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
community.
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
provide.