Health Care Delivery Manila

8/14/2019 Health Care Delivery Manila

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The CITY OFThe CITY OF

MANILAMANILA

6 congressional6 congressionaldistrictsdistricts

LandLand

AreaArea 38.28 Km38.28 Km22

D I

D II

D III

D IV

D V

D VI


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The CITY OFThe CITY OF

MANILAMANILA

D I

D II

D III

D IV

D V

D VI

897897BARANGAYSBARANGAYS

41%

Urban Poor

Population

230 DepressedBarangays


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P O P U L A T I O NP O P U L A T I O N

1,576,9751,576,97549%49%

51%51%(2002)(2002)


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P O P U L A T I O NP O P U L A T I O N

41%41% -- 19 years old & below19 years old & below

37%37% -- 20-39 years old20-39 years old

17%17% -- 40-59 years old40-59 years old

6%6% -- 60 years old & above60 years old & above


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H E A L T HH E A L T H

HEALTCILFFACILITIESACILITIES

48 health centers48 health centers

1 satellite clinic1 satellite clinic

1212 lying-in-clinicslying-in-clinics


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108108 public school clinicspublic school clinics

4 comm. ref. Infirmaries w/4 comm. ref. Infirmaries w/

flying squad stationsflying squad stations


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11 physical therapy clinicphysical therapy clinic

1 city govt employees clini1 city govt employees clinicc

11 insect & vermin cntrl offc.insect & vermin cntrl offc.


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1 public health lab1 public health lab

11 v d control clinicv d control clinic

2 public cemeteries2 public cemeteries


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1 mortuary complex cremato-1 mortuary complex cremato-rium, chapel & morguerium, chapel & morgue

1 geriatric clinic1 geriatric clinic


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4 city govt hospitals4 city govt hospitals

5 national govt hospitals5 national govt hospitals

25 private hospitals25 private hospitals


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2121 private lying-in-clinicsprivate lying-in-clinics

100100 private school clinicsprivate school clinics


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1998-1998-


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Pharmacy

Insect and Vermin Control

Special Programs/Projects

Cemetery

Health Operations ServicesPlanning, Training,

Research, Development and

Evaluation Services

Administrative Services

Division of Public Health

Laboratory

Division of City GovtEmployees Clinic

Division of Maternal

and Child Health

Geriatric

Clinic

Mental

Hygiene

(6) Health District Offices

Division of Planningand Coordination

Division of Preventable

Diseases

Division of Sanitation

Division of

Tuberculosis Control

Division of School

Health Services

Division of Nursing

Services

Division of Dental

Services

Office of Midwifery

Office of Family

Planning

Office of Nutrition

Transpo & Gen

Services Section

Personnel Section

Property Section

Finance Section

Central Records

Section

N G O s

ASSISTANT CITY HEALTH OFFICER

CITY HEALTH OFFICER

ADMINISTRATIVEADMINISTRATIVE

SERVICESSERVICES

ORGANI ZATIONAGANI ZATIONAL TRUCT URRUCT UR


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Pharmacy



Cemetery



Evaluation Services



Laboratory



and Child Health

Geriatric

Clinic

Mental

Hygiene




Diseases


Division of


Division of School

Health Services

Division of Nursing

Services

Division of Dental

Services

Office of Midwifery

Office of Family

Planning

Office of Nutrition

Transpo & Gen

Services Section

Personnel Section

Property Section

Finance Section

Central Records

Section

N G O s


CITY HEALTH OFFICER


HLTH OPERATIONSHLTH OPERATIONS

SERVICESSERVICES


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Pharmacy



Cemetery



Evaluation Services



Laboratory



and Child Health

Geriatric

Clinic

Mental

Hygiene




Diseases


Division of


Division of School

Health Services

Division of Nursing

Services

Division of Dental

Services

Office of Midwifery

Office of Family

Planning

Office of Nutrition

Transpo & Gen

Services Section

Personnel Section

Property Section

Finance Section

Central Records

Section

N G O s


CITY HEALTH OFFICER


PLNNG TRNG RESPLNNG TRNG RES

DEV & EVALDEV & EVAL


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2002 - P5 .5002 - P5 .5BCITY BUDGETITY BUDGET

NNUALNNUAL

HH

EALTHEALTH

BB

UDGETUDGET

AA


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NNUALNNUAL

HHEALTHEALTH

BBUDGETUDGET

AA

HEALTHHEALTH16% P915.6 M16% P915.6 M

NON-HEALTHNON-HEALTH

84% P4.624 B84% P4.624 B

Budget forBudget forHHEALTHEALTHvis--visvis--vis

NNON-HEALTH RELATEDON-HEALTH RELATED


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NNUALNNUAL

HHEALTHEALTH

BBUDGETUDGET

AA

O T 1%O T 1%O S 1%O S 1%

Budget forBudget forHHEALTHEALTH byby

HHEALTH FACILITIESEALTH FACILITIES

GABMC 3%GABMC 3%

OM 4%OM 4%MHD 7%MHD 7%

NON-HEALTHNON-HEALTH

84% P4.6 B84% P4.6 B


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NNUALNNUAL

HHEALTHEALTH

BBUDGETUDGET

AA

19971997 19981998 19991999 20002000 20012001 20022002

YE ARE AR BU DGE TBU DGE T20022002 PP 378.2 M378.2 M

20012001 PP 366.5366.5

20002000 371.9371.9

19991999 345.7345.7

19981998 341.4341.4

19971997 203.6203.6


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NNUALNNUAL

HHEALTHEALTH

BBUDGETUDGET

AA

PS

20011998 1999 2000

MOOE

C.O.

2002

Total

Budget

55.755.752.952.9 54.154.1 60.460.4 56.656.6

0055 8080TT 1.61.6 00

338.1338.1 378.2378.2348.6348.6342.3342.3 366.5366.5

Figures in P

millions

2003

55.355.3

950950TT

380.6380.6

310.8310.8280.2280.2 288288 286.6286.6 321.6321.6 324.3324.3


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NNUALNNUAL

HHEALTHEALTH

BBUDGETUDGET

AA

PS

20011998 1999 2000

MOOE

C.O.

2002

Total

Budget

55.755.752.952.9 54.154.1 60.460.4 56.656.6

0055 8080TT 1.61.6 00

338.1338.1 378.2378.2348.6348.6342.3342.3 366.5366.5

Figures in P

millions

310.8310.8280.2280.2 288288 286.6286.6 321.6321.6

2003

55.355.3

950950TT

380.6380.6

324.3324.3

PS= Personal Services

MOOE- Maitenance & Other Operating expenses

CO=CapitaL outlay

OPERATING EXPENDITURES


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OPERATING EXPENDITURES(PERSONAL SERVICES)

2001 2 2003

Salaries and Wages - Regular Pay (1419) 195,869,679.34 215,672,076.00 215,831,676.00

Salaries and Wages - Casual/Contratuals 12,083,016.00

Salaries of Employees by Contract (29) 4,754,547.50 4,652,701.00

Allowances of Barangay Health Workers (250) 8,816,460.00 9,000,000.00

Personnel Economic Relief Allowance (PERA) 7,308,216.89 8,004,000.00 8,340,000.00Additional Compensation (ADCOM) 7,308,211.86 8,004,000.00 8,340,000.00

Representation Allowance (RA) (26) 967,500.00

Representation Allowance (RA) (24) 762,200.00 770,400.00

Commutable Allowance (2) 93,900.00 92,700.00

Transportation Allowance (TA) (26) 854,900.00 863,100.00 967,500.00

Clothing Allowance 5,060,000.00 5,336,000.00 5,560,000.00

Honoraria 20,000.00

Honorarium for member of Local Health Board 23,585.66 20,000.00

Christmas Bonus 18,465,678.00

Cash Gift 7,200,000.00

Bonuses and Incentives including Cash Gift 24,253,421.50 24,821,333.00

Life and Retirement Insurance Contributions 23,174,284.46 24,697,920.00 25,510,575.00

Pag-Ibig Contributions 1,602,777.58 1,600,800.00 1,668,000.00

Philhealth Contributions 1,417,102.75 1,786,575.00 1,860,075.00

ECC Contributions 441,130.00 480,240.00 1,491,182.00

Health Workers Benefits 14,116,620.00

Hazard Pay (180) 298,023.47 648,000.00

Incetive Pay of Dentists, Nurse and Midwives

assigned in various health centers (540) 411,672.27 648,000.00

Subsistence Allowance (1,361) 8,194,880.00 10,565,280.00

Laundry Allowance (1,361) 1,762,145.00 2,001,000.00

Longevity Pay 1,482,653.61 1,890,000.00 1,890,000.00

Prior Years Obligation 18,768.00

SUB-TOTAL 293,889,791.89 321,572,893.00 324,311,822.00



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OPERATING EXPENDITURES(MAINTENANCE & OTHER OPERATING EXPENSES)

2001 2 2003

Traveling Expenses - Local 37,644.00 150,000.00 1,560,000.00

Training and Seminar Expenses 75,000.00 75,000.00

Water 1,299,999.94 1,500,000.00 1,700,000.00

Electricity 3,000,000.00 3,500,000.00 4,200,000.00

Telephone, Telegraph, Internet 982,000.00 1,000,000.00 1,200,000.00

Insurance Expense 325,000.00Fidelity Bond Premiums 50,000.00

Fidelity Bond and Insurance Premiums 271,439.82 450,000.00

Office Supplies Expense 6,387,000.00

Supplies and Materials 2,233,193.80 3,730,000.00

Operation of Nutrition Projects 176,754.00 460,000.00

Community Reference Infirmaries-Lying-In-Clinic 2,847,966.86 3,560,000.00

Responsible Parenthood 71,002.50 200,000.00

Medical, Dental and Laboratory Supplies Expenses 37,873,000.00

Medicines 19,999,903.63 25,000,000.00

Medical Supplies 3,521,322.44 4,500,000.00

Dental Supplies 2,799,808.80 3,500,000.00

Laboratory Supplies 1,993,403.45 2,500,000.00Expanded Program on Immunization 618,399.80 773,000.00

Medical Outreach Program 2,399,944.48 3,000,000.00

Insects and Rodents Control 399,970.00 600,000.00

Food and Non-Food Expenses 800,000.00

Disaster Emergency Operations 200,000.00 1,000,000.00

Gasoline, Oil and Lubricant Expenses 129,830.80 200,000.00 400,000.00

Taxes, Duties and Licenses 22,127.50 50,000.00

Hospital and Health Centers Maintenance 175,000.00

Repair and Maintenance of Government Facilities 95,691.00 175000

IT Equipment Maintenance 50,000.00

Motor Vehicle Maintenance 250,000.00

Repair and Maintenance of Government Vehicles 103,621.00 195,000.00

Spare Parts 13,872.50 130,000.00

Office Equipment Maintenance 50,000.00

Repair and Maint of Office and Medical Equipment 94,925.62 300,000.00

Other Equipment Maintenance 50,000.00

Furniture and Fixture Maintenance 50,000.00

Extraordinary and Miscellaneous Expenses 40,000.00 40,000.00

Other Expenses 56,768.50 125,000.00 50,000.00

SUB-TOTAL 43,369,590.44 56,663,000.00 55,335,000.00



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OPERATING EXPENDITURESCAPITAL OUTLAY

Property, Plants and Equipment

Ofice Equipment 950,000.00

SUB-TOTAL 950,000.00

TOTAL APPROPRIATIONS

2001 2 2003P337MP337M

P378MP378MP380MP380M


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NNUALNNUAL

HHEALTHEALTH

BBUDGETUDGET

AA

M O O EM O O E

16%16%

PERSONALPERSONAL

SERVICESSERVICES

84%84%

Yr 2002P378.2MP378.2M


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HYSICALHYSICAL

UUPGRADINGPGRADINGPP

Offc of the Pres. FundOffc of the Pres. Fund

Italian Project Fund (1 HC)Italian Project Fund (1 HC)

LGU Fund (9 HCs)LGU Fund (9 HCs)

UHNP Fund (18 HCs)UHNP Fund (18 HCs)

104.2M Budget104.2M Budget

1997 - 2002

65%

29%

4% 2%

68M

30M

4M 2M


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BBudgetaryudgetary AAllocationllocation

ForForMMedicine/Mededicine/Med SSuppliesupplies

1997 - 20021997 - 2002

93.49M93.49M


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BBudgetaryudgetary AAllocationllocation

ForForMMedicine/Mededicine/Med SSuppliesupplies11% DOH11% DOH (P10.3M)(P10.3M)

20%20%

UHNPUHNPP18.37MP18.37M

69%69%City BudgetCity Budget

P64.82MP64.82M1997 - 20021997 - 2002


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Plantilla Position- 1,498

Personnel Count 1,270

MMANPOWERANPOWER

CCOMPLEMENTOMPLEMENT(as of Oct, 2002)(as of Oct, 2002)

15.36% unfilled positions


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MMANPOWERANPOWER


Med &Med &

Paramed StaffParamed Staff SupportSupportStaffStaff

335 (26%)335 (26%)932 (74%)932 (74%)


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MMANPOWERANPOWER


Med &Med &

Paramed StaffParamed Staff

969 (74%)

Physicians 193

Dentists 151

PHNs 211

Midwives 122

Med Techs 43

Sanitarians 67

Pharmacists 3

Psychologist 1Med Lab Techs 4

Lab Aides 9

Nutritionists 4

Optometrist 1

Med Eqpt Techs 4

Radiologic Tech 1HEPOs 9

Pest C Wkrs 26

Nursing Attdnts 66

Dental Aides 17


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MMANPOWERANPOWER


Med &Med &

Paramed StaffParamed Staff

969 (74%)

Physicians 193

Dentists 151

PHNs 211

Midwives 122

Med Techs 43

Sanitarians 67

Pharmacists 3

Psychologist 1Med Lab Techs 4

Lab Aides 9

Nutritionists 4

Optometrist 1

Med Eqpt Techs 4

Radiologic Tech 1HEPOs 9

Pest C Wkrs 26

Nursing Attdnts 66

Dental Aides 17


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A. Maternal and Child HealthA. Maternal and Child Health

Maternal Care Safe Motherhood and Womens Health

Expanded Program on Immunization (E Control of Diarrheal Disease (CDD) Control of Acute Respiratory Infection(CARI)

Under Five Clinic/Growth Monitoring

Breastfeeding Promotion

Nutrition

E

RVI

CES

S THRUSTPROGRAMS

&


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E

RVI

CES

S THRUSTPROGRAMS

&

B. Communicable DiseaseB. Communicable Disease

ControlControlDengue Prevention and ControlProgram

Sexually Transmitted Diseases Tuberculosis Leprosy


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E

RVI

CES

S THRUSTPROGRAMS

&

C. Non-communicable Dis ControlC. Non-communicable Dis Control

Cardiovascular Diseases

Cancer Control Program

Primary Eye Care

National Voluntary Blood Donation

Diabetes Mellitus Control


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E

RVI

CES

S THRUSTPROGRAMS

&

D. Environmental HealthD. Environmental Health Water and Sanitation Insect and Vermin Control Urban Cleaning and Greening

E. Dental HealthE. Dental HealthF. School HealthF. School Health


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E

RVI

CES

S THRUSTPROGRAMS

&

G. SPECIALIZED SERVICESG. SPECIALIZED SERVICES Community Reference Infirmaries

LICs including Flying Squads & DomicilObstetrical Services (DOS)

City Government Employees Clinic (CG

Preventable Diseases

Geriatric Clinic


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E

RVI

CES

S THRUSTPROGRAMS

&

G. SPECIALIZED SERVICESG. SPECIALIZED SERVICES Community Outreach

Medical & Dental Mission -(Sama saMasa)

Cemetery Services


Public Health Laboratory


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E

RVI

CES

S THRUSTPROGRAMS

&

G. SPECIALIZED SERVICESG. SPECIALIZED SERVICES Health Certificate Section

Urban Cleaning & Greening

Disaster/Emergency Management

Pro-Life Movement


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1997 1998 1999 2000 2001

16.5816.58

25.6025.60

23.3823.38 20.7220.72

18.0718.07CRUD E BIR TH R AT ERUD E BIR TH R AT E

vital

Statistics


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vital

Statistics

199719971998199819991999

2000200020012001

7.127.12

6.246.245.845.84

6.146.14

6.206.20

CRUD E DEATH R ATERUD E DEATH R ATE


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vital

Statistics

19971997 19981998 19991999 20002000 20012001

53.4853.48

32.8632.86

31.8331.83

34.0434.04 40.0940.09

INFA NT MORT ALIT YNFA NT MORT ALIT YRATEATE


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vital

Statistics

1. PNEUMONIA2. PREMATURITY

3. UPI4. SEPSIS

5. CONGENITAL HD

INFAN TFAN T MM ORTALITYRTALITYLE ADI NG CAUS ESE ADI NG CAUS ES

6. MEASLES6. MEASLES

7. CONGENITAL ANOMALIES7. CONGENITAL ANOMALIES

8. GASTROENTERITIS8. GASTROENTERITIS9. ASPHYXIA NEONATORUM9. ASPHYXIA NEONATORUM

10. MECONIUM ASPIRATION10. MECONIUM ASPIRATION


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vital

Statistics

1997199719981998

1999199920002000

20012001

0.450.45

0.380.38

0.390.39

0.670.67

MATERN AL MOR TALI TYATERN AL MOR TALI TYRATEATE

0.760.76


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vital

Statistics

1. ECLAMPSIA

2. UTERINE ATONY

3. D I C4. PUERPERAL SEPSIS

5. RET PLACENTA

MATERN ALT ERN AL MMORTA LITYRTA LITY LE ADI NG C AUS ESE ADI NG C AUS ES

6. POST PARTUM HGE

7. PRE-ECLAMPSIA

8. GEST. THROPHOBLASTIC9. ECTOPIC PREGNANCY

10. IUFD


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vital

Statistics

1. ECLAMPSIA

2. UTERINE ATONY

3. D I C4. PUERPERAL SEPSIS

5. RET PLACENTA

MATERN ALT ERN AL MMORTA LITYRTA LITY LE ADI NG C AUS ESE ADI NG C AUS ES

6. POST PARTUM HGE

7. PRE-ECLAMPSIA

8. GEST. THROPHOBLASTIC9. ECTOPIC PREGNANCY

10. IUFD

Vit l H lthVit l H lth S i iSt ti ti


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Vital HealthVital Health StatisticsStatisticsCITY OF MANILA, 2002CITY OF MANILA, 2002

POPULATIONPOPULATION

BIRTH 69/ DAYBIRTH 69/ DAY

DEATH 29/ DAYDEATH 29/ DAY

1,576,9751,576,975

BRONCHITIS - 52BRONCHITIS - 52

DIARRHEA - 49DIARRHEA - 49PNEUMONIA - 33PNEUMONIA - 33

TB RESP - 21TB RESP - 21

MEASLES - 3MEASLES - 3

MORBIDITYMORBIDITYcases per daycases per day

MALIGNANCIES - 3MALIGNANCIES - 3

CVA - 3CVA - 3

HEART DIS - 6HEART DIS - 6

PNEUMONIA - 5PNEUMONIA - 5

TB RESP - 3TB RESP - 3

MORTALITYMORTALITYcases per daycases per day


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20002000

19991999

19981998

2002200220012001

37.9637.96

29.7029.70

35.5035.50

32.3232.3240.0740.07

33.0833.08

20.0020.00

23.0023.00

36.1236.1240.5540.55

3 VISITS3 VISITS C. IRONC. IRON TTTT22

P RE -NAT ALE -NAT AL

29.4029.40

19.4019.40

31.9031.90

28.4628.4628.4728.47


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POSTST PARTURTUM

69.58 80.46 74.5360.12 62.07

59.23 47.60 59.2059.24 60.74

59.32 48.50 61.5059.35 59.77

Excl Bf upExcl Bf up

to 4 mosto 4 mos

Vit. AVit. A

I. BfeedingI. Bfeeding

1 PP visit1 PP visit

20002000

19991999

19981998

20022002

20012001

50.46 43.17 31.20 32.6050.57Comp. IronComp. Iron

56.62 45.10 52.7057.00 58.26


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2001 37.40

2002 35.00

1998 34.801999 35.202000 38.90

PERCENT UTILIZATIONPERCENT UTILIZATION

LICICUTILI ZATIONILI ZATION

9,889 1758,775

9,427 656

9,251 57610,703 284

L I CL I C D O SD O S

20012002

1998

19992000


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2002200219981998 19991999 20002000 20012001

RESPONS IBLESPONS IBLEPARENT HOODRENT HO OD

PRE-MARRIAGE

Counselling Done 496 311 340

COUPLES

ATTENDED 29813,316 3,594 2,670

training on NFP & LAMtraining on NFP & LAM

466

3,380

488

LACTATION AMENORRHEA


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194 419468

1431

2603

3289

1st Qtr 2nd Qtr 3rd Qtr

CERVICAL MUCUS METHOD

LACTATION AMENORRHEAMETHOD20022002

datadata4528

72217728

1st Qtr 2nd Qtr 3rd Qtr


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eXPAND EDPAND EDpROGRAMOGRAMonnimmunizatiomunization

FICFIC ACCOMPLISHMENTACCOMPLISHMENT

AMVAMV ACCOMPLISHMENTACCOMPLISHMENT

OPVOPV33 ACCOMPLISHMENTACCOMPLISHMENT

DPTDPT33 ACCOMPLISHMENTACCOMPLISHMENT

BCGBCG ACCOMPLISHMENTACCOMPLISHMENT

HEPAHEPA ACCOMPLISHMENTACCOMPLISHMENT

200200291.7691.76

93.8193.81

91.1591.1590.2290.22

90.1290.12

42.4542.45

1998998 1999999 2000000 200100199.2099.20 98.9098.90 98.9698.96 97.9597.95

100.10100.10 100.20100.20 101.55101.55 101.60101.60

91.1091.10 89.5089.50 92.5892.58 94.7994.7991.2091.20 88.0088.00 92.3992.39 95.0195.01

88.6088.60 90.4090.40 91.9891.98 88.4188.41

90.0090.00 90.0090.00 42.6642.669.709.70


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MEASLES

NEONATALTETANUS

CASESCASES 3399 11 33

DEATHSDEATHS 3344 11 33

C F R (%)C F R (%) 10010044.4444.44 100100 100100

20011998 1999 2000

CASESCASES 1,4251,425983983 1,2091,209 1,9291,929

DEATHSDEATHS 93933434 6969 139139

C F R (%)C F R (%) 6.56.53.53.5 5.75.7 7.27.2

2002

1,1011,101

2828

2.52.5


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PNEUMONIA TREATED 93.31100 80 88 97.92

CARI

CDD20021998 1999 2000 2001

ORS USE RATE 22.0439.30 34.70 31.70 23.58

20021998 1999 2000 2001


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NUTRITION 20012001 20002000 19991999 1998199820022002

97.00 95.4697.20 98.0092.95

OPTOPT

98.0088.90

82.6083.00

MRPMRP

1.90 1.78 1.961.71

PR

Iodized salt 57% households

utilization 61% establishments

1.89

82.30


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NUTRITION

2001001998998 1999999 2000000BENEFICIARIES

ALLOCATED

BUDGET

18,5246,679 6,220 6,389

165,883P150,672 166,000 367,000


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NAT IONA LAT IONA LTBBPRO GRA MRO GRA M

19,47019,470 31,94431,944

43,31643,316

11,83611,83611,29511,295

SYMPTOMATICSSYMPTOMATICS w/ sputum examw/ sputum exam

20012001 20002000 19991999 1998199820022002


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1,3951,395

1,3821,382

2,1772,177

1,2041,2041,2621,262

NE W SP UTUM ( +)E W SP UTUM ( +)

NAT IO NALAT IO NALTBBPRO GRA MRO GRA M

20012001 20002000 19991999 1998199820022002


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7.167.16

4.334.33

5.035.03

11.211.2

20012001 20002000 19991999 1998199820022002

POSITIVITY RATEPOSITIVITY RATE

NAT IO NALAT IO NALTBBPRO GRA MRO GRA M

11.2411.24


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L EP ROS YP ROS Y CONT ROLNT ROL P ROG RAMOG RAM

19971997 19981998 19991999 20012001 20022002

CASECASE

DETECTIONDETECTION

PREVALENCEPREVALENCE

11.2411.24

4.704.70

7.667.66

3.823.82

6.786.78

2.092.090.750.75 0.770.77 0.920.92 0.960.96


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2002200219981998 19991999 20002000 20012001

STDGONORRHEAGONORRHEA 385153 216 263

SYPHILISSYPHILIS 454220 330 332

OTHEROTHER

STDsSTDs1,159 1,069 1,461 1,594

Predominance of S TD Cases s een at the VD Clinic.redominance of S TD Cases s een at the VD Clinic.1) males 2) females/ housewives 3) masseurs 4)) mal es 2) females/ housewives 3) masseurs 4)

hos pitality girlsos pitality girls

exually

ransmitted

isease

308

362

1,057


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625625

433433

286286

793793

5959 2929 2626

252252

20002000 19991999 1998199820022002

Animal BitesAnimal Bites

Given Post-Exposure ImmunizationGiven Post-Exposure Immunization

RABIESRABIESCONTROLCONTROL

676676

3232

20012001


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DENGUEDENGUEPROGRAMPROGRAM

509413

1,594

928

6 14 41

20012001 20002000 19991999 1998199820022002

DENGUE CASESDENGUE CASES

DEATHSDEATHS

937

914


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1998998 1999999 2000000

INSE CT &SE CT &VERM INRM INCONTROLNTROL

BARANGAYSBARANGAYS

20010014954951,5091,509 657657 422422

1031037676 4646 5555

23238989 4747 4040

36369595 6363 6767

--

2002002264264

2929

2626

3232

---- 22 --

SCHOOLSSCHOOLS

MARKETSMARKETS

OFFICESOFFICES

Others,(garbages)Others,(garbages)

AreasFogged/Sprayed


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2001001998998 1999999 2000000

PUBLICBLIC HEALTHALTHLABOR ATORYBOR ATORYEXAMINATION DONE

Complete Blood Count

Blood Chemistries

Urinalysis

Stool Examination

Pap's Smear

Others

117,738105,447 101,055 108,430

2,7553,633 3,623 3,675

4,2924,576 2,421 1,949

6,0297,804 7,252 6,999

554941 796 669

2,0743,480 2,540 2,892

93,099

2002002125,000

4,357

3,161

9,066

635

1,792

105,98985,013 84,423 92,246


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Env ironmentalv ironmentalSANITA TIONNITA TION

1997199719981998

19991999

20002000

20012001

40,12236,141

44,420

46,837

EstablishmentsEstablishmentsInspectedInspected

20,931

45,62041,020

66,473

46,951

InspectionsInspectionsMadeMade

23,032

2,9091,512

2,722

1,026

BarangayBarangayLinkagesLinkages

1,233

H2O SamplesH2O Samples

10,7103,387

4,012

4,423

CollectedCollected

4,353


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DISEASES1010 DISEASES


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DISEASES

1. Diarrhea1. Diarrhea

2. Bronchitis2. Bronchitis

3. Pneumonia3. Pneumonia4. TB resp.4. TB resp.

5. Measles5. Measles

BRON CHITIRON CHITISDIARR HEIARR HEA PNE UMONINE UMONIA T BB

1998 - 2002998 - 2002

1010

LLEEAA

DDII

NN

GG

DISEASES

6. Diseases of heart6. Diseases of heart

7. Influenza7. Influenza

8. Mumps8. Mumps9. Chickenpox9. Chickenpox

10. Dengue10. Dengue

CAUSES OF DEATHS1010 CAUSES OF DEATHS


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CAUSES OF DEATHS

1. Dis of heart

2. Pneumonia

3. Malignancies

4. CVA5. TB resp

PNE UMONINE UMONIAHEARTEARTDISIS TBBRES PIRATORYES PIRATORY

MALIGN ANCIEALIGN ANCIESLLEE

AA

DD

II

NN

GG

CAUSES OF DEATHS

6. Prematurity

7. UPI

8. Sepsis

9. Homicide10. Hypertension

1998 - 2002998 - 2002


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0

20

40

60

80

100

PrenatalsPrenatals PreschoolersPreschoolers SchoolersSchoolers Other AdultsOther Adults

19961996

19971997

19981998

19991999

20002000

ORAL EXAM

DENTANTAL

SCHOOL HEALTH


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SCHOOL HEALTH

SERVICESCHOOL HEALTHCHOOL HEALTH

SERVICESERVICESMED / NURSING SERVICESMED / NURSING SERVICES

Consultation/TreatmentConsultation/Treatment

DENTAL SERVICESDENTAL SERVICESCases/Patients AttendedCases/Patients Attended

TreatmentTreatment

PHYSICAL EXAMINATIONSPHYSICAL EXAMINATIONS

StudentsStudents

Teachers/sch personnelTeachers/sch personnel

Teacher Appli/Reinst.Teacher Appli/Reinst.

SUPERVISORY VISITSSUPERVISORY VISITS

MedicalMedical

DentalDental

NursingNursing

1998998 1999999 2000000204,349 257,634 313,683

92,687 83,886 76,546

2,926,251 2,960,138 2,887,790

3,128,575 3,291,618 3,285,689

88,105 92,061 63,042

10,526 10,570 8,086

1,077 1,194 938

120 121 82

1,330 1,585 1,411

309 379 308

1,407,406

1,344,002

2001001 2002002124,800

71,972 77,245

151,085

210,107

70,838 77,466

13,274 10,636

755 1,307

23

939

139

285,725

141

1,522

421


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NVBS PVBS Pnatio nal vo lunta ryatio nal vo lunta ryblood servic eslood servic esprogamrogambloodlooddonorsonors

June-Dec '98June-Dec '9819991999 20002000

730730

9%9%accompaccomp

10,44510,44561% accomp61% accomp

donor retentiondonor retention

index = 64.81%index = 64.81%

4,21825% accomp

donor retentiondonor retention

index = 39.73%index = 39.73%

9,053

Repeat donor=3,555Repeat donor=3,555

donor retention index = 53%donor retention index = 53%

20012001 20022002

6,708

Repeat donor=4,469Repeat donor=4,469

donor retention index = 49%donor retention index = 49%


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NVBSPnational voluntaryblood servicesprogram NO. OF BRGYS w\ WALKINGNO. OF BRGYS w\ WALKING 897897

BLOOD BANK DIRBLOOD BANK DIR

NO. OF GOs & NGOs WALKINGNO. OF GOs & NGOs WALKING 8787

BLOOD BANK DIRBLOOD BANK DIR

NO. OF BRGYS w/ ADVOCACYNO. OF BRGYS w/ ADVOCACY 510510

SESSIONSSESSIONS

NO. OF Gos & NGOs w/NO. OF Gos & NGOs w/ 156156

ADVOCACY SESSIONSADVOCACY SESSIONS

NO. OF MASS BLOODNO. OF MASS BLOOD 130130

DONATIONS SESSIONSDONATIONS SESSIONS

20022002


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training of support group on basic nutrition &training of support group on basic nutrition &

enhanced child growthenhanced child growth

conducted pregnant mothers classconducted pregnant mothers class

orientation of supervisors on integrated mgt oforientation of supervisors on integrated mgt of

childhood illnesseschildhood illnesses

advocacy orientation on traditional birthadvocacy orientation on traditional birth

attendantsattendants

BSP C PC VSP C PC VACCOMPLISHMENTS


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WORK LOADORKRK LL OADAD

20012001 20002000 19991999 19981998

2,727,1882,727,188

3,165,2113,165,211

3,842,1923,842,192

3,388,1583,388,158

20022002

2,389,4492,389,449


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Sandugo Outstanding Achievement Award

National Nutrition Council NCR (Green Banner

Awardee for 2000 and 2001)

Second Place in Regional MELLPI Evaluation in

Nutrition Program

Manila won 3rd best in the implementation of theNational Nutrition Program and in "Little Miss Nutrition

" contest and 1st place in the Jingle competition, NCR

level

wardswards2000-20022000-2002

dd


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wardswards

National Tuberculosis Program

Most Outstanding Treatment Partner 2001 - Luz

Grace BonusD.O.T.S. 2001 Implementor

Maternal and Child Health - first local government to

have all its lying-in clinics certified as: Baby Friendly

Institutions

25 of the 49 health centers are Certified Sentrong Sigla

2000-20022000-2002

I &


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lack of fundslack of funds--

greater demand for health servicesgreater demand for health services- more progs / projects for implementation- more progs / projects for implementation

- phasing out of funding sources- phasing out of funding sources lack of manpowerlack of manpower - ideal manpower to pop. ratio should- ideal manpower to pop. ratio shouldconsider expected tasks to accomplishconsider expected tasks to accomplish

Ioncerns

ssues &

C

I &


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diversified focus on numerousdiversified focus on numerous

programs and projectsprograms and projects

target beneficiaries of programs/target beneficiaries of programs/projects based on estimated pop.projects based on estimated pop.

is not reliableis not reliable

Ioncerns

ssues &

C

Iss es &


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networking needs strengtheningnetworking needs strengthening

- weak inter-referral system- weak inter-referral system

- difficulty in data gathering- difficulty in data gathering

from other health facilitiesfrom other health facilities

incomplete data presentationincomplete data presentation

- no integrated reporting- no integrated reportingsystem & lack of CBISsystem & lack of CBIS

Ioncerns

ssues &

C


83/87

termination of foreign funding agencies e.g.termination of foreign funding agencies e.g.CHCA,UHNP, Italian ProjectCHCA,UHNP, Italian Project

unfunded additional thrust programsunfunded additional thrust programs

&& special activitiesspecial activities

more requests for med / dental missions,more requests for med / dental missions,

fogging /spraying & allied hlth servicesfogging /spraying & allied hlth services

Justi fic ations for theusti fications for theIncrease in Heal thncrease in Heal thBudgetudget


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deficit in med/supplies requirements/patientdeficit in med/supplies requirements/patient

need for more expensive/effective drugsneed for more expensive/effective drugs

maintenance needs of physicalmaintenance needs of physicalstructures,equipment & vehiclesstructures,equipment & vehicles

patients loadpatients load

Justi fic ations for theusti fications for theIncrease in Heal thncrease in Heal thBudgetudget


85/87

Hubert Humphrey

The Moral Test of Government ishow the Government Treats thosewho are In the Dawn of Life- theCHILDREN;

Those who are in the Twilight ofLife-the Elderly; &

Those who are in the Shadows ofLife-The SICK, The NEEDY & TheHANDICAPPED


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SServiceservices FromFrom

WombWombtotoTOMBTOMB


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THANK YOU

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Health Care Delivery Manila