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  • MEETING THEMEETING THE CHALLENGE OF MILLENIUM DEVELOPMENT GOALSDEVELOPMENT GOALS ON HEALTHON HEALTH by: Gov. Carmencita O. Reyes

    Marinduque

  • . . . The heart f thof the

    PhilippinesPhilippines

  • Political Subdivision and ClassificationPolitical Subdivision and Classification

    • Lone Congressional District • Six (6) municipalities namely: Boac, the capital town, Buenavista, Gasan, Mogpog, Sta. cruz and Torrijos

    • 218 Barangays

    Land Area in Hectares by Municipality, Income Class and Rural/Urban Category

    Municipality Land Area (has.)

    No. of Barangay

    Income Class

    Rural / Urban

    Marinduque 95,925 218 4th Class Partially Urban

    Boac 21,270 61 1st Class Partially Urban

    Buenavista 7,860 15 4th class Partially Urban

    Gasan 11 930 25 3rd Class Partially UrbanGasan 11,930 25 3 Class Partially Urban

    Mogpog 8,770 37 3rd Class Partially Urban

    Sta. Cruz 24,665 55 1st class Partially Urban

    hTorrijos 21,430 25 4th Class Partially Urban

  • Land Area in Hectares, 2007 Population and Average Growth Rate (2000-2007) Per Province, MIMAROPA MIMAROPA PROVINCES

    Land Area in Has. 2007 Population Average Growth Rate (2000-2007)

    Occidental Mindoro

    587,985 421,952 1.44

    Oriental Mindoro

    436,472 735,769 1.06 Mindoro Marinduque 95,925 229,636 0.76

    Romblon 135 593 279 774 0 78Romblon 135,593 279,774 0.78

    Palawan 1,489,626 682,152 1.94

    MIMAROPA 2,745,601 2,5598,791 1.49

    Philippines 30,000,000 88,574,614 2.04

  • Annual IRA Share 2007 to 2011Annual IRA Share, 2007 to 2011

    Calendar Year 2011

    Annual IRA Share Php 347,776,304.00

    2010 2009

    Php 326,921,778.00 Php 276,485,390.00

    2008 2007

    Php 247,671,336.00 Php 215,322,507.00p

  • Technical grant assistance from the WB-ASEM in 2004 entitled, , “Strengthening the Government Capacity for Poverty AssessmentCapacity for Poverty Assessment, Plan Formulation and Monitoring”, which led to the implementation ofwhich led to the implementation of CBMS in 2005.

  • Who are the poor?

    Wh thWhere are the poor?

    Why are they Poor?Poor?

  • CBMS Survey 2005 & 2008 (proportion of population below poverty threshold)below poverty threshold)

    2008 - 47.91% (24,000 hh) from the 2005 data of 62.7% (28,324 hh)

  • CBMS Survey 2005 & 2008 (proportion of population below poverty threshold)below poverty threshold)

    Buenavista from 77 9% in 2005 to 61 2%Buenavista – from 77.9% in 2005 to 61.2% in 2008

  • CBMS Survey 2005 (Proportion of Population Below Food Threshold)

    2008- 33.82% (85,213) from the 2005 data of 56.% (114,327)

  • CBMS 2005 8 0% (1 876)- prevalence of underweight children under8.0% (1,876)- prevalence of underweight children under

    5 years old 8 3% female8.3% - female 7.9% - in the rural areas 9 6% highest proportion is in Buenavista9.6% - highest proportion is in Buenavista 3.8% - lowest proportion is in Boac

  • CBMS 2005 h th t th 1 876 l i h dCBMS 2005 shows that there were 1,876 malnourished children in Marinduque and went up to 2,557 in 2008.

  • CBMS 2005 & 2008 (Proportion of population who are experiencing food shortage

    2008- 5.1% (11,898) from the 2005 data of 4.1% equivalent to 8,396 population

  • CBMS Survey 2005 & 2008 (proportion of population below poverty threshold)below poverty threshold)

    Buenavista from 77 9% in 2005 to 61 2%Buenavista – from 77.9% in 2005 to 61.2% in 2008

  • Meeting the MDGMeeting the MDG Challenges on Healthg

  • MDG 4 – REDUCE CHILD MORTALITYMORTALITY

    MDG 5 – IMPROVE MATERNAL HEALTH

    MDG 6 – COMBAT HIV/AIDS ANDMDG 6 – COMBAT HIV/AIDS AND OTHER COMMUNICABLE DISEASESDISEASES

  • Goal 4. Reduce Child Mortality Target: Reduce child mortality by two-Target: Reduce child mortality by two

    thirds between 1990 to 2015.

  • CBMS 2005 (Proportion of Children 0 to less than 1 year old who died) 4,228 - population of children aged 0 to less than 1 yr old 87 infants died (2.0%), 2.1% are females (40) and 1.9% males (41). Most number of incidence are found in the urban areas (2.4%)

    Mogpog had the highest number with 23 deaths (3.7%) followed by Buenavista with 9 deaths

  • CBMS 2005 (Proportion of children o to less than 5 years old who died)

    24,093 - population of children aged 0 to less than 5 years old 0.6% or 136 died and majority were males with 71 deaths Mogpog had the most number of children who died having 26 deaths, followed by Torrijos with 19 deaths.

    Torrijos consistently had high infant child death based on the CBMS 2005 and 2008.

    There was a decelerating trend in the number of FIC from 2001 to 2006 ( 85.3% to 71.00%) based on the NSCB Reg’l. Social and Economic Trend.

  • Infant mortality rate – 18.11 (81/1,000 livebirths (ave. past 5 yrs, 2004-2008, PHO-Marinduque) and went Up to 19.21 % or 87/1,000 livebirths in 2009.

    11.41% in 2004 and went up to 19.99 in 2006 (DOH – MIMAROPA) – the highest rate in the region

    At the national level, infant mortality rate is in a decreasing trend from 28.7% in 2003 to 24.7% in 2008. (source: www.nscb.gov.)

  • Seven (7) in every 1,000 children aged 0-4 years old died, based on g y , 2008 CBMS Survey or158 children aged 0-4 The highest proportionaged 0 4. The highest proportion was found in the municipality of GasanGasan.

  • Programs and Strategies to Meet the Challenge

    C d t f E ti l N b CConduct of Essential Newborn Care (1 hour after delivery) Six (6) months exclusive breatfeeding, thereafter g, complementary foods are given to the infanta t Free immunization every month. Training for health personnel on InfantTraining for health personnel on Infant and Young Child Feeding (IYCF).

  • GOAL 5. REDUCE MATERNAL MORTALITY Target: Reduce maternal mortality rate by three quarters by 2015 and half by 2000

    13 women died (0.35) mostly were from the rural areas (12 deaths), with Boac having the highest (5 deaths or 0.6%) based on the CBMS 2005 and went up to 29 deaths in 2008and went up to 29 deaths in 2008.

    0 % Maternal Mortality in Buenavista & Gasan 0 88% or 4 maternal mortality rates in the ave past 5 yrs (PHO-Marinduque)0.88% or 4 maternal mortality rates in the ave. past 5 yrs (PHO Marinduque),

    rate increased from 5 deaths in 2008.

  • S t th till f t diti lSome pregnant mothers still prefer traditional birth attendants or “hilots” since it costs them less and accessible toothem less and accessible, too.

    Di t d ibilit lDistance and accessibility also pose a problem. There are 21 geographically isolated and disadvantaged areas (GIDAs)isolated and disadvantaged areas (GIDAs) in the province. Transporting patients to the nearest referral health facility would meannearest referral health facility would mean traversing mountains, crossing rivers and seas.

  • Travel Time from RHU to its Referral Hospital

    Lucena City

    Less than 30min

    TRAVEL TIME:

    30min to 1 hr

    More than 1 hr

    Municipal Hospital

    LEGEND:

    GIDA 1

    GIDA 2

    GIDA 3

    District Hospital

    Provincial Hospital

    RHU

    GIDA 1 Brgys: GIDA 3 brgy Tumagabok, Talawan Tambunan, Sabong

    GIDA 2 Brgys:

    Level I

    Level II

    RHU GIDA 2 Brgys: Canat,Boi,Bayuti

    Sentrong Sigla I

    Level III

  • Programs and Strategies to Meet the Challenge

    E t bli h t f Bl d B k F ilit iEstablishment of Blood Bank Facility since blood loss is one cause of maternal mortalitymortality. Increased number of Facility-based deliveries Basic Emergency Obstetric anddeliveries. Basic Emergency Obstetric and Newborn Care (BEMONC) and Comprehensive Emergency Obstetric andComprehensive Emergency Obstetric and Newborn Care (CEMONC) serve as Halfway Homes.y Ordinance will be passed for non-birth delivery at home.y

  • Increase doctor in the barrios. Intensive training for Barangay Health Workers as counterpart of doctors in the p barrios. Intensify prenatal care visits.y p Improved maternal and pre-natal care through proper health and nutrition g p p practices.

  • GOAL 6. COMBAT HIV/MALARIA AND OTHER DISEASESOTHER DISEASES Incidence of Malaria – Marinduque is a Malaria-free q

    province

    Incidence of Pulmonary Tuberculosis –  ranks 7th in the 10 leading causes of mortality with g y

    44 cases (19.85%) in the past 5 yrs (2003-2007)  although detection rate is high at 78.0% to 100%

    in 2004 to 2008, cure rate remained low at 71% (PHO-Marinduque)

  • CBMS 2005- Incidence of Pulmonary Tuberculosis 81 cases (40.0%) – PTB incidence  Sta.Cruz had the highest number of case having 26,

    Pulmonary Tuberculosis

    g g , mostly are male (63) and are found in the urban areas. PTB cases went down to 44 in 2008.

  • Programs and Strategies to Meet the Challenge

    M i t i t t l i f iMaintain status as malaria-free province thru conduct of surveillance activities and monitoringmonitoring Sett