1996 health and productive individuals and families

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Table of Contents Page

1

10

16

Message ---------------------------------------

Accomplishment Report

• Office of the Chief of Staff ---------------

• Office of Management Services ----------

• Office of Public Health Services ---------

• Office for Health Facilities, Standards

and Regulation ----------------------------- 26

• Hospitals ----------------------------------- 34

• Regional Health Offices -------------------- 46

Health Facts ---------------------------------- 53

Health Resources ----------------------------- 58

Editorial Staff

essage

It is with distinct pleasure that Ipresent the accomplishmentreport of the Department ofHealth (DOH) for 1996. On its5th year of operation underdevolution, the DOH hascontinued to exert its leadershipin health in a set-up where theprovision of health services has

organization, as it was confronted by theemergence of disease and health relatedproblems such as dengue, hepatitis andcholera, and the upsurge of the red tidepoisoning. With a determined effort, itmade its victorious way through in battlingthese problems, hand in hand withovercoming the threat to its image, and thus,redeeming the respect it once enjoyed.

been the major responsibility of thelocal government units.

The year 1996 had been marked bycontinuing challenges to the

This report gives a glimpse ofhow the Department, moved byits vision of "Health andproductive individuals andfamilies ", had strive to go beyondthe attainment of good health bytranslating its mission of"universal access to qualityhealth service" into action. Withdue respect and recognition, Ialso take this opportunity toacknowledge the valuablecontributions of our partners inhealth - the local governmentunits, international organizations,non-government organizatiuns.pnvate sectors, other gove, i.lme~lagencies and the communities,with whom we share theresponsibility of realizing thisvision.

~CA-'t/M~J -Carmencita Noriega-~odi':,~,MPH, CESO II

Secretary of Health

DOH

1111'11111111111 II~IIII0700

H1.11 Ana 1996/ Department of Healthannual report1996

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To provide theDepartment withnecessary services relatedto planning,programming and projectdevelopment

and consolidated the following

INTERNAL PLANNING SERVICE (IPS)

Mandate:

inspection of JICA Grant-Aide Project equipmentupgrading of provincial hospitals in 21 hospitals.

* Conducted a consultative meeting on the FACSinstitutional strengthening to identify all FAPs inDOH and increase awareness of the programmanagers on the mandate and role of FACS.

* Revised Administrative Order No. 16 - Guidelineson Fellowship and Scholarship Grants.

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'( """'"v"}) rf"', The main functions of the Office of ther: ~ C;qi¢f of Staff (OCS) include th~ following: a)6 Mln'timstralive support and supervision of the OCS

ServiceslProgramsIProjects and the different officesin the DOH; b) Coordination and collaboration withinternational and local organizations; and c) Liaison

':lS; activities with other sectors, both government andnon-government

'(- J ((0~ /~cfOREIGNASSISTANCE.~ ©~OORDINATING SERVICES (FACS)", :\,J (i 2)

vv c:: .~MandGi~:"'0' y~tj<~ . ff .

'" 'l)~~ To provide sta services'c 'C::"'\)J related to the development,'j) Qcmdination, monitoring,/' rePDrting and assessment of"''' foreign assisted projects of the

r '-- Department of Health.'--'0. ,()l ;: Accomplishments:

~-:!J ~Ptocessed and facilitated the/" - .-----,:-\

-, following:~'~ !fj V>678 (100%) of Fellowship and-: J (i 0 other foreign travels;

·v c:: ~ > I!}U,OO%) medical missions;'; 01 Y 6lnl00%) foreign donation;

: .)<~v~ * Updated all the database of Foreign Assisted'( ~\ • Projects (FAPs), fellowship, foreign donation,,. j) ~" ~edicalmission and WHO outstanding local costf)lilivance."-,, * Facilitated Project

j I.> Coordination of WHO Collaborative Program ofoo Health:1 J1 > 150 (100%) Request for implementation of

""" activities;~ -dJ .. 1@2 Liquidation of WHO outstanding local costr ;';~"i\ advances;.,'~ rtf~ > 22 (100%) Request for reprogramming; Ten-Year Mindanao Health Development Plan;\ J (i Q; > 20 (100%) WHO request for report/data; Three-Year Development Plan for the Zones of

'v~ ~ * Co~cted post project evaluation and ocular Peace and Development (ZOPAD);

c.'; 0' U ~ Programs and projects for displaced Moro National

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Liberation Front (MNLF) for Southern PhilippinesCouncil for Peace and Development SPCPD/ZOPAD areas;• Undertook, through the Health. FinanceDevelopment Project (HFDP), priority activities tosupport the implementation of Public Investment:

> Training courses related to project developmentfor selected technical staff of the Central andRegional Field Offices;

> Funding and technical assistance and inter-intraagency meetings both at the Central Office andRegional Field Offices;

> Advocacy meetings pertaining to the servicecoordinative function in the implementation ofthe Ten-Year Public Investment Plan for theHealth Sector (1994-2004);

> Two (2) project designs to improve the existingplanning, monitoring and evaluation system inthe DOH. Additional supplies and materials,equipment, furnitures and fixtures wereprocured to support public investmentactivities;

> Nine (9) volumes of documentary reports to theHealth Policy Development Program prepared;

> 1996-1998 Public Investment List Updated;> Adoption of database design for DOH foreign

assisted projects.

• Prepared reports on evaluation, monitoring and!or budgetary purpose such as the 1995 DOHAnnual Report, Agency PerformanceCommitment and Accomplishment Report,1996 Year-End Report and the Four-Year (19921996) Agency Accomplishment Report for thePresidents State of the Nation Address (SONA).

• Provided the Southeast Asia MedicalInformation Centre (SEAMIC) an update of1995 and 1996 Philippine data on population,vital statistics, morbidity/mortality, resources,nutrition and socio-economic factors.

• Updated DOH program and project profiles incoordination with the various services,programs and projects at the Central Office tofacilitate requests from the Department ofBudget and Management, Congress and Senatefor budget hearing purposes.

• Summarized reports of the weekly situationerbriefs submitted by different Regional HealthOffices.

• Facilitated and documented the conduct of the1995 End-of- Year and 1996 1st Quarter andSemester Performance reviews of the CentralOffice programs and services.

• Conducted monitoring visits in four (4) RegionalField Offices and their respective retainedhospitals to: a) analyze physical performanceand budget utilization for 1995 End-of-Year and1996 1st Semester and 3rd Quarter Report. b)assess the status of compliance andimplementation of the recommendations madeduring the past performance and budgetutilization review.c) identify the breakdown of resources providedby the Central Office and the Regional HealthOffice to the retained hospitals and LGUs andassess how resources were managed.

• Spearheaded the conduct of focus groupdiscussions among selected DOH officials andpersonnel. Various committees were created toreview existing monitoring tools and indicators,systems, structure, policies, etc. The expectedoutcome of this undertaking is an integratedDOH program monitoring system.

• In September 1996, Administrative Order No.31-B entitled "Establishment of ImprovedProcedures and System for a SynchronizedDOH Planning and Budget Process" was issuedto synchronize and closely link planning andbudget process in order to ensure that the priorityprograms and activities in the operational planwill be properly and correspondingly translatedinto budgetary terms.

,... J :(p~~ t?) zJfOMMUNITY HEALTH SERVICE (CHS),j '\,-",/ ~

'\ o "?JI• V ('c!J Mandate:"u~ ~ .;.. ," reOc'" <:3' A ~ ~ • .

.' ~.;::,,,/ ~ To provide services related to formulatingC" ~/Q plans and progr~ms for coordinating with non')) if'.government orgamzanons, peoples organizations, the

(' ~ I,qcal government umts and the communities in health"=' ;;n'rllhealth-relatedactivities, programs and projects.

J'l:,o1S7 Accomplishments:

J .~rmulated the policies and guidelines on Doctors({ o'~theBarrios (DTTB) Program; Barangay Health:,)) r;;.g Workers (BHW) Program; Botika ng Barangay" J R 2) (BnB); Health,D~velopment Program (HDP) Fund;

v'" ,A Pov;jlY Alleviation Fund (PAP); National Primary\ 1;0' ~ "te~are (PHC) Fund; Implementing Rules and

.' 0" :~/"i\ ~eguI~tions for the Barangay Health WorkersC \.:. A0 Incentive Act (RA 7883); and PHC policy on

<'i) C',Community Health Development;.> ,/ ~gonducted two (2) batches of Integrated Program~;J Resource Planning Workshops with sub-national

officers and staff for the Social Reform Agenda(SRA);

~(}- • Supported the initial and/or continuing education'y of its partners such as the DTIB participants, BHW

_ .:!J ) ryderations, Regional Coordinators for CHS~ '-Programsand projects, DOH representatives to the"')) f::' J LGUs, Local Chief Executives and NGO project

J r 0 proponents, Twelve (12)u r > -;:C~ DT'Jl)3 graduates were'~,'0 ~J\c~ed under the

'\' .. '," ""Residency Training,,'-'~,

, '-' v Program of training~\ hospitals;// ~

-: ) t~pported basic sectors asthe indigenous people,disadvantaged children,youth and women incommunities within the

centers through the Primary Health Care Fund inthe implementation of the Peoples' Health Day.

• Managed the recruitment and deploymentprocesses of 25 physicians to doctorless areas underthe DTIB Program and 347 youth workers for theHealth Outreach Program of the KABATAAN2000 - Presidents' Youth Work Program. Thirtyfive (35) youths were recruited under the Yearround scheme of the program;

• Distributed documents and monographs to makedifferent partners at the sub-national levels awareand equipped to initiate and promote nationalprograms and projects. These materials are: I)SRAmodules and major policy directions; 2) Policy onPHC for Community Health Development; 3)Community Databoard Guidebook; 4) Health Work .is Team Work; 5) IRR for BHW Incentive Act (RA7883); 6) Manual on Strategies to Fight Poverty;and 7) Manual on Basic Needs (MBN) Primer;

• Conducted in collaboration with the New TropicalMedicine Foundation, Inc., social mobilizationactivities for DTTB Program such as I) Donors'Meeting2) Premier film exhibit of MULANAY (Sa Pusodng Paraiso) in Makati, LA, California and LasVegas, Nevada, USA;

• Facilitated the accreditation of six (6) NGOs• Monitored and evaluated program and projects

through the conduct of the following activities:I) Monitoring of twenty-five (25) DTTB

volunteers;2) DTTB Program Implementation review; 3)

. Integrated field monitoring of.. , ..• ~.'lC • :,;~":7 '~ . CHS projects in twelve (12)" ' ~i.,,-.,- regions;

,.'.,:f&,.'::J:~1 ." Initiated the integration ofi... tJ(;!"'-''''~ the Community Health

..,,' ';I;'J' (,..~< Development framework and,.. ' ;tI,~ ",p',i', I " '" ,~. expenence In Its intra/inter -",', /4JI.: ....:..tIi:":it! ·'1 -:......~i sectoral involvement in .the:

..~ .."!.;;,.r-..~~ :. j':o'.People Empowerment Pillar'M' :f·r---~· f"';";'O'~_, \ ,!Ill of the National Drug Program

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~ Club 20 and Devolution I?' .wi'... '1£;; ... '~ ./ \,r'.' and RITM - Agusan del Sur?- -3 '?Einanclally-Burdened , .,>~ ...' ~,~_, ,.' Malaria Control Project.:--. /. '(OFB) provinces to set up .. • Provided considerable.. j ©g and sustain health promotion projects developing technical inputs in the

.; J 00 and/or enhancing their knowledge and skills in decision taken by the Catholic Relief Services'U", A plaanjng , implementing and monitoring (CRS) to shift from its relief orientation to the

u 0' ~ ~~nitY-basedhealth development systems; community health development paradigm in its

~f: ~;0 . Supported specialty hospitals and selected medicaID program implementation.

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• Acted as Secretariat for the Department Secretaryas CORD for CARAGA (then a newly-createdRegion) during the period of January-April 1996: Spearheaded consultative meetings and planningworkshops among the different national governmentagencies converging in CARAGA; - Facilitated thefollowing activities I) approval of the initial five(5) staff positions in the Regional Field Office; 2)Approval and release of the PS and MOOE budgetfor 1996 of the different line agencies in CARAGA.3) active involvement of DOH in the Anti-PovertySummit held at PICC in March 1996 as CORD forCARAGA;

HEALTH INTELLIGENCE SERVICE (HIS)

- Logistics support to 15,000 reporting units,- Development of a Modified FHSIS software,

nationwide implementation of the ModifiedFHSIS,

- Conducted a survey on current health concernsand issues,

- Conducted training on Modified FHSISsoftware, Epi-info and Epi-rnap for RegionalHealth Office and LGU personnel;

• Published and disseminated the followinginformation materials:

1,000 copies of 1992 Philippine Health Statistics,350 copies of 1993 Philippine Health Statistics,350 copies of 1994 Philippine Health Statistics,350 copies of 1995 Philippine Health Statistics,

12 issues of HIS Updates;

Mandate:

To provide services -relat~d to the formulation ofdisease intelligence,assessment of the state ofhealth of the country anddevelopment and maintenanceof effective and comprehensivehealth information systems tosupport planning andimplementation of healthprograms.

Accomplishments:

• Participated in a workshopduring the NationalStatistics Monthcelebration.

.• Conducted Staff Development Training for its 20personnel;

• Spearheaded thestrengthening ofNotifiableDiseaseReporting;

• Developed the data andinformation retrieval system for hospitals. Thissystem (Hospital Statistics Retrieval System) waspiloted in one (I) region.

• Conducted the following workshops and interagency meetings:

- National Consultative Workshop on Field HealthService Information System (FHSIS)

- HIS Operational Planning WorkshopConducted inter-agency meetings;

FINANCIAL OPERATIONS ANDFRONTLINE SERVICE AUDIT(FOFLSA)

Mandate:

To provide assistance to managers of theDepartment of Health in the effective discharge oftheir responsibility by seeing to it that all resourcesmade available to the department are managed andexpended/utilized in accordance with laws andregulations and safeguarded against loss of wastage,through illegal and improper disposition WIth a viewof ensuring efficiency, economy and effectivenessin its operation

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• Spearheaded the development of the NationalHealth Information Master Plan;

• Provided the following technical and resourceassistance to the different LGUs for theimplementation of the Modified FHSIS:

, J :(pC, /""'fQcomplishmenls::»©V

(;~ 10, 0 . Audited twenty-five (25) agencies and facilities- "<1-;> 'F'v u~er the DOH;

'0 J; A '~C~ucted six (6) fact-finding investigations of~, ~~~. ~ reported complaints against DOH personnel;'C,)~ • Evaluated thirty-nine (39) Procurement'-~ If"". Monitoring Reports as well as nineteen (19)

'..J) I",)" 'G'-'Progress Reports on the implementation of audit6 ;>L:recommendations;. -, • Validated two (2) InventoryReports of equipmentJ(} submitted by field health agencies;o • Acted on twenty-seven (27) referrals/requests

1 Jl from agencies and offices under the DOH;"'\\ • Provided advisory services and tecnical assistance-d) <tpo DOH management, offices, programs and

t~ .A8:'projects.

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"v"" ,'F'v ,,.J~c; 0 ~e8c INFORMATION AND HEALTH

; ,) ~:;::~ EDUCATION SERVICE (PIHES)

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[Mandate:

J 'L.o To provide leadership in health activities,.,°0

social mobilization and advocacy initiatives of the,\ », different health programs of the DOH.

implementation of various health programs;• Established linkages with seventeen (17)

government agencies, seven (7) private firms, six(6) NGOs/POs and twenty (20) local chiefexecutives;

• Monitored the utilization of IEC materials producedin all regions;

• Attended to inquiries from students and researchersabout the different health programs and projectsof the Department;

• Produced and placed in media outlets twelve (12)30-seconder commercials for 60 radio stations andeleven (II) 30-seconder commercials for 7 TVstations;

• Facilitated twenty-one (21) guestings in radio andthirty (30) guesting on TV of the Secretary ofHealth and other health officials;

• Developed and disseminated 58 press releases, 50photo releases and 100 photo and video releases;

• Organized 36 press conferences, 42 press briefings,100 photo and video coverages;

• Monitored and analyzed health articles in fifteen(15) daily newspapers;

• Published and disseminated three (3) bimonthlyissues of the HealthBeat Magazine;

• Conceptualized, produced and disseminated five(5) video-visual productions of3-15 minutes, four(4) MTVs and replicated 770 copies of the AVproductions;

)' '''' )n •/) (~comphshmenls:;'> ->: i/.'

~~ if'? g. Developed, produced and distributed IEC materials:t J R 0 of twenty (20) health programs;" c. v »< A • Developed, produced and distributed 45,000 copies

0'<8-' \ ~of1:)iilnily Health Guide; .• c ~. ~Monitored the IEC implementation of the twenty-, .j \':'<~ two (22) health programs;-, -", I'" • Assisted in the organization of regional Philippine

.I) ~''-JIealth Promotion Program (PHPP) technical.: ) ,working groups; ,

• Trained twenty-nine (29) Health Education ' -Promotion Officers (HEPOs) on Basic Training • Started implementation phase of the Multi-mediaCourse for HEPOs; Centre (MMC) project;

• Conducted three (3) area conference to orient the • Provided technical assistance through theparticipants and develop their action plans for development of communication plans,

· :J)(d'HPP; conceptualization of health messages and?-'~onductedhealth seminars for Sanden employees development and dissemination of the Healthc- ~\ rY'\' ''\\ in Makati; Advisory on the different diseases;,.(/ <;. V. Conducted PIHES National Consultative • Trained nine (9) MMC staff on multi-media skillsJr. 'c2 Workshop' development in Boston, Massachusetts;,v'" A . Mclailiz~d fifteen (15) companies, civic • Trained thirteen (13) Central Office Information0) ,,:;" ~Jorgan'izationand other groups for assistance in the Officers and Public Relations Officers and ten (10)

, "e 'L.'01 CD Regional Information Officers on basic skills". ~- /-,"' V.~ "',-':) ,r.> ~ ,70, \)"0".7

which the visitor will need• Consolidated the 1997 CHCA package of the

different services, programs and projects to besent to the regions for negotiation;

• Conducted three (3) Consultative meetings forthe Regional LGAMS Coordinators and DOHLHB Representatives League;

• Provided planning assistance to several LGUs;• Developed a CHCA monitoring system for

Central Office, Regions and Provincial HealthTeams;

• Conducted three (3) pre-health assemblies Luzon, Visayas and Mindanao in preparationfor the 2nd National Health Assembly;

• Provided technical and administrative supportduring the 2nd National Health Assembly heldlast August 1996 in Philippine Village Hotel;

• Published and disseminated the Proceedings ofthe 2nd National Health Assembly;

• Conducted a research on Assessment of theDevolved Health System inthe Philippines;• Continued the Gems andJewels Project and publisheda book on the Gems andJewels of Devolutionentitled Devolution Mallers;• Revised and published the

";;:,' 'In:',', Health Services and LocalAutonomy (HealthGuidebook and LocalGovernment Code

".,",jiLt- combined);

• Conducted the TrainingProgram on Health in the Hands of the People(Social Mobilization) for DOH representativesto the Local Health Boards, RegionalTechnical and Training personnel (II batches);

• Conducted the Advanced ManagementTraining Course under a DecentralizedHealth System for DOH and LGU personnelin cooperation with University of thePhilippines Centre for Policy Development;

• Provided support for Regional and ProvincialLGAMS operations;

• Published six (6) issuesof Bulletin on Devolution;• Conducted fourteen (14) Regional/LGU

consultations.

Mandate:

•

LOCAL GOVERNMENT ASSISTANCEAND MONITORING SERVICE (LGAMS)

To ensure that LGUs acquire andmaintain capacity to finance and direct healthservice delivery in cooperation with other healthservice providers.

Accomplishments:

•

• Developed infoware. including procurement ofcomputer hardware and database software.acquisition of research and statistical publicationsfrom WHO and training of human resources formore effective information management;

• Conducted field monitoring of on-going researchprojects.

particularly on a multi-country study proposal bythe International Development Research Centre(IORC. Canada). The output is a research proposalfor a feasibility study in the Philippines to be doneby a group of researchers from the academe. NGOsand DOH;

• Completed the monograph ENHR in thePhilippines: The First Years (1991-1996) forpublication (to come out in April 1997 in time forthe Health Research Consciousness Weekcelebration);

Disseminated color-coded ENHR ProgramPapers for more focused program promotion andcontinuing education and for funnelling research

outputs to policy makers:

ENHR ProgramUpdates (yellow).

ENHR ContinuingEducation capsules(green).

- ENHR Program Leads(pink).

- ENHR Policy Pointers(blue) - to start in 1997.

- ENHR ResearchSamplers (white) - tostart in 1997;

• Produced specialadvocacy materials in the form of ENHR programfolder with pocket and 1997 ENHR Program deskcalendar;

• Spearheaded the National Consensus Workshop toformulate a Health Research Agenda for 19962000;

• Distributed questionnaire to survey the priorityconcerns of DOH Offices. Services and Programsfor 1997 and to validate the result of the consensusworkshop;

• Developed a Manual of Operations for the ENHRProgram for improved transparency. consistencyand effectiveness (to be completed in April 1997);

"J :~t: P" ESSENTIAL NATIONAL HEALTH,'~ Iff YRESEARCH PROGRAM (ENHR)\:~(( hJ;vv~ A ..-J

, c I ~aJl{!,llOe :.,0 0{ <-)c:.,;)

~ " ~~"Jl To direct. coordinate. support and sustain heath(C '" (f ", , research activity in the health sector.

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(, ~~complishments:

JJ'- •A total of seventeen (17) research projectsamounting P9.3M were funded by ENHR. On

]S7 the other hand twelve (12) research have been' '\\, conducted at the central.J; :((j)ffice during the year. The

(C' ,((''''Other accomplishments are, -; 0, / '1', as follows:

/--1 ,,/ "-:.:::::!J~ J (.;' • Celebration of the Research

v .~:J y"':; Consciousness Week on the

..: v' \, 2l1c!-week of April with the '. ..IKllll CO"'II'S'" ""!SHOP !c. ) = \::: theme "Problemang _I<JftliJllOO'O/ffil !lllJ!I""ffi RlSf .'

(' '. "" "lnnR '''" I.",f, " ,~j/~,; Pangkalusugan: TUKLAS [ ,-) . : .\ ~\ (. LUNASAN" ~'J \ \oi' ,~ " 1(,,// ~ \~s~:~~~~~~f:rpre~e~~t~~~~~d~""""r -: l

and dis.seminationof research I! ('l. , ," II I" I • • I I :'111..J("I._- results, ~"'" . ~ <'!I','. ,

v • Published and disseminated. <)n

" /. quarterly issues of: TUKLAS LUNAS Executiver" Briefs. and TUKLAS LUNAS Newsletter;) >')

t .e/' • Conducted training for DOH Central Office.".» 1--; 0 Regional and Hospital Staff (75% of 193 personnel,-' 0 r• .'J' trained from Regional Offices and Retainedv.: A Hospital);

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v 0' \ I~ "1'0(' <'" ~:'Completed eight (8) and continued conductingff ,) (~'::'''Jl fifteen (15) research projects from previous years.'-> "'" ,1',., Approved sixteen (16) for funding and

)) '~il!1plementation

(" .:>'rlisapproved five (5) (duplicative andunresponsive)

• Reviewed and processed eleven (II) projects

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NATIONAL MENTAL HEALTH PROGRAM(NMHP)

Mandate:

To serve as a technical, advisory and policymaking body on Mental Health for the Departmentof Health.

Accomplishments:

• Drafted Mental Health Bill for CongressionalHearing on the Psychological Incapacity as a basisfor Annulment of Marriage;

• Trained 245 LGU health personnel in Identificationand Management of Psychosocial Problems andSpecific Psychiatric Morbidities;

• Provided Psychotropic Medications provided to75 municipalities/cities in 29 provinces;

• Initiated Lusog-Isip Celebration: Theme - "MentalHealth and Stress in the Workplace" nationwidecelebration in Regional Health Offices andHospitals/ Medical Centers;

• Conducted Stress Management/TeamEnhancement Workshops, in regional healthoffices and hospitals;

• Integrated mental health to the followingprograms: Women's Desk, STOP DEATH,HCWP, TradMed Program, HPDS, DTTBProgram

• Collaborated with the following agencies inpromotion of mental health: Quezon City Health,Cubao-Kamias Rotary Club, Philippine NationalRed Cross (PNRC), Subic Bay MetropolitanAuthority (SBMA), Civil Service Commission(CSC) Region III

• Developed standards for mental health facilities;• Conducted 6 .research proposals on project

evaluation of the projects of the Mental HealthProgram;

• Trained 245 LGU personnel in Mental Health inPrimary Health Care (PHC); trained 118personnelin psychosocial care in Disaster Management;

• Conducted annual and mid-year program reviewsand field monitoring in Region VI;

• Conducted debriefing on victims of the CholeraOutbreak in Baganga, Davao Or., MS GretchenTragedy in Bantayan Island in Cebu, Ozone DiscoTragedy, Robbing Incident, Tondo MedicalCenter;

• Conducted trainings on Mental Health in Hospitals• Conducted operation of Acute Psychiatric Units

in collaboration with NCMH in selected DOHHospitals

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TRADITIONAL MEDICINE UNIT (TMU)

Mandate:

To develop, establish and utilizeTraditional Medicine in the Philippines

Accomplishments:

• Conducted a writeshop in the policy formulationon the Standard Operations of the four (4)government Herbal Pharmaceutical ProcessingPlants

• Spearheaded the Scientific Forum and Exhibits onHerbal Medicine held in Manila and Davao HerbalPharmaceutical and Processing Plant

• Conducted several marketing activities• Conducted training and advocacy on the scientific

and rational use of Herbal Medicines• Established Provincial Herbal Gardens• Developed IEC materials and distributed to the local

government units• Conducted a nationwide training in Acupuncture

and Tuina for a total of 120government physicians,nurses and other health workers

• Facilitated the establishment of acupuncture clinicsin the regional and provincial hospitals

• Conducted field monitoring• Conducted over-all coordination, direction-setting

and planning of the different concerns of theprogram

• Spearheaded the advocacy and legislativecompliance on the Bill on Traditional Medicine

rn

• Set-up and operationalized FAMUS Pharmaciesand satellite in Lucena City and Cavite City

• Conducted on-going Studies on CommunityCompliance and impact of antibiotics anddeveloping health insurance for commercial sexworkers.

• Developed and tested in strategies on CommunityInformation System for Social Health Insurance

• Computerized Logistics ManagementInformation developed by HAM IS and adaptedby the FAMUS Pharmacies

• Extended Community Credits and loans toBHWs

• Conceptualized WHENs DAY MOVEMENT:Women for Health, Environment and NationalDevelopment

• Conducted Community Health Contests onDataboards Botika Binhis

• Set-up and supported Family PlanningDemonstration Center in Lucena City, CaviteCity, Imus and GMA, Cavite

• Conducted Surgical Sterilization in Cavite Cityand Rosario, Cavite in partnership with MarieStopes Clinic

To provide services related to theimprovement of the health of the urban poor.

Accomplishments :

Mandate:

FAMILY HEALTH MANAGEMENT BYAND FOR URBAN POOR SETTLERS(FAMUS)

Accomplishments:

To develop measures so that information3\)d' knowledge are utilized for a more efficient,clf6ctive and equity-oriented health managementsystem.

~ • Operationalized Regional Information Center for/ <!J C( JfIealth for DlRFO 10 Regional Information( .';'-eenter for Health (RICH 10) and DIRFO XI Wide.. 5) :(7J g Information Network for Health (WIN HEALTH'J R :iJ II)

,v~ A· Operationalized software refinement, installation"c~, ,\ :Wd~ining for the different HAMIS tools and

• c) ~plicated Logistics Management Information· Ol '&~~ System (MARAMAG) in seven (7) Regional(.'" ;r" Health Offices

)/ ~<. .Qperationalized BROWNIES in six (6) provinces.> '~and four (4) cities namely: Bukidnon, Surigao del0'" Norte, Agusan del Norte, Misamis Oriental,JO' > Quezon and Cavite and Surigao City, Butuan City,

Lucena City and Cavite City• Operationalized the Health Sectoral Analysis on

Hospital Morbidity and Mortality'y ?&sisted seventy-seven (77) government and other

.> .::J .~rvlce hospitals in replicating HAMIS hospital:-: . \ ((::" . \\ information systemt J,'/~ Operationalized Monthly Quality Assurance· J r- 0 /r0 Conference in Provincial Health Offices and

. U cc: 1\ Ho~tals in Quezon and quarterly QuA~,0' ~~oritar'encesin Mindanao

, ,,'~/r')) •Strengthened partnership and linkages with Quality( . ~.. Assurance Program of the Task Force for Health

'0 (; .~ Systems Research of UP College of Public Health/1 ~

~.t;onductedworkshops and conferences between)'and among the DOH and the Federation of

HAMIS Winners in the Philippines - three (3)conventions, one (I) planning workshop andmonthly conferences to develop communitytraining curricula

."" • Operationalized HAMIS Academy-;.- .::J .)~aunched 3rd HAMIS Contest in November 30,

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The Office of Management Services(OMS) discharged its regular functions including,among others, provision of: a) supervision andcontrol services over its now six (6) services andunits, b) internal management and coordinationservices, and c) support services to the Office ofthe Secretary.

Specific highlights ofaccomplishments ofits services and units are thefollowing:

1. Office ofManagement Services- Proper

* Initiated the followingimprovements:

a) Personal InformationSystem (PIS)Networking

b) Financial ManagementSystem

c) Document Archivingd) Review of Issuances, Policy Surveillance I

Monitoring Systeme) Operationalization of DOH Modified

Procurement System (MPS)

* Human Resource Improvement and Trainingon:

a) Computer - based APPb) Supplies Inventory Systemc) Procurement and Distribution System Research

in some Southeast Asian countries incooperation with SEAMIC

e) Legislative works and legislation

* Actively participated and provided support toAPEC, USAlD, CCPAP, and to activities likeSmokey Mountain, GOP I WB programmingexercise, congressional hearings, and NationalHealth Assembly.

* Participated in the review and evaluation ofthe remaining old procurement transactionsprior to the implementation of the ModifiedProcurement System.

* Evaluated, processed, coordinated, andmonitored Congressional Initiative projectsand lump-sum for capital outlays of retainedhealth facilities andoffices.

* Coordinated thecontinuous conductof re-engineeringactivities.

* Conducted systemsanalysisforstreamlining and reengineering of OMSand its services Iunits.

......",. * Maintain externalliaison works with DBM,

COA, NEDA, House of Representatives, Senate,Office of the President, GSIS and internalmanagement and coordination ofall DOH offices,services, and units.

* Provided assistance in the preparation of theDOH Annual Report and position papersspecially those related to budget and finance,

2. Finance Service

Finance Service is primarily involved inthe management of the Department of Healthfinancial resources. In 1996, Finance Serviceaccomplished the following:

* Prepared required financial status reports asinputs to the preparation of CY 1998 budgetproposals.

a) Full utilization oftheir respective releases.

b) Hudgeting,accounting and existingrules and regulations onfiscal management.

c) Preparation of fundutilization reports and

statement of expenditures of all specialprojects.

Prepared and processed 3,424 appointments, 8,230leave applications and 416 administrative issuances.

The Administrative Service, through itsthree divisions, accomplished, and in some cases,exceeded its expected workload for calendar year1996.

3. Administrative Service

* Provided technical and management assistanceto various service /program /projectmanagement units forFAP's under the DOH onthe following:

* Coordinated with the Technology and LivelihoodResource Center (TLRC) on the on-going studyof the DOH Financial Management InformationSystem.

Of the 12 protest cases filed , 6 cases had beenrendered with decision and the rest were referred

* Prepared and submitted monthly, quarterly andannual reports to COA, DBM and other higherauthorities.

* Collected / accepted payments for allmiscellaneous fees and deposited these to theservicing bank and Bureau of Treasury.

* Conducted reconciliation workshops with RHOs,special hospital, medical centers and sanitariafor all sub-allotted funds in preparation for theclosing of the books.

\)~ssisted DOH management in the preparationof documents for CY 1997 during consultationsbetween DOH and DBM.

* Prepared and submitted regularly to DBM theSummary List of Checks Issued (SLCI) to assurecontinued availability of cash.

'('-J )2,~~ © g Provided monthly statement of balances of,( J (, 0 allotments to various services and programs

,U _~ ,1''\ un,deC; the DOH for them to effectively planc u:;, (:!-' ~}ictiVlties / projects.

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r J ~ :~repared and submitted the CY 1997 budget::::~ © 6 estimates of various functions, projects, and'~,) R. 25 activities under DOH.

cJeo /0 0,. <:-/ 0'~ ~iewed and recommended all requests for

, ,~'~~ special budgets submitted by various offices or'( ,,=,~,)) units,

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* Prepared and submitted to DBM the FY 1996Agency Budget Matrix and Financial Plan of"J ((parious agencies/offices/units under the DOH.

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: .)) f;/ 0* Sub-allotted funds to RHOs, special hospitals,\' J ,R 0' medical centers and sanitaria for drugs and,u;; D m¢icines, calamity funds, salaries and TEV's

, ,-,'~) uo~ld personnel, otherc ,,' ~;0 ~personnelbenefits, etc. . -_ ..~

:C ))' 0"*Jrocessed for payment .. ~~r ~\Jlnd certified as to ....'::0" availability of funds,

vouchers, payrolls,contract, purchasedorders, job orders, andother requests.

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(" -. ~'Maintain books of all"iJ ({.", J accounts and their

" J " 0 corresponding journalsu" A atjrl! ledgers.u'0 s,» ,,0

. () = ~i Administered all kinds of payments (such as, , . ',,\:' \':~, ~ salaries, personnel benefits, and others).

"); ~'f):::f\dvised MANCOM and EXCECOM on the

Department's monthly financial status.

to concerned offices and services for comment and /or appropriate action.

Processed 543 applications for separation from theservice.

Acted upon 8,628 transactions penaining to personalmatters such as notice of salary adjustment, requestfor change of name / date of birth / marital status,report of entrance'to duty and accreditation of servicesfor retirement.

Undertook 404 repair jobs on facilities and 79different equipment; worked on the much neededfacelift of the DOH Marker in early December; andsupervised the routine housekeeping of buildingpremises and grounds.

A total of 4,424 chest x-rays and ECGs wereperformed on various clients; and a great number ofapplicants for fellowship / scholarship and local

, employment were given medical and physicalexamination as well. Aside from the primaryimmunization services provided to babies and olderchildren, 4,994 victims of dog bites were givennecessary anti-rabies vaccines and tetanus toxoids ifindicated. Various clinical laboratory services werelikewise provided to considerable number of clients.Moreover, the M.E.D.1. started its project of providingannual medical/physical check-ups to DOHemployees on their natal months.

With the assistance of the HPDS and HMDTS,conducted the 1st Orientation Seminar ror tlle newDuH employees on December 9-10, 19915.

245 corrective and preventive maintenance jobs wereprovided on the various vehicles of the departmentas well as the renewal of registration and issuancecoverage of the same.

Supported the AIDS/STD program of the departmentby providing pre - and post - test counseling for HIVto a total of 565 clients.

Circulated 1,724 different kinds of administrativeissuances and sent 3,750 and 12,172 communicationsthrough messengerial and postal services,respectively.

Corroborated towards the success of severalendeavors such as the 2nd National Health Assemblyin August, the monthly national staff meeting andthe annual Christmas Celebration in December.

Fifty (50) female employees were given PAP smearcheck-ups.

Procurement andLogistics Service

The Procurementand Logistics Service (PLS)has been in support to the

. various on going programsof the Department of Healthby making available theirsupply and material needs.Procurement, warehousing

and distribution of commodities have been effectivelymade. Materials for use in the information campaignhave been procured on time for launching activities.

Most notable of all, with this Division's effort, theAdministrative Service had been commended forits invaluable support during the Asia PacificEconomic Cooperation (APEC) Summit in

November.

\:.i~'''1 m- IIl-UTIISE'i:NAR WORKSHOP ON PROCUREMENT & LOGISTICSSERVICE PERFORMANCE SYSTEM" AO NO."

MAY 2 - 4. 1997

An aggregate of 21,935 radio messages were receivedwhile 25,629 were relayed it. From formerhodgepodge of former direct lines, telephonenumbers of existing truncklines of'then PrivateBranch Exchange (PBAX)system were rationalized intoa sequential series along withthe installation of 10additional lines.

Conducted 20,207consultations of employeesand their dependents.

Peace and order, as well asvehicular and pedestriancontrol was maintained.

""\'\~/) ((j

rc: " ,;; '1>LS made significant events for CY 1996 because~, 5) ~ ~of its changes in leadership and improvement of the',0 " ,0 systems and procedures with the aim of effective and

,U /; ';'r'\ efficj6,o)t management of its resources specially-; ".~ ~JWlter)al management. The approval of

, '~G"'''' Administrative Order No. 35 s. 1996 dated(!, 'j' September 30,1996 systematize the procurement'j; ~3 1!~9vities of the DOH because the service has now

/( ~mprovedsystem in undertaking its functions. The\' 7 computerization ofthe Annual Procurement Program

J,~> (APP), through the help of the Management~ Advisory Service (MAS) expedited the early

• i' //...., , submission of requirements to the Department of""0 Budget and Management (DBM). Through its new

/ </ ~sion and vision, the service is in the process,( , ", ",a'gdin, of improving further its systems and

)j ;';" '- ;;,procedures to respond more effectively to the needs, J " ,~ of the DOH.

v <: ~;. ~ ).. / r,

c \ 'S ~,~WhIle being confronted with so many problems(' \ " ,;c"" like late submission ofAPPs and RIVs by end-users,r» L ,,", i lack of warehousing facilities and equipment,\)) ~ difficulties d'ue to budgetary and regulatory

~~straints, the PLS has modestly performed itsmandated functions to undertake the procurementand proper I timely distribution of commodities tothe different services I programs of the DOH throughpositioning for performance its existing manpowercomplement.c.:v.

J )')/ ~.;/ \ ./'\

{ , " ' '.. In summary, PLS significant accomplishments'';J) t(? ~are the following:

It \ \-"::J I). ~

'u /; A • C~Buterization ofAPP in cooperation with MAS-; 'S' ~*lJEl\rlysubmission of requirements to DBM

'.j' :/';-~ • Proper and timely distribution of commodities" \::. -0 v • Systematized rules and and procedures for-, 5:; ~ > ,.jJrocurement, warehousing and distribution'1/ ;J:onducted Team Building'" 7 • Provision of Human Resource Development to at

, -, least 80% of the staff-is:• Timely submission of reports to the concerned

offices

5. Management Advisory Service

The Management Advisory Service has beenproviding technical support in improving,strengthening and developing management andoperational procedures and tools and inprocuring, utilizing and maintaining informationtechnology resources as a major component ofsystems improvement.

With the change of DOH administration inthe second quarter of 1996, MAS led the reviewof the procurement system. A major product ofMAS-facilitated consultation is the DOHAdministrative Order No. 35, popularly knownas the "Modified Procurement System" (MPS)which was implemented since July. Products ofthis review are several computerized systems,namely: the annual procurement plan, pricemonitoring, and fixed assets and suppliesinventory. The annual procurement plan was onepreparatory activity to the full implementationof AO No. 35 in 1996, where initial consolidationof the DOH annual commodity requirements ismade.

The phase I of the Local Area Network (LAN)at the San Lazaro Compound with 117workstations was installed in the last quarter.Simultaneously installed was the DocumentTracking Retrieval System which transmitdocuments or other forms of communicationelectronically from one computer to another.

Other major activities undertaken by MAS are:

a, Systems Improvement

• Personnel Information System - maintainedand monitored 17 installations, conducted

training for Central Office 30 AdministrativeOfficers and at least 5 users from retainedhospitals.

• General Information System - built - updatabases for DOH profile,officials directory,field health units directory; and provincialhealth database,

* Financial Management System - conductedinitial testing of regional system prototype;

trained at least 10 payroll clerks of 3 retainedhospitals for the installation of thecomputerized payroll system.

* Barangay Health Workers Registration System- installed system nationwide at the RHOs.

* Local Health Board Assesment Guideconducted 2 training sessions and regionalmonitoring.

* Field Health Service Information System developed data entry module for modifiedsystem.

* HOMS Hospital Statistical Report - developeddata entry modules and selected reports forhospital statistical report.

* Hospital Facilities Licensing Systemconducted system testing in RHO 3 and 4

b. Information Technology Resource Management

* Software and Hardware Acquisition andMaintenance - maintained I repaired I referredat least 275 computers units and peripherals;conducted 2 basic troubleshooting courses and7 two - week advanced troubleshooting coursesfor RHOs with 50 participants; preparedtechnical specifications of at least 8 IT-relatedprocurement including 7 LAN installations;and evaluated at least 10packages of computerprocurement.

* Telecommunication and Data Communication- upgraded outside line access and callaccounting of the PABX system and facilitatedinternet connection of 14 offices.

* Information Technology Training - conducted14 courses with 217 participants.

Center and Inter-agency Committee on Socioeconomic Indicators; developed trainingmanuals, and conducted two training courses.

* Human Resource Development - provided 63training slots for MAS, 2 abroad

* Technical Assistance to Special Projects computer - aided presentations, survey designand processing; evaluation of financialtransactions; information systems planning,etc..

6. Health Policy Development Staff

* Provided secretarial support to EXECOM andNational Staff Meetings

* Conducted nine (9) Policy and LegislativeCoordinators (PLCs) meetings

* Provided ten (10) technical assistance activitieson the development of adminstrative issuances

* Facilitated I consolidated ten (10) position papers

* Layout and dissemination of PISO NEWS

* Updated library files of monographs andresearches

* Continuous updating of databank

*Conducted nine (9) capability building workshops

* Participated in six (6) local and foreign trainings.

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* Geographic Information System - providedtechnical support to health risk Assesment

, )

* Actively coordinated with offices of theproponent-legislators the submission ofrequirements, and helped facilitateimplementation of Congressional Initiativeprojects and Countrywide Development Funds(CDF).

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c-: -, \ Ii ~ ""i' Conducted teambuilding activities with external1/ ~,./ offices like Committees on Health and Liaisono ~c;j f 'Y Offi~es of both House of Representatives and

<, '0 \. ,$e6/lG.c.. .:" ~

(' \ ' .~ * C d d rnid . f . h II,)' ~-~/" - j; on ucte nu -year review 0 vanous ea th\I,~\ ,f' bills from both Houses of Congress to

.J/ ~ (monitor status and lobby for its passage.(f)')\:,;1

r ' * Facilitated the conduct of coordination meetings-':C" with Health Committees of both Houses of.p" Congress and DOH Offices or Services

, /, concerned to mobilize support for the passageSo ;> Pf priority bills e.g. Traditional Medicine Act

(( .C/ \~ational Health Facilities EnhancementAct, and\\)) 1('> g National Mental Health Act, etc.

(~·rr!J\, u ,,,! A * Closely monitored status of DOH budget in

.:0 \. C~ress.t. -~ ~-.j)

;~'J (,;?"j) * Sponsored the 7th Plenary Meeting of the\' "" •r'. Legislative Liaison System of the Executive

// ~ -Branch of the Government held last Nov. 15 at((" >'the Philippine Heart Center.

1,·dJ (~\'c:; 0, 6? Department Legislative Liaison" )),1;/ d Office

-..) r, -:....y~u A --\:: u ' , *[..o~ed and advocated for the passageof health

_ (,;:) "" Ybill~ into legislation like: a) National Diabetes(~ 'J G<-')l Act of 1996 (R.A. No. 8191) and the Special\', .,~ ,1' Law on Counterfeit Drugs (R.A. No, 8203).

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'01r -, * Maintained linkage with HPDS and Policy and

,IC" Legislative Coordinators (PLCs) at DOH, <)" through the conduct of regular consultative

, /

meetings and provision of updates on policy;>~itiatives and health legislation proposals.

* Conducted three-day workshop on legislativeprocesses, position paper drafting, and technicalwriting last December in Baguio City in

:;_ :jJ ~,,<operation with the U.P. Law Center.

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DENTAL HEALTH SERVICE (DHS)

Program Description:

The Dental Health Program aims to improve theoral health status of mothers and children byproviding preventive and curative dental servicesthereby contributing to the improvement of thequality of life through the attainment of thehighest possible level of oral health.

Accomplishments:

I. Updated policies,standards andguidelinesgoverning dentalservices to beimplemented inrural, hospital,private schooldental clinics;

2. Developedguidelines andprocedures oninfection control fordental public healthservices;

3. Training of 150barangay he,!lthworkers for Sprovinces (Region XI and CAR) as barangaydental auxiliaries;

4. Analysis of 192 water samples from variousprovinces and municipalities for fluoridecontrol;

5. Provision of flouride powder sealant and otherdental materials as its commitment toprovinces covered by CHCA.

NATIONAL TUBERCULOSIS CONTROL PROGRAM(NTCP)


To make tuberculosis cease to be a major public healthproblem of the country. The TB control service aimsto provide the leadership and assistance to all sectorsto ensure that TB control services are made availableand accessible to those who need them. The goal is toreduce the transmission of tuberculosis by improvedcase-holding.

Accomplishments:

I. Drafted the NTP policies, manual ofprocedures and training modules forphysicians, nurses, midwives andbarangay health workers;

2. Provided anti-TB drugs for 279,259 TBcases;

3. Launched 2 major health informationand advocacy campaigns, namely:

• World TB day (March 24) and• First National TB Day (August 19)

4. Collaboration with WHO in the projectentitled "Collaboration in the Rural &Urban Sites to Halt TB" or C.R.U.S.H.TB" which was initiated in Batangas,Antique and Iloilo City.

5. Completed 3 researches, namely;

• Comparative study of the fixed doselloosedose anti TB drugs

• Assessment of NTP in Iloilo City and Antique

• Diagnosis of TB among children.

rn

3. Conducted safemotherhood needsassessment survey in 4regions (region 4,7,10& NCR).

4. Conducted I TOT onhilot and BHWtraining.

5. Conducted I milk codemonitoring training.

2. Conducted health facilitysurvey for 15provinces.

6. Mass distribution of BF counselling trainingmodules and manuals for Rural HealthMidwives

1. Provided Home Based Mothers Records Cardsfor all pregnant women nationwide

2. Sub-allotted funds for the conduct of 7 clinicalmanagement trainings in 4 ARI training units.

3. Provided pneumonia fact sheets, IEC calendar,CARl prescription kits and training modules.

1. Provided essential antibiotics for managementof pneumonia in health centers, BHS andhospitals.

3. Produced and aired aRT radio plugs incoordination with PIA.

Maternal & Breastfeeding

2. Conducted II Philippine Pharmacy StaffTraining, 3 COO Clinical Management Training;

Control ofAcute Respiratory Infection (CARl)

manual, provision

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~, ?,,~.-aTERNAL AND CHILD HEALTH SERVICE»r ~(MCHS)

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'cv A i_ .."" Pro!lJ:"~ Descriptiem

,";, 0' I:JJ" .~~ c..", " ~:C)j The ultimate impact objective of MCHS is reduction,'-- . '" ~ \ in maternal, perinatal, infant and young child (0-4)/ )) ~ '.p:!orbidity and mortality. The service hopes to(liCilieve these by providing basic prenatal, postnatal~CJ delivery care to mothers, immediate newborn carejJ> to include early introduction to breastfeeding and'f) basic preventive and health promotive services to, j? reduce mortality and morbidity due to the followingJ i~lnesses especially diarrhea, measles, pneumonia,

t: ~~natal tetanus, poliomyelitis, undernutrition,-, . ~ Ii"" ,,,:'Wiphtheria, pertussis..:» 1,\ ,; S:JJ, J r,- ;;) ~0- Accomplishments:

v", n ~O

c v~ 0' Wpa"iided Program on Immunization (EPI)c 0 ,.,"?Yo'/ 1 ~r,<~ V

If''', I . .provided the vaccine, syringe and needle~ '-J'equirements nationwide for use in the various

~qmmunization activities namely routineimmunization, Knock Out Polio campaign,mop-up operationsand outbreak responseimmunization;

"'0-'; ') ,-')

? .c/ 'f.::;Conducted 2 rounds of

~,)) f~ J Knock-Out Polio'c' , Campaign which'J r

, ;:;~ resulted in increase in. v <: r>, pdJ.9 coverage.-; 0 1

~~ "lc, ' ~.Y

~ ,j 0:C)j 3. Provided technical.C -';\ I'~' , assistance through

)) ~, ,--...conferences,r ) °workshops,~ distribution of revised EPI

j OL. of lEC/technical materials.

~{i Control ofDiarrheal Diseases (COD)

~ !>Dr -d.J 'tcProvided 9M sachets of Oresol and 1MaRS"';\ (("\ 0 tablets for nationwide distribution to field health«<./ )\(' units,disasterareas and evacuation centers;

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FAMILY PLANNING SERVICE (FPS)


Provision of nationwide family planning informationand services in collaboration with NGOs for thepromotion of reproductive health among women.

Accomplishments:

I. Clarification of program thrust, policies, prioritiesbased on Family Planning and NSD survey of1995;

2. Issuance ofE.O. No. 307, s. 1996Implementation of FP on LGU level;

3. Standards/Guidelines on FPlReproductive healthreviewed and updated.

4. Updating of Philippine Family Planning ProgramStrategy

5. Expanded further the provision ofFP informationand services to LGU Community and industrylevels.

6. Provided augmentation support to 34 LGU in theamount of P 1M.

7. Institutionalization of ContraceptiveDistribution and Logisitics ManagementInformation System (logistics deliverysystem management information section)

8. Declaration of Mayas "Natural FamilyPlanning Month" as per P.D. 307

9. Development of Family Planning-ManagementInformation System strategy

NUTRITION SERVICE


The Nutrition Service is concerned with developmentof policies on standard nutrition interventionsincluding food and micronutrient supplementation,food fortification, nutrition promotion and advocacy.

Accomplishments:

I. Finalization of the IRR on An Act PromotingSalt Iodozation Nationwide) ASIN Law(R.A. 8172).

2. Issuance of Sangkap Pinoy Seal ofAcceptance to 3 food manufacturers (TangJuice Drink, Star Margarine, 555 Sardines).

3. Pilot testing of the community based foodfortification project in Masbate.

4. Conducted Araw ng Sangkap Pinoy (ASAP) incoordination with partner agencies.

5. Distributed Vitamin A capsules to 92.7% of alltargetted 12-59 month old children, iodized oil

capsules to 62.3% of target, iron tablets to51.1% of target.

6. Installation of additional 12 salt iodizationmachines thus increasing the number ofbeneficiary areas to 15 provinces, 6 citiesplus Metro Manila.

10. Pilot testings of community-based saltmonitoring using Lot Quality AssuranceSampling in Mt. Province.

WOMEN'S HEALTH AND SAFE MOTHERHOODPROJECT


The project was borne out of the government'scommitment to safeguard women's health needs inall stages of the life cycle. The project which is in itsIst year of implementation has both nationwideelements and province specific elements to provideintensive upgrading to Womens Health and SafeMotherhood Project.While the DOH provides overall

technical and managerialdirections, the localgovernment unit (LOU) isresponsible for the actualdelivery of services to theprovinces, municipalitiesand barangays. The 4project components areService Delivery, Institutional Development,Community Partnership forWomen's Health andPolicy and OperationsResearch.

I. Finalization of the Project ImplementationAgreement (PIA).

2. Hiring of a consulting firm to assist in projectimplementation.

3. Conduct of project launch and consultativeworkshops.

Accomplishments:

4. Conduct of 2 joint project review missions.

5. Initiation/Completion of civil works servicesin some provinces.

6. Procurement of iodized oil capsule forareas not serviced by Nutrition Service.

7. Completion of list of medical equipments,commodities and supplies for maternalcare, RTl, AIDS/STD and Family Planning.

4. Provision of logistics including drugs,insecticides, mosquito nets and laboratory

f>- J (~Plies to field and local government units

'~'~ (Q{) Active disease surveillance and epidemic'( <J ) t management through information systems,~ ,,~QJA m~agement and outbreak investigation.

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~ Accomplishments::> -dJ CcU~ t?\ /i.. Provision of technical assistance through~,~ )\.( Y conduct of trainings for professional batch,-;).~ QJ~ medjcal technologies and microscopist' for the

.J Qf' re~~ office, training for RHU staff, RHU_ L'" Uedlcal technologists and microscopists

»~~"',~ 02.~onduct of researches and special projects

/'" jS¥ormulation of guidelines on case management,~ disease prevention and vector controlJJ-o1>7

~ /~o:> -3 \(0': /{J.Launched in collaboration with the Non-

:D «5 Y Communicable Disease Control Service the~,) r> ,}; "Lifestyle and Healthy Diet Promotion.

<'Ur;. in ~

,'~ 0! ~iffi9butionof Diet Counselling Manualc::,, ,) ~~ and Diet slips to the field.( ~.~ (f~

)) ~'9":-bssistedin the drafting of the IRR of Diabetesr -)\Act (R.A. 819I).8

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? J v>~C,:; 0f~ALARIA CONTROL.» Iy/ ~ROGRAM',' J (( 0

'v 0 j. ,";' ',' '~'g....l11\Description:.""8 -~

<e;,. ;\ ~~~ The program 'undertakesc. '" :(~ malaria case finding and)) ~tr~entcoupled with

.> riio~uito vector control8

program. The aim is toeradicate malaria in moreareas.

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commodities and supplies for maternalcare, RTI, AIDS/STD and Family Planning.

8. Development of monitoring and evaluationindicator.

9. Review/revision of protocol for managementof STD/AIDS and cervical cancer.

10. PreparationlFinalization and approval ofproject implementation document.

SCHISTOSOMIASIS CONTROLSERVICE

The Schistosomiasis ControlService oversees area-basedschistosomiasis case-findingand treatment programconcurrent with vector controland environmental engineeringmeasures.

Accomplishments:

1. Active case-finding & treatment broughtdown the prevalence rate to 3.62%.

2. Conduct of intensified mass treatment inendemic barangays with 10% and aboveprevalence.

3. Development of a modified SchistosomiasisControl Strategy with emphasis on healtheducation component.

4. Conducted advocacy/social mobilizationcampaigns in areas of concern.

5. Active surveillance activities in Bohol and

Siargao Island

6. Undertook focal snail control

7. Provided logistics support (drugs,laboratory supplies, chemicals, IECmaterials) to field health office.

8. Conduct of basic operational researches.

COMMUNICABLE DISEASE CONTROL SERVICE

NatiOnalDenguePrevennonand Control Program (NDPCP)


The NDPCP is a new anddevelopmental program whichstarted in 1993. It is directedtowards community-based dengueprevention and control. Foremostamong its activities is the NationalTEPOK LAMOK, DENGUESAPOK Program.

Accomplishments :

1. Formulation and disseminationof policies and guiding principles of NDPCP.

2. Nationwide launching of the Tepok LamokDengue Sapok Program.

3. Formulation of community-based IntegratedDengue Control Plan for 5 regions.

4. Health Promotion and advocacy to NCR basedschools through provision of lEC materials.

5. Collaboration with Rotary InternationalDistrict 3810 for $500,000 lEC Grant

6. Collaboration with World Health Organizationfor laboratory supplies for Bureau of Researchand Laboratory Dengue Unit.

2. Conduct of orientationSeminar or NationalRabies Control Programand management of bitepatients in 35 provinces

I. Provision of PostExposure treatment

4. Conduct of Special Action Project for theElimination of Leprosy (SAPEL) in Bonggao,Tawi-tawi, Benguet, Abra and Sulu.

3. Information Campaign among government andprivate physicians on the content of AO #27:Guidelines in the Management of Animal Bites

National Rabies Control Program


3. Conduct of Leprosy Elimination Campaign(LEC) in Northern and Southern Cebu, \locosNorte where a total of 189 new cases wereidentified .

5. Establishment of 15 skin clinics in 10 regions.

4. Conduct of Mindanao Anti-Rabies Day (inBasilan) where 98% of dogs were immunized.

With the aim of making the Philippines a rabies-freecountry through Responsible Pet Ownership

Campaign, the program","'W ;",;r" DD,;~,,;;"": , ..,:~. ijJ'1n encourages pet vaccination,

.. rt • . pet teaching or confinement"~'tI01S "NO l't,6,PIllIGIRAN

. t ."."" ~.' A"""':- and provision of clean peti • '\1 . . ' food.

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\. -,J r~. \ \.; ..~~ Accomplishments:i.J.~ / .1_5. Stabilization of

epidemiological

survey for suspected

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Accomplishments:

·.· ~""'0~~()n·/

J?of .: Nfilional Filariasis Control Program~'5 eO('v, D"

c 0 (( .j; Program escrtption :- ""co ,n rJ

. '" 0 ~s Il;j?program for the control of filaria in limited, ,~ ~/~ areas of endemicity in four (4) regions of the country~ "=/~,j)

c"~ Ct\csomplishments:(( ,)0~ I. Provision of technical assistance to regional and

provincial health offices through the conduct oftrainings.

2. Development of the family health care model in

))JThe prevention and control of filariasis.« .: ,.;>.

'\'5) ((;/ Q. Provision of laboratory supplies and

\' J !? 2) re.agents, drugs and medicines to 4 endemic-o ~(, J

co , regJ9l1s.,";8: ~"

('" \'::c:::{)l 4. Development and

,C 'J C'. distribution of raeIf / ~;jnaterials."'=.1

cy,.//)'-;J

~)) (og~ \,.,J r> 0

." A .j

c.~8' ~ti6fllLeprosy Control Program

C' 1) ~v~« -"-'\ j) Program Description:~ 'j) ~f('''l$.J's is a nationwide surveillance case-finding,"'= freatment and social rehabilitation program

j L. participated in by field health units and sanitaria.o

··e7J ~Jl>rovision of Multi-Drug Therapy (MDT) Drugs

((' "/,,,~lo DIRFOs, PHOs, CHOs and LGUs.'~ ©~(~J !? ~ 2. Launching of Kilatis Kutis Campaign during the

""co n thH:\i,week of February to coincide with Leprosy. u 81 ~. 1\Wl!l:'JC Celebrationt':) '0:2

"}CV~, CDre. ~~y

'-j) C· \V

t ~\)

j"l>.o

DOH

!1/lUlJllliIl]~0700

H1·1IAn81996

NON·COMMUNICABLE DISEASE CONTROLSERVICE

Occupational Health


The activities of the program have been directed toa great extent towards problem orientation and highrisk industries with the goal of protecting andimproving the health of the workforce and thecommunity. The essential activities includespecialized occupational health services, toxicvigilance activities, training and advocacy.

Accomplishments:

I. Awardingof the top 25 HealthyWorkplace by no less thanPresident Fidel V. Ramos at theceromonies held 10

Malacanang.

2. Provided comprehensiveoccupational health andtoxicology services to workersin high risk industries. Theseservices include preventive, Ipromotive and curativeinterventions undertakenin collaboration with the UPNational Poison Control andInformation Service.

3. Conducted special trainings in occupationalhealth and toxicology for heavy metals, industrialhygiene and pesticides.

4. Establishment and operationalization ofRegional Occupational Toxicology andNon-Communicable Information Center in3 regions.

5. Strengthening of collaborative launchingthrough the creation of the Inter-agencycommittee on environmental health.

Cancer Conuol Program


The Cancer Control Program is an integratedapproach towards the control of cancer utilizingprimary, secondary and tertiary prevention at boththe community and the hospital level.

It is a site specific control program; focusing onlyon cancers that cause the greatest morbidity andmortality, those for which a substantial riskassociated with certain exposure, and for whicheffective intervention are available.

The program started in four pilot

~provinces in 1988 and becamenationwide in scope by 1995.

. . The objectives of the program are :I (I) to reduce morbidity and

.; mortality of the three most! prevalent cancers (Lung, breast.

cervix) among the population at, risk by I % in 1998. and (2) to

improve the quality of survival ofcancer patients through pain relief.

Accomplishments :

I. Spearheaded the celebration ofNational CancerConsciousness Week

2. Conducted the National Convention on CancerEducation: Nutrition and Lifestyle.

3. Initiated the integration of HospicelPalliativeCare into Medical and Nursing Curriculum

4. Launched the Prostate Cancer AwarenessCampaign

5. Conducted screening for detection of prostatecancer dubbed as "PA-D.R.E KA, PARE!"

6. Conducted situational assessment of theexisting human resources!facilities! operationsfor the implementation of the Cervical Cancer

Control Program.



National Cardiovascular Disease Prevention andControl Program (NCVDPCP)

2. Conducted workshop for Hospitals as Center ofWellness.

I. Conducted CVD training of MDs and nurses atthe Philippine Heart Center

Accomplishments:

5. Conducted the CBR Program Review for theVisayas and Mindanao area.

A priority program of the Department of Health, itaims to promote healthy lifestyle and health amongFilipinos to reduce the morbidity and mortality fromCardiovascular disease, reduce the economic burdenof the disease to the individual, family and thecommunity and to improve the quality of life andproductivity of the patients.

7. Spearheaded the celebration of Disability Week(3rd week of July).

6. Conducted the first batch of Hands-on Skilltraining for technicians in the manufacture ofProsthesis and Orthosis Devices in collaborationwith the Philippine Association for the Reintegration of Disabled person in Society(PARDS).

10. Conducted the CBRP Annual Planning/Evaluation Workshop.

9. Identificationllnclusion of the PhilippineOrthopedic Center (Dept. of RehabilitationMedicine) as one of the training arms of theprogram.

8. Continuing collaborationllinkages withconcerned GO's and NGO's.

4. Finalized the Master Plan of the program.

3. Training of DECS Medical Supervisor on RFRHD

) ;(V~, /'"rConceptualizedldeveloped guidelines for':» rtf V visual art competition which is a form

,~;) 'C, 0 of palliation therapy?U~ ,f"Y ,,:1

, ~,~ 1;0" ~ OOated cancer registry data taken from thec il~ years 1993-mid-1996,

(~'" """'» 0, ~mmunity.BasedRehabilitation Program, ~CBR)

j'l.o1S7 Community-based rehabilitation program is a

"\\ ~tive application of the Primary Health Care

t -dJ '<'mC) approach in rehabilitation service involving\\' =,/\ilctive community participation of everyone,,~ I)Cf ':::0lncluding the disabled,

;) (/.0</v~ ,f"Y Accn.J-lishments:~:;1;0' U~

c i) ~vg 1. Conducted social preparation and social ,(c '" ~~, marketing in the expansion regions/provinces

)} ~'~eglOnll,lV,VI,Vll,X,XI,Xll,NCR)., So

2. Program launching conducted in the expansionareasj'Go

-,0J;: 3. Conducted the first and second level training"\\ .( on basic Physical, Speech, Occupational and

r?' ..-;J ,a Psychosocial therapies for the Local and'0-, (e /f", Intermediate Supervisors in Regions,,':» ,C?~ I,VI,VlII,X,Xll,NCR).

.-;) ((. 0,.u~ Ac:; 1;0' U

C,) ~gIe "'.~~ ,'>» t'';,.(( "8J;;0~'"

flII

4. Procurement of Drugs and reagents for 5,000 and150,000 patients of Rheumatic FeverRheumatic Heart Disease and Hypertension,respectively

5. Exercise promotion through the "HATAW 2".

6. Healthy diet promotion through the "IWASSAKIT DIET".

7. Conducted National Diabetes Survey

8. Conducted consensus meeting on Hypertensionand Cholesterol guidelines.

Prevention ofBlindness, Program (PDP)


To promote eye care as an essential component oftotal health and provide service for this.

Accomplishments:

I. Conducted training on primary eye care andprimary medical eye care

2. Provided support for cataract subprogram inregional hospitals and medical center.

3. Procurement of 100 cataract sets

4. Conducted Light Saving Month activities.

5. Support for outreach mission.

Diabetes Prevention and Control Program(DPCP)


The Diabetes Mellitus Prevention and ControlProgram is a comprehensive, integrated approachaimed at curbing the alarming morbidity andmortality from diabetes and its complications and theimprovement of the quality of life of the diabetics. Itutilizes all levels of preventive care in the communityand hospital settings with the appropriate medicaltherapeutic support.

Accomplishments:

I. Approval of operational plan for 1996by advisorycouncil.

2. Finalization and approval of the program'simplementing guidelines.

3. Establishment of a national diabetes data registry.

4. Finalization of pre-implementation phase of thesecond national diabetes survey.

5. Collaboration with concerned NGO'sfor the implementation of the nationalprogram.

6. Initiation of integration with primordial andprimary prevention activities of other noncommunicable programs.

7. Approval of Diabetes Act of 1996.

8. Conduct of workshop re:Formulation ofimplementing rules and regulations of theDiabetes Act of 1996 with the regionallhospital

coordinators

ENVIRONMENTAL SANITATION PROGRAM


The program aims to promote an environmentconducive to man's healthy living. It is a nationwide,multi-agency, multisectoral program which dealswith the promotion and provision of basic sanitationservices and facilities through water quality

~ ~"

/r .:!J ~~eillance, food sanitation, proper solid and liquid

0)) 1:' Oaste manage~ent, public ~laces sa~itation and"0 " ,';' emergency environmental samtauon dunng disaster.

, U ",,""' ":r'\ The W~4ram is also concerned with the assessment~0' ~ lnilnage.ment of health ha~ards and risks

, c. , ."'" associated With new and expanding development"1) \:::' ,/\\ • I di .

:: . ,.. Y projects as well as existing environmenta con mons'.J~ if ' and environmental changes that have an adverse

, ~ ',J

'f Iptpact on health.'~ :/

.:>- Accomplishments:~

". "~' I. Development of Implementing Rules and

Regulation in PD 856.£y./,. .dJ )~,,- ,\ i";'- '- '3.' .uevelopment of EHIA Manual.

/J JJJ', -,' ~ 3. Development of National Directional Plan onu

U <: .f"::; EI;fI,A.c- v' \ h >~0"e- '\:::-::./ ;

~ ,,' \..~;S1l 4: Developme~t of IEC primer.

\'» Q .5•. Sonduct ofTKO campaign.

f'(~O'c." 6. Provision of supplies and materials of water for

, -, life projects to include chlorine granules andJO~ tablets..,()

I r-:.. J.

NATIONAL AIDS/STD PREVENTION AND CONTROLPROGRAM (NASPCP)


The Program is committed to continue and strengthenits campaign against the spread of HIV infection andAIDS in the country. It takes the lead in organizingsocial support network involving other GOs andNGOs, private organizations and donor groupsnationwide.

Accomplishments :

1. Conduct of World Aids Day 1996 with the theme"One World, One Hope".

2. Observance of candlelight memorial in 13regions.

3. Training on Syndromic Management for sexuallytransmitted disease.

4. Standard setting for HIV screening andconfirmation.

5. Conduct of social and behavioral researches.

7. Provision of fumigants.,o-.y -,.dJ (0)

t '.. S:1>reparatory activity for research on Household".:v t~ 0 food sanitation.'( \,<-.»

'U '" A ..J/,"0' ~ ~ "'1'/

c; ~ ~)

, ., s: /';:"\jf? \..: /. J-

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BUREAU OF LICENSING ANDREGULATION (BlR)

Program Description :

The Bureau of Licensing and Regulation (BLR)is the regulatory agency for hospitals, clinics andother health facilities. It recommendsaccreditation/issuance of licenses of healthfacilities (except for renewal of licenses of primaryand secondary level hospitals which had beendelegated to the regional health offices). It ensuresthe delivery of quality health services by effectingcompliance with the standards and technicalrequirements prescribed by the DOH for licensureof hospitals and dental prosthetics laboratories(DPLs) and accreditation of medical clinics andhospitals that conduct medical examinations ofoverseas contract workers (OeWs) and seafarers.

Accomplishments :

For 1996, the BLR formulated new policies forhospitals, DPLs, medical clinics for oewsandHealth Maintenance Organizations (HMOs). Itamended/updated A.O. 68-A, s. 1989andA.O. 85A, s. 1990.

It reviewed the existing standards for licensure andaccreditation. It formulated new standards forhospitals, medical clinics for oews andambulatory surgical clinics/HMOS. Applicationsfor hospital license to operate, floor plans, medicalclinic for oews, clearance to operate HMOS anddialysis clinics were reviewed and evaluated.Ocular inspection for hospitals, medical clinic foroews, dialysis clinics and ambulatory surgicalclinics has been conducted. Issuance of licensesto operate (LTO), certificates of accreditation forambulatory surgical clinic and medical clinic for

oews and clearance to operate HMOS were doneas well as the authentication of medicalexaminations and AIDS test results.

Monitoring of and fact-finding investigation ofhospitals, DPLs and medical clinic for oews wasconducted.

To sell program through advocacy, lEe and socialmobilization, financial assistance were providedto DIRFO and other DOH offices. Dialogues withlocal officials, medical clinic for oews andmedical ancillatory services and/or office was alsodone.

As part of health information and exchange,consultative and advisory services were done,memo and bureau circulars were published andmonthly reports of medical clinics of oews wereprepared and processed.

For research and development, surveys oflying-inclinics, review and study of hospital capabilitiesfrom the period 1988-1992 were done.

rn

/

participation in the Manila Action Plan Agencyfor APEC re: Mutual Recognition Arrangementfor Food/Food Products and Individual &Collective Action Plan on Standards andConformance; Organization of network oflaboratories for food fortification program(Sangkap Pinoy Seal Program); Hosting of the15th Meeting of the ASEAN Working Group onTechnical Cooperation in Pharmaceuticals;Provision of P240 M budget for the establishmentof BFAD laboratories in Davao and Cebu andapproval by the Secretary of Health of locationsites for the laboratory buildings; Development ofthe architectural design and engineering works forthe construction of an additional laboratorybuilding at BFA», Alabang; Audit inspection offood and drug establishments and outlets atregional and provincial levels and reforestation of

BFA Dcompoundwith about400 trees.

HOSPITAL MAINTENANCE SERVICE(HMS)

The Hospital Maintenance Service provides hospitalequipment maintenance and repair services forDOH retained and devolved hospitals. It undertakestraining of hospital equipment users andmaintenance technicians, It has technicalsupervision over the HMS Workshop for Visayas(HMS-V) based in Regional Health Office No.7in Cebu City and the HMS Workshop for Mindanao(HMS-M) based in Regional Health Office No. IIin Davao City,

The Generics Act of 1988The Consumer's ActThe Price ActThe Senior's Act

"':\" >"C:;J~ -_ ",~BOREAUOF FOOD AND DRUGS. ~) ~c-' ~~(BFAD)c r.: :2-v : /;:;.. ,j

" I' r r"

c.U" 0 ~o~j;'m Description:,) (~;~

(/; The Bureau of Food and Drugs was created under~ R:A. 3720 which was amended by E.O. 175. It is

tih! regulatory agency mandated to ensure thesafety, efficacy, quality and purity of processedfood, drugs, diagnostic reagents, medical devices,cosmetics and hazardous substances. It is furtherauthorized to administer and enforce:

.", P:I3AD's other accomplishments included the-;- -c:; foflowing: Approval of Republic Act No. 8203,~ ~ \ (r'''' ~'Special Law on Counterfeit Drug"; Establishment:' :~. j , of the DOH-AusAID-UST Bioavailability Unit;

v, U ,~"'" 1"") ComJ'\etion ofbioe.quivalencestudy on first genericcr (c;'.' \.d1\ui-ftoduct (Rifampicin 450 mg capsule);

_ <'~ '0...J)

!~~,;; ~~;v W

C ~O

~, )r,/ .dJ .~. 6675,': "\ 0 . '\R.A. 7394,,/.J ,," \~.A. 7581, J 0 JJ

" C'c-. R.A. 7fl32--;:: r"" /-1c- V. \ " ~o~) = ~!J '

': ,) ~~;~) Accomplishments :

("")) ~ ~FAD was involved in the:'11b'tlowing: Phasing-out of

potassium bromate as flourtreatment and doughimprover; Issuance of theguidelines on micronutrient

':;:' Iortification of processed. / ,,.-'/ fnods ; Approval of\ '\ ,>~ "Philippine Natural Grade, ;'~ ':.3'Carageenan as food additive

u ,''/ 1'''\ by C?dex Alimentaries" '8 ,CpnliiiiSsion; Raid of fake\' ~d counterfeit drugs; Training on Good

~ .: ",;'::')j Manutacturing Practice (GMP); Development of." the FilinvestCorporate City; Field unit to all regions/1 VaS/part of the preparation to the effort of

:'1 tedngineering the bureaucracy of the DOH; WHOAdverse Drug Reaction (ADR) Network; CosmeticRegulation Innovation and BFAD LaboratoryInformation Bulletin.

J'G.o

Accomplishments :

The service completed 3 workshops, visited 54hospitals, checked 445 equipment, repaired 140equipment and 332 equipment (reactive) and 68 ongoing repairs. There were 4 hospitals where theHMS project was introduced, 98 technicians andend-users trained and 3 hospitals monitored. Therewas I training conducted, 4 HMS personnel trainedlocally and I HMS personnel trained abroad. Therewere 18 seminars/conferences and meetingsattended and I team building done.

There were 4 research foras attended, 5 hospitalsmonitored/evaluated and I seminar for hospitalengineers and technicians conducted in relation toHospital as Center of Wellness Program (HCWP).Inventory was conducted to 70% of HMS facilitiesand equipment.

There were 17recipient hospitals in different regionsand I proposed for safety laboratory. There were 4hospitals subjected for consultancy service ontechnical specification and meeting with HospitalMaintenance Service for Mindanao (HMS-M).

BIOLOGICALS PRODUCTION SERVICE(BPS)

Accomplishments :

Production of vaccines (in doses):

Tuberculin, 2TU 29,600Tuberculin, 5TU - 18,300EI Tor Vaccine 52,850Typhoid Vaccine 26,900Absorbed Tetanus Toxoid 25,020Cobra Antivenin 1,536Rabies Vaccine 113,824

Distribution of EPI vaccines to various regional andprovincial health offices (in doses):

DPT - 10,129,920Polio - 36,213,680Measles 10,742,140Tetanus - 4,80 1,100B C G - 9,155,620Tetanus (local) -288,560

Operational Background:

The Biologicals Production Service ismandated under E.O. No. 119 to formulateplans, policies, programs, standards andtechniques for the processing, manufacture,standardization and improvement ofbiological products for the use of theDepartment of Health; manufacture vaccines,sera, antitoxin and other biologicals; provideconsultation, training and advisory servicesto implementing agencies; and conductstudies and researches related to biologicalsproduction, distribution and use.

Accomplishments :


The Hospital Operation andManagement Service(HaMS) is mandated toformulate plans, programs,policies, standards andtechniques related tomanagement improvementand quality control of hospitaloperations.

HOSPITAL OPERATION ANDMANAGEMENT SERVICE (HOMS)

HaMS provides consultative,training and advisory serviceto field offices in relation to thesupervision and management

of hospital components and conducts studies andresearch related to hospital operation andmanagement.

HaMS awarded 115 hospitals as Mother andBaby-Friendly Hospitals. It conducted 3 batchesof Lactation Management Training Course forLuzon, Visayas and Mindanao, BreastfeedingCourse for hospital administration, LactationNurse Specialist Course, and a research forum inpaper pertaining to Breastfeeding.

For its "Hospital as Center of Wellness" project,HaMS conducted an orientation seminar for theChief of Hospitals of all Social Reform Agenda(SRA) provinces, 3 seminars for theAdministrative and Personnel Officers of the DOHhospitals to encourage their actual participationand the Nurses Action Group in Luzon, Visayasand Mindanao.

percentage accomplishment of advisoryconsultancy to regulatory agencies and foreignassisted projects exceeded the target. Thepercentage accomplishment for staff coordinationwas 74% and this consists of field trips conductedduring scheduled meetings.

DOH SptdkcrFiibrlidpan!fo 'Xlt"~,SfJIf':: ON THE BASIC POLlClfS lITO~. HOSPITAL HOI/SEKiU/KG.

UQIIIRY JIID L_SERVICES.OCTOI\£R 2b·27 °Q5

,SJ-·,0", /

Cr -J .~~,"- ~ 0 ";J~EALTH INFRASTRUCTURE SERVICE",); S(INFRA)

_0 f( J''J r-. 1"'\J",-.8' -\ h ~?

, C:::>:-:l\' "I'fugram Description:1) ~~;,

(~ ','

\'- "'» ~ The Health Infrastructure Service (INFRA) aimsIf ~~n.sure that licensure and quality standards for~,~ physical plants are met by retained hospitals, to

provide for their utility and safety requirements, tobe able to meet the new and developmental demandsof hospital frontline services and to institute ahospital physical plant

~/,.- ~ I)'~tenance system.

\\.. )'\ r;:.::..'"y \ /~

, J t: ~ Accomplishments :

v--;.: f~ .)v~' ~n",19'9b; for research

c " .'.~ 'lliid development, only_. ,. ~.~. 43% of the actual

"'); rD' activities was attainedV prl:'Parily due to lack of, ) F''-:.-;7 manpower. or ItS

• -, training program which\ \.;..

JO include conduct of.,0" training program for

, J,design and planning of hospitals, conduct oflecture

/:J; 91:JJrchitecture schools and conduct of training onC health facilities and corrective maintenance, 75%"-:v {-;. gfactivities was attained experiencing a minimum': J (. j; response from LGU for one training.

0V r' A Jv,-~' ~'fl)e i¥Jject Development and Documentation

c' ,)' .. • -'" "mclude the validationlfinalization of the 1996: ,,~'~i) infrastructure project and prepare budget request

//f;, for 1997, preparation of annual guidelines forV( Rt9ject development and implementation,

-: ~ 6rganization of the preparation of schematic planj, ~~ for 1996 infrastructure projects and evaluation,

,- monitoring and coordination of consultants for 1995.{}_ projects. For this, 67% ofactivities were performed

/ because of additional work for 1995 backlog. For/ <~ fI(l}pital and Physical Plant Maintenance, actual,C. . p-ei-tent ofactivities exceeded the target. There was

" r;:' .... : \i,5'" I' h, ~ '\( ~ 70 accomp IS ment for human resource•(J r.: 0 development. This includes attending graduate!

" J_~ A mast~al courses, computer training and_ ,';~' ~~f~1t\onal organization conventions. The

, ;\ .\...~<r ~/',-J'" '

;') ~'( ;)(58

'\,..)0

The Case Management Protocol Ptogramfinalized the Case Management Protocol ofdiseases. The National Voluntary BloodServices Program was completed and is readyfor implementation. It also distributed 24vehicles to different regions for donorsrecruitment and advocacy program. For theFrench Project, 6 out of 7 proposed recipienthospitals were visited and the initial draft andproposal have been completed.

PREVENTIVE NEPHROLOGYPROJECT (PNP)


The Preventive NephrologyProject (PNP) is a five-yearproject which is beingimplemented by theconcerted efforts of theDOH, National Kidney andTransplant Institute, DECS,DILG, Philippine PediatricSociety, Philippine SocietyNephrology and the BRL. Itis a nationwide project withtwo phases. Phase I is themass urine screening of all

public school children for urine abnormalitythrough the dipstick method. Phase II is theevaluation and management of the children foundto have abnormal urine findings in Phase I. Itsultimate goal is to determine the true incidence ofa symptomatic renal disease on children and toeffect treatment so that end-stage renal disease maybe avoided. The Project is on its third year ofimplementation and concentrates on Phase II whichinvolves detailed laboratory evaluation and clinicalmanagement of cases that have been proven to havedefinite kidney and urinary tract problems.Completion of retrieval of urine screening resultsby dipstick method under Phase I is also one of itsgoals in the third year.

Accomplishments :

performance of 24 hospitals and conducted afact-finding investigation. The Ten-YearHospital Development Plans of 28 hospitalshave been collected.

;..-. '1. \ I

It gathered statistical data needed to upgrade theequipment of the Neonatal Intensive Care Unitin 26 recipient DOH hospitals (Swiss Project),provided technical assistance in the preparationof Volume II and III manual (Infection ControlProgram), designed program and prepared theterms of reference and contract regardingconsultancy service (hospital epidemiologyprogram), submitted a proposal on HospitalEquipment and Assistance Project for allretained and devolvedhospital which have beenapproved by the Japanesegovernment (JICAproject).

The healthy hospitalsinitiative was launched inthe devolved and privatehospitalsnationwide. TheHIV/AIDS program inhospitals 'conducted aconsultative workshop forthe HIV/AIDS Core Team(H.A.C.T.)of the differentretained hospitals. Contracts for provision ofwaste disposal facilities (incinerator anddisinfecting units) to 35 DOH hospitals andequipment for Intensive Care Unit/OperatingRoom/Delivery Room (ICU/OR/DR) to 3hospitals & ER equipment to 5 hospitals havebeen supplied by the Austrian Project.

The ER Upgradingffraining program conducted2 courses of Emergency Room Training forResident Physicians, assigned 14 residentphysicians to train on the modular residencytraining program, monitored hospital

Todate, urine screening results of 4.7 million publicschool children have already been received andedited at the Project Office of the National Kidneyand Transplant Institute. A total of 1.1 million


BUREAU OFRESEARCH ANDLABORATORIES(BRL)

activities for disaster and epidemic management.surveying the DOH facilities for handlingradiological emergencies, the health informationand exchange have been continuously done.

The actual accomplishment of setting forLicensing and Regulation which issue ThermoLuminiscent Decimeters (TLD) badges forpersonal doses, intercomparison of radiotherapydosemeters, evaluation ofx-ray facilities and workthesis, issuance of permit to import/certificationof exemption. output measurement ofradiotherapy facilities, testing of Non-ionizingRadiation (NIR) devices and conduct ofCertification Training Courses for RadiationProtection have exceeded the annual target.

The Bureau of Research andLaboratories (BRL) istasked to develop andformulate plans. standardsand policies for the

establishment, licensing and accreditation oflaboratories. blood banks and entities handlingbiological products; to provide consultative training andadvisory services to public and private laboratories; andto conduct studies and researches related to laboratoryprocedures and operations.


[~~AgIATIONHEALTHSERVICE (RHS)

, \;.

-'C).,

" /~--.

·~-3 )0((, /,\\chrldren (24%) out of the 4.7 million have been'J ~ ':::::/found to have abnormal urine findings. More

(. J ,. i. results are expected to come until March 1997.- '"/' /~, "

~ . I I ~)

~"~~' ~e l>i\;ject in its aim to maximize implementationc 'J ~;:'~ this year and in the remaining years have(c .' f' strengthened its organization and networking and

)) ~;J ~anded its manpower and operations. Since!( i\fiirch to August of this year, it had conducted a~;' series of Regional Consultative Meetings,

j 00. supervisory visits and monitoring activities to hear...,0~ issues, concerns and problems and visualize the

, / actual implementation of the Project in the field.~ The composition and function of the Regional and

ri- <:/ ¥~incial Boards have been strengthened and\' ," ~ :,.~oordinators of all participating agencies, from the

'\ ~r"""'" II.. ,,) '" u ,:::.::natlOnal down to the local levels, have been\ J r;~) . reviewed.

v <~ y~ ,rJc::- ~'\)'1 ~O

<; -> '0::3\ , !' ._;::::y.(,1' \..'-:::<.r, ji

\" ,-.~

);

'''' T~e) Radiation Healthr> .-y Sen'ice is the DOH

\'" -,\ (.~ "-fllgUlatory agency mandated" .j.\' ~M protect the workers and

J ~r: '?:fIember~ of the public from<..0 - u t~hlizards posed by':Y''''d ...c. .0:- 1 109 an non-ioruzmg

~ ,j ~'--«~ radiation from electrical and electronic devices and,-' -y r to promote the safe and efficient use of radiation

» Ue~logies.CC )0

'\:....J() Accomplishments :

In 1996, the actual accomplishment of local

) ~o~9:50ment and private sector assistance whichr?" - mcHfile acceptance and performance testing of'-\ ~\ !F" --:~ipment and accessories, design of radiation( .v,,:> 'facilities and conduct of training courses exceeded

J . v <::/ ,..;:t.he annual target. Activities on policies andu,r;;u ( j~.~atf~fil research development. organization and"/ \.'- ' .

<'~ soci I mobilization have been achieved. The, ;., (\j';::=Yr, '.:_/"j)

\, ~ ,f

/J ~ ''0f( ~O

~'"

Accomplishments :

In 1996. BRL finalized implementing guidelines forManual of Standards for Clinical Laboratory, reviewedin consultation with NGO's, Regional Pathologists,Professional Specialty Societies and others. lt has

inspected 1,930 clinical laboratories, 177 bloodbanks, 135 tested HIV laboratories, 26laboratories for training of MTI and 31 watertesting laboratories. There were 1,456 licensesissued to clinical laboratories (CLS) and 96 forblood banks. For HIV testing laboratories, 40accreditations were issued, 22 for traininglaboratories of MTI and 10 for water testinglaboratories.

Internal Quality Control program of 20% ofall licensed clinical laboratories (CLs) wasassessed and analysis and recommendationswere submitted.

Participation in the external/internationalassessment program was 100% and excellentrating was achieved.

There were about 5,920 samples of CUBBssent for HIV/HBsAg testing and evaluation,4,890 test/examinations using kits/reagents beingevaluated and 50 kits/reagents evaluated.Protocol has been prepared, new system pilottested and evaluated for I region. For researchprojects started and completed, there were 3completed for write-up, I for data analysis, 2are on-going while 4 did not commence. Therewere 19 surveillance and monitoring works donein collaboration with other government agencies.A total of I 13,374 laboratory examinations, suchas HIV examination, VDRL, biochemistry,water analysis, bacteriology and others wereperformed.

PHILIPPINE NATIONAL DRUG POLICY(PNDP)


The Philippine National Drug Policy (PNDP) ismandated to formulate policies for safe, efficacious,quality medicines at an affordable cost.

Accomplisments :

PNDP's priority programs were: PhilippineNational Drug Formulary (PNDF) Vol. 14th edition(1996) - current edition of the essential drugs list tomeet the health care needs of the Filipinos; PrimaryMedical Care Drugs (1996) - list of drugs intendedfor rural health units; development of "A FilipinoDrug Industry Strategy Paper for Philippines 2000";strict Compliance with EO No. 49 s. 1993mandating the use of the current edition of PNDFas basis for procurement of drugs and drug productsby the government; establishment of aBioavailability Unit at the University of SantoTomas to undertake bioequivalence studies ofselected products with reported bioequivalenceproblems and expanded list ofdrugs on the "MurangGamot sa Presyong DOH" from 10 to 20 drugs.

In human development/people empowerment,PNDP conducted the following: training courses/seminar-workshops on promoting rational drug use;rational drug use as a subject is included in thecurriculum of medical schools; AdministrativeOrder No. 23-A s. 1996 provides the "Guidelineson the Development and Establishment of Boticang Barangay (BnB)"; awareness campaign on theconsumers' right to choose affordable drugs throughthe use of generics; tie-up with the UP College ofPublic Administration on Seminar-Workshop of thelocal executive level on information disseminationre: EO No. 49 s. 1993 current edition of PNDF Vol:I Generics Law and its implementing rules andregulations and the role of the TherapeuticsCommittees.

PNDP is collaborating with the foreign agencies onseveral projects relative to the rational drug use -

(DOH-HPCCC). Seven (7) HPCC's were set upand are now partly operational as management andreferral centers for poisoning, they are: VicenteSotto Memorial Medical Center, Region VII, CebuCity; Davao Medical Center, Region XI, DavaoCity; Western Visayas Medical Center, Region VI,Iloilo; Baguio General Hospital and MedicalCenter, CAR,Baguio City; Ilocos RegionalHospital, Region I, San Fernando,La Union; EastAvenue Medical Center, NCR, Quezon City; andJose Reyes Memorial Medical Center, NCR,Manila.

Collaboration with UP-National PoisonsControl & Information Service (UPNPCIS) hasbeen on-going for the purpose of training ClinicalToxicology Fellows to provide the HPCCs withexperts in the diagnosis, management,andpreventionofpoisoning; two (2) months in-servicetraining rotation of Residents in Metro Manilahospitals at UPNPCIS,namely East AvenueMedical Center and National Childrens Hospital;

providing consultativeexpertise in basic,clinical and technicalaspects. A networklinkage with UPNPCIS,Hospital Poison ControlCenters, other DOHoffices and services,GO's and NGO's, suchas the STOP DEATHProgram, Non-Com,BFAD, EMS, FETP,DMU, BFAR, DOST,

DENR, WHO, Rotary Club and Lions Club.

Protocols on the diagnosis, management andprevention of poisoning, and other IEC materialswere disseminated to all DOH retained hospitals;to mention some are: watusi, paralytic shellfish,tuba-tuba, mushroom poisoning. Antidotes forcertain poisoning (such as watusi, paracetamol andorganophosphate), other drugs, and medicationwere made available in the coordinating andcertain Hospital Poison Control Centers .


DOH-HOSPITAL POISON CONTROL;8ROGRAM (DOH-HPCP)

The primary aim of the DOH-Hospital Poison.-~

)Control Program is to reduce morbidity and/(-~ ""<~\" . : 'iTIbrtality from poisoning throughout the country.

)) C'.~ ~ It envisions a national network system which-, J ",' include the DOH, the University of the Philippines,_oj

v .: f'\ DOJ:IrJ:etained hospitals and other government andc- 0 \. non>g'o~ernmentalorganizations which would make

"\' ,',;:" "'{{vailable to the people experts in the proper.,:' <<. " diagnosis, management and prevention of\> ~\ 1(' < poisoning.

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'f)OIt was originally under the officeof the Non-CommunicableDisease, then placed under theSTOP DEATH Program of theOffice for Health Facilities,

c..:~

;/ ) Standards and Regulations as partIe of emergency response to":v ~,~ ..~ disasters, epidemics and mass( J c- 0 poisoning. It became a hospital-

v cO -?"I bas~, program specifically\ 0 \ Jjddrfssing the diagnosis and

",': ,;., '" management of poisoning inr, \:/h 'il patients treated and admitted in all DOH-retained-, ~)/ 0 hospitals. On the other hand, environmental,1'(' ) e5:cupational, and industrial-related poisoning were" ~ placed under the responsibility of the Office of Non

Communicable Diseases under the RegionalOccupational & Non-Communicable InformationCenter.

/ J) (()e . 'iVorid Health Organization (WHO), Australian,.:) ~ ~j) Agency for International Development (AusAID)~ »" ;~ and International Network for the Rational use of

v'" h Drugs (INRUD).y:.)0

.) )0:t;. _0 \\ 'A'ccomplishments :.)) (t ",j)"J '. :0 The year 1996 showed the operationalization of the

. v',o -?'" DO~Hospital Poison Control Coordinating Center

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An official format of recording and reporting ofpoisoning cases was formulated/disseminated toall DOH retained hospitals and regional offices.A system of reporting has been developed and hasstarted to be implemented. Coordinators andresidents have performed case analysis andresearches and more are being motivated toperform. During the recent APEC SummitConference held in the country, the DOH-HospitalPoison Control Program was activated.

STOP DISASTERS, EPIDEMICS,ACCIDENTS AND TRAUMA

FOR HEALTH (STOP DEATH)

Program Description :

The STOP DEATH Program aims to consolidateand enhance the resources and capabilities of theDOH to make a coherent and effective response intimes of emergencies. It gives emphasis on thecrucial role of hospitals in establishing a nationalhealth and emergency services network, and aimsat institutionalizing emergency preparedness,planning and response in the periphery.

It mobilized disaster response teams toprovide medical services and psychosocial care invictims of calamities/disasters, conducted trainingand workshops in the field of health emergencymanagement and relaunched "Oplan [was Putok"(formerly Oplan Torotot).

HOSPITAL SERVICES

The DOH retained hospitals had anoccupancy rate of 82.37% in 1996, lower by 0.14percentage points from the previous year. Averagelength of stay was 7.63 days. A total of 593,308and 602,562 admissions and discharges,respectively was reported. Of these, 31,370 deathsoccurred. Discharges likewise decreased from877,445 in 1995 to 602,562 in 1996. Thesehospitals also performed 284,984 surgeries and8,919,332 laboratory examinations. There werealso 3,809,186 total out-patients served.

Accomplishments :

The STOP DEATH Program providedemergency medical services in the followingactivities: APEC Summit 1996; 23rd InternationalCongress on Internal Medicine; 9th Session of theIntergovernmental Follow-up and CoordinationCommittee for Economic among DevelopingCountries; 2nd National Theater Festival; GlobalIndigenous Cultural Olympics/Summit for Peaceand Sustainable Development; National AntiPoverty Summits and National Health Assembly.

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Source: Office for Health Facilities, Standards and Regulation

For 1996, the total admission of CVRH is 10,831,total discharge is 10,777, total operation is 5,1341,900 deliveries and 63,110 OPD patients.

For the Dietary Unit, a total of 12,697 persons weresubsidized, 321,380 routine meals served and 24,283 therapeutic meals served. The RadiologyDepartment had 10,829 X-ray examinations, 9,000patients in ER, 5,804 patients in dental, 6635 inpatients and 2,103 out-patient.

Operational Description:

For the Pharmacy Unit, there were 97,105prescriptions filled and 5,322,885 medicines givento service (indigents). There were 404,221laboratory exam/procedures done and 5,096,481amount of reagents/supplies used.

The ten (I OLIeading causes of hospitalization arepneumonia (1,308 cases), DHF (538), abortion(402), anemia (390) age (387), NSD, (309), PTB(300), TMS (250), acute appendicitis (219) andmalaria (212).The ten (10) leading causes of death are pneumonia(104), CVA Hge (49), prematurity (48), RHO 919),COPD (17), severe birth asphyxia (9), chronic renalinsufficiency (8), sepsis (6), dengue/SS (6) and acuteMI (6). For 1996, there was a total of 24 deathsrecorded

CAGAYAN VALLEY REGIONALHOSPITAL

Hospital Performance Report(Retained Hospitals)

Indicator 1996

Occupancy rate 82.37Total admission 593,308Total no. of patient days 5,856,113Total newborn 140,297Total discharges 602,562

Total surgery 284,984Total out-patient served 3,809,186

Total laboratory examinations done 8,919,332Total deaths 31,370Average length of stay 7.63

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~~omplishments:

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~// f'~BAG~OGENERAL HOSPITAL AND'-' 0' MI;OI¢AL CENTER,~ ~

(~\J \,lJ;~ Operational Description:

;j) C~~BagUiO General Hospital and Medical Center"'" (BGHMC) as a tertiary medical center serves clients

: \, from Baguio, Cordillera and Northern Luzon. The00 BGHMC's mission is to provide the best possible. ,On comprehensive patient care to the people ofBaguio,,\ .J'-'

Cordillera and Northern Luzon especially the poor): ~ctthe indigents.

t?' ./ .~

\:co il (r-" ~he general services offered by the hospital are\ J (( ~ surgery, medicine, OB-Gyn, pediatrics, orthopedics,

, u '" ~ psychjaJry, ENT, opthalmology, ER services, dentalc.; I::!J ~ raqdical ancillary.

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For 1996, it had 21,480 in-patients served, 257,380out-patients served, 21,262 discharges, 92.1% bedoccupancy rate, 1.14% net death rate, 17 residentsgraduated, 80/month residents in training and 971/J ~th other health trainees. It accomplished 3,296

t?', mlij'or surgeries, and 10,658 minor surgeries. The'"il CF' gumber of referred patients is 818 and 311,934"j (/ 2J prescriptions served. It completed 85% of discharge

u", f':y summaries and processed 85% of medical reports.U I::!J U "..p

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CORAZON LOCSIN MONTELIBANOMEMORIAL REGIONAL HOSPITAL(CLMMRH)(Western Visayas Regional Hospital, BacolodCity)


Corazon Locsin Montelibano Memorial RegionalHospital is a tertiary, teaching-training, 4oo-bedhealth facility and is the only service-orientedgovernment hospital in Bacolod City. Itscatchment area is the whole province of NegrosOccidental with a population orabout 2.5 million.Its direct catchment area consists of Bacolod andBago Cities and the towns of Talisay, Murcia andDon Salvador Benedicto with a total populationof about 700,000.

Accomplishments :

1. Fully immunized child2. BCG3. OPT I

OPT 2OPT 3

4. OPV 1OPV2OPV

5. Measles6. HBVI

HBV2HBV3

7. Tetanus Toxoid I2345

8445,8421,2841,3401,0501,2771,1121,029836180159160174106313119

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The major achievements of CLMMRH are thefollowing:

I. Delivery of quality health care services to thepeople of Bacolod City and Negros Occidentalprovince

2. Attraction of more volunteer consultants3. Maintenance of accredited status in all depart-

ments4. Excellent linkages with NGOs and LGUs5. Upgrading of infrastructure6. Proper utilization of budget7. Adoption of moral/value orientation program8. Implementation of DOH programs and thrusts.

Statistically, it served 153,800 out-patients,22,500 in-patients, a total of 2,885 operations. TheDepartment of Medicine has specialty rounds oncea week, specialty clinics (center of wellness), andinstalled dialysis unit. The Department ofPediatrics had a total of 4,570 ward admissionsand 6,311 nursery admissions. The record forimmunizations are as follows:

CULION SANITARIUMCurion, Palawan


Cuiion Sanitarium Balala Hospital is situated inNorthern Palawan as center for referral of healthcare needs. The institution leads advocacy for 4o'clock habit forTEPOK LAMOK. It acts as centerfor training health workers for LGUs at Barangaylevel, provide continuous staff development forcompetent workers and established a herbal gardenand ward for mental cases and cultural minorities.

Accomplishments :

There were 220 surgical cases attended during thePeople's Health Day. The surgery was sponsoredby Culion Foundation Inc. in collaboration with theCuIion Sanitarium, Local Government Units andSI. Paul de Chartres Sisters. The Medical SurgicalTeam was from the Manila Doctors Hospital.

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,': ~, 0 ()For the general hospital, there were 22 patients who-, <) ,\ Junderwent major surgery; 256 for minor surgery;, v" ,> ";'~ 213 for medical; 32 OB-Gyne; 10 Gynaecology

q.J,.... () J ...:~ \.a~d t~ofor pediatrics.

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(~ ,) :.':;'::j) There were 828 consultations reported in OPD and\'.", ,( 106 for E,R.. There were 19 male MDT1(')) ~ (multibacillary) and 4 female MDT patients, For\::jPl3\paucibacillary), there were 2, 450 surveillance,

, -c 96 for female PTM (post treatment MB) and 186,)O~ for male PTM, The total number of out-patients, ,;)~ served was 22 while the registered in-patients was

\..J. 40.

SAINT ANTHONY MOTHER ANDCHILD HOSPITAL


The Saint Anthony Mother and Child Hospital islocated in Basak, San Nicolas, Cebu City and isnow on its second year of operations, The hospitalis primary but functioning as tertiary, At present,it still has a lot of needs to support its full operation,

For the first half of 1996, there were 3,030admissions and recorded 28,609 (74 patients/day)in the out-patient department. There were 34 majoroperations which include hysterectomy; bilateraltubal ligation were done every People's Day ofDOH every month, The bed occupancy rate is95,8%,

Accomplishments :

;fbe physical development includes the new ERtl~-CSR-Radiology complex; the new center ofwellness; setting-up of oxygen and suction pipeline;and improvements in the offices, laboratory,canteen and the EENT out-patient clinic,

.' \\SbAVAO MEDICAL CENTER

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-; (, Afte(YQrs of uncertainty and hesitation, the Davaoc. 0 \ '\ _-,

<) \Medical Center finally took off in 1996 and has',) \!c';';:''''), caused a new image for the hospital,,,

'y There were 55 additional plantilla positions; an/ »:,/" -;/' \nJiovative 12-hours duty schedule at the ER; work

,\, / .",.improvements; additional facilities and working'\ '" '-. ))

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c' r Improvements in patient services includes\ 0 ~~o~g';;stion mechanism such as the creation of a

,\ ~,;;,,~ temporary general ward; provided adequate linen<, for patients; creation of health day program,~/ ~} outreach program, patient club; establishment of

/J better facilities; and procurement of newequipment.

MINDANAO CENTRAL SANITARIUM


The Mindanao Central Sanitarium was created underE.O, # 392 in 1930, It was previously known as theZamboanga Leprosarium, It is located 1.5 kms fromthe city proper, with an area of 23 hectares, It has atotal population of over 1,000 including dependentsof Hansenites, It serves mainly the WesternMindanao region with a restricted catchment areafor non-Hansens of 22 barangays (75,000population),

Programs like revenue enhancement program,computerization program, intensification of the

",", Center for Wellness program were created; and the.:/ t~"ision of policies on ER, OPD, OR and other

~ ;\ f''' J~reaswere done,.//' '::::::::/

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As a special hospital, it is an institution for leprosypatients requiring hospitalization, confinement andrehabilitation, It is a treatment center for domicilliaryleprosy patients with intercurrent diseases andcomplications, a treatment base on leprosy work forpublic health workers and students and a diagnostic,screening center for leprosy, As a primary hospital,it acts as general service hospital with the followingservices: medicine, pediatrics, OB-Gyn, minor

I

4

surgery, out-patient and emergency services, dentalservices, laboratory services, physcial rehabilitation,nursing services, pharmacy, dietary, medical-socialservices and medical records.

Accomplishments :

For the year 1996, it had 45 minor surgeries. Therewas a total of 214 (referrals) and 6,346 (nonreferrals) OPD consultations. For laboratoryexaminations, it had 604 patients and 3,320participants for its health education classes. Therewere 15,800 patients treated for physical therapyout of the 15,804 patients attended. The travellingskin clinic reported a total of 2,411 patientsconsulted. The ten leading causes of skin diseasewere fungus infection which had 392 patients, 388for dermatitis, 208 for scabies, 103 for Hansen, 23for psoriasis, 15 had allergy, 7 with pityriasisversicolor and 2 for cellulitis.

NORTHERN MINDANAO MEDICALCENTER


The Northern Mindanao Regional Training Hospitalis a general tertiary teaching-training hospital whichserves promotive, preventive, curative andrehabilitative patient care. It is the flag bearer of allgovernment hospitals servicing within the region andsome other nearby regions; a referral center cateringto all seven provinces and seven cities of Region10. This 200-bed capacity hospital, operating forthe past 63 years, is situated in the heart ofCagayande Oro City within the eleven thousand squaremeters (11,000 sq. meters) area of the capitalcompound.Its service capabilities includes general surgery,orthopedics, internal medicine, cardiology,nephrology, neuro-surgery, obstetrics/gynecology,pediatrics, opthalmology, EENT, pathology,rehabilitation services, psychiatry, pulmonary andother subspecialties including laboratory,sonographic and radiologic diagnostic procedures.

Accomplishments :

For 1996, it admitted 181 members for asthmacases; 142 patients for diabetes clinic; 6 outreachesfor Breastfeeding Community Outreach. It had 4Anti-Smoking trainings; 227 patients for minorsurgical (in-house operation); and 157 patients forPeople's Health Day (major surgeries). ForCommunity Heart Center, there were 1,870 inpatients accepted; 798 volunteers/donors for the

Inter-GO, NGO Voluntary Blood DonationProgram; and 10 outreaches for communityoutreaches (medical-surgical).

The accomplishment for in-patients served is102.33%, 120.04% for out-patients served and102.62% discharges.

SAN LAZARO HOSPITAL


San Lazaro Hospital in its 418 years in existencestill functions in serving those afflicted withinfections and communicable diseases. It ismandated by the Department of Health as theNational Special Hospital and referral center forinfection and communicable disease. Theauthorized bed capacity is 900 beds, however, theactual implementing bed at present is 643.

It actively participates in responding to emergencycases including trauma cases covered by the StopDEATH in coordination with the DisasterManagement Unit of the DOH.

Accomplishments :

The hospital admitted 34,202 patients of which29,458 or 86.13% recovered and attended 92,604OPD patients. Provided services on special areassuch as Bahay Lingap (HIV) Rehabilitations Centerwith 36 patients, diabetes clinics with 1686 patients,dogbites consultation with 23,977 patients andemployee medical services with 264 patients;

For CY 1996, San Lazaro Hospital received total") alllitment of P231 ,443,690.00 which included the

/( -:/ c6~tinuingallotment ofP50,065.00. The utilization""::) (C ~ ",Yfor personal services (100-00) is 88.77%, operating(t) c: '.J' expenses (200) is 80.49%, capital outlay (300) for

v /; '1'\ equiplbj'nt is 96.54% and 24.81 % for building and", 0' ~so/uCrtlres.

For CY 1996, the pac had a total approved budgetof P209,380,000.00.

Accomplishments :

The year 1996 capped another milestone ofmeaningful and responsive services to the needs ofour clientele - the injured, the handicapped and thedisabled.

The pac is a tertiary level special hospital andtraining facility under the DOH providing healthcare and other related conditions includingrehabilitation of the physically disabled. The Centeris committed to deliver high quality care andservices that respond to the needs of Metro Manilacommunity and other areas all over Luzon, Visayasand Mindanao.


The Philippine Orthopedic Center (its 5th name byvirtue of RA 8766 dated 29 November 1989) wasestablished in February 9, 1945 as a specialgovernment hospital then known as the PhilippineCivilian Affairs Unit No. I General Hospital orsimply PCAUI. As a special government facilityit provide health care delivery services along casesin traumatology, orthopedics and rehabilitationmedicine.

PHILIPPINE ORTHOPEDIC CENTER

The pac registered 494 average number of inpatients per day, 190,656 out-patients served, 7,766total discharges, 5,420 major surgeries, 8,352 rrunorsurgeries and the actual bed occupancy rate is 80%.

The pac had a total of 975 staff officials andemployees for the year 1996 complimenting thethree major divisions of the hospital namely:Medical, Nursing and Administrative. Thesehospital staff have responded with substantialresults in providing health care services in thespecialized field of treatment of trauma cases,musculoskeletal disorders and other relatedconditions including the rehabilitation of thephysically handicapped.

For 1996, there were 34,904 admitted patients~ed, 92,604 out-patients, 34,202 discharges, 86%pet! occupancy rate, 1.05% net death rate, 9 residenttrainees III, 340 health workers trained and 12,640students (affiliates) trained.

~e recent accomplishment is the active%>llPticipation in the just concluded ASia PacificEconomic Cooperation (APEC) meeting In thePhilippines, wherein the hospital deployed 30hospital staff.

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For this year, San Lazaro Hospital expanded its~ I '

/1 ,~19vicesnot only in the curative aspects but a so In"~ /\\" the preventive/promotive aspect of infectious

S; if'. ,::.;diseases by providing public awareness on how to, C I. cJ; prevent and control thes~ disease through the tn-

"> f''\ medial.such as production of I.E.C. materials,v~' \J~ttffi;s and health teachings, TV and radio

\' ,< .: I~ ~uestingsof medical specialists.r: \':-'/' J.'

ff '

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V ,,/ ' {tid employee medical services with 264 patients.0. 0 "~,

:) \ ':::~::/

. v '..', Implemented DOH programs such as Stop DEATHc ,,;;Y R Meditl) Mission responding to 10 emergency calls

c- 0 \.~d 'cl:~ter for Wellness Program like the Sangkap~ ~: ,;..:,.. ~'Pinoy (ASAP) with 150 beneficiaries. Implemented.;' \:co>)J the Fellowship Training Program accredited WIth

" 5) ~j ~~MID with two trainees and accomodated!(~idencytraining of 27 medical officers, t~ed

""c' 12,640 affiliates in medical, nursing, para and allied, \, medical students, continued providing facilities and~0 services for the networking activities ofthe DOH.~<),.."./

''IS? Completion of discharges summaries is 85%, 90%• ~rocesSing of medical reports, 7 minor surgeries-dJ ! ormed and 0.24% autopsy.,1/-- .--

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The other hospital units also served a significantnumber ofpatients. There were 107,619 radiologicexaminations, 277,068 laboratory examinationsdone, 670,118 doctor's prescription filled, 564,267diets served, 903 ambulance conduction, 9,940dental procedures done, 88,123 P.T. treatmentsessions, 10,010 O.T. patients, 21,317 medicalsocial services, 4,900 psychological and vocationalservices.

The POC provided education and training tostudents from various affiliated schools, collegesand universities, majority of which are nursing,medical technology and physical and occupationaltherapy students. From January to November 1996,there were 9,153 student affiliates.

There will be a total of 20 resident physicians whoare expected to complete their residency trainingin the different training programs at the end of theyear 1996.

Our Prothetics and Surgical Appliance Factory(PASAF) has manufactured and released to patientsthe following prescribed orthopedic appliances: 549spinal orthoses, 38 upper ext. orthoses, 102 lowerext. orthoses, 3 shoes and modifications, 35prosthesis, 333 jaipur.

The other major thrust of POC is in the field ofbasic and clinical research. In 1996, the variousmedical services had a total research output of 22with different titles.

A total of 45 training programs were conductedfrom January to November 1996 both in-house andlive-out. There were 264 employees-participantswho attended these training programs.

In general, we have managed to improve ourhospital facilities and updated our medicalinventory. Foremost in this developmental effortare the various non-infrastructure projects on-goingas of the date.

MARIANO MARCOS MEMORIALHOSPITAL


Mariano Marcos Memorial Hospital and MedicalCenter is located in Batac, llocos Norte andcategorized as a. tertiary, teaching and traininghospital. It covers a land area of 2 hectares alongthe National Highway, 470 km. north of Manila.Programmed as a Medical Center, it caters not onlyto the medical needs of the aggregate populationof Batanes and Cagayan in the north, Kalinga,Apayao and Abra in the west and llocos Sur on thesouth.

Accomplishments :

For 1996, the recorded actual net death rate was1.87%, .25% for maternal death rate, .67% infantdeath rate, 2.14% neonatal death rate and 22.56%CS rate (Cesarian Section rate). The total admissionwas 11,707; 63,349 total OPD consultationexcluding ER; 725 total major operations; 543 totalminor operations; 342 total C.S. operations; 833total OPD operations; 12,913 total X-rayprocedures; 141,641 total laboratory examinations,898 total ultrasound examinations; 37 total referralto other hospitals; and 117 total referrals from otherclinics/hospitals.

The accomplishments of development programs inAnesthesia Department, Obstetrics andGynecology, Pediatrics Department, laboratoryincluding Blood Bank for HIV testing andOpthalmology Department have been made. Thehospital has put two new important and tangibleservices, the Hemodialysis Unit and the AcutePsychiatric Unit.

The Quality Assurance Program has beenimplemented. The Quality Assurance relatedcommittee were made operational and existingquality assurance related committee werestrengthened. The People's Health Day which waslaunched on September 29, 1995 is complete withfree medicine and dental consultation, free surgicaloperation and free medicines. Health teachings onthe DOH Programs were being imparted to patients

.,:..,\\/' !t)

-> -r> 'aiid patient's relatives, Since its launching, these''>-:::,,;;:::::'" '''\\ ..• ., '/ ,', ':jaCllvltles were being done every last Friday of the'0 " ,>; month for the whole duration of 1996.

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c "", 0,,,' ~~e flciSpital management of MMMH has thought

, " ("."" of innovation or strategies that could be offered to" .,," / patients and to the community such as payment

/) ~;; i!Z~ind implementation, clean and green program,'/ ~I committee on procurement, operation Tipid-, J Program, outreach program, blood typing and

.f,}> blood letting in depressed and distant barangays,color coding scheme for waste disposal, settingup of the emergency kit and to encourage staff toperform well. MMMC has given due recognitionll'nCPcash incentive for the "cleanest department"_~0

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:: ,,' },~)) \.fA~bNAL CHILDREN'S HOSPITAL

)) 0' 9~erationalBackground:'(~()'-::J The National Children's Hospital is a special,

,;.~ training and tertiary hospital mainly concerned with. ,()" the quality care, treatment and prevention of special

, " types of diseases of children, promotion of general,"" health, education and training for specialization and

/ -J; tC$earch on pediatric diseases and general.(. (.-A \\a(fministration and s~pport services for the patients.,. » ': \:3lt IS a 250-bed hospital located at E. Rodriguez Sr.~ J r, 0 Blvd., Q.c. on a 4,400 sq. m. lot, with an authorized

v /r""~";' . . f 429 ./~ r>; pe"'''':-<rnt positions 0 , operanon of which isc v, '::!/ ~~~a~(] by the national government.

:: -, '2;/))Accomplishments :

':-'-y, ,r~;/1 ~'

For education, training and research, there were2,127 students affiliates trained, 15 post graduate,78 trainees trained, 244 staff trained and 15researches done .

A total of PI36,406,170 release of allotment wasreceived, PI 15,301,909.05 was obligated bearing abalance of P21,104,260.90

ILOCOS REGIONAL HOSPITAL


Ilocos Regional Hospital was established in 1945as a first aid center. Since then, it had continuouslyprovided the needed health services to its clients,particularly in the last 12 years, where itscapabilities in the area of services, training andresearch tremendously contributed in improving thehealth status of the people in Region I.

At present, the Ilocos Regional Hospital is a 200bed tertiary level teaching and tertiary hospitalfacility located at San Fernando, La Union. Itscatchment areas include Pangasinan, La Union,Ilocos Sur and Ilocos Norte. The hospital is fullydepartmentalized and equipped with the servicecapabilities needed to support certified medicalspecialists and other licensed physicians renderingservices in the field of Medicine, Pediatrics,Obstetrics-Gynecology, Surgery, its varioussubspecialties and Ancillary services. Its trainingprogram in nine (9) out of ten (10) programs areaccredited with the respective Specialty AccreditedBoards.

Accomplishments :

For 1996, five (5) major goals were set forth; (I)investment of appropriate resources to make thehospital a focal center for health services; (2)utilization of expertise on training to influence!reform prevailing health system in the region; (3)the pursuit of innovative mechanisms to strengthenexisting system; (4) improvement of long termviability and (5) improvement of performanceindices.

Teaching and training accomplishments include fullspecialty accreditation of anesthesia, two yearspecialty accreditation of orthopedics, setting-up ofInternet, three separate clinical research contest with38 research papers, graduated 8 residents, Volume4 of \locos Regional Proceedings published, wonhighest award for research (Raul RivasAward) fromPMA, 2nd prize-PCS, Northern Luzon ChapterResearch Contest and finalist of the 2nd PMAClinical Case Presentation.

Other accomplishments include special projects likePeople's Health Day with free goods and services.The Foreign Medical Mission (Interplant MedicalMission, Ohio, USA) also gave free goods andservices. The Innovative Program which made useof Indigent Identification Card to avail of free goodsand services, barangay-based Voluntary BloodDonor's Registry, barangay-based Health Insurance,Adopt-a-Barangay Part II, Family Health Guide,Operation Linis Tenga, Operation Smile, HealthRegistry, Integrated Computerization at OPD andothers.

The actual net death rate from January to November,1996 was 2.12%, 1.99% post operation death rate,.37% maternal death rate, 3.20% infant death rate,1.59% neonatal death rate, and 5% infection rate.

The ten leading causes of discharges (January toNovember, 1996) were deliveries (all types),community acquired pneumonia, fracture (allforms), blunt trauma, PTB, abortion, age with severesign of DHN, hypertension, sepsis, bronchialasthma. The ten leading causes of mortality fromJanuary to November, 1996 were PTB Class II,active, CVD, Hge, prematuritylHMD, myocardialinfraction, hypovolemic shock, age with severe signofDHN, RHO, Tetanus, liver disease and RHD stageIV.

NATIONAL KIDNEY AND TRANSPLANTINSTITUTE


The National Kidney and Transplant Institute,formerly known as National Kidney Institute, hasbeen in the forefront of Philippine medicine in termsof providing quality specialized medical services,training and research. NKTI is particularly knownfor its successful kidney and other organtransplantation programs.

The Institute's outreach programs has also gone along way. This includes the Preventive NephrologyProject of the Department of Health with NKTI asthe lead agency. Initially, four (4) million publicschool children were tested for urinary screeningwherein 24 percent are found to have abnormalresults. These children are now being subsidized bythe project for their treatment. The NKTI was alsoable to equip eighteen (18) hospitals with dialysismachines and supplies as implementing agency ofthe joint Dialysis Center project of the PCSO andthe DOH.

With these projects, the NKTI is able to extendnationwide its mission of providing medical servicesto patients diagnosed with kidney ailments and allieddiseases.

The hospital offers services such as: transplantation,dialysis, and specialty services. It is the country'sforemost center for training in Nephrology, Urology,Tranplantation, and Dialysis for physicians, nurses,and other paramedical workers.

Special projects include:- DOH-NKTI Preventive Nephrology Project-PCSO-DOH-NKTI Dialysis Center Project-DOH STOP DEATH Program-NKTI as Center for Wellness-Networking with the NGO's,GO's and Individual

Benefactors-Moral Recovery Program

rn

238109

6,2333

Accomplishments :

The VSMMC Child Survival Center implements/coordinates ten (10) programs:I. Expanded Program on Immunization2. Control of Diarrheal Diseases3. Control of Acute Respiratory Infections4. Maternal Care5. Breastfeeding6. Under Five's Clinic7. Vitamin A Deficiency8. IDD/Iron Deficiency Anemia9. Rehabilitation of Malnourished Pre-schoolers10. Family Planning

Issues such as lack of gender responsive concernsin programs, inadequate pro-poor program,programs addressing the needs of maternal andchild health, rising cost of drugs and medicines andthe need to focus on work ethic and the spiralingpopulation rate, were some of the issues taken intoconsideration in the formulation of the targets forthe year 1996.

VICENTE R. SOTTO MEMORIALMEDICAL CENTER

The Vicente SOtlO Memorial Medical Center(VSMMC) formulated its goals and objectivesilluminated by the philosophy that the provisionofpreventive, promotive, curative and rehabilitativehealth care should be holistic partnership withindividual, his family and community. With thisphilosophy, VSMMC directed more of its servicesto the disadvantaged and underprivileged sectionof society taking cognizance that they should beallowed to participate in their own health care.

Operational Background :

No. of programs implemented 22No. of persons served 67,751People's Health DayMajor surgeryMinor surgeryConsultationOutreach PHD

8,4602,900

106I

4,074

82%17%8,620

62,800

2,302954634

1,15035

78,6019,218

21,22019,14076,394

1073.041.42

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Cojabato Regional Hospital is a 200-bed capacitybNpital, tertiary second level regional teaching andtraining hospital in category. It is located in

: 'c.. Cotabato City that caters to the health needs of the<o.. ~) people in Region XII and the two administrative

~ :' provinces of the Autonomous Region in Muslimc" Mindanao (ARMM). It has an estimated total"1 )r~ .

/, .c/ {>.opulation of 3,599,889 as of 1993 and WIth an~" fr'" \\average gro~th rate of3.2% and 3.7% resp?ctively.,,>J ,\ '::::31t is mostly inhabited by Muslims and Christians." ,) r- 0

v /~ A Acc~lishments:"'0' \"',

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~ ,,(.;~ Out-patients served! '" ',' Dental patients served

// '0 lOS patients served'( DiScharged

In-patient Day, ,.J, ,~ Bed occupancy rate

ur -, Net Death rate-Below 48 hrs.

<',\ /

'\ F After 48 hrs."",.~u(geries Performed:

v -~~or\"'\ 0 QMinor,,::v 1\' ~TL\, r: ,-'

J '~ Minor (OPD)u iH- _\ ..,~ ! 1 Residtjgls in trammg

c ~,"';: Weci:iI Programs, ,j (.;?))rr . - - J.,>-~ -~ rr'

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~0~~' ., - The hospital has recorded:co -;0 ':'r':; Hospjjal Occupancy Rate"',0' '\.Sjjrv~patientat Pay Beds

, ~ ::""", '1"(umber of In-patients" "'-V, )J Out-patient visits

)) ~ Di~lysis Sessions'( J;®nodialysis

~eritonealTransplant OperationsKidneyLiverSurgical Operations

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The Center has also been very active on theProgram of Hospitals as Center of Wellness,emphasizing on promotion and maintenance ofhealth initiating health campaigns participated bythe hospital, organizing a mother's volunteergroup, and integrating inter pregnancy maternalcare for under five children consulting the UnderFive's clinic. The Center has also been active inpromoting health among VSMMC employees andtheir dependents.

The VSMMC also implemented the followinghealth campaigns:I. Knock-out Polio2. Sangkap Pinoy3. Nutrition Month4. Breastfeeding Week

The ten (10) leading causes of morbidity are:pneumonia, acute diarrhea, skin infections,scabies, parasitism, systemic viral infection, earinfectiori, dog bite, bronchial asthma.The Center performed 154 major surgeries and 161minor surgeries from January to November 1996.

DR. JOSE FABELLA MEMORIALHOSPITAL

Accomplishments :

For 1996, the hospital conducted various trainingprograms both for foreign and local participantsfor its Administrative Service, Medical Service,Nursing Service, Comprehensive Family PlanningCenter and for its School of Midwifery. It hasalso completed a total of 31 medical researchesand several outreach activities.

For patient care, it has admitted a total of 88,366in-patients, 36,423 deliveries, 145,420 outpatients, 34,056 pediatrics cases, 8,250 medical,260 surgical, 68,912 OB-Gyne cases, 13,208dental, 12,986 FP acceptors. It has immunized50,803 patients both mothers and babies/children.It conducted 86 fact-finding investigations ofDPLs and medical clinic for OCWs.

As part of the resource management anddevelopment, personnel were sent for variousseminars and trainings. Coordination with otheragencies like UP-CPH for masteral course andJoint Commission International (JCI) forobservation tour abroad were done.

To sell program through advocacy, IEC and socialmobilization, financial assistance were providedto DIRFO and other DOH offices. Dialogues withlocal officials, medical clinic for OCWs andmedical ancillatory services and/or office was alsodone.

As part of health information and exchange,consultative and advisory services were done,memo and bureau circulars were published andmonthly reports of medical clinics ofOCWs wereprepared and processed.

For research and development, surveys of lyingin clinics, review and study of hospital capabilitiesfrom the period 1988-1992 were done.

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REGION I

REGULAR AND SPECIAL PROGRAMS

- 6 hospitals were accredited Mother and BabyFriendly Hospital, bringing to 44 the number ofhospitals (13 private and 31 government)accredited

- Breastfeeding Counselling Course for RHU nurseswas conducted (first of its kind in Region I)

- As part of the Fortification for Iodine DeficiencyElimination (FIDEL) strategy, Region I piloteda community-based salt monitoring survey usinga bit quality assurance sampling in La Union toassess the quality in terms of iodine content ofsalt and determine the trend of usage of iodizedsalt at the household level. Children were advisedto bring salt for testing.

- Launching of "Tsaang Gubat Project"in the entireregion on February 3-9.

- Introduced Directly Observed Treatment of ShortChemotherapy or "Tutok Gamutan" Strategy inJuly 1996.

- Organized a Regional Dengue Task force- Conducted a province - wide elimination

campaign in Ilocos Norte from January - April- Began publishing the "Epidemiology Report," the

official newsletter,on a quarterly basis which dealsmostly on results of studies conducted, prevailingdiseases and other public health concerns

- Launched program on the hospital-basedsurveillance on injuries secondary to road-trafficaccidents

- Piloted Healthy Hospital Initiative in governmentand private hospitals in La Union

- Launched the multi-sectoral launching of theHealthy Prison Initiative

- Managed the Herbal Nursery in San Pedro, Mabini,Pangasinan.

INNOVATIVE PROGRAMS

I. Indigents Identification CardOut of 615,989 households in the province ofLa Union, 14,000 used Indigent Identification

[I]

2. Barangay-Based Voluntary BloodDonors RegistryA blood donors brigade was organized in all20 municipalities of La Union: two (2) bloodbank refrigerators were purchased andprovided by two congressmen; and the LaUnion blood recruitment and distributioncenter was rendered operational.

3. Barangay-Based Health InsuranceThe Ilocos Regional Hospital (IRH) andOrganization for Rehabilitation & Training(ORT) health plans were tied up. ORT is anNGO actively participating in Primary HealthCare. There were 313 households (averageof 6 members) from 16 municipalities of LaUnion enrolled in the plan, out of which 72out-patients and 35 in-patients have beenserved.

4. Adopt-a-Barangay Part IIBaroro, Bacnot and Sevilla, San Fernando inthe province of La Union are the adoptedbarangays. Color-coding of health needs,health interactionlhealth discussion, andtranslation of hospital programs intocommunity-based programs were done inthese barangays.

5. Family Health GuideThis is a simplified guide for the common tao

about everything they want to know about themost common illnesses. It is written in thelocal dialect and 3 presented in comics style.Four hundred copies were reprinted and arealso used during health education sessions.

6. Operation Linis TengaThis project emphasizes the preventivepromotive aspects of otologic problems. Itwas done among Grade VI pupils in six (6)randomly selected public schools andcorrected the poor recognition by teachers ofhearing problems.

7. Operation SmileThis consists of correction of the backlog incleft lip and cleft palate by utilizing resources

J(r)/> ,~ and expertise of local and foreign specialists."":J.> eQ It is part of the continuing IRH-Interplast" 0 f( ,j; Medical tie-up which has benefited 71 patients

vv", 1"\ ~~ year at completely no cost to the patient. v 0' '\ h lIn'd the hospital.~,~ '0::::::!J

~ .) \0;~ 8. Health RegistryIdentification and listing of Morbidity patterns

" 'j) I(~·. . and surgical backlog in La Union were done.~ . ,j

I( i;fb Integrated Computerization at OPD~" This, done with five computers and programs,

,SO'" were established at no cost to the government.IO. Ongoing activities that have been in existence

~-)O", /. for more than two years are the following;'\I a. Health in Every Home Project - the....-'.1 (D development of health advocates in all

1(" /' J'\\'-. / .. homes..'5) "F'/ g b. Revenue Enhancement Program - the, J -: ~ generation of additional funds to support

v(~ /7"\ ,.lt3spitalorganization.. v 0' Uc.~ayment-in-kind- a non cash payment for

( ,)< ~'01 hospital goods and services as an alternative« ~~ I mode of recovering cost of hospitalization, ')) ~. ,",,-j. "Bantay Village" housing program - a homeIf ~O away from home, a community within a\:,." community. The village is made up of 5 nipa

J G huts where relatives of-out-of-town patientso may stay. It is also used as a venue for other

"/) health related activities ...C;;

e. A patient satisfaction questionnaire, devisedt::J; >U by the IRH Chief. is used as a tool for,,( - J~ upgrading hospital services.'~\ I" "-"'-Y I- /

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_. "" c!J( .j' 'l~(;'" I. Conducted a Search for Outstanding Knock Out(c ,,(... Polio Performer at the municipal, provincial and-, '5) ~ vregional levels/r" ~vThree (3) hospitals in Isabela province were\.:.J awarded Mother Baby-Friendly Hospital, i.e.,

San Antonio Municipal Hospital, San MarianoMedicare Community Hospital and Jones

~""() M di C ., / .., e tcare ommumty

'''' 3. "Tepok Lamok, Dengue Sapok" launching in); >Q)ivisoria, Enrile

Cc.-. ,,(Celebrated World No Tobacco Day by holding";J) :c~ ':c::J a Sportsfest participated in by the different, ( \ \

\ J (( ~)I regional agenciesu/-;: r;-.::y r//,

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5. Conducted a contest on Search for a HealthyBarrio and awarded prizes to the winners in three(3) categories

Innovations Done

Inclusion of LGUs, NGOs and Provincial!Municipal health staff during monthly regular staffmeetings

- Procurement of communication facilities- Tied-up with the academe and NGOs for a birthing

center and SI. Paul University for a jointimplementation of PHC activities such ascommunity organization and outreach projectsRegular cable TV program to discuss healthprograms and preventive measures

REGION III

I. Organized medical teams in relation to APEC2. Conducted the following research studies:

- Prevalence Survey of Smoking in Region III- Feasibility Study on the Establishment of a

Herbal Processing Plant in Central Luzon

REGION IV

I. Regional launching of TKO on May 26, 1996 inSan Jose, Batangas while simultaneouslaunchings were conducted in other parts of theregion

2. Expanded the Participatory Action Research forCommunity Health Improvement (PARCHl) toother provinces which enhanced the activeparticipation of all sectors of the society

3. Conducted the following researches:

- Awareness and Utilization of HerbalMedicines Among Hospitals, HealthCenters and Households in Region IV

- The Herbolario of Region 4: A PotentialPara-Rural Doctor for National HealthDevelopment

REGIONV

l. Hired and fielded additional health personnel tothe underserved depressed areas of Masbate forthe Social Reform Agenda

2. Conducted the Ist Regional ConsultativeConference for the Preventive NephrologyProject by the National Kidney and TrainingInstitute wherein the Regional and ProvincialBoards were organized

3. Conducted YEAH assessment and consolidationworkshop which was attended by the advisers,student editors and health educators from theprovinces of Region V

4. Conducted first YEAH Provincial Summer Campfor the province of Catanduanes

5. Conducted Regional Workshops on AdolescentReproductive Health and HIV/AIDS Preventionand Control

6. Conducted capability building for devolved healthpersonnel

7. Distributed Vitamin A supplementation andiodized oil for child-bearing women whichregistered performance of above the mid-decadegoal "ASAP" accomplishment

8. Provided toilet facilities to households whichachieved a high percentage of accomplishmentdue to the support of First Water Supply,Sewerage & Sanitation Sector Project

REGIONVI

I. Assessed and awarded 10 more hospitals as"Mother Baby Friendly Hospital" with a total of

62 hospitals accredited2. Assisted the Local Government Units in the

implementation of DOH flagship programs3. Worked for the adoption of Social Reform

AgendalMinimum Basic Needs Concept in healthprograms/projects

4. Provided more responsive technical, logistic andfinancial support to LGUs in meeting the healthrelated minimum basic needs of their respectiveareas

5. Promoted a more dynamic partnership with theLGUs, Other Government Agencies, Peoples

Organizations and private sector groups6. Strengthened implementation/enforcement

of policies, standards and regulations7. Maintained functional Disaster Teams for

quick response in times of disaster andepidemics

8. Continued support to research activities9. Improved the health information and data

management10. Disseminated appropriate information, education

and communication strategies and materials onpriority programs

II. Initiated revision/improvement of the monitoringand evaluation system

12. Improved the management of the limited healthresources, (manpower, logistic, finances)

REGION VII

l. Revitalized eight (8) selected district hospitalsfor voluntary surgical sterilization outlets

2. Conducted research entitled "Use of PermethrineTreated Curtains in Dengue Vector Control"

3. Expansion of National Tuberculosis ProgramDOH-JICA Project to entire Cebu Province

4. Conducted outreach missions to the provinces ofCebu - 67, Bohol - 96, and Negros Oriental - 49

5. Conducted disaster management during the"Gretchen Tragedy" at Bantayan Island

6. Establishment of Cebu Blood Donors Society thatis responsible for the recruitment of ROTCgraduates with experience in blood donation inthe colleges and universities for the voluntaryblood donation at least once a week

7. Establishment of 300 SPARTANS,an organizationof blood type"AB" with the concept of walkingblood donor and the essence of brotherhoodinstilled that like brothers and sisters, a person isobliged with feelings to help somebody in need.At present there are 25 members

REGION VIII

I. Conducted Hospital Based-Diabetes Education andTreatment Clinic in selected district hospitals

2. Implemented networking - a consortium ofresearches

4, Provided intra-ocular lens to all operated cataractpatients on Outreach Project thru NGO (Lion'sClub) participation

n. Software development:a. Purchase Oder Requisition Issue Voucher

Program, currently used by Supply Officefor PO and RIV monitoring.

b. Blood Program, currently used by DOHRFO XI Laboratory for blood donationregistration.

c. File Utility Transfer Program, (availablein LAN)

1. Implementation of:a. Local Area Networking (LAN)b. Internet

6. Contained the cholera epidemic in Banganga,Davao Oriental in just 18 days

8. Hosted the month-long Mindanao-wideAcupuncture Training conducted by ChineseTraditional Medicine Practitioners,

5. Participated actively during the APEC held inDavao City.

2. Conducted mercury level examination not onlyamong miners and community members ofMt. Diwata but also among school children inApokon Central School.

3. Piloted I RHUI province/city throughout theregion for Directly Observed Treatment ShortCourse System in NTP.

7. Provided immediate and timely response duringCholera epidemic in Davao Oriental, SouthCotabato, and General Santos City.

9. WIN·HEALTH XI embarked remarkableactivities in terms of:

#"~

..:!)(. 1.Piloted Diabetes Education and Treatment Clinics-, 0 \\,:)" 'c:./ at three (3) district hospitals and one (1) provincial

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I.J)eployed six (6) doctors to doctorless areas for) Jhe Doctors to the Barrios Program2. 10 units of Water for Life Project completed 55

units of Water for Life Project on-going3. Trained 156 participants on Community-Based

Planning and Management on Nutrition4, Organized 185 Barangay Water and Sanitation/ 'Association,--;''\

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c ) "'" "'-0-'uctessful launching of Tsaang-Gubat as a~',j G>;;-:)) mouthrinse or tea for oral health last February 16:~;\' r(" 2, Launched Tepok Lamok, Dengue Sapok or the

./; ~_ -Sour O'Clock Habit last August 21'f 1) Organized a Regional Transition Action Team in~~_;J,- , June to thresh out devolution issues/problems

')0'" 4. An interagency parade followed by Hataw 2,.()" Exercise highlighted the Women's Health Day

, 0, Celebration last March 8,,~ 5;0 Conducted the following activities to sustain the

/,J- ,,;;J.#other and Baby Friendly Hospital Initiatives~. ,,/, '\\ (MBFH) program:»'C"~« -..

, 0 r cY C"'- - Training courses on Lactation Managementv.' IIBd., . B < -v"0 ucatJon reastfeeding Counselling

c .\ ~J. ~gular MBFHI regional pre-assessment of~, GJ;,oo)j hospitals-, ';\ .r - Organization of the Regional Milk Code

); ~ -:» Monitoring Task Force'/' - \"'- 'J )"'" Orientation/consultative meeting with milk

company representatives, medical andparamedical organizations

?- :J) ~~GION XI III.0-, C' \\':t 1\ 'o...Jj P id d

:' j oj 2Jj '-'-"I. rovr e psychosocial care to victims of, as well. o ': r.>. as to the direct service/providers the cholera

v.-~ ,,) ( ", ~ o\l~beak in Banganga, Davao Oriental.- '(:/ ~ Y --jc (~.) -'

1) ~;n\ rt\:c j) c, W'/"00~7

Conduct of trainings:a. Windows for Health Managers, Part I

(Windows 3.1, and Winword)b. Windows for Health Managers, Part II

(Power Point and Excel)

Innovations done:

NCR

I. Launched Four O'Clock Habit2. Conducted simultaneously the Symposium on

Dengue Prevention and Control in seventeen (17)cities and municipalities of the region

3. Awarded cities of Manila and Pasay the Act onSalt-Iodization Nationwide Award for their

efficient implementation of the Fortificationfor Iodine Elimination Program

4. Classified as High Performing Region for KnockOut Polio Campaign

5. Pilot area for Mass Measles Control Project

1. Implemented Water for Life Project in thesix (6) provinces with a total amount ofPI 20,000.00

2. Completed four (4) public toilets3. Distributed P5,000 worth of drugs to all Botica

ng Barangay of 57 Comprehensive and IntegratedDelivery of Social Services barangays

4. Conducted research on the use of iodized salt5. Conducted cataract operation provided to 219

Extra Capsular Cataract Extract (ECCE), 24 ofwhich were provided with intra-ocular lens

ADMINISTRATIVECORDILLERAREGION (CAR)

2. Schistosomiasis Control Program- 16,229 stools were examined- 736 cases found positive- 670 or 91.03% were given treatment

I. Organized Regional Transaction Action Teams;Regional Information Technical AssistanceTeams; and Interagency Committee forEnviromental Health

REGION XII

II. Operationalized Herbal Research andProcessing Plant, Region XI - the only herbalplant in the Philippines to pass the GoodManufacturing Practice per BFAD criteria.

I. Malaria Control Program6,027 cases were clinically diagnosedrepresenting 0.32% of the total endemicpopulation

- 528 or 0.03% confirmed cases were given100% treatment

10. Conducted three (3) Surgical Outreach withDavao Medical Center and Davao RegionalHospital in Klamba, Sarangani Prov.;Nabunturan, Davao Province and Paquibato,Davao City.

CARAGA - REGION XIII

2. Conducted press conference and media updateson public health programs and projects

3. Launched special activities:

- Knock Out Polio-ASAP- Hataw- Alay sa Pamilya- Tutok Gamutan- Anti-Smoking- Four O'Clock Habit

4. Deployed doctors under Doctors to the BarrioProgram to doctorless areas

5. Provided technical assistance and directservices to LGUs and other agencies

I. Strengthened regional units

* Regional Epidemiological Surveillance Unitinstitutionalization

* Setting up of hospital licensing and regulatoryunit- joint monitoring and evaluation visits done

by RHOIDHO* Strengthening of Area

- DHOs designated as DOH representatives* Monthly consultative meeting with rank and

file* Direct regional support to focused individuals/

groups/areas* Intensified social mobilization/advocacy

activities

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Guest speaker: Sen. Freddie Webb on theLaunching Ceremonies: Manual of Standardsfor Blood Bank and Blood Center in thePhilippines.

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Awarding Ceremonies for the Top Twenty FiveHealthy Workplace with Secretary CarmencitaN. Reodica & Fidel V. Ramos

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Press Conference on Oplan Sagip Mara

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Secretary Carmencita Noriega-Reodica on thepre-launching of Tepok Lamok-Dengue Sapok Launching Ceremonies: Manual ofStandardfor

Blood Banks & Blood Center in the Philippines.

A. VITAL STATISTICS

i i,.-0 1151 ,. UMI1 t_ 1tl'1 11111 11111 1118 ,., 1""

ESTIMATED POPULATION\':e1p.Pm:

POPULATION

Based on the 1995 population census (POPCEN) the estimated population of thePhilippines in 1996 is 69,946,205 (medium assumption), almost 1.6 million higher than in1995. The estimated growth rate is 2.34%.

I()'" 1.1 Population Trend

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ESTIMATED POPULATION BY AGE AND SEXPHIUPPINES, 1888

r------- ---,----,------,80 & AbcMI7~7910-74.....60-&1..........................3G-Jo4,5-2920-2415-19lOol.

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1.2 Population Pyramid

1.3 Regional Population Distribution

As to distribution, Regions 3, 4 and NCR are the most densely populated areaswhich comprise 26,865,295 or 38.4% of the total population while CAR is the most scarcelypopulated with 1,279,615 or 1.83%

..

PROJECTED POPULATION BY REGIONPHILIPPINES, 1996

REGIONS TOTAL MALE FEMALE

Philippines 69,946,205 35,249,629 34,696,576NCR 9,618,323 4,695,624 4,522,578CAR 1,279,615 650,037 629,578

I 3,861,569 1,940,194 1,921,3752 2,583,263 1,318,594 1,264,6693 7,063,078 3,568,732 3,494,3464 10,183,894 5,133,988 5,049,9065 4,398,902 2,231,846 2,167,0566 5,870,305 2,957,810 2,912,4957 5,106,411 2,562,666 2,543,7458 3,434,391 1,752,127 1,682,2649 2,856,418 1,451,824 1,404,59410 4,039,114 2,055,605 1,983,50911 5,192,377 2,651,724 2,540,65312 2,410,736 1,229,646 1,181,090

ARMM 2,047,820 1,049,213 998,607

1.4 Sex Ratio

The Philippine male population size has always been greater than the femalepopulation size with 35,249,629 males against 34,696,576 females in 1996 or a sex ratio of106.6 males to 100 females. However, as age advances (50 & over), females predominate themales in population size.

CRUDE BIRTH RATE (CBR) AND CRUDE DEATH RATE (CDR)AND TOTAL FERTILITY RATE (TFR), BY REGION,

PHILIPPINES, 1996,/

REGION CRUDE BIRTH CRUDE DEATH TOTALRATE RATE FERTILITY, /

(per 1000 pop'n.) (per 1000 pop'n.) RATE

PHILS. 28.9 6.2 3.68NCR 23.3 4.6 2.27

" CAR 31.4 7.5 4.17//,

1 26.4 6.6 3.582 30:8 6.8 4.033 27.5 5.3 3.234 27.5 5.6 3.34't" ~ / 33.2 6.8 4.90

:J 6 28.2 6.8 3.987 29.0 6.2 3.82

8 34.0 8.4 5.02"; 9 33.\ 6.6 4.25" \.../

10 30.8 6.5 4.\711 32.4 6.0 4.0912 33.7 6.5 4.3\ARMM 29.6 9.1 3.79

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The CBR and CDR for \996 were 28.9 and 6.2 per 1000 population, respectively, compared tov, (y' ~_l\Ist')o'ear's CBR of 29.5, and CDR of 6.3, showing a natural increase rate of 2.27. However, across

.. oj' • ,.;", regions, Region 8 and NCR posted the highest and lowest CBR, respectively, while CDR was registered/ 0 \: /)J highest and lowest in ARMM and NCR.,.'\\ ,r<

)) ~ vf" )~ LIFE EXPECTANCY

The projected life expectancy at birth for Filipinos in 1996 was 65.13 years for males and 70.38for females. By year 2000, life expectancy is estimated to improve to 66.33 for male and 71.58 forfemales.

?" J :?~< TOTAL FERTILITY RATE (TFR)

~, rF"''\\" 2J "" ~ The projected TFR in 1996 declined to 3.68 from 3.76 of the previous year. The highest TFR'. J r,. 0 was observed in Region 5, while the lowest was in NCR.

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B. 'DISEASES AND MORTALITY STATISTICS

l. Morbidity: Ten (10) Leading Causes, No. and RatellOO,OOOPopulation, Philippines, 1993

DISEASES NUMBER RATE

1. Diarrhea 1,172,140 1,749.92. Bronchitis 814,806 121.53. Influenza 512,143 764.64. Pneumonia 500,073 746.65. TB, All Forms 145,740 217.66. Accidents 137,345 205.07. Diseases of the Heart 105,449 157.48. Malaria 90,648 135.39. Measles 78,731 117.510. Varicella 62,657 93.5

Source: NSO

2. Mortality: Ten (10) Leading Causes, No. and Rate 1100,000 Population,Philippines, 1993

CAUSE NO. RATE %OFTOTALDEATHS

I. Diseases of the Heart 46,275 69.10 14.502. Diseases of the Vascular System 37,358 55.80 11.703. Pneumonia 35,582 53.10 IUO4. Malignant Neoplasm 25,399 37.90 8.005. TB, All Forms 24,580 36.70 7.706. Accidents 13,477 20.10 4.207. Chronic Obstructive Pulmonary 11,154 16.60 3.50

Disease & Allied condition8. Other Diseases of the Respiratory 6,955 10.40 2.20

System9. Diarrheal Diseases 5,759 8.60 1.8010. Nephritis, Nephrotic Syndrone 5,510 8.20 1.70

and Nephrosis

Source: NSO

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Infant Mortality Rate: Ten (10) Leading Causes, No. and Rate/lOOOLivebirths, Philippines, 1993


1. Pneumonia 7,631 4.542. Respiratory conditions of fetus and 5,651 3.36

newborn3. Congenital anomalies 2,366 1.414. Diarrheal diseases 1,661 0.995. Septicemia 1,252 0.746. Birth Injury and Difficult Labor 1,190 0.717. Avitaminoses and other Nutritional 925 0.55

deficiencies8. Measles 765 0.469. Goiter, Thyrotoxicosis 661 0.39

Hypothyroidism and other Endocrineand Metabolic diseases

10. Other diseases of Respiratory System 591 0.35

Source: NSO

Maternal Mortality Rate: By Main Causes, No. and Ratell,OOOLivebirths Philippines, 1993


I. Pregnancy occurring in the course of 561 0.33labor, delivery and puerperium

2. Postpartum Hemorrhage 340 0.203. Hypertension complicating pregnancy, 308 0.18,

~ childbirth and puerperium,4. Pregnancy wI abortive outcome 179 0.115. Hemorrhages related to pregnancy 160 0.10

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A. FINANCIAL B.MANPOWER

C. FACILITIES

There were 2,544 positions in the central officedistributed as follows:

Of the 943 technical staff, 80 were the RuralHealth Physicians (RHP) -Doctors to the Barrios.

The DOH retained hospitals has an authorizedtotal manpower of 3,469 medical doctors and4618 nurses. However, the actual personnelc~mplement arc 3,148 doctors and 4,498 nurses.

1109433941097

As to distribution of these retainedfacilities, 41.7% or 20 hospitals with 11,735 bedsare located in NCR, making health services moreavailable to its populace. Region 10, CordilleraAdministrative Region and Autonomous Regionin Muslim Mindanao has one hospital each.

As to classification, medical centers aresituated in all health regions, with a total of 16hospitals composed of 5,400 beds. However, asto the number of beds, 6 special hospitalscorrespond to 6,775 beds, of which 5 are locatedin NCR.

Key officialsTechnicalSupport to TechnicalAdministrative

There are 48 DOH retained hospitalswith 20,930 beds classified into the following:a) 8 sanitaria - 4,420 beds; b) 4 specialty - 985beds; c) 6 special- 6,775 beds; d) 2 research - 75beds; e) 16 medical centers - 5,400 beds; f) 3district - 250 beds; and g) 9 regional- 3,025 beds.

By expense class, the bulk(44.42%) went into Maintenance and OtherOperating Expenses (MOOE) and the rest wentinto personal service (36.43%) and capitaloutlay (19.14%). Ranking of expense class wasthe same as that of previous year except thatthere was an increase in both personal servicesand MOOE at the expense of capital outlaywhich was relatively reduced.

On the average, the 1996 DOHappropriation can finance only P129.00 for eachFilipino. In addition, if we incorporate thecombined effects of accumulated reduction ofour currency purchasing power due to generalprice increases (inflation) and populationgrowth during the same year, the real per personappropriation is estimated to have been reducedto only P50.00 from P54.OO in 1995. Thismeans that the 7.56% nominal increase in 1996appropriation for DOH was not sufficient tofinance inflation and population growth for thesame year just to maintain the financialcapability of DOH as compared to previousyear.

In 1996, DOH had a totalappropriation of P9,30 1,912,000 includingP64,359,Ooo for Dangerous Drugs Board as itsonly remaining attached agency. Thisappropriation is 7.56% higher than in 1995representing 15.35% of the social sector budget,2.36% of national budget, and just 0.41% ofGross National Product (GNP) of the same yearat current prices. The Department ranked fifthamong other government agencies (same as inprevious year) in terms of its share of nationalbudget.

DEPARTMENT OF HEALTH APPROPRIATIONS, 1992-1996(INCLUDING ATTACHED AGENCIES)

"'-~

;/ PARTICULAR 1992 1993 1994 1995 1996

,AMOUN~, . ",MOUNT % AMOUNT % AMOUNT % % AMOUNT .%

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BREAKDOWN By ExPENSfCuss(In thousands Pesos)

A. Personal Services 5,125,756 48.23 2,256,864 31.07 2,313,894 31.19 2,918,431 33,75 3,388,911 36.43,/

~)MOOE 5,061,960 47.63 4,180,185 57,56 3,725,994 50,23 3,654,946 42,26 4,132,333 44.42

C, CO 440,528 4,14 825,780 11.37 1,378,345 18.58 2,074,512 23,99 1,780,668 19,14

TOTAL 10,628,244 100,00 7,262,829 100,00 7,418,233 100,00 8,647,889 100,00 9,301,912 100,00

% Growth Rate 42,70 (31.70) 2,14 16,58 7.56

Rank Compared ToOther (5th) (6th) (5th) (5th) (5th)rGov't. Agencies

)

~ TOTAL ApPAQP. 5,641,917 3,623,804 3,366,721 3,791,603 3,599,115'\' gn thousand Pesos at

.Y onstant 1995 Prices)

%Relatlo b Social Sedor 8t.<Iget 23,09 17,01 15.48 17,07 15.35, ,

%Relative-Io National Budget 5,46 2,35 2,30 2,23 2,36

~" ,--;../~to GNP (Currenl prices) 0.78 0.48 0.42 0.45 0.41

NantnaJ Per Gapita BWget (P) 164 110 108 123 129

:l.t.'1 PerCapita Budget 87 55 49 54 50atConstant 1995 Prices

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DISTRIBUTION OF DOH RETAINED HOSPITALSBY CLASSIFICATION, BY REGION,

PHILIPPINES,1996

Source.:General Approprialions Act(Sev eralYears)National Statlsllcal Coordmabon Board(NSCBI

Execulrve Board Resolution No. 11-93NSCB, 1993Phil.Statistical YearbookNational Accounts ollhe Phil.(Several Years)Technical CommitteeReporton Population and

Housing (Updated), Dec.1994

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dREGION

SANITARIA SPECIALTY SPECIAL RESEARCH MEDICAL DISmlCT REGIONAL TOTAL

CENTER

NO, BED NO, BED NO, BED NO BED NO, BED NO. BED NO, BED NO, BED,, '

~ ) '''j

NCR 1 2,000 4 985 5 6,750 1 50 6 1,700 3 250 20 11,735CAR 1 400 1 400

CARAGA 1 120'./

) ,) 1 1201 1 200 1 200 2 4002 2 800 2 8003 1 400 1 750 2 1,1504 1 600 1 250 2 8505 1 200 1 500 2 7006 1 300 1 400 1 400 3 1,1007 1 500 1 25 1 25 1 400 1 225 4 I 1,150

)"8 1 25 1 250 2 I 275;~9 1 450 1 250 2 700

"10 1 300 1 I 300

-: 11 1 600 1 200 2 80012 1 250 1 200 2 450

TOTA 8 4,420 4 985 6 6,775 2 75 16 i5,400 3 250 9 3,025 48 20,930, »<

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ditorial Staff

Chairperson:

Dr. Zenaida O. LudoviceDirector, Internal Planning Service

Members:

Dr. Emilio B. CadayonaDirectorBiological Production Service

Dr. Rosario H. FamaranMedical Officer VII,Internal Planning Service

Dr. Emmalita M. MaiialacMedical Specialist IIIOffice for Public Health Service

Mr. Rolando A. BenitezEconomist IVOfficefor Management Service

Ms. May Elenor R. De GuzmanPress Relation Officer IIIPublic Information & HealthEducation Service

Dr. Antonio O. FaraonMedical Officer VIIHealth Intelligence Service

Dr. Juanito D. TaleonMedical Officer VIIInternal Planning Service

Ms. Regi Greja C. CandaExecutive Assistant IVOffice of the Chief of Staff

Ms. Antonina U. CuetoStatistician IVInternal Planning Service

Ms. Asuncion V. ZamoraStatistician IIIInternal Planning Service

Dr. Milagros L. FernandezUndersecretary, Office of theChief of Staff

Advisers:

Dr. Andres A. GalvezConsultant, Office of theChief of Staff

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DOH

11I1~11111I1111111!1I110700

H1.1I Ane1996/ Department of Health annual report1996

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1996 health and productive individuals and families

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