CITY HEALTH OFFICE SAN PABLO CITY

PROGRAM ACCOMPLISHMENTS JANUARY TO NOVEMBER 2014

Table of contents:

1. DISPENSARY SERVICES

2. OUT REACH SERVICES

3. ENVIRONMENTAL SANITATION 4. DISEASE SURVEILLANCE

5. NATIONAL LEPROSY CONTOL PROGRAM

6. DENTAL HEALTH CARE PROGRAM

7. EXPANDED PROGRAM ON IMMUNIZATION 8. NATIONAL RABIES PREVENTION & CONTROL PROGRAM

9. NATIONAL TUBERCOLIS PREVENTION & CONTROL PROGRAM

10. MATERNAL, NEONATAL, CHILD HEALTH AND NUTRITION PROGRAM

11. STI HIV & AIDS CONTROL PROGRAM 12. PHILHEALTH TSeKap

13. CITY CEMETERY DIVISION

14. MEDICOLEGAL SERVICE

15. NATIONAL HOUSEHOLD TARGET SURVEY AND PANGTAWID PANG PAMILYA PROGRAM

1. DISPENSARY SERVICES

2. OUT REACH SERVICES Activity / Indicator Number

Special activities of civic clubs and other organizations provided medical/health assistance

90

Mobile and Free Clinics assisted 17 Medical patients examined in mobile and free clinics 2519 Dental patients attended to during mobile and free clinics 976 Bloodletting activities of PNRC-SPC assisted 10 Number of Blood donors screened 372

3. ENVIRONMENTAL SANITATION

Activity / Indicator Number

Food Establishment inspected 1393

Food Handlers issued Health Certificates 5663

Food Establishment issued Sanitary 1903

Household with completed basic sanitation facilities 2395

Household Oplan Kiti-Kiti conducted 620

Community Assemblies conducted 25

Number of Barangays fogging operation conducted 11

Sanitation complaint attended to 14

Level I Water sources inspected and disinfected 82

SPECIAL ACTIVITY:

Starting April 21 to May 10, 2014, three (3) Sanitation Inspectors together with the Surveillance Team were assigned at Calauan Billeting Area to assist in monitoring WASH facilities during the Palarong Pambansa 2014.

Activity / Indicator CHO Main CHO Ext. Facility Patients seen, examined, diagnosed and treated 3431 13,695 Medical Certificate issued 2592 1,451

4. DISEASE SURVEILLANCE

Activity/Indicator Number

Case investigations done 389 Control measures coordinated 389

I. MEASLES CASES

a. Measles Suspect Investigated - 372 b. Specimen collected & sent out to RITM - 355

Positive result (+) 50 Negative result & Equivocal 48 Pending results 274

II. MERS-CoV

a. Reproduction of MERS-CoV Awareness IEC & distributed to all Health Facilities in the city

b. Followed up and investigated MERS-CoV suspect c. Suspect referred & conveyed to San Lazaro Hospital for specimen collection &

quarantine

III. OTHER ACTIVITIES

a. Conducted Hospital Epidemiological Surveillance Unit (HESU) Assessment and consultative Meeting and Recognition awards to all hospital -Disease Reporting Unit

b. Assist RESU/MESU for monitoring, reporting & responding for diseases and injuries Re: Palarong Pambansa Billeting Area in Dayap Elem. & HighSchool, Brgy. Dayap, Calauan ,Laguna

5. NATIONAL LEPROSY CONTROL PROGRAM

Activity/Indicator Number Cases of Leprosy

A. Registered cases beginning: Jan-Nov 2014 1. New Cases 2. Cases

6. DENTAL HEALTH CARE PROGRAM Orally fit children (12-71 mos.) & Under six children provided basic Oral Health Care

Pregnant women provided Basic Oral Health Care

Activity / Indicator Number

Person: Attended Examined

8771 7763

Given counseling / education 5220

Others (extraction, filling. etc) 5072

Dental Missions (Various Barangays)

7. EXPANDED PROGRAM ON IMMUNIZATION (EPI)

ANTIGEN Accomplishment (Jan Oct 31, 2014)

Children given BCG Immunization 4356 Children given 3rd dose of Penta (DPT,HIB,HEPA B) 4080 Children given 3rd dose of OPV 4266 Children given Measles, Mumps & Rubella (MMR) 3782 Children given measles immunization 4339 Fully Immunized Children (FIC) 4289

SPECIAL ACTIVITY:

A. EXPANDED CATCH-UP MEASLES IMMUNIZATION for the period of January 23 to February 3, 2014, number of children immunized 11, 316.

B. ORAL POLIO VACCINE CATCH UP IMMUNIZATION for the period of July 1 to

August 30, 2014 Number of immunized children 140

C. MEASLES-RUBELLA MASS IMMUNIZATION for the period of September 1 to October 9, 2014 Vaccine Age Covered No. of Children

Immunized % accomp.

Measles-Rubella 9-59 mos. 24,722 81.25% Oral Polio 0-59 mos. 28,195 78.93%

D. CERTIFICATE OF RECOGNITION BEST IN COLD CHAIN MANAGEMENT (CITY LEVEL) given by The Provincial DOH Office Laguna Region IV-A

8. RABIES PREVENTION AND CONTROL PROGRAM

ANIMAL BITE TREATMENT CENTER

Total number of Animal bite patients seen (January Nov 2014) 1,978 Total number given Post Exposure Prophylaxis ( January Nov 2014) 1,153

July 6, 2014- Public School mini-symposium on Rabies Awareness Brgy. San Crispin Elem. School

9. NATIONAL TUBERCULOSIS CONTROL PROGRAM

Laboratory Activities (January to October 2014)

TB Cases (January to October 2014)

No. New Smear (+) Cases 144 No. Relapse 7 No. Trans-in 0 No. Return after Default 1 No. Treatment Failure 0 No. Others (+) 4 No. Others (-) 16 No. New Smear (-) cases 184 No. Extra Pulmonary TB 4 Total TB Cases 360

PH 280 FIELD PRACTICE FROM UP MANILA

TB Symptomatics Examined 1090 No. With 2 Sputum Examinations 1090 % With 2 Sputum Examinations 100% No. Smear (+) Detected 167

10. MATERNAL, NEONATAL, CHILD HEALTH AND NUTRITION

Program Indicators January to October Accomplishment

Maternal and Child Health Pregnant Women with 4 prenatal care

3473

Pregnant women with 2 and more Tetanus Toxoid Injection

3488

Postpartum women with 2 postpartum visits

3856

Postpartum women given Vita. A 3907 Postpartum women initiated Breastfeeding

3900

Family Planning New acceptors 997 Current users 4172

Disengagement

PROGRAM HIGHLIGHTS:

I. February 21, 2014 - PhilHealth Accreditation of Sta. Maria BEmONC Facility at Brgy. Sta. Maria San Pablo City (PhilHealth Accredited Birthing Home)

II. March 7, 2014 - Buntis Fair in partnership with NGO Partners 4 Health at YMCA Cmpd. Brgy. VI E, San Pablo City.

- Lectures on safe motherhood - Dental check up of pregnant women - Medical check up of pregnant and children

III. May 2014 - Completion of Renovation at rehabilitation of Del Remedio B Birthing Home and Health Center a project of the Health Facility Enhancement Program (HFEP) of the Department of Health (DOH).

IV. May 30, 2014 - Buntis Pageant HIV and AIDS Awareness in Pregnancy Tie up activity of HIV and AID program and Maternal Neonatal Child Health and Nutrition Program held at SM San Pablo

V.July 2014-Blessing and opening of newly renovated Del Remedio B- Birthing Facility and Health Center at Patria Village Brgy. Del Remedio SPC.

VI.August 2014 - Completion of Renovation at rehabilitation of Sta. Maria BEMONC Facility and Health Center at Brgy. Sta. Maria SPC another project of the Health Facility Enhancement Program (HFEP) of the Department of Health (DOH) NUTRION PROGRAM

Activity/Indicator Number Operation Timbang (Targeted children weighed) 29,156 Garantisadong Pambata (0-72 mos.) Vitamin A (6-11 mos) (12-59 mos) Deworming(12-71 mos)

2973 (83%)

24184 (85%) 27473 (80%)

11. STI HIV and AIDS PROGRAM Activity/Indicator Number Examinations done 856 Total visits of client at SHC 1,110 Cases treated for STI 320 HIV screening and counseling 122 Hepatitis B screening 77 Syphilis Testing 107

I. Conducted Info dissemination as a resource speaker on several Lectures on STI HIV and AIDS: A. March 10, 2014: Dalubhasaan ng Lungsod ng San Pablo, San Jose Malamig

2014 HIV AIDS Seminar Workshop, Family Planning and Personality Development

Participants: Graduating students of BSED

B. March 27-28, 2014: Grand Riviera Hotel, Lucena City, Quezon Province Basic Orientation on HIV AIDS Education Module Participants: Quezon Province LGU and DOH staff

C. April 3-4 & 10-11, 2014: El Cielito Hotel, Sta Rosa City, Laguna

Basic Orientation on HIV and AIDS Participants: DOH staff of Laguna Province

D. May 8, 2014: 2nd Floor Of Human Resource Office

Prescreening Orientation and Lecture on MNCHN and HIV AIDS for the Buntis Pageant Contestants

PE and screening of possible contestant Hepa B, Syphilis and Diabetis screening

Participants: Buntis Contest Contestants E. August 29, 2014: Midwives 5th General Assembly

At Cultural Center of Laguna, Sta Cruz, Laguna Participants: Midwives in Calabarzon

F. October 28, 2014 Calauan Local Government Unit Lucidel Fishing Resort and Restaurant

Calauan Laguna

II. Regular Conduct of vaginal smears among regular sex workers and all walk-in clients both at

Extension and main office of the City Health with provision of free medicines

III. Conducted HIV testing among high risk or key affected personalities: A. Regular screening of registered PIPs (People in Prostitution):

26 Syphilis screening/28 Hep B screening/70 HIV screening) only 1 GRO turned out reactive to Hep B (0 for both Syphilis and HIV) Was advised on rest/discontinuance from work (permanent)

B. Referred cases from hospital or walk-in: 2 referred by Hospital Facility 1 referred by Pulmonologist 2 walk-in

1 reactive and confirmed positive (died) 4 were non reactive or negative

C. Freelancers Annual Blood Testing and HIV Counseling with testing: 12/13 clients D. HIV Testing for NTP enrolled clients: 11 in Nov 26, 2014

E. Mobile Mass Testing at Community General with partners for Health and HACT of Community

> Have catered 41 for counseling while 39 undergone the testing > Based on their Form A:

Gender: Homosexual: 19 Bisexual: 10

Heterosexual: Female: 4

Male: 6

Address: 29 from San Pablo 1 from Los Banos

1 from Calamba City 2 from Dolores

1 from Pila 1 from Pagsanjan

1 from Rizal 1 from Alaminos

1 from Calauan 1 from Liliw

Age group: 18 yo and below: 2

19-24yo: 19 25-49yo : 18

Youngest: 16yo; oldest: 35yo

Based on the exit conference made after the event: Issues that were raised were:

1. Some of the Form A was not signed by the counsellors. However the reason given by Mr Jem Ticzon as representative of counsellors was that, it was

immediately taken away by the phlebotomist. 2. There was no holding area for those who have completed their testing since

most of them waited for their companions before leaving. 3. Some counsellors have done their counselling together with another (2 counselor at a time per client). I have voiced out that in my opinion- there is no problem with this set-up provided that both are trained counsellors and that the client permitted or consented them to do so. However, their point was well taken by the undersigned since it was our counsellor who made the act to assist

other first timers from the hospital which I have consented. 4. That those extraction procedures paraphernalia of the phlebotomist were just left unsafely in cartons, plastic cups (used syringes, needles, test tubes with blood and a like) and it was not properly disposed to the CHOs provided safety

boxes! 5. We are a little of-short of our target.

Hopefully we ended nicely with this partnership!

IV. Coordinated with different agencies/groups:

A. Coordinated with Brgy. Council of Brgy. VII-C re: Freelance sex workers in their area

B. Had kokus with Freelancers group along Bonifacio cor Regidor Streets Have agreed on scheduling a lecture and HIV AIDS and provide testing for these

Freelancers by the end of this quarter until the 3rd quarter C. Started linkage with another new NGO (My Health) which entails several meetings on Aug

2, 2014 at Lions Club, Oct 25, 2015 at Caf Lago, Dec 1 and 5 at Community General Hospital.

D. Strengthening LAC relations thru Orientation of the 100% CUP among LAC members at CHO on November 2014

E. Rekindle linkage with other major stakeholders (JCI and Bahaghari) for WAD celebrations and thru attending the UNDP and League of Cities of the Philippines Dialoque on HIV and the Law. On Dec 10, 2014 at Ascott Hotel.

F. Several night EE monitoring of the 100% CUP from Jun until November 2014.

V. Advocacy/Awareness Campaign on HIV AIDS: Conduct of Beauty Contest entitled: HIV AIDS Awareness in Pregnancy: Misis nyo Kontra HIV at AIDS! - Done May 30, 2014 Friday at 1PM onwards, at SM Atrium - Spearheaded by the STI HIV AIDS and MNCHN Programs of City Health Office - It was well attended by City Government employees,various national govt teams, regional and

provincial DOH and DILG, Barangay officials and team, students, and by-standers. - Total number of contestant screened: 17 but 15 continue and joined actual contest

(2 from Brgy. Sto Cristo, 3 from Brgy. Del Remedio, 1 from Brgy.Sta Elena, 1 from Brgy San Lucas I, 1 from Brgy Sto Nino, 1 from Brgy.San Cristobal, 1 from Brgy. IIA, 2 FROM Brgy. IB, 1 from Brgy. Sto Nino and 1 from Brgy. San Ignacio)

- The actual activity has started at more or less 1:30 PM

- Guest were: DLSP students for Doxology and intermisssion, Councilor Ticzon had his welcome remarks, as with the regional DOH HIV AIDS Program Coordinator, Mrs Evelyn de la Torre.

- Importance of the said activity was mentioned by yours truly! Closing Remarks were made by MNCHN Coordinator Mylene Rivera and Dr Rosanna Shellshear of the SPCMedical Society.

- The activity turned out to be perfect in spite the very minimal difficulties at more or less 4:50PM. - Judges: Kon Carla Monica Adajar as head, others were: Dr Alcayde of Community Gen

Hospital-OB GYNE, JCI Member Ms. Ai Macamay,Ms. Evelyn de la Torre from Region Office and Ms. Emma Cardona of PHO in lieu of Ms. Karen Solture of DILG who still came to witness the activity.

- Out of the 14 candidates: Winners are: -

Best in oral care: Candidate from Sto Nino (Aicelyn Lacdang) Most Photogenic: Candidate from Sto Cristo (Rosette Macalintal) Best in Talent: Candidate from Del Rem (Sarrah Paner) Best in Maternity Attire: Candidate from Sto Cristo (Rosalene Canlas) Witty Mommy: Candidate from Sto Cristo (Rosalene Canlas) Top Five: Candidate from San Cristobal (Charina Pitas) Candidate from San Lucas I ( Marjorie Toni Huelgas) Candidate from Ste Elena (Charish Llagas) Candidate from Del Remedio (Sarrah Paner) Candidate from Sto Cristo (Rosalene Canlas) Runner Up: Candidate from Del Remedio (Sarrah Paner) Grand Winner: Candidate from Sto Cristo (Rosalene Canlas)

- The grand winner really has the best answer in the Q and A, and answered perfectly with regards to the ABCD of HIV AIDS Prevention (have heard that she is a teacher though not currently employed and a cum laude during her graduation).

- Councilor Arnel Ticzon verbalized his pleasure and appreciation of the event and its organizer! Though everyone who witnessed the activity have the same review, including the by-stander and passerby and as well as SM authorities.

HIV AIDS Awareness in Pregnancy: Misis nyo Kontra HIV at AIDS!

Plaque of Recognition SAN PABLO CITY SOCIAL HYGIENE CLINIC BEST PERFORMING FACILITY IN THE PREVENTION AND CONTROL OF

SEXUALLY TRANSMITTED INFECTIONS, given by the Provincial Health Office, Laguna

12. PhilHealth TSeKap PRIMARY CARE BENEFIT PACKAGE

Activity/Indicator Number No. of enrollees enlisted and profiled (NHTS) 2,819 No. of PCB1 patents seen, examined and treated in Bagong Pook Health Center

a) consultation b) visual acetic acid test c) breast examination d) digital rectal exam

2,891 29 32 18

Program Highlights

I. January 2014 Accreditation of City Health Extension Unit as PCB1 Provider

II. January - May 2014 Profiling and enlistment of PCB1 members and qualified dependents using Individual Health Profile

III. February 18-27, 2014 - Distributed Member Data Record (MDR) to (NHTS) member in 80 Barangays in coordination with PhilHealth San Pablo and DSWD

IV. March 2014 - Consolidated and submitted report to PhilHealth office using PCB

clientele profile 1st quarter 2014 summary of availment.

V. April May 2014 - Conducted information dissemination through meeting with Barangay Chairmen (to seek out members and qualified dependents of PhilHealth to avail free (Tsekap) Primary Care Services)

Certificate of Recognition San Pablo City Health Office PHILHEALTH/DOH ACCREDITED FOUR IN ONE FACILITY

13. CITY CEMETERY DIVISION

Total No. of Contractors as of Nov. 2014 - 17

14. MEDICOLEGAL SERVICES Activity/Indicator Number

Postmortem examinations 37 Physical examinations for medicolegal purposes 300

15. NATIONAL HOUSEHOLD TARGET SURVEY AND PANGTAWID PANG PAMILYA PROGRAM

Activity/Indicator Number No. of elderly vaccinated for

a) HIB Pneumonia b) Influenza

1,137 3,255

No. of 4Ps Certifications issued 380

No. of Burials Old Cemetery

No. of Exhumation Old Cemetery

No. of Burials Himlayan San

Pablea 826 98 225