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Ang Atong Pinakamithi

Ang Atong
Lungsod sa
Dalaguete

Ang Atong
Katawhang
Dalaguetno
n

Ang Atong Gipasigarbo

DALAGUETE
www.dalaguete.gov.ph

Vegetable On The
Rocks!

Cooler Than the


Usual!

Ang Mithing Dalaguetnon nagabarug sa himsug,


tigson, bugos ug lubos nga sukaranan.

DALAGUETE POPULATION THROUGH THE YEARS


YEAR

2009

2010

2011

2012

2013

2014

North Zone

23093

23321

23551

23783

24017

24254

South Zone

20292

20492

20694

2089

21104

21312

Upper Zone

19236

19426

19617

19811

20006

20203

RHU I

34945

35289

35637

35988

36343

36701

RHU II

27677

27950

28225

28504

28785

29068

Total

62622

63239

63862

64492

65127

65769

YEAR

2009

2010

2011

2012

2013

2014

Live Births
1493
1498
1448
Crude Birth
23.84% 23.69% 22.67%
Rate
Deliveries
1473
1508
Facility Based
188
507
724
Del.
48.89
Rate 12.6% 34.4%
%
Skilled Birth
557
703
907
Attend

1454

1459

1429

Rate 37.3% 47.7%


Quality
Prenatal

628

573

22.55

1489

1483

1453

1059

1271

1316

71.12
%

85.70
%

90.57

1165

1306

1324

61%

78.24
%

88.06

91.12

390

493

494

585

30.86
%

36%

Rate 38.2% 35.5% 23.5% 29.4%


Teenage

22 .40% 21.7 3%

YEAR
Contraceptive
Use
CPR
Exclusive BF

2009

2010

2011

2012

2013

2014

894

998

970

920

1075

1324

10%

11.69%

12.34

11.60%

13.42

16.36

356

705

867

983
82.12
%

1040
86.23
%

1084

1447

1521

1415

83.11
%

86.52
%

80%

951

1064

999

Rate 56.8% 57.9%


Fully Immun.
Child

1560

1482

74%
1386

FIC Rate 92.3% 86.8% 80.4%


Malnourished
1674
Child
Prevalence
16.3%
Rate
HH Sanitary
Toilet
Rate

939
9.4%

1050

84.5%

10.9% 10.2% 11.6% 10.9%


7888

YEAR
Deaths

2009

2010

2011

2012

2013

2014

425

401

475

386

371

399

Crude Death
6.79% 6.34% 7.44% 5.99% 5.70% 6.07%
Rate
Neonatal
20
20
21
6
10
13
Deaths
NMR /1,000 13.40
Infant Deaths

36

IMR/1,000 24.11
Child Deaths

47

CMR/1,000 31.48
Maternal
Deaths

200.9
MMR/100,000
4

13.35

14.50

4.13

6.85

9.10

31

38

16

20

28

20.69

26.24

11.00

13.71

19.59

35

43

24

25

34

23.36

29.70

16.51

17.14

23.79

267.0
2

138.1
2

206.3
3

68.54

69.98

LEADING MORTALITY CAUSES (2014 & Ave. Past 5 Years)


Ave Past 5 Years Status
YEAR
2014
Mortality Causes
No.
Rate
No.
Rate Inc-dec
Cerebrovascular
87
132
66
103
Diseases
Pneumonia (All
52
79
46
71
Forms)
Cancer (All Forms)
44
67
51
80
Cardiovascular
31
47
46
71
Diseases
Peptic Ulcer
24
36
23
35
Diseases
COPD/Asthma
21
32
33
52
Accidental Deaths
20
30
23
36
(All Forms)
Assault / Homicide
15
23
15
24
KUB/Prostate
15
23
16
25

LEADING MORTALITY CAUSES (2014 & 2013)


YEAR
2014
2013
Mortality Causes
No.
Rate
No.
Rate
Cerebrovascular
87
132
80
123
Diseases
Pneumonia (All
52
79
53
81
Forms)
Cancer (All Forms)
44
67
54
83
Cardiovascular
31
47
47
72
Diseases
Peptic Ulcer
24
36
12
18
Diseases
COPD/Asthma
21
32
30
46
Accidents (All Forms)
20
30
18
28
Assault / Homicide
15
23
7
11
KUB/Prostate
15
23
12
18
Diabetes Mellitus
15
23
15
23

Status
Inc-dec

MATERNAL MORTALITY 2006-2010


YEAR
2006 2007 2008
Hemorrhage: Uterine
3
Atony
Hemorrhage:Uterine
1
Rupture
Hemorrhage: Placenta
1
Praevia
Hemorrhage: Retained
1
Placenta
Hemorrhage: Abortion
1
Hemorrhage: Uterine
1
Inversion
Eclampsia
2
1
1
Sepsis, Puerperal
1
Postpartum
1
Cardiomyopathy
Systemic Lupus
Erythematosus

2009

2010

1
1

MATERNAL MORTALITY 2011-2014


YEAR
2011
2012
2013
Hemorrhage: Uterine
1
Atony
Hemorrhage:Uterine
Rupture
Hemorrhage: Placenta
Praevia
Hemorrhage: Retained
Placenta
Hemorrhage: Abortion
1
Hemorrhage: Uterine
Inversion
Eclampsia
1
2
Sepsis, Puerperal
Postpartum
1
Cardiomyopathy
Systemic Lupus
Erythematosus

2014

LEADING CHILD MORTALITY (2014 & 2013)


YEAR
2014
2013
Mortality Causes
No.
Rate
No.
Rate
Pneumonia/Aspiration
12
8.4
10
6.85
Synd.
Prematurity/ HMD
6
4.2
1
Asphyxia neonatorum
4
2.8
1
Diarrhea (All Forms)
4
2.8
Congenital
2
1.4
1
deformities
Cancer
2
1.4
Sudden Infant Death
1
0.7
Synd.
Meningitis
1
0.7
Malnutrition
1
0.7
Accidents
1
0.7
F&N aff by Maternal
1.4
2
Cond.
Congenital Heart
2
1.4
Diseases

Status
Inc-dec

LEADING INFANT MORTALITY (2014 & 2013)


YEAR
2014
2013
Mortality Causes
No.
Rate
No.
Rate
Pneumonia/Aspiratio
8
6
6
9.2
n Synd.
Prematurity/ HMD
6
4
1
1.54
Asphyxia
4
3
1
1.54
neonatorum
Diarrhea (All Forms)
3
2
Congenital
2
1.4
1
1.54
deformities
Sudden Infant Death
1
0.7
Synd.
Meningitis
1
0.7
Cancer
1
0.7
Accidents
1
0.7
F&N aff by Maternal
2
3.07

Status
Inc-dec

SAFE MOTHERHOOD AND CHILD


SURVIVAL ORDINANCE

Luwas ang Buros sa


Pagpanganak
Himsug
ang Masuso
ug

Bata

KALUWASAN NILA
TULUBAGON TA

Jose Edgar V.
Alonso
8/1/15
09:44:46 PM

Rationale
It 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 postpartum hemorrhage, prolonged labor, infections
and hypertension during pregnancy are the most
common problems encountered;

Rationale
Locally, 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.

Purpose and Objectives

Prohibit 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 Objectives

Institutionalize 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 selfliquidating;

Health Infrastructures
Health Human Resources

All 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..

Pregnancy Complications

Every 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 Complications

Complications 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.

Importance and Safety of


BEmONC Facility Deliveries

In 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:
1.

Cervical dilatation ;

2.

Blood pressure;

3.

Fetal heart beat

4.

Frequency, duration and interval of uterine contraction;

5.

Occurence of abnormal bleeding before, during and


after delivery.

Importance of
BEmONC Facility Deliveries

Standby 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.

BEmONC 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.

BEmONC 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.

BEmONC Policies
Incentives & Disincentives
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 & Disincentives
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

Modes of Package Availment


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.

When I hear, I might forget...


Kon akong madunggan, pwede
akong malimtan...
When I see, I might
remember...
Kon akong makit-an, akong
mahinumduman...
When I do, I learn...
Kon akong pagabuhaton, akong
makat-onan...
When I apply, I become an
agent
of change.
Kon akong
pagabansayon,

All Together

We can make a difference!!!

DAGHANG
SALAMAT...

...MABUSILAKONG

ug

ADLAW

Demographic Profile

St Marys Academy

Socio-Economic Profile

Socio-Economic Profile

Year
2003
2004
2005
2006
2007
2008

Income
54.8M
63.7M
58.5M
87.0M
65.45M
75.76M

Expenditure
39.1M
45.0M
61.0M
77.8M
65.41M
74.01M

Based on the Average Annual


Income CY 2004-2008
Average Annual Income 70 M

Towards An Expansive Vision


of Public Health
Dalaguete Health Management Office
a nationally acclaimed public health
institution staffed by competent, morally
upright, passionate, and committed bestin-class people
providing quality health care, leveraging
available appropriate technology,
capacitating Dalaguete communities
manage their own health - thereby
attaining and leading healthy, socially and

Towards An Expansive Vision


of Public Health

We 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 Vision


of Public Health
Where 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.

Mission
We 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;

Mission

Qualitative 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.

Goals
THE 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.

Goals

SPECIFICALLY:
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;

Goals

To 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;

Goals

To 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.

Policy Statements
A.

Primary 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 Statements
We 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 Statements
B.

Health and the Socio-Economic Milieu


We 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 Statements
C.

People Empowerment and Participation


Empowering 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 Statements
Empowerment 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 Statements
Advocacy 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 Statements
D.

Population Management
We 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 Statements
We 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 Statements

E.

Priority Focus
Alleviating 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.

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

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

ug MABUSILAKONG
ADLAW!