Annual Report (Latest)

1

DEPARTMENT OF HEALTH CENTER FOR HEALTH AND DEVELOPMENT - REGION IVB

MIMAROPA

DEPARTMENT OF HEALTH CENTER FOR HEALTH AND DEVELOPMENT - REGION IVB

MIMAROPA

LEVERAGE

3

Ipso Facto 1CO

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NTS

Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto

Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto

Th e Director's Corner


Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto


Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto Ipso facto

ABO

UT

US

Cent

er fo

r Hea

lth a

nd D

evel

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ent -

Reg

ion

IVB

(MIM

ARO

PA)

Proud ako!

OURVISION

OURHISTORY

OURMISSIONChampion for Health in MIMAROPA

Ensure quality, effective, efficient and equitable healthcare across the region

DEMOGRAPHIC PROFILE Estimated Population 2,604,609 (CY 2008) Total Land Area 27,456.7 Sq. Km. Population Density 95 Provinces 5 Cities 2 Municipalities 71 Barangay 1,457 Number of Household 461,380 Total No. of RHU 77 Ratio to Population 1:33,826 Total No. of Hospitals 64 Government 37 Private 27 Total Bed Capacity 2,099 Ratio to Population 1:1,241

MIMAROPAProud ako!

OURBATTLECRYKalusugan sa mga Isla, Kayamanan ng MIMAROPA

OURCORE VALUESCompetence

Commitment

Professionalism

Integrity

Teamwork

CENTER FOR HEALTH AND DEVELOPMENT’S

ORGANIZATIONAL STRUCTUREREGIONAL DIRECTOR

Assistant Regional Director

Health Human ResourceDevelopment Unit

Planning and Statistics

Administrative Hospital Inter-Local Health Infectious

Licensing Unit Health Care Degenerative

Infrastructure NGOs/POs Family Health

Disaster RESU

Health Promotion Health

Provincial Health Team Legal Section

Personnel Section

Cashier Section

Accounting

Transport Section

Budget Section

Maintenance

Records Section

Computer Section

Supply Section

HEMS

Management Support Services Cluster

Regulation, Licensing and Enforcement

Local Health Assistance Division

Health Operation Division

Culion Sanitarium

Ospital ng Palawan

REGION IV B (MIMAROPA)

DEMOGRAPHYPROVINCES/CITIES TOTAL POPULATION LAND AREA (in Sq. Km.) POPULATION DENSITY

(person/sq. km.)MARINDUQUE 221,701 959.3 231OCCIDENTAL MINDORO 429,313 5,879.9 73ORIENTAL MINDORO 643,266 4,099.7 157PALAWAN 697,286 12,790.0 55ROMBLON 283,605 1,356.0 209CALAPAN CITY 128,624 265.2 485PUERTO PRINCESA CITY 200,814 2,106.7 95REGIONAL TOTAL 2,604,609 27,456.7 95

Estimated Population: 2,604,609 M Total Land Area: 27,456.7 Sq. Km. Population Density: 95 Person/Sq. Km Provinces: 5 Cities: 2 Municipalities 71 Barangays 1,458 Total No. of Household 461,380 Total No. of Hospitals 64 Govt 37 Private 27 Total Beds 2,099 (Ratio to Pop: 1:1,241) Total No. of BHS 689 (Ratio to Pop: 1:3,780) Total No. of RHU 77 (Ratio to Pop: 1:33,826)


HEALTH RESOURCES

MIMAROPA, also known as Region IV-B, is a region located in the southern part of Luzon. It is an acronym that stands for the provinces composing it, namely Occidental and Oriental MIndoro, MArinduque, ROmblon and PAlawan. There are two (2) cities, Calapan City in Oriental Mindoro and Puerto Princesa City in Palawan, 71 municipalities and 1,456 barangays in the entire region.

The Region was created by virtue of Executive Order 1034 dated May 17, 2002 as was Region IV-A (CLABARZON), after Region IV (Southern Tagalog) was divided.

TOPOGRAPHY:

With a total land area of 27,456.7 square kilometers, the region starts to the south of Batangas and extends to nearly Borneo. It blooms with its rich natural resources and its beautiful sceneries perfect for tourism development.

SOCIO ECONOMIC:

MIMAROPA also makes continuous food production not just for the region but for the CALABARZON and Metro Manila. The region registered an increase in Gross Regional Domestic Product (GRDP) from 4.1 percent in 2004 to 6.5 percent in 2005 contributed largely by the good performance of the industry sector.

MIMAROPA’s literary rate is 95.9% about equal for males and females, life expectancy is 69.29.

HEALTH RESOURCES

Human Resources: Total Health Personnel 426 CHD Proper 79 Extension Offices 95 Special Hospitals Culion Sanitarium and Gen. Hosp 160 Ospital Ng Palawan 92

Budget: Total Budget (CHD) P69,086,000 PS 47,165,000 MOOE 21,921,000 Total Budget (Culion Sanitarium and Gen. Hospital) P46,332,000 PS 31,850,000 MOOE 14,482,000 Total Budget (Ospital Ng Palawan Hospital) P22,558,000 PS 14,168,000 MOOE 8,390,000


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Marinduque 221,701 218 7 43 45,965 7 5 12 45 0 11 2 1,314 5 293 7OCC. Mindoro 429,313 162 12 122 91,645 12 9 22 100 4 19 6 2,205 2 423 22OR. Mindoro 643,266 364 16 100 90,381 17 22 26 98 0 14 8 3,093 3 279 27PALAWAN 697,286 366 22 233 155,246 23 14 43 191 2 24 14 2,455 8 713 26ROMBLON 283,605 219 17 119 58,842 15 12 18 77 2 17 2 1,568 6 282 11Provincial Total 2,275,171 1,329 74 617 442,079 74 62 121 511 8 85 32 10,635 24 1,990 93CALAPAN CITY 128,624 62 2 18 23,531 4 3 6 18 1 4 2 470 2 75 9PTO. PRINCESA 200,814 66 1 54 45,337 5 3 15 26 3 11 4 242 2 144 10Cities Total 329,438 128 3 72 68,868 9 6 21 44 4 15 6 712 4 219 19Regional Total 2,604,609 1,457 77 689 510,947 83 68 142 555 12 100 38 11,347 28 2,209 112

NUMBER OF HEALTH WORKERS IN LGU

NUTRITIONIST, 0.08%

M IDWIFES, 3.78%NURSES, 0.97%

ACTIVE BHWs, 77.22%

DENTIST, 0.46%

DOCTORS, 0.56%

M ED. TECH, 0.26%

SAN. ENGR., 0.68%

DENTAL AIDES, 0.19%

TBA, 15.03%

NON- TECH., 0.76%


HEALTH FACILITIES

PROVINCES HEALTH FACILITIES NUMBER RATIO TO POPULATION

MARINDUQUE BHS 43 1:5,156 RHUs 7 1:31,672BARANGAYs 218 1:1,017HOSPITALs 3 1:73,900Gov’t. 3Private 0TOTAL BEDS 135 1:1,642

OCCIDENTAL BHS 122 1:3,519MINDORO RHUs 12 1:35,776

BARANGAYs 162 1:2,650HOSPITALs 12 1:35,776Gov’t. 8Private 4

TOTAL BEDS 277 1:1,550ORIENTAL BHS 118 1:6,541MINDORO* RHUs 18 1:42,883

BARANGAYs 427 1:1,808HOSPITALs 23 1:33,560Gov’t. 8Private 15

TOTAL BEDS 435 1:1,774

ROMBLON BHS 119 1:2,383RHUs 17 1:16,683BARANGAYs 219 1:1,295HOSPITALs 8 1:35,451Gov’t. 7Private 1

TOTAL BEDS 223 1:1,272Note: * including cities

PALAWAN* BHS 287 1:3,129 RHUs 23 1:39,048

BARANGAYs 432 1:2,079HOSPITALs 18 1:49,894Retained 2Gov’t. 9Private 7

TOTAL BEDS 1,029 1:873


HEALTH STATUS POPULATION

INCREASED FROM 2,563,234 IN 2007TO 2,604,609 IN 2008OR 1.61% INCREASE

CRUDE BIRTH RATEDECREASED FROM 21.08 IN

AVERAGE PAST 5 YEARS (2003-2007)TO 21.54% IN 2008

OR 2.18% DECREASE

CRUDE DEATH RATEINCREASED FROM 4.02 IN

AVERAGE PAST 5 YEARS (2003-2007)TO 4.06 IN 2008OR 1% INCREASE

INFANT MORTALITY RATEDECREASED FROM 12.00 IN

AVERAGE PAST 5 YEARS (2003-2007)TO 10.00 IN 2008

OR 16.67% DECREASE

MATERNAL MORTALITY RATIODECREASED FROM 95.00 IN

AVERAGE PAST 5 YEARS (2003-2007)TO 82.00% IN 2008

OR 13.68% DECREASE


HEALTH SITUATIONCenter for Health Development IV-B (MIMAROPA) health status for 2008 and five (5) years average (2003-2007):

1. NATALITY

A total of 56,105 live births was registered in 2008 representing a Crude Birth Rate (Livebirths/1,000 population) of 21.54%. There was a 2.18% reduction in crude birth rate compared with the average 5-year figure of 21.08%.

Of the total births, about 10.71% were reported as low birth weights (Please see table 3-A).

2. MORTALITY

There were 10,586 deaths reported in CY 2008 with a Crude Death Rate (No. of deaths/1,000 population of 4.06% which is higher than the average 5-years data of 4.02%. By province, Occidental Mindoro at 24.14 was registered to have the highest CDR followed by Marinduque at 21.67 and Palawan, while Puerto Princesa had the lowest at 18.43 (Please see table 3).

Of the total deaths 553 were infants, representing an Infant Mortality Rate (Infant deaths / 1,000 live births) of 9.86%. This is 14.85% lower than the average 5-year figure of 11.58%. Marinduque, Romblon and Calapan City were registered to have high Infant Mortality Rate while Oriental Mindoro had the lowest at 6.12.

There were 46 maternal deaths reported in CY 2008 with a Maternal Mortality Ratio (Maternal deaths /100,000 live births) of 82.00. This is 13.68% lower than the average past 5-years MMR of 95.00%.

Palawan, Calapan City and Occidental Mindoro were observed to have high MMR values while Oriental Mindoro had the lowest MMR. The leading causes of maternal mortality is Postpartum Hemorrhage, Eclampsia, and Hypertension in pregnancy (Please see table 11).

3. MORBIDITY

Statistics showed that communicable or infectious diseases remains to be the leading causes of morbidity with Acute Respiratory Infections topping the list followed by Influenza, Diarrheal Diseases, Bronchitis/Bronchiolitis, Hypertension, Urinary Tract Infections, Pneumonia, Skin Problem diseases, Malaria TB other forms (Please see table 8).


HEALTH SITUATION

PUBLISHED BY: PLANNING AND STATISTICS UNIT18

PUBLISHED BY: PLANNING AND STATISTICS UNIT 19

HIGHLIGHTS OF

CENTER FOR HEALTH DEVELOPMENT NO. IV-BJANUARY – DECEMBER, 2008Accomplishment


HEALTH SERVICE DELIVERY

DISEASE FREE- ZONE INITIATIVES

I. Malaria Epidemic Management Training

One of the major components of the malaria control program is epidemic management. The activity aims to establish a local system that is able to rapidly and adequately respond to malaria epidemics.

• Conducted training on Malaria Epidemic Management for RHU Staff (PHN’s and RSI) in Occidental and Oriental Mindoro.

II. Hands on training on Dengue Entomology and Vector Surveillance

Vector surveillance is considered the most important strategy for dengue control.

Surveillance determines the presence of vectors, their geographic distribution, behaviour, density with seasonal change, the type and productivity of larval habitat.

Training on Entomology and Vector Surveillance for rural sanitary inspectors in the provinces of Marinduque, Occidental Mindoro and Oriental Mindoro were conducted.

One of the issues identified is the provision of Entomological Kits for vector surveillance.

III. Orientation on Dengue Diagnosis and Management for Municipal Health Officers and Hospital based Physicians.

Hospitals are overcrowded due to over diagnosis and unnecessary confinements. Heightened awareness of the public further aggravated the situation.

The expertise of the health workers especially the hospital based physicians is one of the most important factors in determining the success of the “Anti-Dengue” program awareness campaign.

• CHD IV-B conducted an orientation on Dengue Diagnosis and Management for Municipal Health Officers and hospital- based physicians to build up the capability on standard and accurate case diagnosis and management of Dengue in Romblon.

IV. Orientation on Case Detection and Surveillance for Malaria, Filariasis and Dengue

• Marinduque was officially declared as Malaria-Free Province last May 2008

V. Series of Orientations/Trainings on Schistosomiasis Elimination Program

The municipalities of Naujan, Socorro, Victoria and Pola, with 33 barangays and an estimated 42,000 exposed population of Oriental Mindoro, are endemic for Schistosomiasis

A series of orientations / training on the Diagnosis, Management and Surveillance were conducted to strengthen the capability of health personnel at the local level.


VI. Advocacy Campaign on Vector-Borne Diseases ( Malaria, Filariasis and Dengue )

• Conducted advocacy campaign to 5 provinces and cities.

• Launched the anti-dengue campaign last February at the Mendoza Park, Puerto Princesa City, Palawan. Activities included a motorcade along the main road of the city followed by a short program and press conference and turn over of IEC materials to LGUs and the pledge of commitment by agency heads.

• School to School anti-dengue campaigns were also conducted in Occidental Mindoro, Oriental Mindoro, Romblon and Palawan. It was marked by a symposium and participation of the Aedes mascot.

• Symposium on Malaria and Filariasis for the regional staff which included prevention and control measures of public health importance was conducted.

VII. Malaria Borderline Operations

• Synchronized Malaria control activities in border areas of Mindoro provinces were conducted. Activities included case finding and treatment, residual house spraying, mosquito net treatment and IEC distribution. These activities were conducted twice in the months of April and October in municipalities of Puerto Galera and Bulalacao, Oriental Mindoro and in San Jose, Abra de Ilog and Magsaysay, Occidental Mindoro.

• The CHD provided technical assistance and augmented logistics support while LGU counterpart were manpower, transportation and gasoline.

Monitoring Activities:

I. Bio Assay and Susceptibility

Bio Assay Method is used to determine the residual efficacy of an insecticide on treated materials like walls and mosquito nets. Susceptibility tests are carried out to monitor the insecticide resistance to vector population of currently used insecticides.

• CHD IV B Identified sites where bio assays were done were the municipalities of Paluan, Occidental Mindoro, Quezon and Bataraza, Palawan.

II. Drug Quality Monitoring

Drug monitoring is done to assess the quality of anti-malarial drugs found in licensed drug establishments, dispensing medical clinics and sari-sari stores by using validated quality control testing methods. The results of the findings were used to develop advocacy tools, raise awareness and address the problem of sub-standard anti-malarial drugs.

• Identified project sites were Roxas, Bataraza, Brookes Point and San Vicente in Palawan.

• Seventeen (17) samples of anti- malarial drugs were collected during the period of June-July, 2008 from sari-sari stores and drug stores in Roxas, Palawan

• Based on the initial results, fifteen (15) samples passed the disintegration test, while two (2) samples were sent to the Research Institute for Tropical Medicine (RITM) for verification and further evaluation.


INTENSIFIED DISEASE PREVENTION AND CONTROL

I. TB Data Review

Data review aims to assess the performance of the province, comparing the previous year with the current year data recorded in the NTP register and FHSIS. This serves as an important venue for all infectious disease coordinators to be oriented on program updates.

• Best practices of provinces were documented for replication.

• Infectious Disease Programs evaluated per province based on Indicators anchored on MDG.

II. Orientation of Manual of Procedures for Midwives

To support the delivery of quality DOTS services, the NTP embarked on strategies feasible for both public and private DOTS facilities. This orientation is in support of delivering high quality DOTS to the grassroots through orientation of midwives as to their pivotal role in the control of TB.

The Manual of Procedures has been the guide for implementers of the TB Control Program nationwide. All stakeholders especially front liners, including midwives must be knowledgeable on the MOP.

III. Training on DOTS Providers

Increasing the capacity of DOTS facility staff is the agenda of the National TB Program. Adopting the standardized TB Management protocol and guidelines is a must in achieving and maintaining our national targets of 70% Case Detection Rate (CDR) and 85% Cure Rate (CR). This three-day Modular DOTS Providers training aimed to empower the front liners in the standardized MOP.

• Conducted training on DOTS providers for the provinces of Palawan, Marinduque and Occidental Mindoro.

IV. Public-Private Mix DOTS (PPMD)

• Provided technical assistance to the newly installed PPMD Units of Brookes Point. Palawan and San Jose, Occidental Mindoro.

• Conducted symposia for the medical ( RHU staff, Private referring MDs ) and the non medical staff (BHW, LCE’s, GO’s and NGO’s etc.)

V. Comprehensive Unified Policy Training

This activity aimed to establish Regional CUP wherein stakeholders adopt the NTP in their respective institutions/agencies. At the end of the training, mechanisms were established for implementation and sustained participation of both government and private agencies in need of TB Control activities.

This was participated by the following agencies: Government Service Insurance System, Social Security System, Department of Social Welfare and Development, ECC, PHIC, Department of Agriculture, Department of Agrarian Reform and Department of Interior and Local Government.

VI. World TB Day Celebration

The regional office coordinated with the provincial health office (PHO) of Romblon, assisted by AMHOP Romblon and came up with an activity to raise awareness of Romblonos on the TB program. This paved the way to the strengthening of collaboration among stakeholders.


MONITORING

For the past 10 years, monitoring visits to island municipalities were not done due to financial constraints. This year, GFTAM allotted funds for travel to these hard to reach areas of Busuanga, Culion, Coron, Marinduque, Oriental Mindoro and Occidental Mindoro.

Performance evaluation was conducted and solutions to issues and concerns were identified by the LGUs.

HIV/AIDS Program

• Orientation on Basic Case Management of STI/AIDS.

STI management was now integrated in the primary health services delivered in RHUs. Health workers should be knowledgeable on the basic case management of common STI cases.

• “Knowledge and Skills in the Basic Management of STI/AIDS”, was participated by MHOs and PHNs of Romblon and Marinduque provinces.

• Training on Voluntary Counseling and Testing

Aims to orient front liners on the basics of giving pre and post counseling to (+) HIV individuals. The importance of confidentiality is emphasized.

• Participants included SHC of Palawan and Oriental Mindoro on the “Basics and Importance of Voluntary Counseling and Testing.

LEPROSY

• Training on Basic Case Management and Leprosy

TALA Leprosarium, a pioneer in the management of leprosy, was tapped by the CHD to provide “Updates on Leprosy.” The participants visited the leprosarium and studied actual cases of leprosy. and was attended by MHOs/PHN of Marinduque and Romblon provinces.

EMERGING INFECTIONS

• Re-orientation of BHERTS

This activity became a venue for renewing the commitment/support of LCEs of hot spot areas (Palawan and Oriental Mindoro). The preparedness plan was revisited and allocation of resources for A1 was also provided. Participants were from Victoria, Socorro, Pola and Naujan in Oriental Mindoro and Brookes Point, Espanola, Balabac and Bataraza in Palawan. Orientation was done to increase knowledge on” Preparedness and Awareness on AH1N1 Pandemic Influenza”.

MONITORING

• CHD revisited the preparedness plan and functionality of organized of Barangay Health Emergency Response Teams.

• BHERTs re-organized and provided updates on the program


RABIES PREVENTION and CONTROL PROGRAM

• Advocacy on Responsible Pet Ownership

CHD personnel were given overview on the revised guidelines in the management of Animal Bites during the Regional Orientation on Republic Act 9482 or otherwise known as Anti Rabies Act of 2007.

MATERNAL HEALTH

I. Community Managed Maternal and Newborn Care

• A system whereby pregnant women and newborns are assisted by their communities (midwife at the Barangay Health Station and staff of the Rural Health Unit).

This training provided the Public Health Nurses and Rural Health Midwife, knowledge and skills in the management of women during pregnancy, childbirth, postpartum and post abortion care in order to reduce maternal deaths. Training of two batches were conducted in Palawan and Marinduque, provinces with recorded high maternal deaths.

II. Garantisadong Pambata

• An institutionalized pre-schoolers’ campaign nationwide where package of health services and relevant health information are delivered during the months of April and October to “under-5 children”.

• This year’s theme is “GP 8 Child Survival Package – Kids Can’t Wait.” The focus of the campaign was to provide the essential child health services: Vitamin A supplementation to 6-11 months (100,000 IU)and 12-71 months old children; follow up defaulters among 12-23 months old children to complete immunization for 0-11 months; follow-up defaulters among 12-23 months old children to complete immunization series; intensified promotion on skilled attendance during pregnancy, delivery and immediate post partum, care of the newborn; breastfeeding and complimentary feeding; integrated management of sick children; injury prevention and control; and birth spacing.

• A total of 36,075 ( 85%) children aged 6-11 months and 358,480 ( 83%) children aged 12-71 months old were given Vitamin A. Likewise, a total of 340,839 (79%) children aged 1-5 years old were dewormed.

• Conducted a launching activity on Garantisadong Pambata in Naujan, Oriental Mindoro. This was attended by barangay health workers, barangay nutrition station staff, and barangay captains, municipal and provincial officials.

III. Lactation Management Training

This training aims to increase awareness of hospital staff on the “Baby Friendly Hospital Initiative.” It implements the Ten Steps to successful breastfeeding and promotes exclusive breastfeeding.

• Conducted Lactation Management Training for the community, district and provincial hospitasl of Marinduque, Occidental Mindoro and Oriental Mindoro.


IV. Training on Revised Family Planning Manual

• Conducted Training on the Revised Family Planning Manual to Family Planning Coordinators, DOH- Representatives, Municipal Health Officers, Public Health Nurses and Rural Health Midwives.

Monitoring Activities:

• Monitoring of the implementation of the “Mother Baby Friendly Hospital Initiative” in community, district and provincial hospitals of Marinduque, Occidental Mindoro, and Oriental Mindoro.

CHILD HEALTH

Vaccine Preventable Diseases

• The region has achieved a partial coverage of 76% “Fully immunized Children” for the first two quarters of 2008 in the Expanded Program on Immunization (EPI).

• Provincial and municipal health workers were assisted to analyze EPI data and identify defaulters in order to improve FIC coverage.

• A performance evaluation review (PIR) was conducted to identify issues and concerns on low FIC coverage and came up with recommendations to reach the goal of 95% FIC at the end of the year.

• Logistical support were provided to provinces (Refrigerators, Syringes, Refrigerator Thermometers and EPI monitoring chart from UNICEF, World Health Organization, DOH –CHD).

• Reaching Every Barangay (REB) monitoring activity conducted in the province of Marinduque, using the Child Survival monitoring form.

Nutrition (Food Fortification)

Food fortification is an effective, inexpensive and sustainable strategy in the prevention and control of micronutrient deficiencies. The Food Fortification Law or RA No. 8976 signed in 2000, mandates the fortification of rice with iron, sugar and oil with Vitamin A and flour with Vitamin A and iron.

The National Filariasis Elimination program provided capability trainings and orientation programs on Microscopy on Integrated Helminthiasis Control Program to medical technologists, barangay officials, barangay health workers, provincial and municipal health officers and Department of Health Representatives in the Region.

NATIONAL FILARIASIS ELIMINATION PROGRAM


The Asin Law or RA 8172 signed in 1995 mandates universal salt iodization both for human and animal consumption.

Other efforts on food fortification include the Sangkap Pinoy Seal Program which encourages food manufacturers to fortify their food products with 1/3 of the Recommended Energy and Nutrient Intake (RENI) for iron, Vitamin A and Iodine.

Major features of the activity were Patak sa Market, Household and Warehouse.

• Ninety-nine percent of salt samples sold in public markets are iodized, 58% of households use iodized salt and 58% of salt producers have Salt Iodization Machines.

• Conducted monitoring activities on salt transshipment.

DEGENERATIVE DISEASE CLUSTER

DRAFTING AND FINALIZATION OF VICE-FREE WORKPLACE FOR CHD IV-B:

• Drafting and implementation of the “Drug-Free Workplace Guidelines and Policies.” The draft included guidelines and policies not only on anti-smoking, but also included anti-alcoholism, gambling and other vices, and is entitled “Guidelines and Policies on a Vice-Free Workplace for CHD IV-B (MIMAROPA).

PREVENTION OF BLINDNESS PROGRAM (Romblon and Occidental Mindoro)

• The first line health workers were trained on the prompt diagnosis, treatment and proper referral of different eye diseases.

TRAINING ON HEALTHY LIFESTYLE (MHOs and PHNs of occidental Mindoro; Inter-agency of Marinduque):

• Knowledge and skills training were done for MHOs and PHNs of Occidental Mindoro and the inter-agency coalition of Marinduque was created in order to advocate the Prevention and Control of Non-Communicable Diseases, to include proper nutrition, physical exercise and anti-smoking.

• In Marinduque, urine screening test for teachers, Barangay Health Workers students and RHU personnel was conducted using the 10 parameter dipstick; those with positive results were advised to undergo confirmatory tests.

COALITION BUILDING ON INTEGRATED NON-COMMUNICABLE DISEASES (Marinduque and Oriental Mindoro Inter-Agency)

• The main goal of the coalition is to advocate awareness on Non-communicable diseases, implement healthy lifestyle and RA 9211 (Anti - Smoking) in their communities.

ORIENTATION ON RA 9442 (Magna Carta for Person with Disability) - (PHO/CHO Coordinators; PHO/CHO Computer Operators; PSWDO):

• The participants were oriented on RA 9442 and taught skills on encoding Persons With Disabilities (PWD) profilers, on-line and manually.


SECOND REGIONAL AWARDING ON RENAL DISEASE CONTROL PROGRAM – LGU Best Implementer:

The awarding for LGU Best Implementer of the RDCP was held during the Consultative Workshop on REDCOP. It was attended by PHO Coordinators, Assistant Coordinators and HEPOs. Award categories included provincial Best Performer and City Best Performer in the implementation and advocacy of the prevention and control of the Renal Disease Control Program.

The winners for provincial best performer were Marinduque (first place) and Oriental Mindoro (second Place) while for the City best performer was bagged by Puerto Princesa City, Palawan. The winners received cash prizes, plaques of recognition and three canisters of 10 parameters - dipstick.

MIMAROPA received a plaque of recognition for “Best Implementers of REDCOP,” last December.

ENVIRONMENTAL AND HEALTH SANITATION (EHS): (All provinces/cities except Palawan)

• Program Implementation Review (PIR) was done, participated by provincial Sanitary Engineers and Sanitary Inspectors (SIs) of the municipalities. Among the issues raised were ack of training on Basic Course on EHS and orientation on Water Refilling Stations.

• Little Tanauan of Roxas, Oriental Mindoro and Barangay Libis of Calapan City, Oriental Mindoro, were awarded as “Barangays with Best Sanitation Practices.“ Each received a cash prize of P150,00 in the national awarding ceremony held last December 8.

DANGEROUS DRUGS ABUSE PREVENTION AND TREATMENT PROGRAM:

• Random drug tests to all DOH Retained Personnel, was conducted in Culion Sanitarium last December 2-5.

• Dated December 11, an orientation on Board Resolution No. 2 of RA 9165, otherwise known as Dangerous Drug Advisory Act of 2002, was conducted to all CHD personnel. Drug tests for all personnel will commence on January to March of 2009.

• Simultaneously with the orientation on drug abuse prevention, several orientations on “Fourmula Kontra paputok” were conducted.

Health Regulation

The Regulations ,Licensing and Enforcement Division ensures quality, safety, availability and affordable drugs and health services by enforcing policies and laws regarding food, drugs, medicines and cosmetics. The conduct of inspection, monitoring and licensing of hospitals, clinical, drug testing and dental laboratories, food and drug establishment is done for compliance with the minimum safety requirements.

The One Stop Shop (OSS) licensing for hospitals was implemented. Every other year inspection of health facilities was also adopted

• Four (4) food establishments and fourteen (14) drug establishments were issued initial licenses to operate

• Twenty three (23) hospitals were inspected

• Forty three hospitals were issued licenses to operate (LTOs).


• Twenty five (25) clinical laboratories were inspected

• Thirty six (36) clinical laboratories were issued licenses to operate.

• Ten (10) dental laboratories were inspected and issued licenses to operate.

• Nineteen (19) drug testing laboratories were inspected.

• Botica ng Barangay (BnB) launching and monitoring activities

• Nine (9) Training for BnB operators

• Consultative meetings with stakeholders of facilities

• Updates on regulations and licensing of health facilities.

• Two (2) trainings on ICD-10 for coders

• Two (2) trainings for medical records officers

HEALTH GOVERNANCE

Local Health Systems Development

In order to accelerate the implementation of the HSRA, FOURmula One for Health (F1) Program was conceptualized, integrating public health and hospital services into a single component. There are sixteen provinces currently working on a province-wide investment plan for health. Two of which are the provinces of Romblon and Mindoro Oriental. A functional Inter-Local Health Zone (ILHZ) is one of the requirements to qualify for inclusion in the “roll out” implementation. The CHD targeted the remaining three provinces for “roll out”.

The orientation on “Local Health Systems” equipped the major stakeholders in the provinces on HSRA and Local Health Systems Development. District 1 of Marinduque and SaMaRiCa ILHZ of Occidental Mindoro will start working on the functionality of their ILHZs within the year.

Orientation/Meeting with Local Chief Executives and other stakeholders on Formula One for Health and Health Sector Reform Agenda (Inter Local Health Zones) in the provinces of Marinduque, Occidental Mindoro and Palawan was conducted.

The Referral Guidelines and Policies for SaMaRiCa ILHZ referral system were finalized and implemented.

Workshops on the Policies and Guidelines of Referral System of SaMaRiCa-ILHZ, Occidental Mindoro and District 1 and 2- ILHZ, Marinduque were conducted.

PUBLISHED BY: PLANNING AND STATISTICS UNIT 29• An orientation on the preparation of the PIPH for F1 Roll-out sites was conducted in May. The Province Wide – Investment Plan for Health (PIPH), serves as the medium term health plan of the province. Reforms are to be implemented under a sector-wide approach, with a management perspective that covers the provinces entire health sector and investment portfolio, encompassing all sources of funds. Now that the F1 Program is in its roll out implementation, there is a need to orient the remaining three provinces of MiMaRoPa (Occidental Mindoro, Marinduque and Palawan) in the preparation of their respective PIPH.

• Orientation of LGUs on the Rationalization of Health Care Facilities based on health needs and preparation of PIPH was conducted.

The objective of rationalization is to improve accessibility, availability, operational efficiency, organizational quality and equity. It is a process of examining the Local Health System for proper investments to key health facilities and manpower. Occidental Mindoro and Marinduque were able to come up with their Rationalization/Optimization Plan awaiting DOH approval.

• A consultative workshop with Barangay Health Workers (BHWs) was conducted last May 6-7. The Barangay Health Workers (BHWs) are considered important members of the health teams in their localities. The region recognizes their vital role in the advocacy and promotion of health programs. The objective of the workshops are to advocate F1 and other Priority Health Programs of the DOH, and more importantly to discuss major issues and concerns. Highlight was the Creation of the Regional BHW Officers.

Other Activities:

• Convened the Regional NVBSP Consultative Meeting

• Conducted a Seminar Workshop on Rational Blood Use, Hemovigilance and Hospital Blood Transfusion Committee (HBTC)

• Conducted Quarterly Blood Donation Activities at the CHD Conference room.

• Re-orientation of retained health personnel on the different health programs.

LGU Scorecard

• In order to pursue the health sector reform and support through F1 implementation strategy and to measure the progress of F1 in attaining the goals and results in terms of final health outcomes, responsiveness of the health system, equitable financing and equity, a series of orientation on the LGU Scorecard Implementation to F1 and Non-F1 sites were conducted.

Monitoring and Evaluation for Equity and Effectiveness (ME3)

• ME3 aims to measure performance on equity, to improve the social conditions and provide adequate social protection to the poor. It was designed to measure the effectiveness of F1 in achieving its goals and outcomes.

• Conducted a regional conference on “LGU Scorecard Implementation” at the Imperial Palace Hotel last November 6-7. It was attended by Provincial Health Officers (PHOs) Provincial Health Team Leaders (PHTLs), Division Chiefs and Program Managers and Local Chief Executives.

• Based on these ME3 results, MIMAROPA provinces will be able to track the progress of F1 implementation.


Effects on Typhoon Frank

• Typhoon Frank hit the five provinces on June 21.

• CHD HEMS responded to health emergencies and disasters in affected areas of MIMAROPA provinces.

• MV Princess of the Stars capsized on June 21, 2008, about two kilometers from the shorelines of Sitio Cabitangahan, Barangay Taclobo, San Fernando Sibuyan Island in Romblon province.

a. TB• Case Detection Rate - 86.54%• Cure rate - 74.57%

b. Fully Immunized Children (FIC) - 90%

c. BnBs (including Botika ng Bayan ) c/o PMU 50• Number of BnBs established - 725• Number of BnBs issued

with Licensed to Operate - 580• List of Drug and Medicines

approved for Dispensing - c/o PMU

HEALTH EMERGENCY MANAGEMENT STAFF ( HEMS )

Health Emergencies /

DisasterAffected Areas Date

Technical Assistance Provided

Remarks

TyphoonFrank, Cosme and Gener

Occidental Mindoro, Oriental Mindoro, Marinduque, Romblon and Palawan

Medical Assistance and provision of drugs and medicines

Flashflood Oriental Mindoro

San Fernando, Romblon

February 21-22

September 21-22


Diarrheal Cases

Quezon, PalawanSan Fernando, RomblonNaujan, Or. Mindoro


Affected Provinces

Number of

Dead

Casualties/Injuries

Displaced EVAC

Population Families Remarks

Romblon 10 54 25 215 Due to damage homes, flooding

Marinduque 8 39 539 Strong Winds and big waves

Or. Mindoro 6 14 123 Flooding in Naujan, Calapan City and Pinamalayan

TOTAL 10 68 78 871 Returned to their homes after typhoon


d. Garantisadong Pambata – target and percent accomplishment

e. ILHZ – number of ILHZs established vis-à-vis number of functional ILHZs

1 Samarica, Occidental Mindoro 2 Marinduque (District I and District II) 1 Palawan (BCCL) 3 Oriental Mindoro (North, South and Central) 1 Romblon (Southern Tablas)

f. Deployment Pogram

• Specialist to the province Program Public Health Manager - 1 Rural Health National Program - 1• Medical pool Deployment Program• Doctors to the Barrios Program - 6

- Agutaya - Dumaran - Linapacan - Cajidiocan - Boac - Looc, Occidental Mindoro - Leaders for Health Program

g. Pinoy MD – total number of scholars, benefits from the program - 0

Target Acc.April 452,783 87%

October 457,665 84%h. Philhealth

• Enrollment (individually paying program, sponsored program, formal sector, etc) including percentage of coverage vs. the total 2008 projected population by census

Sponsored programs

Marinduque - 4,475 Oriental Mindoro - 51,739 Occidental Mindoro - 7,071 Palawan - 26,069 Romblon - 8,312

TOTAL 235,986

i. Gender and Development (GAD) accomplishments

NOTE:RideonwithotheractivitiesofHealthServicesDivision

• Lactation Management Training• Infant Young Child Feeding Training• National Family Planning Training

j. Hospital statistics

Ospital ng Palawan Culion Hospital

Occupancy rate 157.44% 172.25%Nosocomial infection rate 0.01% NoneNet hospital death rates (death beyond 48 hours after admission)

1.55% 3.27% (41)

Cost/bed day 239.23 216.51


k. Millenium Development Goals

MDG 2008 AccomplishmentNo. Rate

Maternal Mortality Rate (MMR) /100,000 live births

MarinduqueOccidental MindoroOriental Mindoro Calapan CityPalawan Puerto Princesa CityRomblon

REGIONAL TOTAL (Partial)

3943

35

26

62.5086.9628.80

116.55

54.2088.25

63.46Infant Mortality Rate (MMR) /1,000 live births



87788539

4787

423

18.13 7.54 6.12 15.15

12.74 15.35

10.33Households with access to safe water (Partial report)

MarinduqueOccidental MindoroOriental Mindoro Calapan CityPalawan Puerto Princesa CityRomblon REGIONAL TOTAL (Partial)

44,30982,34379,56824,020

31,65650,521

312,417

9690

101102

9586

94

MDG 2008 AccomplishmentNo. Rate

Households with Sanitary Toilet (partial report)



35,268 70,767 69,584 23,056

30,750 39,896

269,321

77778898

9268

81Households with Satisfactory Garbage Disposal (partial report)



26,80871,86561,96019,522

31,60042,427

254,182

58787783

9472

77


RETAINED HOSPITALCULION SANITARIUM HOSPITAL

Accomplishments achieved in the course of implementing the DOH’s Thrust and Priority Programs particularly in this Hospital:

1. HEALTH FINANCING. The hospital was able to generate income from PHILHEALTH and Local Health Financing with 8% higher than last year collections. This has augmented the MOOE. Budget and utilized 25% of the income for equipment and 75% for hospital operation.

The BCCL District Health System, by which Culion Sanitarium and General Hospital is the core referral hospital, is catering the medical and surgical health needs of the four (4) island municipalities (Culion, Coron, Busuanga and Linapacan) and intensifying its advocacy campaign to increase the number of members in the BCCL Local Health Insurance.

Likewise, the four (4) Local Chief Executives have seen the importance of investing the PhilHealth Sa Masa which they have allocated for the year after.

The ”Kababayan Ko, Mahal Ko Program” of Congressman Antonio C. Alvarez, Representative of the First District of Palawan have subsequently helped on increasing coverage and providing efficient and quality health care to our people specially the poor, indigent and marginalized sector of the community.

Fund utilization review both for the hospital income and regular budget was being done regularly through the Management Committee and other hospital committee meeting and review.

The hospital likewise generated revenues from cost centers: Laboratory, Pharmacy and Radiology Services. The use of Front Line Services like the Operating and Delivery Rooms also helped in the increase of hospital income.

2. HEALTH SERVICE DELIVERY: The hospital health services include: Medicine, Surgery, Obstetrics and Gynecology, Pediatric, Rehabilitation, Out-patient-Department and Public Health.

The hiring of two doctors: OB-Gyne and General Surgeon augmented our medical force and made this health specialization available to the people.

The institution through its Public Health Unit is linkaging with the LGU for the Disease Free Zone initiatives most specifically by giving prophylaxis drugs for Filariasis, providing information and educating the people about the cause and effect of Rabies, the eradication of Leprosy and Malaria.

The hospital also implemented the programs on Child Health and Maternal Health. A Mother-Baby Friendly Ward has been put up and intensified the Breast-Feeding and Rooming-in Policies. The New-Born Screening Program has also been implemented, thus ensuring neonate’s life protection.

The Public Health Unit is active in its health promotion and advocacy particularly with:

a. Healthy Life Style b. Maternal and Child Health c. Family Planning – thruough Advocacy and Permanent Method (BTL and Vasectomy) d. Control of Communicable Diseases: a. PTB control as coordinated with the RHU b. Malaria/Dengue (Clean-up Drives) c. Leprosy – MDT – case finding d. Dog bites - (Anti-rabies vaccines) e. Hospital Waste Management f. GMA 50 g. Voluntary Blood Donation (Advocacy) – walk-in- donors/relatives


3. HEALTH REGULATION. The hospital is PhilHealth Accredited and Licensed to operate. All regulations are based on quality service. The hospital is upgrading its facilities so as to meet the standards needed for accreditation and strengthen quality assurance program of the different hospital services.

4. GOOD GOVERNANCE. The institution is active in its participation in the Local Health System in the area. Regular meetings of the BCCL Health zone were well attended. Coordination between Rural health Units of the health zone and the hospital is well established.

Personnel are required to render service in the institution and are evaluated regularly, through Performance Evaluation System. Human Resource development program is given to administrative and hospital staff by sending them to seminars and training for capability building.

Procurement of supplies needed for the operation of the hospital was made regularly. The provision of RA 9184 was taken into consideration in the procurement process.

Hospital policies were issued in compliance with the austerity measures of the DOH including proper financial management and fund ultilization.

OSPITAL NG PALAWAN

HIGHLIGHTS OF ACTIVITIES

In line with the implementation of health reforms, Ospital ng Palawan had undertaken the following priority programs, projects and activities under the FOURmula ONE (F1) for Health.

I. SERVICE DELIVERY

1. Rationale:To improve the accessibility and availability of basic and essential care for all, particularly the poor.

2. Description of the activity:

2.1 Public Health Program DevelopmentBasic and essential health service packages were made available through the following mechanisms:

• Implementation of intensified disease prevention and control strategies – priority disease such as tuberculosis, HIV-AIDS and other communicable diseases;

• Health education campaigns on diseases such as malaria, filariasis, rabies, leprosy and other vaccine- preventable diseases;

• Implementation of the maternal and Child Health Program (breastfeeding, pre-natal consultation, under five clinic, immunization, mother’s class, micro-nutrient supplementation of (Vitamin A);

• Notifification of the Provincial Epidemiology Surveillance Unit (PESU) of the Provincial Health Office any reportable disease;

• Conduct of Healthy lifestyle (Hataw Exercise)


Upgrading of facilities

• Identifying and prioritizing additional supplies required to provide secondary health care services;

• Upgrading of hardware component for HOMIS/DTOMIS connections

• Installing biometric finger scan

• Setting up of eNGAS (data encoding)

• Repairing the automatic processor

Rationalizing services

• Sending staff to trainings conducted by DOH/CHD and other partner agencies to enhance knowledge, attitude and skills;

• Conducting regular departmental/divisional meetings, issuing memoranda and hospital orders for the benefit of the clients/personnel;

• Sustaining the essential committees to provide quality health care;

• Accreditating private practitioners with diplomate/fellow certification;

• Providing specialized diagnostic procedures and services as well as specialty services involving the management of complicated diseases and conditions.

2.2 Health Facilities Development Program

Rationalization of facilities based on local health needs assessment

• Renovation of the hospital morgue

• Establishment of Drug Testing Laboratory;

• Replacement/repair of ceiling in the hallway, chapel and medical records;

• Repainting of ceiling and walls in the hallway, chapel and medical record;

• Renovation and repainting of ER main gate at San Juan road and main gate at Malvat Street;

• Replacement of ceiling and electrical wirings in the radiology section

• Replacement of broken windows;

• Construction of additional septic tanks for hospital waste management use;

• Construction of temporary dietary building;

• Repair of gutter, ceiling and repainting of buildings

• Construction of watcher’s waiting area with comfort rooms

• Construction of Pedia/OB Ward Building (Phase I)


• Integrating wellness services

• Integrating the six C’s in the “Hospital as Center of Wellness” through: comprehensive health care, competent care givers, caring/compassionate/communicating and culture friendly staff, community-oriented service delivery and clean and green environment.

2.3. Health Promotion

Incorporation of health promotion in service packages

• Prevention and control of health hazards and health risk-taking behaviors, particularly those associated with lifestyle related diseases such as cardiovascular diseases, cancer, diabetes mellitus and chronic obstructive pulmonary disease, among others;

• Provision of IEC materials (flyers, posters);

• Posting IEC materials and other health related activities in designated areas;

• Radio guesting;

• Individual counseling during consultation.

Integration of patient education in Clinical Practice Guidelines

• Following the accepted standards of care such as clinical practice guidelines (CPGs) or diagnostic-related groups (DRGs).

2.4. Strengthening of Disaster Preparedness and Response System

• Strengthened the Disaster and Emergency Preparedness Committee;

• Procured and provided basic equipment/instruments/supplies/materials in the Emergency Room;

• Sent staff for training on Basic Life Support conducted by the DOH and PNRC;

• Attended activities of PNRC;

• Initiated fire safety seminar and fire drill in coordination with the City Fire Department.

II. HEALTH REGULATION

1. Rationale:To ensure access to quality and affordable health products, devices, facilities and services,especially those commonly used by the poor.


2.1. Upgrading, Harmonization and Streamlining of Regulatory Processes

• Outsourcing of services

• requesting additional funding from the city and provincial government for contractual / casual employees;

• detailing additional manpower for the pharmacy, laboratory, x-ray and nursing service from the provincial government;


• More efficient utilization of hospital income from revenue centers like in the Delivery/Operating/Emergency/Central Supply rooms, Out-patient Department, Laboratory, X-ray, Transport, Medical Records and wards;

• Use of hospital income as revolving fund from sale of drugs and medicines.

2.2 Expansion of National Health Insurance Program

Health insurance utilization was increased by providing the essential services to its members such as:

• Availability of basic drugs/medicines, laboratory/x-ray exams;

• Cooperation and networking with PHIC to increase enrollment especially for the less marginalized families;

• Advocacy on PHIC expanded Out-Patient Package for OFW Members and its dependents

• Enrollment to Impok Pangkalusugan (IPK) – community-based health insurance coverage in southern municipalities of Palawan and Puerto Princesa City.

• Upgraded the human resource capability and complying with “one-stop shop” licensing and accreditation requirements.

2.2 Improving availability of and access to low-priced but high quality medicines for the poor

• rotated membership of the hospital Bids and Awards committee (HBAC);

• improved the implementation of accounting, bidding procedures and sound supply and procured GMA 50 drugs/medicines for sale at the Pharmacy;

• requested for local and international donations in the form of drugs, supplies and equipment.

III. HEALTH FINANCING

1. Rationale:To secure better and more sustainable investments in health to provide equity and improve health outcomes, especially for the poor.


2.1 Budget Reforms• Generated additional income through enhancement of

hospital revenue by:

• Increase of the number and improvement of pay wards;

• Implementation of appropriate hospital fees and charges;

• Stricter collection of hospital service fee through the voucher system;


IV. HEALTH GOVERNANCE

1. Rationale:To improve coordination with the Local Heath System and enhance effective private-public partnerships.


2.1 Human Resource for Health Program

• HR Development

• Appointed qualified personnel to fill-up vacant positions for Medical Officer III

2.2 Internal Management Systems

• Finance Management

• Developed the integrated financial management system (eNGAS) through data encoding

• Procurement and Logistics Management

• Improved the procurement management system through the hospital Bids and Awards Committee

• Health Information System - this was done through regular coordination with the City Health and Provincial Health Office to ensure quality health information and coordination with radio stations for health updates through radio guesting;

• Established an online network of offices

• Continuing Quality Assurance Program

• Re-activated existing hospital committees

HEALTH PROGRAMS/CAMPAIGNS

• Drug-free Workplace

• Information dissemination• Establishment of Drug Testing Laboratory within the OPD

area.• Displaying of posters in conspicuous places

• Malaria Awareness Month

• Radio guestings• Information Dissemination

• Food Fortification Day

• Using Iodized Salt in the Dietary Service• Lectures• Individual Counseling

• Knock-out Tigdas Campaign

• Motorcade with partners agencies• Information dissemination during Mothers Class and

Bantay Orientation twice a week• Immunization of measles for walk-in patients• Distribution of leaflets about knock-out tigdas

• World Rabies Day

• Motorcade• Distribution of leaflets about rabies at the OPD• Maintenance of IEC materials on rabies at Public Health

Unit


• Other National Health Events

• Information dissemination on: DOTS, Cancer, Healthy Lifestyle and Voluntary Blood Donation

• Substance Abuse Prevention Week

• Motorcade, lectures and advocacy, display of posters and distribution of IEC materials

• World Breastfeeding Week Poster

• Conducted lectures on breastfeeding to nursing mothers and orientation to hospital employees

• Maintained policies about breastfeeding in the OPD/OB-Gyne ward and other areas inside the hospital

• Participated in the synchronized breastfeeding worldwide

• Garantisadong Pambata

• Information dissemination• Giving Vitamin A during immunization day

• Family Planning

• Information dissemination about temporary and permanent method

• Doing IUD insertion, Depo injection and pills distribution

• Patak Kontra Polio

• Giving polio vaccine during National Immunization Day• Information dissemination

• Rabies

• Information dissemination• Given passive/active injection

• Pinoy MD

• Information dissemination to all hospital employees• Radio guestings• Recommended two applicants for Pinoy MD



MAJOR

CENTER FOR HEALTH DEVELOPMENT NO. IV-BJANUARY – DECEMBER, 2008Activities of 2008


MV Princess of the Stars was wrought at about two kilometers from the shoreline of Sitio Cabitangahan, Barangay Taclobo, San Fernando at Sibuyan Island, Romblon in June 22. The Joint Mission by the European Union and Civil Protection

experts, together with the World Health Office to conduct general evaluation of the environmental and humanitarian risks posed by pesticides and chemical cargoes in the sunken vessel, identify gaps in the on-going activities undertaken by government agencies at ground zero, to report the results of team evaluation, observations and make recommendations to the NDCC Task Force, and to make recommendations on how to avail of further international assistance.

The team was composed of Dr. Stephanie Le Floch, Dr. Rune Berglind, Dr. Antonin Peter, Dr. John Juliard Go, Dr. Roston Garces and Dr. Urbito Marciano Jr.

The JEU team recommended to continue monitor the potential leakage of the chemicals, identify the accumulation of endosulfan and other pesticide in marine life, follow the sampling strategy for water, sediments and organisms and identify the sea current for remodeling among others.

CHD IV-B with HEMS at the helm of preparedness and response monitored and reported the sinking of MV Princess of the Stars to the Department of Health HEMS and OSEC and provided the needed assistance to the Regional Disaster Coordinating Council of the on-going search and rescue operations.

CHD IV B requested the RDCC to bring the dead bodies to the National Bureau of Investigation morgue in Cebu and acquired a copy of the manifesto of passengers and crew, name of survivors and recovered dead bodies in Sibuyan, Romblon, and Mulanay, Quezon.

In the deployment of response teams to treat victims of chemicals and pesticides poisoning, CHD IV B facilitated the emergency purchase of medicines and medical supplies to treat possible spillage of Endosulfan and Organo-Phosphate.

M/V PRINCESS OF THE STARS SEARCH AND RESCUE OPERATIONS

EUROPEAN UNION MISSION


After deliberations, the team came up with a contingency planning to ensure that adequate and appropriate arrangements are made in advance, to respond to the needs of the affected population.

Series of meetings, consultations and table conferences with the task force member agencies in government, NGOs and other sectors, were held at different venues, in the formulation of Hazardous Materials Contingency Plan. It included the program plan of all the activities from member agencies based on the recommendations of the European Union / World Health Organization team.

CHD IV B took on the lead role of determining the community capacity to respond to the chemical incidents and emergence of diseases, supervising the gathering of basic community data including communities’ profiles, rapid health assessments and hazard maps, conducting consultative planning workshops with the local government units and other agencies, procuring emergently additional medicines, supplies, equipment, instruments and other needs, assisting the local government units in implementing the community preparedness, response plan, organizing CHD/PHO Emergency response teams and the schedule of deployment and establishing an alert code, incident system, surveillance for early detection of chemical exposure and disease outbreak.

Aside from these roles, CHD IV B’s role was critical in coordinating local government units for the community preparedness and emergency medical response plan, assessing and addressing the needs of the monitoring and response team on-site, provide basic health services at EVAC and affected communities, serving as the team leader of DOH STF HazMat in the retrieval operations in San Fernando, Romblon, opening the line of the communication for monitoring and reporting of on-going activities and incidents to DOH, HEMS, NEC and OCD.

CHD IV B also hosted the HazMat Consultative Planning which were participated by the provincial and municipal officials, provincial health officers, hospitals and RHU personnel, including attendees from the Philippine National Police, Department of Interior and Local Government, Department of Education, Department of Social Welfare and Development, Philippine Disaster Coordinating Council and Maritime Police.

CONTINGENCY PLANNING


The first batch of DOH EMRT deployed to San Fernando, Romblon were composed of Dr. Bessie Antonio, Dr. Milven Malbog, Richard Adonis, Jose Mari Pichay, Dr. Urbito Marciano, Jr., Dr. Ruth Cervo, Engr. Benedicto Allago, Ralf Falculan, Dr. Ondete Agosto, Dr. Jojo Mercado, Joel Magnayen, Arnie Gerona, Dr. Cynthia Mayor, Dr. Ivy Eileene Samoy, Engr. William Diola, Rizaliza Falculan, Nelson Rodriquez, Dr. Danilo Villamangca, Dr. Karlo Capellan, Melvin Suble, Neil Irvin Sinsuat, Oscar Macam and Bryan Cesar Cordero.

Assisting the team were Local Health Staff namely Dr. Nolmer Raullo, Dr. Remedios Pascual, Elda Ayate, Lily Yap, Joyce Relox, Elena Encabo, Teresita Rivas, Malberto Reyes, Danilo Estores, Frederick Gumabol, Elwin Estores and Noel Roon. Heading the HazMat Decontamination areas were Mario Cruz, Reynaldo Bicua, Paquito Roco, Ernie Vic Fontamillas, Arnold Andrade, Jemalyn Villanueva and Mavie Rapal from the Bureau of Fire Protection.

Members of the Bureau of Fire Protection and Philippine National Police Officers reported at their post one kilometer away from Sitio Cabitangahan, Barangay Taclobo during the retrieval of hazardous chemicals at the sunken MV POTS.

The municipal hall was converted to a command post for the Municipal Disaster Coordinating Council meetings, briefing with Harborstar and members of the sub-task force and response team.

HAZMAT RETRIEVAL OPERATIONS

COMMUNITY PREPAREDNESS PLAN


During the retrieval, the fiber coated canisters of endosulfan were drained, repacked, sealed in a drum and loaded it to a separate cargo vessel. The Titan group with PPE suite and ensured that the packages of endosulfan are in tact during the actual operations.

On October 5, 2008 all the 402 fiber coated canisters of endosulfan were already retrieved from MV POTS and was turned over to the PCG tug boat Joan and barge Jovina at Azagra Point. Upon order of the court, the endosulfan were brought to the undisclosed holding area of EMB and NPAL.

CHD IV B and Hospital EMRT stood by at their respective posts from 8:00 AM to 6:00 PM during the entire HAZMAT retrieval operations from September 23 to October 18.

Provided with two standby ambulance and one service patrol car, the CHD and QMMC Team dispatched EMRTs to the site 10 kilometers away from the town proper of San Fernando, Romblon.

ENDOSULFAN RETRIEVAL OPERATIONS

EMERGENCY MEDICAL RESPONSE TEAM


In order to accelerate the implementation of the HSRA, FOURmula One for Health (F1) Program was conceptualized integrating public health and hospital services into a single component. There were sixteen (16) provinces currently working on a province-wide investment plan for health. Two of which are the provinces of Romblon and Mindoro Oriental. A functional Inter-Local Health Zone (ILHZ) is one of the requirements to qualify for a possible inclusion in the roll out of this implementation. And since the CHD plans to include the remaining three provinces for roll out, an organized ILHZ is a must.

The orientation equipped the major stakeholders in the provinces on HSRA and Local Health Systems Development. Status of the organization of their ILHZs was reviewed and next steps to be undertaken were identified. A month after, District 1 of Marinduque and SaMaRiCa ILHZ of Occidental Mindoro were able to accomplished their Executive Summary and Executive Order issued by the governors, including several memoranda of agreement among LGUs were also signed. Both will start working on the functionality of their inter-local health zones

Workshop on the Policies and Guidelines of Referral System Occidental Mindoro - SaMaRiCa ILHZ-June 11-12

The referral system is one of the seven systems to be in placed to functionalized an ILHZ. The province requested for technical assistance to review the Referral Guidelines drafted. During the workshop, issues were discussed among the participants which includes the Chiefs of Hospital and Municipal Health Officers. The Final Referral Guidelines and Policies for SaMaRiCa was already submitted and the said system is in place and functional.

Orientation on the Preparation of the PIPH for F1 Roll-out Sites May 12-13

The Province Wide – Investment Plan for Health (PIPH) with the assistance of DOH and using F1 framework serves as the provinces’ medium term health plans. Reforms are to be implemented under a sector-wide approach, which encompasses a management perspective that covers the Provinces’ entire health sector and investment portfolio that encompasses all sources of funds. Now that the F1 is in its roll out implementation, there is a need to orient the remaining three provinces of MiMaRoPa (Occidental Mindoro, Marinduque and Palawan) in the preparation of PIPH for possible inclusion in the F1 roll out implementation.

LOCAL HEALTH SYSTEMS DEVELOPMENT

PROVINCE – WIDE INVESTMENT PLAN FOR HEALTH/RATIONALIZATION OF HEALTH CARE FACILITIES BASED ON HEALTH NEEDS

PUBLISHED BY: PLANNING AND STATISTICS UNIT 47The orientation made the major stakeholders of the three non F1 sites have yet to understand the FOURmula One for Health Framework. Basic principles and benefits of the Rationalization of Health Care Delivery System highlighted the orientation. This rationalization is the initial step before a PIPH may be drafted. The participants were able to plot critical steps to be undertaken by their respective province in preparation for their PIPH.

Seminar Workshop on Rational Blood Use, Hemovigilance and Hospital Blood Transfusion Committee (HBTC)Puerto Princesa City – February 22 Quarterly Blood Donation ActivityMarch 28 and June 24

Regional NVBSP Consultative MeetingApril 29-30

Orientation of LGU on the Rationalization of Health Care Facilities’ based on health needs and preparation of PIPHMay 12-13

The activity helped the LGUs facilitate the development of provincial health facilities rationalization plan. The objectives of rationalization is to improve accessibility, availability, operational efficiency, organizational quality and equity. It is a process of examining the Local Health System to so that appropriate placemnt of investments to key health facilities where best advantaged can be derived. Occidental Mindoro was able to come up with their Rationalizartion/Optimization Plan awaiting approval of the DOH.

Consultation Workshop with BHWs May 6-7

The Barangay Health Workers (BHWs) are considered important members of the health teams in your localities. We recognize the vital roles they play in the advocacy and promotion of all our programs in the Department of Health. Since the separation of Region IV into CHD IV-A (CaLaBaRZon) and CHD IV-B (MiMaRoPa), the BHW program has been inactive for some time and no consultations were conducted since then. The objectives of the consultation was to advocate F1 and other Priority Health Programs of the DOH and more importantly to discuss major issues and concerns Highlight was the Creation of the Regional BHW Officers.

Capacity Building on Training Design April 22-24

The Capacity Building on Training Design Development was conducted to address the identified gaps and to assist individuals involve in the planning of training activities in the LGUs to appropriately design and implement effective and quality training programs based on needs. This will include the six phases of Training and Development Process but only focusing on the four namely : a.)Training Needs Analysis; b.) Objectives and Tests; c.) Instructional Design; d.) Evaluation.

Re-orientation of retained health personnel on the different health programs June 30 - July 1

NATIONAL VOLUNTARY BLOOD SERVICE PROGRAM

BARANGAY HEALTH WORKERS

OTHER PROGRAMS


To ensure quality health care service to depressed, marginalized and underserved areas through the deployment of competent and community oriented doctors and effect change in the approach to health care delivery by the stakeholders in health, the program trained and fielded six community-oriented doctors as assistance to identified doctorless municipalities.

The staff also participated in the provision of technical assistance packages and acted as resource speakers in the different trainings, seminars/workshop/symposia conducted by the office and other agencies.

The Unit also facilitated application for local and foreign scholarships. Two nominees were successfully accepted in continuing educational program of personnel in Master in Public Administration and Master in Nursing Administration.

The unit assisted the management in the conduct of therequired Agency Reports (FHSIS, Quarterly Accomplishment Report, CY 2006 Performance and Fund Utilization Report, Agency Performance Measures and quarterly targets), preparation and updates of Regional Health Profile, Provincial Profile and Statistical Board, provision of logistics to field health units in support to FHSIS implementation, providing technical assistance to LGUs in the development of health plans, conduction of orientation and planning workshop for CY 2006 work and financial plan and 2007 operational plans, and consolidation and submission of required agency performance/accomplishments to concerned offices (Office of the President (Malacañang), DBM, NEDA, NSCB, DOH-CO, NEC and other linked agencies).

DOCTORS TO THE BARRIO PROGRAM

PLANNING AND STATISTICS UNIT




CENTER FOR HEALTH DEVELOPMENT NO. IV-BJANUARY – DECEMBER, 2008

Statistical Data


TABLE 1: POPULATION BY PROVINCE AND CITY

TABLE 2: POPULATION BY AGE AND SEX

PROVINCE/CITY TOTALPOPULATION

PERCENT (%)DISTRIBUTION

MARINDUQUE 221,701 8.51OCC. MINDORO 429,313 16.48OR. MINDORO 643,266 24.70PALAWAN 697,286 26.77ROMBLON 283,605 10.89SUB-TOTAL 2,275,171 87.35CALAPAN CITY 128,624 4.94PTO. PRINCESA CITY 200,814 7.71SUB-TOTAL 329,438 12.65REGIONAL TOTAL 2,604,609 100.00Note:basedonNSOprojection

PROVINCE/CITYBOTH SEXES M A L E F E M A L E

NO. % NO. % NO. %1 2 3 4 5 6 7

Less than 1 year 78,138 3.00 39,069 1.50 39,069 1.501 - 4 years 283,902 10.90 145,858 5.60 138,044 5.305 - 6 years 138,044 5.30 70,324 2.70 67,720 2.607 - 14 years 528,736 20.30 270,879 10.40 257,856 9.9015 - 49 years 1,294,491 49.70 648,548 24.90 645,943 24.8050 - 64 years 195,346 7.50 96,371 3.70 98,975 3.8065 years and over 85,952 3.30 39,069 1.50 46,883 1.80Total 2,604,609 100.00 1,310,118 50.30 1,294,491 49.70


TABLE 3: LIVE BIRTHS, TOTAL DEATHS, MATERNAL DEATHS, INFANT DEATHS

Figure 1 POPULATION BY AGE AND SEX

0.00

5.00

10.00

15.00

20.00

25.00

30.00

Lessthan 1year

1 - 4years

5 - 6years

7 - 14years

15 - 49years

50 - 64years

65 yearsandover

AGE GROUP

PER

CEN

TAG

E

malefemale

PROVINCE/CITY TOTAL POPULATION*

LIVE-BIRTHS

TOTALDEATHS

MATERNALDEATHS

INFANTSDEATHS

NO. RATE**Col. 3/2 NO. RATE**

Col.5/2 NO. RATE****Col. 7/3 NO. RATE***

Col. 9/31 2 3 4 5 6 7 8 9 10

MARINDUQUE 221,701 4,804 21.67 1,532 6.91 3 62.45 87 18.11OCC. MINDORO 429,313 10,364 24.14 1,548 3.61 9 86.84 78 7.53OR. MINDORO 643,266 13,889 21.59 2,328 3.62 4 28.80 85 6.12PALAWAN 697,286 15,106 21.66 1,950 2.80 20 132.40 130 8.61ROMBLON 283,605 5,666 19.98 1,690 5.96 5 88.25 87 15.35SUB-TOTAL 2,275,171 49,829 21.90 9,048 3.98 41 82.28 467 9.37CALAPAN CITY 128,624 2,575 20.02 664 5.16 3 116.50 39 15.15PTO. PRINCESA CITY

200,814 3,701 18.43 874 4.35 2 54.04 47 12.70

SUB-TOTAL 329,438 6,276 19.05 1,538 4.67 5 79.67 86 13.70REGIONAL TOTAL 2,604,609 56,105 21.54 10,586 4.06 46 81.99 553 9.86*-NSOProjection **-Per1,000Population ***Per1,000Livebirths ****Per100,000Livebirths


TABLE 3-A: LIVE BIRTHS, TOTAL DEATHS, MATERNAL DEATHS, INFANT DEATHS

YEARTOTAL

POPULATION*(IncludingCities)

LIVEBIRTHS TOTAL DEATHS MATERNAL DEATHS INFANTS DEATHS

NO. RATECol. 3/2 NO. RATE

Col.5/2 NO. RATECol. 7/3 NO. RATE

Col. 9/32003 2,392,978 49,465 20.67 9,789 4.09 54 109.00 632 12.782004 2,430,894 54,574 22.45 9,289 3.82 43 79.00 641 11.752005 2,474,679 52,666 21.28 10,215 4.13 55 104.00 696 13.222006 2,521,970 52,049 20.64 10,204 4.05 52 100.00 635 12.202007 2,563,234 51,155 19.96 10,140 3.96 50 98.00 504 9.852008 2,604,609 56,105 21.54 10,586 4.06 46 82.00 553 9.86

Figure 2: TREND OF VITAL HEALTH INDICES, 2003-2008

20.67 22.45 21.28 20.64 19.96 21.54

4.09 3.82 4.13 4.05 3.96 4.06

12.78 11.75 13.22 12.20 9.85 9.86

109.00

79.00

104100.00 98.00

82.00

0.00

20.00

40.00

60.00

80.00

100.00

120.00

2003 2004 2005 2006 2007 2008

CBR

CDR

IMR

MMR

NOTE: CBR & CDR - RATE / 1,000 POPULATION IMR - RATE / 1,000 LIVEBIRTHS MMR - RATIO / 100,000 LIVE BIRTHS

PUBLISHED BY: PLANNING AND STATISTICS UNIT 55TABLE 4: NATALITY REPORT (LIVEBIRTHS)

FIGURE 3: LIVE BIRTHS BY GENDER AND BIRTHWEIGHT OF LIVE BIRTHS

PROVINCE/CITY

TOTALLIVEBIRTHS

LIVEBIRTHS BY GENDER B I R T H W E I G H T

MALE FEMALE 2500 GRAMSand GREATER

LESS THAN2500 GRAMS

N O TK N O W N

NO. % NO. % NO. % NO. % NO. %Col. 3/2 Col. 3/2 Col. 7/2 Col. 9/2 Col. 11/2

1 2 3 4 5 6 7 8 9 10 11 12MARINDUQUE 4,804 2,343 48.77 2,461 51.23 4,598 95.71 206 4.29 0 0.00OCC. MINDORO 10,364 5,299 51.13 5,065 48.87 10,054 97.01 288 2.78 22 0.21OR. MINDORO 13,889 7,013 50.49 6,876 49.51 13,631 98.14 246 1.77 12 0.09PALAWAN 15,106 7,789 51.56 7,317 48.44 13,619 90.16 1,256 8.31 231 1.53ROMBLON 5,666 2,918 51.50 2,748 48.50 5,261 92.85 403 7.11 2 0.04Provincial Total 49,829 25,362 50.90 24,467 49.10 47,163 94.65 2,399 4.81 267 0.54CALAPAN 2,575 1,388 53.90 1,187 46.10 2,542 98.72 33 1.28 0 0.00PTO. PRINCESA 3,701 1,881 50.82 1,820 49.18 99 2.67 3,575 96.60 27 0.73Cities Total 6,276 3,269 52.09 3,007 47.91 2,641 42.08 3,608 57.49 27 0.43Regional Total 56,105 28,631 51.03 27,474 48.97 49,804 88.77 6,007 10.71 294 0.52

LIVEBIRTHS BY GENDER

FEM ALE49%

M ALE51%

BIRTHWEIGHT OF LIVEBIRTHS

, ,

& GREATER2500 GRAM S

, 89%

2500 GRAM SLESS THAN ,

10%

NOT KNOWN, 1%

LIVEBIRTHS BY GENDER

FEM ALE49%

M ALE51%

BIRTHWEIGHT OF LIVEBIRTHS

, ,

& GREATER2500 GRAM S

, 89%

2500 GRAM SLESS THAN ,

10%

NOT KNOWN, 1%


TABLE 5: NATALITY REPORT (PLACE AND TYPE OF DELIVERY)

FIGURE 4: BIRTHS BY PLACE AND TYPE OF DELIVERY

PROVINCE/CITY

TOTALLIVE-

BIRTHS

BY PLACE OF DELIVERY BY TYPE OF DELIVERYHOME HOSPITAL OTHERS NORMAL OTHERS

NO. %Col. 3/2 NO. %

Col. 3/2 NO. %Col. 7/2 NO. %

Col. 9/2 NO. %Col. 11/2

1 2 3 4 5 6 7 8 9 10 11 12Marinduque 4,804 4,106 85.47 671 13.97 27 0.56 4,756 99.00 44 0.92OCC. Mindoro 10,364 8,594 82.92 1,610 15.53 160 1.54 10,221 98.62 128 1.24OR. Mindoro 13,889 9,625 69.30 3,529 25.41 735 5.29 13,851 99.73 38 0.27PALAWAN 15,106 13,483 89.26 1,504 9.96 119 0.79 14,366 95.10 740 4.90ROMBLON 5,666 2,602 45.92 1,842 32.51 1,222 21.57 4,915 86.75 750 13.24Provincial Total 49,829 38,410 77.08 9,156 18.37 2,263 4.54 48,109 96.55 1,700 3.41CALAPAN 2,575 1,078 41.86 1,302 50.56 195 7.57 2,380 92.43 194 7.53Pto. Princesa 3,701 1,348 36.42 1,305 35.26 1,048 28.32 2,582 69.76 1,119 30.24Cities Total 6,276 2,426 38.66 2,607 41.54 1,243 19.81 4,962 79.06 1,313 20.92Regional Total 56,105 40,836 72.78 11,763 20.97 3,506 6.25 53,071 94.59 3,013 5.37

BIRTHS BY PLACE OF DELIVERY

HOSPITAL21%

OTHERS6%

HOME73%

BIRTHS BY TYPE OF DELIVERY

NORMAL95%

OTHERS5%

BIRTHS BY TYPE OF DELIVERY

NORMAL95%

OTHERS5%

PUBLISHED BY: PLANNING AND STATISTICS UNIT 57TABLE 6: NATALITY REPORT (TYPE OF PREGNANCY)

FIGURE 5: DELIVERIES BY TYPE OF PREGNANCY FIGURE 6: DELIVERIES BY ATTENDANCE

PROVINCE/CITY

TOTALDELIVERIES

TYPE OF PREGNANCY DELIVERIES ATTENDED BY:

NORMALPREGNANCY

RISKPREGNANCY

NOT KNOWN

DOCT

OR

NU

RSE

MID

WIF

E

TRAI

NED

HILO

T

UN

TRAI

NED

HILO

T

OTH

ERS

BIRTHS AT-TENDED

BY TRAINED HEALTH

PERSONNEL INCL.

TRAINED HILOTNO. %Col. 3/2 NO. %

Col. 3/2 NO.%

Col. 7/2

Col. 9+10+11+12

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15MARINDUQUE* 4,800 3,205 66.77 1,587 33.06 8 0.17 676 23 2,108 1,957 36 0 4,764OCC. Mindoro* 10,349 5,933 57.33 4,296 41.51 120 1.16 1,286 18 2,945 5,358 268 154 9,607OR. Mindoro 13,889 7,144 51.44 6,744 48.56 1 0.01 2,386 289 5,141 5,704 362 7 13,520PALAWAN 15,106 9,385 62.13 5,306 35.13 415 2.75 1,312 137 3,416 7,143 3,050 48 12,008

ROMBLON 5,666 2,257 39.83 3,396 59.94 13 0.23 1,763 88 2,319 1,475 9 12 5,645Provincial Total 49,810 27,924 56.06 21,329 42.82 557 1.12 7,423 555 15,929 21,637 3,725 221 45,544CALAPAN CITY 2,574 85 3.30 2,467 95.84 22 0.85 1,496 0 119 955 3 1 2,570PTO. PRINCESA 3,690 2,582 69.97 1,088 29.49 20 0.54 1,498 8 944 780 468 3 3,230Cities Total 6,264 2,667 42.58 3,555 56.75 42 0.67 2,994 8 1,063 1,735 471 4 5,800Regional Total 56,074 30,591 54.55 24,884 44.38 599 1.07 10,417 563 16,992 23,372 4,196 225 51,344

DELIVERIES BY TYPE OF PREGNANCY

,

,

NORMAL PREGNANCY,

69%

RISK PREGNANCY,

30%

NOT KNOWN, 1%

DELIVERIES BY ATTENDANCEOTHERS

1%

UNTRND HILOT7%

DOCTOR19%

NURSE1%

MIDWIFE30%

TRND HILOT42%

1 9


TABLE 7: NATALITY REPORT (PLACE AND TYPE OF DELIVERY)

PROVINCE/CITY

TOTALPOPULA-

TION

TOTALDEATHS

DEATHSBY GENDER

TOTALLIVE-

BIRTHS

INFANT DEATHS DUE

TO NEONATALTETANUS

STILLBIRTH( LATE FETAL )

MALE FEMALE

NO. RATE**Col. 3/2 NO. RATE**

Col. 5/2 NO. RATE**Col. 7/2 NO. RATE*

Col. 14/9 NO. RATE*Col. 16/9

1 2 3 4 5 6 7 8 9 14 15 16 17Marinduque 221,701 1,532 691.02 797 359.49 735 331.53 4,804 2 0.42 63 13.11OCC. Mindoro 429,313 1,548 360.58 959 223.38 589 137.20 10,364 3 0.29 17 1.64OR. Mindoro 643,266 2,328 361.90 1,384 215.15 944 146.75 13,889 11 0.79 30 2.16PALAWAN 697,286 1,950 279.66 1,233 176.83 717 102.83 15,106 0 0.00 59 3.91ROMBLON 283,605 1,690 595.90 978 344.85 712 251.05 5,666 4 0.71 28 4.94Prov’l Total 2,275,171 9,048 397.68 5,351 235.19 3,697 162.49 49,829 20 0.40 197 3.95CALAPAN 128,624 664 516.23 372 289.22 292 227.02 2,575 0 0.00 9 3.50Pto. Princesa 200,814 874 435.23 581 289.32 293 145.91 3,701 1 0.27 31 8.38Cities Total 329,438 1,538 466.86 953 289.28 585 177.58 6,276 1 0.16 40 6.37Reg’l Total 2,604,609 10,586 406.43 6,304 242.03 4,282 164.40 56,105 21 0.37 237 4.22*PER1,000LIVEBIRTHS **PER100,000POPULATION

DEATHS BY GENDER

MALE60%

FEMALE40%

FIGURE 7: DEATHS BY GENDER

PUBLISHED BY: PLANNING AND STATISTICS UNIT 59TABLE 8: MORBIDITY, LEADING CAUSES, NUMBER AND RATE

FIGURE 8: MORBIDITY, LEADING CAUSES, NUMBER AND RATE

CAUSES2007 2008

NO. RATE NO. RATE1. Acute Respiratory Infections 62,805 2,450.22 93,677 3,596.592. Influenza 21,230 828.25 22,768 874.143. Diarrheal Diseases 18,560 724.09 20,148 773.554. Bronchitis/Bronchiolitis 16,028 625.30 16,023 615.185. Hypertension 10,929 426.38 11,142 427.786. Urinary Tract Infection 7,385 288.11 10,133 389.047. Pneumonia 11,337 442.29 8,556 328.498. Skin Problem Diseases 4,392 171.35 6,624 254.329. Malaria 13,363 521.33 6,491 249.2110. TB and TB Other forms 5,632 219.72 4,944 189.82

Figure 8: MORBIDITY, LEADING CAUSES, RATE PER 100,000 POPULATION, 2007 & 2008

0.00 500.00 1,000.00 1,500.00 2,000.00 2,500.00 3,000.00 3,500.00 4,000.00

Acute Respiratory Infect ions

Inf luenza

Diarrheal Diseases

Bronchit is/Bronchiolit is

Hypertension

Urinary Tract Infect ion

Pneumonia

Skin Problem Diseases

M alaria

TB & TB Other forms

RATE / 100,000 POPULATION

2008

2007


TABLE 9: MORTALITY, LEADING CAUSES, NUMBER AND RATE

FIGURE 9: LEADING CAUSES OF MATERNAL MORTALITY

CAUSES2007 2008

NO. RATE NO. RATE1. Pneumonia 1,063 41.47 1,102 42.312. Cancer (all forms) 787 30.70 889 34.133. Cerebro Vascular Diseases/HPN 755 29.45 828 31.794. Diseases of the Heart 812 31.68 798 30.645. TB and TB Other forms 808 31.52 522 20.046. COPD 240 9.36 416 15.977. Accidents (all kinds) 277 10.81 359 13.788. Renal Diseases 182 7.10 317 12.179. Diabetes Mellitus 283 11.04 300 11.5210.Septicemia/Sepsis 225 8.78 220 8.45Figure 11: MATERNAL MORTALITY, LEADING CAUSES,

RATE PER 100,000 LIVEBIRTHS, 2007 & 2008

0.00 10.00 20.00 30.00 40.00 50.00

Po st Par t umHemo r r hag e

Ec l amp s i a

Hy p er t ens i o n,p eg nancy r el at ed

R ap t ur ed ut er i ned ur i ng l ab o r

A mnui t i c F l ui dEmb o l i sm

Pr o l ap sed U t er us

Ex t o p i c Pr eg nancy

CAUSE

S

RATE / 100,000 LIVEBIRTHS

2008

2007

PUBLISHED BY: PLANNING AND STATISTICS UNIT 61TABLE 10: INFANT MORTALITY, LEADING CAUSES, NUMBER AND RATE

FIGURE 10: LEADING CAUSES OF INFANT MORTALITY

CAUSES2007 2008

NO. RATE NO. RATE1. Pneumonia/Bronchopneumonia 127 2.48 99 1.762. Sepsis/Septicemia 59 1.15 74 1.323. Congenital Anomalies 17 0.33 60 1.074. Prematurity 77 1.51 57 1.025. Respiratory Distress Syndrome 30 0.59 24 0.436. Sudden Infant Death 7 0.14 22 0.397. Asphyxia 13 0.25 22 0.398. Diarrheal Diseases 19 0.37 13 0.239. Undetermined/Unknown 14 0.27 13 0.2310. Hydrocephalus 0 0.00 6 0.11

Figure 10: INFANT MORTALITY, LEADING CAUSES, RATE PER 1,000 LIVEBIRTHS,

2007 AND 2006

0.00 0.50 1.00 1.50 2.00 2.50 3.00

Pneumo ni a

Pr emat ur i t y

Sep s i s / Sep s i s N eo nat o r um

R esp i r at o r y D i s t r ess Sy nd r o me

D i ar r heal D i seases

C o ng eni t al A no mal i es

U nd et er mi ned / U nkno w n

A sp hy x i a

Sud d en Inf ant D eat h

M eni ng i t i s

CA

USE

S

RATE / 1,000 LIVEBIRTHS

2006

2007


TABLE 11: MATERNAL MORTALITY, LEADING CAUSES, NUMBER AND RATE

FIGURE 11: LEADING CAUSES OF MORTALITY MORTALITY, LEADING CAUSES,

RATE PER 100,000 POPULATION, 2007 & 2008

0.00 5.00 10.00 15.00 20.00 25.00 30.00 35.00 40.00 45.00

Pneumonia

Cancer (all forms)

Cerebro Vascular Diseases/HPN

Diseases of the Heart

TB & TB Other forms

COPD

Accidents (all kinds)

Renal Diseases

Diabetes M ellitus

Septicemia/Sepsis

CA

USE

S

RATE / 100,000 POPULATION

2008

2007

CAUSES2 0 0 7 2008

NO. RATE NO. RATEPost Partum Hemorrhage 24 46.92 22 39.21Eclapmsia 11 21.50 13 23.17Hypertension, pegnancy related 5 9.77 4 7.13Raptured uterine during labor 4 7.82 4 7.13Amnuitic Fluid Embolism 3 5.86 1 1.78Prolapsed Uterus 2 3.91 1 1.78Ectopic pregnancy 1 1.95 1 1.78

PUBLISHED BY: PLANNING AND STATISTICS UNIT 63TABLE 12: DEMOGRAPHIC REPORT

FIGURE 12: PERCENT DISTRIBUTION OF HEALTH WORKERS

PROVINCES/CITY

TOTAL POP.

NO. OF

BGYs

NO.OF

RHUs

NO.OF

BHSs

NO.OF

HOUSE-HOLD


DOCT

ORS

DEN

TIST

NU

RSES

MID

WIF

ES

NU

TRIT

ION

IST

ENG

’R/

SAN

. IN

P.

MED

ICAL

TECH

N0L

OG

IST

ACTI

VE B

HWs

DEN

TAL

AIDE

S

TRAI

NED

BIR

TH

ATTE

NDA

NTS

NO

N T

ECHN

ICAL

Marinduque 221,701 218 7 43 45,965 7 5 12 45 0 11 2 1,314 5 293 7OCC. Mindoro 429,313 162 12 122 91,645 12 9 22 100 4 19 6 2,205 2 423 22OR. Mindoro 643,266 364 16 100 90,381 17 22 26 98 0 14 8 3,093 3 279 27PALAWAN 697,286 366 22 233 155,246 23 14 43 191 2 24 14 2,455 8 713 26ROMBLON 283,605 219 17 119 58,842 15 12 18 77 2 17 2 1,568 6 282 11Provincial Total 2,275,171 1,329 74 617 442,079 74 62 121 511 8 85 32 10,635 24 1,990 93CALAPAN CITY 128,624 62 2 18 23,531 4 3 6 18 1 4 2 470 2 75 9PTO. PRINCESA 200,814 66 1 54 45,337 5 3 15 26 3 11 4 242 2 144 10Cities Total 329,438 128 3 72 68,868 9 6 21 44 4 15 6 712 4 219 19Regional Total 2,604,609 1,457 77 689 510,947 83 68 142 555 12 100 38 11,347 28 2,209 112


NUTRITIONIST, 0.08%

M IDWIFES, 3.78%NURSES, 0.97%

ACTIVE BHWs, 77.22%

DENTIST, 0.46%

DOCTORS, 0.56%

M ED. TECH, 0.26%

SAN. ENGR., 0.68%

DENTAL AIDES, 0.19%

TBA, 15.03%

NON- TECH., 0.76%


TABLE 13: ENVIRONMENTAL HEALTH REPORT: WATER, TOILET AND GARBAGE DISPOSAL

PROVINCE/CITY

TOTALNO. OF

HHs

HOUSEHOLDS WITHACCESS TO SAFE WATER HOUSEHOLDS

WITHSANITARYTOILETS

HOUSEHOLDSWITH

SATISFACTORYGARBAGEDISPOSAL

HOUSEHOLDSWITH COMPLETE

BASIC SANITATIONFACILITIESLEVEL

ILEVEL

IILEVEL

III

TOTALCol. 3 +

4+5 NO. %Col. 9/2

1 2 3 4 5 6 7 8 9 10MARINDUQUE 45,965 17,503 14,932 11,874 44,309 35,268 26,808 26,646 57.97OCCIDENTAL MINDORO 91,645 63,620 4,279 14,444 82,343 70,767 71,865 112,436 122.69ORIENTAL MINDORO 78,677 52,074 12,094 15,400 79,568 69,584 61,960 203,405 258.53PALAWAN 129,251 38,465 22,171 18,172 78,808 91,773 72,740 48,123 37.23ROMBLON 58,842 26,103 5,095 19,323 50,521 39,896 42,427 38,517 65.46Provincial Total 404,380 197,765 58,571 79,213 335,549 307,288 275,800 429,127 106.12CALAPAN CITY 23,531 15,672 805 7,543 24,020 23,056 19,522 66,598 283.02PUERTO PRINCESA CITY 33,469 7,890 790 22,976 31,656 30,750 31,600 30,752 91.88Cities Total 57,000 23,562 1,595 30,519 55,676 53,806 51,122 97,350 170.79REGIONAL TOTAL 461,380 221,327 60,166 109,732 391,225 361,094 326,922 526,477 114.11


TABLE 14: ENVIRONMENTAL HEALTH REPORT: FOOD ESTABLISHMENT AND FOOD HANDLERS

PROVINCE/CITY

FOOD ESTABLISHMENT FOOD HANDLERS

NO.WITH SANITARY PERMIT

NO.WITH HEALTH CERTIFICATES

NO. %Col. 3/2 NO. %

Col. 6/51 2 3 4 5 6 7MARINDUQUE 3,231 3,154 97.62 3,478 3,390 97.47OCCIDENTAL MINDORO 2,041 1,913 93.73 2,663 2,438 91.55ORIENTAL MINDORO 2,185 2,207 101.01 3,652 2,914 79.79PALAWAN 4,805 3,786 78.79 6,714 5,086 75.75ROMBLON 2,344 2,144 91.47 2,182 2,037 93.35Provincial Total 14,606 13,204 90.40 18,689 15,865 84.89CALAPAN CITY 1,469 1,012 68.89 1,936 1,272 65.70PTO. PRINCESA CITY 2,000 1,540 77.00 2,520 2,450 97.22Cities Total 3,469 2,552 73.57 4,456 3,722 83.53REGIONAL TOTAL 18,075 15,756 87.17 23,145 19,587 84.63


TABLE 15: NATALITY REPORT:LIVE BIRTHS

PROVINCE/CITY

TOTALLIVEBIRTHS

LIVEBIRTHS BY GENDER B I R T H W E I G H TMALE FEMALE 2500 GRAMS

and GREATERLESS THAN

2500 GRAMSN O T

K N O W N

NO. %Col. 3/2 NO. %

Col. 3/2 NO. %Col. 7/2 NO. %

Col. 9/2 NO.%

Col. 11/2

1 2 3 4 5 6 7 8 9 10 11 12MARINDUQE 4,804 2,343 48.77 2,461 51.23 4,598 95.71 206 4.29 0 0.00OCCIDENTAL MINDORO 10,364 5,299 51.13 5,065 48.87 10,054 97.01 288 2.78 22 0.21ORIENTAL MINDORO 13,889 7,013 50.49 6,876 49.51 13,631 98.14 246 1.77 12 0.09PALAWAN 15,106 7,789 51.56 7,317 48.44 13,619 90.16 1,256 8.31 231 1.53ROMBLON 5,666 2,918 51.50 2,748 48.50 5,261 92.85 403 7.11 2 0.04Provincial Total 49,829 25,362 50.90 24,467 49.10 47,163 94.65 2,399 4.81 267 0.54CALAPAN CITY 2,575 1,388 53.90 1,187 46.10 2,542 98.72 33 1.28 0 0.00PTO. PRINCESA CITY 3,701 1,881 50.82 1,820 49.18 99 2.67 3,575 96.60 27 0.73Cities Total 6,276 3,269 52.09 3,007 47.91 2,641 42.08 3,608 57.49 27 0.43REGIONAL TOTAL 56,105 28,631 51.03 27,474 48.97 49,804 88.77 6,007 10.71 294 0.52


TABLE 16: NATALITY REPORT: PLACE AND TYPE OF DELIVERIES

PROVINCE/CITY

TOTALLIVEBIRTHS

BY PLACE OF DELIVERY BY TYPE OF DELIVERYHOME HOSPITAL OTHERS NORMAL OTHERS

NO. % NO. % NO. % NO. % NO. %

Col. 3/2 Col. 3/2 Col. 7/2 Col. 9/2 Col. 11/2

1 2 3 4 5 6 7 8 9 10 11 12MARINDUQUE 4,800 4,106 85.54 671 13.98 23 0.48 4,756 99.08 44 0.92OCCIDENTAL MINDORO 10,359 8,594 82.96 1,610 15.54 155 1.50 10,221 98.67 138 1.33ORIENTAL MINDORO 13,889 9,625 69.30 3,529 25.41 735 5.29 13,851 99.73 38 0.27PALAWAN 15,106 13,483 89.26 1,504 9.96 119 0.79 14,366 95.10 740 4.90ROMBLON 5,666 2,602 45.92 1,842 32.51 1,222 21.57 4,915 750.00 750 13.24Provincial Total 49,820 38,410 77.10 9,156 18.38 2,254 4.52 48,109 96.57 1,710 3.43CALAPAN CITY 2,574 1,078 41.88 1,302 50.58 194 7.54 2,380 92.46 194 7.54PTO. PRINCESA CITY 3,701 1,348 36.42 1,305 35.26 1,048 28.32 2,582 69.76 1,119 30.24Cities Total 6,275 2,426 38.66 2,607 41.55 1,242 19.79 4,962 79.08 1,313 20.92REGIONAL TOTAL 56,095 40,836 72.80 11,763 20.97 3,496 6.23 53,071 94.61 3,023 5.39


TABLE 17: NATALITY REPORT: TYPE OF PREGNANCY AND ATTENDANCE

PROVINCE/CITY

TOTALDELIVERIES

TYPE OF PREGNANCY DELIVERIES ATTENDED BY:NORMAL

PREGNANCYRISK

PREGNANCYNOT

KNOWN

DOCT

OR

NU

RSE

MID

WIF

E

TRN

D. H

ILO

T

UN

TRN

D. H

ILO

T

OTH

ERS

BIRTHS ATTENDED

BY TRAINED HEALTH

PERSONNEL INCL.

TRAINED HILOT

NO. % NO. % NO. %

Col. 3/2 Col. 3/2 Col. 7/2 Col.

9+10+11+121 2 3 4 5 6 7 8 9 10 11 12 13 14 15MARINDUQUE 4,800 3,205 66.77 1,587 33.06 8 0.17 676 23 2,108 1,957 36 0 4,764OCC. MINDORO 10,349 5,933 57.33 4,296 41.51 120 1.16 1,286 18 2,945 5,358 268 154 9,607OR. MINDORO 13,889 7,144 51.44 6,744 48.56 1 0.01 2,386 289 5,141 5,704 362 7 13,520PALAWAN 15,106 9,385 62.13 5,306 35.13 415 2.75 1,312 137 3,416 7,143 3,050 48 12,008ROMBLON 5,666 2,257 39.83 3,396 59.94 13 0.23 1,763 88 2,319 1,475 9 12 5,645Provincial Total 49,810 27,924 56.06 21,329 42.82 557 1.12 7,423 555 15,929 21,637 3,725 221 45,544CALAPAN CITY 2,574 85 3.30 2,467 95.84 22 0.85 1,496 0 119 955 3 1 2,570PTO. PRINCESA 3,690 2,582 69.97 1,088 29.49 20 0.54 1,498 8 944 780 468 3 3,230Cities Total 6,264 2,667 42.58 3,555 56.75 42 0.67 2,994 8 1,063 1,735 471 4 5,800REGIONAL TOTAL 56,074 30,591 54.55 24,884 44.38 599 1.07 10,417 563 16,992 23,372 4,196 225 51,344


TABLE 18: MORTALITY REPORT

PROVINCE/CITY

TOTALPOPULA-

TION

TOTALDEATHS

DEATHSBY GENDER

TOTALLIVE-

BIRTHS

MATERNALDEATHS

INFANTDEATHS

INFANT DEATHS DUETO NEONA-

TALTETANUS

STILLBIRTH( LATE FETAL

)MALE FEMALE

NO. RATE**Col. 3/2 NO.

RATE**Col. 5/2

NO. RATE**Col. 7/2 NO.

RATE**Col. 10/9

NO.RATE*

Col. 12/9

NO.RATE*

Col. 14/9

NO.RATE*

Col. 16/9

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17MARINDUQUE 221,701 1,532 691.02 797 359.49 735 331.53 4,800 3 62.50 87 18.13 2 0.42 63 13.13OCC. MINDORO 429,313 1,548 360.58 959 223.38 589 137.20 10,349 9 86.96 78 7.54 3 0.29 17 1.64OR. MINDORO 643,266 2,328 361.90 1,384 215.15 944 146.75 13,889 4 28.80 85 6.12 11 0.79 30 2.16PALAWAN 697,286 1,950 279.66 1,233 176.83 717 102.83 15,096 20 132.49 130 8.61 0 0.00 59 3.91ROMBLON 283,605 1,690 595.90 978 344.85 712 251.05 5,666 5 88.25 87 15.35 4 0.71 28 4.94Provincial Total 2,275,171 9,048 3.98 5,351 2.35 3,697 162.49 49,800 41 82.33 467 9.38 20 0.40 197 3.96CALAPAN CITY 128,624 664 516.23 372 289.22 292 227.02 2,574 3 116.55 39 15.15 0 0.00 9 3.50PTO. PRINCESA CITY

200,814 874 435.23 581 289.32 293 145.91 3,690 2 54.20 47 12.74 1 0.27 31 8.40

Cities Total 329,438 1,538 466.86 953 2.89 585 177.58 6,264 5 79.82 86 13.73 1 0.16 40 6.39REGIONAL TOTAL 2,604,609 10,586 406.43 6,304 242.03 4,282 164.40 56,064 46 82.05 553 9.86 21 0.37 237 4.23


TABLE 19: EXPANDED PROGRAM ON IMMUNIZATION

PROVINCE

ELI-GIBLE POP.

BCG % Measles %

DPT1 % DPT2 % DPT3 % OPV1 %

OPV2 %

Marinduque 7,034 4807 68 5021 71 5623 80 5482 78 5266 75 5537 79 5465 78Occ. Mindoro 12,871 11,634 90 11,762 91 12,363 96 12,115 94 11,916 93 12,066 94 12,155 94Or. Mindoro 19,440 20,234 104 20,391 105 20,458 105 20,506 105 20,376 105 20,726 107 20,793 106Palawan 20,717 17,994 87 17,463 84 18,778 88 17,784 86 16,971 82 19,056 92 17,969 87Romblon 8,651 6,562 76 6,441 74 6,669 77 6,893 80 7,169 83 6,667 77 6,632 77Calapan City 3,243 3,189 98 3,224 99 3,221 102 3,309 102 3,322 102 3523 109 3,628 112P. Princesa 5,422 5,690 105 4,874 90 5,455 101 5,147 95 4,984 92 5,461 101 5,169 95TOTAL 77,376 70,110 91 69,176 89 72,561 94 71,886 93 70,004 90 73,036 94 71,849 93

PROVINCE OPV3 %

Hepa B1

%

Hepa B2

%

Hepa B3 % TT2

plus % FIC %No. %

correctedMarinduque 5191 74 5517 78 5586 79 5034 72 3959 43 4866 69 4807 68Occ. Mindoro 12,213 95 11,716 91 11,666 91 11,977 93 10479 63 12,671 98 11,634 90Or. Mindoro 20,670 106 20,234 104 20,113 103 20441 105 20283 80 20,406 105 20,113 103Palawan 17,050 82 18,609 90 17,297 82 16,927 82 13366 50 17,282 83 16,927 82Romblon 6,651 77 6,481 75 6,402 74 6,322 73 5431 48 6,582 76 6,322 73Calapan City 3,588 111 3,131 97 3,409 105 3,456 107 3224 35 3,170 98 3,131 97P. Princesa 4,925 91 4,839 89 4,732 87 4,763 88 4398 63 4,881 86 4,732 87TOTAL 70,288 91 70,527 91 69,205 89 68,922 89 61140 61 69,858 90 68,922 89


TABLE 20: PRENATAL AND POSTPARTUM CARE CUMULATIVE REPORT

PROVINCE/CITY

PRENATAL POST PARTUM

ELIG.POP.

TP x 3.5%

PREGNANT WOMENWITH 3 OR MOREPRENATAL VISITS

PREGNANT WOMENGIVEN TT2

PLUS

ELIG.POP.

POSTPARTUMWITH AT LEAST 1

PP VISIT

POSTPARTUMWOMEN INITIATED

BREASTFEEDINGNO. % NO. % TP x 3% NO. % NO. %

Col. 3/2 Col. 5/2 Col. 8/7 Col. 10/71 2 3 4 5 6 7 8 9 10 11Marinduque 7,760 3,792 48.87 3,959 51.02 6,651 4,164 62.61 4,058 61.01Occidental Mindoro 15,026 8,364 55.66 7,919 52.70 12,879 7,562 58.71 7,498 58.22Oriental Mindoro 22,514 17,895 79.48 15,534 69.00 19,298 14,052 72.82 13,995 72.52Palawan 24,405 18,495 75.78 14,004 57.38 20,919 15,982 76.40 15,572 74.44Romblon 9,926 3,626 36.53 5,431 54.71 8,508 5,080 59.71 5,210 61.24Sub - Total 79,631 52,172 65.52 46,847 58.83 68,255 46,840 68.62 46,333 67.88Calapan City 4,502 2,580 57.31 2,544 56.51 3,859 2,583 66.94 2,583 66.94Puerto Princesa City 7,028 3,002 42.71 3,218 45.79 6,024 2,852 47.34 2,831 46.99Sub - Total 11,530 5,582 48.41 5,762 49.97 9,883 5,435 54.99 5,414 54.78Regional 91,161 57,754 63.35 52,609 57.71 78,138 52,275 66.90 51,747 66.22


TABLE 21: E.P.I. AND BREASTFEEDING CUMULATIVE REPORT

PROVINCE/CITYELIG.POP.

TP x 3%

FULLYIMMUNIZED

CHILDREN(9 - 11 MONTHS)

ELIG.POP.

TP x 3%x 80%

INFANTS GIVEN3RD DOSEOF HEPA B

INFANTSSEEN AT

4THMONTH

INFANTSEXCLUSIVELY

BREASTFED UPTO 4TH MONTH

NO. %Col. 3/2 NO. %

Col. 6/5 NO. %Col. 9/8

1 2 3 4 5 6 7 8 9 10Marinduque 6,651 4,885 73.45 5,321 5,032 94.57 4,453 3,699 83.07Occidental Mindoro 12,879 8,691 67.48 10,304 8,773 85.15 7,444 6,839 91.87Oriental Mindoro 19,298 17,236 89.32 15,438 16,387 106.14 14,416 14,360 99.61Palawan 20,919 16,591 79.31 16,735 16,556 98.93 16,020 14,498 90.50Romblon 8,508 6,502 76.42 6,807 6,312 92.73 5,569 4,606 82.71Sub - Total 68,255 53,905 78.98 54,604 53,060 97.17 47,902 44,002 91.86Calapan City 3,859 3,170 82.15 3,087 3,456 111.95 2,893 2,337 80.78Puerto Princesa City 6,024 3,886 64.50 4,820 3,858 80.05 2,740 775 28.28Sub - Total 9,883 7,056 71.39 7,907 7,314 92.51 5,633 3,112 55.25Regional 78,138 60,961 78.02 62,511 60,374 96.58 53,535 47,114 88.01


TABLE 22: C.D.D. AND A.R.I. CUMULATIVE REPORT

PROVINCE/CITY

C D D A R I

ELIG.POP.

TP x 14.5%x 2.8 x 10%

DIARRHEA CASESGIVEN ORS

(0 - 59 MONTHS)

ELIG.POP.

TP x 14.5%x 100/1000

PNEUMONIA CASES(0 - 59 MONTHS)

S E E N GIVEN TREATMENT

NO. %Col. 3/2 NO. %

Col. 6/5 NO. %Col. 8/6

1 2 3 4 5 6 7 8 9Marinduque 9,001 940 10.44 3,215 469 14.59 469 100.00Occidental Mindoro 17,430 2,076 11.91 6,225 220 3.53 210 95.45Oriental Mindoro 26,117 2,072 7.93 9,327 1,801 19.31 1,663 92.34Palawan 28,310 3,919 13.84 10,111 1,174 11.61 1,164 99.15Romblon 11,514 1,335 11.59 4,112 675 16.41 672 99.56Sub - Total 92,372 10,342 11.20 32,990 4,339 13.15 4,178 96.29Calapan City 5,222 370 7.09 1,865 266 14.26 266 100.00Puerto Princesa City 8,153 374 4.59 2,912 57 1.96 57 100.00Sub - Total 13,375 744 5.56 4,777 323 6.76 0.00Regional 105,747 11,086 10.48 37,767 4,662 12.34 4,178 89.62


TABLE 23-A: NUTRITION CUMULATIVE REPORT - FOOD SUPPLEMENTATION AMONG CHILDREN (6-59 MOS.)


TP x 12.2%

(MODERATELY UNDERWEIGHT) BELOW NORMAL - LOW


GIVEN FOODSUPPLEMENTATION

(N E W)

RECEIVINGFOOD

SUPPLEMENTATIONREHABILITATED

NO. %Col. 3/2 NO. %

Col. 5/3 NO. %Col. 7/3 NO. %

Col. 9/31 2 3 4 5 6 7 8 9 10Marinduque 27,048 2,490 9.21 463 18.59 711 28.55 231 9.28Occidental Mindoro 52,376 2,112 4.03 163 7.72 163 7.72 9 0.43Oriental Mindoro 78,478 4,882 6.22 462 9.46 429 8.79 64 1.31Palawan 85,069 775 0.91 555 71.61 626 80.77 604 77.94Romblon 34,600 1,771 5.12 500 28.23 503 28.40 81 4.57Sub - Total 277,571 12,030 4.33 2,143 17.81 2,432 20.22 989 8.22Calapan City 15,692 2,075 13.22 284 13.69 284 13.69 1,270 61.20Puerto Princesa City 24,499 1,973 8.05 831 42.12 837 42.42 493 24.99Sub - Total 40,191 4,048 10.07 1,115 27.54 1,121 27.69 1,763 43.55Regional 317,762 16,078 5.06 3,258 20.26 3,553 22.10 2,752 17.12


TABLE 23-B: NUTRITION CUMULATIVE REPORT - FOOD SUPPLEMENTATION AMONG CHILDREN (6-59 MOS.)


TP x 12.2%

(SEVERELY UNDERWEIGHT) BELOW NORMAL - VERY LOW


GIVEN FOODSUPPLEMENTATION

(N E W)

RECEIVINGFOOD

SUPPLEMENTATIONREHABILITATED

NO. %Col. 3/2 NO. %

Col. 5/3 NO. %Col. 7/3 NO. %

Col. 9/31 2 3 4 5 6 7 8 9 10Marinduque 27,048 337 1.25 105 31.16 145 43.03 35 10.39Occidental Mindoro 52,376 511 0.98 16 3.13 16 3.13 4 0.78Oriental Mindoro 78,478 561 0.71 346 61.68 197 35.12 99 17.65Palawan 85,069 281 0.33 50 17.79 174 61.92 225 80.07Romblon 34,600 156 0.45 45 28.85 47 30.13 7 4.49Sub - Total 277,571 1,846 0.67 562 30.44 579 31.37 370 20.04Calapan City 15,692 265 1.69 121 45.66 121 45.66 197 74.34Puerto Princesa City 24,499 166 0.68 93 56.02 107 64.46 459 276.51Sub - Total 40,191 431 1.07 214 49.65 228 52.90 656 152.20Regional 317,762 2,277 0.72 776 34.08 807 35.44 1,026 45.06


TABLE 23-C: NUTRITION CUMULATIVE REPORT - IRON AND IODIZED OIL

PROVINCE/CITY

I R O N IODIZED OIL

ELIG.POP.

TP x 3.5%

PREGNANT WOMENGIVEN COMPLETE

IRON DOSAGEELIG.POP.

TP x 3.0%

POSTPARTUM MOTHERSGIVEN COMPLETE

IRON DOSAGEELIG.POP.

TP x 25%

WOMEN 15 - 49 YEARSGIVEN IODIZED

OIL CAPSULE

NO. %Col. 3/2 NO. %

Col. 6/5 NO. %Col. 9/8

1 2 3 4 5 6 7 8 9 10Marinduque 7,760 4,073 52.49 6,651 3,317 49.87 55,425 0 0.00Occidental Mindoro 15,026 9,244 61.52 12,879 7,633 59.27 107,328 0 0.00Oriental Mindoro 22,514 14,617 64.92 19,298 12,813 66.40 160,817 0 0.00Palawan 24,405 17,121 70.15 20,919 12,923 61.78 174,322 609 0.35Romblon 9,926 2,836 28.57 8,508 2,650 31.15 70,901 0 0.00Sub - Total 79,631 47,891 60.14 68,255 39,336 57.63 568,793 609 0.11Calapan City 4,502 3,117 69.24 3,859 2,583 66.94 32,156 0 0.00Puerto Princesa City 7,028 16 0.23 6,024 37 0.61 50,204 0 0.00Sub - Total 11,530 3,133 27.17 9,883 2,620 26.51 82,360 0 0.00Regional 91,161 51,024 55.97 78,138 41,956 53.69 651,152 609 0.09


TABLE 23-D: NUTRITION CUMULATIVE REPORT - VITAMIN A


TP x 3.0%

LACTATINGMOTHERS GIVEN

CHILDREN(9 -11 MOS.) GIVEN

C H I L D R E N(12 - 59 MONTHS) GIVEN

NO. %Col. 3/2 NO. %

Col. 5/2ELIG. POP.TP x 11.2% NO. %

Col. 8/71 2 3 4 5 6 7 8 9Marinduque 6,651 3,424 51.48 4,847 72.88 24,831 20,820 83.85Occidental Mindoro 12,879 6,976 54.16 5,652 43.88 48,083 20,396 42.42Oriental Mindoro 19,298 13,270 68.76 15,277 79.16 72,046 32,116 44.58Palawan 20,919 10,135 48.45 20,882 99.83 78,096 91,205 116.79Romblon 8,508 4,764 55.99 6,702 78.77 31,764 51,873 163.31Sub - Total 68,255 38,569 56.51 53,360 78.18 254,819 216,410 84.93Calapan City 3,859 2,583 66.94 3,251 84.25 14,406 13,587 94.32Puerto Princesa City 6,024 1,192 19.79 4,482 74.40 22,491 13,851 61.58Sub - Total 9,883 3,775 38.20 7,733 78.24 36,897 27,438 74.36Regional 78,138 42,344 54.19 61,093 78.19 291,716 243,848 83.59


TABLE 24-A: FAMILY PLANNING - CUMULATIVE NEW ACCEPTORS

PROVINCE/CITY

TOTALNEW

ACCEPTORS

CONDOM INJECTIBLE I U D L A M N F P P I L L SMALE

STERILIZA-TION

FEMALESTERILIZATION

NO.%

Col. 3/2

NO.%

Col. 5/2

NO.%

Col. 7/2

NO.%

Col. 9/2

NO.%

Col. 11/2

NO.%

Col. 13/2

NO.%

Col. 15/2

NO.%

Col. 17/2

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18Marinduque 1,902 98 5.15 152 7.99 59 3.10 1,205 63.35 7 0.37 308 16.19 0 0.00 73 3.84Occ. Mindoro 10,610 387 3.65 1,361 12.83 396 3.73 5,708 53.80 1,031 9.72 1,468 13.84 6 0.06 253 2.38Or. Mindoro 11,744 384 3.27 1,063 9.05 262 2.23 6,563 55.88 473 4.03 2,886 24.57 0 0.00 113 0.96Palawan 9,036 87 0.96 1,077 11.92 118 1.31 6,137 67.92 337 3.73 1,194 13.21 7 0.08 79 0.87Romblon 3,377 20 0.59 264 7.82 266 7.88 2,219 65.71 37 1.10 441 13.06 0 0.00 130 3.85Sub - Total 36,669 976 2.66 3,917 10.68 1,101 3.00 21,832 59.54 1,885 5.14 6,297 17.17 13 0.035 648 1.77Calapan City 3,145 9 0.29 85 2.70 12 0.38 2,618 83.24 22 0.70 224 7.12 0 0.00 175 5.56Pto. Princesa City

1,869 10 0.54 536 28.68 9 0.48 913 48.85 13 0.70 352 18.83 - 0.00 36 1.93

Sub - Total 5,014 19 0.38 621 12.39 21 0.42 3,531 70.42 35 0.70 576 11.49 - 0.00 211 4.21Regional 41,683 995 2.39 4,538 10.89 1,122 2.69 25,363 60.85 1,920 4.61 6,873 16.49 13 0.03 859 2.06


TABLE 24-B: FAMILY PLANNING: CURRENT USERS REPORT

PROVINCE/CITY

TOTALCUR-RENTUSERS

CONDOM INJECTIBLE I U D L A M N F P P I L L SMALE

STERILIZA-TION

FEMALESTERILIZATION

NO. % NO. % NO. % NO. % NO. % NO. % NO. % NO. %Col. 3/2

Col. 5/2

Col. 7/2

Col. 9/2

Col. 11/2

Col. 13/2

Col. 15/2

Col. 17/2

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18Marinduque 10,045 792 7.88 1,672 16.65 708 7.05 1,073 10.68 46 0.46 4,178 41.59 8 0.08 1,568 15.61Occ. Mindoro

35,821 2,146 5.99 5,588 15.60 3,365 9.39 7,557 21.10 3,532 9.86 10,595 29.58 90 0.25 2,948 8.23

Or. Mindoro 56,772 2,398 4.22 8,821 15.54 3,889 6.85 5,876 10.35 2,968 5.23 28,931 50.96 78 0.14 3,811 6.71Palawan 47,517 1,802 3.79 6,859 14.43 1,917 4.03 7,819 16.46 4,036 8.49 21,004 44.20 167 0.35 3,913 8.23Romblon 11,551 289 2.50 817 7.07 2,122 18.37 1,522 13.18 412 3.57 2,967 25.69 61 0.53 3,361 29.10Sub - Total 161,706 7,427 4.59 23,757 14.69 12,001 7.42 23,847 14.75 10,994 6.80 67,675 41.85 404 0.25 5,601 9.65Calapan City 7,432 241 3.24 288 3.88 103 1.39 1,148 15.45 39 0.52 3,107 41.81 14 0.19 2,492 33.53Pto. Princesa City

26,831 609 2.27 6,753 25.17 821 3.06 5,580 20.80 2,829 10.54 7,592 28.30 60 0.22 2,587 9.64

Sub - Total 34,263 850 2.48 7,041 20.55 924 2.70 6,728 19.64 2,868 8.37 10,699 31.23 74 0.22 5,079 14.824Regional 195,969 8,277 4.22 30,798 15.72 12,925 6.60 30,575 15.60 13,862 7.07 78,374 39.99 478 0.24 20,680 10.55


TABLE 25-A: DENTAL HEALTH CUMULATIVE REPORT - PRESCHOOLERS AND SCHOOLERS

PROVINCE/CITY

PRE SCHOOLERS SCHOOLERSELIG.POP.

TP x 19% x 96% (PR) x 15% (ST)

PROVIDED CURATIVETREATMENT ELIG.

POP.TP x 19%

x 15% (ST)

PROVIDED PREVENTIVETREATMENT

ACTUALENROLLES

TP x 95.5% (PR)

x 30% (ST)

PROVIDED CURATIVETREATMENT

NO. %Col. 3/2 NO. %

Col. 6/5 NO. %Col. 9/8

1 2 3 4 5 6 7 8 9 10Marinduque 6,066 2,095 34.54 6,318 6,368 100.78 63,517 2,910 4.58Occidental Mindoro 11,746 1,890 16.09 12,235 6,538 53.44 122,998 3,443 2.80Oriental Mindoro 17,600 4,565 25.94 18,333 7,036 38.38 184,296 7,627 4.14Palawan 19,078 5,978 31.33 19,873 5,881 29.59 199,772 7,298 3.65Romblon 7,759 508 6.55 8,083 1,413 17.48 81,253 2,122 2.61Sub - Total 62,249 15,036 24.15 64,842 27,236 42.00 651,836 23,400 3.59Calapan City 3,519 48 1.36 3,666 313 8.54 36,851 1,063 2.88Pto. Princesa City 5,494 4,647 84.58 5,723 387 6.76 57,533 497 0.86Sub - Total 9,013 4,695 52.09 9,389 700 7.46 94,384 1,560 1.65Regional 71,262 19,731 27.69 74,231 0.00 746,220 0.00


TABLE 25-B: DENTAL HEALTH CUMULATIVE REPORT - PREGNANT WOMEN AND OTHER ADULTS

PROVINCE/CITY

PREGNANT WOMEN OTHER ADULTS

ELIG.POP.

TP x 3.5%x 35% (ST)

PROVIDED PREVENTIVETREATMENT

ELIG.POP.

TP x 3.5% x 98% (PR)x 35% (ST)


ELIG.POP.

TP x 57.1% x 98% (PR)x 10% (ST)


NO. %Col. 3/2 NO. %

Col. 6/5 NO. %Col. 9/8

1 2 3 4 5 6 7 8 9 10Marinduque 2,716 861 31.70 2,662 513 19.27 12,406 5,624 45.33Occidental Mindoro 5,259 983 18.69 5,154 426 8.27 24,023 5,660 23.56Oriental Mindoro 7,880 3,814 48.40 7,722 3,164 40.97 35,996 12,243 34.01Palawan 8,542 845 9.89 8,371 2,067 24.69 39,019 15,307 39.23Romblon 3,474 741 21.33 3,405 443 13.01 15,870 2,545 16.04Sub - Total 27,871 7,244 25.99 27,313 6,613 24.21 127,314 41,379 32.50Calapan City 1,576 421 26.72 1,544 259 16.77 7,198 3,332 46.29Puerto Princesa City 2,460 2,337 95.00 2,411 277 11.49 11,237 2,337 20.80Sub - Total 4,036 2,758 68.34 3,955 536 13.55 18,435 5,669 30.75Regional 31,906 10,002 31.35 31,268 7,149 22.86 145,749 47,048 32.28


TABLE 26: NATIONAL TUBERCULOSIS CUMULATIVE REPORT

PROVINCE/CITY

TOTALPOP.

TB SYMPTOMATICSWITH SPUTUMEXAMINATION

NEW SPUTUM (+)INITIATED TREATMENT

OLD SPUTUM (+)BEING

RE - TREATED

X - RAY (+)INITIATED

TREATMENT

TOTAL TB CASESGIVEN

TREATMENT

NO.RATE

Col. 3/2x100,000

NO.%Col.5/TP

x3/1000(PR)x 65% (ST)

RATECol. 5/2

x100,000NO.

RATECol. 8/2

x100,000NO.

RATECol. 10/2x100,000

NO.Col. 5 +8 + 10

RATECol. 12/2x100,000

1 2 3 4 5 6 7 8 9 10 11 12 13Marinduque 221,701 1,169 527.29 246 0.000 110.96 16 7.22 173 78.03 435 196.21Occ. Mindoro 429,313 1,976 460.27 491 0.000 114.37 23 5.36 182 42.39 696 162.12Or. Mindoro 643,266 3,815 593.07 563 0.000 87.52 25 3.89 295 45.86 883 137.27Palawan 697,286 2,981 427.51 771 0.000 110.57 66 9.47 263 37.72 1,100 157.75Romblon 283,605 1,764 621.99 355 0.000 125.17 36 12.69 202 71.23 593 209.09Sub - Total 2,275,171 11,705 514.47 2,426 0.000 106.63 166 7.30 1,115 49.01 3,707 162.93Calapan City 128,624 1,120 870.76 134 0.000 104.18 18 13.99 177 137.61 329 255.78Pto. Princesa City

200,814 830 413.32 101 0.000 50.30 11 5.48 56 27.89 168 83.66

Sub - Total 329,438 1,950 591.92 235 0.000 71.33 29 8.80 233 70.73 497 150.86Regional 2,604,609 13,655 524.26 2,661 0.000 102.17 195 7.49 1,348 51.75 4,204 161.41

PUBLISHED BY: PLANNING AND STATISTICS UNIT 83TABLE 27: LEPROSY CUMULATIVE REPORT

TABLE 28: SCHISTOSOMIASIS CUMULATIVE REPORT


NEW CASESDIAGNOSED

CONTINUINGTREATMENT

COMPLETEDTREATMENT

1 2 3 4 5Marinduque 221,701 5 8 0 Occidental Mindoro 429,313 6 10 4 Oriental Mindoro 643,266 4 18 2 Palawan 697,286 9 18 10 Romblon 283,605 0 1 1 Sub - Total 2,275,171 24 55 17 Calapan City 128,624 3 3 1 Puerto Princesa City 200,814 2 6 8 Sub - Total 329,438 5 9 9 Regional 2,604,609 29 64 26


STOOLEXAMINED

STOOLPOSITIVE

CASES GIVENTREATMENT

NO. %Col. 3/2 NO.

%Col. 5/3

NO.%

Col. 7/5

1 2 3 4 5 6 7 8Marinduque 221,701 0 0.00 0 0.00 0 0.00Occidental Mindoro 429,313 0 0.00 0 0.00 0 0.00Oriental Mindoro 643,266 582 0.09 61 0.00 218 0.01Palawan 697,286 0 0.00 0 0.00 0 0.00Romblon 283,605 0 0.00 0 0.00 0 0.00Sub - Total 2,275,171 0 0.00 0 0.00 0 0.00Calapan City 128,624 0 0.00 0 0.00 0 0.00 Puerto Princesa City 200,814 0 0.00 0 0.00 0 0.00 Sub - Total 329,438 0 0.00 0 0.00 0 0.00Regional 2,604,609 0 0.00 0 0.00 0 0.00


TABLE 29: RABIES CUMULATIVE REPORT

TABLE 30: FILARIASIS CUMULATIVE REPORT


ANIMAL BITE CASES SEEN GIVEN EXPOSURE IMMUNIZATION

NO. %Col. 3/2 NO. %

Col. 5/31 2 3 4 5 6Marinduque 221,701 395 0.18 285 72.15Occidental Mindoro 429,313 510 0.12 373 73.14Oriental Mindoro 643,266 278 0.04 132 47.48Palawan 697,286 968 0.14 275 28.41Romblon 283,605 271 0.10 22 8.12Sub - Total 2,275,171 2,422 0.11 1,087 44.88Calapan City 128,624 621 0.48 561 90.34Puerto Princesa City 200,814 310 0.15 304 98.06Sub - Total 329,438 931 0.28 865 92.91Regional 2,604,609 3,353 0.13 1,952 58.22


C A S E S G I V E N TREATMENT

NO. %Col. 3/2 NO. %

Col. 5/31 2 3 4 5 6Marinduque 221,701 516 0.23 74,378 33.55Occidental Mindoro 429,313 0 0.00 0 0.00

Oriental Mindoro 643,266 1 0.00 1 0.00Palawan 697,286 0 0.00 0 0.00Romblon 283,605 0 0.00 200,953 70.86Sub - Total 2,275,171 517 0.023 275,332 53255.71Calapan City 128,624 0 0.00 0 0.00Puerto Princesa City 200,814 0 0.00 0 0.00Sub - Total 329,438 - 0.00 - 0.00Regional 2,604,609 517 517.000 275,332 53255.71


TABLE 31: MALARIA CUMULATIVE REPORT

TABLE 32: STD CUMULATIVE REPORT


CLINICALLYDIAGNOSED

CONFIRMEDC A S E S

GIVENTREATMENT

NO. %Col. 3/2 NO. %

Col. 5/2 NO. %Col. 7/3

1 2 3 4 5 6 7 8Marinduque 221,701 0 0.00 0 0.00 0 Occidental Mindoro 429,313 120 0.03 305 0.07 305 254.17Oriental Mindoro 643,266 7 0.00 91 0.01 91 1,300.00Palawan 697,286 6,758 0.97 7,151 1.03 7,269 107.56Romblon 283,605 0 0.00 0 0.00 0 Sub - Total 2,275,171 6,885 0.30 7,547 0.33 7,665 111.33Calapan City 128,624 0 0.00 0 0.00 0 Puerto Princesa City 200,814 0 0.00 883 0.44 883 Sub - Total 329,438 - 0.00 883 0.27 883 Regional 2,604,609 6,885 0.26 8,430 0.32 8,548 124.15


TP x 25%

WITH VAGINALDISCHARGE

WITH URETHALDISCHARGE ELIG.

POP.TP x 50%

WITH GENITALU L C E R S

NO. %Col. 3/2 NO. %

Col. 5/2 NO. %Col. 8/7

1 2 3 4 5 6 7 8 9Marinduque 55,425 37 0.07 11 0.02 110,851 0 0.00Occ. Mindoro 107,328 56 0.05 2 0.00 214,657 0 0.00Or. Mindoro 160,817 113 0.07 5 0.00 321,633 0 0.00Palawan 174,322 173 0.10 16 0.01 348,643 2 0.00Romblon 70,901 17 0.02 1 0.00 141,803 0 0.00Sub - Total 568,793 396 0.07 35 0.01 1,137,586 2 0.00Calapan City 32,156 79 0.25 22 0.07 64,312 0 0.00Pto. Princesa City 50,204 620 1.23 6 0.01 100,407 0 0.00Sub - Total 82,360 699 0.85 28 0.03 164,719 - 0.00Regional 651,152 1,095 0.17 63 0.01 1,302,305 2 0.00


TABLE 33: IMMUNIZATION CUMULATIVE REPORT (BY ANTIGEN)

PROVINCE/CITY

Eligible Pop

TP x 3%BCG

%(Col. 3/2)

Mea-sles

%(Col. 5/2)

DPT 1

DPT 2

DPT 3

%(Col. 9/2)

OPV 1

OPV 2

OPV 3

%(Col. 13/2)

Hepa B1

Hepa B2

Hepa B3

%(Col. 17/2)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18Marinduque 6,651 4,820 72.47 5,021 75.49 5,623 5,482 5,267 79.19 5,537 5,465 5,202 78.21 5,517 5,586 5,034 75.69Occ. Mindoro 12,879 8,561 66.47 8,632 67.02 9,025 9,002 8,862 68.81 9,029 8,989 8,918 69.24 8,771 8,704 8,874 68.90Or. Mindoro 19,298 17,045 88.33 17,147 88.85 17,237 17,197 17,054 88.37 17,203 17,165 17,082 88.52 16,982 17,032 16,827 87.20Palawan 20,919 16,716 79.91 16,430 78.54 17,844 16,844 16,052 76.74 18,957 16,811 12,440 59.47 17,759 16,466 16,276 77.81Romblon 8,508 6,562 77.13 6,441 75.70 6,669 6,893 7,169 84.26 6,667 6,632 6,651 78.17 6,481 6,402 6,322 74.31Sub - Total 68,255 53,704 78.68 53,671 78.63 56,398 55,418 54,404 79.71 57,393 55,062 50,293 73.68 55,510 54,190 53,333 78.14Calapan City 3,859 3,189 82.64 3,224 83.55 3,221 3,309 3,322 86.09 3,523 3,628 3,588 92.98 3,131 3,409 3,456 89.56Pto. Princesa City

6,024 2,848 47.27 2,695 44.73 2,903 2,740 2,637 43.77 2,931 2,772 2,570 42.66 2,556 2,493 2,575 42.74

Sub - Total 9,883 6,037 61.08 5,919 59.89 6,124 6,049 5,959 60.29 6,454 6,400 6,158 62.31 5,687 5,902 6,031 61.02Regional 78,138 59,741 76.46 59,590 76.26 62,522 61,467 60,363 77.25 63,847 61,462 56,451 72.25 61,197 60,092 59,364 75.97


TABLE 34: REGIONAL CONSOLIDATION ON OPERATION TIMBANG

Prov

ince

s Mun. Brgys. No. of Preschoolers Weighed By Nutritional Status and Sex PSC Weighed

Total Weiighed

Estimat-ed/Ac-

tual No. of PSC

% Cov.w/

OPT

w/o

OPT w/

OPT

w/o

OPT Normal BNVL BNL Above Normal

Boys GirlsBoys Girls Total Boys Girls Total Boys Girls Total Boys Girls Total

Mdq

ue 6 12,075 10,972 23,047 103 172 275 1,711 1,688 3,399 75 70 145 13,964 12,902 26,866 27,775 97

Occ

. Mdo 11 162 31,537 30,152 61,689 705 903 1,608 4,217 3,905 8,122 561 507 1,068 37,020 35,467 72,487 82,425 88

Or.

Mdo

. 14 366 37,558 36,216 73,774 664 721 1,385 5,230 4,977 10,207 415 376 791 43,867 42,290 86,157 96,314 89

Pala

wan 22 40,744 38,211 78,955 914 1,211 2,125 8,562 8,134 16,696 190 186 376 50,410 47,742 98,152 98,252 100

Rom

blon 17 15,734 14,498 30,232 146 274 420 1,970 1,935 3,905 126 123 249 17,976 16,830 34,806 35,333 99

Cala

pan 62 7,156 6,679 13,835 65 73 138 848 796 1,644 122 96 218 8,191 7,644 15,835 16,118 98

PPC 66 11,502 10,645 22,147 101 180 281 1,434 1,347 2,781 167 152 319 13,204 12,324 25,528 25,555 100

CHD

IV B 70 656 0 56,306 147,373 303,679 2,698 3,534 6,232 23,972 22,782 46,754 1,656 1,510 3,166 184,632 175,199 359,831 381,772 94

% 84 2 13 1



CENTER FOR HEALTH DEVELOPMENT NO. IV-BJANUARY – DECEMBER, 2008

Annexes


ANNEX 1: NATIONAL LEPROSY CONTROL PROGRAM

PROVINCES / CITIES POP.

REGIS-TERED

CASES BE-GINNING

YEAR

NEW CASES TO-TAL

NEW CAS-

ES

CASES TX W/ MDT DUR-

ING THE YEAR

CASES WHO COM-PLETED TREATMENT

REAC-TION

*(death)

RELAPSE **(trans

out)

CASES ON TREAT-

MENT AT THE END OF THE

YR.

TO T

AL

PR CDRWHO DIS-

ABILITY GRADING

CHILD < 15 Y/O TOTAL

TOTAL WHO COM-

PLETED

COM-PLETED

ON TIME

PB MB Gr. 1

Gr. 2 PB MB PB MB PB MB PB MB PB MB PB MB PB MB PB MB

MARINDUQUE 221,701 0 4 0 0 0 0 0 7 7 0 11 0 4 0 0 0 1 0 0 0 6 6 0.27 3.15 OCC. MINDORO 429,313 0 12 0 0 0 0 0 4 4 0 16 0 6 0 6 0 0 0 0 0 10 10 0.23 0.93 OR. MINDORO 643,266 0 11 0 0 0 0 0 12 12 0 23 0 9 0 0 0 0 0 0 0 14 14 0.21 1.86 PALAWAN 697,286 0 7 0 0 0 0 0 5 5 0 12 0 4 0 0 0 0 0 0 0 8 8 0.11 0.71 ROMBLON 283,605 0 3 0 0 0 0 0 0 0 0 3 0 2 0 0 0 0 0 0 0 1 1 0.03 - CALAPAN CITY 128,624 0 0 0 0 0 0 1 2 3 1 2 0 1 0 0 0 0 0 0 1 1 2 0.15 2.33 PTO PRINCESA CITY

200,814 0 12 0 0 0 0 0 5 5 0 17 0 12 0 0 0 0 0 1 0 4 4 0.19 2.42

TOTAL 2,604,609 0 49 0 0 0 0 1 35 36 1 84 0 38 0 6 0 1 0 1 1 44 45 0.17 1.38


ANNEX 2: NATIONAL RABIES CONTROL PROGRAM

PROVINCES/CITIES SEX AGE BITING ANIMAL AB HUMAN CASE POST EXPOSURE PROPHYLAXIS

M F <15 >15 D C O AB HR TCV HRIG ERIGCat I Cat II Cat III

MARINDUQUE 187 203 168 222 352 22 16 390 97 270 23 0 223 0 4OCCIDENTAL MINDORO

490 387 390 487 870 0 7 877 342 317 218 0 637 0 0

ORIENTAL MINDORO

139 136 114 161 248 18 9 275 111 106 58 0 135 0 0

PALAWAN 847 713 716 844 1392 90 78 1560 145 656 176 2 708 0 38ROMBLON 224 160 179 205 360 17 7 384 26 127 231 0 214 0 0CALAPAN CITY 340 281 295 326 549 44 28 621 502 59 32 0 561 0 59PUERTO PRINCESA CITY

362 317 342 337 594 76 9 679 2 458 219 0 666 0 2

TOTAL 2,589 2,197 2,204 2,582 4,365 267 154 4,786 1,225 1,993 957 2 3,144 0 103


ANNEX 3: DISTRIBUTION OF HOSPITALS AND OTHER HEALTH FACILITIES (GOVERNMENT -DOH, NON-DOH AND PRIVATE)

ANNEX 4: HOSPITAL LICENSURE (GOVERNMENT AND PRIVATE HOSPITALS)

PROVINCES/CITIES

GOVERNMENT HOSPITALS

TOTALGov”tHospi-

tal

PRIVATE HOSPITALS

TOTALPrivateHospi-

tal

GRANDTOTAL

(RETAINED) DOH NON-DOHLevel 1 Level 2 Level 1 Level 2 Level 1 Level 2 Level 3

Gen

eral

Spec

ial

Gen

eral

Spec

ial

Gen

eral

Spec

ial

Gen

eral

Spec

ial

Gen

eral

Spec

ial

Gen

eral

Spec

ial

Gen

eral

Spec

ial

Marinduque - - - - 1 - 2 - 3 - - - - - - - 3Occ. Mindoro - - - - 6 - 2 - 8 4 - - - - - 4 12Or. Mindoro - - - - 7 - 1 - 8 10 1 3 - 1 - 15 23Palawan - - 2 - 7 - 2 - 11 4 - 3 - - - 7 18Romblon - - - - 4 - 3 - 7 1 - - - - - 1 8Total - - 2 - 25 - 10 37 19 1 6 - 1 - 27 64

PROVINCES

HOSPITALS INSPECTED TOTAL HOSPITALS

Govt. Private

Number%

Number%

Number%

Accomplishment Accomplishment AccomplishmentMarinduque 3 100 - 100 3 100Occ. Mindoro 8 100 4 100 12 100Or. Mindoro 8 100 14 100 22 100Palawan 11 100 7 100 18 100Romblon 7 100 1 100 8 100Total 37 100 26 100 63 100


ANNEX 5: HOSPITAL BEDS (GOVERNMENT AND PRIVATE) POPULATION RATIO BY PROVINCE

ANNEX 6: TOTAL NUMBER AND PERCENTAGE OF LICENSED HOSPITALS, MIMAROPA, 2008

PROVINCES/ CITIES TOTAL POPULATION

NO. OF AUTHORIZED BEDTOTAL BEDS

(Govt and Private)BED POPULATION

RATIOGOVERNMENT PRIVATEDOH Non-DOH

Marinduque 221,701 - 135 - 135 1:1,642Occ. Mindoro 429,313 - 230 47 277 1:1,550Or. Mindoro 643,266 - 85 100 185 1:3,477Palawan 697,286 600 150 84 834 1:836Romblon 283,605 - 213 10 223 1:1,272Provincial Total 2,275,171 600 813 241 1654 1:1,376Calapan City 128,624 - 100 150 250 1:514Puerto Princesa City 200,814 100 20 75 195 1:1,030Cities Total 329,438 100 120 225 445 1:740REGIONAL TOTAL 2,604,609 700 933 466 2,099 1:1,241

Province Total Number of Hospitals

LGU Hospitals DOH Hospitals Private HospitalsNo.

Licensed % No. Licensed % No.

Licensed %

Occidental Mindoro 12 8 100 - - 4 100Oriental Mindoro 22 8 100 - - 14 100Marinduque 3 3 100 - - - -Romblon 8 7 100 - - 1 100Palawan 19 9 90 2 100 7 100TOTAL 64 35 2 100 26


ANNEX 7-A: LIST OF HOSPITALS, CY 2008

NAME OF HOSPITAL ADDRESS ABC CAT. CLASS COH/MED. DIRECTOR LICENSE NUMBERMARINDUQUE

GOVERNMENT HOSPITALS Torrijos Municipal Hospital Torrijos 10 Level 1 Municipal Dr. Josine Oblipias 04B-L1- 010- 012 - 08GDr. Damian Reyes Mem. Hosp. Brgy.Santol, Boac 100 Level 2 Provincial Dr. Gerardo Caballes 04B-L2- 100 - 011- 08GSta. Cruz District Hospital Brgy. Lapu2, Sta. Cruz 25 Level 2 District Dr. Thelma P.Principe 04B-L2- 025 - 033- 08GTOTAL BEDS 135PRIVATE HOSPITALS NONETOTAL BEDS 0

OCCIDENTAL MINDOROGOVERNMENT HOSPITALS

Abra de Ilog Municipal Hospital Abra de Ilog 10 Level 1 Municipal Dr. Carlos R. Dipasupil 04B-L1-010-032-08GLubang District Hospital Brgy. Tangal, Lubang 25 Level 1 District Dr. Judith Santosidad 04B-L1-025-013-08GPaluan Medicre Hospital Paluan 10 Level 1 Medicare Dr. Barbara Aquino(OIC) 04B-L1-010-041-08GRizal Community Hospital Sto. Nino, Rizal 10 Level 1 Municipal Dr.Eduardo Liboro 04B-L1-010-026-08GSta. Cruz Community Hospital Poblacion I, Sta. Cruz 10 Level 1 Municipal Dr. Marieta Tongson 04B-L1-010-051-08GOccidental Mindoro Prov. Hosp. Mamburao 100 Level 2 Provincial Dr. Antonio J. Ramos 04B-L2-100-017-08GSan Jose District Hospital San Jose 40 Level 2 District Dr. Noelito Fernandez 04B-L2-040-028-08GSan Sebastian District Hospital Buenavista, Sablayan 25 Level 1 District Dr. Paulino Legaspi 04B-L1-025-019-08GTOTAL BEDS 230

PRIVATE HOSPITALSSt. Magdalene Hospital San Jose 7 Level 1 General Dr.Lope C. Asilo 04B-L1-007-052-08PZapanta Maternity and Gen. Hosp. San Jose 15 Level 1 General Dr. Senen Zapanta 04B-L1-015-025 -08PWesmin Polyclinic, Inc. San Jose 10 Level 1 General Dr. Carmen N. Nueve 04B-L1-010-022- 08PSt. Martin Mission Hospital Sablayan 15 Level 1 General Sr. Ma. Fe Encarnacion 04B-L1-015-002-08PTOTAL BEDS 47


ANNEX 7-B: LIST OF HOSPITALS, CY 2008ORIENTAL MINDORO

GOVERNMENT HOSPITALSBulalacao Community Hospital Bulalacao 10 Level 1 Municipal Dr. Roberto Gonzales 04B-L1-010 - 020-08GGloria Medicare Hospital Gloria 10 Level 1 Medicare Dr. Jorge G. Palomaria 04B-L1-010-047-08GMansalay Medicare Hospital Mansalay 10 Level 1 Medicare Dr. Archie Yboa 04B-L1-010-006- 08GNaujan Municipal Hospital Santiago, Naujan 10 Level 1 Municipal Dr. Lenelinda Onanan 04B-L1-010-053-08GRoxas District Hospital Odiong, Roxas 25 Level 1 District Dr. Anthony Cruzado 04B-L1-025-063-08GOriental Mindoro Prov. Hospital Calapan City 100 Level 2 Provincial Dr.Normando Legaspi 04B-L2-100-034- 08GBongabong Community Hospital Bongabong 10 Level 1 Municipal Dr. Levon Franco Baldoza 04B-L1- 010- 027-08GPinamalayan Community Hosp. Pinamalayan 10 Level 1 Municipal Dr. Guillermo Gonzales 04B-L1-010- 005- 08GTOTAL BEDS 185

PRIVATE HOSPITALSSenor Tesoro Medical Clinic Poblacion II, Victoria 8 Level 1 General Dr. Leo P. Geronimo 04B-L1-008-029-08PMina de Oro General Hospital Poblacion IV, Victoria 8 Level 1 General Dr. Gregorio S. Valdez 04B-L1-008-055-08PPinamalayan Doctors Hospital Pinamalayan 30 Level 1 General Dr. Mignone Ng 04B-L1-030-044-08PSta. Maria Village Clinic Blk.4,Sta.Maria Village, Calapan City 25 level 2 General Dr.L.Jeronimo Santos 04B-L2-025-014-08PChildren’s Medical Clinic Bonbon, Calapan City 15 Level 1 Special Dr. Emmanuela K. Lim 04B-L1-015-049-08PHospital of the Holy Cross Kalaw St. Ilaya,CC 30 Level 2 General Dr.Jose Priela 04B-L2-030-054-08PMa. Estrella General Hospital Tawiran, CC 50 Level 2 General Dr.Lorenzo V. Goco 04B-L2-050-030-08PMMG Hospital and Health Services Corp.

Lalud, Calapan City 30 Level 3 General Dr. Claro Reyes 04B-L3-030-042-08P

Ernesto L. Manalo Med. Clinic Bongabong 6 Level 1 General Dr. Joseph ManaloUmali Medical Hospital Victoria 5 Level 1 General Dr. Virgilio Umali 04B-L1- 005-018- 08PSt. Laurence Hospital Victoria 4 Level 1 General Dr.Baldomero Esteban 04B-L1- 004-004- 08PSt. Paul General Hospital Pinamalayan 10 Level 1 General Dr. Lani Alcaide 04B-L1- 010-023- 08PDe Los Reyes Medical Clinic Pinamalayan 10 Level 1 General Dr. De Los Reyes 04B-L1- 010- 035-08PGrace Mission Hospital Socorro 15 Level 1 General Dr. Charis Santiago 04B- L1-015-021- 08PNuestro Espiritu Med/Surg Diagnostic Center

Bongabong 4 Level 1 General Dr. Adolfo Espiritu 04B-L1-004-031-08P

TOTAL BEDS 250


ANNEX 7-C: LIST OF HOSPITALS, CY 2008PALAWAN

GOVERNMENT HOSPITALSAborlan Medicare Hospital Poblacion, Aborlan 15 Level 1 Medicare Dr. Ma. Arlin Josue 04B-L1-015-010-08GQuezon Medicare Hospital Alfonso XII, Quezon 10 Level 1 Medicare Dr. Romulo Robles 04B-L1-010-008-08GRoxas Medicare Hospital Roxas 15 Level 1 Medicare Dr. Zaida Cagape 04B-L1-015-010-08GBrooke’s Point District Hospital Pangobian, Brooke’s 25 Level 1 District Dr. Mary Ann Navarro 04B-L1-025-037-08GNarra Municiapal Hospital Nat’l Highway, Narra 10 Level 1 Municipal Dr.Perciverando Tangub 04B-L1-010-062-08GTaytay District Hospital Taytay 25 Level 1 District Dr.Saludes (OIC) 04B-L1-025-024-08GCoron District Hospital Coron 25 Level 2 District Dr. Edgar P. Flores 04B-L2-025-060-08GCulion Sanitarium Culion 600 Level 2 District Dr. Arturo Cunanan 04B-L2-600-039-08GCuyo District Hospital Cuyo 25 Level 1 District Dr. Ricardo J. Adalid 04B-L1-025-061-08GCamp Gen. Artemio Ricarte Station Hosp

Puerto Princesa City 20 Level 2 Military LTC Eugenio Mislang MC 04B-L2-020-045-08G

Ospital Ng Palawan Malvar St. PPC 100 Level 2 Provincial Dr. Glorifino M.San Juan 04B-L2-100-009-08GTOTAL BEDS 870

PRIVATE HOSPITALSPalawan Baptist Hospital Roxas 12 Level 1 General Dr. Eduardo B. Salise 04B-L1-012-007-08PRTN Foundation Inc., Hospital Rio Tuba, Bataraza 30 Level 1 General Dr. Reginaldo Mia 04B-L1-030-050-08PPalawan Adventist Hospital Puerto Princesa City 50 Level 2 General Dr. Chuck Loreto Garcia 04B-L2-050-015-08PLeoncio General Hospital Brgy. Pangobian, Brooke’s Point 17 Level 2 General Dr. Narciso B. Leoncio 04B-L2-017-003-08PMMG- PPC Cooperative Hospital Puerto Pricesa City 25 Level 1 General Dr. Dan Bonbon 04B-L2-025-048-08PSagrado Medical and Children’s Clinic Brooke’s Point 15 Level 1 General Dr. Raul Sagrado 04B-L1-015-040-08PBeracha Medical Clinic Brooke’s Point 10 Level 1 General Dr. Elvie Soriano 04B-L1-010-001-08PTOTAL BEDS 159


ANNEX 7-D: LIST OF HOSPITALS, CY 2008

PALAWANGOVERNMENT HOSPITALS

Aborlan Medicare Hospital Poblacion, Aborlan 15 Level 1 Medicare Dr. Ma. Arlin Josue 04B-L1-015-010-08GQuezon Medicare Hospital Alfonso XII, Quezon 10 Level 1 Medicare Dr. Romulo Robles 04B-L1-010-008-08GRoxas Medicare Hospital Roxas 15 Level 1 Medicare Dr. Zaida Cagape 04B-L1-015-010-08GBrooke’s Point District Hospital Pangobian, Brooke’s 25 Level 1 District Dr. Mary Ann Navarro 04B-L1-025-037-08GNarra Municiapal Hospital Nat’l Highway, Narra 10 Level 1 Municipal Dr.Perciverando Tangub 04B-L1-010-062-08GTaytay District Hospital Taytay 25 Level 1 District Dr.Saludes (OIC) 04B-L1-025-024-08GCoron District Hospital Coron 25 Level 2 District Dr. Edgar P. Flores 04B-L2-025-060-08GCulion Sanitarium Culion 600 Level 2 District Dr. Arturo Cunanan 04B-L2-600-039-08GCuyo District Hospital Cuyo 25 Level 1 District Dr. Ricardo J. Adalid 04B-L1-025-061-08GCamp Gen. Artemio Ricarte Station Hosp

Puerto Princesa City 20 Level 2 Military LTC Eugenio Mislang MC 04B-L2-020-045-08G

Ospital Ng Palawan Malvar St. PPC 100 Level 2 Provincial Dr. Glorifino M.San Juan 04B-L2-100-009-08GTOTAL BEDS 870

PRIVATE HOSPITALSPalawan Baptist Hospital Roxas 12 Level 1 General Dr. Eduardo B. Salise 04B-L1-012-007-08PRTN Foundation Inc., Hospital Rio Tuba, Bataraza 30 Level 1 General Dr. Reginaldo Mia 04B-L1-030-050-08PPalawan Adventist Hospital Puerto Princesa City 50 Level 2 General Dr. Chuck Loreto Garcia 04B-L2-050-015-08PLeoncio General Hospital Brgy. Pangobian, Brooke’s Point 17 Level 2 General Dr. Narciso B. Leoncio 04B-L2-017-003-08PMMG- PPC Cooperative Hospital Puerto Pricesa City 25 Level 1 General Dr. Dan Bonbon 04B-L2-025-048-08PSagrado Medical and Children’s Clinic Brooke’s Point 15 Level 1 General Dr. Raul Sagrado 04B-L1-015-040-08PBeracha Medical Clinic Brooke’s Point 10 Level 1 General Dr. Elvie Soriano 04B-L1-010-001-08PTOTAL BEDS 159

ROMBLONGOVERNMENT HOSPITALS

Don Modesto Formelleza Sr. Mem. Hosp Punta, Looc 25 Level 2 Municipal Dr. Irvin D. Alojado 04B-L2-025-043-08GSan Andres Municipal Hospital San Andres 10 Level 1 Municipal Dr.Erwin Tangunan 04B-L1-010-057-08GSan Jose District Hospital Poblacion, San Jose 10 Level 1 District Dr. joan Aguirre 04B-L1-010-056-08GTablas Island District Hospital San Agustin, Tablas 25 Level 1 District Dr. Fermin M. Fatalla 04B-L1-025-058-08GRomblon Provincial Hospital Odiongan 75 Level 2 Provincial Dr. Edmundo Y. Reloj 04B-L2-075-038-08GRomblon District Hospital Romblon 50 Level 2 District Dr. Gumban 04B-L2-050-036-08GSibuyan District Hospital Cajidiocan 18 Level 1 District Dr. Ramon D. Villanueva 04B-L1-018-016-08GTOTAL BEDS 213

PRIVATE HOSPITALS Tablas Doctors Hospital Odiongan 10 Level 1 General Dr. Venizar Maravilla 04B-L1-010-059-08PTOTAL BEDS 10TOTAL BEDS (Govt. Hosp.) 1,633TOTAL BEDS (Private Hosp.) 466GRAND TOTAL 2,099


ANNEX 8: FUNCTIONAL INTER-LOCAL HEALTH ZONES (ILHZ)

PROVINCES FUNCTIONAL ILHZMarinduque (2) District I

(Boac, Buenavista, Gasan, Mogpog)

District II(Sta. Cruz and Torrijos)

Occidental Mindoro (1) SaMaRiCa(Sablayan, Magsaysay,Rizal, Calintaan)

Oriental Mindoro (3) North ILHZ(Puerto Galera, San Teodoro,Baco, Calapan, Naujan and Victoria)

South ILHZ(Bongabong, Roxas,Mansalay and Bulalacao)

Central ILHZ(Socorro, Pola, Pinamalayan.Gloria and Bansud)

Palawan (1) BusCoCuLin(Busuanga, Coron, Culion, Linapacan)

Romblon (1) Southern Tablas(Alcantara, Looc, San Jose,Sta. Fe and Sta. Maria)

PUBLISHED BY: PLANNING AND STATISTICS UNIT 99ANNEX 9: FILARIASIS MASS DRUG ADMINISTRATION (MDA) COVERAGE

ANNEX 10: DORMITORY (COLLECTIONS AND EXPENDITURES)

PROVINCES/CITIES 2007 2008Target Accomplishment % Target Accomplishment %

MARINDUQUE 128,558 87,065 68 177,155 169,645 96OCC. MINDORO 208,070 195,501 94 206,471 191,098 93OR. MINDORO 556,621 502,542 90 700,837 634,181 90PALAWAN 621,756 466,542 75 661,422 399,341 60ROMBLON 252,207 200,048 79 254,127 199,982 79PTO. PRINCESA 155,000 152,089 98 165,000 95,742 58CALAPAN CITY 120,293 108,457 90TOTAL 1,922,212 1,603,787 83 2,285,305 1,798,446 79

MONTHS NO. OF OCCUPANTS COLLECTIONS EXPENDITURESJanuary 31 8,725.00 February 60 12,100.00 March 27 9,608.00 April 52 11,733.00 6,208.13 May 39 9,790.00 9,955.31 June 44 2,375.00 July 37 20,159.00 5,053.13 August 39 6,650.00 4,108.13 September 73 8,475.00 October 18 2,025.00 4,226.25 November 54 9,000.00 3,596.25 December 77 42,575.00 6,086.71 TOTAL 551 143,215.00 39,233.91


ANNEX 11: RECORDS

1. Received and recorded all incoming communications

(Proposed and approved appointmnts, special orders, memos, entrance to duty, approved leave applications, terminal leave, retirments, step increments, salary adjustments, resignations endorsements, other miscellaneous comunications)

3,607

2. Released and recorded all outgoing communications. (Proposed and approved appointments, memos, entrance to duty, approved leave applica-tions, step increment, salary adjustments,terminal leave, retirements, resignations, legal cases, endorsements, and other miscellaneous communications)

2,192

3. Delivered communications, letters, appointments, loan applications, remittances, indorsements, etc. to the DOH, CSC, GSIS, PAGIBIG, POST OFFICE, OMBUDSMAN, and other govt agencies/offices 341

4. Mailed letters/telegrams. *** 383

5. Personnel Special Orders : Numbered Disseminated 1,251

2,193

6. Classified and coded communications, indorsements, issuances, etc., for filing. 1,910

7. Reviewed and authenticated documents. 6,572

8. Sorted and and filed/retried personnel recorded, appointments, issuances, indorsements, miscellaneous communications/doc.

2,493

* Stamps used for mail - P6,000.00 Transportation Allowance - P13,959.50


ANNEX 11-A: STATEMENT OF CASH ALLOCATIONS RECEIVED

NCA RECEIVED

Date of NCA NCANumber

Regular Mid-Year Bonus

Salary Differential

Clothing Allowance

Performance Bonus

Terminal Leave

Accounts Payable Total

PS MOOE January 4, 2008 316319-3 7,728,000.00 6,511,000.00 620,000.00 14,859,000.00 February 20, 2008 316398-5 969,175.18 969,175.18 March 5, 2008 316464-1 3,788,000.00 310,000.00 980,000.00 490,000.00 5,568,000.00 March 6, 2008 316470-0 209,481.00 209,481.00 April 10. 2008 316599-3 11,517,000.00 13,020,000.00 2,114,000.00 930,000.00 27,581,000.00 July 10, 2008 316846-5 12,447,000.00 13,020,000.00 25,467,000.00 July 31, 2008 316903-6 1,503,748.00 1,503,748.00 September 5, 2008 3163995-0 547,073.00 547,073.00 October 21, 2008 6628 14,184,178.00 5,173,022.00 19,357,200.00 October 27, 2008 6909 224,179.00 224,179.00 December 5, 2008 9572 346,361.00 346,361.00 December 15, 2008

10623 1,225,700.00 1,225,700.00

Dec. 2, 2008 9378(sub-allotment)

4,387,545.00 4,387,545.00

Total 52,393,626.00 42,111,567.00 2,114,000.00 1,860,000.00 490,000.00 1,327,094.00 969,175.18 102,245,462.18


ANNEX 11-B: LIST OF NOTICE OF TRANSFER OF CASH ALLOCATIONS RECEIVEDSub-Allotment from Central Office:

Date of NTCA NTCA No. P/P/A Programs Total

Janaury 15, 2008 05 A.II.a.4.b. Provisions for Drug and Medicines- Botika ng Barangay 1,444,000.00

February 1, 2008 48 A.III.c.2.f. Prevention and Control of Other Infectious Diseases-National Anti-Dengue Campaign 100,000.00

April 10, 2008 144 A.III.b.2.b.1. IDPC-Public Health Threat Disease(Soil Transmitted Helmenthiasis Control Program) 100,000.00

April 21, 2008 166 A.III.b.2.c. Non-Communicable Disease Prevention and Control- 150,000.00

April 21, 2008 183 A.II.c.4. Doctors to the Barrios 23,000.00

May 2, 2008 195 A.III.b.2.b.1. IDPC-Public Health Threat Disease(Schistosomiasis Control Program) 390,000.00

May 6, 2008 208 A.III.b.2.d. Family Health-Provincial Facility Mapping and Needs Assessment 371,250.00

May 8, 2008 216 A.III.b.1 Epidemiology and Disease Surveillance-Conduct of Phil.Integrated Disease Surveillance and Response 500,000.00

May 15, 2008 218/219 A.I.a. Gen.Mgt. and Supervision-Campaign Against Malaria Desease in Occidental Mindoro 2,000,000.00

May 16, 2008 241 A.III.b.1 Epidemiology and Disease Surveillance-Conduct of Phil.Integrated Disease Surveillance and Response 1,000,000.00

June 3, 2008 270 A.III.b.1 Epidemiology and Disease Surveillance-Field Health Service Information System,version 2008. 500,000.00

July 3,2008 298 A.III.b.2.e. Environmental and Occupational -RIACEH on Solid Wastes, Food Safety and Sanitation 100,000.00

July 10, 2008 334 IDPC-Public Health Threat Disease(Rabies Control Program) 100,000.00

July 18, 2008 346 A.III.b.2.b.1. IDPC-Public Health Threat Disease(Malaria Control Program) 50,000.00

July 18, 2008 342/343 A.I.a. Gen. Mgt. and Supervision(Campaign against Malaria) 2,000,000.00

July 22, 2008 410 A.III.b.4. Health promotion-Advocacy and mobilization of activities,production and media placement 500,000.00

August 4, 2008 354 A.III.b.2.b.1. IDPC-Public Health Threat Disease(Filariasis Control Program) 100,000.00

August 12, 2008 371 A.III.b.5 Health Emergency Mgt. Staff(HEMS) activities 750,000.00

Sept. 8, 2008 553 A.III.b.2.b.3.b. Tuberculosis Control Program 829,427.00

Sept. 9, 2008 521 A.II.c.4. Doctors to the Barrios 40,000.00

Sept. 9, 2008 540 A.III.b.2.d. Family Health-Infant and Young Child Feeding: Integrated Course 554,610.00

October 2, 2008 591 A.III.b.5. Health Emergency Mgt. Staff(HEMS) activities 2,500,000.00

October 14, 2008 617 A.III.b.2.b.3.c. IDPC- Other Infectious Disease(AIDS/STI Prevention and Control Program training activities 594,700.00

October 22, 2008 623 A.II.e.2. Health System Dev’t. Program - Geographically Isolated and Disadvantaged Areas(GIDAs) 280,000.00

October 29, 2008 636 A.III.b.8.k. Treatment and Rehabilitation Program funds-Promotion,Advocacy and comm. Activities of DDAPTP 125,000.00

October 29, 2008 661 A.III.b.8.k. Treatment and Rehabilitation Program funds-Promotion,Advocacy and comm. Activities of DDAPTP 100,000.00

November 6, 2008 671 A.III.b.2.a NCDPC-PHDP-Formulation of Public Health Policies and QA 300,000.00

November 6, 2008 684 A.III.e.b.2.e. Environmental and Occupational -2008 Nat’l. Search for Brgy. w/ Best Sanitation Practices 99,200.00

November 20, 2008 724 A.III.b.2.d. Family Health- Operationalization of Grant Facility to LGU’s 1,000,000.00

November 27, 2008 752 A.II.e.1 Fomula One(F1) for Health for the nation wide roll -out sites 50,000.00

December 5, 2008 793 A.II..e.2. HSDP- F1 16 Pilot and 15 Rollout 2,375,000.00

December 5, 2008 785 A.II..e.2. Formula One(F1) for Health for the Nation-wide 300,000.00

Total NCA and NTCA

19,326,187.00 121,571,649.18


ANNEX 11-C: LIST OF FUND TRANSFER

UNICEFDate Description Amount June 23, 2008 For the Inplementation of Health and Nutrition Activities. 190,460.00 Sept. 22, 2008 For the Training and monitoring on EPI/REB Strategy 209,400.00

399,860.00 Global FundsDate Description Amount June 18, 2008 HIV Project for Puerto Gallera and Puerto Princesa 399,726.00 July 1, 2008 Round 6-Blood Safety Component for 1st and 2nd Qtr. 51,498.00 August 28, 2008 Round 6-Blood Safety Component for 3rd and 4th Qtr. 73,269.00

524,493.00 WHO FundsDate Description Amount January 29, 2008 Post Knock Out Tigdas Workshop 312,000.00 May 6, 2008 Child Survival Program-Monitoring Checklist Training 280,500.00

592,500.00


ANNEX 12: CASHIER SECTIION EXPENDITURES

A. Payment of Salaries, Wages, and other benefits of CHD IV-BSalaries and other benefits 14,758,776.22 Magna Carta (SQL and Hazard) 5,710,723.75 Year End Benefits Bonus and Cash Gifts 2,378,595.00 CNA Incentives 3,818,700.00 Performance Bonus 1,741,000.00 Clothing Allowance 308,000.00 Productivity 152,700.00 Longevity Pay 254,403.03 Cultural and Athletic Bonus 92,400.00 Loyalty Award 25,000.00 Monetization 463,498.11 Terminal leave 1,000,123.98 Pag-ibig Contributions 1,856,420.49 Phil. Health Insurance 585,350.00 Cost of Living Allowance 2,536,000.00 Cash Emolument 290,500.00 Total 35,972,190.58 B. Payment of Mandatory ExpensesLight and Water 1,653,764.32 Communications 503,079.68 Fidelity Bond 241,878.75 Security and JanitorialTop Priority Security and Investigation Agency 937,494.52 Power Master 827,804.47 Extraordinary Expenses 90,826.00 Total 4,254,847.74 GRAND TOTAL 40,227,038.32

PUBLISHED BY: PLANNING AND STATISTICS UNIT 105ANNEX 13: TRANSPORTACTIVITIES PLATE NUMBER AMOUNT

I. Registration of Vehicles

February 14, 2008 SDA 271 5,400.00

April 30, 2008 SEA 125 and SDJ 805 4,060.00

July 29, 2008 SDJ 688 2,260.00

August 29, 2008 SBC 749 1,660.00

Total 13,380.00

II. Spare parts and Repair

April 11, 2008 Leaf spring and axle 6,208.57

May 12, 2008 SDJ 805 27,765.18

June 23, 2008 SBC 749 18,390.00

July 14, 2008 SDJ 805 8,043.76

July 29, 2008 SDA 271 71,278.12

Total 131,685.63

III. Additional Spare parts

August 1, 2008 SDA 271 7,514.65

August 6, 2008 spare parts 49,308.93

August 12, 1008 SEA 125 16,640.63

August 29, 2008 SDJ 688 98,709.37

December 23, 2008 SDJ 688 14,858.93

Total 187,032.51

IV. Tires and Batteries

April 18, 2008 5 pcs. Tires 11,783.04

October 18, 2008 2 pcs 2SM batteries 9,028.93

October 27, 2008 1 pc. 3SM battery 5,600.02

December 11, 2008 5 pcs. Tires 31,232.15

December 16, 2008 5 pcs. Tires 20,565.90

Total 78,210.04

V. Insurance of Vehicles

Jan. to June 2008 22,507.03

July to Dec. 2008 19,920.21

Total 42,427.24

V. Aircon Repair

April 11, 2008 SEA 125 3,140.63

August 5, 2008 SDJ 805 4,078.12

Total 7,218.75

GRAND TOTAL 459,954.17

Documents

Annual Report (Latest)