annex d_pasig city initiatives on mdg 5
TRANSCRIPT
GEORGIANA S. GALUTERA,MDGEORGIANA S. GALUTERA,MDCity Health OfficerCity Health Officer
NILDA DEL ROSARIO,MDNILDA DEL ROSARIO,MDMCH Medical CoordinatorMCH Medical Coordinator
LGU Initiatives on Maternal Health
City of Pasig
Pasig City is one of the most fast developing cities in Metro Manila, however, with the different problems of this city like potential flooding, various reforms were made especially more on infrastructure focusing on the drainage system, education, health, roads and barangay projects.
INTRODUCTION
• Since the beginning of the City Mayor Robert C. Eusebio’s term, health was one of his priority projects. The City Mayor clustered barangay health centers into 4 clusters called “Super Health Center”. Each Super Health Center is equipped with ultrasound machines, ecg machines, complete dental equipments, nebulizers and defibrillation machines, including availability of generic and branded medicine including free flu vaccinations among all senior citizens.
MISSION
Towards Pasig City’s sustainable development through an efficient, pro-active progressive Primary Health Care Delivery System responsive to the needs of Pasigueños through the provision of highly accessible, cost efficient and effective preventive and managed health services enhanced by continuing professional education, update with the current trends and proficient technical training.
VISION
Pasig as a City of wellness anchored on health service excellence of the Pasig City Health Office. Health for all Pasig City constituents regardless of age, race, color, socio-economic status, religious and other affiliations.
The Pasig City Health Office is an office with a health system of programs and services that upholds efficient and quality services. It has the component of health promotion, disease control and prevention and health care provision. It also has the component of treatment and rehabilitation, primary home care and auxiliary services. These services include vaccinations, consultations, laboratory work-ups like; ultrasound and reflexology, sanitation, nutrition, family planning and maternal & child health. Our health program also includes education dissemination and advocacy. We would like to be effective, efficient and empowered through the support of our local government, national government and other services-foreign funding. Our office has the role of the following:
1. Access to diagnostic test – ultrasound, x-ray, blood test and ECG and test for determination of infectious and non- infectious diseases.
OBJECTIVE
2. Availability of drugs and medicines for both government and non-government organizations/people’s organization.
3. Addressing the nutritional problem of our children through actual feeding programs especially among school children.
4. Addressing our goal of providing primary health care through vaccination of infants and children, senior citizens, government employees and high risk patients. This is because we believe that prevention is better than cure.
5. Expansion of coverage and benefits of Philhealth and our local system for provision of free hospitalization and services through our blue and white card.
6. Strengthening health education and advocacy through our Kalusugan Patrol.
7.Implementation of computerization in health facilities for data processing and development
8.Providing special medicines at 50% discount from drugstore prices through our Pharmacia ng Pasigueños which addresses debilitating diseases like diabetes and coronary heart diseases and other degenerative and lifestyle diseases.
9.Improving and upgrading health facilities and health system.
10.Addresses core public health programs – safe motherhood, Family Planning & Child Care.
11. Conducts regular blood program activities as life saving program for our patients needing blood.
12. Compliments programs and the regulatory function as embodied in the Sanitation Code of the Philippines and our local sanitation ordinances and by-laws.
NUTRITION PROGRAM:•Best in Barangay Nutrition Program Implementation given by the National Nutrition Council (NNC) held at EDSA Shangrila on August 18, 2011.
•2nd runner-up as Most Outstanding Barangay Nutrition Scholar given To MS. Nilda Aguila, BNS of Napico given by NNC.
CITY EPIDEMILOGY & SURVEILLANCE UNIT ( CESU )•Performance of Excellence awarded by Department of Health-Center for Health & Development (DOH-CHD,MM) to Pasig CESU for their exemplary performance and commitment to vaccine preventable diseases held at the Sunrise Mansion Holiday in Cavite City on December 3, 2011.
SMOKING CESSATION PROGRAM•Pink Orchid Award for having garnered a total score within the range of 65-84% based on the DOH’s criteria & following the WHO’s “MPOWER” Framework given on May 31, 2011 at Crowne Plaza Galleria Manila Ortigas Avenue, Pasig City.
PROFILE OF PASIG
1.One of the seventeen (17) towns and cities comprising Metropolitan Manila and used to be the capital of the then premier Province of Rizal before the creation of Metropolitan governance in November 7, 1975 under Presidential Decree # 824. 2.A highly urbanized city through Republic Act 7829, An Act. converting the Municipality of Pasig into a Highly Urbanized City
passed by Congress on July 26, 1993signed into Law by the President of the Philippines on December 8, 1993ratified through a plebiscite on January 21, 1994.
3.A city with a land area of 31 sq. km., the 10th largest among Metro Manila towns and cities. 4.The 4th biggest city in the National Capital Region in terms of population. 5.Ranks 4th among the highest income earning cities of Metro Manila. 6.Previously an industrial city transforming into a business, financial and trade canter. 7.The seat of unified Philippine Stock Exchange.
City of City of PASIGPASIG
Location :
Geographically, Pasig lies approximately 12 kms. East of Manila sprawled along the banks of Marikina and Pasig Rivers, on the southeastern end of the Pasig River, bounded by:
North : Quezon City and Marikina City West : Mandaluyong City South : Makati City, Pateros and Tagig East : Cainta and Taytay
(Province of Rizal)
From an industrial town during the period it served as the capital Rizal Province in the sixties and seventies, Pasig has evolved into one of the highly urbanized cities of the country attaining cityhood in 1994. It has maintained its 4th ranking position among Metro Manila cities in the terms of income for several years and again this year earning total revenues of Php 4.2B in 2008 from Php 184M in 1991 before the passage of the Local Government Code.
Pasig’s income is mostly derived from Services sector which accounted for 96.55% of the 22,000 business establishments all over the city, mostly in banks and other financial lending institutions, big and small scale wholesalers, restaurants, fast food chains supermarkets and shopping malls. Trade, financial transactions and other commercial activities abound and are expanding while agriculture, fishery and forestry are practically non-existent. Much of the lands that existed in the 60’s and 70’s had been developed into residential subdivisions and influence by the industry dispersal policy of the government, a number of large industries have relocated outside Metro Manila. At present Pasig has a total of 771 small, medium and large industries.
The seat of business and commerce is the Ortigas Business Center approximately 50 hectares high intensity commercial development located at the western side of Pasig. The site of the United Philippine Stock Exchange, Meralco building and The New Medical City , the Ortigas Center is host to about 90 high rise condominiums housing different offices, banks, hotels, restaurants, residences and shopping stalls.
ECONOMIC CHARACTERISTICS
Facility No.
Health Centers
District 1 22
District 2 16
Super Health Centers 4
Public Health Laboratory 1
Social Hygiene Clinic 1
Drug Abuse Clinic 1
Animal Bite Clinic 1
Smoking Cessation Clinic 1
Lying-In Clinic 0
Healthy Lifestyle Clinic 1
LGU Hospital
PhilHealth Accred. 1
DOH Retained Hospital
PhilHealth Accred. 1
NAME OF PUBLIC HOSPITALS
LOCATION NO. OF BEDS
1. Pasig City General Hospital
F. Legaspi St. Maybunga
200
2. Rizal Medical Center
Shaw Blvd., Pineda
300
NAME OF PRIVATE HOSPITAL
LOCATION NO.OF BEDS
1. Javillonar laboratory & Hospital
Sagad, Pasig City
2. Mary Immaculate Hospital
E.Rodriguez Ave.,Bagong Ilog
25
3. Mission Hospital E.Rodriguez Ave.,Bagong Ilog
30
4.Mother Regina Hospital #2 Ruby St. Dona Juana Subd. #101 London St Pasig Greenpark Village Manggahan
2
6
NAME OF PRIVATE HOSPITAL
LOCATION NO.OF BEDS
6.Pasig Medical & Maternal Hospital & Foundation
7. Rosario Specialist Hospital
Rosario
8. Sabater General Hospital
Market Ave. Sto.Tomas
15
9. Salve Regina General Hospital
Marcos Highway, Dela Paz
50
10. St. Therese Hospital
C. Raymundo Ave., Maybunga
25
11. The Medical City
NAME OF HEALTH CENTER ESTIMATED PDP ESTIMATED NO. OF HOUSEHOLD
Bagong Ilog PC 7,944 1,589
Bagong Lipunan 11,190 2,238
Bambang 19,798 3,960
Buting 9,327 1,866
Dela Paz 13,413 2,683
Kalawaan 14,460 2,892
Manggahan 14,093 2,819
Maybunga HC 14,650 2,930
Oranbo 4,518 904
Palatiw PC 17,404 3,481
Kapasigan HC 6,753 1,351
Sta. Rosa 1,557 312
Pinagbuhatan HC 21,678 4,336
Pineda 15,434 3,807
Rosario HC 26,056 5,212
Rosario PC 26,056 5.212
Sagad 11,993 1,416
LIST OF SUPER HEALTH CENTERS
NAME OF HEALTH CENTER ESTIMATED PDP ESTIMATED NO. OF HOUSEHOLD
San Antonio 11,993 2,399
San Joaquin HC 12,848 2,570
San Miguel HC 15,456 3,092
San Nicolas 1,585 317
Santolan HC 35,600 7,120
Sta. Lucia HC 20,845 4,169
Sto.Tomas 6,554 1,311
Sumilang HC 5,543 1,109
Ugong HC 22,890 4,578
Caniogan PC 11,189 2,238
Bagong Ilog HC 7,943 1,589
Dona Betang 8,900 1,780
Malinao 6,124 1,225
Kapitolyo 10,744 2,149
San Jose 2,413 483
Karangalan HC 21,138 4,228
Katipunan HC 1,218 244
Napico 41,095 8,219
NAME OF HEALTH CENTER ESTIMATED PDP ESTIMATED NO. OF HOUSEHOLD
Pinagbuhatan 21,678 4,336
Sta. Cruz 4,489 898
Floodway 21,976 4,396
Ismar 9,639 1,928
Sta. Lucia Mini 20,845 4,169
Nagpayong 48,777 9,756
E.Santos 16,529 3,252
LIST OF SUPER HEALTH CENTERS
NAME LOCATION
District I 1. Sumilang Super Health Center
Dr. Garcia St., Sumilang
District II 1. Nagpayong Super Health Center 2. Rosario Super Health Center 3. Santolan Super Health Center
Centennial 2, Nagpayong, Pinagbuhatan
LIST OF PUERICULTURE CENTERS
Name of Puericulture Center Location District
1. Bagong Ilog Pook Maligaya,Bagong-Ilog
I
2.Pinagbuhatan M.H. Del Pilar Street II
CategoryPermane
ntCasu
al
Health Center Based
Office Based
Total
RHP 39 2 36 5 41
Nurses 33 40 25 48 73
Midwives 72 8 64 16 80
Dentists 25 10 34 1 35
Med Techs 7 17 7 10 24
RSI 19 1 11 8 20
Nutritionists
6 4 8 2 10
Pathologists
1 0 0 1 1
Radiologists
2 0 0 2 2
Personnel Pasig City DOH Standard
Doctors 1:16,744 1:20,000
Nurses 1:24,112 1:10,000
Midwives 1:9,418 1:5,000
Dentists 1:17,729 1:20,000
Med Techs 1:86,114 1:50,000
RSI 1:54,800 1:20,000
Nutritionists 1:75,300 1:50,000
BNS 1:17,729 1:5,000
Total Population 2012: 602,800
INDICES
2006Cases Rate
2007Cases Rate
2008Cases Rate
CRUDE BIRTH RATE
7,937 14.42 7,991 14.33 4,855 7.65
Crude Death Rate
2,837 5.15 2,652 4.75 2,846 4.48
Infant Mortality Rate
179 22.55 144 18.0 184 37.90
Maternal Mortality Rate
10 1.26 12 1.5 42 0.44
Child Mortality Rate
230 2.78 38 0.45 18 3.71
INDICES
2009Cases Rate
2010Cases Rate
2011Cases Rate
CRUDE BIRTH RATE
5,503 9.46 11,639 19.76 8,141 13.45
Crude Death Rate
3,114 5.36 2,945 500.01 2,807 4.64
Infant Mortality Rate
183 33.25 134 11.51 184 22.60
Maternal Mortality Rate
12 2.18 31 2.66 15 1.84
Child Mortality Rate
67 0.77 57 0.64 45 0.50
NATALITY2006
No. of RateCases
2007
No. of RateCases
2008
No. ofCase Rate
1.Total Number of Livebirths Male Female
7,937 = 4,102 = 516.83,835 = 483.2
7,991 =4,092 = 512.073,899 = 487.92
4,855 =2,530 = 3.992,325 = 3.66
2.Livebirths by Weight < 2,500grams > 2,500grams Unknown
772 = 97.37,131 = 898.434 = 4.3
7,493 = 937.67456 = 57.0642 = 5.25
4,604 = 7.25247 =0.394 =0.01
3.Livebirth by Medical Attendance Doctors Nurses Midwife Trained Hilots Untrained Hilots Others Unknown
3,372 = 424.812 = 1.53,719 = 468.5490 = 61.7320 = 40.3 24 = 3.0
3,387 = 423.853 =0.37543,797 =475.15369 =46.176423 =52.9343 =0.3754
1,971 = 405.976 =1.242,225 = 458.29233 = 47.99418 = 86.101 = .211 = .21
4.Livebirths by Place of Delivery Homes Lyingn- In Gov’t.Hospital Private Hospital / Clinic Others
3,491 = 424.8
2,597 = 1.51,815 = 228.6 34 = 4.28
3,556 = 445.0189 =23.652,491 =311.721,638 =204.98108 =13.51
2,231 = 459.53
1,517 = 312.461,104 = 227.393 = 0.62
5.Numbers of Maternal Deaths 10 = 1.26 12 = 1.50 18 = 3.71
6.Number of Infant Deaths< 1yr.old
179 = 22.55
184 = 37.90 184 = 37.90
7.Number of Still Birth (late fetal) 33 = 4.16 31 = 3.89 35 = 7.0
NATALITY2009No. ofCases Rate
2010No. of Cases Rate
2011No. of Cases Rate
1.Total Number of Livebirths Male Female
5,5032,867 = 520.992,636 = 479.01
11,6396,090 = 523.245,549 = 476.76
8,1414,165 = 511.613,976 = 488.39
2.Livebirths by Weight < 2,500grams > 2,500grams Unknown
5,201 = 945.12284 = 51.6118 = 3.27
10,873 = 934.19753 = 64.6913 = 1.12
7,588 = 932.07547 = 67.196 = 0.74
3.Livebirth by Medical Attendance Doctors Nurses Midwife Hilots Others
2,563 = 465.744 = 0.732,431 = 441.76239 = 43.43266 = 48.34
7,674 = 659.3352 = 4.473,288 = 282.50352 = 30.24273 = 23.46
4,902 = 602.1413 = 1.60 2,693 = 330.79 283 = 34.76246 = 30.224 = 0.49
4.Livebirths by Place of Delivery Homes Hospital Others
2,647 = 481.012,304 = 418.68552 = 100.31
3,429 = 294.617,516 = 645.76694 = 59.63
2,403 = 295.174,687 = 575.731,051 = 129.10
5.Numbers of Maternal Deaths
12 = 2.18 31 = 2.66 15 = 1.84
6.Number of Infant Deaths< 1yr.old
183 = 33.25
134 = 11.51 184 = 22.60
7.Number of Still Birth (late fetal)
43 = 7.81
37 = 3.18 34 = 4.18
LCR DATA :2009 POPULATION: 581,395 Total Live Births : 15,564 Rate: 26.77
2011 POPULATION: 605,473 Total Live Births : 15,851 Rate: 26.18
National Baseline: 33% in 2006National Target: 70% by 2010
National Baseline: 33% in 2006National Target: 70% by 2010
National baseline: 54% in 2006National target: 70% by 2010
National baseline: 54% in 2006National target: 70% by 2010
MDG Goal: 52/100,000 Live BirthsMDG Goal: 52/100,000 Live Births
National Baseline: 39% in 2006National Target: 70% by 2010
National Baseline: 39% in 2006National Target: 70% by 2010
Indicator
Baseline 2006
National Target
2010
Pasig 2009
Pasig 2010
Int.Benchmark
Ext. Bench mark
Prenatal 80 80 64.6% 60.82%
TT2 Immuniz
ation80 80 45% 48%
Given Iron with
FA80 80 44.3% 69.97%
Post partum 80 80 61% 63%
FBD 33% 70% 51.9% 70.54
SBA 54% 70% 90.8 94.63
CPR 39% 85% 15.54 7.79
Indicator
Baseline 2006
National Target
2010
Pasig 2009
Pasig 2010
Int.Benchmark
Ext. Bench mark
IMR 25 17 33.25% 11.51%
UFMR 34 32 0.77% 0.64%
MMR 162 90 220 266
Indicator
Baseline 2006
National Target
2010
Pasig 2009
Pasig 2010
Int.Benchmark
Ext. Bench mark
Average Hospital Gross Death Rate from
Maternal causes
1% 1% 1.5% 2.1%
BEMOC to Pop ratio
1:511,767
1:125,000
0% 0%
ULTRASOUND
FREE ECGFREE ULTRASOUND
SUMILANG SUPER CENTER
BREAST FEEDING CORNERBREAST FEEDING CORNER
DENTAL SERVICES DENTAL SERVICES
SUMILANG SUPER CENTER
SANTOLAN SUPER CENTER
SANTOLAN SUPER CENTER
SANTOLAN SUPER CENTER
NAGPAYONG SUPER CENTER
NAGPAYONG SUPER CENTER
ROSARIO SUPER CENTER
NAGPAYONG SUPER CENTER
KALUSUGAN PATROLpromoting
SAFE MOTHERHOOD in the community
Regulation of Private Lying In Clinics
Meeting with Private Lying In Owners regarding facility
regulation, PhilHealth Accreditation,
Incentive system to TBAs
Dialogue with TBAs (Traditional Birth
Attendant) on Maternal Health updates and DOH policies their role in tracking down and properly referring pregnant women
Conduct of Gandang Buntis, Simultaneous
Breastfeeding and Buntis Exercise
Issuance of Revised Mother and Baby Booklets
Safe Motherhood Flipcharts
Conduct of regular program implementation review
Maternal death monitoring and review Partnerships with CEmONC facility Strengthening blood donation activities
Facility enhancement/ upgrading of HC equipment
Capability building of public health midwives (Basic Emergency Obstetric and Newborn Care / NBS)
Deployment of Community Health Teams to 4Ps areas to identify unmet needs and facilitate health plans and referrals
• Provision of Free Hepatitis B Immunoglobulins to newborns of Hepa B (+) mothers
• Provision of initial doses of Methyldopa for hypertensive cases
• Intensify activities for adolescent health• Monitoring and intervention of teen
pregnancies• Improve access to and utilization of
modern Family Planning Methods • Strengthen Public Private partnership
(PPMs)
Conduct special activities for pregnant mothers
PhilHealth accreditation of several health centers
PhilHealth sponsorship of indigent families ( quintile 2)
Creation of a City Ordinance regulating all birthing facilities to ensure quality service delivery
Involvement of Barangay Officials and other sectors in promoting safe motherhood and facility delivery
ANNUAL OPERATIONAL PLAN FOR 2012
1. Promotion of Women’s Health Team a. Advocacy of proper birth spacing. b. At least 4 pre-natal visits c. Basic oral health services2. Setting up of a BEMONC/CMONC facility3. Contraceptive prevalence rate program
a. Information and access to natural and modern family planning.
b. Contraceptive Self Reliance 1. Conduct Responsible Parenthood
2. Provision of FP commodities and services. 3. CSR Plan 4. Strengthen Private/Public Partnership
a. Training of private midwife b. Establish/strengthen referral system ( annual
meetings with MD )c. Institutionalization of MNCHN
1. Provide optimum pre-natal care.a. Reproduction of Mother and baby Bookletb. Patient’s record/chartc. Pregnancy test Kitd. BH s Ag screeninge. Provision of Methyldopa 250 mg tabletf. Immuno globulins for newborns of Hepa B
positive motherg. Purchase of fetal Doppler monitorh. Tetanus toxoid
2. Promotion of safe motherhooda. Conduct Buntis Bingo
b. Conduct of bench classes/group discussion promoting safe motherhoodc. Provide oral contracptive pills for lactating mothers
3. MCH Program Implementation a. Semi annual program review b. For documentation of MCH Activities c. Consolidation and submission of reports for MCH4. Establishment of a BEMONC facility5. Capability building a. Proper technique on visual inspection using acetic acid technique.b. NEMONC/CEMONC Training of Health Personnelc. Training of CHTsd. Training of Private Midwife on Maternal and Child Healthe. Training of Basic Family Planning for new health personnelf. Family Planning Updates6. Promote Adolescent Reproductive Health
a. Create youth health teamsb. Conduct youth health symposiac. Monitoring of Teenage pregnancies
7. Pre-marriage counseling8. Conduct of FDS classes to the community.9. Conduct of FDS classes to 4P’s members.10. Advocacy meeting with Private lying in clinic11. Mid year annual PIR12. Conduct Blood Donations.
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