SYNTHESIS

Ang Atong Pinakamithi

Ang Atong Katawhang DalaguetnonAng Atong Lungsod sa Dalaguete

Ang Atong Gipasigarbo

Cooler Than the Usual!Ang Mithing Dalaguetnon nagabarug sa himsug, tigson, bugos ug lubos nga sukaranan.www.dalaguete.gov.phVegetable On The Rocks!

DALAGUETE

3DALAGUETE POPULATION THROUGH THE YEARSYEAR200920102011201220132014North Zone230932332123551237832401724254South Zone20292204922069420892110421312Upper Zone192361942619617198112000620203RHU I349453528935637359883634336701RHU II276772795028225285042878529068Total626226323963862644926512765769

YEAR200920102011201220132014Live Births149314981448145414591429Crude Birth Rate23.84%23.69%22.67%22.5522 .40%21.7 3%Deliveries14731508148914831453Facility Based Del.188507724105912711316Rate12.6%34.4%48.89%71.12%85.70%90.57Skilled Birth Attend557703907116513061324Rate37.3%47.7%61%78.24%88.0691.12Quality Prenatal628573390493494585Rate38.2%35.5%23.5%29.4%30.86%36%Teenage Pregnancy6871767582Rate4.53%4.61%5%YEAR200920102011201220132014Contraceptive Use89499897092010751324CPR10%11.69%12.3411.60%13.4216.36Exclusive BF35670586798310401084Rate56.8%57.9%74%82.12%86.23%84.5%Fully Immun. Child 156014821386144715211415FIC Rate92.3%86.8%80.4%83.11%86.52%80%Malnourished Child167493910509511064999Prevalence Rate16.3%9.4%10.9%10.2%11.6%10.9%HH Sanitary Toilet7888RateHH Safe Water12579

YEAR200920102011201220132014Deaths425401475386371399Crude Death Rate6.79%6.34%7.44%5.99%5.70%6.07%Neonatal Deaths20202161013NMR /1,00013.4013.3514.504.136.859.10Infant Deaths363138162028IMR/1,00024.1120.6926.2411.0013.7119.59Child Deaths473543242534CMR/1,00031.4823.3629.7016.5117.1423.79Maternal Deaths342311MMR/100,000200.94267.02138.12206.3368.5469.98LEADING MORTALITY CAUSES (2014 & Ave. Past 5 Years)YEAR2014Ave Past 5 YearsStatusMortality CausesNo. RateNo. RateInc-decCerebrovascular Diseases8713266103Pneumonia (All Forms)52794671Cancer (All Forms)44675180Cardiovascular Diseases31474671Peptic Ulcer Diseases24362335COPD/Asthma21323352Accidental Deaths (All Forms)20302336Assault / Homicide15231524KUB/Prostate15231625Diabetes Mellitus15231422Osteoarthropathy1320610Septicemia/ Sepsis11171930TB (All Forms)10151015LEADING MORTALITY CAUSES (2014 & 2013)YEAR20142013StatusMortality CausesNo. RateNo. RateInc-decCerebrovascular Diseases8713280123Pneumonia (All Forms)52795381Cancer (All Forms)44675483Cardiovascular Diseases31474772Peptic Ulcer Diseases24361218COPD/Asthma21323046Accidents (All Forms)20301828Assault / Homicide1523711KUB/Prostate15231218Diabetes Mellitus15231523Osteoarthropathy1320711Septicemia/ Sepsis11171015TB (All Forms)10151218MATERNAL MORTALITY 2006-2010YEAR20062007200820092010Hemorrhage: Uterine Atony3Hemorrhage:Uterine Rupture111Hemorrhage: Placenta Praevia1Hemorrhage: Retained Placenta111Hemorrhage: Abortion11Hemorrhage: Uterine Inversion1Eclampsia21111Sepsis, Puerperal1Postpartum Cardiomyopathy1Systemic Lupus Erythematosus1Myxoid Tumor1MATERNAL MORTALITY 2011-2014 YEAR2011201220132014Hemorrhage: Uterine Atony1Hemorrhage:Uterine RuptureHemorrhage: Placenta PraeviaHemorrhage: Retained PlacentaHemorrhage: Abortion1Hemorrhage: Uterine InversionEclampsia121Sepsis, PuerperalPostpartum Cardiomyopathy1Systemic Lupus ErythematosusMyxoid TumorSepsis due to Periodontal Disease1LEADING CHILD MORTALITY (2014 & 2013)YEAR20142013StatusMortality CausesNo. RateNo. RateInc-decPneumonia/Aspiration Synd.128.4106.85Prematurity/ HMD64.21Asphyxia neonatorum42.81Diarrhea (All Forms)42.8Congenital deformities21.41Cancer21.4Sudden Infant Death Synd.10.7Meningitis10.7Malnutrition10.7Accidents10.7F&N aff by Maternal Cond.1.42Congenital Heart Diseases21.4Sepsis Neonatorum10.7Dengue Shock Syndrome10.7Child Abuse10.7LEADING INFANT MORTALITY (2014 & 2013)YEAR20142013StatusMortality CausesNo. RateNo. RateInc-decPneumonia/Aspiration Synd.8669.2Prematurity/ HMD6411.54Asphyxia neonatorum4311.54Diarrhea (All Forms)32Congenital deformities21.411.54Sudden Infant Death Synd.10.7Meningitis10.7Cancer10.7Accidents10.7F&N aff by Maternal Cond.23.07Sepsis Neonatorum11.54Congenital Heart Diseases11.54Luwas ang Buros sa Pagpanganak

SAFE MOTHERHOOD AND CHILD SURVIVAL ORDINANCEJose Edgar V. AlonsoSaturday, May 23, 2015

Himsug ang Masuso ug Bata10:44:13 AMKALUWASAN NILA TULUBAGON TA14It is during the prenatal and perinatal stages that both the pregnant mother and the fetus are most vulnerable to succumb to deadly complications and need to be protected through quality prenatal care and safe delivery by properly trained and skilled personnel;DOH statistics showed that majority of births are attended at home where complications of post-partum hemorrhage, prolonged labor, infections and hypertension during pregnancy are the most common problems encountered;Rationale

15Locally, regular cases of maternal and newborn complications during pregnancy and deliveries have resulted to maternal and neonatal deaths particularly due to maternal bleeding, maternal hypertension, prematurity and sepsis neonatorum that could have been substantially prevented if adequate safety nets are in place;Thus, this ordinance seeks to strengthen and institutionalize the safe motherhood and child survival program in the municipality; thus, helping achieve the 2015 Millenium Development Goals of reducing maternal and child deaths.Rationale

16Prohibit Traditional Birth Attendants from attending child birth deliveries and limiting their involvement to referring and assisting only;Raise the quality of service provided to the point that dangers and risks to mothers and babies lives are substantially minimized if not totally avoided;Ensure that all maternal-newborn-child health and nutrition programs are prioritized and provided with sufficient budget;

Purpose and Objectives17Institutionalize the creation of Community Health Action Teams (CHAT) in every barangay who are health activists/catalysts/ champions of change and able facilitators in the implementation of health programs ;Provide incentive schemes for the health providers and set-up cost recovery mechanisms in the operation of the BEmONC facilities, thereby making them self-reliant and self-liquidating;Purpose and Objectives

18All 33 barangays have their own functional barangay health centers with midwives having regular barangay consultations and health program services;The 2 RHUs have the facilities and equipments needed in providing the BemONC package of services especially to mothers, newborns and children;Health Service Providers are experienced, have undergone the required BEmONC trainings, and are particulary trained to watch for and detect clues of possible complications..Health InfrastructuresHealth Human Resources

19Every pregnancy has inherent risks to the fetus, mother and newborns and complications may happen during pregnancy, labor, actual delivery and after delivery;The most common complication is bleeding during pregnancy, labor, delivery and after delivery;Other complications are prematurity, prolonged and or obstructed labor, elevated blood pressures, and infections.

Pregnancy Complications20Complications usually occur because of the presence of any of the three delays: 1) delay in deciding to seek care, 2) delay in reaching the appropriate facility and 3) delay in receiving adequate care. In order to address these three delays, it is imperative that accessibility, utilization and quality of services for the treatment of complications be substantially improved.

Pregnancy Complications21In a BemONC facility, there is close monitoring of pregnant women as to their progress of labor every 3-4 hours, which includes among other things:Cervical dilatation ;Blood pressure;Fetal heart beatFrequency, duration and interval of uterine contraction; Occurence of abnormal bleeding before, during and after delivery.Importance and Safety of BEmONC Facility Deliveries

22Standby ambulance will bring pregnant women to the next higher level of care or to hospital facilities when needed.The occurence of infections to the mother and newborn is greatly minimized because service providers are observing basic aseptic technique.Routine Newborn Screening will detect and potentially minimize the ill-effects of existing congenital conditions which may result in disabilities or death to the newborn. Importance of BEmONC Facility Deliveries

23BEmONC Policies Incentives & Disincentives

Pregnant women are strongly encouraged to have a PhilHealth coverage as soon as possible. A Pregnant woman must have her first prenatal check up in any of the health facilities whether private or public during the 2nd month of pregnancy and monthly thereafter until she delivers.

The pregnant woman must go to the nearest health facility once the first sign of uterine contraction or watery/bloody show is observed.

24BEmONC Policies Incentives & Disincentives

Childbirth deliveries shall be made in any health facility and shall not be conducted at home for the safety of the mother and the newborn.

Traditional Birth Attendants (TBAs) must not perform childbirth delivery to a pregnant woman even with her consent or personal engagement.

Exclusive breastfeeding shall be observed by mothers on children from birth to six months of age with no other food (including water) other than breast milk.

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Pregnant women are provided with:

P600.00 worth of commodities for the newborn baby which include - baby dress, cap, oil, pair of shoes, mittens, disposable cloth and diapers;P500 worth of grocery packs for the mother.

Community Volunteer Health Workers which also includes TBAs are entitled to receive P300.00 for bringing or referring patient to the facility.

BEmONC Policies Incentives & Disincentives26

Health Service providers who are either directly or indirectly involved in any of the stages of maternal care (prenatal, intrapartum, postpartum and newborn care) are equitably entitled to the PHIC financial packages.

TBAs who persist to attend to deliveries after some due processes or notices will be fined P2,000 and/or imprisonment of 1-2 months

BEmONC Policies Incentives & Disincentives27

The Municipal BEMONC Package (minimal fee of P1,500.00) is a complete health service rendered to pregnant women and her baby from the 2nd month of pregnancy up to 9 months of age of her delivered baby; who are not under the Maternal and Newborn Care Package for Philhealth members.

Enrollment to a PhilHealth Coverage (P2,400.00) upon the first prenatal visit which will be collected by the midwife who will then facilitate the PHIC enrollment process.

Modes of Package Availment28Kon akong madunggan, pwede akong malimtan...When I see, I might remember...When I do, I learn...When I apply, I become an agent of change.Kon akong pagabansayon, instrumento ako sa kausaban.Kon akong pagabuhaton, akong makat-onan...Kon akong makit-an, akong mahinumduman...When I hear, I might forget...29

We can make a difference!!!All TogetherDAGHANG SALAMAT...

ug...MABUSILAKONG ADLAW

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35Demographic Profile

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St Marys Academy

38Socio-Economic Profile

39Socio-Economic Profile

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414344Based on the Average Annual Income CY 2004-2008Average Annual Income 70 M

Year IncomeExpenditure2003 54.8M 39.1M2004 63.7M45.0M2005 58.5M61.0M2006 87.0M77.8M2007 65.45M65.41M2008 75.76M 74.01M 45Dalaguete Health Management Office a nationally acclaimed public health institution staffed by competent, morally upright, passionate, and committed best-in-class people providing quality health care, leveraging available appropriate technology, capacitating Dalaguete communities manage their own health - thereby attaining and leading healthy, socially and economically productive lives. Towards An Expansive Visionof Public Health46We envision further for Dalaguetnons and all Filipinos a Nationalist and Democratic society:Where Freedom, Equality and Social Justice prevail;Where a Clean, Healthy, and Safe Environment envelops its citizenry;Where the Peoples Fundamental Right to Quality Health Care is promoted and ensured;Towards An Expansive Visionof Public Health47Where Health Care as a Shared Responsibility is Accessible, Relevant and Responsive to the needs of its people;Where People are Organized and Empowered to develop ones Potentiality and Creativity;Where people enjoy the benefits of a Just and Humane Work Environment participating in Policy and Decision Making;Thus, making Health For All in fact and in deed effectively in the Hands of the People, keeping all Dalaguetnons free from diseases and ill health.

Towards An Expansive Visionof Public Health48We will work then to the best of our ability for the:Attainment of the Highest level of Health of the Most Number of People through the utilization of the LGUs capacitative resources and other external resources whenever made available and accessible;Enjoyment of the Right to Health a Reality in Partnership with and Participation by All other sectors of the community;The setting up and eventual institutionalization of People-Managed Health Care System at the grassroots;

Mission49Qualitative and Quantitative Changes in the field of Health Services mainly through Heightening of Health Workers Consciousness, Intensification of Community Organizing & Mobilizing Effort and Arousing & Raising the level of peoples awareness;Protection and enhancement of the quality of life of All Dalaguetnons through Health Promotion, Disease Prevention, Public Health Emergency Preparedness, and Environmental Protection.

Mission50THE ULTIMATE GOAL IS TO IMPROVE THE HEALTH STATUS OF THE PEOPLE AND TO HELP ATTAIN A LEVEL OF HEALTH THAT WILL PERMIT THEM TO LEAD SOCIALLY AND ECONOMICALLY PRODUCTIVE LIVES, GIVING MORE FOCUSED ATTENTION AND PREFERENTIAL OPTION TO THE MORE DISADVANTAGED AND UNDERPRIVILEGED SECTORS OF THE COMMUNITY.

Goals51SPECIFICALLY:To make quality health care services available, accessible, and acceptable - at a cost the individual, the community and government can afford;To construct, operate and maintain spacious and safe health unit facilities that can comfortably accommodate and service the fast growing populace of the municipality;

Goals52To sustain implementation of all existing health programs and projects whether initiated locally or nationally;To ensure a steady supply of essential drugs and medical supplies needed to carry out effective and efficient delivery of health services;To maintain and strengthen the functionality of the local health board and establish good networking arrangement with secondary and tertiary level of health care thereby ensuring continuity and enhanced delivery of quality health care services;

Goals53To advocate for and assist in the formation and establishment of functional health committees and community-based health managers in all the barangays;To maintain high morale among health service providers by adequately providing deserved benefits, reasonable access for continuing professional development and establishing mechanism for career progression schemes.

Goals54Primary Health Care (PHC) We subscribe to the PHC approach emphasizing equity and justice, believing strongly that health is a basic right of every individual and not just of those who can afford to pay for their own health care. Thus, we are particularly concerned with the reduction in the gaps between those who have and those who have not by giving priority to the latter in the allocation of resources so as to meet the health needs of those whose needs are greatest.

Policy Statements55We further believe that it is not only our sole responsibility as a health institution to bring health services to the people, but achievement of health is a joint responsibility. This partnership in health development twixt the government, the individual and his community is an expression of an important component of the philosophy of PHC that of individual and collective responsibility for health in the spirit of self-reliance.

Policy Statements56Health and the Socio-Economic MilieuWe also believe that health is related and affected by the economic, political and cultural conditions prevailing in the community and that health problems cannot be solved effectively separate from the outright solution to the basic socio-economic problems of the country. We further believe that part of the solutions to the health problems involve the development of local initiative, leadership, governance & self-reliance and require the enlightened, sustained & organized actions of all people concerned.

Policy Statements57People Empowerment and ParticipationEmpowering people to achieve control over the decisions and conditions that affect their health shall be a major strategy toward attainment of health in the hands of the people. Health care will be the responsibility of every individual and will be less doctor-centered and increasingly people-centered.

Policy Statements58Empowerment will be achieved through appropriate health information and capability building initiatives. Opportunities will be given to all individuals to participate in seeking health information, utilizing health services, improving their living conditions, practicing a healthy lifestyle as well as taking the responsibility in promoting health and preventing disease & disability.

Policy Statements59Advocacy Communication, Community Organizing, Social Mobilization as well as other empowering approaches will be crucial to developing grassroots capabilities for decision making in response to community health needs.Empowering approaches include institutionalizing health leadership and governance among the people and creating a true democratic milieu for the full expression of health as a social goal.

Policy Statements60Population ManagementWe recognize the finiteness of the natural resource base and the challenge posed in meeting the needs of a growing population. Sustainable development and sustainable health care are based on adequate food, shelter and clothing as well as clean air and water for all people today and for future generations. This cannot be attained if population growth continues unabated.

Policy Statements61We do believe in the spiritual value of human life. At the same time we recognize the freedom of women and men to choose the size of their families, and to practice family planning based on their own beliefs, religion and conscience.We will provide all individuals with equal access to information, services and guidance in planning their families whether through natural or artificial methods, as one of the means to attaining family health and well being.

Policy Statements62Priority FocusAlleviating Poverty and Universal Education is a sine qua non in Ensuring Womens Health, Safe Motherhood and Child Survival and will be our topmost priority till kingdom come.Achievement of MDG Max will then just naturally follow.

Policy Statements63

Plans, vision,mission & goals Oh! The more I hate growing up

Id rather listen to a relaxing music and go to sleep!

67ug MABUSILAKONG ADLAW!