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Palawan HEALTH DATA REVIEW

HEALTH DATA REVIEW (note: Health data review must be done per sub-unit area of the catchments area)INDICATORS:

A. Demographic data.

a. total population = 470b. total household = 104B. Health indices.

IndicesNo.Rate per 100 popn.

Crude Birth Rate2451.06

Crude Date Rate36.4

Maternal Mortality Rate00

Infant Mortality Rate00

Neonatal Mortality Rate12.1

a. leading causes of morbidity

CausesNo.Rate per 100 popn.

URTI1225.5

Diarrhea1225.5

Measles12.1

Gingivitis12.1

Appendicitis12.1

schistosomiasis24.2

Parasitism510.6

Chronic pains612.7

b. leading causes of mortality

CausesNo.Rate per 100 popn.

Pneumonia very severe, PTB far advance12.1

Schistosomiasis12.1

Still birth12.1

C. socio-economic status

a. average monthly income

AverageNo.%

P 5,00 up54.8

4,001-5,00022

3,001-4,00065.7

2,001-3,0001110.5

1,001-2,0002423.07

501-1,0003129.9

Below 5002524.03

TOTAL104100

b. source of income and livelihood

SourcesNo%

Farming

Fishing

Sari sati store

Peddling

Driver

Laborer

Government employment

Private employment

Tailoring

TOTAL

D. social indices

a. average household size: 4 members per householdb. educational level

Educational levelNo.%

Post graduate

College graduate

College level

High school graduate

High school level

Elementary graduate

Elementary level

TOTAL

E. means of transportation: motorcycle; PUJ; PUBF. communication facilities: transistor radio; cell phones,G. environmental indices1. Proper Excreta DisposalTypeNumber%

Water sealed toilet

Over hang latrine

Antipolo type

Open pit privy

Closed pit privy

Bored-hole latrine

Pail system

Flush type

Others specify.

TOTAL

2. Drinking water supply:SourceNumber%

Local water district (pipeline)

Deep well

Shallow Dug well

Spring

Bottled/mineral water

Others: pls. Specify.

TOTAL

3. Drainage facility:

( ) open drainage

( ) blind drainage4. Method of garbage disposal:( ) Open dumping( ) composting ( ) burning ( ) recycling ( ) government waste disposal systemH. nutritional status (0-6 years old)StatusNo%

PROGRAM REVIEW

PROGRAMMATERNAL CARE

PARAMETER3 More Prenatal VisitsGiven TT2 plusGiven complete Iron dosage

CUT-OFF POINTS80%85%85%

SUB-UNITPopulationYearly TargetAccomplishment%TargetYearly TargetAccomplishment%TargetYearly TargetAccomplishment%Target

Bgy. Maligaya

Brgy. Laboy

Bgy. Mucdol

PROGRAMMATERNAL CARE

PARAMETERPP with at least 1PP visitPP given complete Iron dosage

CUT-OFF POINTS85%85%

SUB-UNITPopulationYearly targetAccomplishment%targetYearly targetAccomplishment%Target

Bgy. Maligaya

Brgy. Laboy

Bgy. Mucdol

WORKSHEET 1.1ANALYSIS ON PRIORITY HEALTH PROBLEMS

PRIORITY HEALTH PROGRAMDOH controlled/non-DOH controlledCAUSES/FACTORSPROGRAMS/PROJECTS RESPONSIVE TO THE PROBLEMS

1. High prevalence of malnutrition

a. High prevalence of 2nd and 3rd degree malnourished children aged 0-5 years old.

2nd degree Mal = 38.8%3rd degree Mal = 6.1 %

44.9%

1. Inadequate food assistance/production activities.2. Inadequate IEC mobilization activities.3. Inadequate manpower resources: unmet BNS-Target children for weighing ratio coverage.4. Limited trainings, seminars, symposium and other activities needed to update the KSA of BNS in nutrition program.5. Insufficient financial and technical support from concern agencies.6. Inadequate knowledge of parents in promoting good nutrition to among children as manifested of:a) Eating junk foods which eventually losing childrens appetite.

b) Improper food handling and preparation.c) Poor personal and environmental hygiene.

d) Unfamiliarity of basic food pyramid as guide for good selections of foods to eat.

e) No vitamins/minerals supplementation.

f) Unsafe water source for drinking.

g) Acute illness related to dental carries, periodontal disease, etc.1. Nutrition program.2. Garantisadong Pambata.

3. Dental Health Program.

4. Food fortification program.5. Child health program.

6. Soil transmitted helmenthiasis program.

7. Breastfeeding program.

b. Low OPT coverage to among 0-5 years old children.1. Poor master listing.

2. Deficient supervision of BNS and other auxiliary health workers in the assigned areas of concern.3. Poor compliance with the deadlines for submission of OPT results to immediate supervisor.

4. Limited trainings, seminars, symposium and other activities needed to update the KSA of BNS in nutrition program computation of target/results.

5. Limited logistic supply: weighing scale; formatted reports; school supplies and other materials needed for recording and reporting.

6. Non-permanent residency of some targeted children.

WORKSHEET 1.2STATEMENT OF AREA-PROGRAM SPECIFIC PROBLEMSPROGRAMMATERNAL CARE Total Number of C & Check

PARAMETER3 or More Prenatal VisitsGiven TT2 plusGiven complete Iron dosagePP with at least 1PP visit

CUT-OFF POINT80%85%85%85%

FIELD SUB-UNIT AREADataStatusRankDataStatusRankDataStatusRankDataStatusRank

Bgy. Maligaya

Brgy. Laboy

Bgy. Mucdol

WORKSHEET 2.1ANALYSIS OF PROGRAM-SPECIFIC PROBLEMS AND STATEMENT OF PROGRAM AND OPERATIONAL GOALS BY PROGRAM & FIELD SUB-UNIT.

AREA/PROGRAMSRANK

(Cs/Check)STATEMENT OF THE PROBLEMCAUSES/FACTORS OF THE PROBBLEMSTATEMENT OF GOALS

PROGRAM GOALSOPERATIONAL GOAL

Bgy. Maligaya1. Nutrition program1/31. High prevalence of 2nd and 3rd degree malnourished children aged 0-5 years old.

2nd degree Mal = 38.8%

3rd degree Mal = 6.1 %

44.9%

1. Inadequate food assistance/production activities.

2. Inadequate IEC mobilization activities.

3. Inadequate manpower resources: unmet BNS-Target children for weighing ratio coverage.

4. Limited trainings, seminars, symposium and other activities needed to update the KSA of BNS in nutrition program.

5. Insufficient financial and technical support from concern agencies.

6. Inadequate knowledge of parents in promoting good nutrition to among children as manifested of:

a. Eating junk foods which eventually losing childrens appetite.

b. Improper food handling and preparation.

c. Poor personal and environmental hygiene.

d. Unfamiliarity of basic food pyramid as guide for good selections of foods to eat.

e. No vitamins/minerals supplementation.

f. Unsafe water source for drinking.

7. Acute illness related to dental carries, periodontal disease, etc.By the end of March 2006, malnutrition will be decrease from 44.9% to 35%.1. Improve food assistance/production activities.2. Activate IEC mobilization activities.

3. Propose additional manpower and allocate additional budget for honorarium and allowances thereof.

4. Regular update of KSA of BNS through trainings or seminar.5. Seek financial/technical support from partner stakeholders.

6. Conduct health education sessions with targeted clientele.

7. Provide promotive and preventive nursing care to address acute illnesses.

2. Low OPT coverage to among 0-5 years old children.1. Poor master listing.

2. Deficient supervision of BNS in the assigned areas of concern.

3. Poor compliance with the deadlines for submission of OPT results to immediate supervisor.

4. Limited trainings, seminars, symposium and other activities needed to update the KSA of BNS in nutrition programs computation of target/results.

5. Limited logistic supply: weighing scale; formatted reports; school supplies and other materials needed for recording and reporting.By the end of March 2006, OPT coverage will be increase from 90% to 100%.1. Regular master listing of 0-5 years old children.2. Regular supervision activities to among BNS.

3. Provide formula and other paraphernalia for target/results computation.

4. Acquire additional weighing scale and other important logistic supplies for recording and reporting purposes.

WORKSHEET 2.1

(ANALYSIS OF PROGRAM-SPECIFIC PROBLEMS AND STATEMENT OF PROGRAM GOALS AND OPERATIONAL GOALS BY PROGRAM AND AREA)AREA/PROGRAMSRANKSTATEMENT OF THE PROBLEMCAUSES OF THE PROBLEMSTATEMENT OF GOALS

DOH-CONTROLLEDNON-DOHCONTROLLEDPROGRAM GOALOPERATIONAL GOAL

CARI/IMCI

SACME- 175

LIMBUHAN DACU- 46

2 checks

2 Checks

High Incidence of Acute

In effective health IEC activities on:

Prevention and control of ARI

When and whom to consult.

Signs and symptoms of ARI

Importance of proper nutrition

Advantage of complete immunization.

Inadequate skills and knowledge of the health worker in the detection, early management and treatment of ARI.

Lack of training of midwives on IMCI particularly on ARI.

Poor implementation of lderly.

Poor case finding

Identifying people with:

Hypertension

Risk factors of developing Hypertension.

Lack of skills CVHWs in:

BP taking

Record and reporting

Health education Low family income to sustain their family daily needs especially quality nutritious foods to household members particularly to large family size.

Poor utilization of the community services provided by the program (CARI/IMCI) due to conflict with domestic activities.

Lack of knowledge of mothers and caretakers about ARI

Signs and symptoms

Nature of the disease

Transmission

Importance of early referral.

Negative attitudes of mothers towards health services.

Poor quality of care of children below 5 years old

Children are left on the care of siblings.

Lack of confidence of the mother/patient towards the health worker ability to treat and manage ARI.

Intense weather changes (too cold or too hot) that provokes/hasten the occurrence of ARI.

Poor EVS of household:

Food preparation, handling and storage.

Utilization of sanitary toilet and water drainage:

Animal management

Waste management.

Poor compliance of families in the construction and utilization of WST.

Lack of time of family members to focus on maintaining cleanliness.

Low family income.

False beliefs with regards to diarrheal management.

Distance of the health facility for referral of cases.

Poor practice in sanitation of community people.

Poor practice in sanitation of community people.

Negative attitudes of community people towards health care services due to:

Wrong perception on hypertension

Fear of knowing their BP

Consequences of being hypertensive

Low socio-economic status that:

Hinders them in buying the maintenance medicine for hypertension

Diet

By the end of June 2014, the incidence of ARI will decrease from 49-25 (50%).

By the end of June 2014, the incidence of diarrhea will decrease from 12-6 (50%)

By the end of June 2014, the number of households with blind drainage will increase to 14-28 (50%)

By the end of June 2014 those household without WST will decrease from 32-64 (50%)

By the end of June 2014, all hypertensive elderly will be monitored. To increase case finding of ARI cases.

Mobilize BHW, CHT in case finding/ master listing of cases.

Conduct consultation of ARI cases and follow-up of referred cases.

Perform thorough assessment of IMCI clients.

a. History taking

b. v/s taking

c. Proper nursing management

d. Incidental health teachings.

Re-assessment of ARI cases through follow-up visit or consultation at BHS.

Dissemination of information about the early signs and symptoms of diarrhea to be improve for prevention of complications

To improve the knowledge of the first health liner team in the Brgy. That includes the BHWs and BNS by conducting seminar/training about the CDD program

To properly implement the programs of DOH regarding Diarrhea and finally prevents dehydration together with the RHU and Brgy Health team.

To improve implementation of EVS Program in the community.

To improve IEC activities regarding EVS.

To coordinate with the RSI for schedule of visit.

Conduct BP monitoring per barangay.

Conduct health education regarding on:

Healthy lifestyle

Health and nutrition

Conduct exercise activities for elderly and conduct BP monitoring before and after exercise.

WORKSHEET 2.2OPERATIONAL PLAN

Area/ProgramProgram/Operational GoalMeasures/ActivitiesTargetsAnchor PersonScheduleResource Requirements

Item/QuantityUnit CostTotal CostSource Of Funds

Bgy. Maligaya

1. Nutrition program

By the end of March 2006, malnutrition will be decrease from 44.9% to 35%.

1. Improve food assistance/production activities.

2. Activate IEC mobilization activities.


4. Regular update of KSA of BNS through.5. Seek financial/technical support from partner stakeholders.



1.

By the end of March 2006, OPT coverage will be increase from 90% to 100%.

1. Regular master listing of 0-5 years old children.

2. Regular supervision activities to among BNS.



WORKSHEET 3.0SUPERVISORY SCHEME OF PROGRAM ACTIVITIES BY SUB-FIELD UNIT.Area/ProgramObjectiveProblem In ImplementationSupervisory ObjectiveEvaluation CriteriaStrategies/ActivitiesTime FrameResponsible Person

Maligaya

2. Nutrition program


1. General Objective:

To ensure that all planned activities will be carry out as agreed with time schedule

Specific Objective:

1. For RHM

2. For BNS

1. For RHM

2. For BNS

By the end of March 2006, OPT coverage will be increase from 90% to 100%.1. To ensure that all planned activities will be carry out as agreed with time schedule

Specific Objective:

3. For RHM

4. For BNS3. For RHM

4. For BNS

WORKSHEET 4.0EVALUATION SCHEME OF PROGRAM ACTIVITIES BY SUB-FIELD UNIT.Problem Area of ConcernActivities Undertaken

(Operational Goal)TargetStatusEnhancing FactorsDeterring FactorsEndorsement

PastPresent

#%#%#%

High prevalence of 2nd and 3rd degree malnourished children aged 0-5 years old.


1. Improve food assistance/production activities.

2. Activate IEC mobilization activities.


4. Regular update of KSA of BNS through trainings or seminar.

5. Seek financial/technical support from partner stakeholders.



Low OPT coverage to among 0-5 years old childrenBy the end of March 2006, OPT coverage will be increase from 90% to 100%.1. Regular master listing of 0-5 years old children.

2. Regular supervision activities to among BNS.



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