ideas and principles of nutrition for everyday life. To be able for the Hospitals residence ( Doctors, Staff and Patients relative)to be reminded about the latest and trends topic regarding Nutrition and Health. To be able for the Hospitals residence ( Doctors, Staff and Patients relative) to participate during the said session as part of evaluation.

DIET COUNSELING OBJECTIVES: For the patient to apply the proper diet said by the Dietitian based from his/her case. For the patient to know and to be well oriented about food allowed and avoided according from his/her case. For the patient to interact or ask other inquiries about nutrition according from his/her case.

PLAN OF ACTION, METHODS AND DESIGN HEALTH (NUTRITION) EDUCATION MASS EDUCATION TOPIC 10 Nutritional Guidelines The Food Pyramid The Basic Food Groups Malaria awareness Drug abuse prevention and control World AIDS Food Fortification Infant and Young child Feeding Hand washing and Oral Health Food Safety awareness/ Typhoid fever,UTI,Malaria and Dengue fever Heart and Foods RESPONDENTS DATE/TIME RESOURCES R.ND, Handouts R.ND, Handouts R.ND, Handouts R.ND, Handouts R.ND, Handouts R.ND, Handouts R.ND, Handouts R.ND, Handouts R.ND, Handouts R.ND, Handouts ACTION DESIGN L.A.E L.A.E L.A.E L.A.E L.A.E

Patient/representative Sept.24,2011/2:004:00 PM Patient/representative Oct.08,2011/2:004:00 PM Patient/representative Oct.22,2011/2:004:00 PM Patient/representative Nov.12,2011/2:004:00 PM Patient/representative Nov.26,2011/2:004:00 PM Patient/representative Patient/representative Patient/representative Patient/representative Patient/representative Dec.10,2011/2:004:00 PM Dec.24,2011/2:004:00 PM Jan.14,2012/2:004:00 PM Jan.28,2012/2:004:00 PM Feb.11,2012/2:004:00 PM

L.A.E L.A.E L.A.E L.A.E L.A.E

Patient/representative

Feb.25,2012/2:004:00 PM

R.ND, Handouts

L.A.E

Womans Health and Nutrition Cancers and Foods World health day Malaria and Food Safety Hypertension and Foods Safe motherhood Kidney and Foods Proper waste segregation and its effect Nutrition Month/ DM and Foods Nutrition Month/ DM and Foods Family planning Breastfeeding Obesity prevention and awareness 10 Nutritional Guidelines

Patient/representative

Mar.10,2012/2:004:00 PM Mar.24,2012/2:004:00 PM Apr.14,2012/2:004:00 PM Apr.28,2012/2:004:00 PM May 12,2012/2:004:00 PM May 26,2012/2:004:00 PM Jun.09,2012/2:004:00 PM Jun.23,2012/2:004:00 PM Jul.07,2012/2:004:00 PM Jul.21,2012/2:004:00 PM

R.ND, Handouts R.ND, Handouts R.ND, Handouts R.ND, Handouts R.ND, Handouts R.ND, Handouts R.ND, Handouts R.ND, Handouts R.ND, Handouts R.ND, Handouts R.ND, Handouts R.ND, Handouts R.ND, Handouts R.ND, Handouts

L.A.E

Patient/representative Patient/representative Patient/representative Patient/representative Patient/representative Patient/representative Patient/representative

L.A.E L.A.E L.A.E L.A.E L.A.E L.A.E L.A.E

Patient/representative

L.A.E

Patient/representative

L.A.E

Patient/representative

Aug.11,2012/2:004:00 PM Patient/representative Aug.25,2012/2:004:00 PM Patient/representative Sept.08,2012/2:004:00 PM Patient/representative Sept.22,2012/2:004:00 PM

L.A.E L.A.E L.A.E

L.A.E

*L.A.E- Lectures and Evaluation *2 :1 meaning, 2 representative/ patients relative per patient OR 1 patient and 1 representative/ patients relative. METHOD. The given topic were individualized and it is not ladderized. Therefore different patients/ patients relative or representative per session can relate with the topic, and not requiring previous topic to understand the present lecture. Also, the enumerated topic above are based from the DOH Annual Calendar, to support their activity by implementing it through education,publicly.

HEALTH (NUTRITION) EDUCATION HOSPITAL STAFF TOPIC RESPONDENTS DATE/TIME Oct.14,2011 Nov.18,2011 Dec.16,2011 Jan.20,2012 Feb.17,2012 Mar.16,2012 Apr.20,2012 May.18,2012 Jun.15,2012 Jul.13,2012 Aug.17,2012 Sept.14,2012 *2:00-4:00 PM RESOURCES ACTION DESIGN The Dietitian will give lectures about new ideas, new research and new information about Nutrition to the different Staff of the Hospital Organization.

New Research about Food and Nutrition that something to do on individual Health.

Hospitals Staff and Doctors

R.ND and Handouts

DIET COUNSELING TOPIC Base on the case ACTION DESIGN. First, the Dietitian will approach nurse station to write some vital inputs on the Diet List. Second, the Dietitian will conduct a Nutritional Assessment and it will be done in a form of an interview by asking the patient about some information that will be needed to fill-in on the Diet History Sheet. Third, after an interview, the Dietitian will going to analyze datas and compute the diet to come up with a proper counseling regarding the food allowed and to be avoided by the patient based from his/her case and can only take for about 3-5 minutes of conversation. RESPONDENTS Patient/ Relatives DATE/TIME anytime of the day RESOURSES R.ND and Handouts

CONCLUSION This project proposal are intended to the welfare and to any residence of Bongao Doctors Hospital. It said to serve as a helping hand to those involved during the session through the way of Nutrition Education and by conducting a Diet Counseling to the patient targeting one goal which is allowing and adopting the world of Nutrition as an ART and as a SCIENCE.

PROJECT BUDGET Material needed: White Bond Paper ( Short ) Folder ( Long ) Estimated no. of patient per day: 10 Estimated no. of staff to attend: 15 No. of relative invited for the Health Educ.: 2( relative/representaine): per 1(patient) For Diet Counseling( 2 sheets-Diet History Form, Diet Computation, Diet Distribution Plan, Meal Pattern) No. of sheets 2 sheets Sheet/day Sheet/month No. of reem needed 2 reem( 1,000 sheets) Excess Remaining Cost

ENOP/day

10

20 sheets

600 sheets

400 sheets

300.00

Item

For Diet List( 1 sheet for 2 days ) No. of sheets 1 sheet Sheet/ 2 Days 1 sheet Sheet/ month 15 sheets Sheet/year No. of sheet needed 180 sheets Excess Remaining Cost

Diet List

180 sheets

220 sheets (400 sheets 180 sheets)

For Mass Education( Twice a month, 2 copies/individual, estimated visitors: 2 per patient)
No. of Sheet 2 sheets Sheet/day Sheet/month Sheet/year No. of reem needed 2 reem(1,000 sheets) Excess Remaining Cost

ENOP/day

20( 2 relative x 10 patient)

40 sheets

80 sheets

960 sheets

40 sheets

300.00

For Hospital Staff Nutrition Education( Once in a month, 2 copies per staff, estimated staff:15)
No. of sheets 2 Sheet/day Sheets/month Sheet/year No. of reem needed 1 reem( 500 sheets) Excess Remaining Cost

ENOS/day

15

30 sheets

30 sheets

360 sheets

140 sheets

150.00

*ENOP- Estimated no. of patient *ENOS- Estimated no. of Staff SUMMARY 300.00( Budget for 2 reem for Diet Counseling) 300.00(Budget for 2 reem for Mass Education yearly) 150.00(Budget for 1 reem for Hosp.Staff Nutri.Educ. yearly) 750.00( Total Budget needed)

*But the First 300.00( Budget for 2 reem for Diet Counseling) is only good for 1 month.

DIET HISTORY FORM NAME: DIETARY PRESCRIPTION: ADDRESS: ATTENDING PHYSICIAN : SOCIAL HISTORY : DATE: MEDICAL HISTORY:

FOOD PREPARED BY: NUMBER IN FAMILY: OCCUPATION : FOOD HISTORY SUPPER BETWEEN MEALS

AGE: WEIGHT: HEIGHT:

BREAKFAST

LUNCH

ESSENTIAL FACTORS

REMARKS

DATE

LAB. EXAM

REMARKS

DIET COMPUTATION DESIRABLE BODY WEIGHT(DBW)

BODY MASS INDEX(BMI)

TOTAL ENERGY REQUIREMENT(TER)

DIET PRESCRIPTION

% DISTRIBUTION: ( KCALS%, / CHO%, /CHON%) /FATS-

DIETARY NAMAGEMENT

RATIONALE

DIET DISTRIBUTION PLAN DIET PRESCRIPTION CAL / CHO / CHON / FATS FOOD NO. OF H.H.M CHO(gm) CHON(gm) FATS(gm) CAL BF AM L PM S BT LIST EXCHANGE I.VEG.A VEG.B II.FRUITS III.MILK WM LFM SM
IV.SUGAR

V.RICE VI.MEAT LFM MFM HFM VII.FAT

TOTAL

DIET PRESCRIPTION: MEAL PATTERN MEAL BREAKFAST FRUIT MEAT / SUBSTITUTE RICE/SUBSTITUTE BEVERAGES FAT SUGAR AM SNACK RICE/SUBSTITUTE MEAT BEVERAGES LUNCH SOUP MEAT/SUBSTITUTE VEGETABLE RICE/SUBSTITUTE FRUIT/DESSERT FAT PM SNACK RICE/SUBSTITUTE MEAT BEVERAGES SUPPER SOUP MEAT/SUBSTITUTE VEGETABLE RICE/SUBSTITUTE FRUIT/DESSERT FAT BEDTIME SNACK RICE/SUBSTITUTE MILK SUGAR SAMPLE MENU HOUSEHOLD MEASUREMENT

WARD NO.

PATIENT NAME

DIET LIST ATTENDING DIAGNOSIS PHYSICIAN

DIET PRESCRIPTION

R.ND SIGN

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20.