Issuu on Google+


2011 ANNUAL REPORT CHD -CARAGA

CHD- Caraga Annual Report 2011


2011 Annual Accomplishment Report


Messa ge I

n our pursuits for excellent service that can have a sustainable impact on the lives of all for whom these are intended, collaboration of all stakeholders should prevail. This is in acknowledgement that it is impossible to successfully deliver quality healthcare services to clienteles with various needs at different levels without the combined efforts of everyone concerned. To fully implement the strategies outlined in the Universal Health Care (UHC) or KalusuganPangkalahatan (KP) Thrust of PNoy, involvement of all agencies, government or private is a must to engage. Each of these institutions should be clarified with their respective roles and functions so that duplication that may result to waste of resources be minimized – thus effectively and efficiently using government’s resources. This document presents the CHD Caraga accomplishments for the year 2011. Emphasized in here are the various activities that were implemented regionwide for the health and welfare of all especially the poorest of the poor. Clearly in this instrument we enumerated the valuable contribution of our partner agencies thru their representatives who contributed a lot to every activity they participated. Only time can tell the worthiness of each one’s contribution that makes community life very meaningful for everyone.

ARIEL I. VALENCIA, MD, MPH, CESO III Director IV CHD-Caraga

CHD- Caraga Annual Report 2011

i


TABLE OF CONTENTS I. Cover page II. Message from the Director III. Kalusugan Pangkalahatan: The Three Major Thrusts A. Attaining the Health-Related Millennium Development Goals ...................2 - 27 - Crude Birth Rate and Crude Death Rate - Maternal Mortality Reduction - Infant Mortality Reduction - UnderďŹ ve Mortality Reduction - Other activities Toward Meeting MDG - Garantisadong Pambata & other Nutrition Program Activities - Newborn Screening Major Activities - Family Planning - Community Health Team - Non Communicable / Degenerative Disease Cluster - Infectious Disease Center - National Voluntary Blood Service Program - Regional Epidemiology Surveillance Unit (RESU) B. Financial Risk Protection ..................................................................................28 - 29 - National Health Insurance Program (NHIP) C. Improved Access to Quality Healthcare Facilities .....................................30 - 42 - Health Facilities Enhancement Program (HFEP) - Province-wide Investment Planning for Health (PIPH) - Inter Local Health Zone (ILHZ) Activities - Integrated Development Committee (IDC) - Regulation, Licensing, Enforcement Division (RLED) Activities IV. Other Accomplishments Supporting Kalusugan Pangkalahatan ........................43 - 45 a. Lakbay Aral of CHD Personnel b. Health Human Resource Development (HHRD) c. Gender and Development (GAD) Activities V. 2011 on the GO ..........................................................................................................46 - 51

ii

CHD- Caraga Annual Report 2011


Caraga Region

Vision : Champion in Accelerating Reforms for the Attainment of a Guaranteed and Accessible Healthcare Services Mission : Committed to provide a responsive and sustainable quality healthcare services especially to the marginalized sector in partnership with all stakeholders Thrusts : Better Health Outcome More Responsive Health System Equitable Health Care Financing Values : Compassionate Accountable Responsive Achiever Grounded/God-fearing Available/Accessible

2011 Annual Accomplishment Report

1


ATTAINING THE HEALTH-RELATED Status of Important Health Indicators Caraga Region Vs. National Target Caraga

Indicator

Philippines 2010 (NOH)

2001

2011

CBR

25.65/1000 pop

17.84

22.0

•Increased by 23.32% from 2001-2011 •Lower by 14.33% vs NOH 2010 target

3.2

3.72

•Increased by 16.25% from 2001-2011

CDR

Caraga Status

MMR

90/100000 live births

161

83

•Decreased by 48.45% from 2001-2011 •More than attained the NOH 2010 target

IMR

17/1000 live births

17.4

6.86

•Decreased by 60.57% from 2001-2011 •More than attained the NOH 2010 target

UFMR

32/1000 live births

26

9.84

•Decreased by 62.15% from 2001-2011 •More than attained the NOH 2010 target

CPR

60%

47.3

52.5

•Increased by 11% from 2001- 2011 •Attained 87.5% of the NOH 2010 target

FIC

95%

74.6

90.6

•Increased by 21.5% from 2001-2011 •Attained 95.37% of the NOH 2010 target

FBD

70%

16.5

70.0

•Increased by 324% from 2001-2011 •Attained 100% of the NOH 2010 target

SBA

70%

50.3

77.0

•Increased by 53.1% •Attained 110% over the NOH 2010 target

NHIP Enrolment

100% of indigents

-

90%

• Attained 90% of the NOH 2010 target

HH W/ Access to safe water

94%

70.6%

91.1%

•Increased by 29.03% from 2001-2011 •Attained 97% of the NOH 2010 target

HH w/ sanitary toilet

91%

72.2%

84.5%

•Increased by 17.03% from 2001-2011 •Attained 92.86% of the NOH 2010 target

TB:CDR

70%

89% (2005)

91.6%

•Increased by 3% from 2001-2011 •Attained 131% over NOH 2010 target

TB:Cure Rate

>85%

90% (2005)

90.14

•Increased by <1% from 2001-2011 •Attained 106% over NOH 2010 target

2

CHD- Caraga Annual Report 2011


MILLENNIUM DEVELOPMENT GOALS Status Report on MDG Attainment Caraga Region, 2011 Indicators 2015 Target MDG 1: > Target 2: • Prevalence of Underweight Children (%) • Percent of Households with per capita energy less than 100% adequacy

Accomplishment

17.25 34.7

10.86 (NNC)

8.7 5.8

9.84 (FHSIS, 2011) 6.86 (FHSIS, 2011)

52

83 (FHSIS, 2011)

80

52.5 (FHSIS, 2011)

< 1%

< 1% (16)(RESU, 2011)

MDG 6: > Target 9: • Malaria Morbidity Rate • Malaria Mortality Rate

15/100,000 0.05/100,000

1.65 (FHSIS, 2011) 0.0 (FHSIS, 2011)

• TB Morbidity Rate (per 100,000 pop) • TB Mortality Rate

137.3/100,000 19.6/100,000

134.6 (FHSIS,2011) 13.0 (FHSIS, 2011)

86.8 83.8

91.1 (FHSIS, 2011) 84.5 (FHSIS, 2011)

MDG 4: > Target 5: • Under 5 Mortality Rate (per 1000 livebirths) • Infant Mortality Rate (per 1000 livebirths) MDG 5: > Target 6: • Maternal Mortality Ratio (per 1000 livebirths) > Target 7: • Contraceptive Prevalence Rate (%) MDG 6: > Target 8: • HIV/AIDS Prevalence Rate (No. of Cases)

MDG 7: > Target 11: • Household with access to Safe Water (%) • Household with Sanitary Toilet (%) MDG 8: > Target 13: • Botika ng Barangay (No, if BnBs/No. if Brgys)

897 (68%)

CHD- Caraga Annual Report 2011

3


Crude Birth Rate • Against NOH target, Caraga’s CBR is 14.33% lower in 2011 (22.0/1000 pop vs. 25.68/1000 pop). • For the past 10 years (2011 – 2011), the average yearly increase is only 0.42/1000 pop (22.0 – 17.84 = 4.16/10 yrs.) • There are 54,248 livebirths on a 51 males to 49 females ratio. • Agusan del Sur has the highest with 30% of these livebirths

Crude Death Rate • CDR in Caraga region has slightly increased by 16.25% which is from 3.2/1000 pop to 3.72/1000 pop. • This means that there are 9,179 deaths in 2011with 60% males and40% females. • The leading causes of deaths are mostly lifestyle related to include hypertensive cardiovascular diseases,cancer, diabetes, and renal diseases and some due to in fectious like pneumonias, tuberculosis, and septicemias. LEADING CAUSES OF MORTALITY Caraga Region

Causes

CY:2011 (Rate/100,000 pop.) No.

1. Hypert. Cardiovascular Dse. 2. Pneumonias

Rate

LEADING CAUSES OF MORBIDITY Caraga Region

CY:2010 (Rate/100,000 pop.) No.

Rate

5 yr. Ave. (2004-2008) Rate/100,000 pop. No.

Causes

Rate

CY:2010 (Rate/100,000 pop.)

5 yr. Ave. (2005-2009) Rate/100,000 pop.

No.

Rate

No.

Rate

No.

Rate

118,310

4,797

148,726

6,466

126,409

5.746

2,761

112

2,668

105

3,328

151

1. ARI/UTRI w/ Bronchitis

963

39

670

26

884

40

2. Hypert. CVD

19,008

771

27,829

1,210

21,371

971

3. Injuries/ Wounds (all types)

18,874

765

15,783

686

14,709

669

4. Diarrheas/ AGEs

17,761

720

11,256

489

18,071

821

5. Genito-Urinary Dse.

14,861

603

12,574

547

13,203

600

3. Cancer (all types)

835

34

787

31

709

32

4. Diabetes

422

17

303

12

391

18

5. Accidental all forms

345

14

650

25

695

32

6. Tuberculosis

319

13

329

13

530

24

7. Renal Disease

316

13

279

11

342

16

8. Multi Organ Failure

303

12

299

12

239

11

9. COPD

265

11

250

10

177

8

10. Sepsis/Septicemia

243

10

203

8

210

10

4

CY:2011 (Rate/100,000 pop.)

CHD- Caraga Annual Report 2011

6. Skin Disease

13,383

543

20,008

870

13,073

594

7. Pneumonias

11,668

473

10,758

468

16,649

757

8. Dental Problems

7,832

318

21,259

924

18,085

822

9. TB (all forms)

3,319

134

5,024

209

2,148

137

10. Malnutrition

2,065

84

2,856

114

2,783

127


Maternal Mortality Ratio • MDG target for Caragafor 2015 is 52/100,000 live births while NOH 2010 target is 90/100,000 • highest in Surigao del Norte (1.51/1000 l.b.) but almost 30% (13 out of 45 ) occurred in Agusan del Sur • causes mostly are postpartum haemorrhage due to various secondary causes and pre/post eclampsia • shows decreasing trend since 2008 reduction should be prioritized. • efforts to increase facility-based delivery and attendance by highly skilled personnel, increase per pentage FP users, for en hanced pre and post natal care need to be focused and doubled to realize target. • strengthen private and public partnership in implementing efforts toward maternal mortality reduction should beprioritized.

Continuing advocacy and institutionalization of FBD and Delivery attendance of Health Personnel are excellent factors contributing to the decreasing maternal and infant deaths in CaragaRegion . These are achieved thru strengthened Public Private Partnership in all areas of the region.

CHD- Caraga Annual Report 2011

5


Infant Mortality Rate • In 2011 the rate considerably decreases by more than 60% from 2001 • 372 infants died in 2011or 6.9 per 1000 L.B. • highest (12.2/1000 l.b.) in Surigao City due to lower livebirths but most (140 deaths) occurred in Agusan del Sur with IMR of 8.8/1000 l.b. Lowest (3.2/1000L.B.)in PDI – maybe due to referral to Surigao City • leading causes of infant deaths are mostly filth-related diseases like pneumonia, sepsis, diarrhea, meningitis and neonatal tetanus and pre/post maturity • Trend is generally decreasing with a very satisfactory rate of progress leading to high possibility of attaining MDG Target .

• Immunization of infants is one effective strategy that dramatically reduce infant mortality • Fully Immunized Children (FIC) in Caraga Region has remarkably increased by more than 20% since 2001. So that in 2011,91% of the target infants were fully immunized. However, there were areas which upon data validation, it was found out that there were no more children missed.

6

CHD- Caraga Annual Report 2011


Underfive Mortality Ratio • trend is generally decreasing with rate of progress leading to higher possibility of at taining the MDG target (8.7/1000 L.b.) • 33% in Agusandel Sur (175/534) while rate is lowest in the Agusan del Norte (4.89 /1000 l.b.) and lower in the province of Dinagat Islands (5.09/1000 l.b.) the rate is higher in Butuan City (11.14/1000 l.b.) and highest in Surigao del Norte and Surigao City combined (13.45 & 16.42/1000 l.b. respectively). Referral of cases to this cities can be a factor to be considered for this phenomenon • garantisadong pambata implementation twice a year for the past many years has been considered to help reduce under5 mortality ratio • leading causes are all preventable and can be prevented with people concerned on the lead.

CHD- Caraga Annual Report 2011

7


CARAGA REGION 2011 Garantisadong Pambata and Other Nutrition Program Activities Toward Meeting Millennium Development Goals In addition to the regular 2 rounds of Garantisadong Pambata (GP) every year the following were the other Nutrition Program Orientation and Training Workshop activities: • Child Growth Standards • Infant and Young Child Feeding • Nutrition Updates • New GP Strategy * Nutrition in Emergency (NIE) and Infant and Young Child Feeding in Emergency (IFE) Nutrition in Emergency and Infant (NIE) and Young Child Feeding in Emergency (IFE) was a training that lasted for 7 days and attended by 48 municipal/city Nutritionist-Dietitians, PHTLs, Social Welfare Officers, P/CNAO and Disast Preparedness Officers - the Provincial/City Team on Nutrition in Emergency. This training is designed to improve the capability of the team in various aspects to better prepare and effectively and efficiently respond during emergencies. Caraga Region obtained an average of 94% during the 1st and 2nd round of GP implementation in April and October 2011 respectively. Agusan del Norte got the highest with the rate of 98.93%, followed by Butuan City with 98.74%, Agusan del Sur 97.7%, Surigao City 94.41%, Surigao del Norte 92.97%, Surigao del Sur 92.78%, PDI 71.95% and Bislig City 71.02%.

8

CHD- Caraga Annual Report 2011


Newborn Screening Major Activity Highlights Caraga Region supports RA 9288, the Newborn Screening Act of 2004. This law mandates that all newborns should be routinely screened, health staff should be trained and NBS coverage should reach 85% in 2011. • Orientation of Mothers on New born Screening in Carmen, Agusan del Norte with more than 100 mothers in attendance with Mayor Ramon M. Calo and his Municipal Council Members and Barangay Captains. 16 participants from BeMONC and CeMONC facilities of Agusandel Norte had their hands – on training on heel pricking to extract blood sample from newborns present.

Newborn Screening Annual Accomplishment Report Caraga Region 2011

Area

Pop

E.Pop (2.7%)

Livebirth

Newborn referred for screening M

F

Total

%

ADN

337,632

9,116

7,565

1,679

1,663

3,342

44

ADS

667,294

18,017

15,946

935

885

1,820

11

SDN

307,178

8,294

5,949

616

555

1,171

20

SDS

471,370

12,727

9,827

1,906

1,728

3,634

37

PDI

129,024

3,484

2,160

247

229

476

22

BXU

314,293

8,486

7,986

1,377

1,288

2,665

33

SC

142,957

3,860

2,863

888

831

1,719

60

BiC

96,452

2,604

1,952

454

413

867

44

2,466,200

66,587

54,248

8,102

7,592

15,694

29

CARAGA

• Orientation/Update on Newborn Care Package and Consultative Meeting for All Newborn Screening Coordinators. The activity was attended by 102 participants composed of Municipal Health Officers, Provincial NBS Coordinators, Chief of Hospitals, Medical Technologists and Nurses with Mr. Zandro Etic of PhilhealthCaragawho discussed the Newborn Care Package. • Caraga-wide Youth Leaders Orientation and Planning Work shop: Mobilizing Youth Leaders for Promotion and Advocacy on Newborn Screening The activity aims to expand the Volunteer Youth Leaders for Health network. This activity serves as a good venue to orient the new members to Newborn Screening, metabolic disorders, rare orphan disorders and strategies for advocacy. The activity was attended by 40 SK Chairpersons and members from the five provinces of Caraga. An inspirational message was delivered by the Founding Member of VYLH- Philippines, Mr. Ryan Pascual. Genetic Nurse from UP Manila, Ms. Aster Lyn Sur discussed the Orphan Disorders and Newborn Screening while the SB on Health of Butuan City, Dr.Nery talked on the Role of Youth in Health. Planning sessions were facilitated by the Project Development Officers from the Newborn Screening Center- Davao, Ms. AmehraMatuan and Perly Fuentes.

CHD- Caraga Annual Report 2011

9


Family Planning The number of couples or women of reproductive age who chose to avail of any birth control method of their choice whether natural or artificial is a factor contributing to Caraga’s population growth. The trend of Contraceptive Prevalence Rate (CPR) is somewhat irregular since 2003, yet it is steadily increasing in the past 3 years from 2009 – 2011. According to NDHS 2008 survey, TFR for Caraga women is 4.3, this means that in their entire reproductive years, these women can have 4 to 5 children. Comparing Caraga CPR with that of 60% NOH target for modern natural and artificial FP methods for 2010, the province of Agusan Sur and the cities of Butuan and Bislig have already reached the target.

10 CHD- Caraga Annual Report 2011

Family Planning Program Caraga Region 2011 Area

Pop

Elig.Pop

Total Current Users

CPR

Agusan del Norte

337,632

41,613

19,670

47.3

Agusan del Sur

667,294

82,244

50,846

61.8

Surigao del Norte

307,178

37,860

14,029

37.1

Surigao del Sur

471,370

58,096

26,665

45.9

Province of Dinagat Is.

129,024

15,902

8,028

50.5

Butuan City

314,293

38,737

23,817

61.5

Surigao City

142,957

17,619

9,069

51.5

Butuan City CARAGA

96,452

11,888

7,470

62.8

2,466,200

303,959

159,594

52.5


COMMUNITY HEALTH TEAM MOBILIZATION Community Health Teams (CHTs) are community volunteer groups that are deployed to the various communities to provide assistance to the families meet their health needs by providing them with the necessary and appropriate health information and when required, facilitate linkage with appropriate healthcare providers. This is one of the strategies designed to effectively and efficiently implement Administrative Order 2010-0036 or the Aquino Health Agenda: Achieving Universal Health Care for all Filipinos. Universal Health Care (UHC) or Kalusugan Pangkalahatan (KP) is the thrust of the present administration for the health and welfare of the Filipinos especially those that belong to the 1st and 2nd economic quintiles. Like in many regions, this has been implemented in meaningful collaboration with DepEd, DSWD, DILG and DOH. 12 Key Messages 1. Keep your promise to stay healthy 2. Have at least 4 prenatal care visits 3. Give birth at a health center, lying – in or hospital 4. Breastfeed your child right after birth 5. Complete your child’s immunization 6. Space your children 3 to 5 years apart 7. Practice proper hygiene 8. Live a healthy lifestyle 9. Use your PhilHealth Card 10. Use your PhilHealth benefits 11. Know where to go for health services 12. Go to a health center if you have been coughing for 2 weeks or more

CHD- Caraga Annual Report 2011

11


NON-COMMUNICABLE /DEGENERATIVE DISEASE CLUSTER HEALTHY LIFESTYLE PROGRAM: • Orientations/Training Workshops/Advocacy Toward Reduction of Morbidity and Mortality Due to Lifestyle Related Diseases

12 CHD- Caraga Annual Report 2011


RENAL DISEASE CONTROL PROGRAM (REDCOP) There are about 6,500 yearly deaths in the country secondary to various kidney diseases. In Caraga, it is among the top ten leading causes of mortality. The cost of medical treatment for most of the acquired kidney diseases has been so expensive. Renal transplantation is limited because of the shortage of donors. The best that we can do at present is to concentrate our efforts on the prevention of renal diseases through a series of advocacy and to conduct training among health personnel and partners. • Consultative Meeting Workshop/Status Reporting on Kidney Diseases Prevention Program Implementation among Stake holders • Lay Forum on the Prevention of Kidney Diseases among Barangay Captains, BHWs, Health Workers, Students, Pupils & Municipal Employees • Kidney Month Celebration in June which was high lighted by a Press Conference • Assisted NKTI in the conduct of urinalysis training among PHOs, CHOs, MHOs and District Chief • REDCOP Award o Radio Guesting and Interview o Strong Collaboration with Dep-Ed and LGUs o Distribution of IEC materials to the different health facilities and partner agencies o Updates of the program, constraints, problems in the course of the program implementation; reviewed criteria in the selection of best REDCOP implementers and reporting forms o Collection and validation of Renal Registry reports o Monitoring and Evaluation on the implementation of advocacy and training of the prevention of Kidney diseases. CHD- Caraga Annual Report 2011

13


SMOKING CESSATION PROGRAM Smoking has profound impact on public health. It does not only affect the active smokers, but also those who are exposed to secondhand smoke. It is a major risk factor for the development of non-communicable diseases. Studies have shown that exposure to tobacco smoke for as little as 8 to 20 minutes can already cause physical reactions linked to heart disease and stroke. Ten Filipinos die every hour and one-third of the population is at risk of dying from debilitating diseases and painful deaths due to tobacco use. Economic losses due to productivity and health care costs of the top 4 tobacco-related diseases (Cancer, Heart Disease, Stroke and chronic obstructive pulmonary diseases) are conservatively estimated at PhP149 billion annually. Search for the 100% Smoke-Free Environment or the DOH Red Orchid Awards 2011 is now on going. It calls for the absolute Smoking ban in DOH Offices, hospitals, and attached agencies and Local Government Units Activities of the Program in 2011: • Orientation, symposium, layforum on Smoking, lifestyle-related diseases and its prevention among High School Students of Butuan City,School Division Superintendents, School Principals, Science Supervisors, Teachers, Barangay Captains and BHWs during the World No Tobacco Day Celebration. • DOH Red Orchid Validation and Healthy Lifestyle Awards • Lectures of Smoking among post op cataract patients • MPOWER Training among selected LGUS ( 2nd batch) • Smoking Cessation Training among Provincial/ City Coordinators, Dep-Ed and LGUs nominees for Red Orchid Awards • CHD Media Forum/ Press Conferences • Resource Speaker per invitation by line agencies, local schools/ academes Institution Topic o FSUU - Smoking, Cervical Cancer o BJMP, Butuan City Jail - Launching of Anti – Smoking Campaign o Private Mining in Tubay - Smoking, Healthy Lifestyle o Radio Consumers’ Net - Smoking •1st CHD-Caraga Red Orchid/REDCOP/Healthy Lifestyle Awarding and advocacy • Information campaign during Disability Clinic and CBR Congress Regional Red Orchid Valitation • Lobbying/ advocacy to LCEs for Red Orchid Awards and HL Awards • Lakbay Aral in Maasin City • Regular field visits and monitoring on the implementation of anti – smoking ordinances • Attendance to National Red Orchid Awards RED ORCHID AWARDEE 2011 LGU-VERUELA, AGUSAN DEL SUR

Launching of Smoking at BJMP, Butuan City

14 CHD- Caraga Annual Report 2011


COMMUNITY-BASED REHABILITATION PROGRAM (CBRP) Republic Act No. 7277, “An Act Providing for the Rehabilitation, Self-Development, and Self-Reliance of Disabled Persons and Their Integration into the Mainstream of Society and for Other Purposes” and otherwise known as The Magna Carta for Disabled Persons, was passed in July 19, 1991. This declared the rights and privileges of persons with disabilities to equal opportunities to employment, education, health, auxiliary social services, telecommunications, accessibility and political and civil exercises. Regional Committee for the Welfare of Disabled Persons under the DSWD Office was renamed as Regional Committee on Disability Affairs and was transferred to the Office of the President. It is a collegial body, a consultative structure and a strategy of National Council on Disability Affairs at the regional level that will maintain partnership with Regional Line Agencies, NGOs, DPOs and LGUs. It is the structure in the region to deliberate and discuss issues and or formulate policies and plans, develop programs and implement services through their member agencies for PWDs. Activities Conducted: • Attendance to Regional Committee on Disability Affairs, Quarterly at Regional DSWD Office • Training of Community-Based Rehabilitation Program (CBRP) among Program Coordinators and selected BHWs • Disability Clinic/Registration and Physical Examination • Celebration of National Disability Prevention & Rehabilitation Week • Training of National Electronic Injury Surveillance & Online PWD Registration • Facilitated CBR Congress in San Francisco, Agusan del Sur. • Conducted Ear Care Skills Training among PHNs, RHMs and BHWs in Agusan del Norte • Attendance to Sign Language Training among PWDs ELDERLY PROGRAM

INJURY PREVENTION & CONTROL PROGRAM

Activities conducted in 2011

The DOH National Epidemiology Center reported 1,022 cases of the firework related injuries from 50 Sentinel Hospitals to January 5, 2011. This is lower than the 1036 fireworks related injuries in 2009.

• Orientation of the IRR of RA No. 9994” Expanded Senior Citizens Act of 2010” among • Attendance to the Capacitating OSCA Heads on How to Handle Complaints • Attendance to the Quarterly Regional Coordinat ing & Monitoring Board (RCMB) Meeting

Activities conducted to further reduce Fireworks - related Injuries in 2011 • Radio Guesting • Press Conference • Orientation/Training on Software Enhance ments for the Online Reporting of Injury Cases/ Kontra Paputok • Distribution of IEC materials to LGU facilities CHD- Caraga Annual Report 2011

15


National Tuberculosis Control Program (NTP) National Tuberculosis Control Program (NTP) Tuberculosis persistently remains in the top ten leading causes of morbidity and mortality in the past many years. However, the rates are decreasing and this can be due to the various activities effectively and efficiently implemented thru enhanced public private partnership toward achievement of MDG target for TB. NTP Remarkable Performance: • Cure Rate has been maintained at over 90% • 24 TBDOTS Centers Regionwide

Area

Population

TB symptomatics who underwent DSSM

Smear Positive Discovered

M

F

Total

M

F

Total

New Smear cases Initiated tx M

F

Total

New smear (+) cases (2010) cured

Retreatment case initiated tx

Retreatment case got cured

M

F

M

F

Total

M

F

Total

Total

ADN

337,642

1,621

1,300

2,921

358

146

504

311

129

440

272

219

491

20

9

29

18

6

24

ADS

667,294

3,143

2,520

5,663

523

213

736

542

222

764

424

341

765

18

8

25

12

4

16

SDN

307,178

2,210

1,772

3,982

342

140

482

263

117

380

225

181

406

14

6

20

10

3

14

SDS

471,370

2,206

1,768

3,974

508

208

716

437

225

640

310

250

560

15

7

22

13

4

18 6

PDI

129,024

499

400

899

117

48

165

131

78

209

75

61

136

6

2

8

4

1

BUTUAN CITY

314,293

2,266

1,816

4,082

224

92

316

278

129

407

196

157

353

6

2

8

5

2

7

SURIGAO CITY

142,957

770

617

1,387

111

46

157

108

48

156

90

72

162

6

3

9

5

2

7

BISLIG CITY CARAGA

96,452

815

757

1,572

87

29

116

87

29

116

85

34

129

4

2

6

3

1

4

2,466,200

13,529

10,951

24,480

2,271

921

3,192

2,157

977

3,112

1,677

1,316

3,002

89

38

127

70

22

92

“Bayanihan Spirit” - Strengthening Public and Private Partnership to Effectively Control TB thru a Comprehensive Unified Policy (CUP) CUP Consultative and Planning Workshop and Launching of the Expanded Regional Coordinating Committee last May 13, 2012 and August 1, 2011 respectively. .

16 CHD- Caraga Annual Report 2011

Orientation Workshop on TB DOTS Certification for PHTLs and DOH Representatives In line with the Philippine Plan of Action to Control TB (PhilPACT), one important component identified is DOTS Certification of Health Facility which targets at least 70% of Rural Health Units (RHUs). To achieve 100% of RHUs to become DOTS certified, the program needs to tap DOH Representative to provide Technical Assistance in complying the requirements. Thus, this orientation workshop on December 9, 2011 in Butuan City

Consultative Meeting on November 3 and 4, 2011 at Luciana Convention Center, Butuan City Within 5 years, Case Detection Rate (CDR) of Caraga Region was above the national target. However, local variation of accomplishments within barangays and municipalities are evident. Thus, there is a need to conduct this consultative meeting with the Rural Health Midwives since they are the frontline workers at the local level to address issues and gaps that might have influenced this occurrence.


The NTP of CHD Caraga conducted TB CONGRESS : GEARING BARANGAY CAPTAINS AND COMMUNITY LEADERS FOR ACTION on March 31, 2011 at Balanghai Hotel, Butuan City in commemoration of the World TB Day every March 24. With the theme: “People helping People in the fight Against TB - You are the cure” Almost 200 Barangay Captains, SB on Health and Taskforce and Coalitions Officers regionwide attended the congress. Dr. Anna Marie Celina Garfin of DOH- Manila graced the occasion. Resource Speakers specially emphasized the very relevant roles of the Barangay Officials, Barangay Health Workers and other

community leaders in achieving a “TB - free community” Enthusiastic guests who shared their best practices inspired everyone in attendance.

Organization of Local Infectious Disease Alliance Engaging tribal community’s leaders as partners in the implementation of infectious diseases is a big leap in reaching out the most disadvantage and vulnerable groups in the society particularly the indigenous people. Hence, alliance composed of Tribal Leaders in Caraga Region was created.

CHD- Caraga Annual Report 2011

17


Toward Rabies – Free Caraga Rabies Prevention and Control Program conducted a Training Workshop to capacitate 17Animal Bite Treatment Centers (ABTCs) all over Caraga Region to ensure that these and Private Hospitals are managed by competent staffwith skills in providing ARV via the intra-dermal route and RIG by wound infiltration.

Rabies Prevention and Control Program 2011- Annual Report

Area

Population

No. of ABTC

Animal Bite Cases Seen

Deaths M

F

Total

Rate/1M

Given Post Exposure Prophylaxix

M

F

Total

TCV

HRIG

ERIG

%TCV

%ERIG

Agusan del Norte

337, 632

3

2

1

3

8.89

893

862

1,755

1,754

0

210

100

12.0

Agusan del Sur

667,294

2

2

0

2

3.00

651

510

1,161

1,161

0

67

100

5.8

Suirgao del Norte

307,178

1

1

0

1

3.26

543

T421

964

889

3

119

92

12.3

Surigao del Sur

471,370

6

0

2

2

3.52

703

647

1,350

1,262

0

212

93

15.7

Prov. of Dinagat Islands

129,024

3

0

0

0

0.00

122

151

273

170

0

8

62

2.9

Butuan City

314,293

1

1

0

1

3.18

580

523

1,103

646

0

115

59

10.4

Surigao City

142,957

1

0

0

0

0.00

431

340

771

657

0

56

85

7.3

2,466,200

17

6

3

9

3.65

3,923

3.454

7,377

6,539

3

787

89

10.7

CARAGA REGION

18 CHD- Caraga Annual Report 2011


NATIONAL LEPROSY CONTROL PROGRAM Although Leprosy in Caraga Region is no longer a public health concern, still various activities need to be conducted to sustain the gains already achieved to realize MDG related targets by 2015. In order not to miss a case, NLCP conducted Training on Slit Skin Smear Examination for Medical Technologists on September 22-23, 2011 at Luciana Inn and Convention Center.

Orientation on Leprosy Among Transport Group Officers in Butuan City on August 5, 2011 was another activity conducted to “engage transport groups to end stigma and discrimination” of people with leprosy in the region. Leprosy 2011 Annual Report Leprosy Caes, Cases below 15 yrs. & Newly Detected Cases

Area

ADN

Population

Leprosy Cases Beginning of the Year M

Total

F

PR (Rate per 10,000 pop)

M

F

0.30

10

2

12

CDR(Rate per 100,000 pop)

M

F

3.55

0

0

Total

Rate (%)

7

ADS

667,294

13

1

19

0.29

8

4

12

1.80

2

SDN

307,178

7

4

11

0.36

7

2

9

2.93

0

SDS

471,370

18

8

26

0.56

9

3

12

2.55

0

0

0

0

PDI

129,024

8

2

10

0.78

4

0

4

3.10

0

0

0

0

BUTUAN CITY

314,293

14

6

20

0.64

15

6

21

6.68

1

3

4

19.05

SURIGAO CITY

142,957

3

1

4

0.28

8

1

9

6.30

0

0

0

0

96,452

1

0

1

0.10

1

0

1

1.04

0

0

0

0

2,466,200

72

30

102

0.41

62

18

80

3.24

3

3

6

7.50

CARAGA

10

Total

Leprosy cases below 15 yr old

337, 632

BISLIG CITY

3

Newly Detected Cases

0

0

0

2

16.67

0

0

0

Leprosy 2011 Annual Report Leprosy Caes, Cases below 15 yrs. & Newly Detected Cases Area

Population

Newly Detected Cases w/ Grade 2 Disability

Cases Cured

M

M

F

Total

(%)

Cases on continuing Treatment

Total

F

(%)

M

F

Total

PR (Rate per 10,000 pop)

ADN

337, 632

0

0

0

0

6

2

8

76.80

10

4

14

0.42

ADS

667,294

0

1

1

0

10

4

14

71.52

12

5

18

0.26

SDN

307,178

0

0

0

0

8

2

10

90.91

7

3

10

0.33

SDS

471,370

0

0

0

0

8

3

11

40.85

20

8

28

0.59

PDI

129,024

0

0

0

0

4

2

6

62.60

5

2

8

0.60

BUTUAN CITY

314,293

0

0

0

0

13

6

19

70.00

15

6

22

0.00

SURIGAO CITY

142,957

1

0

1

11.11

3

1

4

96.00

7

3

9

0.64

BISLIG CITY

96,452

0

0

0

0

1

0

1

0.00

1

0

1

0.10

CARAGA

2,466,200

1

1

2

2.50

53

20

73

71.62

77

32

109

0.44

CHD- Caraga Annual Report 2011

19


Infectious Diseases Cluster conducted Orientation Among Public School Teachers in Caraga on Various Infectious Diseases Large number of people are unable to live a healthy & productive life due to parasitic diseases. Majority of parasitic diseases are neglected- LymphaticFilariasis, Schistosomiasis ,Soil Transmitted Helminthiasis ,Food and Water Borne Diseases, etc. Many in the communities have been suffering from chronic debilitating condition due to any of these parasitic diseases andmost of those affected live in hard to reach, resource-poor communities and have peace & order problems where there is little or no access to health services. Hundreds of public school teachers accompanied by their school heads attended these orientations. It is hoped that the knowledge they obtained can be shared to the school children so that the problem on poor health seeking behavior among communities can be addressed.

Filariasis 2011 Annual Report

Area

Pop

Target PopX95% (2yo>)

No. of Persons Treated during Mass Drug Admininistration M

F

Total

%

ADN

337,632

320,750

ADS

667,294

633,929

SDN

307,178

291,819

SDS

471,370

447,802

PDI

129,024

122,573

BXU

314,293

298,578

96,269

89,364

185,633

61.6

SC

142,957

135,809

17,224

19,225

36,449

BIC

96,452

91,629

0

2,466,200

2,342,890

386,389

CARAGA

0

0

164,307

56.3

Adenolympahangitis M

F

Total

%

Case Examined M

F

Total

0

Case Positive %

M

F

0

Total

%

MF Found No.

%

0

FILARIASIS-FREE PROVINCE 0

164,307

0

0

0

0

0

1,517

1,515

0

3,032

0.7

11

11

0

22

0.7

0

0

0

FILARIASIS-FREE PROVINCE

113,493

20 CHD- Caraga Annual Report 2011

272,896

0

0

0

0

428

465

893

0.1

1

0

1

0.1

0

0

26.8

0

0

0

0

0

0

30

29

59

3.4

1

1

2

3.4

2

100

0

0

16.5

0

0

0

0.6

2

8

0 0

1,975

2,009

3,984

0 0.6

13

12

25


National Voluntary Blood Program Celebrated Blood Donors’ Month with a “Blood Sports 2011” “Blood Sports 2011” is a CHD Caraga showcase to intensify advocacy and promotion to invite more blood donors region wide. In Surigao City, The Mayor Hon. Ernesto T. Matugas, City Council, Barangay Captains, Rotary Club, Metrobank, SEC, PNP, and other private partners join the celebration of Blood Donor’s Month. A total of 3,343 non-remunerated donors donated blood: 2,543 in Surigao City at Caraga Regional Hospital and 800 in Tandag City at Adela Serra-Ty Memorial Medical Center

Capability Building and Other Various Activities Conducted to Capacitate Botika ng Barangay Operators to Meet Requirements and Maintain High Quality Standards To develop and enhance the capability of the BnB Operators to sustain the project and ensure the availability and accessibility of affordable, safe and effective, quality essential drugs to all, with priority to marginalized, underserved, critical and hard to reach areas. 500 Participants in 8 Batches conducted region wide were taught on the following: • Self Care & Self Medication • Key Concepts on Supply Management & Stock Replenishment • Rational Drug Use • MOA, Petition Form & Joint Affidavit of Undertaking • Drugs to be sold in BnB & their indication, dosage, etc. • BnB Licensing • Policies: Pharmacy Law, Food, Drug, Cosmetic & Medical Devices Act, Generic Act and Special Law on Counterfeit Drugs • Financial Management • Book of Accounts CHD- Caraga Annual Report 2011

21


RESU (Regional Epidemiology Surveillance Unit) School - Based Dengue Free Initiative and Distribution of Insecticide Treated Curtain Launched in Caraga To remarkably reduce dengue cases in the region particularly in urban areas like the cities of Butuan and Surigao, school-based initiatives to realize dengue – free communities which was highlighted by the distribution of insecticide treated curtains were launched in Caraga. Usec. David J. Lozada Jr.,Asec.Paulyn JeanRosell -Ubial, Dir.Leonita P. Gorgolon, DOH-CHD Caraga and Officials of the Local Government Unit of Butuan and the Department of Education graced the occasion done on February 24, 2011 at the Butuan Central Elementary School Quadrangle. Same event on April 26, 2011 was done in CV Diez Elementary School in Surigao City in cooperation with the City Health Office and Surigaodel Norte Provincial Health Office. Surigao City Mayor himself, Hon. Ernesto Matugas, DOHCHD Regional Director Leonita P. Gorgolon, DOH-CHD Staff, DepEd Superintendent Teofila Cabanatuan, Surigao City Health Officer Aldine Morales and Staff, Provincial Health Office Staff, and different school principals and representatives and barangay captains were in attendance.

Dengue Cases in Caraga 63% Lower in 2011 Through the intense and collective community monitoring and advocacy, we won the battle against Dengue in 2011. Only 1,115 suspect dengue cases were admitted in different disease reporting hospitals region wide from January 1 – December 31, 2011 compared to 2,992 in 2010 (Fig. 1).This means that we successfully reduced the number of cases by 63% in 2011. No clustering of cases detected. Surigao City had the most number of cases with 282, followed by Butuan City of 196 cases, then Surigao Del Norte with 186, Agusan Del Sur (121), Surigao Del Sur (109), Agusan Del Norte (79), Tandag City (36), Bislig City (36), Cabadbaran City (25), Bayugan City (20) and Dinagat Islands (14).

22 CHD- Caraga Annual Report 2011

Ages of cases ranged from less than 1 month to 90 years old. Majority of cases were MALE (54%) and 43% of the cases belonged to the 0 to 10 years age group (Fig. 3). There were 5 deaths (CFR 0.45%) which came from Sibagat, Agusandel Sur (1), Cagwait, Surigao del Sur (1), Surigao City (1), Tubay, Agusan Del Norte (1) and Butuan City (1). Series of Dengue preparedness and response strategies are continuously done by the RESU Department like: Dengue Case Management, Surveillance and Outbreak Response, continued research and Integrated Vector Management through distribution of advocacy materials such as bags, mugs, flyers and anti-dengue kits that contain treated curtains, ovi-larvicidal trap in the pilot areas in Caraga to help in the reduction of human and mosquito contact.


Fighting Dengue Cases Thru ABaKaDa The Government and the community must be united in combating the increase of dengue incidence in the country, through Aksyon Barangay Kontra Dengue or ABaKaDa.

1ST REGIONAL HIV/DENGUE PREPAREDNESS AND RESPONSE

The Aksyon Barangay Kontra Dengue (ABKD) the latest campaign of DOH against dengue, aims to reduce dengue cases and deaths through a nationwide campaign for a massive clean – up drive starting from the smallest political unit –the barangay. ABKD has 5 components:

The CHD Caraga commemorates World AIDS Day on December 1, 2011 with a theme “Getting to Zero”which meansZero new infections, Zero discrimination and Zero AIDS – related deaths.

1. Regular DAILY clean-up drive by stakeholders to be done every 4 pm or the 4:00 o’clock habit 2. Standard message : a. Self Protection (wearing of long sleeve shirts, pants, et al), b. Seeking early consultation for fever, joint pains, and other early signs of dengue hemorrhagic fever (nose and gum bleeding, blood in the stool, vomitus, abdominal pain) c. saying “yes” to fogging only in hotspot areas – those with increase in cases is registered for 2 consecutive weeks. 3. Health Workers to properly manage suspected dengue fever cases- do a complete history and physical examination, including a complete blood examination. Give Oral Rehydration Solutions. Give only Paracetamol for fever and refer to hospital for proper management for dengue danger signs like spontaneous bleeding, persistent abdominal pain or vomiting, moderate to severe dehydration, restlessness, weak and rapid pulse, dyspnea, hypotension and restlessness. 4. Rapid assessment by LGU health offices and DOH Regional Offices - a weekly monitoring and reporting and mobilization of all sectors for ABKD. 5.National support for stakeholder activities which includes Tri-media campaigns on mobilizing ABKD from all sectors and assistance to fogging operations in defined hotspot areas as directed by the CHD. Every community must wage an all-out war against this deadly disease. With an aggressive and organized community action, through devout leaders and barangay members, mosquito breeding sites can be eliminated.

After 30 years of global fight against HIV/ AIDS, the global community is still committed to focus on achieving these 3 targets. In order to meet the challenge of getting to zero, the global community must work together to achieve universal access to HIV prevention, treatment and care. World AIDS Day provides an opportunity for individuals, communities and political leaders to unite and take on the challenge of getting to zero. 200 teachers and nurses both from private and government agencies participated in this event. The day is filled with information drive activities like: Dengue disease prevention and management, the basics on HIV and other Sexually Transmitted infection and updates on Global, National and local information on STI/HIV Status to provide a clearer view on the movement and spread of STI and HIV among our community. Giving primary emphasis on the importance of knowing how to contract and prevent such infection. Every participant is our key advocate to the unreached young and vulnerable group to encourage them to submit for voluntary counseling and testing. Mobile Voluntary Counseling and Testing (VCT) in coordination with the Social Hygiene Clinic of the City Health of Butuan and Bloodletting activity spearheaded by the Philippine National Red Cross followed by the Prayer and candle lighting ceremony headed by Rev. Noel Nelson U. Abellano, Senior pastor of Assembly of God Church and the releasing of red balloons outside the venue to commemorate and honor those affected and those who perished because of HIV highlighted the affair.

CHD- Caraga Annual Report 2011

23


Mayor Chan led World AIDS Day Celebration in Buenavista, Agusan del Norte The event was headed by Hon. Francisco Y. Chan, Municipal Mayor together with Dr. Ramises L. Casal, the Municipal Health Officer ofBuenavista. It was a whole day celebration and was participated by Agusandel Norte provincial health officers, Center for Health Development representatives, Butuan City Health Office HIV/AIDS peer educators, Department of Education teachers and school nurses, High School students from different schools in Buenavista, residents of the locality and invited guests. The day was packed with several exciting activities because alongside the forum on HIV and Voluntary Counseling and Testing, several competitions were prepared for an added fun and excitement. Extemporaneous Speech Contest, Jingle Competition, Poster making were gladly joined by several participating High School Students with a theme of “Global role of today’s youth in getting to Zero AIDS/HIV”. The celebration ended with the customary candle lighting and balloon and lantern flying in the evening in honor of those afflicted with HIV.

24 CHD- Caraga Annual Report 2011


RESU Caraga trains future Counselors on VCT A 3-day Training on December 14 – 16, 2011 in Luciana Convention Center, Butuan City was attended by selected Department of Education Guidance Counselors, government and private hospital nurses and social workers and other accredited HIV facilities representatives. This hoped to reach the most at risk population through these key mentors of information. During the said training, counselors were taught of the effective strategies for HIV/AIDS prevention and care approach The resource speakers for the said training are actual counselors and trainors on VCT, Dr. Gerna M. Manatad, CHD-Caraga RESU head led the team along with Ms. Erlinda B. Milloria, Ms. Helen Saligan, Ms. Gina Karen S. Canonoy and Maria Anna S. Valdehueza. Accessibility, availability and sustainability of counselors, is one of the thrusts that the department is committed to sustain until we get to ZERO HIV Infection.

LIST OF DULY RECOGNIZED & LICENSED HIV TESTING CENTRE IN CARAGA NAME OF CLINICAL LABORATORY

ADDRESS

Butuan Doctors’ Hospital

J.C. Aquino Ave., Butuan City

MJ Santos Hospital

Montilla, Blvd., Butuan City

Butuan Medical Center

Tiniwisan, Butuan City

Agusan del Norte Provincial Hospital

Libertad, Butuan City

TEL. NO/FAX NO. (085) 342-7000 loc 153 or 341-3992 (085) 341-2222 loc 106 (085) 341-5032 loc 143 (085) 341-1375

Caraga Regional Hospital

Rizal St., Surigao City

(086) 826-3103

D.O. Plaza Memorial Hospital Andres Soriano Mem. Medical Center NAME OF SOCIAL HYGIENE CLINIC City Health Office of Butuan City Health Office of Surigao City

Patin-ay, Prosperidad, ADS Bislig City

(085) 343-7420 (086) 853-3124

G/F City Hall, Butuan City City Hall Compound, Surigao City

(085) 345-9298 (086) 829-8522

CHD- Caraga Annual Report 2011

25


EPI Info Computer Training: A Big leap in Advancing Surveillance in Caraga

“Surveillance is the cornerstone of preparedness”, this is according to the WHO Global Preparedness and Response on Emerging diseases. This means that the health surveillance system also needs to be prepared in coping with the advancement in technology. One of the six components of the Department of Health’s framework to universal health care is health information that targets a well-functioning health information system including surveillance, ensuring accurate analysis, dissemination of data and use of timely reporting of Notifiable Diseases in prevention of disease outbreaks. On November 22 – 25, 2011, the Regional Epidemiology Surveillance Unit (RESU) - Caraga conducted the yearly Regional EPI Info Training among members and partners in the Epidemiology Surveillance System. The four-day training aims to use automation process and computerized data reporting. Municipal and City Health Officers, Surveillance Nurses and IT personnel from LGUs and private disease reporting units (DRUs) in the region were among the participants of the course. They were taught on the basic Philippine Integrated Disease Surveillance and Response (PIDSR) which include case definitions of the 22 Notifiable Diseases, proper case detection and complete data gathering and updates on the Vaccine Preventable Diseases and the introduction to PIDSR software. The hands-on manipulation to the software: data entry, cleaning, analysis, major data base (MDB) merging and e-mailing and generation of graphical reports.

26 CHD- Caraga Annual Report 2011


CARAGA’S FIRECRACKER INJURIES REPORT

Trend

As of January 5, 2012, a total of 23 firecracker injuries were reported by the different hospitals region wide. This is 28 % higher compared to last year (18). The most common type of firecracker used was Piccolo (70%). Geographic Distribution of firecracker injuries Tandag City Surigao City Agusan Del Sur Surigao Del Sur Surigao Del Norte Agusan Del Norte Bayugan City

6 5 4 3 3 1 1

Profile of Cases Ages of cases ranged from 4 to 46 years old. Majority of cases were males (82%).Thirty-nine percent of the cases belonged to 0 to 10 years age group (Fig. 1). 83% of the cases were active type of firecracker injuries. No death case reported. Table 1: Province Agusan del Norte

Agusan del Sur

Surigao del Norte

Surigao del Sur

No. of Cases

Municipality Buenavista

1

Bunawan

1

Prosperidad

1

San Francisco

1

Loreto

1

Claver

1

Gigaquit

1

Malimono

1

Cortes

1

Tago

2

Table 2: Distribution of Firecracker Related Injuries by Type of Injuries and Type of Firecracker December 2005-December 2011 CY

No. of Cases

2005-2006

7

avulsion with amputation, burns, blasting injuries

pla-pla, super lolo, kwitis, triangle, fountain, piccolo

0

2006-2007

11

blasting, lacerated wound, unspecified

super lolo, fountain, triangle, stray bullet, unspecified

1

2007-2008

8

avulsion with amputation, burns, blasting injuries, abrasion, unspecified

fountain, triangle, piccolo, whistle bomb, unspecified

0

2008-2009

14

blasting injury, eye injury, burn, laceration

piccolo, kwitis, triangle, super bawang

0

TYPES OF INJURIES

TYPE OF FIRECRACKER

FATALITY

2009-2010

11

Blasting, eye injury, burn

triangle, piccolo

0

2010-2011

18

abrasion, avulsion, blasting, burn

piccolo, kwitis, watusi, triangle, whistle bomb, super bawang

0

CHD- Caraga Annual Report 2011

27


KP Ka lusu gan Pan gka laha tan

FINANCIAL RISK PROTECTION Almost 100% of the targeted poorest of the poor are now enjoying PhilHealth Benefits in Caraga Region Universal Health Care (UHC) or Kalusugan Pangkalahatan(KP) envisions to provide adequate and affordable social health insurance coverage for ALL Filipinos. This can be accomplished thru ensuring adequate financial access of every Filipino to quality health care services through the effective and efficient administration of the National Health Insurance Program(NHIP). Reaching out the poorest of the poor identified in the first 2 quintiles is what each Center for Health Development (CHD) and Philippine Health Insurance Corporation (PHIC) Regional Office are doing. Registration of the qualified households is being accomplished through NHTS – PR. NHTS – PR is an information management system that identifies who and where the poor are. It makes available to public and private social protection stakeholders a socio-economic database of poor households that can guide them in identifying qualified beneficiaries for their programs. The system identifies poor households through household assessments in areas with high poverty incidence and where there are pockets of poverty. 28 CHD- Caraga Annual Report 2011

In 2011, out of 442,000 households in Caraga Region, 52.52% or 232,312 households were the target of NHTS for PHIC Enrolment. With this target, 83.19% or 193,257 were enrolled and are now enjoying healthcare services for free thru No Balance Billing (NBB) scheme in most government hospitals.


NHIP Poor Household Enrolment Caraga Region 2011 NO. OF HOUSEHOLDS

TARGET NHTS FOR PHIC ENROLMENT

NO. ENROLLED

% ENROLLED

AGUSAN DEL NORTE

67,516

30,904

24,690

79.89

AGUSAN DEL SUR

105,244

65,754

55,915

85.04

SURIGAO DEL NORTE

60,988

34,111

28,808

84.45

SURIGAO DEL SUR

101,793

59,064

50,161

84.93

PROV. OF DINAGAT IS.

24,162

12,949

11,442

88.36

BUTUAN CITY

54,617

18,146

12,385

68.25

SURIGAO CITY

27,962

11,384

9,856

86.58

442,282

232,312

193,257

83.19

PROVINCE

TOTAL

CHD- Caraga Annual Report 2011

29


ACCESS TO IMPROVED QUALITY HEALTH ARE FACILITIES In Caraga Region, Improved Access to Quality Hospitals and Health Care Facilities is realized not only by increasing the number but also enhancing the capabilities and capacities of both hospitals and public health facilities. Most private hospitals have increased their authorized bed capacities and their capabilities improved while government hospitals are mostly improved with the financial aid from the national government thru the Health Facility Enhancement Program (HFEP). In 2010, 10 original health infrastructure projects were listed and 4 add-on special projects were included in the 2010 hfep budget amounting to PhP 96,295,000 pesos were implemented.

Hospital Facilities Caraga Region 2011 Prov./ City

Level 1

Level 2

Level 3

Total

Total Hosp.

Pvt

Govt

Pvt

Govt

Pvt

Govt

Pvt

Govt

ADN

4

4

-

1

-

1

4

6

10

ADS

5

4

1

1

-

1

6

6

12

9

-

-

-

-

-

9

9

SDN SDS

3

5

-

3

-

-

3

8

11

PDI

-

3

-

-

-

-

-

3

3

BXU

2

-

1

-

2

1

5

1

6

SC

2

-

2

-

-

1

4

1

5

BiC

2

-

-

1

1

-

3

1

4

In 2011 HFEP financed the improvement of CARAGA 18 25 4 6 3 4 25 35 60 most Rural Health Units (RHUs) and construction/improvement of many Barangay Health Stations (BHSs) all over Caraga. Most of them have improved services, hence, are now PhilHealth Accredited for the various health packages.

2010 14 HFEP were implemented of which • 8 were completed and • 5 are on-going, amounting to PhP 96,295,000

30 CHD- Caraga Annual Report 2011

2011 81 HFEP Projects PhP 187,000,00


Public Health Facilities Caraga Region 2011 Rural Health Unit/Main Health Center Prov./City No.

Birthing

BE Monc

MCP

TB DOTS

Total

OPS

No.

Birthing

Ratio to Pop

ADN

11

11

4

2

7

9

98

58

3,445

ADS

14

11

6

6

5

14

132

42

5,055

SDN

20

19

0

0

4

20

79

11

3,888

SDS

18

4

3

3

2

18

198

1

2,381

PDI

7

5

1

1

-

6

68

11

1,897

BXU

3

3

-

-

-

3

83

19

3,787

SC

4

4

2

2

3

4

21

-

6,807

BiC

3

1

1

1

3

3

38

-

2,538

CARAGA

80

58

17

24

24

77

717

142

3,440

Area

2012 Proposed HFEP Projects

• 70 Infra HFEP Projects - PhP 399,000,00 infra & - PhP 100,126,000 equipments

Hospital Bed to Population Ratio Caraga Region 2011 Pop

2010 & 2011 HFEP Covers

45 BHS 24 RHU 21 DISTRICT HOSPITALS 1 PNP HOSPITAL 2 PROVINCIAL HOSPITALS 2 OTHER HEALTH FACILITIES 95 HEALTH FACILITIES

No. of Hospitals

No. of Hosp. Beds

Govt

Pvt

Govt

Pvt

Total Beds

Bed to Pop Ratio

ADN

337,632

6

4

195

70

265

1:1,274

ADS

667,294

6

6

200

95

295

1:2,262

SDN

307,178

9

-

170

-

170

1:1,807

SDS

471,370

8

3

241

28

269

1:1,752

PDI

129,024

3

-

50

-

50

1:2,580

BXU

314,293

1

5

100

290

390

1:806

SC

142,957

1

4

150

100

250

1:572

BiC

96,452

1

3

50

110

160

1:603

2,466,200

35

25

1,156

693

1,849

1:1334

CARAGA

2011 Annual Accomplishment Report

31


COMPLETED PROJECTS MHC TAFT BEMONC FACILITY, SURIGAO CITY

NASIPIT DISTRICT HOSPITAL, ADN

SIARGAO DISTRICT HOSPITAL, SDN

PNP HOSPITAL, BUTUAN CITY, ADN

SCHISTO LABORATORY & PHT-OFFICE, ADS

TB LAB & PHT-OFFICE, SDN

CHD ANNEX BLDG. , BUTUAN CITY

BISLIG DISTRICT HOSPITAL, SDS

ESPERANZA CADAVER HOLDING, ADS

BIRTHING HOME PHASE 3, SAN LUIS, ADS

32 CHD- Caraga Annual Report 2011

TALACOGON DISTRICT HOSPITAL, ADS

BAYUGAN COMM. HOSPITAL, ADS

TREATMENT REHAB, SURIGAO CITY, SDN


TURN-OVER PROJECTS

PNP HOSPITAL, BUTUAN CITY, ADN Dec. 3, 2011

2011 Annual Accomplishment Report

33


HEALTH FACILITY ENHANCEMENT PROJECT HFEP BUDGET SUMMARY 2010

AREA INFRA

2011

EQUIPMENT

INFRA

2012

EQUIPMENT

INFRA

TOTAL

EQUIPMENT

INFRA

EQUIPMENT

ADN

43,505,000

0

23,000,000

0

106,500,000

31,126,000

173,005,000

31,126,000

ADS

20,650,000

7,140,000

37,000,000

0

75.000.000

11,500,000

132,650,000

18,640,000

SDN

20,000,000

0

68,500,000

20,000,000

107,500,000

35,000,000

196,000,000

55,000,000

PDI

0

0

17,500,000

0

48,000,000

11,000,000

65,500,000

11,000,000

SDS

5,000,000

0

21,000,000

0

62,000,000

11,500,000

88,000,000

11,500,000

89,155,000

7,140,000

167,000,000

20,000,000

399,000,000

100,126,000

655,155,000

127,266,000

CARAGA

96,295,000

34 CHD- Caraga Annual Report 2011

187,000,000

499,126,000

782,421,000


HOSPITAL DATA

Retained Hospitals Performance Statistics Caraga Region 2011

Adela Sierra Ty Memorial Medical Center Tandag City, SDS

INDICATOR: Access to Care

CRH

ASTMMC

• Authorized Bed Capacity

150

200

• Actual Implementing Beds

186

100

138.7

102

18,639

11,266

• Daily Ave. of In-patients

208

102

• Total Outpatients Served

48,209

16,234

• Total ER Patients Served

23,178

3,234

• No. of Persons Given Diet Counselling

1,861

5,464

• Ambulance Calls/Conduct Patients

1,266

49

• Total Surgery

4,953

1,093

• Occupancy Rate (%) • Total Admissions

Retained Hospitals Performance Statistics Caraga Region 2011 INDICATOR: Effectiveness & Efficiency of Care • Ave. Length of Stay (ALOS)

CRH

ASTMMC 4

3.3

4,267

2,051

561

311

18,638

11,183

17,208

3,601

665

7,201

85

9

680

372

• Gross Death Rate (%)

3.7

3.3

• Net Death Rate (%)

2.0

1.38

• Maternal Death Rate (%)

0.2

0.19

• Infant Death Rate (%)

2.7

2.0

• Normal Spontaneous Delivery (NSD) • Caesarian Section Rate • Total Discharges - Discharged Recovered - Discharged Improved - Discharged Unimproved - Discharged Dead

Caraga Regional Hospital Surigao City, SDN

CHD- Caraga Annual Report 2011

35


Leading Causes of Morbidity Adela Serra-Ty Memorial Medical Center Tandag, Surigao del Sur 2011 Causes

Leading Causes of Mortality Adela Serra-Ty Memorial Medical Center Tandag, Surigao del Sur 2011

TOTAL M

F

1

Pneumonias

576

540

1,116

2

Diarrheas & Amoebiasis

570

519

1,089

3

Diseases of the Genito-Urinary System

228

333

561

4

Congenital Infection and Parasitic

205

222

427

5

Wounds/Injuries specified or unspecified

188

55

243

6

Respiratory Tuberculosis

131

97

228

7

Hypertension, Essential or unspecied

70

112

182

8

Intra Uterine Hypoxia & Birth Asphyxia

9

Spontaneous Abortion

10

Causes

Total

73

74

147

-

133

133

Viral fever and viral hemeorrhagic fever

59

66

125

11

Diseases/Disorders of the Digestive Sys.

76

47

123

12

Typhoid and para thyphoid fever

62

42

104

13

Bronchial Asthma

29

56

85

1

Complications of pregnancy. delivery

2

Diarrhea/acute gastro enteritis/ amoebiasis

3

Total

Hypertensive Cardiovascular Diseases

40

32

72

2

Pneumonia

29

23

52

3

Certain Condition originating in Perinatal period

30

18

48

4

Respiratory Tuberculosis

16

8

24

5

Disease of the Genito-urinary System

12

6

18

6

Diabetes Mellitus

8

8

16

7

Disease of Digestive

6

5

11

8

Diarrhea

5

3

8

9

Transport Accident

7

1

8

10

Anemias

1

5

6

11

Septicemia

2

4

6

12

Chronic Lower Respiratory

4

1

5

13

Assault

5

0

5

Leading Causes of Mortality Caraga Regional Hospital 2011 TOTAL

M

F

1

Leading Causes of Morbidity Caraga Regional Hospital 2011 Causes

TOTAL M

F

Causes

Total

TOTAL M

F

Total

-

2,059

2,059

1

Hypertensive Cardiovascular Diseases

1,061

938

1,999

2

Septicemia

51

40

91

Pneumonias

902

645

1,547

3

Pneumonia

42

19

61

4

Diseases of the Genito-Urinary System

426

662

1,088

4

Certain conditions originating in the perinatal period

30

27

57

5

Wounds/Injuries/Fractures, specified or unspecified

509

104

613

5

Respiratory Tuberculosis

24

10

34

6

15

9

24

6

Respiratory disorders originating in perinatal period

248

243

491

Diseases of the genito-urinary system

7

Respiratory Tuberculosis

280

175

455

7

Accidents/Assault/Injuries, all forms

25

5

30

8

Gastritis & Duodinitis

186

221

407

8

9

7

16

9

Hypertensive Cardiovascular diseases

Diarrhea & gastro-enteritis of presumed infectious origin

290

401

691

9

Diseases of the Digerstive System

11

3

14

10

Arthropod-borne viral and hemorrhagic fever

163

107

270

10

Disease of the Liver

5

6

11

11

Other Viral Diseases

114

95

209

11

Diseases of the respiratory system

7

2

9

12

Disease of the Appendix

111

63

174

12

Obstetric Deaths

-

9

9

13

Diabetes Mellitus

70

102

172

13

Malignant neoplasm of liver/ intrahepatic bile ducts

4

1

5

14

Typhoid Fever

89

64

153

14

Meningitis

2

2

4

36 CHD- Caraga Annual Report 2011

73

64

137


New Province-wide Investment Planning (PIPH) Workshop for CY 2012-2016 in the Province of Agusan del Sur on August 11-12, 2011 in Butuan City Agusan del Sur, one of the first FOURMULA One (F1) sites nationwide had already installed the planning system through the rationalization plan and Province-wide Investment Plan for Health (PIPH). It was further reviewed and approved both by DOH- CHD and Central Office with the panelist from Joint Appraisal Committee (JAC) for implementation for 5 years until 2010. The finalization process of this PIPH was done on November 8, 2011 with AOP CY 2012. There were negotiations of proposed activities and budget by MHOs and Chief of Hospitals. It was in this forum that the transfer of La Paz Municipal Hospital to the Municipal Government was unanimously approved.

INTER-LOCAL HEALTH ZONE MEETINGS LHADZ 6 of Bislig Surigao Sur. It was chaired by Hon. Librado Navarro, Mayor of Bislig City

Highlighted by the complete attendance of three (3) Mayors of Bayugan Hon. Asis, Mayor of Sibagat Hon. Lamanilao, Mayor of Esperanza Hon. Manpatilan of BAYUGAN AREA HEALTH ZONE of Agusan del Sur. CHD- Caraga Annual Report 2011

37


SERVICE DELIVERY NETWORK This activity was conducted to emphasize the need to install a health service delivery network and that all existing health facilities are part of this network. Thru this activity the CHD was able to provide assistance to the endeavors that are aimed at strengthening Public-Private Partnership (PPP). During this activity the stakeholders, both government and private, had gone through the process of updating and matching their existing capacities in response to the demand for MNCHN core packages and other packages of other essential health services.

GOVERNANCE Balitaktakan on Best Practices on Health with LGU Chiefs and other stakeholders on July 28-29, 2011 in Butuan City - Sharing of Best Practices on Health to recognize proponents and for possible replication in many areas in Caraga. - in attendance were Inter-Local Health Zone Board Members with its Technical Management Committee from the 22 ILHZs Caraga-wide. These are the Provincial Governors, Provincial Sangguniang Panlalawigan on Health, all Municipal/City Mayors, all SB on Health, all Chief of Hospitals, Municipal Health OfďŹ cers, NGO Representative per Province, PHTL/DOH Representatives, Partners agencies from PhilHealth, DILG, DSWD. National Galing Pook Awardee Hon. Johnny Pimentel, Provincial Governor of Surigao del Sur, was the resource speaker on Good Governance. He shared the topics on LGU Initiatives for good governance on health and Hospital Income Retention scheme as part of health ďŹ nancing. The presence of Undersecretary of Health David Lozada as Guest of Honor with Bureau of Local Health Development OIC Director IV, Juan Antonio Perez who talked on Kalusugang Pangkalahatan. AVP Johnny Sychua discussed on the PhilHealth updates. Regional Director Leonita P. Gorgolon shared DOH-CHD KP execution plan. It was opened by the City Mayor of Butuan Hon. Ferdinand M. Amante. 38 CHD- Caraga Annual Report 2011


INTEGRITY DEVELOPMENT COMMITTEEE

IDC of n s o i ice nit og Pract HD c Re est H-C 1 B DO 201 in aga r Ca

CHD- Caraga Annual Report 2011

39


REGULATION, LICENSING, ENFORCEMENT DIVISION Regulation, Licensing and Enforcement Division (RLED) played an important role in ensuring public safety by seeing to it that high quality healthcare services that are within established standards are the only ones provided by all hospitals, other healthcare institutions, clinics and establishments. So that in 2011 all 60 (35 government and 25 private) hospitals were monitored and the necessary technical assistance were provided for them to be able to meet the demands of the clients.

A total of 3,840 monitoring manhours. The following activities were conducted: 1. Seminar Workshop on Medical Records Processing and Hospital Statistical Reports 3 - day Seminar Workshop on Medical Records Processing and Hospital Statistical Reports on June 14-16, 2011 at Almont Inland Resort, Butuan City. All 85 participants are Medical Records OfďŹ cers/ Hospital Statisticians from 35 Government and 25 Private Hospitals in the Region. The participants are expected to apply what they learned from this workshop to enhance their capabilities in medical records keeping, proper storage, and systematized ďŹ ling and other basic information related to records and proper interpretation of hospital statistical reports. Resource speakers included Ms. Fely Feliciano, Records Analyst from Bureau of Health Facilities and Services and Ms. Judith Calo, City Civil Registrar, Butuan City.

40 CHD- Caraga Annual Report 2011


2. Orientation Seminar on Drug Test Operation and Management Information System (IDTOMIS) for Drug Testing Laboratories in Caraga Region - a 2 day Orientation Seminar on November 8 – 9, 2011at Luciana Inn, Butuan City. All 45 participants were Analyst/Information Technology and Stakeholders from 4 Government (Hospital Based) Drug Testing Laboratories and 16 Private Free Standing/Institutional Based Drug Testing Laboratories in the Region. The participants were updated on simplified information technology on technical requirements and online accreditation of Drug Testing Laboratories.

3. Seminar Updates on Hospital ( OSS) Requirements and PHIC Accreditation - a 2 day Seminar/Updates on Hospital (OSS) Requirements and PHIC Accreditation on Dec. 5 – 6, 2011. This is designed to provide inputs for stakeholders to ensure that all Caraganons have access to professional health care providers who are capable of meeting their needs at appropriate level of care. The 163 participants included Chief of Hospitals and Administrative Officers from 35 Government and 25 Private Hospitals in Caraga Region.

CHD- Caraga Annual Report 2011

41


4. LAKBAY ARAL

42 CHD- Caraga Annual Report 2011


HUMAN RESOURCES FOR HEALTH • Registered Nurses for Health Enhancement and Local Service (RNHEALS) In 2011, Caraga Region had a total of 573 young registered nurses who were assigned to work with the RHU health personnel in the communities as trainees in Community Health Service in 5 provinces. The training lasted for 1 year and ended last February 14, 2012.

573 RNHEALS Successful Trainees

• Rural Health Midwives Placement Program (RHMPP) First batch - 16 registered midwives were deployed to various identified areas to serve along with the RHU personnel as an aug mentation to the health manpower of the localities.

• Doctors to the Barrios In 2011, 9 DTTBs were deployed to the Doctorless municipalities in Caraga Region. Most of them were assigned the Surigao del Norte island munici palities.

CHD- Caraga Annual Report 2011

43


DOH â&#x20AC;&#x201C; CHD Caraga GAD in Action!

DOH GAD activities in cooperation with RDC-GADCC

DOH GAD activities in cooperation with RDC-GADCC and Mindanao Commission on Women

DOH GAD Activities: Area Core Group for Caraga in cooperation with RDC-GADCC and Mindanao Commission on women

Training on Gender Planning and Budgeting conducted by Miriam College sponsored by Paz Desarollo (PYD)

44 CHD- Caraga Annual Report 2011


Youth Forum as GAD Activities in cooperation with POPCOM Caraga at Surigao City

DTTB Monitoring and ASsessment Batch 28 @ Libjo, PDI Caraga Region

CHD- Caraga Annual Report 2011

45


2011 on the GO...

46 2011 Annual Accomplishment Report


2011 Annual Accomplishment Report

47


2011 Annual Report Working Team

SUNSHINE A. ALIPAYO, RN Associate Writer & Editor

GLADYS D. BULADACO, RN Lay-out & Graphic Artist

PAULITO C. OFIASA, JR., RN, MN, MPH Writer & Editor

SERGIE L. BUNANI Photographer & Graphic Artist

FERNANDO L. MINA Photographer

W� �h��� ��� Pro�r�� Co�r��nat�r� & PHT Lea��r� �h� c�n����u�e� t� ��� �uc�es� � ��i� �n�e�v��. 2011 Annual Accomplishment Report


Center for Health Development - Caraga Cor. Narra Road, Pizarro St. Butuan City


2011 Annual Report