2012 Chd 3 Annual Report

7/26/2019 2012 Chd 3 Annual Report

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CENTER FOR HEALTH DEVELOPMENT III ANNUAL REPORT 2012

Published by the Health Promotion Cluster of the Department of Health - Center for Health Development III (DOH-CHD 3),Diosdado Macapagal Government Center, Barangay Maimpis, City of San Fernnado, Pampanga.

THIS IS FOR INFORMATION, EDUCATION, AND COMMUNICATION PURPOSES ONLY. NOT FOR SALE.

The mention of specific companies, enterprise, and/or certain manufacturers products does not imply that they areendorsed and/or recommended by the institution in preference over others of similar nature.

This report can be reproduced in full or in parts without prior notice as long as due credits shall be provided to the DOH-CHD 3. Right citation shall then be exercised.


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A N N UA L R E P O R T 2 0 1 2

DEPARTMENT OF HEALTH

CENTER FOR HEALTH DEVELOPMENT III

Tele-fax no. 861-3425/961-7649, chd3.doh.gov.ph


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DIRECTORS MESSAGE

THE CHD 3 PROFILE

BACKGROUND OF KALUSUGAN

PANGKALAHATAN

KALUSUGAN PANGKALAHATAN:

THE THREE MAJOR THRUSTS

I. Financial Risk Protection

II. Improved Access to Quality Hospitals andHealth Care Facilities

III. Attainment of Health-Related MillenniumDevelopment Goals

OTHER ACTIVITIES SUPPORTING

THE ATTAINMENT OF KALUSUGAN

PANGKALAHATAN

OTHER CHD 3 MILESTONES

APPENDICES

Appendix i:The CHD 3 Personnel

Appendix ii:The Management Committeeand Annual Working Committee

2

3

8

9

12

23

48

53

61

68

TABLE OF CONTENTS


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Only when we sow tough, plant patiently, and

toil harder, where we enjoy our HARVESTS,the fruits of our labors. True to this, it is nowthe time for us at the Department of Health-Center for Health Development III (DOH-CHD3) to reap our crops for the year 2012. Thus, aswe recognize the value of sharing ourfruitages, we dedicate this annual report toyou, our stakeholders, co-implementers, andto the citizens of Central Luzon.

Kalusugan Pangkalahatan (KP) embodies ourmission as health service providers to deliveraffordable, accessible, and quality healthcareto our constituents, our primordial reason forchasing excellence in our service delivery.Hence, to be truly successful in this attempt,we shall realize that in this journey, no oneshould be left behind. The heart of UniversalHealth Care is us, we, together, trudging theroad to and for health.

This DOH-CHD 3 Annual Report emphasizesour accomplishments for the year 2012. It aimsto present our various programs, drives, andactivities geared toward the attainment of KP,particularly in pursuant of its three mainthrusts: 1) Financial Risk Protection, 2)Improved Access to Quality Hospitals andHealth Care Facilities, and

3) Attainment of Health-Related Millennium

Development Goals (MDGs).

This also contains vital health statistics whichare intended to empirically provide valid datafor health information and dissemination.

Furthermore, this document highlights ourpartners contribution, accentuating ourcollaborative approach in our every healthendeavour.

Ergo, the moment of yesterday is our daylightfor today, and tomorrow is the dream we arecreating today. To simply put, today is thetime that destiny gives us the pleasure to act,to inspire, and to serve.

Thus, I hope that through this, we shall reachyou better and you shall reach us more inreturn.

To everyone, MABUHAY!

LEONITA P. GORGOLON, MD, MHA, MCHM, CEO VIDirector IV, CHD - Central Luzon


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HISTORICAL BACKGROUND

The Board of Health, the countrys first establishedinstitution for health, was formally founded onSeptember 29, 1898 under General Order No. 15.Since then, the institution has undergone severalmajor transitions and reorganizations, including theimplementation of regionalization in 1959.

Used to be a part of the Regional Health Office No.4 circa 1967, on September 1, 1974, Central Luzonwas weaned away from its mother region, and theRegional Health Office No. 3 (RHO 3) wasestablished at the regions capital, City of SanFernando, Pampanga.

In 1982, under Executive Order No. 851, the healthdepartment (then is known as the Ministry ofHealth) underwent organization and functionalchanges, specifically integrating the preventive,

promotive, curative, and rehabilitative functionsinto its scheme of health service delivery. With thisreorganization, the Regional Health Office wasrenamed as Regional Health Services (RHS), andthis was headed by a Regional Director.

In the advent of the People Power Movement in1986, streamlining bureaucracy, another light atthe end of the tunnel brought changes in thegovernment, thus also recognizing the need forsome health sector reforms. With the issuance of

Executive Order No. 199 in 1987, the Ministry ofHealth was once again renamed to Department ofHealth (DOH), and the regional offices into DOH -Integrated Regional Field Offices (DIRFOs).

As per the 1987 Constitution, the DIFRO 3 fulfilledits mandate of making essential goods, health, and

other services available to all people at affordablecosts, with priority for the needs of theunderprivileged, sick, elderly, disabled, women, andchildren.

On the other hand, with the implementation of theLocal Government Code of 1991 (RA 7160), themandate of DOH and its regional offices changedfrom program implementation to policyformulation, planning, regulatory services, and theprovision of technical assistance to local

government units (LGUs). However, the regionaloffices will take charge of the health servicedelivery in case of declaration of disaster, and uponthe request of local chief executives (LCEs).

To further reach service recipients, in the late1990s, Regional Extension Offices (REOs) wereestablished in the different provinces of the region.Headed by the Provincial Health Team Leaders(PHTLs), these REOs provided the link betweenthe regional office and the LGUs.


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On the advent of the new millennium (year 2000), theDOH experienced further restructuring with theimplementation of Executive Order No. 102, redirectingits functions and operations in view of the devolutionof basic health services to the LGUs.

In this juncture, regional offices were further renamedas Centers for Health Development (CHDs) withfunctions focused on policy development, regulationsand licensing enforcement, provision of technical andlogistic assistance, (including advocacy, monitoringand evaluation), and resource management.

By the year 2003, to ensure efficient and effectivehealth service delivery, another major reorganizationwas experienced by the CHD 3 in pursuant to Executive

Order No. 103. Particularly, former President GloriaMacapagal-Arroyo included the province of Aurora(previously a part of Region 4) as a part of Region 3under the CHD-Central Luzon among other sixprovinces (Bataan, Bulacan, Nueva Ecija, Pampanga,Tarlac, and Zambales).

MANDATE

As per Executive Order (EO) 102, The Department ofHealth-Center for Health Development III (DOH-CHD 3)shall oversee the implementation of policies andprograms at the regional level and in the retainedhealth facilities. It is responsible on handling theenforcement of health regulatory policies and ondirectly relating to local government units (LGUs), non-government organizations (NGOs), peoplesorganizations (POs) , and the private sector in thedevelopment of local health systems, extension oftechnical, and other kinds of assistance in the field of

health.

VISION

A healthy and responsive community in CentralLuzon.

MISSION

To ensure effective and efficient delivery ofquality, affordable, accessible, equitable, andsustainable health services;

To develop, organize, and mobilize stakeholdersfor health; and

To foster collaboration, partnership, and linkageswith government and non-government offices for

the people of Central Luzon, especially the poor,disadvantaged, and marginalized.

CORE VALUES

IntegrityThe DOH-CHD 3 believes in upholdingtruth and pursuing honesty, accountability, andconsistency in performing its functions.

ExcellenceThe DOH-CHD 3 continuously strivesfor the best by fostering innovation,

effectiveness, efficiency, pro-action, dynamism,and openness to change.

Compassion and respect for human dignityTheDOH-CHD 3 upholds the quality of life and respectfor human dignity by working with sympathy andbenevolence for the people in need.

Commitment The DOH-CHD 3 commits toachieve its vision for the health and developmentof future generations.

ProfessionalismThe DOH-CHD 3 performs itsfunctions in accordance with the highest ethical

standards, principles of accountability, and fullresponsibility. TeamworkThe DOH-CHD 3 employees work

together with a result-oriented mindset. Stewardship of the health of the peopleBeing

stewards of health for the people, the DOH-CHD 3pursues sustainable development and care for theenvironment.

R THEN AND NOW

rector AUGUSTO A. UYENGCO (Novermber 16, 1971 to June 12, 1976)rector FLORENCION M. GOMEZ (June 26, 1976 to January 2, 1981)rector NAPOLEON S. NOVENO (January 3, 1981- February 1, 1986)rector AURORO S. VILLAROSA (July 7, 1986- December 2, 1990)rector CONRADO C. MARIANO (December 3, 1990- August 14, 1991)rector RICARDO T. TRINIDAD (Agust 15, 1991- April 8, 1997)rector ETHELYN P. NIETO (July 1, 1997- February 15, 2005)rector JUVENCIO F. ORDOA (February 16, 2005 -November 15, 2007)rector RIO L. MAGPANTAY (November 16, 2007- September 16, 2011)rector BENITO F. ARCA (September 16, 2011-March 13, 2012)rector LEONITA P. GORGOLON (March 13, 2012- present)


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QUALITY POLICY

The Department of Health, as the nations leaderin health, is committed to guarantee equitable,

accessible, and quality health services for allFilipinos.

We at the DOH, together with our partners, shallensure the highest standards of health care incompliance with statutory and regulatoryrequirements.

And shall continually improve our qualitymanagement systems to the satisfaction of ourcitizens.

CHD 3 GENERAL FUNCTIONS

To develop and implement health plans,programs, and projects.

To enforce standards and regulations. To exercise general supervision over DOH

facilities within the region. To provide advisories, training, and technical

and logistics assistance to local government

units. To coordinate with other departments,

agencies, and entities in the government andprivate sector.

To inform and/or update the Secretary ofHealth through the operation cluster head onmatters pertaining to health service delivery,regulation, and financing in the regional andlocal areas.

THE FIVE DIVISIONS:CHD 3 SPECIFIC FUNCTIONS

Office of the Regional Director (RD)/ AssistantRegional Director (ARD)

To provide overall administration, supervision,coordination, leadership, and policy directionto the health sector in the region. It is alsoresponsible in providing planning, human

health resource, internal audit, and publicinformation services.

All the divisions and sections are under the

sovereignty of the RD and ARD. However, thefollowing units are under their direct supervisionand/or authority:

Planning Unit Governance (including the seven Provincial

Health Team Offices) Health Promotion Cluster (HPC) Human Resource Development Unit (HRDU) Health Emergency Management Staff (HEMS) Regional Epidemiology and Surveillance Unit

(RESU) Field Health Service Information System (FHSIS) Information Management System (IMS) Infrastructure/Health Facility Enhancement

Program (HFEP) Collaborating Center for Disease Prevention and

Control (CCDPC)

Licensing Regulation, and Enforcement Division(LRED)

To enforce policies, rules, and standards onmatters related to the regulation of healthfacilities and services, food, blood products,drugs and cosmetics, health and health-relateddevices, and household hazardous substances.

To ensure compliance by health facilities andhealth providers, manufacturers, distributors,advertisers, and retailers of health products,devices, and technologies to health rules,regulations, and standards of quality.

To manage and oversee the operations of

satellite laboratories for food, blood products,drugs, cosmetics, and household hazardoussubstances.

In LRED, there are two sections:

Hospital Licensing, Clinic, Laboratories, DentalProsthetic Laboratory, Radiation HealthFacilities, etc.

Food and Drug Administration (FDA)


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Health Operations Division (HOD)

To be responsible for the development ofhealth plans, programs, and projects for both

public health and hospitals in consonance withnational policies, goals, and objectives. To monitor and evaluate the implementation

of health programs and projects by the localgovernment units and other implementinghealth partners.

To provide advisories, consultancy services,and technical assistance to implementing unitsand other partners in matters pertaining to theimplementation of health programs andprojects.

To design and operationalize advocacy andother health promotion and educationactivities.

To conduct researches relative to healthservice delivery, regulations, and financing atthe local levels.

To coordinate with the RESU in the conduct ofepidemiology and surveillance activities.

To provide direct services on priority diseasesand other major public health concerns.

In HOD, there are three clusters:

Communicable Cluster Non-Communicable Cluster Family Health Cluster

Budget and Finance Division

To oversee, handle, and control all financialtransactions of the institution.

To monitor the financial, internal operations,

and performance of the center and retainedfacilities, including review of systems andprocedures, to make sure all resources aremanaged and utilized in accordance withprescribed laws and regulations.

To provide assistance to managers of centersand retained facilities in optimizing the internaloperating efficiencies of the aforesaidinstitutions.

To provide the management with accurate,reliable, and timely financial reports.

In the Budget and Finance Division, there are twosections:

Budget Section

Accounting Section

Administrative Division

To provide the institution with efficient andeffective services related to legal; financialmanagement; administrative services to includepersonnel management and services, recordsand communication; supply management andprocurement services; and general services,which would also include library, dormitory,transport security, and janitorial services.

To supervise the implementation of policies inthe office and to oversee the overallmaintenance of the institution's facilities andequipment.

To facilitate the provision and monitor theutilization of logistics assistance to localgovernment units and other implementingpartners.

In the Administrative Division, there are six sections:

Personnel Section Records Section Supply Section General Services Section Cashier Section Legal Section


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Demographic Profile

TARLACProjected Population: 988, 818Total Land Area:3,053.4 sq.km

AURORAProjected Population: 207,234Total Land Area: 3,239.5 sq.km

NUEVA ECIJAProjected Population: 1,383,659Total Land Area: 5,507.18 sq.km

BULACANProjected Population: 2,148,453

Total Land Area: 2,625 sq.km

BATAANProjected Population: 626,131Total Land Area:1,372 sq.km

ZAMBALESProjected Population: 557,234

Total Land Area: 3,714.4 sq.km

PAMPANGAProjected Population: 988,816

Total Land Area: 2,180.68 sq.km

Total Land Area 21,692.16 sq.km

Total Population 10,577,926

Population Density 482.07 pop./sq.km

No. of Cities 14

No. of Municipalities 116

No. of Barangays 3,102

No. of Govt. Hospitals 63

No. of RHUs 269

No. of BHS 1,907

Angeles 340,453

Balanga 91,669

Cabanatuan 281, 749

Gapan 104,865

Malolos 247,948

Meycauayan 210, 176

Olongapo 227,011

Palayan 38,457

San Fernando 298,698

San Jose 133,730

San Jose del Monte 479, 710

Science City of Muoz 77,973

Tarlac 329, 636

CITIES 2012 PROJECTED POPULATION

Data Source:Field Health Service Information System FHSIS)


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Kalusugan Pangkalahatan (KP) is the operationalstrategy of the Aquino Administration whichaims to achieve Universal Health Care for allFilipinos. It seeks to ensure equitable access toquality health care by all Filipinos beginning inthose low income quintiles.

GOALS OF KP Better Health Outcomes More Responsive Health System Equitable Health Care Financing

SIX COMPONENTS OF KP

1. Health Financing2. Health Service Delivery3. Health Human Resource4. Health Regulation5. Health Information System6. Good Governance

THREE KP THRUSTS

Financial Risk Protection through the expansionof the National Health Insurance Programs(NHIP) enrollment, utilization, and enhancementof benefit delivery.

Improved Access to Quality Hospitals and Health

Care Facilitiesthrough Health FacilityEnhancement Programs (HFEPs) and byupgrading the capacity of DOH hospitals,provincial hospitals, district hospitals, ruralhealth units, and barangay health stations toprovide quality and more comprehensiveservices.

Attaining Health-Related MillenniumDevelopment Goals (MDGs) by fieldingCommunity Health Teams (CHTs) to help Filipino

families know and gain benefits from PhilHealthand public health programs in reducing maternaland child mortality, morbidity and mortality fromtuberculosis and malaria, and the prevalence ofHIV/AIDS, in addition to being prepared foremerging disease trends and prevention of non-communicable diseases.


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PHILHEALTH ENROLLMENT

As of December 2012, almost 8 million people inRegion 3 or 75.82%of the targeted population for2012 were covered by PhilHealth. Particularly,4,390,644 were from Branch A (Bataan, Pampanga,Tarlac, Zambales) and 3,548,292 were from Branch B(Aurora, Bulacan, Nueva Ecija).

ENROLLED BENEFICIARIES AS OF DECEMBER 2012

7,938, 936 people in Central Luzon are now covered.

PROVINCE

COVERAGE

TARGET

POPULATION

NO. OF MEMBERS

& BENEFICIARIES

(ALL CATEGORIES)

PERCENTAGE

Aurora 222,067 122,903 55.34

Bataan 711,899 583,755 82.00

Bulacan 2,851,832 2,165,418 75.93

Nueva Ecija 2,118,070 1,259,971 59.49

Pampanga 2,399,665 2,060,285 85.86

Tarlac 1,365,600 1,117,674 81.84

Zambales 801,439 628,930 78.48

Total 10,470,571 7,938, 936 75.82

PHILHEALTH COVERAGE ON SPONSOREDPROGRAM (SP) AS OF DECEMBER 2012

PROVINCESP COVERAGE (W/ BENEFICIARIES)

NON-NHTS NHTS TOTALAurora 25,533 40,220 65,753

Bataan 67,885 59,530 127,415

Bulacan 276,568 295,186 571,754

Nueva Ecija 139,774 381,494 521,268

Pampanga 402,732 200,294 603,026

Tarlac 349,049 168,320 517,369

Zambales 52,189 77,451 129,640

Total 1,313,730 1,222,495 2,536,225

Data Source: PhilHealth-Regional Office


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*National Household Targeting System

partnered milestones of the PHIC and DOH for theyear 2012:

PHILHEALTH DESKS IN DOHHOSPITALS

Stationed in all DOH hospitals in Central Luzon,PhilHealth Desks facilitate and assist enrollment;provide information on the members benefits,entitlements and obligations; and clarify PhilHealthprocesses in hospitals.

PHILHEALTH OFFICER IN LEVEL 2

AND 3 HOSPITALS

According to Licensing Division of CHD 3, based onthe new hospital classifications, a PhilHealth Officeris now being deployed for level 2 and 3 hospitals.

PHILHEALTH EXPRESS

PhilHealth Express Centers are satellite offices of

the PHIC strategically placed on different malls.These stations, open from Monday to Sunday (10:00am 8:00 pm), provide services such as PhilHealthIdentification Number (PIN), ID and Member DataRecord (MDR) generation, data amendment,premium collection, and information kiosk for walk-in inquiries.

In the region, the two PhilHealth Express Centers arein Robinsons Starmills, City of San Fernando,Pampanga and Marquee Mall, Angeles City.

PHILHEALTH CASE RATE SCHEME

Since September 2011, the PhilHealth Case RateScheme has improved the turnaround time forprocessing of claims and payment to providers inorder to achieve better cost-efficiency. As embodiedin the PhilHealth Circular No. 011-2011 and 011-BoardOrder 2011, this provides an all-in package paymentfor the following medical and surgical conditions:

NHTS FAMILIES ENROLLED TO PHILHEALTHAS OF DECEMBER 2012

PROVINCE

TARGET

NHTS*

FAMILIES

NHTS

FAMILIES

ENROLLED

PERCENTAGE

Aurora 9,417 9,194 97.63

Bataan 16,784 15,192 90.51

Bulacan 74,978 68,754 91.70

Nueva Ecija 98,045 94,858 96.75

Pampanga 56,197 49,604 88.27

Tarlac 47,607 41,217 86.58

Zambales 23,945 19,577 81.76

Total 326,973 298,397 91.26

RATE OF UTILIZATION AS OF NOVEMBER 2012

PROVINCE

NO. OF

CLAIMS

PAID

AMOUNT OF

CLAIMS PAIDPERCENTAGE

Aurora 2,578 17,965,474.89 2.17

Bataan 24,301 218,372,826.70 4.57

Bulacan 91,400 848,257,950.12 4.28

Nueva Ecija 56,289 569,552,425.88 4.70

Pampanga 120,665 1,046,135,224.50 6.05

Tarlac 41,784 415,202,505.46 3.95

Zambales 17,940 171,873953.64 3.48

Total 354,957 3,287,360,361.19 4.70

1

An increase in the percentage of utilization (from 3.42% to 4.70%) is dueto the introduction of new benefit packages.

As stipulated in RA 7875, the Philippine HealthInsurance Corporation (PHIC) or PhilHealth is a tax-exempt government company attached to theDepartment of Health (DOH) for policy coordinationand guidance.

Thus, being a partner agency and a primary moverfor the attainment of the Thrust 1 of the KalusuganPangkalahatan (KP) , which is financialriskprotection, the following are the other significant


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NO BALANCE BILLING AS OFNOVEMBER 2012

Complementing the Case Rate Scheme isthe No Balance Billing (NBB) System forNHTS-PR members and dependentscovered by the PhilHealth SponsoredProgram (as reflected from the PhilHealthBoard Resolution No. 1441, and furtherdefined in Section III of PhilHealth CircularNo. 011-2011). Number and amount ofclaims paid under NBB in Central Luzon areas follows:

CATASTROPHIC CAREPACKAGES

This intends to provide substantialassistance to any member whocontracts illness/es, such as cancer andend-stage renal disease. This packagewas developed by DOH, Philhealth, thePresidential Management Staff, thePhilippine Amusement and GamingCorporation (PAGCOR), and thePhilippine Charity Sweepstakes Office(PCSO).

CASERATE

(PHP)CASE

RATE

(PHP)

Dengue I 8,000 Hemodialysis (per session) 4,000

Dengue II 16,000 Maternity Care Package 8,000Pneumonia I 15,000 NSD Package in Level 1 Hospitals 8,000

Pneumonia II 32,000 NSD Package in Level 2 to 4 Hospitals 6,500

Radiotherapy (per session) 3,000 Hysterectomy 30,000

Essential Hypertension 9,000 Caesarian Section 19,000

Cerebral Infarction (CVA 1) 28,000 Appendectomy 24,000

Cataract Surgery 16,000 Cholecystectomy 31,000

Mastectomy 22,000 Dilatation and Curetage 11,000

Acute Gastroenteritis 6,000 Thyroidectomy 31,000

Asthma 9,000 Herniorrhaphy 21,000

Typhoid Fever 14,000Newborn Care Packsge in Hospitals

and Lying-in Clinics1,750Cerebro-vascular Accident

(Hemorrhage, CVA II)38,000

PROVINCE NO. OF CLAIMS PAID AMOUNT OF CLAIMS PAID

Aurora 214 2,016,150.00

Bataan 1,555 15,695,465.00

Bulacan 2,113 26,409,162.17

Nueva Ecija 1,608 20,749,981.40

Pampanga 4,760 42,281,719.48

Tarlac 3,301 41,917,172.00

Zambales 1,388 12,643,081.30

Total14,939 161,712,731.35

HILHEALTH CARES

e CARES are deployed in all

credited levels 3 and 4spitals and levels 1 and 2vernment hospitals. They

e available for serviceondays to Fridays from 9:00

m to 5:00 pm, and onturdays from 9:00 am to 2:00

m. Aside from responding tosic member and

akeholders inquiries, theARES can also administerrveys and studies initiated byilHealth.

HILHEALTH MOVES

is is an integrated marketingproach which is currentlying utilized by PhilHealth toovide a cohesive strategy of

suring membersmmitment and enthusiasmbeing informed of their

embership coverage and ofing guided on theocedures / processes whenailing PhilHealth benefits andviledges at the local level.

HILHEALTH SHINES

ilHeath SHInES, formerlyow as SHIAC (Social Healthsurance Advocates andampions), is an informationseminination drive under thenner of Be PhilHealth

ow!. This movement aims toucate the people andomote the key concepts of

cial health insurance,bibing values of equity andcial solidarity.

-ostumer

-ssistance

-elations &

-mpowerment

-taff

M-obile-rientation

alidation &

nrollment

cheme

ocial

-ealth

N-suranceducational

eries


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The Department of Health Center for Health Development 3 (DOH-CHD 3) fast-tracked theimplementation of HFEP in partnership with the local government units (LGUs) which seeks to improvethe regions DOH hospitals, provincial, district and city hospitals, rural health units (RHUs) and barangay

health stations (BHSs).

PROVINCEPROGRAMMED FACILITIES RATE OF COMPLETION

2009 RATE 2010 RATE 2011 RATE 2012

Aurora 0 0 0 0 19 100% 2

Bataan 0 0 8 100% 11 100% 2

Bulacan0 0 0 0 36

24 or

66.66%0

Nueva Ecija 0 0 1 100% 3731 or

83.78%7

Pampanga 1 100% 5 100% 26 13 or 50% 2

Tarlac 0 0 0 0 23 20 or 87% 1

Zambales 3 100% 1 100% 12 11 or 92% 1

Regional 4 100% 15 100% 164129 or

78.66%15

HFEP RATE OF COMPLETION FROM 2009 TO 2012 AS OF DECEMBER 2012

HEALTH FACILITY ENHANCEMENT PROGRAM


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PROVINCE NUMBEROF RHUS

PHILHEALTH ACCREDITATION

OPB* 2 in 1 3 in 1

Aurora 9 1 0 0

Bataan 20 13 0 0

Bulacan 64 24 4 1

Nueva Ecija 65 15 2 1

Pampanga 51 25 6 1

Tarlac 39 10 5 1

Zambales 32 10 1 0

Total 280 98 18 4

PHILHEALTH ACCREDITATIONOF RURAL HEALTH UNITS (RHUs)

AS OF NOVEMBER 2012

PHILHEALTH ACCREDITATION OF HOSPITALSAS OF NOVEMBER 2012

PROVINCENUMBER OF HOSPITAL PHILHEALTH ACCREDITATION

%Gov. Private Total Gov. Private Total

Aurora 4 1 5 2 1 3 60

Bataan 6 10 16 5 10 15 93.75

Bulacan 11 56 69 11 54 65 94.20

Nueva Ecija 16 14 30 12 13 25 83.33

Pampanga 15 38 53 14 34 48 90.57

Tarlac 6 17 23 5 15 20 86.66

Zambales 5 10 15 5 8 13 86.66

Total 63 148 211 54 135 189 89.57

PROVINCE PHILHEALTH ACCREDITATIONLying-in FSDC* ASC**

Aurora 0 0 0

Bataan 1 1 2

Bulacan 46 4 2

Nueva Ecija 5 0 0

Pampanga 40 6 2

Tarlac 4 1 0

Zambales 9 0 0

Total 105 12 6

PHILHEALTH ACCREDITATIONOF OTHER HEALTH FACILITIES

AS OF NOVEMBER 2012

*Outpatient Benefit Package*Free Standing Dialysis Center** Accredited Surgical Center

In line with the goal ofachieving Universal HealthCare through theimprovement of access to

quality hospitals and healthcare facilities, the DOH-CHD3 is strongly advocatingPhilHealth Accreditation ofhealth facilities.

Macabebe District Hospital

3


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RECIPIENT CONTRACT COST (Php)

AURORA

1. Casiguran District Hospital 1,757,926.59

2. Maria Aurora Community Hospital 4,982,915.78

BATAAN

1. Orani District Hospital 5,856,339.99

2. Bataan Drug Treatment and Rehab Center 4,985,838.79

NUEVA ECIJA

1. Guimba District Hospital 8,599,202.81

2. Sto. Domingo District Hospital 8,440,093.96

3. ELJ Medical Center-Cabanatuan City 4,276,251.00

4. MV Gallego General Hospital 5,109,958.60

5. Bongabon District Hospital 7,300,000.00

6. San Antonio District Hospital 7,872,165.00

7. Gapan District Hospital 7,639,549.44

PAMPANGA

1. Jose Songco Lapid District Hospital 9,505,131.05

2. Macabebe District Hospital 7,888,888.88

TARLAC

1. Gilberto Teodoro Mem. Hospital 10,122,402.95

ZAMBALES

1. Ramon Magsaysay Mem. Hospital 6,084,626.50

TOTAL 100,421,291.34

HEALTH FACILITY ENHANCEMENT PROGRAM 2012

Thus, to optimize the usage of the aforementioned facilities, P6,913,000worth of equipment was sub-allotted by the DOH-Central Office to the region. Thisincludes medical and office equipment, particularly prioritizing the need ofComprehensive Emergency Obstetric Newborn Care (CEmONC) facilities.

Bongabon District Hospital Guimba District Hospital

1


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Macabebe District Hospital

M.V. Gallego General Hospital

Orani District Hospital

Eduardo L. Joson Medical Center

Ma. Aurora Community Hospital

Casiguran District Hospital

Gilberto O. Teodoro Memorial Hospital

Gapan District Hospital

5


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1


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TECHNICAL ASSISTANCE

175 clients who were randomly given a CustomerSatisfactory Survey (CSS) Form graded the staffwith 8 10 satisfaction point.

LICENSING: NEW/APPLICATION FORPOST APPROVAL CHANGES

MONITORING

Inspection of Facilities for Renewal/Revalidation ofLTO

LICENSING, REGULATION, AND ENFORCEMENT

NUMBER OFAPPLICATIONS RECEIVED

NUMBERINSPECTED

NUMBERENDORSED

NUMBER OFISSUED LTO

459

403 (88 %

of

application

received)

339 (84% of

those

inspected)

222 (65 %

endorsed)

Total Collection (from the license fees):Php 6,020,330.00

Post Market Surveillance

ENFORCEMENT

Number of Cease &

Desist Order Served

41: were received in 2012

37: were received during the last

quarter of 2011

24: submitted position papers

Number of Notice ofViolations issued

137

Number of Report ofViolations submitted forlegal action

18

Number ofinvestigationsconducted (complaintreferred)

7: Report of Investigations

forwarded to FDA

TARGET ACCOMPLISHMENT

1,944 4,094 (210.60%)

TARGET INSPECTEDREVALIDATE/

REISSUANCE OF LTO

1,050 573 (55%) 256

TARGET ACCOMPLISHMENT

2028 (25 anti-TB drugs as support to USP PQM

project, 1 drug, and 2 cosmetics)

7


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HOSPITAL PHARMACIES : ONE STOP SHOP LICENSING SYSTEM

Monitoring (Evaluation and Inspection):

138 : Hospital pharmacies were recommendation for the inclusion as ancillary to the hospitals LTO

3: New hospital pharmacies inspected, issued, and endorsed to COC and BHFS

TITLE OF SEMINAR/ ORIENTATION TARGET NUMBER OF PARTICIPANTS

New Licensing Regulations Seminar for

Drug Outlets and Drug Establishments (AO

56)

360 pax(90 pax x 4 batches)

4 batches attended by 460 pharmacists anddrugstore owners

Seminar/ Training on Food Safety AO 153

and HACCP Elements

150 pax

(75 pax x 2 batches)

2 batches attended by 125 participants from

the food industry

Training on Good Dispensing for BNB

Operators

280 pax

(70 pax x 4 batches)3 batches attended by 210 BNB Operators

TITLE OF TRAINING ATTENDEE/S

2012 National Consultative& Orientation Seminars for DOH Regulatory Officers onStreamlining of Licensure & Accreditation of Hospitals

Ms. Melinda Hilario

Cosmetic Safety Assessment Seminar Ms. Virginia Timbol

Hands on Training on Licensing & Technical Requirements ( Food) 8 FDROs

National Orientation Seminar for DOH Regulatory Officers on Administrative Order #

2012-0012 (Rules & regulations Governing the New Classification of Hospitals and Other

Health Facilities in the Phil.)

Ms. Melinda Hilario and

Ms. Melissa G. Salonga

2012 National FDROs Conference 8 FDROs

Various Technical Hands on Training for GMP Inspectorate Ms. Alicia Montano andMs. Clarissa Mendoza

EDPMS (ELECTRONIC DRUG PRICE MONITORING SYSTEM)

988 clients accommodated on various concerns, such as website accessibility during downloading/uploading andclientscomprehension using the system. Individual coaching of clients was done by the EDPMS Help Desk.

219 drug outlets were given accounts/password after evaluation of documents.

Daily Monitoring of facility compliance were religiously done. List of facilities with violations to MDRP/GMAP wasdownloaded and submitted to FDA Section for appropriate actions.

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OTHER SIGNIFICANT ACTIVITIES

Participation in the Pharmaceutical InspectionCooperation Scheme (PIC/S)

To assess the CHD 3-FDAs preparedness to thePIC/S and ISO 9001-2008, an audit was done byFDA Alabang on August.

With the findings, technical assistance wasprovided to CHD 3. Quality Manual, InspectorateManual, and Quality Work Procedure (QWP)were exhaustively discussed.

21 QWP were finalized and approved by theDivision Chief and are now in the process ofimplementation.

In September 10-14, the FDA Philippines wasassessed for conformance to PIC/S by thefollowing assessors:

Bertrand Perrin from France (leadrapporteur) Sulaiman Haji of Malaysia (co-rapporteur)

Boon Meow Hoe of Singapore (member) Martin Eisenhawer of Switzerland (member)

(With its goal to lead the internationaldevelopment, implementation, and maintenanceof harmonized GMP standards and Quality Systemsof Inspectorate in the field of medicinal products,PIC/S is a established cooperative arrangementbetween GMP regulatory authorities of membercountries worldwide.)

9


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Background

Administrative Order No. 2008-0010 (Revised Rulesand Regulations re: The Registration and Licensure ofDental Laboratories in the Philippines) categorizeddental prosthetic laboratories (DPLs) into fourservice capabilities, which are: a) RemovableProstheses Services, b) Fixed Prostheses Services, c)Removable and Fixed Prostheses Services, and d)

Limited Services.

As of 2012, Region 3 has a total of 72 licensed DPLs(24 Removable Prostheses, 5 Fixed Prostheses and 43Removable and Fixed Prostheses). 28 out of thoseare under the supervision of dental technologists,and the rest are under the supervision of licenseddentists.

Monitoring/Inspection

A total of 63 dental laboratories were monitored toensure compliance to standards.

During the monitoring, four dental laboratories weresurveyed without license to operate and wereadvised to secure LTO. Three of the said laboratorieswere initially inspected upon applyingto validate the accuracy and merit of the submitteddocuments.

Issuance of Licenses for Dental Laboratories

A total of 20 applications were received for the year.10 out of which were for issuance of initiallicense (change of location, newly applied andexpired LTO) and the rest were for renewal of thethree years LTO.

Eight out of 10 new applicants and nine out of 10 who

applied for renewal were issued LTO. Because ofsome technicalities, the others were not licensed, butwere given recommendations for them to comply forfacilitation.

Capability Building

Consultative Meeting/ Orientation on InfectionControl in DPL was conducted last June 28-29. Ms.Evangelita America of Philippine Infection ControlSociety, together with Director Teodoro Gatchalianof TESDA and Dr. Ruby Serrano of BHFS-DOH Manila,were invited as resource speakers.

Some aspects on the issuance of Certificate ofCompetency from TESDA and the stand of the BHFSregarding the issuance of LTO to facilities withoutdental technologists were tackled. There, it wasclearly explained that an LTO can be issued to adental laboratory even if there is no dentaltechnologist supervisor as long as there is a notarizedMemorandum of Agreement between the owner of

the facility and a licensed dentist, stipulating that thedentist will act as the supervisor of the dentalprosthetic laboratory.

Election of officers for the Regional Dental TechnicianAssociation was also done.

DENTAL LABORATORY LICENSINGAND REGULATIONS

2


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PROVINCERNHEALSBATCH II

RNHEALSBATCH III

TOTAL

Aurora 2 42 44

Bataan 6 63 69

Bulacan 10 116 126Nueva Ecija 21 175 196

Pampanga 20 100 120

Tarlac 0 102 102

Zambales 2 82 84

Total 61 680 741

HUMAN RESOURCES FOR HEALTH

Committed to the achievement of Universal HealthCare through access to professional health careproviders, the Department of Health-Center forHealth Development III (DOH-CHD 3) continuouslyengage in activities geared towards developingmanagement capabilities, improving technical

assistance, and deployment of human resources forhealth.

REGISTERED NURSES FOR HEALTHENHANCEMENT AND LOCAL SERVICE(RNHEALS)

The RNheals Project was conceptualized inresponse to the countrys constitutional mandate tomake essential health goods and social services

available to all Filipinos, especially the poor. Thisprogram deploys registered nurses in areas wherenursing services are mostly ended.

On the part of the nurses, this is considered as alearning and development opportunity more thanan employment, thus making the nurses employedunder this program as service trainees receivingstipends from DOH.

RURAL HEALTH MIDWIVES PLACEMENTPROGRAM (RHMPP)

The Rural Health Team Placement Program (RHTTP) ofDOH has created a pool of registered midwives withclinical and public health competencies to providequality healthcare services with focus on Maternal,Newborn, and Child Health Nutrition (MNCHN).

These midwives are deployed in rural health units(RHUs) and/or Basic Emergency Obstetric NewbornCare (BEmONC) facilities, particularly to the far-flungareas of the country, under the Rural Health MidwivesPlacement Program Training cum Deployment

(RHMPP-TcD).

RNHEALS DEPLOYMENT STATUSIN CENTRAL LUZON

Staff Development

CHD 3 LRED staff attended and participated to thefollowing:

National Consultation and Orientation Seminarfor Regulatory Officers on Streamlining ofLicensure and Accreditation of Hospitals

DOH Regional Directors Meeting Orientation Seminar for the Regulatory Officers

on the Rules Governing the New Classificationsof Hospitals and other Health-Related Facilities.

1


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PROVINCEINCLUSIVE YEARS

TOTAL2008-2010 2010-2012 2011-2013 2012-2014

Aurora - - - 1 1

Bataan - - - 1 1

Nueva Ecija 2 2 2 2 8

Total 2 2 2 4 10

DOCTORS TO THE BARRIOS (DTTB)

To address the doctorless communities and torespond to the lacking adequate health servicesresulting in high mortality and morbidity rates inthese areas, the DTTB program was established byDOH in 1993.

This program visions that all municipalities in thePhilippines shall have doctors to respond to thegrowing health needs of the people over time.Thus, its mission is to deploy competent,committed, people-oriented, and dedicateddoctors to the communities.

Being sponsored by the DOH for their 4-yearmedical scholarship program, the DTTBs arerequired to render 2 years of service in theirdeployed community, and they have the option tocontinue if they opted to or if the localgovernment will offer them a position as a localhealth officer.

DTTB DEPLOYMENT STATUS IN CENTRAL LUZON

RHMPP DEPLOYMENT STATUSIN CENTRAL LUZON

PROVINCERHMPP

BATCH IIRHMPP

BATCH IIITOTAL

Aurora 2 11 13

Bataan 2 14 16

Bulacan 10 25 35

Nueva Ecija 12 43 55

Pampanga 4 26 30

Tarlac 8 23 31

Zambales 3 21 24

Total 41 163 204

2


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LEADING CAUSES OF MORBIDITYNUMBER AND RATE PER 100,000 POPULATION

5 YEAR AVERAGE (2007-2011 & 2012)

CAUSES

5-YEAR AVERAGE(2007-2011)

2012

NO. RATE NO. RATE

AcuteRespiratoryInfection

439,773 4336.03 967,958 9150.74

Hypertension 69,749 687.70 90,339 854.60

Diarrhea 63,753 628.58 71,387 674.87

Urinary TractInfection

39,336 387.84 54,672 516.85

Fever 15,000 147.89 46,000 434.87

Skin Problems 17,935 176.83 44,333 419.11

Bronchitis 30,398 299.71 34,545 326.58

Asthma 10,668 105.38 26,795 253.31

Pneumonia 26,987 266.08 23,526 222.41

Parasitism 9,205 90.76 16,112 152.32

LEADING CAUSES OF MORTALITYNUMBER AND RATE PER 100,000 POPULATION

5 YEAR AVERAGE (2007-2011 & 2012)

CAUSES

5-YEAR AVERAGE(2007-2011)

2012

NO. RATE NO. RATE

Cardio-vascularDiseases

10,417 102.71 15,778 149.16

Cancer 3,940 38.85 4,262 40.29

Pneumonia 3,452 34.04 3,981 37.63

Kidney Diseases 1,414 13.94 1,956 18.49

ChronicObstructivePulmonary

Disease (COPD)

1,779 17.54 1,942 18.36

CerebrovascularAccident (CVA)

2,228 21.97 1,683 15.91

Diabetes Mellitus(DM)

1,677 16.53 1,511 14.28

PulmonaryTuberculosis (PTB)

1,542 15.20 1,331 12.58

Multi-organFailure

391 3.86 953 9.01

Sepsis/Septicemia 474 4.67 837 7.91

VITAL HEALTH INDICES

Data Source:Field Health Service Information System (FH


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LEADING CAUSES OF MATERNAL MORTALITYNUMBER AND RATE PER 100,000 LIVEBIRTHS

5 YEAR AVERAGE (2007-2011 & 2012)

CAUSES5-YEAR AVERAGE (2007-2011) 2012

NO. RATE NO. RATE

Pre-eclampsia/Eclampsia 16 8.20 31 15.53

Uterine Atony 5 2.56 13 6.51

Pulmonary Embolism * * 5 2.50

Amniotic Embolism * * 3 1.50

CHF IV HELLP Syndrome * * 3 1.50

Abruptio Placenta 3 1.54 2 1.00

Placenta Previa 1 0.51 2 1.OO

Myocardial Infarction * * 2 1.OO

Disseminated IntravascularCoagulopathy

* * 2 1.OO


*not included in the 5-year average (2007-2011) of the ten leading causes of maternal mortality

LEADING CAUSES OF INFANT MORTALITYNUMBER AND RATE PER 1,000 LIVEBIRTHS

5 YEAR AVERAGE (2007-2011 & 2012)

CAUSES5-YEAR AVERAGE(2007-2011) 2012

NO. RATE NO. RATE

Pneumonia 203 1.04 293 1.46

Prematurity 137 0.70 196 0.97


Heart Disease 71 0.36 71 0.35

Diarrhea 23 0.12 14 0.07

Hydrocephalus 4 0.02 12 0.06

Asthma 7 0.04 11 0.05

Aspiration 7 0.04 10 0.05

Cancer 4 0.02 7 0.03

Meningitis 5 0.03 7 0.01

2


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LEADING CAUSES OF UNDER FIVE MORBIDITYNUMBER AND RATE PER 100,000 UNDER FIVE POPULATION

5 YEAR AVERAGE (2007-2011 & 2012)

LEADING CAUSES OF UNDER FIVE MORTALITY

NUMBER AND RATE PER 1,000 LIVEBIRTHS5 YEAR AVERAGE (2007-2011 & 2012)


NO. RATE NO. RATE

Acute Respiratory Infection (ARI) 192,932 17761.42 435,468 40246.77

Pneumonia 18,596 1711.96 62,415 5768.51

Diarrhea 37,578 3459.45 45.054 4163.97

Fever 3,696 340.25 21,959 2029.49

Skin Problems 6,126 563.96 16,906 1562.48

Bronchitis 14,487 1333.68 14,694 1358.05

Asthma 4,222 388.68 10,760 994.46

Urinary Tract Infection 7,090 652.71 8,833 816.36

Parasitism 3,171 291.92 7,488 692.05

Influenza 2,756 253.72 3,328 307.58


NO. RATE NO. RATE

Pneumonia 283 1.45 375 1.88

Diarrhea 62 0.32 85 0.43

Heart Disease 106 0.54 72 0.36

Sepsis/ Septicemia 140 0.72 45 0.23

Asthma 15 0.08 41 0.21

Kidney Disease 12 0.06 24 0.12

Cancer 15 0.08 23 0.12

Meningitis 25 0.13 12 0.06

Malnutrition 15 0.08 11 0.06

Dengue 17 0.09 8 0.04

5


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Family Planning (FP) remains to be one of the flagship programs of thehealth department.

As a program support, CHD 3 procured FP commodities using Maternal,Neonatal, Child Health, and Nutrition (MNCHN) grant to augment theneeds of the LGUs with priority to the Conditional Cash Transfer (CCT )areas.

In 2012, the LGUs that procured FP commodities using LGU funds are 2 outof 7 provinces; 6 out of 13 cities; and 42 out of 117 municipalities.

Compliance to Informed Choice and Voluntarism (ICV) is also continuouslybeing monitored. No ICV violation was noted.

For capacity building, seven batches of Family Planning Competency-BasedTraining (FPCBT) Level I (156pax) and one batch of FPCBT Level II (22pax)were conducted for doctors and nurses region-wide.

Nutrition is a major determinant of ones health and well-being. TheDepartment of Health (DOH), through the Centers for HealthDevelopment (CHDs), continues to strengthen the delivery of nutritionservices by capacitating the service providers and service supervisors, aswell as providing augmentation for essential program requirements.

FAMILY PLANNINGPROGRAM

NUTRITION PROGRAM

2


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Nutrition in Emergency

Nutrition coordinators and nutrition officers from all

provinces, cities, and 28 disaster-prone municipalitieswere trained on nutrition management duringdisasters and emergencies.

Infant Feeding in Emergency

This activity aims to emphasize the importance ofbreastfeeding, especially during disasters andcalamities.

Child Injury Prevention through Administration ofSafe Setting Tools

The training aims to assess if homes, schools, andcommunities meet the standards of safety, and somaking the childs environment conducive todevelopment.

In the said activity, according to the speakers,common child injuries, which may lead to

childrens death, include road traffic injury,drowning, falls, suffocation, and cuts from sharpobjects.

Operation Timbang

Operation Timbang is an annual activity beingconducted in all municipalities in the region toidentify undernourished children. This activity isfacilitated by different RHUs, barangay health

stations (BHSs), and other participating agenciesand volunteers.

In 2012, various offices and units covered a total of963, 981 children in the seven provinces and 382,298 children aged 0 to 71 months for 13 cities.

To ensure compliance to program standards, thefollowing training activities were conducted in2012:

Infant and Young Child Feeding (IYCF)

Counselling: An Integrated Course

The Global Strategy for IYCF recommends thatinfants must be breastfed for the first six months.

Hence, all rural health units (RHUs) werecapacitated to implement the recommendedfeeding practices for the infant and young child.

Also, 16 government hospitals nutritionist-dietitians underwent training to help the healthdepartment in disseminating and educatingmothers on proper breastfeeding.

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CITYTARGETNUMBER

OF P.S. AGED0 - 71 MOS.

NUMBER OFP.S. WEIGHED

%ACC.

Angeles 46,429 50,632 88.09

Balanga 15,520 13,167 84.83

Cabanatuan 46,478 45,369 99.37

Gapan 17,593 16,343 92.89

Malolos 42,006 22,282 99.99

Meycauyan 35,105 35,020 96.00

Olongapo 29,144 43,230 97.53

Palayan 9,121 4,564 74.48

San Fernando 49,928 39,174 94.63San Jose 21,740 18,755 97.60

San Jose DelMonte

79,201 77,937 98.40

Muoz 12,682 11,452 90.30

Tarlac 55,129 55,245 100.21

City Total 460,076 433,170 94.15

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000

AURO

RA

BATA

AN

BULA

CAN

N.ECIJA

PAMPA

NGA

TARL

AC

ZAMBA

LES

TARGET P.S 0-71 MOs

P.S. WEIGHED0

50,000

100,000

150,000

200,000

250,000

300,000

AURO

RA

BATA

AN

BULA

CAN

N.ECIJA

PAMPA

NGA

TARL

AC

ZAMBA

LES

P.S. WEIGHED

normal

sev. Under weight

under weight

over weight

PROVINCIAL OPERATION TIMBANG COVERAGEFOR THE YEAR 2012

CITY OPERATION TIMBANG COVERAGEFOR THE YEAR 2012

0

50,000

100,000

150,000

200,000

250,000

300,000

AURO

RA

BATA

AN

BULA

CAN

N.ECIJA

PAMPA

NGA

TARL

AC

ZAMBA

LES

P.S. WEIGHED

normal

sev. Under weight

under weight

over weight 0

10,000

20,000

30,000

40,000

50,000

60,000

70,00080,000

90,000

ANGELES

BALANGA

CABANATUAN

GAPAN

MALOLOS

MEYCUAYAN

OLONGAPO

PALAYAN

SN.FDO

SN.JOSE

SN.JOSE

MUNOZ

TARLAC

P.S. WEIGHED

normal

sev. Under weight

under weight

over weight

NUTRITIONAL STATUS PER CITY 2012

NUTRITIONAL STATUS PER PROVINCE 2012

2

PROVINCETARGET NUMBER

OF P.S. AGED0 - 71 MOS.

NUMBER OFP.S. WEIGHED

%

ACC.

Aurora 37,924 35,208 92.84

Bataan 105,414 91,029 86.35

Bulacan 376,083 280,655 74.62

Nueva Ecija 219,461 187,849 85.59

Pampanga 274,185 236,139 86.12

Tarlac 158,679 153,444 96.70

Zambales 82,134 70,504 85.84

Prov. Total 1,253,880 1,054,828 84.12


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CITY NORMAL %

UNDERWEIGHT

OVER-

WEIGHT%

SEVERLY

UNDER-

WEIGHT

%UNDER-

WEIGHT%

Angeles 48,334 95.46 435 0.85 1,326 2.61 537 1.06

Balanga 12,585 95.57 68 0.51 316 2.39 198 1.50

Cabanatuan 44,999 99.20 10 0.02 245 0.54 106 0.23

Gapan 15,594 95.41 117 0.71 409 2.50 223 1.35Malolos 20,105 90.22 382 1.71 1221 5.47 574 2.57

Meycauayan 33,934 96.89 225 0.64 556 1.58 305 0.89

Olongapo 41,859 96.82 306 0.70 659 1.52 406 0.93

Palayan 3,844 82.59 168 3.68 453 9.92 99 2.16

San Fernnado 36,395 92.90 554 1.41 1,386 3.53 839 2.14

San Jose 17,661 94.16 226 1.20 703 3.74 165 0.87

San Jose Del Monte 74,854 96.04 961 1.23 1665 2.13 457 0.58

Muoz 10,991 95.97 57 0.49 313 2.73 91 0.79

Tarlac 53,168 96.24 310 0.56 1,443 2.62 324 0.59

TOTAL 414,323 95.87 3,819 0.88 10,696 2.47 4324 1.00

NUTRITIONAL STATUS PER CITY 2012

NUTRITIONAL STATUS PER PROVINCE 2012

PROVINCE NORMAL %

UNDERWEIGHT

OVER-

WEIGHT%

SEVERLY

UNDER-

WEIGHT

%UNDER-

WEIGHT%

Aurora 31,379 88.83 728 2.06 2,799 7.92 302 0.85

Bataan 84,582 92.92 973 1.07 4,214 4.63 1,260 1.38

Bulacan 273,858 97.57 576 0.20 4,226 1.50 1,995 0.71

Nueva Ecija 175,960 93.67 1,677 0.89 7,551 4.02 2,661 1.42

Pampanga 218,316 92.45 2,619 1.11 9,585 4.05 5,619 2.38

Tarlac 143,082 93.24 1,822 1.18 6,475 4.21 2,065 1.34

Zambales 63,566 90.15 1,360 1.92 4,739 6.72 839 1.19

TOTAL 990,743 93.92 9,755 0.92 39,589 3.75 14,741 1.39

9

Thus, as per the statistics generated, in Central Luzon, a total of 1, 274, 448 children are with normalweight (94.66 %), 42, 697 are underweight, 11, 820 (0.87 %) are severely underweight and 17, 568 (1.30 %)are overweight.

For micronutrient supplementation, the following endeavours were operationalized: Provision of 100 % Retinyl Palmitate requirements for Universal Vitamin A Supplementation during

Garantisadong Pambata on April and October, as well as the needs of high-risk children and lactatingmothers

Grant of 45% of the iron supplements for pregnant women Ferrous sulfate drops to those born with low birth weight micronutrient powder for six months old infants who have started complementary feeding. Zinc provision to young children with severe diarrhea.


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Based from regional statistics,85,598 (41.63%)out of 205,626live births were screened.

Newborn Screening Orientations

Prioritizing health workers from the rural healthunits (RHUs), seven batches of Newborn ScreeningOrientations (265 participants) were conducted.

Consultative Planning Workshops(November 16 and 23)

Newborn Screening (NBS) aims to give newborns achance to live a normal life by providing theopportunity for early detection of congenitalmetabolic disorders which, if left untreated, maylead to mental retardation and even death.

Thus, in this health attempt, private registered

midwives with birthing homes/lying-in clinics play animportant role in the care of newborns and in theinstitutionalization of newborn screening in theirfacilities.

Hence, two batches of Consultative PlanningWorkshop for Private Practicing Midwives wereconducted to encourage and get their fullcommitment on the implementation of theNewborn Screening Program.

Meeting with the Volunteer Youth Leaders forHealth [VLYH] (October 19)

The Center for Health Development III (CHD 3), inpartnership with the Newborn Screening Center Central Luzon (NSCCL), organized a regionalmeeting to gather all the VYLH in mobilizing themtowards health work. Their advocacy focuses on 3health concerns namely: (1) Folic AcidSupplementation, (2) Newborn Screening, and (3)Care for Rare. With the pioneer volunteer youthleaders, they were able to invite and orient newrecruits to join this noble attempt.

The activity involves lectures about the history,advocacies, introduction of the NBS-Central Luzonsituationer, sharing of experiences, and interactivegames. Also, present in the activity were the overallsecretariat of the program from UP-Manila, whoimparted encouragement to the new recruits andshared their best practices regarding the programimplementation of other regions, thus motivating

them to replicate and be innovative on theirapproaches. With the guidance of the advisers, thevolunteers were highly encouraged on pushing forthe advocacy in their respective communities anduniversities.

The activity also emphasized that there should bean open communication between the CHD 3, NSCCLand the VYLH with regards to the youths plannedactivities for recognition and documentation.

Buntis Day in Angeles City (November 14)

As part of the CHD 3 advocacy in empowering ourfellow citizens through information dissemination,particularly our indigent populace, the DOH-CHD 3conducted a Buntis Day for pregnant mothers toadvocate the health benefits of the different DOHprograms.

3

NEWBORN SCREENING PROGRAM


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BREASTFEEDING PROGRAM

2012 Summary of Accomplishments:

Assessment of Mother-Baby Friendly Hospital(MBFHI) accomplishments

Out of 84 Non-MBFI facilities, 10 health facilitiesassessed, and only one was accredited.

1. Premiere General Hospital of Baler, Aurora2. Sto. Ara Medical Center, Dinalupihan, Bataan3. Bataan Peninsula Medical Center,

Dinalupihan, Bataan4. Ospital ng Guiguinto, Guiguinto, Bulacan5. Mexico Community Hospital, Mexico

Pampanga6. St. Rafael Medical Center, Mabalacat,

Pampanga7. Ospital ng Capas, Capas Tarlac8. Baypointe Hospital and Medical Center,

SBMA, Subic, Zambales9. Sta. Cecilia Medical Center, Iba, Zambales10. Bustos Community Hospital, Bustos,

Bulacan (Accredited)

Assessment for Mother Baby Friendly WorkplaceRoyale Duty Free, SBMA, Subic, Zambales

National Breastfeeding Summit Awardees(October 18) Bataan General Hospital Paulino J. Garcia Memorial Research and

Medical Center James L. Gordon Memorial Hospital

2012 Summary of Activities Ride on Activity on Breastfeeding Private Midwife Meeting (Bulacan and

Pampanga) Ride-on Buntis Party (Angeles City) Breastfeeding Summit (CSFP)

2013 Activities under GAA Lactation Management Training

GOVERNMENT HOSPITALS (LGU)

CATEGORYNO. OF HEALTH

FACILITYNO. OF ACCREDITED

MBFHINO. OF NON-

ACCREDITED MBFHINO. OF RETAINED HOSPITAL

MBFHI ACCREDITEDWITHCOCs

Infirmary 15 12 2 1 3

Level 1 42 37 5 0 17

Level 2 4 3 1 0 1

Level 3 3 0 0 3 2

TOTAL 64 52 8 4 23

CATEGORYNO. OF HEALTH

FACILITYNO. OF ACCREDITED

MBFHINO. OF NON-

ACCREDITED MBFHINO. OF RETAINED HOSPITAL

MBFHI ACCREDITEDWITHCOCs

Infirmary 29 18 10 0 2

Level 1 82 36 46 0 0

Level 2 28 16 13 0 2

Level 3 5 4 1 0 1

TOTAL 144 74 70 0 5

PRIVATE HOSPITALS


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EXPANDED PROGRAM FOR IMMUNIZATION

Attended by the representatives from the cities andmunicipalities of the provinces of Bataan, Zambales,and Aurora, Provincial Program ImplementationReviews were conducted on February 14, March 29,and August 31 respectively.

In this activity, the national, regional, and provincialstatuses of EPI were discussed. Recommendedstrategies to reach the under-immunized andunimmunized children were also tackled in order toimprove the immunization coverage and obviate thevaccine-preventable disease outbreaks in the future.

A Regional EPI-VPD (Vaccine of Preventable Diseases)Program Implementation Review was also done inorder to identify different approaches to improvecoverage and strengthen VPD Surveillance.

Last April 15-17, sharing of best practices for healthworkers of the CARAGA Region was held. Bulacanand Pampanga showcased their best practices onmaternal and child health programs, including EPI.

EPI-Midlevel Course for Supervisors of Bulacan,Bataan, and Zambales were held on July 24-27,August 7-10, September 18-21, and September 25-28,respectively. Rural health physicians and publichealth nurses were trained on the technical aspectof EPI ,as well as on supportive supervision in orderto improve EPI implementation at the local level.

Basic Course for Health Workers was attended byrural health midwives, some public health nurses,and RN heals involved in the implementation of EPIin the province of Bulacan (August 1-3), Aurora(August 28-30), and Zambales (October 2-4). This isto train them on the proper administration, storage,and handling of vaccines.

3

LOCAL

GOVERNMENT

UNIT

ELIGIBLE

POPULATION

FULLY IMMUNIZED

CHILD (FIC)%

PROVINCES

Aurora 6,210 2,225 35.83

Bataan 17,569 12,600 71.72Bulacan 62,681 38,580 61.55

Nueva Ecija 36,577 25,103 68.63

Pampanga 45,698 38,046 83.26

Tarlac 26,447 18,425 69.67

Zambales 13,689 6,665 48.69

CITIES

Angeles City 7,738 5,563 71.89

Balanga City 2,587 2,164 83.66

Cabanatuan City 7,746 5,883 75.95

Gapan City 2,932 1,992 67.94

Malolos City 7,001 4,040 57.71Meycauayan City 5,851 5,751 98.29

Muoz City 2,068 1,909 92.30

Olongapo City 4,857 4,085 84.10

Palayan City 1,520 678 44.60

City of San

Fernando8,321 5,766 69.29

San Jose City 3,623 3,057 84.37

San Jose Del

Monte City16,405 10,494 63.97

Tarlac City 9,188 8,319 90.54

TOTAL 288,708 201,345 69.74


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Consultative Meetings

The 1stNational Voluntary Blood Services Program(NVBSP) Consultative Meeting was conducted lastMarch 16-20. In this activity, the following data ofthe Blood Services Program in Central Luzon werepresented: 93,831 blood units were collected with adonation rate of 9 per 1,000 population (target:11/1,000 pop.) and Voluntary Non-RemuneratedBlood Donation (VNRBD) rate of 45.26%.

The 2ndConsultative Meeting for the year was heldon July 25-27, where program coordinatorpresented the regional status of the Blood ServicesProgram.

Blood Donors Month

In compliance with the provision of Republic Act7719 (The National Service Act of 1994), theDepartment of Health (DOH)-NVBSP assignedRegion III to host the celebration of Blood Donors

Month, which is regularly held every first week ofJuly. Two pre-activity meetings in preparation forthe occasion were conducted in June, andPampanga was chosen as the host province. On July9, the kick-off ceremony for the celebration washeld in Bren Z. Guiao Convention Hall, City of SanFernando, Pampanga, through the assistance of thePampanga Provincial Blood Program CoordinatorMs. Rina Canda.

Organizational Meeting For Blood Services Network

On September 28, an Organizational Meeting forthe Blood Services Network of Central Luzon was

conducted at Century Hotel, Angeles City. Dr.Milagros Viacrucis and Mr. Salvador Aydante wereinvited as resource speakers.

Other Significant Milestones:

The DOH Blood Service Facilities had the mostnumber of whole blood units collected (14,476),followed by the Philippine National Red Cross(13,315), LGUs (9,592), and private blood service

facilities (6,140)

As per Department Circular 2012-0359, the followinginstitutions are to be designated as lead bloodservice facilities for Region III: Jose B. Lingad Memorial Regional Hospital Bulacan Provincial Blood Center Dr. Paulino J, Garcia Memorial Research and

Medical Center

BLOOD SERVICES PROGRAM

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Globally, the epidemic of non-communicable chronic diseases threatenseconomic and social development and the lives and health of millions ofpeople. In 2005, an estimated 35 million people worldwide died fromchronic diseases, doubling the number of deaths from all infectiousdiseases, maternal and perinatal conditions, and nutritional deficienciescombined. In 2015, deaths due to chronic diseases are projected to increaseby 17%.

In the Philippines, NCDs are among the top killers and cause more than halfof all deaths annually. Hypertension and diseases of the heart are amongthe ten leading causes of illness each year. The same panorama picturesthe Central Luzons situation. Particularly, prevalence of risk factors,particularly tobacco and alcohol use, unhealthy diet, and sedentary lifestyleare high among adults and increasing among adolescents and children.

As a response to this growing challenge, the Center for Health DevelopmentIII (CHD 3) continuously invests towards the promotion of healthy lifestylewhich aims to increase the awareness of the people on the common riskfactors on NCDs.

In the year 2012, the following are the significant activities/accomplishmentsof the CHD 3 on these advocacies:

Combating NCDs

Cancer Prevention: Promotion and aid provision on the followinginterventions: Hepatitis B Immunization for liver cancer, VisualInspection with Acetic Acid for cervical cancer and treatment of pre-cancerous lesions.

Cardiovascular diseases and diabetes: Multi-drug therapy for individuals

who have had heart attack or stroke, and to persons high-risk of acardiovascular event.

Promotion of health lifestyle activities across age-groups

7 lifestyle training courses and 22 orientations on the importance of theprevention of NCDs. These include public awareness programs aboutdiet and physical activity.

Summer Camp ni Lolo at Lola Training (April 17-20) Individualized-based interventions addressing the NCDs in primary care

setting through the WHO-PEN Training (June 26- 28 and November 5-7)

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Advocating Mental Health

Reiterating the indispensable roles of stakeholders on thepromotion of mental health and to integrate it in their program

of activities, Community Mental Health Orientation amongstakeholders was conducted on May 24.

Stress Management Seminars were also conducted to thefollowing agencies, offices, and local government units (LGUs):

Clark Development Corporation, Clarkfield, Angeles City September 19

National Food Authority, City of San Fernando, Pampanga September 21

Civil Service Commission, City of San Fernando, Pampanga October 23

San Rafael, Bulacan (LGU) October 23Department of Environment and Natural Resources (DENR),

City of San Fernando, PampangaDepartment of Labor and Employment (DOLE), City of San

Fernando, Pampanga

Fight against the harmful effects of tobacco and alcohol

Advocacy on the passage of Sin Tax Bill and comprehensiverestrictions and bans on alcohol and tobacco marketing on thelocal government level.

Promotion of 100% smoke-free indoor and public places andtobacco-related banning activities through the conduct ofMPOWER Training Courses for various local government units.

Campaign on environmental sanitation

Sanitation Summits and series of training on Chemical Safety and

Climate Change for Sanitary Engineers and Rural SanitaryInspectors were conducted in parallel with the MDG goal of KP.

Awarding of the Regional Barangay with Best Sanitation Practices(RBBSP)

Winners:Barangay Bacsay, Camiling, TarlacBarangay Manaois, Paniqui, Tarlac

*The inclusion of NCDs in the final outcome document of the 2010 Millennium Development Goals(MDGs) Review positions NCDs as a key issue for inclusion in the post-2015 developmentframework, and recognizes NCDs as a core development issue requiring urgent action..

5

RED ORCHID AWARDS 2012

RED ORCHID AWARDEES

Center for Health Development

Central Luzon (CHD 3) Dr. Paulino J. Garcia Memorial

Research and Medical Center(PJGMRMC)

Jose B. Lingad Memorial RegionalHospital (JBLMRH)

Mariveles Mental Hospital (MMH) Balanga City, Bataan

PINK ORCHID AWARDEES

Bataan GeneralHospital (BGH)

Talavera ExtensionHospital


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DENGUE CONTROLPROGRAM

Central Luzon ranked second among dengue-affected regions in 2011,tallying 25,839 cases and 56 deaths that year. In 2012, figure for the caseswas 5% higher compared in 2011; however, reported deaths in 2012 are only48.

Highlights of Regional Activities:

It is the CHD 3 Dengue Control Program that spearheaded differentstrategies (monitoring, supervision, evaluation of programimplementation, among others) to effect awareness in the control andprevention of dengue region-wide.

Strengthening the implementation of vector control measures throughthe implementation of the project Establishing Dengue-Free SchoolInitiatives in Central Luzon and provision of vector control commodities

to local government units are continuously being done.

PROVINCE2011 2012

CASES DEATHS CFR CASES DEATHS CFR

Aurora 124 0 0 251 0 0

Bataan 1,739 6 0.3 1,843 4 0.2

Bulacan 7,575 21 0.3 6,893 11 0.2

Nueva Ecija 4,756 6 0.1 6,097 8 0.1

Pampanga 7,439 9 0.1 6,826 10 0.1

Tarlac 3,322 11 0.3 3,624 10 0.3

Zambales 773 3 0.4 1,540 5 0.3

Total 25,728 56 0.2 27,074 48 0.2

CASES AND DEATHS BY PROVINCE

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In response to the continuous threat of dengue inthe region, strengthening advocacy throughdengue awareness campaign, dengue summit,observation of the ASEAN Dengue Day, celebrationof the Dengue Awareness Month, and conduct oforientation-updates to the different stakeholderswere done.

Regional Strategic Planning on Dengue

Development of priorities, as well as thedevelopment of tools and interventions tofacilitate program management, a periodic

program implementation review, and strategicplanning and workshop were also held.

Updates on the Clinical Management of Dengue

Capability building through accelerated trainingand adoption of the World Health Organization(WHO) Standard Clinical Management Guidelineson Dengue Management and Vector Surveillancewere conducted. Regular updates on dengue

status in Central Luzon were also facilitated tosustain the awareness of the people about dengueprevention.

The 6th Millennium Development Goal of halting andreversing malaria cases by 2015 have already beenmet in Central Luzon. Cases has steadily decreasedby 70% for the last three years (2010-2012).

For the year 2012, different strategies wereimplemented to achieve a remarkable decrease ofcases by 73% compared to 2011 cases. No death frommalaria was reported.

The decrease in morbidity and no mortality regionalsituation can be attributed to the implementation ofthe following key strategies:

Stratification of areas and priority settingsthrough provincial and regional programimplementation reviews and stratificationworkshops

Constant monitoring of the programimplementation at the grassroots level throughregular task force meetings, provision of

technical assistance, and conduct of monitoringand evaluation workshops region-wide Inter- border operations activities and provision

of needed commodities like insecticides for IRSas well as long-lasting insecticide treated netsfor the vulnerable population

Capability building on the diagnosis andtreatment through the conduct of training/refresher courses on basic malaria management,basic malaria microscopy, and combo RDT

Advocacy activities like meeting with the localchief executives (LCEs) and other stakeholdersto promote and sustain the prevention andcontrol of malaria in the community and throughawareness campaigns like the celebration of theWorld Malaria Day in April and the MalariaAwareness Month in November

Program management enhancement throughnational program implementation reviews doneperiodically.

MALARIA CONTROL PROGRAM

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PROVINCE 2005 2006 2007 2008 2009 2010 2011 2012 TOTAL

Aurora 451 91 120 109 79 31 17 1 899

Bataan 55 25 111 37 10 6 11 6 261Bulacan 15 16 24 30 94 89 85 22 375

Nueva Ecija 45 137 151 60 17 7 7 7 431

Pampanga 0 1 54 2 71 21 0 0 128

Tarlac 65 139 74 79 121 119 48 2 647

Zambales 576 786 1182 921 2341 861 161 50 6878

TOTAL 756 1104 1716 1238 2733 1134 329 88 9619

MALARIA POSITIVE CASES

A uro ra B at aa n B ul aca n Nueva

Ecija Pampanga Tarlac Zambales

2010 31 6 89 7 21 119 861

2011 17 11 85 7 0 48 161

2012 1 6 22 7 0 2 50

0

100

200

300

400

500

600

700

800

900

1000

(+)cases

Aurora Bataan Bulacan Nueva

Ecija

Pampang

a Tarlac Zambales

2010 1 0 0 0 0 0 0

2011 0 0 0 0 0 0 3

2012 0 0 0 0 0 0 0

0

0.5

1

1.5

2

2.5

3

3.5

no.

ofdeaths

TREND OF MALARIA CASES2010 VS. 2011 VS. 2012 TREND OF MALARIA DEATHS2010 VS. 2011 VS. 2012

RABIES PREVENTION & CONTROL PROGRAM


A Training on the Management of Rabies Exposureand Animal Biteswas conducted in Tarlac City on

October 10-12 to capacitate doctors and nursesmanning Animal Bite Treatment Centers (ABTCs) withthe necessary knowledge and skills in the qualitymanagement of bite victims.

Rabies Fair with the theme Rabies-Free CentralLuzonas a form of advocacy promotion showcasingthe LGUs best practices was conducted at Jose B.Lingad Memorial Regional Hospital in coordinationwith the Department of Agriculture- Bureau of AnimalIndustry who provided free dog vaccination during

the fair on March 30.

HUMAN RABIES CASES, 2009-2012

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LEPROSY PREVENTION& CONTROL PROGRAM


For 2012, the National Leprosy Control Program

(NLCP) conducted 12 batches of Orientation ofBarangay Health Workers (BHWs) on the Early Signsand Symptoms of Leprosy which were participatedby a total of 600 BHWs from all the provinces of theregion. One batch per province, except for NuevaEcija and Tarlac who have 2 batches. Likewise, onebatch each was conducted for the cities of Angeles,Tarlac, and San Fernando.

Moreover, in order to increase the knowledge andawareness of the local chief executives (LCEs) andschool officials on the program, thereby reducingthe stigma and discrimination against leprosy cases,two batches (100 pax/batch) of advocacy meetingswere conducted for the cities of San Jose and Tarlacwhich have high incidence of leprosy cases based onthe 2011 data.

TRENDS IN LEPROSY (CDR%), 2011 - 2012

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An advocacy activity entitled Meet, Greet, andInform the Local Chief Executuves on IntegratedHelminth Control was conducted to encouragestakeholders in managing heminth-relateddiseases.

Monitoring and supervision among school

division offices regionwide was also conducted.

Mass deworming activities among targetpopulations were done region-wide with a totalcoverage of 75% for April 2012 and 78.6% forOctober 2012.

INTEGRATED HELMINTHCONTROL PROGRAM

SCHISTOSOMIASIS CASES2010 VS. 2011 VS. 2012


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PROVINCE CDR ALL FORMS CDR NSPCOHORT NSP

CURE RATE TSR

Aurora 48% 43% 40% 89%

Bataan 106% 60% 70% 87%

Bulacan 88% 77% 79% 91%

Nueva Ecija 87% 71% 85% 91%

Pampanga 70% 65% 72% 88%

Tarlac 63% 60% 88% 97%

Zambales 132% 108% 69% 82%

Central Luzon 86% 71% 78% 90%

2012 DATA OF NTP

4

NATIONAL TUBERCULOSIS CONTROL PROGRAM


Advocacy meeting with the barangay captainsand Councilors on Health for the low-performing municipalities on case detectionrate (CDR) and cure rate (CR).

Advocacy meetings on Hospital TB DOTS Training on Modular Basic TB DOTS 1stand 2ndRegional TB Forum TB Summit Program Implementation Review (PIR)

Advocacy meetings with the local chiefexecutives

DOH-PhilCAT Regional Certifiers Training Data validation

NTP Laboratory Activities:

Regional PIR on TB Lab External QualityAssessment

Training on Direct Sputum Smear Microscopy(DSSM) for Hospital-Based MedicalTechnologist of Pampanga

Training on DSSM for Microscopists ofPampanga

Training on DSSM for Medical Technologist inRegion 3

Training of Informal Laboratory Workers onStandard TB Smear Preparation

Training of Informal Laboratory Workers onStandard TB Smear Preparation


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NATIONAL AIDS/STD PREVENTION AND CONTROL PROGRAM


Availability of free voluntary HIVCounseling and Testing Service in selectedsites

100% Condom Use Program (CUP) ,especially for entertainmentestablishments

Peer education and outreach activities inHIV sentinel sites

Multi-sectoral coordination through LocalAIDS Council

Augmentation of resources of socialhygiene clinics

Distribution of male condoms andeducational materials during outreachactivities in sentinel sites

Capability building to improve STI and HIVservices (HIV Proficiency Training, VCTTraining and PMTCT Training)

As of 1984 to 2012, the number of reported HIV cases in

Central Luzon is 919, which is still less than the 1 percent of

the total projected population of the region.

PROVINCE1984-PRESENT

AIDS Asymptomatic

Aurora 0 1

Bataan 2 43

Bulacan 28 251

Nueva Ecija 6 66

Pampanga 42 261

Tarlac 10 48

Zambales 39 122

Total 127 792

HIV/AIDS CASES BY PROVINCE (N=1,075)

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EPIDEMIOLOGY AND SURVEILLANCE

The Regional Epidemiology and Surveillance Unit

(RESU) is the unit responsible for maintaining adisease surveillance system to continuously assess thehealth status of the region. The data that it collects isprocessed into information utilized by public healthmanagers to aid them in implementing prevention andcontrol measures, program monitoring, and toprevent possible outbreaks and the occurrence ofsimilar events in the future. Utilizing epidemiologicprinciples as well as data analysis, the RESU alsofunctions as an early warning system for possibleepidemics.

Since its introduction in 2009, the RESU has beenimplementing the Philippine Integrated DiseaseSurveillance and Response (PIDSR) in its collection,analysis, dissemination, and response functions.PIDSR is an integrated approach to surveillance andresponse from all the levels of the health care system.The system monitors 25 notifiable diseases,syndromes, and/or conditions reported by differenttrained disease reporting units (DRUs) regularly.Notifiable diseases under PIDSR are divided into twocategories (a. Immediately notifiable-for diseaseswhich should be reported within 24 hours and b.Weekly notifiable- for diseases reported within theweek) depending on the urgency of the specificdisease to be reported.

The following are the various activities that wereconducted by RESU in the year 2012:

In line with its mandate of establishing,maintaining, and strengthening epidemiology andsurveillance units, the RESU had conducted

numbers of training on Basic Epidemiology andSurveillance for untrained health staff at the locallevel.

Likewise, it has conducted PIDSR training courses

for untrained health personnel. These aim to teachparticipants on various technicalities regarding thePIDSRs operationalization.

To monitor the needs and gaps of the PIDSRreporting units, the RESU conducted semi-annualand annual program implementation reviews(PIR).

Disease surveillance being one of its corefunctions, the RESU worked hand-in-hand with the

Health Emergency Management System duringtimes of disaster. Common diseases reportedduring the Habagat aftermath were leptospirosis,dengue, and diarrhea.

Since the RESU monitors vaccine-preventablediseases such as polio, measles, tetanus,diphtheria, and pertussis, it works closely with theimmunization program in providing information onoutbreaks of these diseases. Several measlesoutbreaks were investigated together with theExpanded Program for Immunization (EPI )

program coordinator.

Before the end of the year, an accidentalpuncturing of an oil pipeline in Dinalupihan, Bataanoccurred. The RESU, together with the BataanProvincial Health Office (PHO) and ProvincialEpidemiology and Surveillance Unit (PESU),assisted in determining the extent of the oil spill aswell as its possible health effects to the localcommunity.

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FIELD HEALTH SERVICE INFORMATION SYSTEM

As per Executive Order No. 352, the Field Health ServiceInformation System (FHSIS) was designated as theofficial system of the Department of Health and wasincluded by the National Statistical Coordination Board(NSCB) in a system of designated statistics. 1992 markedits full implementation (nationwide), and over time, ithad undergone series of modifications and revisions. Todate, it evolved into Electronic Field Health ServiceInformation System (eFHSIS).

For 2012, series of activities were conducted incompliance with Administrative Order 2011-0010(Reporting of FHSIS Data to the DOH-Central Office).

In October of 2012, three batches of training on eFHSISwere conducted among doctors, nurses, midwives, andencoders region-wide. A total of 102 participants wereequipped with eFHSIS technical know-how and

computer desktops. This training aimed at improving theavailability, quality, and use of health information forimproved efficiency and effectiveness of healthprograms.

Below are regular FHSIS activities done year-round:

2011 Annual Report 2012 Projected Population (from the barangay to the

provincial level) ICD Coding of Mortality and Morbidity Data Classification, Consolidation, and Ranking of Mortality

and Morbidity Data

Monthly Encoding and Validation of eFHSIS Report Monthly Uploading of Database to IMS-DOH Quarterly Data Consolidation Maintenance of eFHSIS Database (2009 2012)

COLLABORATING CENTER FOR

DISEASE PREVENTION AND CONTROL

For the year 2012, there were 2,318 water samplesreceived and processed for bacteriology and 1,044Heterotrophic Plate Count performed in the WaterAnalysis Laboratory. There were also 48 water samplesreceived and tested for manganese, copper, and iron inthe Physico-Chem Laboratory. Remote urine collectionof 103 specimen for drug testing at Tarlac ElectricCompany, Tarlac City was also done.

Aside from the performance of different laboratoryexaminations, various activities were also carried out to

support other DOH Programs, like Tuberculosis (TB) andMalaria Control Programs.

Mandated by Administrative Order No. 2007-0019(Guidelines for the Implementation of the QualityAssurance System on Direct Sputum Smear Microscopy),the Regional TB Laboratory (RTL) of the CollaboratingCenter for Disease Prevention and Control (CCDPC) asthe technical laboratory arm support to the CHD 3National TB Program has been continuously workinghard to achieve the above directive by strengthening andsustaining the TB Laboratory Network in the region.

The year 2012 was the most productive year for the RTL.

Several tasks have been accomplished to meet the itsobjectives through the 3 Es strategies which are: (1)Empower what is existing, (2) Equip what is lacking, and(3) Expand what is in demand.

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Empowering through Quality Assurance System (QAS)

To ensure quality TB bacteriologic diagnosis in theregion, the RTL conducts monitoring of QASimplementation status through data analysis and on-site

visits of the 7 Quality Assurance Centers (QAC). Tofurther discuss and analyze the current situation ofExternal QAS in the region, an Annual EQA ProgramImplementation Review was also conducted lastNovember 22-23. The current 187 existing engagedmicroscopy centers are in 100% full participation in QAS.85% of them are well-performing, while only 15% areadequately performing. Thus, all of them are 100% withinthe EQA standards with less than 5% major error. Withabout 50,000 TB symptomatics being examined yearly,there are about 148,000 smears generated.

Equipping with knowledge and skills in TB microscopy

Three batches of Training on Direct Sputum SmearMicroscopy have been conducted. A total of 40 medicaltechnologists/ microscopists assigned from differentDOTS Centers are now equipped with knowledge andskills to aid in the diagnosis of active TB throughmicroscopy. This is to address the issues on unavailabilityof microscopy services and or inadequacy in the numberof available rural health unit (RHU) based medical

technologists to meet the increasing demand for DirectSputum Smear Microscopy (DSSM).

Expand laboratory network through improving accessto microscopy services

Four batches of Training of Informal LaboratoryWorkers on Standard TB Smear Preparation have beenconducted and participated by a total of 41 healthworkers (barangay health workers, midwives, andnurses) assigned in far-flung areas/barangays in the

provinces of Aurora, Bulacan, and Pampanga. They wereequipped with the skills on proper and safe preparationof quality smear.

Malaria Microscopy Quality Assurance System

In 2012, the Malaria Control Program (MCP)-LaboratoryComponent accomplished several activities to implementthe Three- Level Quality Assurance System (QAS) for

Malaria Microscopy in the region.

Level- 1 QAS ensures that all microscopy centers providingmalaria diagnosis must have a malaria-trainedmicroscopist for accurate results and correct treatment.Accordingly, the MCP provided a Basic MalariaMicroscopy Course to 16 medical technologists fromRHUs and hospitals from different provinces. All medicaltechnologists who completed the course successfullyachieved the required grade which is 80% and above.Refresher Course for Malaria Microscopy was also offeredand this was attended by 7 medical technologists fromRHUs and 5 non-medical technologists from barangaymalaria microscopy centers. The course aims to furtherimprove the skills of the microscopists to detect malariaparasites through microscopy. There was also a Trainingon Malaria Rapid Diagnostic Test (RDT) for 21 barangayhealth workers (BHWs) and rural health midwives(RHMs). These trained personnel now provides earlydiagnosis and treatment of malaria by using RDT in farand hard to reach endemic areas.

Level- 2 QAS regularly assesses the performance of

malaria microscopists and the support system of healthfacilities providing malaria microscopy & treatment. 30priority microscopy centers in highly endemicmunicipalities were visited for on-site supervision.

Level-3 QAS is the proficiency assessment of provincial orregional validators and the certification of National CoreGroup of Trainers and Validators. Three medicaltechnologists who went through the proficiencyassessment at the Research Institute for TropicalMedicine (RITM) passed and qualified as provincialvalidators. Two regional validators were certified as Level

1- Expert Microscopist by the World Health Organization(WHO) Regional Accreditation and External QualityAssurance Program.

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HEALTH EMERGENCY PREPAREDNESS,

MITIGATION, AND RESPONSE

Health Emergency Management Staff (HEMS)-Central Luzon is the unit dedicated in overseeingthe regions preparedness and response to healthemergencies region-wide by directly providingtechnical assistance to local government units(LGUs) through capability building related tohealth emergencies, disaster management, andprovision of logistics during emergencies anddisaster.

CHD 3-HEMS has updated annually the Regional

Health Emergency Response and RehabilitationPlan as a guide in implementing the differentstrategies/activities related to health emergenciesand disasters in Central Luzon. Training on BasicLife Support for Health Workers for the provincesof Aurora, Pampanga ,and Tarlac were alsoconducted as part of their technical assistance tothe different LGUs.

During the effects of Typhoon Gener, Habagat,and Typhoon Helen, the CHD 3-HEMS

responded to the needs of the victims in CentralLuzon through the activation of the CHD 3Medical Response Teams, HEMS-OPCEN 24-hoursOperation, and deployment of Rapid HealthAssessment Team and medical teams from thedifferent DOH hospitals to the different affectedareas and evacuation centers. So as to harmonizeand communicate efforts, coordination meetings,media watch, and press releases were also done.

HEMS were also involved with the following activities relatedto health emergencies : Emergency Meeting on Nutrition DOH-HEMS Creation of Technical Working Group (TWG) for

Public Health Policies and Service Package National SPEED Simulation Exercise partici

2012 Chd 3 Annual Report

Documents