Preventive Measures Against Communicable Diseases: A Basis for the Enhancement of Health Programs
Aljon Peter Temporal | Helen Asturias
Discipline: healthcare science (non-specific)
Abstract:
The Philippines continues to face persistent challenges from communicable diseases, particularly coronavirus disease (COVID-19), tuberculosis (TB), and measles, which place tremendous strain on the primary healthcare system, where Barangay Health Workers (BHWs) act as frontline providers of health promotion, disease prevention, and community surveillance. This study examined the preventive health measure practices of BHWs in selected barangays of Cainta, Rizal, during 2023–2024, focusing on their implementation across the three diseases and the control mechanisms used in prevention, detection, and response. Employing a quantitative descriptive-comparative design, the research utilized a structured questionnaire validated by experts and pilot-tested for reliability (Cronbach's α ≥ 0.80), with 218 BHWs selected through proportionate simple random sampling from San Andres, San Juan, San Isidro, and Sto. Domingo. Data were analyzed using descriptive statistics, t-tests, ANOVA, and nonparametric alternatives, with a significance level set at α = 0.05. The results indicated that preventive measures were practiced to varying degrees across barangays, with significant differences noted in their implementation for COVID-19, TB, and measles. Control mechanisms—including surveillance, laboratory testing, preparedness and response, evidence-based policies, and public health communication—also varied, while organizational and delivery factors such as governance, infrastructure, financing, and partnerships influenced effectiveness. The findings underscore the critical role of BHWs in grassroots-level disease prevention while revealing systemic gaps that hinder program sustainability. Strengthening training, institutional support, and intersectoral collaboration is essential to improve health program delivery and resilience. Overall, the study contributes evidence to guide policy development and community-based health interventions, reinforcing BHWs as the backbone of primary healthcare and a vital force in strengthening the Philippines' capacity to address current and future communicable disease threats.
References:
- Barroso, C. J. V., Cuenco, M. A. T., Paloma, Z. B., & Bragat, W. D. (2021). Natural ventilation model for tuberculosis treatment centers. Turkish Journal of Physiotherapy and Rehabilitation, 32(3). https://www.researchgate.net/publication/354604674_Natural_Ventilation_Model_For_Tuberculosis_Treatment_Centers
- Bhandari, P. (2022, July 7). Quantitative research: Definition, methods, types & examples. Scribbr. https://www.scribbr.com/methodology/quantitative-research/
- Boregowda, U., Jain, S., Khanna, S., & Gupta, N. (2020). Preventive and treatment strategies of COVID-19: An update. Journal of Clinical and Diagnostic Research, 14(5), OE01–OE06. https://doi.org/10.7860/JCDR/2020/44914.13774
- Carillo, M. F., Largo, F. F., & Ceballos, R. F. (2019). Principal component analysis on the Philippine health data. arXiv. https://arxiv.org/abs/1902.07905
- Centers for Disease Control and Prevention. (2020a). COVID-19: How to protect yourself & others. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html
- Centers for Disease Control and Prevention. (2020b). Measles vaccination. https://www.cdc.gov/vaccines/vpd/measles/index.html
- Centers for Disease Control and Prevention. (2023, December 15). Tuberculosis infection control in healthcare settings. https://www.cdc.gov/tb-healthcare-settings/hcp/infection-control/index.html
- Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.
- Creswell, J. W., & Creswell, J. D. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). SAGE Publications.
- Department of the Interior and Local Government. (2022). Annual report on local government units in the Philippines.
- Field, A. (2018). Discovering statistics using IBM SPSS statistics (5th ed.). SAGE Publications.
- Lakens, D. (2013). Calculating and reporting effect sizes to facilitate cumulative science: A practical primer for t-tests and ANOVAs. Frontiers in Psychology, 4, 863. https://doi.org/10.3389/fpsyg.2013.00863
- Lio, C. F., Wall, S., Silwal, G., Hamal, P., & Manandhar, S. (2021). Protective efficacy of hand hygiene timing against COVID-19 infection. BMC Public Health, 21(1), 1487. https://doi.org/10.1186/s12889-021-10680-5
- Madzinga, D., Tshitangano, T. G., Raliphaswa, N. S., & Razwiedani, L. (2022). Healthcare workers' perception of measures to reduce the risk of new tuberculosis infections: A qualitative study report. Nursing Reports, 12(4), 873–883. https://doi.org/10.3390/nursrep12040084
- Marsden, E. (2021). Building a safety culture in healthcare: Leadership, trust, and outcomes. International Journal for Quality in Health Care, 33(1), mzab012. https://doi.org/10.1093/intqhc/mzab012
- National Framework for Communicable Disease Control. (2014). Framework for communicable disease control in the Philippines. Department of Health. https://www.health.gov.au/sites/default/files/documents/2020/10/national-framework-for-communicable-disease-control.pdf
- Official Gazette. (1995). Republic Act No. 7883: An act establishing the barangay health worker program. https://www.officialgazette.gov.ph/1995/02/08/republic-act-no-7883/
- Philippine Statistics Authority [PSA]. (2023). Cainta, Rizal population and housing statistics. https://psa.gov.ph
- Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.
- Punongbayan, J. (2024, March 24). Tuberculosis: The silent epidemic in the Philippines. Rappler. https://www.rappler.com/newsbreak/in-depth/tuberculosis-silent-epidemic-philippines
- Reñosa, M. D. C., Nicolasora, A. D., Verde, A. N., & Silvestre, M. A. A. (2023). Human-centred design bolsters vaccine confidence in the Philippines. Vaccine: X, 14, 100309. https://doi.org/10.1016/j.jvacx.2023.100309
- Reuters. (2024, April 13). Philippines COVID-19 statistics. https://www.worldometers.info/coronavirus/country/philippines/
- Roxas, E. A., et al. (2023). A qualitative study on the implementation of the workplace TB program in the Philippines: Challenges and way forward. Journal of Occupational Health, 65(1), e12483. https://doi.org/10.1002/1348-9585.12483
- San Juan, F. G. (2024). Re-examining the measles outbreak in the Philippines: Strengthening the vaccination program through women. Human Vaccines & Immunotherapeutics, 20(1), 123–125. https://doi.org/10.1080/21645515.2024.2359817
- Scott, K., Beckham, S. W., Gross, M., Pariyo, G., Rao, K. D., Cometto, G., & Perry, H. B. (2018). What do we know about community-based health worker programs? A systematic review of existing reviews on community health workers. Human Resources for Health, 16(1), 39. https://doi.org/10.1186/s12960-018-0304-x
- Talic, S., Shah, S., Wild, H., Gaseitsiwe, S., Maharaj, A., Adetifa, I., & van Heerden, J. (2021). Effectiveness of public health measures in reducing the incidence of COVID-19: Systematic review and meta-analysis. BMJ, 375, e068302. https://doi.org/10.1136/bmj-2021-068302
- Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach's alpha. International Journal of Medical Education, 2, 53–55. https://doi.org/10.5116/ijme.4dfb.8dfd
- TB Alert. (n.d.). Prevention of tuberculosis. https://www.tbalert.org/abouttb/what-is-tb/preventing-tuberculosis/
- Tjalvin. (2022). What to know about infectious diseases. Medical News Today. https://www.medicalnewstoday.com/articles/196271
- UNICEF. (2023, December 15). Philippines: Measles resurgence threatens children's health. https://www.unicef.org/philippines/
- UNICEF. (2024, May 28). Resurgence of preventable diseases threatens children in East Asia and Pacific. https://www.unicef.org/eap/press-releases/resurgence-preventable-diseases-threatens-children-east-asia-and-pacific
- USAID & Department of Health [DOH]. (2024). Philippines tuberculosis road map 2023–2028. USAID & DOH.
- Vesga, J. F., et al. (2019). Modelling tuberculosis control priorities: More of the same will not do. The Lancet Global Health, 7(10), e1292–e1293. https://doi.org/10.1016/S2214-109X(19)30337-3
- Wensing, M., Sales, A., Armstrong, R., & Wilson, P. (2020). Implementation science in times of COVID-19. Implementation Science, 15(1), 42. https://doi.org/10.1186/s13012-020-01006-x
- WHO. (2019). WHO guidelines on tuberculosis infection prevention and control: 2019 update. https://apps.who.int/iris/bitstream/handle/10665/311259/9789241550512-eng.pdf
- WHO. (2022, May 23). Global report on infection prevention and control. https://www.who.int/publications/i/item/9789240051164
- WHO. (2023). Strengthening primary health care for communicable disease prevention and control. World Health Organization.
- WHO. (2025a, July 15). Immunization coverage fact sheet. https://www.who.int/news-room/fact-sheets/detail/immunization-coverage
- WHO. (2025b, May 27). Integrated approach to tuberculosis and lung health: Practical approach to lung health. WHO IRIS. https://iris.who.int/handle/10665/380840
- World Medical Association [WMA]. (2013). WMA Declaration of Helsinki – Ethical principles for medical research involving human subjects. https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/
- Yamaguchi, Y., Tanaka, L. S., & Matsumoto, E. (2023). The experiences of community health workers in preventing noncommunicable diseases in the Philippines. Healthcare, 11(17), 2424. https://doi.org/10.3390/healthcare11172424
- Yamamura, E., Koska, Y., Tsutsui, Y., & Ohtake, F. (2022). Effect of the COVID-19 vaccine on preventive behaviors: Evidence from Japan. arXiv Preprint. https://doi.org/10.48550/arXiv.2203.07660