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MUNICIPALITY OF DALAGUETE

A. PHYSICAL PROFILE

The municipality of Dalaguete is situated at the southeastern side of the island of Cebu about 84
kilometers from Cebu City, the provincial capital. It is bounded in the north by the municipality
of Argao, in the south by Alcoy, in the east by the Bohol Strait and in the west by Alegria and
Badian. It has been reclassified as a 1st class municipality in 2006 with a 2009 income of almost
P 90 M inclusive of the internal revenue allotment.

The municipality is presently composed of 33 barangays with an estimated aggregate total land
area of 155 square kilometers, which forms 3.2 percent of the total land area of Cebu.
Topographically, the municipality is generally rugged ranging from rolling to hilly to really
mountainous with slope ranging from 15 to 65 degrees, which comprise about 88 percent of the
total land area. Hence, approximately only 12 percent can be considered as level or nearly level
(0-15 degrees) forming a narrow corridor along the coastline and which forms part of the 10
coastal barangays.

B. DEMOGRAPHIC PROFILE

The population of Dalaguete based on the 2000 census is 57,331 projected to double by year
2030. The annual growth rate (AGR) in the 1990-2000 intercensal period is 2.33 %, which is
significantly higher than the 2.08 % growth rate in the 1980-1990 intercensal period. The 2007
population census which was conducted haphazardly registered a population of 61,405 with
only a .99 % AGR. The computed population estimate for 2010 is 67,975 which was arrived at
by taking the average population projection using the 2000 & 2007 NCSO data and the locally
conducted population surveys in 2008 & 2009.

The population is unevenly distributed among the 33 barangays. The most densely populated
are located along the coastline while the least densely populated are in the mountain barangays.
The average population density is 438 persons per km2 which is way below that of the province
which is 518 persons per km2 but higher than the average national population density of 253
persons per km2.

The population profile of the municipality is relatively young where those below 20 years old
comprise more than 52 percent of the population. The dependency ratio is 91 percent, which
signifies that for every 100 people who are gainfully employed 91 dependents have to be
supported. The male-female ratio is slightly higher at 105:100.

The population of Dalaguete is predominantly rural at 85 percent. Its urban population


comprising only 15 percent of the population is from barangays Mantalongon, Poblacion,
Cawayan, Balud and Tapon. They are the ones that can be classified as urban by the NCSO
largely because of the presence of the Roman Catholic churches in these barangays that make
up the 3 parishes in the municipality of Dalaguete.

C. ECONOMIC PROFILE

The economy of Dalaguete is still predominantly agricultural with many of its people greatly
dependent on the produce and bounty of the land. In the mountainous barangays particularly in
the highly elevated and cooler areas of Mantalongon and nearby barangays, many are
dependent on the cultivation of vegetables. Cultivation of other crops like corn, rice, bananas,
rootcrops and toiling in the coal mines also provide livelihood to many others who are not
engaged in vegetable farming.

In the lowland and coastline areas, the production of copra and the planting of corn, bananas,
rootcrops and other lowland crops still occupy many people. Fishing is also a major occupation
for some of the coastal residents. However, the fishing ground is already depleted and could
give only subsistence or supplementary income to the small-scale fisherman. Next to crop
production, some are also preoccupied in small-scale livestock and poultry raising.

D. HEALTH STATUS PROFILE

Leading Causes of Maternal death 2009 Ten Leading Causes of Mortality 2009

1. Intrapartum Hmrhage:Placenta Previa 1. Hypertension related diseases

2. Intrapartum Hmrhage:Uterine rupture 2. Heart Diseases

3. Eclampsia 3. Pneumonia

4. Systemic Lupus erythematosus 4. Carcinoma

5. Peptic Ulcer Diseases

6. Chronic Obstructive Lung Dis.

7. Septicemia/Sepsis
8. Accident Related Cases

9. Diabetes Mellitus

10. Dis. of the Urogenital System

HEALTH OFFICE FACILITY 2010

The Municipal Health Office is composed of two Rural Health Units (RHU) each serving the
primary health care needs of the coastal and mountain barangays respectively. RHU-I is
composed of a Main Health Center (MHC) located in the Poblacion and 17 Barangay Health
Centers (BHC) covering 18 barangays (10 coastal, 8 mountainous). RHU-II is composed of one
MHC and 14 BHCs covering 15 mountain barangays. A main BHC is handled by a Rural
Health Midwife (RHM) and generally covers one barangay, however some main BHS have one
satellite BHS. Thus, 11 RHMs are covering only one barangay while 11 RHMs are covering 2
barangays each.

SERVICES OFFERED:

• General Outpatient Medical • Maternal & Child Health Care


Services
• Expanded Immunization Services
• Basic Laboratory Services
• Family Planning Services
• Basic Dental Services
• Health & Sanitation Services
• DOS/ Facility Based Delivery
• Ambulance Services
Services

E. HEALTH INSIGHTS AND PLANS

The average infant mortality rate of the municipality in 2002 is 40 per 1000 livebirths.
Although this is already below the 50 per 1000 livebirths which the WHO targeted for 2000 (as
agreed upon in the 1988 World Health Assembly in Alma Ata USSR), still 6 of the total 33
barangays register more than 50 per 1000 livebirths. Acute communicable diseases exacerbated
in some cases by existing malnutrition, and cardiovascular diseases are still the principal causes
of illness and death among our residents.
A good number of people in Dalaguete like any other Philippine countryside live in conditions
of relative deprivation with incomes insufficient to ensure basic nutrition and with limited
access to essential health care. This not so satisfactory picture of the health status is confounded
by the ever-perennial fluctuation of the oil price and the currency exchange rate. The resultant
inflation and the rising cost of essential imports including the raw materials for essential
medicines are enough to bring about worry and headaches to the local government officials
concerned.

Despite the relative increase in the Internal Revenue Allotment for the municipality as a result
of the 1990 Local Government Code and the consequent devolution of health services and
personnel, the available health resources are still very limited among competing priorities of the
municipality. The municipality from 1993 (devolution year) up to the present has allocated
from P 250,000.00 to P 500,000.00 for the medicines and medical supplies yearly, a measly
1.25 % of the total budget. Dr. Manuel Dayrit, the present Health Secretary, when queried in
the Annual Convention of Municipal Health Officers this year, opined that for medicines to be
adequate each LGU has to allocate at least 5 % of its total yearly budget.

During the past 10 years however, the municipality through its own SILAW sa PAGLAUM
Project and the GOP-World Bank-ADB Early Child Development Project funding has hired 9
additional midwives on a casual basis and has allocated close to 2 M additional funding for
medicines, equipments and health infrastructures. Several Barangay Health Stations had either
been constructed and/or upgraded. The RHM to population ratio has been upgraded from 3,600
during the pre-devolution period to 2,500 at present, which is way below the national average
of 1 RHM per 5,000 population. Eighty per cent of the barangays have their own standard
structural and functional barangay health centers. With a total of 26 RHMs each barangay of the
municipality can now be reached and served by health personnel at an average of 2-4 times a
week. Relatively remote and populous sitios like Botong, Tubod, Caratagan, Amonsao, Regla
and Lugsangan can now be visited by an RHM at least once a week.

In order to greatly further improve the accessibility and delivery of health services to the
barangays, there is a need to maintain, improve and sustain the SILAW project for the next 20
years or up to the year 2020 and to be ever on the look-out for similar projects like ECD to
augment local financial resources for its social services component. In line with the Health
Office Vision, one-midwife-one-barangay should be attained by year 2020 regardless of its
population. The hiring of midwives should be continually based on the principle of
“localization” and qualification and very minimal on political consideration. In order to
continually uplift and maintain the morale of the health workers, the economic benefits under
RA 7305 or the Magna Carta for Public Health Workers should be given its due priority and
funds should be provided for pursuant to the 1999 Revised Implementing Rules and
Regulations.

During the next ten years, a 5-10 bed lying-in clinic will be gradually established in both RHU I
and RHU II area. To partially solve the inadequacy of medicines, the short term objective is to
access the less costly drugs through the government’s parallel importation project; the long
term objective is to enable its workers and the community to acquire the correct scientific
knowledge and technology on Herbal Medicine and selected “Alternative Medicine” discipline.
If ever all these plans will be realized, it seems logical that the municipality will finally be able
to fulfill its mandate of alleviating the conditions of the less privileged sector of the
municipality trapped in the vicious cycle of poverty, malnutrition, disease and despair that saps
their energy, reduces their work capacity and limits their ability to plan for the future.