Best Practices and Policy Gaps in the Partnership between Cooperatives and Local Government Units in Negros Oriental, Philippines

This study determined the best practices and policy gaps in the partnerships between the cooperatives and the local government units in Negros Oriental. Relative to this, it determined the profile of the cooperatives with noteworthy characteristics and achievements, the extent of assistance extended by local government units to cooperatives in terms of financial, trainings, and other support. The partnership primarily centered on the provision of financial, training and other support services. The best practices were examined in five areas. These were: (a) technology improvement; (b) enhancement in the performance of functions of officers and members; (c) expansion in membership; (d) enhancement of systems and procedures, and (e) increased in logistics. The findings revealed that the policy gaps were influenced by some limitations, as: (a) no common interpretation of the guidelines issued by the Commission on Audit regarding financial assistance to cooperatives; (b) delayed implementation of approved projects that led the cooperatives to allocate additional budget; (c) most policy makers were not grounded on the privileges granted by law to cooperatives; (d) some LGU officials used cooperatives in their political activities; and (e) difficulty in complying with the requirements for financial assistance. In view of the results, it is concluded that public- private partnership between cooperatives and the local government units played a supplemental role in the improvement of the quality of life of the people. Thus, this study recommends strengthening the partnerships between the cooperatives and the local government units and broadening their base of cooperation

Best Practices and Policy Gaps in the Partnership between Cooperatives and Local Government Units in Negros Oriental, Philippines

This study determined the best practices and policy gaps in the partnerships between the cooperatives and the local government units in Negros Oriental. Relative to this, it determined the profile of the cooperatives with noteworthy characteristics and achievements, the extent of assistance extended by local government units to cooperatives in terms of financial, trainings, and other support. The partnership primarily centered on the provision of financial, training and other support services. The best practices were examined in five areas. These were: (a) technology improvement; (b) enhancement in the performance of functions of officers and members; (c) expansion in membership; (d) enhancement of systems and procedures, and (e) increased in logistics. The findings revealed that the policy gaps were influenced by some limitations, as: (a) no common interpretation of the guidelines issued by the Commission on Audit regarding financial assistance to cooperatives; (b) delayed implementation of approved projects that led the cooperatives to allocate additional budget; (c) most policy makers were not grounded on the privileges granted by law to cooperatives; (d) some LGU officials used cooperatives in their political activities; and (e) difficulty in complying with the requirements for financial assistance. In view of the results, it is concluded that public- private partnership between cooperatives and the local government units played a supplemental role in the improvement of the quality of life of the people. Thus, this study recommends strengthening the partnerships between the cooperatives and the local government units and broadening their base of cooperation

The subperichondrial / subperiosteal dissection in preservation rhinoplasty: how histology can help us to perform better surgeries

Aim: The classical dissection plane in rhinoplasty is in the sub-SMAS plane with traumatic dissection of tissues and as a result significant and prolonged postoperative edema, especially in the external approach. A complete subperichondrial/periosteal route has been recently described. It seems to allow for simpler postoperative follow-up than external or closed approach performed in the sub-SMAS plane. However, little is known about the exact histological planes that are really dissected during surgery. Material and methods: Histological examinations of 10 cadavers noses dissected in the so-called subperichondrial/subperiosteal plane were performed. Results: The subperichondrial plane is truly subperichondrial and consists in a dissection under the chondrogenic layer of the perichondrium. Subperichondrial dissection necessitates sharp scrapping to separate the cartilage from the chondrogenic layer. The perichondrium is naturally thicker on the dorsum, which explains why it is easier to begin the dorsal dissection at the W point. Scroll cartilages are consistent and show between 9 and 13 isolated cartilages, most of the time, 1 major and several minors cartilages. Optimal strategy to ease the dissection is discussed Conclusions: The subperichondrial/subperiosteal route, although necessitating significant dissection of the teguments of the nasal pyramid, is respectful of the anatomy of the nasal pyramid. It allows minimal traumatic maneuvers than in the sub-SMAS route, despite of the large dissection performed

Isolated hypoglossal palsy due to cervical osteophyte

SummaryIntroductionIsolated hypoglossal nerve palsy is rare, and etiological diagnosis is difficult. We report a case of isolated hypoglossal compression by a cervical osteophyte in the hypoglossal canal exit.Case studyAn 86-year-old woman with history of cervical spondylotic myelopathy consulted for a lesion of the free edge of the tongue with impaired elocution. Clinical examination found a bite lesion on the right free edge of the tongue with right lingual amyotrophy and associated left deviation on retraction. Isolated right hypoglossal palsy was diagnosed. Skull base CT found a cervical osteophyte compressing the hypoglossal nerve at the exit from the right hypoglossal canal. Surgery was contra-indicated by the patient's general health status. No motor recovery was observed at 6 months’ follow-up, but the elocution disorders regressed under speech therapy.ConclusionHypoglossal palsy is infrequent, but generally a sign of skull base pathology. History-taking and careful examination guide rational selection of the radiological examinations required for etiological diagnosis

Experience with the DMPA injectable contraceptive: Findings from a survey of DMPA acceptors

This report presents the results of a survey of 899 DMPA acceptors who availed of injectable contraceptive services from public health facilities under the Philippine Department of Health\u27s (DOH) DMPA Reintroduction Program. The survey is part of the DMPA Monitoring and Follow-up Studies sponsored by the Population Council’s Manila office in response to a request by the DOH to provide operations research support to the program. Depot-medroxyprogesterone acetate (DMPA), commonly known as Depo-Provera, is a three-month injectable contraceptive. It was recently officially endorsed as a family planning (FP) program method by the DOH, following its approval by the Philippine Bureau of Food and Drugs in November 1993. DMPA as a program method was launched by the DOH in April 1994 in six provinces and four chartered cities spread throughout seven administrative regions in the Philippines. The program aims to reintroduce DMPA into the Philippine Family Planning Program via the training of local-level midwives, nurses, and doctors as DMPA service providers, and by the provision of free DMPA services in selected public health facilities nationwide

Knowledge, attitudes and practice of the DMPA injectable contraceptive: Data from focus group discussions

This report is based on data from 12 focus group discussions conducted throughout the Philippines as part of the DMPA Monitoring and Follow-up Studies. The DMPA Monitoring and Follow-up Studies are part of a technical assistance project undertaken by the Population Council in support of the Department of Health’s DMPA Reintroduction Program. The project provides data on DMPA (depot-medroxyprogesterone acetate) acceptance and continuation rates as well profiles of DMPA users and dropouts to serve as bases for decisions and policies that will ensure quality services. The project draws information from several sources including a 15-month monitoring of DMPA acceptors; surveys of DMPA users and dropouts; focus group discussions with DMPA dropouts, nonusers, and husbands of DMPA users; and interviews with DMPA service providers. This report focuses on the results of the focus group discussions among DMPA dropouts, nonusers, and husbands of DMPA users. The DMPA Reintroduction Program was initiated by the DOH in 1994, following the approval of use of DMPA by the Philippine Bureau of Food and Drugs in 1993. The program aims to reintroduce DMPA into the Philippine Family Planning Program

The DMPA service provider: Profile, problems and prospects, August 1995

This report presents the results of interviews conducted with 60 trained DMPA service providers from seven of the ten local government units (LGUs) covered by Phase I of the Philippine Department of Health\u27s DMPA Reintroduction Program. DMPA, or Depot-medroxyprogesterone acetate, is an injectable contraceptive commonly known as Depo-Provera. The interviews were undertaken as part of the DMPA Monitoring and Follow-up Studies sponsored by the Population Council under the Asia and Near East Operations Research and Technical Assistance (ANE OR/TA) Project. While the monitoring study and the follow-up survey focused on DMPA users and dropouts, this study centered on the service provider. The DMPA Reintroduction Program was launched by the DOH in April 1994 by the Philippine Bureau of Food and Drugs. The program aims to reintroduce DMPA into the Philippine Family Planning Program through training local-level doctors, nurses, and midwives as service providers, and providing free DMPA services in selected public health facilities