PEOPLE’S CITIZEN PARTICIPATORY

AUDIT REPORT ON

BARANGAY HEALTH STATIONS

LUZON GROUP

Source: DOH Maternal care flipchart

Republic of the Philippines

COMMISION ON AUDIT

Quezon City

CAR (CORDILLERA ADMINISTRATVE REGION) – REGION I (ILOCOS REGION) - REGION II (CAGAYAN VALLEY REGION) - REGION III (CENTRAL LUZON REGION) - REGION IVA

(CALABARZON REGION) - REGION IVB (MIMAROPA REGION) - REGION V (BICOL REGION)

The Citizen Participatory Audit (CPA), one of the audit thrustsof the Commission on Audit (COA) was conducted in partnershipwith different Civil Society Organizations (CSOs). The audit wasaimed to determine the Barangay Health Stations’ compliancewith Level 1 Quality Standards List for Barangay Health Stations/Centers under the Department of Health’s (DOH) Sentrong SiglaMovement.

It is geared towards the improvement in the delivery ofservices by determining the satisfaction level of its target clientsand the perceived reasons for their dissatisfaction. The audit aimsto provide inputs not only to the planning and budgeting processof Local Government Units (LGUs) but also as an indicator indetermining how well the programs of the DOH operate in thegrassroots level.

GENERAL INFRASTRUCTURE/

CONDITIONS/AMENITIES

9 out of 28 BHS were partially

compliant and 3 did

not comply

7 out of 28 BHS were partially

compliant and 9 did

not comply

11 out of 28 BHS had no

auditory privacy and

7 had no visual

privacy

12 out of 28 BHS were partially

functional and 3 were

not functional

11 out of 28 BHS were partially

clean and 4 were not

clean

22 out of 28 BHS COMPLIED

with the lighting requirement

22 out of 28 BHS COMPLIED

with the ventilation requirement

21 out of 28 BHS COMPLIED

with the water supply requirement

Storage space Garbage containers

Treatment area

Comfort rooms for clients and staff

22 out of 28 BHS COMPLIED with the dimension requirement of a Health Station/Birthing Home

17 out of 28BHS complied with the posting requirements

on clinic hours

17 out of 28BHS complied with the posting requirements

on services offered

9 out of 28BHS complied with the posting requirements on Staff whereabouts

7 out of 28 BHS provide

occasional services during evenings,

weekends and during non-traditional hours

HEALTH SERVICES

Posting Requirements

IMMUNIZATION

41percent

NAPAKABUTI

NAPAKASAMA

34percent

MABUTI

19percent

MASAMA

PATIENT SATISFACTION RATING

PROGRAM

EXPANDED

6percent

Nurse Susan, do all BHShave case definitions? No Doc, 20 of our BHS do not have

case definitions yet.

Is that so? How about theNotifiable DiseasesReporting Forms? Do theyhave it?

Based on my records, 15 haveNotifiable Diseases ReportingForms available and 11 have none.While we do not have availabledata on the remaining two BHS.

Were they able to submittheir weekly reports onnotifiable diseases?

Unfortunately Doc, only 13 wereable to submit their weeklyreports and I’ve been following upthe rest.

Thank you, Nurse Susan.Good job as always. Justgive me a heads upwhenever necessary.

You’re welcome, Doc. See you around.

ACUTE FLACCID PARALYSIS (AFP)

Activity CompliantPartially

CompliantNot

CompliantNot

Applicable

Investigation 9 3 10 6

Reporting 9 1 9 9

Follow – up cases within 60 days

6 3 9 10

NEONATAL DEATH / NEONATAL TETANUS

Activity CompliantPartially

CompliantNot

CompliantNot

Applicable

Investigation (Neonatal Death)

7 3 11 7

Reporting (NeonatalTetanus)

9 1 9 9

MEASLES OUTBREAKS

Activity CompliantPartially

CompliantNot

CompliantNot

Applicable

Investigation 8 3 11 6

Sore throat

Body ache

Runny nose

Fatigue

Cough

Congestion

Chart

Thermometer

Pen LightTimer

Cotrimoxazole

Paracetamol

Tongue Depressor

Requirement CompliantPartially

Compliant

Not

Compliant

Not

Applicable

1. Case Management Chart

11 1 15 1

2. Thermometer 26 0 1 1

3. TongueDepressors

19 0 8 1

4. Flashlight or Pen Light

14 4 9 1

5. Timer or Watch with 2nd Hand

14 4 9 1

6. Cotrimoxazole 13 4 11 1

7. Paracetamol 15 4 8 1

of a functional Oral Rehydration Therapy (ORT) corner were complied with by

majority of the

PITCHERGLASS

SPOON

ORAL REHYDRATION SACHET

TABLEBENCH

CALIBRATED CONTAINER

POTABLE WATER

:

BHS have posted CDD Case

Management

BHS have updated Daily

Record of Diarrhea Cases

MICRONUTRIENTS SUPPLEMENTATION /

NUTRITION

Did you know?

82% of the BHS have

adequate supply of IRON SUPPLEMENTS

75% have enough supply of

VITAMIN A

32% have sufficient supply

of IODINE

Most of the 28 BHS showed good records management!!!

27

23 23

21

22

23

24

25

26

27

28

Operation timbang Updated target client list Under 5 growth cards

Records Management ofBHS in Regions I to V and CAR

86%

7%7%

Records Management

Compliant Partially compliant Not compliant

Observations:

Majority of the BHS in Luzon complied with the one month supply requirement of contraceptives

Out of the 28 BHS, 86% or 24 BHS have updated records on the clients /patients availing the family planning program

48% of the BHWs disseminated the information on Family Planning Program

CompliantPartially

compliantNot

compliant

Condoms 18 1 9

Oral contraceptives 22 0 6

DMPA 21 0 7

IUDs 10 0 18

24 out of 28 BHS complied with the

requirement on the availability of

Updated Target Client List

Supplies CompliantPartially Compliant

Not Compliant

Sputum Cup 22 0 6

Glass Slide 12 1 15

Designated sputum collection and staining area

8 0 20

STD/AIDSPrevention and

Control Program

FINDINGS:

REASONS FOR NON-COMPLIANCE:

1. No reported cases2. Program not provided by BHS

out of 28 BHS are compliant on reporting

Environmental

Sanitation Program

Barangay Health Stations have adequate supply of

toilet bowls for distribution

Barangay Health Stations have adequate chlorine

granules for water supply facilities disinfection

OF8 28O

F4 28 O

F

4 BHSHave pap smear

specimen

collection tools

3 BHSHave updated

target client list

4 BHSHave patient’s

record of pap

smear result

9 BHSHave cervical &

breast cancer IEC

materials

6 BHSHave referral

facility

8 BHSHave updated

referral form

Referral

Form

_______

_______

_______

BE AWARE,

FIGHT CANCER!

Of the 28 BHS…

Cancer Control

Program

All BHS have partially complied with the standard

equipment requirements

20 BHS with primary

consultation service

BHS with Risk Profiling for

Hypertension and Diabetes

18

16BHS with

counselling for smoking cessation

18BHS with Risk Profiling for

Hypertension and diabetes

16 BHS with breastfeeding

program

20BHS without oral check-up

and prophylaxis

service

14BHS without

periodic clinical breast examination

service

26BHS without digital rectal examination

service

21BHS without

Cervical Cancer

Screening service

Preventive ServicesOut of 28 Barangay Health Stations…

Due to Lack of Medical Personnel

What we found out:

Maternal CarePackage

6 out of 28

BHS were with Birthing

Homes

3 out of 6BHS with

birthing homes has no OB-Gyne

or attending Doctor

WHAT IS THE LEVEL OF SATISFACTION OF 3,859 PATIENTS WITH THE FACILITIES IN

28 BARANGAY HEALTH STATIONS ?

FACILITIES

1581 1,366 9 63 840

1,240 1419 170 44 986

1,198 1392 132 21 1,116

619 902 192 69 2,077

1,171 1408 220 24 1,036

924 1209 150 50 1,526

467 674 20 1 2,697

NAPAKABUTI MABUTI MASAMA NAPAKASAMA WALANG SAGOT

Electricity

Water Supply

Comfort Room

Communication

Medicines

Equipment

Facility

Consultation

No Physician

Napakabuti42%

Napakasama7%

Mabuti24%

No feedback27%

Programs

Leprosy control 427 463 38 115 115 2701

National TB control 694 578 38 77 115 2357

Smoking Cessation 696 463 38 77 77 2508

STI/HIV Prevention 504 424 38 77 115 2701

Blood donation 581 501 38 77 77 2585

Adolescent and Youth 543 578 38 115 77 2508

Prevention of blindness 385 385 38 115 115 2821

Dental Health 656 424 38 77 115 2549

Emerging and re-emerging infectious disease

426 463 38 77 77 2778

Food and Water-borne diseases prevention

542 463 38 77 77 2662

Infant and Young Child Feeding 1119 617 0 77 77 1969

Customer satisfaction on the quality of programs

provided by the BHS

NAPAKABUTI MABUTI MASAMA NAPAKASAMA HINDI NAG-AVAIL

WALANG SAGOT

Programs

Dengue Prevention and Control 1044 656 38 77 38 2006

Expanded immunization 1005 540 38 77 77 2122

Food fortification 656 463 38 77 77 2548

Pharmacy 427 578 38 0 38 2778

Botika ng Barangay 308 115 38 115 0 3283

Health Development Program for Older Persons

811 656 0 77 77 2238

Family Planning 1082 578 0 77 77 2045

Women and Children Protection 966 578 0 77 77 2161

Breastfeeding 850 540 0 77 77 2315

Basic Emergency Obstetric and New-Born Care

116 0 0 0 0 3743

Customer satisfaction on the quality of programs

provided by the BHS

NAPAKABUTI MABUTI MASAMA NAPAKASAMA HINDI NAG-AVAIL

WALANG SAGOT

Asuncion, Marco Antonio T.

Bomowey, Kathleen Joy F.

Bongait, Margie D.

Borile, Teresa S.

Bulan, Roma Bianca D.

Cabugayan, Mark Jerome P.

Capuno, Ma. Celia N.

Chen, Romarie Anne M.

Corpuz, Perry Neil S.

Eduarte, Juvy N.

Estrella, Edward E.

Fontanilla, Jenalyn L.

Gaylican, Rufino Jr, L.

Gomez, Nelda P.

Japlit, Imelda Corazon V.

Lappay, Josephine Alberta P.

Lasam, Roy S.

Lopez, Imelda C.

Luna, Alma L.

Mallillin,Ireneo A.

Manabat, Amalia P.

Medroso, Wilma R.

Mendoza, Romeo V.

To the Project Management Office, Department of

Health Personnel, Regional Directors and

Supervising Auditors from the different Regions in

Luzon, and Municipal and Barangay Health

Personnel.

Miguel, Elvys Kenneth E.

Nisperos, Evelyn A.

Oli, Elvira M.

Ragandap, Noemi D.

Reyes, Abigail T.

Reyes, Marilyn L.

Riel, Jude A.

Rimando, Greg Rainer S.

Rosales, Carlos S.

Santiago, Marili M.

Santos, Cinderella Ezperanza A.

Soriano, Novella G.

Soto, Remedios P.

Sunico, Ramon I.

Tacbas, Patrick Henry B.

Tan, Susan U.

Tom, Rowena R.

Valencia, Julie Ann A.

Valentin, Amalia L.

Vergara, Aileen R.

Wasing, Fatima M.

Yumul, Ma. Lourdes D.

Zamudio, Kristine R.

COA Personnel:

CSO-PartnerAbtos, Gloria M.

Alejandre, Nariel Joei

Apilado, Florbelinda C.

Arguelles, Roy

Baisa, Abigael

Balanon, Arceli J.

Camua, Maribel P.

Cruz, Marilyn L.

Matias, Maria Emily S.

Rabina, Randy

Reyes, Melisa S.

See, Amor A.

Segundo, Tirso

Serrano, Magdalena C.

Sotelo, Orlando IV R.

Valentino, Elizer Joy A.

We would like to extend our sincere

and heartfelt gratitude towards all the

personage who have contributed in

the successful completion of this

report.

Special Thanks: