2015 ANNUAL REPORT

Page 1

Caraga Health Profile


CY: 2015 Tubajon Loreto Libjo San Jose Burgos Santa Monica Basilisa Dinagat San Isidro Santa Benito Cagdianao Pilar Surigao City Del Carmen San Francisco General Luna Tagana-an Dapa Sison Placer Gigaquit Socorro Malimono Tubod Bacuag Claver Mainit Alegria Kitcharao

Before: Surigao, Northern Davao,Oriental & Eastern Misamis Oriental February 25, 1995 – R.A. 7901 CARAGA ADMINISTRATIVE REGION

Carrascal

Jabonga Cantilan Cortes Lanuza Santiago Madrid Tubay Carmen Cabadbaran Tandag Magallanes R.T. Romualdez Tago

Carmen Nasipit Buenavista Butuan City Las Nieves

Sibagat Bayugan

Esperanza

Prosperidad

San Luis

Bayabas Cagwait

San Miguel

Marihatag San Agustin Lianga

Barobo San Francisco Tagbina Talacogon

Hinatuan

Rosario La Paz Loreto Veruela Sta. Josefa

Bunawan Trento

5 Provinces 6 Cities 67 Municipalities 1310 Barangays Land area : 20,710.9 square kilometer Population : 2,619,098 (based on 2010 census) No. of HH : 436,516 Dependency Ratio

:

80:100

Population Growth Rate : 1.61% (PSA 1990-2010) Basic Literacy Rate : 94.7% (FLEMMS, 2008)

Bislig Lingig

Poverty Incidence Population Density

: :

31.9 % (NSCB, 2012) 126 persons/sq. km.


Province / City

Area

(Km2)

% Total Land Area

Pop. Density/ Km2 126

Income Classification

No. of Muns.

No. of Brgys

67

1,310

Caraga Region

20,710.9

100.00

% to Philippines

300,000

6.9

% to Mindanao

94,630

21.9

Butuan City

816.62

3.9

409

1st

Agusan del Norte & Cabadbaran City

3,637.6

17.6

99

3rd/6th

10

165

Agusan del Sur & Bayugan City

8,965.50

43.3

79

1st/5th

13

315

Surigao Norte w/ Surigao City

2,017.10

9.7

239

2nd/3rd

20

335

Prov. of Dinagat Is.

721.90

3.5

191

ND

7

100

Surigao del Sur w/ Bislig City & Tandag City

4,552.2

22.0

130

1st/3rd/5th

17

309

86


Population: 2,619,098

Agusan del Norte

Agusan del Sur

Dinagat Province

Surigao del Norte

Surigao del Sur

Bislig City

Butuan City

Surigao City


Province

Income Class

Agusan del Norte

3rd

Agusan del Sur

1st

Local Chied Executive Governor / Mayor

Representative

Hon. Ma. Angelica Rosedell Amante-Matba

I – Hon. Erlpe John M. Amante

Hon. Adolph Edward G. Plaza

I – Hon. Ma. Valentina G. Plaza

II – Hon. Lawrence Lemuel H. Fortun

II – Hon. Evelyn P. Mellana Surigao del Norte

2nd

Hon. Sol F. Matugas

I – Hon. Francisco T. Matugas II – Hon. Guillermo A. Romarate, Jr.

Surigao del Sur

1st

Hon. Johnny T. Pimentel

I – Hon. Philip A. Pechay

II – Hon. Florencio C. Garay Dinagat Province

ND

Hon. Glenda B. Ecleo

Lone District – Hon. Arlene J. Bag-ao


A g e G r o u p

20

80+ 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 5-9 0-4

0.58

0.46

0.65

0.55

Female

0.97

1.08

1.49

1.56

Male

2.24

2.32

2.64

2.66

3.2

3.24

4.14

4.02

5.15

5.07

6.03

5.97

6.45

6.48

6.91

6.83

8.2

8.04

10.84

10.72

13.3

13.56

13.94

14.00

13.5

13.23

15

10

5

0

Percent

-55

-10 10

-15 15

-20 20


CBR (per 1,000 pop.) 25

21.12 20

17.84 17.42 18.3

19.1 19.37

18.14 18.26

19

19.6

22

21.5

20.64

21.47 21.44

15

10

5

0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015


60,000

53,839

54,248

53,902

52,524

2010

2011

2012

2013

55,421

56,165

2014

2015

50,000 40,000 30,000 20,000 10,000

0


4.0 3.5

3.7

3.77 3.51

3.5

3.67

3.2

3.0 2.5 2.0 1.5 1.0 0.5 0.0

2010

2011

2012

2013

2014

2015


Financial Risk Protection Access to Quality Health Services Attainment of Health-Related MDGs


FINANCIAL RISK PROTECTION NHIP Members + Dependents CARAGA as of DECEMBER 2015 BY MEMBERSHIP CATEGORY Province Formal Economy Informal Economy

ADN

ADS

PDI

SDN

SDS

Total

171,495

92,024

10,235

111,204

90,663

475,621

169,037

90,422

3,451

63,048

86,558

412,516

Indigents

297,290

408,532

70,936

247,835

355,732

1,380,325

Sponsored Lifetime Senior Citizens Total

69,665 20,620

560 6,148

4,581 356

6,314 8,324

19,182 13,704

100,302 49,152

35,419

18,523

2,713

25,773

26,508

108,936

763,526

616,209

92,272

462,498

592,347

2,526,852

Source: PHIC-Caraga


NHIP Members + Dependents CARAGA as of DECEMBER 2015 BY MEMBERSHIP CATEGORY [CATEGORY NAME] 2% [CATEGORY NAME] 4%

[CATEGORY NAME] 4%

[CATEGORY NAME], 55%

Source: PHIC-Caraga

[CATEGORY NAME] 19% [CATEGORY NAME] 16%


STATUS OF NHTS-PR (Indigent) & SPONSORED PROGRAM - DOH PROVINCE

CY 2015 TARGET

ENROLLMENT %

Renewed

New

TOTAL

Agusan del Norte

125,357

2,332

127,689

Agusan del Sur

148,475

16,794

165,269

Dinagat Islands

31,679

5,010

36,689

102.4%

575,120 Surigao del Norte

104,424

6,907

111,331

Surigao del Sur

137,070

10,891

147,961

TOTAL

547,005

41,934

588,939

Source: PHIC-Caraga


STATUS OF INDIGENT & SPONSORED PROGRAM - LGU Province

ADN

ADS

PDI

SDN

SDS

Renewed

22,658

4,070

1,309

1,894

6,614

New

7,932

786

1,145

1,260

809

Total

30,590

4,856

2,454

3,154

7,423

Source: PHIC-Caraga


Access to Quality Health Services


Providers

No.

Hospitals

17

Infirmaries

37

Ambulatory Surgical Clinics

2

Free Standing Dialysis Center

1

Primary Care Benefit 1 Package Providers

81

- Government Hospitals, Health Centers, CHOs Source: PHIC-Caraga


Providers

No.

Outpatient Malaria Package Providers

10

Maternity Care Package (MCP) Providers - Maternity Care Clinics, Birthing Homes &

94

RHUs

Anti-TB/ DOTS Package Providers - Outpatient Clinics & Health Centers

73

Animal Bite Treatment Package Providers

10

Source: PHIC-Caraga


PROVINCE / CITY

Hospitals Infir(Level maries 1 & 2)

Ambulatory Free Surgic Standing al Dialysis Clinic

PCB 1

MCP

TB / DOTS

Animal Bite Treatmen t Package

Agusan del Norte

2

8

0

0

9

9

6

1

Agusan del Sur

4

9

0

0

15

21

12

2

Surigao del Norte

0

7

0

0

18

14

17

0

Surigao del Sur

3

7

0

0

19

16

20

3

Province of Dinagat Island

0

3

0

0

7

6

6

0

Butuan City

4

2

1

1

4

20

6

1

Surigao City

2

0

1

0

6

7

4

2

Bislig City

2

1

0

0

3

1

2

1

CARAGA

17

37

2

1

81

94

73

10


Province / City

Rural Health Unit/ Main Health Center

Barangay Health Station No.

Ratio to Pop.

ADN

11

105

3,421

ADS

14

142

5,015

SDN

20

141

2,332

SDS

18

222

2,245

PDI

7

27

5,121

BXU SC Bi C Caraga

3 4 3 80

86 21 38 782

3,881 7,288 2,512 3,349


Status of Inter-Local Health Zone Province

Total number of ILHZ

Agusan del Norte

Status

4

Functional 2

Non-functional 2

Agusan del Sur Surigao del Norte Dinagat Province

4

2

2

7

6

1

3

2

1

Surigao del Sur

6

6

0

Butuan City

1

1

0

Total

25

19

6


HFEP STATUS CY 2011-2015 BEMONC Taft Surigao City

Schisto Lab & PHTAgusan delSur

Bayugan Community Hosp, Agusan del Sur

Siargao District Hospital, Surigao del Norte

PNP Regional Hospital, Butuan City

TB Reference Lab & PHT Surigao del Norte

Nasipit District, Agusan del Norte

Bislig District Hospital, Surigao del Sur


Summary of HFEP Status 2010-2015 Agusan del Norte YEAR

TOTAL PROGRAMMED HOSPITAL PROJECTS

RHUs/MHC/CHO

BHS/BIRTHING

Regular

BUB

Regular

BUB

OTHER ONTOTAL COMPLETED FACILITY GOING

FUNCTIONAL

2010

3

2

0

0

0

0

1

3

0

3

3

2011

11

4

0

0

7

0

0

11

1

10

10

2012

15

7

6

0

0

0

2

15

2

13

12

2013

2

0

1

0

0

1

0

2

1

1

0

2014

2

0

1

0

1

0

0

2

1

1

0

2015

2

0

0

1

0

1

0

2

2

0

0


DPWH - Summary of HFEP Status 2013-2015 Agusan del Norte RHUs/MHC/CHO YEAR

TOTAL PROGRAMMED HOSPITAL PROJECTS

BHS/BIRTHING

Regular

BUB

Regular

BUB

OTHER FACILITY

TOTAL

ONCOMPLETED FUNCTIONAL GOING

2013 DPWH

8

3

2

0

3

0

0

8

0

8

2

2014 DPWH

9

8

0

0

1

0

0

9

0

9

0

2015 DPWH

10

0

0

0

10

0

0

10

8

2

0


Summary of HFEP Status 2010-2015 Agusan del Sur YEAR

TOTAL PROGRAMMED HOSPITAL PROJECTS

RHUs/MHC/CHO

BHS/BIRTHING

Regular

BUB

Regular

BUB

OTHER FACILITY

TOTAL

ONCOMPLETED FUNCTIONAL GOING

2010

4

3

1

0

0

0

0

4

0

4

4

2011

28

1

18

0

9

0

0

28

11

17

14

2012

12

5

7

0

0

0

0

12

2

10

6

2013

2

1

0

1

0

0

0

2

1

1

0

2014

14

2

3

0

4

5

0

14

6

8

6

2015

5

0

0

2

0

3

0

5

5

0

0


DPWH - Summary of HFEP Status 2013-2015 Agusan del Sur RHUs/MHC/CHO

YEAR

BHS/BIRTHING

TOTAL PROGRAMMED HOSPITAL PROJECTS

OTHER TOTAL FACILITY Regular

BUB

Regular

BUB

ONCOMPLETED FUNCTIONAL GOING

2013 DPWH

16

6

5

0

5

0

0

16

0

16

6

2014 DPWH

8

4

2

0

2

0

0

8

0

8

2

2015 DPWH

8

0

0

0

8

0

0

8

8

0

0


Summary of HFEP Status 2010-2015 Dinagat Islands RHUs/MHC/CHO

TOTAL PROGRAMMED PROJECTS

HOSPITAL

2010

0

2011

YEAR

BHS/BIRTHING

OTHER ONTOTAL COMPLETED FUNCTIONAL FACILITY GOING

Regular

BUB

Regular

BUB

0

0

0

0

0

0

0

0

0

0

13

1

1

0

11

0

0

13

1

12

6

2012

10

3

6

0

0

0

1

10

2

8

5

2013

1

0

0

1

0

0

0

1

1

0

0

2014

6

0

2

0

4

0

0

6

3

3

3

2015

1

0

0

1

0

0

0

1

1

0

0


DPWH - Summary of HFEP Status 2013-2015 Dinagat Islands RHUs/MHC/CHO BHS/BIRTHING YEAR

TOTAL PROGRAMMED HOSPITAL PROJECTS

OTHER ONTOTAL COMPLETED FUNCTIONAL FACILITY GOING

Regular

BUB

Regular

BUB

2013 DPWH

6

2

1

0

3

0

0

6

0

6

0

2014 DPWH

1

1

0

0

0

0

0

1

0

1

0

2015 DPWH

5

0

0

0

5

0

0

5

5

0

0


Summary of HFEP Status 2010-2015 Surigao del Norte RHUs/MHC/CHO

TOTAL PROGRAMMED PROJECTS

HOSPITAL

2010

2

2011

YEAR

BHS/BIRTHING

OTHER ONTOTAL COMPLETED FUNCTIONAL FACILITY GOING

Regular

BUB

Regular

BUB

1

1

0

0

0

0

2

0

2

2

19

6

7

0

6

0

0

19

0

19

19

2012

25

10

13

0

2

0

0

25

0

25

22

2013

3

0

0

1

2

0

0

3

0

3

1

2014

16

0

0

0

7

9

0

16

8

8

1

2015

5

0

0

1

0

4

0

5

5

0

0


DPWH - Summary of HFEP Status 2013-2015 Surigao del Norte RHUs/MHC/CHO YEAR

BHS/BIRTHING

TOTAL PROGRAMMED HOSPITAL PROJECTS

Regular

BUB

Regular

BUB

OTHER FACILITY

TOTAL

ONCOMPLETED FUNCTIONAL GOING

2013 DPWH

10

3

4

0

3

0

0

10

0

10

8

2014 DPWH

2

2

0

0

0

0

0

2

0

2

2

2015 DPWH

5

0

0

0

5

0

0

5

5

0

0


Summary of HFEP Status 2010-2015 Surigao del Sur YEAR

TOTAL PROGRAMMED HOSPITAL PROJECTS

RHUs/MHC/CHO

BHS/BIRTHING

Regular

BUB

Regular

BUB

OTHER ONTOTAL COMPLETED FUNCTIONAL FACILITY GOING

2010

1

1

0

0

0

0

0

1

0

1

1

2011

10

3

4

0

3

0

0

10

0

10

9

2012

11

7

3

0

0

0

1

11

1

10

6

2013

2

0

0

0

0

2

0

2

0

2

2

2014

17

3

3

0

7

4

0

17

10

7

3

2015

11

0

0

0

0

11

0

11

11

0

0


DPWH - Summary of HFEP Status 2013-2015 Surigao del Sur RHUs/MHC/CHO BHS/BIRTHING YEAR

TOTAL PROGRAMMED PROJECTS

OTHER ONTOTAL COMPLETED FUNCTIONAL FACILITY GOING

HOSPITAL Regular

BUB

Regular

BUB

2013 DPWH

14

5

6

0

3

0

0

14

1

13

0

2014 DPWH

3

1

1

0

1

0

0

3

0

3

0

2015 DPWH

24

0

0

0

24

0

0

24

20

4

0


DOH & BuB Summary of HFEP Status 2010-2015 RHUs/MHC

TOTAL PROGRAMMED PROJECTS

HOSPITAL

2010

10

7

2

2011

81

15

2012

73

2013

YEAR

Regular BUB

BHS/BIRTHING

OTHER FACILITY

TOTAL

ON- COMPLETED/ FUNCTIONAL GOING TURNED OVER /UTILIZED

Regular

BUB

0

0

0

1

10

0

10

10

30

0

36

0

0

81

13

68

58

32

35

0

2

0

4

73

7

66

51

10

1

1

3

2

3

0

10

3

7

3

2014

55

5

9

0

23

18

0

55

28

27

13

2015

24

0

0

5

0

19

0

24

24

0

0


DPWH - Summary of HFEP Status 2013-2015 YEAR

TOTAL PROGRAMME HOSPITAL D PROJECTS

RHUs/MHC

BHS/BIRTHING

Regular

BUB

Regular

BUB

OTHER TOTAL FACILITY

ONGOING

COMPLETED FUNCTIONAL/ /TURNED UTILIZED OVER

2013 DPWH

54

19

18

0

17

0

0

54

1

53

16

2014 DPWH

23

16

3

0

4

0

0

23

0

23

4

2015 DPWH

52

0

0

0

52

0

0

52

46

6

0


Area

PH Physician 1:20,000

PH Nurse 1:20,000

PH Dentist 1:50,000

RH Midwife 1:5,000

No.

Ratio

No.

Ratio

No.

Ratio

No.

Ratio

ADN

13

27,630

7

51,314

24

14,967

93

3,862

ADS

14

50,867

10

71,214

27

26,376

159

4,479

SDN

21

15,659

1

328,837

19

17,307

96

3,425

SDS

19

26,231

18

27,688

26

19,169

108

4,615

PDI

7

19,754

0

0

6

23,047

32

4,321

BXU

2

166,883

3

111,255

10

33,377

43

7,762

SC

5

30,610

4

38,263

9

17,006

22

6,957

BiC

4

23,861

3

31,815

5

19,089

47

2,031

Caraga

85

30,813

46

56,937

126

20,786

600

4,365


Area

Nutritionist Dieticians 1:20,000

RH Medtech

Rural Sanitary Inspector 1:20,000

BHW 1:20HHs/1:5,000

No.

Ratio

No.

Ratio

No.

Ratio

No.

Ratio

ADN

1

359,196

10

35,920

14

25,657

1,147

313

ADS

14

50,867

17

41,891

17

41,891

2,688

265

SDN

0

0

10

32,884

27

12,179

2,554

129

SDS

4

124,596

20

24,919

23

21,669

2,664

187

PDI

0

0

4

34,570

7

19,754

965

143

BXU

0

0

3

111,255

9

37,085

605

552

SC

1

153,050

4

38,263

4

38,263

632

242

BiC

1

95,444

3

31,815

6

15,907

332

287

Caraga

21

124,719

71

36,889

107

24,478

11,587

226


HUMAN RESOURCE FOR HEALTH

AGUSAN DEL NORTE

AGUSAN DEL SUR

SURIGAO DEL NORTE

SURIGAO DEL SUR

PROVINCE OF DINAGAT ISLANDS

DOCTORS to the BARRIOS (DTTB)

3

0

10

2

4

19

DENTIST DEPLOYMENT PROJECT (DDP)

4

1

0

0

0

5

NURSE DEPLOYMENT PROJECT (NDP)

135

138

144

138

33

588

PUBLIC HEALTH ASSOCIATES DEPLOYMENT PROGRAM (PHADP)

16

13

30

17

9

85

Contract of Service (CoS)

36

19

34

31

8

128

Return Service (RS)

2

3

7

2

0

14

GIDA MIDWIVES - BUB

11

4

0

0

4

19

Medical Technologist Deployment Project (MTDP)

6

4

3

5

0

18

RURAL HEALTH MIDWIVES PLACEMENT PROGRAM (RHMPP)

TOTAL


Hospital Facilities Infirmary

Level 1

Level 2

Total

Total Gov’t Hosp

Province / City

Pvt

Gov’t

Pvt

Gov’t

Pvt

Gov’t

Pvt

ADN

4

4

0

2

0

0

4

6

10

ADS

5

5

1

1

1

1

7

7

14

SDN

0

9

0

0

0

0

0

9

9

SDS

2

5

0

3

0

0

2

8

10

PDI

0

3

0

0

0

0

0

3

3

BXU

2

1

0

0

3

1

5

2

7

SC

0

0

2

0

0

1

2

1

3

Bi C

1

0

0

1

1

0

2

1

3

Caraga

14

27

3

7

5

3

22

37

59


Infirmary

Level 1

Level 2

Total

Prov/ City

Pvt

Gov’t

Pvt

Gov’t

Pvt

Gov’t

Pvt

Gov’t

Total Hosp. Beds

Bed to Pop Ratio

ADN

70

60

0

125

0

0

70

185

255

1,409

ADS

60

80

54

50

100

100

214

230

444

1,604

SDN

0

170

0

0

0

0

0

170

170

1,934

SDS

18

89

0

150

0

0

18

239

257

1,939

PDI

0

50

0

0

0

0

0

50

50

2,766

BXU

40

10

0

0

250

100

290

110

400

834

SC

0

0

85

0

0

150

85

150

235

651

Bi C

10

0

0

50

75

0

85

50

135

707

Caraga

198

459

139

375

425

350

762

1,184

1,946

1,346


Birthing Home

Clinical Laboratory

Blood Station Facility

Water Testing Laboratory

Drug Testing Laboratory

Dental Laboratory

Dialysis Clinic

Ambulatory Surgical Clinic

Province / City

Pvt

Gov’t

Pvt

Gov’t

Pvt

Gov’t

Pvt

Gov’t

ADN

0

0

5

5

0

0

0

0

2

0

0

0

ADS

0

0

11

6

1

1

1

1

3

0

1

0

SDN

0

0

2

1

0

0

0

0

0

0

0

0

SDS

0

0

6

9

0

0

0

0

2

0

0

0

PDI

0

0

0

0

0

0

0

0

0

0

0

0

BXU

0

0

16

2

3

2

1

1

8

5

3

1

SC

2

0

6

2

1

1

1

1

2

2

2

1

0

2

1

0

1

0

1

0

0

0

48

26

5

5

3

18

6

2

Bi C

Caraga

0

2

0

3

0

7


Province / City

SDN

Surigao City

Butuan City

Total

16

26

65

284

1

2

7

31

17

87

Food Distributor / Wholesaler

1

1

Food Importer

1

1

29

41

Drug Distributor / Importer

1

1

Drug Trader

1

1

18

20

1

1

Establishment

ADN

ADS

PDI

SDS

Drugstore

28

73

2

74

Drug Manufacturer (Household Remedy)

1

Hospital Pharmacy

6

7

5

Food Manufacturer

7

34

3

Drug Distributor / Wholesaler

Medical Device Distributor / Wholesaler Cosmetic Manufacturer

1

4

1

2

3

3 26

5

1


Attainment of Health-Related MDGs


LEGEND Performance in current year is equal to or Better than National Target

Performance in current year is lower than the National Target but equal to or better than 2012 National Average Performance in current year is lower than 2012 National Average No Data


Status of Fully Immunized Children 100 90

88

91

89

90

88

84

80 70 60

National Target FIC: 95%

50 40

30 20 10 0 2010

2011

2012

2013

2014

2015


Provinces & Cities Health Indicator

ADN

ADS

SDN

PDI

SDS

81%

91%

79%

64%

82%

Surigao Bislig Butuan City City City

Fully Immunized Children

National Target: 95%

National Average 2012: 76.91%

78%

74%

96%


14 12

12.14 10.86 9.82

10

9.8 8.11

8

7.14

6 4 2 0 2010

2011

2012

2013

2014

2015


Status of Health Facility Delivery & Skilled Birth Attendance 100

90 80 70

63.3

69

73.3

77

85

91 89

72.4

60

50

49.4

40 30

20

84 80

70

60

84

87

90% 90%

25.9

10 0 2008

2009

2010

2011 SBA

2012 FBD

2013

2014

2015


Provinces & Cities Health Indicator

ADN

ADS

SDN

PDI

SDS

Surigao City

89%

86%

94%

74%

91%

95%

Bislig Butuan City City

FacilityBased Delivery National Target: 90%

National Average 2012: 73.87%

99%

94%


Provinces & Cities Health Indicator

ADN

ADS

SDN

PDI

SDS

Surigao City

89%

88%

95%

82%

91%

95%

Bislig Butuan City City

Skilled Birth Attendant National Target: 90%

National Average 2012: 83.15%

99%

94%


Trend in Contraceptive Prevalence Rate 70 60 50 40

54

52.5 44

44 39

41

47.36

45

56.14

56.17

58.9

51.3

38

National Target: 65%

30 20 10 0

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

CPR


Provinces & Cities Health Indicator

ADN

ADS

SDN

PDI

SDS

Surigao City

53%

67%

51%

45%

52%

55%

Bislig Butuan City City

Contraceptive

Prevalence Rate

National Target: 65% National Average 2012: 39.31%

70%

71%


100

90

87

91

87

93

91

92

80 70 60

National Target: 94%

50 40 30 20 10 0 2010

2011

2012

2013

2014

2015


Provinces & Cities Health Indicator

ADN

ADS

SDN

PDI

SDS

Surigao City

99%

85%

95%

99%

90%

85%

Bislig Butuan City City

Household with access to safe water National Target: 94% National Average 2012: 84.06%

94%

100%


90

83.5

84.5

83

81.4

80

85

70

70 60 50

National Target: 91%

40 30 20 10 0 2010

2011

2012

2013

2014

2015


Provinces & Cities Health Indicator

ADN

ADS

SDN

PDI

SDS

Surigao City

88%

85%

84%

85%

82%

90%

Bislig Butuan City City

Household with sanitary toilet facilities National Target: 91% National Average 2012: 80.9%

80%

88%


Tuberculosis Case Detection Rate 140

127

120 100

104

118

112

93.1

80

National Target

60

TB Case Detection Rate: 90%

40 20 0 2011

2012

2013

2014

2015


Provinces & Cities Health Indicator

ADN

ADS

SDN

PDI

SDS

Surigao City

105%

92%

141%

88%

126%

125%

Bislig Butuan City City

221% 129%

TB Case Detection Rate (all forms) National Target: 90% National Average 2012: 82.78%


Tuberculosis Treatment Success Rate 100

92.9

94

93.5

93

92

92

90 80 70 60

National Target

50

TB Treatment Success Rate: 90%

40

30 20 10 0 2010

2011

2012

2013

2014

2015


Provinces & Cities Health Indicator

ADN

ADS

SDN

PDI

SDS

Butuan City

92%

93%

89%

92%

93%

95%

TB Success Rate National Target: 90%


Malaria Program


“Malaria-Free� Provinces: Surigao del Norte &

Province of Dinagat Island The DOH, with the full support of various local government units and sectors, is eyeing to declare the provinces of Agusan del Norte, Agusan del Sur and Surigao del Sur to be "Malaria-Free" by year 2020.


MALARIA MORBIDITY RATE Caraga Region Per 100,000 Pop 2007-2014

60

53.33

50 40 30 20.77

20

13.67

12.2

10 0

-10

2007

2008

2009

2010

1.8

0.53

0.15

0

0

2011

2012

2013

2014

2015


Filariasis Program


“FILARIASIS-Free” Provinces: Agusan del Sur, Surigao del Sur Province of Dinagat Island The DOH, with the full support of various local government units and sectors, is eyeing to declare the provinces of Agusan del Nort & Surigao del Norte to be “Filaria-Free" by year 2016 & 2017 respectively.


Filariasis Mass Drug Administration (Surigao del Norte & Surigao City) 500,000 450,000

430,633

400,000

344,848

350,000 300,000 250,000 200,000

80%

150,000 100,000

50,000 0 Target

Accomplishment


Dengue


Dengue related cases & Deaths 9000 8252 8000

7000

6591

6000 5000 4000 2702

3000 2000

2030

1000 0

22 2012

35

24 2013 Dengue Cases

2014 Deaths

42 2015


Dengue Cases vs. Death 1600

1479

1464

1400

1334

1200 1000

945

800 583

600

517

400 200 0

9

6

3

ADN

ADS

SDN

107

162

13

0

PDI

Cases

SDS

Death

9 BC

1 SC

1 BisC


Dengue Interventions 1.Integrated vector control management. 2. Rapid response team 3.Vector and Human surveillance Activated


Schistosomiasis Program


Schistosomiasis Mass Drug Treatment SDS

90%

SDN

72%

50,194 45,229

84,579 60,854

385,505

ADS

63%

ADN

46% 0

244,694

101,858 47,365

50,000

100,000

150,000

200,000

Target Pop.

250,000

300,000

No. given PZQ

350,000

400,000

450,000


Integrated Helminth Control Program


National School Dewoming Accomplishment 160000 98%

140000 120000

97%

100000 94%

80000 60000

92%

89%

40000 89%

20000 0 Target Accomplishment

ADN 64185 58817

ADS 142396 139280

Target

SDN 83800 79047

PDI 19060 17058

Accomplishment

SDS 102075 98523

Butuan City 57260 51015


National School Dewoming Accomplishment 500000

468776

443740

450000 400000 350000

300000

95%

250000 200000 150000 100000

50000 0

Target

Region

Accomplishment

nd 2 NATIONWIDE


Rabies Program


“RABIES-Free” Province/Municipality:

Province of Dinagat

Island

& Socorro, SDN


Human Rabies 6 5

5 4 3

3 2

2

1

1 0

ADN

ADS

SDN

0

0

0

PDI

SDS

Bislig City

0 Butuan City Surigao City


Animal Bite Treatment Centers (ABTC) Province/City

Agusan Del Norte

List of ABTC (21) Agusan del Norte Provincial Hospital Cabadbaran district Hospital

Nasipit District Hospital D. O Plaza Memorial Hospital Agusan Del Sur

Bunawan District Hospital Bayugan Community Hospital Talacogon District Hospital


Animal Bite Treatment Centers (ABTC) Province/City

Surigao Del Norte

List of ABTC (21) Caraga Regional Hospital Siargao District Hospital Socorro District Hospital


Animal Bite Treatment Centers (ABTC) Province/City

List of ABTC Adela Sera TY Memorial Medical Center Bislig District Hospital

Surigao Del Sur

Marihatag District Hospital Lianga District Hospital Madrid District Hospital


Animal Bite Treatment Centers (ABTC) Province/City

List of ABTC Dinagat District Hospital Albor District Hospital

Dinagat Islands

Loreto District Hospital

Provincial Health Office, PDI Butuan City

Butuan City Medical Center

Surigao City

City Health Office, Surigao City


LEPROSY Number of New Leprosy Cases 2006 - 2015 100 88

90 80

80 70

69

80

73

70

65

60 50

48

43

42

40 30 20 10 0

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015


LEPROSY CASE DETECTION RATE 2000 – 2015 6 5.39

5.29

5 4

3.52

3.32

3.6

3.45

3.08

2.98

3

3.44

3.06

2.7

2.7

2.94 2.62 2.0

2

1.6

1

0

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015


HIV/AIDS


Treatment Hubs: Butuan Medical Center Caraga Regional Hospital

Satellite Treatment Hubs: D.O. Plaza Memorial Hospital Adela Serra Ty Memorial Medical Center

32 HIV Counseling and Testing Facility


Number of new HIV-AIDS Cases & Deaths per Year Caraga Region, 1995-2015 (n=240) 100 90 80 70 60 50 40 30 20 10 0

86

53 32

31

19 1

8

0 3

0

8

2

3

HIV-AIDS related deaths

1

1

HIV cases

10


Complete Treatment Pack Program


Province

Amount of drugs and medicines received by the LGU

Agusan del Norte

372,713.53

Agusan del Sur

662,046.99

Surigao del Norte

1,147,807.73

Dinagat Province

282,003.81

Surigao del Sur

724,464.29

Total

3,189,036.35


Regional Utilization Per Molecule Drugs & Medicines Amoxicillin 500mg Cap Cloxacillin 500mg Cap Ciprofloxacillin 500mg Tablet

Co - Trimoxazole 800mg/160mg Tablet Erythromycin 500mg Tab Amoxillin 250mg/5mL/60mL Co - Trimoxazole 200mg/40mL/5mL/60mL Co - Trimoxazole 400mg/80mL/5mL/60mL Cloxacillin 125mg/5mL/60mL Metformin 500mg Tab

Quantity delivered 13,294 6,334 8,946

Total dispensed

7,423 4,211 4,005

19,503

9,724

13,680

2,942

25,195

15,115

18,383

5,732

7,052

3,927

26,943

12,080

97,730

30,381

Usage (%) 55.84 66.48 44.77

49.86 21.51 59.99 31.18 55.69 44.84 31.09


Regional Utilization Per Molecule Drugs & Medicines

Quantity delivered

Glibenclamide 5mg Tab

38,386

Gliclazide 80mg Tab

49,973

Amlodipine 10mg Tab

37,567

Enalapril 10mg Tab

50,207

Metoprolol 50mg Tab

64,156

21,984

48,366

23,313

41,776

20,166

22,209

11,964

47,997

20,048

5,626

1,822

Hydrochlorothiazide 25 mg Tab Aspirin 80mg Tab Losartan 50mg Tab Simvastatin 20mg Tab Mebendazole 50mg/5mL Susp

Total dispensed 17,489 21,857 20,059

23,053

Usage (%) 45.56 43.74 53.40 45.92 34.27 48.20 48.27 53.87 41.77 32.39


Regional Utilization Per Molecule Drugs & Medicines Metronidazole 500mg Tab Doxycycline 100mg Cap

Fluticasone + Salmeterol 50mcg / 25mcg / Inh Fluticasone + Salmeterol 125mcg / 25mcg / Inh Salbutamol 100mcg / Inh Lagundi 300mg Tab Sambong 250mg Tab

Quantity delivered

Total dispensed

Usage (%)

7,713

3,074

39.85

6,992

2,532

36.21

4,532

2,203

48.61

3,240

1,456

44.94

5,130

2,532

49.36

8,936

5,802

64.93

9,288

3,774

40.63


Trend of Maternal Mortality Ratio Towards MDG Attainment 180

161

170

160 140

138

143

143

80 60

137 119

120 100

152

118

114 91

2015 MDG Target = 52/100,00 0 LB

135 119 103 83

80

96

40 20 0

Baseline (1991) 161/100,000 livebirths

Current Level (2015) 96/100,000 livebirths

1991 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015


Trend of Maternal Mortality Ratio by Province 250

200 148

150 103

100

50

90

96 77

2008

2009

68

MDG Target = 52/100,000 LB

168

106 83

82 70

81

218

79

75 59

60

75

0 2007

2010

ADN

2011

2012

ADS

2013

2014

2015


Trend of Maternal Mortality Ratio by Province 400

MDG Target = 52/100,000 LB

334

350 300

258

261

250

220 188

200

150 100 50

139

154

205

151 105

76 71

93

108 71

2008

2009

145 87 58

51

48

2011

2012

0 2007

176

2010

SDN

PDI

SDS

133

124 50

101 72

0

2013

2014

2015


Trend of Maternal Mortality Ratio by City MDG

400

350

311

300

316

265

250 200 150 100 50

159 113 114

110

176 130

125

71

81

0

0 -50

2007

70

39 54

2008

2009

2010

Surigao City

100

103

151

153

99

49

0

0

2011

2012

Bislig City

Target = 52/100,000 LB

0

2013

Butuan City

2014

36 0

2015


Top Leading Causes of Maternal Mortality Cause

No.

Rate

Post Partum Hemorrhage

28

49.85

·

12

21.37

4 2 7 1 2 16

7.12 3.56 12.46 1.78 3.56 28.49

6

10.68

3 1

5.34 1.78

Unspecified PP Hemorrhage

· Retained Placenta · Placenta Previa · Uterine Atony · Abrupto Placenta · Placenta Acreta Eclampsia (Pre/Post) Hemolysis, Elevated Liver Enzymes, Low Platelet (HELLP) Septicemia Disseminated Intravascular Coagulation (DIC)


Trend of Infant Mortality Rate 14 12 10

11.1

11.5 9.7

9.6

9.7

8 6 4

Highly Attainable MDG Target

7

2015 MDG Target = 17/1000 LB

7.4 6.3

6.5

6.9

6.2

6.9 6

6

4.8 5.1

2 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015


Trend of Infant Mortality Rate by Province 10 9 8

MDG Target = 17/1000 LB

7

6

8.8

Highly Attainable MDG Target

7.7 6.4

4.2

3

8.3

6.3 5

5

5

4

8.9

3.6 3

3.5

2.8 2.1

2

2

2.4 1.4

2.8

1 0 2007

2008

2009

2010

2011

ADN

ADS

2012

2013

2014

2015


Trend of Infant Mortality Rate by Province 18 16

MDG Target = 17/1000 LB

15.6

14

11.8

Highly Attainable MDG Target

12 9.9

10 8 6

6.7

7.1

7.3

6.9 5.3

6.8 5.2

4

9.6

5.2

7.7 6.7

4.8

2

3.2

7.5

7.6 6.6

7.6

3.9 4.3 2.7

6.6

8.1

6.6

3.9

0

2007

2008

2009

2010

2011

SDN

PDI

2012

SDS

2013

2014

2015


Trend of Infant Mortality Rate by City 18

MDG Target = 17/1000 LB

16 14 12 10 8 6

16.3

11.6

6.8

12.8 9.8

10.3

9.3 8.4

12.2

9.8

7.9

7.6 5.5

5.5

6.4

4

4.9

2

5.6 4.6

3.6

0 2008

2009

Surigao City

2010

2011

Bislig City

2012

8.3 7.2

5.6

2.1 2007

Highly Attainable MDG Target

2.9 2013

Butuan City

6 3.4 2.1 2014

2015


TOP LEADING CAUSES OF INFANT MORTALITY Cause PNEUMONIA SEPSIS PREMATURITY ASPHYXIA CONGENITAL ANOMALY CARDIO PULMONARY ARREST SEVERE DEHYDRATION SUDDEN INFANT DEATH SYNDROME CONGENITAL HEART DISEASE MALNUTRITION

No. 91 75 24 9 9 5 5 5 3 3

Rate 1.62 1.34 0.43 0.16 0.16 0.09 0.09 0.09 0.05 0.05


TOP LEADING CAUSES OF INFANT MORBIDITY Cause ACUTE RESPIRATORY INFECTION PNEUMONIA ACUTE GASTROENTERITIS/DIARRHEA INFLUENZA ACUTE BRONCHITIS SYSTEMIC VIRAL INFECTION (SVI) SKIN DISEASE (all types) BRONCHITIS ALLERGY(All forms) URINARY TRACT INFECTION

No. 7952 3337 1050 555 510 486 440 338 335 284

Rate 141.58 59.41 18.69 9.88 9.08 8.65 7.83 6.02 5.96 5.06


Trend of U5MR Towards MDG Attainment 30 26

25.9

25 20.4

21

20.6

20 13.9

15

11.7

10.6

10

9.6

10.6

9.8 8.2

7.5

6.9

8.4

7.5

5 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Baseline (2000)

Current Level (2015)

MDG Target

Probability of Attaining the Targets

26/1000 Livebirths

7.5/1000 Livebirths

25/1000 Livebirths

High


Trend of Underfive Mortality Rate by Province 12 10 8 6

10.9

11 7.9

5.4

4

5.2

5.3

6.3 MDG Target = 25/1000 LB

2

11

Highly Attainable MDG Target

10.5

5.7

5.2 4.9

4.9 3.3 2.2 1.4

0 2008

2009

2010

2011

ADN

2012

ADS

2013

2014

2015


Trend of Underfive Mortality Rate by Province 16

14.3

14 12

13.6

12.1 13

13.3

13.4 12

9.8

10 8

6

10.7

9.2 7.9

7.6

2

2009

9.1 8.6 5.3

Highly Attainable MDG Target

2011

SDN

6.6

5.8

5.1

2010

10.1

8.5

0 2008

9.8

10

6.7

MDG Target = 25/1000 LB

4

13.2

2012

PDI

SDS

2013

2014

2015


Trend of Underfive Mortality Rate by City 25

19.5

20 16.5 15 10 5 0

20.4 18.6

17.8

16.4

Highly Attainable MDG Target

14.5

13.6

13.6

11.1

11.1 9

8.6

5.5

MDG Target = 25/1000 LB 2008

9

8.5 5.6

5.9

8.3

6.2 4.2

4.6

2013

2014

6.9

4.6 2009

2010

Surigao City

2011

2012

Bislig City

Butuan City

2015


TOP LEADING CAUSE OF UNDER FIVE MORTALITY Cause PNEUMONIA SEPSIS ACCIDENT (ALL TYPES) PREMATURITY ASPHYXIA CONGENITAL ANOMALY CARDIO PULMONARY ARREST SEVERE DEHYDRATION SUDDEN INFANT DEATH SYNDROME BRONCHOPNEUMONIA

No. 118 88 24 24 9 9 5 5 5 4

Rate 2.10 1.57 0.43 0.43 0.16 0.16 0.09 0.09 0.09 0.07


TOP LEADING CAUSE OF UNDER FIVE MORBIDITY CAUSES ACUTE RESPIRATORY INFECTION PNEUMONIA ACUTE GASTROENTERITIS/DIARRHEA INFLUENZA DENTAL CARIES BRONCHIIS SKIN DISEASE (all types) URINARY TRACT INFECTION SYSTEMIC VIRAL INFECTION (SVI) INJURIES /WOUNDS (all forms)

No. 20924 8565 2922 2503 2458 2382 2028 1273 1266 946

Rate 372.55 152.50 52.03 44.57 43.76 42.41 36.11 22.67 22.54 16.84


Leading Causes of Mortality - Caraga Region, 2015

No.

Rate

No.

Rate

No.

Rate

No.

Rate

5 yr. Average (CY 2007-2011) C.Y. 2014 (Rate per 100,000 pop.) No. Rate

3364

128

3,803

147

3,364

132

2,925

117

2,668

103

2. Pneumonia

1152

44

1,202

47

1,063

41.8

924

36.9

692

27

3. Cancer (all types)

591

22

935

36

827

32.5

719

28.7

666

26

4. Tuberculosis

355

13

364

14

322

12.7

280

11.2

382

15

5. Multi Organ Failure

270

10

241

9

213

8.36

185

7.39

239

9

6. Diabetes

264

10

504

20

446

17.5

388

15.5

309

12

7. Sepsis / Septicemia

255

10

164

6

145

5.7

126

5.03

184

7

8. Accident (all forms)

191

7

708

27

626

24.6

544

21.7

599

23

9. COPD

139

5

176

7

156

6.15

136

5.43

190

7

10. Renal Diseases

91

3

502

19

444

17.4

386

15.4

276

11

CAUSES

1.

Hypertensive Cardiovascular Diseases

C.Y. 2015 (Rate per 100,000 pop.)

C.Y. 2014 (Rate per 100,000 pop.)

C.Y. 2013 (Rate per 100,000 pop.)

C.Y. 2012 (Rate per 100,000 pop.)


Leading Causes of Morbidity - Caraga Region, 2015

No.

Rate

No.

Rate

No.

Rate

No.

Rate

5 yr. Average (CY 2007-2011) C.Y. 2014 (Rate per 100,000 pop.) No. Rate

75,441

2,880

120,156

4,655

108,140

4,250

96,124

3,840

108,163

3,933

2. Urinary Tract Infection

26,062

995

3. Pneumonia

18,175

694

12,027

466

10,824

425

9,621

384

10,751

391

4. Hypertensive Cardiovascular Diseases

15,973

610

20,819

807

18,737

736

16,655

665

18,448

671

5. Diarrhea / AGESs

14,877

568

14,542

563

13,088

514

11,634

465

13,709

499

6. Injuries / Wounds (all types)

14,012

535

15,569

603

14,012

551

12,455

498

13,012

473

7. Influenza

9424

360

8. Dengue

6,726

257

8,252

320

3,333

131

2,522

101

2,405

87

9. TB (all forms)

3,258

124

2,042

79

1,838

72.3

1,634

65

2,607

95

10. Asthma

3,001

114

1,440

56

1,296

50.9

1,152

46

1,824

66

CAUSES

1.

ARI / URTI with Bronchitis

C.Y. 2015 (Rate per 100,000 pop.)

C.Y. 2014 (Rate per 100,000 pop.)

C.Y. 2013 (Rate per 100,000 pop.)

C.Y. 2012 (Rate per 100,000 pop.)


Indicator

Target

Caraga 2010 2015

Caraga Status

CBR

21.12

21.44

Increased by 1.5% from 2010 data

CDR

3.2

3.67

Increased by 15% from 2010 data

MMR

52/100000 live births (MDG)

119

96

Low Possibility of attaining the MDG target

IMR

17/1000 live births (MDG)

6.24

5.1

More than attained the MDG target

UFMR

25/1000 live births (MDG)

8.19

7.5

More than attained the MDG target

CPR

65% (NOH 2011-2016)

47.36

58.68

Attained 90% of the NOH 2011-2016 target

FIC

95% (NOH 2011-2016)

88%

84%

Attained 88% of the NOH 2011-2016 target

FBD

90% (NOH 2011-2016)

60%

89%

Attained 99% of the NOH 2011-2016 target


Indicator

SBA PHIC coverage of the Poor (NHTS-PR)

Target 90% (NOH 2011-2016)

100%

HH w/ Access to Safe H2O

94% (NOH 2011-2016)

HH w/ Sanitary Toilet

91%

Caraga

Caraga Status

2010

2015

73.3%

91%

More than attained the NOH 2011-2016 target

100.4% (2013)

102.4%

More than attained the target

87%

92%

Attained 98% of the NOH 2011-2016 target

83.5%

85%

Attained 93% of the NOH 2011-2016 target


Caraga Indicator

Target

Caraga Status 2010

TB: CDR

TB: Treatment Success Rate

93.1%

90%

(2011)

90%

92.9%

2015

118%



More than attained the NOH 2011-2016 target

92%



More than attained the target


THANK YOU!


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