Sustaining health in any community may already be daunting as it is. To do so in indigenous peoples (IP) communities residing in hard-to-reach areas poses far more challenges. But no matter how far or difficult, quality health care ought to be readily accessed by our country’s IPs — as is for all other citizens.
Project LUSOG is a health-focused collaboration between Cartwheel Foundation International, Inc. (Cartwheel INTL) and Cartwheel Foundation, Inc. (Cartwheel PH) that was launched in Culion, Palawan in 2016. This initiative was made possible through the mobilization of the resources and expertise of multi-sectoral stakeholders.
It began with intensive research to determine the health profile of Cartwheel’s partner Tagbanua communities, namely: Sitio Alulad, Chindonan, and Cagait. Guided by the research findings, the program moved into building partnerships to strengthen support for IP health, especially from role-players in the local health sector.
In its three-year implementation, Project LUSOG has helped make way towards better health outcomes for the Tagbanua through various collaborative efforts of those from their community.
Primarily conducted through surveys and house-to-house interviews, research revealed that the Tagbanua often find it difficult to access health services available in their municipality. Among the barriers identified were geographic isolation, poverty and social inclusion, low health literacy, traditional health practices, and lack of legal identification.
Understanding the health context of the Tagbanua paved way for the next steps of Project LUSOG. Focus was given to the specific project components of health education and health partnerships.
Understanding the indigenous community. Field surveys and interviews were conducted among partner Tagbanua communities in 2016 to learn about their health situation.
Health education
Activities under health education targeted the knowledge gap between the indigenous and non-indigenous stakeholders in the area. These contributed to awareness building among Tagbanua community members and key agencies on indigenous health.
In recognizing the current health situation of the Tagbanua, collaborative and collective actions were then identified. Key agencies committed to include the Tagbanua as among their priority groups in their development agenda. The Tagbanua themselves formed core groups and began community-based projects. Their initiatives focused on the promotion of children’s health and well-being. Currently, these core groups are in the process of training and formalizing to be an established Indigenous Peoples Organization (IPO).
In the long term, these interventions guided the development of an enhanced framework for Cartwheel PH’s Education and Child Development programs. These were made to take on a more holistic approach towards initiatives that are community-owned and resilience-focused.
Raising community awareness on health. A series of learning sessions were held to engage both Tagbanua and non-indigenous counterparts in the promotion of health and wellness.
Health partnerships
Building partnerships with key stakeholders was a deliberate action of LUSOG as an approach towards sustainability. The value of these institutions was recognized in ensuring that Tagbanua communities are covered by health services. The project coordinated with various government agencies including the Municipal and Barangay Local Government Units, Municipal Health and Nutrition Office (MHNO), Municipal Social Welfare and Development (MSWD), Municipal Civil Registrar (MCR), Department of Social Welfare and Development (DSWD), Culion Sanitarium and General Hospital, PhilHealth, and Philippine Statistics Authority, as well as groups from the private sectors, specifically Loyola College of Culion (LCC), Ateneo de Zamboanga University-Center for Community Extension Services (AdZU-CCES), Simbahang Lingkod ng Bayan (SLB), Culion Foundation Inc., Saint Paul Sisters of Chartres, and the Parish Catechetical Ministry.
Throughout the project’s implementation, LUSOG made continuous communication with these offices, especially on the local level. As a result, their attendance became more frequent and consistent during various dialogues and assemblies. This also led to the processing of the much-needed civil registration of the Tagbanua.
In the long run, efforts in health partnerships were envisioned to contribute toward policy-level change for the advancement of IPs and their rights.
Bridging partnerships for health. Deeper involvement of natural owners of health and education initiatives in Culion was ensured through stakeholder assemblies and dialogues.
We are only beginning to help bridge the numerous health gaps for IPs like the Tagbanua. The work remains daunting, but results from the past three years of Project LUSOG have been encouraging. With an openness to learn, connect, and take on collaborative action, the hope to sustain health for the entire community can indeed be a reality.