Susan Nazareno starts every morning the same way: pouring herself a cup of coffee in her kitchen, then putting on her bright red medical worker vest. She laces up her black athletic shoes and heads out for a long day on her feet.
Susan, 51, lives in Karuhatan, a neighborhood, or barangay, in Valenzuela City, Philippines. It’s a densely populated industrial center of the country with a tropical climate that makes it prone to heavy rains and floods.
But the rain doesn’t stop Susan from her walks, because she knows the community depends on her. She’s bringing health care to their door, even when they don’t know they need it.
“There are so many people who need to know about health,” she said.
The Philippines faces a significant shortage of doctors and nurses, putting a strain on its health system. Susan had seen neighbors rely on advice from friends and acquaintances instead of seeking care at the city health center. Some skipped checkups because they felt well enough that day. Others did not know where to turn with questions about pregnancy or other health concerns. She had also seen the stigma surrounding illnesses such as tuberculosis make people hesitant to talk about a diagnosis or seek care.
She wanted to help change that.
Susan, an active member of her church and community, decided to become a barangay health worker in 2025.
Barangays are the smallest local government units in the Philippines. Barangay health workers are trained community volunteers who provide frontline health information and services. They educate families, support maternal and child health services, monitor household health concerns, promote disease prevention, and connect people with health facilities and other care.
Most barangay health workers are women. Despite the important role they play, many have limited access to ongoing training and professional support.
Susan was eager to learn, but she was also new to the work. Her responsibilities included supporting prenatal care, tuberculosis follow-ups, immunization activities, and more. Turning to the nurses at the health center when she needed help, she learned how to use equipment like blood pressure monitors to help her neighbors.
Over time, she became more comfortable in the role, but she never stopped wanting to learn more.