Annual Report 2012 Department of Health National Epidemiology Center Public Health Surveillance and Informatics Division Manila Philippines Field Health Services Information System
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Manila Philippines
Field Health
Director IV
Medical Officer VII
FHSIS Unit Staff
Jose M. Hernaez
A.
2
Proportion
of Deaths by Sex – (Figure 1B.2)
5
Infant
Mortality Rate – (Figure 1B.3)
6
Maternal Mortality
Rate – (Figure 1B.4) 6
Neonatal Tetanus – (Figure 1B.5)
7
Perinatal Mortality Rate – (Figure 1B.6)
7
Under Five Mortality Ratio
(UMFR) – (Figure 1B.7) 8
Summary Tables
Deaths by Sex, Infant Deaths and Maternal Deaths – (Table 1B.1)
9
Deaths due to Neonatal Tetanus, Perinatal Deaths and UFMR– (Table 1B.2)
14
C. NATALITY
Delivery by Attendance – (Figure 1C.3)
Normal Type of Deliveries by Place – (Figure 1C.4)
Normal and Other type of Deliveries – (Figure 1C.5)
Other Type of Deliveries by Place – (Figure 1C.6)
20
21
21
22
Livebirths by Sex and weight ≥2500 grams – (Table 1C.1)
23
Livebirths by weight
≥2500 grams and Unknown weight –
(Table 1C.2) 29
Livebirths delivered by MD, PHN and Midwives – (Table 1C.3)
34
Livebirths delivered by Hilot/TBA and others – (Table 1C.4)
Normal Type of Deliveries by Place – (Table 1C.5)
Other Type of Deliveries by Place – (Table 1C.6)
38
43
48
A.
Control of Diarrheal Diseases and Pneumonia
Figures and Graphs (Philippines and Regions)
iii
Proportion of Children (059 mos.) with diarrhea and given
ORS – (Figure 2A.2) 54
Proportion
of Children (059 mos.) with diarrhea and given ORS
with Zinc– (Figure 2A.3) 55
Proportion
of Children (059 mos.) given ORS, ORT and ORS with Zinc – (Figure 2A.4)
55
Percentage of Children with Pneumonia given treatment (Figure 2A.5)
56
Summary Tables
Children (059 mos.) with diarrheas given ORT –(Table 2A.1)
57
Children ( 059 mos.) with diarrheas given ORS;
given ORS with Zinc – (Table 2A.2)
63
Figures and Graphs (Philippines and Regions)
Proportion
of Children (1271 mos.) orally fit – (Figure 2B.1)
75
Proportion
of Children (1271 mos.) given Basic Oral Health Care (BOHC) –(Figure 2B.2)
75
Proportion
of Adolescent and youth 1024 years
with BOHC –( Figure 2B.3) 76
Pregnant Women with BOHC – (Figure 2B.4)
76
Older person
≥60 years with BOHC –(Figure 2B.5)
77
Summary Tables
Children (1271 mos.) orally fit and provide with BOHC – (Table 2B.1)
78
Adolescent and Youth, Pregnant Women and Older Person Given BOHC – (Table 2B.2)
83
C. Environmental Health
Household with access to safe water Supply –(Figure 2C.1)
88
Household
with access to safe water supply by level –
(Figure 2C.2) 88
Household with sanitary toilet – (Figure 2.C.3)
89
Household with sanitary disposal of solid waste –(Figure 2C.4)
89
Household with complete basic sanitation facilities – (Figure 2C.5)
90
Proportion
of food establishments with sanitary permit
(Figure 2C.6) 91
Proportion
of food handlers w/ health certificate
(Figure 2C.7) 91
Proportion of salt sample tested found positive for Iodine
(Figure 2C.8) 92
Summary Tables
Household with access to improved or safe water supply and safe water supply by level
(Table 2C.1) 93
Household with sanitary toilet, disposal of solid waste and basic sanitation facilities – (Table 2C.2)
98
Food establishments with sanitary permit , food handlers w/ health certificate, salt sample tested
found positive for Iodine
(Table 2C.3)
104
D.
Percentage of Fully Immunized Children –(Figure 2D.1)
109
Percentage of <1 yr. given Measles Vaccine – (Figure 2D.2)
109
Percentage of Completely Immunized
Children –(Figure 2D.3) 110
Percentage of Children Protected at birth – (Figure 2D.4)
110
Percentage of <1 yr. given BCG – (Figure 2D.5)
111
Percentage of <1 yr.
given DPT1 – (Figure 2D.6)
111
Percentage of <1 yr.
given DPT2 – (Figure 2D.7)
112
Percentage of <1 yr.
given DPT3 – (Figure 2D.8)
112
Percentage of <1 yr.
given Hepatitis B1 Vaccine within 24 hours –
(Figure 2D.9) 113
Percentage of <1 yr. given Hepatitis B1 Vaccine more than 24 hours – (Figure 2D.10)
113
Percentage of <1 yr. given Hepatitis 2 Vaccine – (Figure 2D.11)
114
Percentage of <1 yr. given Hepatitis 3 Vaccine – (Figure 2D.12)
114
Percentage of <1 yr. given OPV1 Vaccine –
(Figure 2D.13) 115
Percentage of <1 yr. given OPV2 Vaccine – (Figure 2D.14)
115
Percentage of <1 yr. given OPV3 Vaccine – (Figure 2D.15)
116
Summary Tables
Fully Immunized Children (FIC) and <1 yo given
measles vaccine –(Table 2D.1)
117
Completely Immunized Children (CIC) and Child Protected at Birth (CPAB)–(Table 2D.2)
121
Children <1 yr. given BCG and DPT1 – (Table 2D.3)
126
Children <1 yr. given DPT2 and DPT3 –
(Table 2D.4) 130
Children <1 yr. given
Hepatitis B1 given within 24 hours and after 24 hours (Table 2D.5)
134
Children <1 yr. given
Hepatitis B2 and Hepatitis B3 – (Table 2D.6)
139
Children <1 yr. given OPV
1, OPV 2 and OPV 3 –(Table 2D.7)
143
E.
Contraceptive Prevalence Rate – (Figure 2E.1)
Family Planning method used by Current Users end – (Figure 2E.2)
Family Planning method used by Current Users beginning – (Figure 2E.3)
Family Planning method used by New Acceptors – (Figure 2E.4)
Family Planning method used by Other Acceptors – (Figure 2E.5)
Family Planning method “Dropouts” – (Figure 2E.6)
147
147
148
149
150
151
Current Users End
Ster/BTL, Vasectomy, Pills, IUD & Injectables –(Table 2E.2a)
Current Users End
NFPCM, NFPBBT, NFPSTM, NFPSDM, NFPLAM & Condom (Table 2E.2b)
Current Users Beginning
Ster/BTL, Vasectomy, Pills, IUD & Injectables –(Table 2E.3a)
Current Users Beginning
NFPCM, NFPBBT, NFPSTM, NFPSDM, NFPLAM & Condom – (Table 2E.3b)
152
157
162
168
173
New Acceptors
Ster/BTL, Vasectomy, Pills, IUD & Injectables –(Table 2E.4a)
179
New Acceptors
NFPCM, NFPBBT, NFPSTM, NFPSDM, NFPLAM & Condom –(Table 2E.4b)
Other Acceptors
Ster/BTL, Vasectomy, Pills, IUD & Injectables –(Table 2E.5a)
Other Acceptors
NFPCM, NFPBBT, NFPSTM, NFPSDM, NFPLAM & Condom –(Table 2E.5b)
Dropouts
Ster/BTL, Vasectomy, Pills, IUD & Injectables –(Table 2E.6a)
Dropouts
NFPCM, NFPBBT, NFPSTM, NFPSDM, NFPLAM & Condom –(Table 2E.6b)
184
189
193
198
203
F.
Nutrition
Figures and Graphs (Philippines and Regions)
v
Percentage of Children (6071 mos.) given Vitamin
A –(Figure 2F.3) 209
Percentage of Sick Children (611 mos.) given Vitamin A – (Figure 2F.4)
210
Percentage of Sick Children (1259 mos.) given Vitamin A – (Figure 2F.5)
210
Percentage of Sick Children (6071 mos.) given Vitamin A – (Figure 2F.6)
211
Proportion
of Low Birth Weight Children (26 mos.) given Iron –( Figure 2F.7)
212
Proportion
of Anemic Children (259 mos.)
given Iron – (Figure 2F.8)
212
Proportion
of Children (611 mos.) Exclusively Breastfed (BF)– (Figure 2F.9)
213
Summary Table
Children given Vitamin A 611 and 1259 mos. – (Table 2F.1)
Children given Vitamin A 6071 mos. – (Table 2F.2)
214
219
Sick Children (611 mos.) seen & given Vitamin A –(Table 2F.3)
225
Sick Children (1259 mos.) seen & given Vitamin A –
(Table 2F.4) 230
Sick Children (6071 mos.) given Vitamin A – (Table 2F.5)
235
Children (26 mos.) and Children (259 mos.) given Iron
(Table 2F.6) 240
Infant seen & Exclusively breastfed and Newborn referred for Newborn screening –(Table 2F.7)
244
G.
Prenatal and Post Partum Care
Figures and Graphs
(Philippines and Regions)
Proportion
of Pregnant Women with 4 or more Prenatal Care Visits (PPV)
(Figure 2G.1) 249
Proportion
of Pregnant Women given 2 doses of TT – (Figure 2G.2)
249
Proportion
of Pregnant Women given TT2 plus –(Figure 2G.3)
250
Proportion
of Pregnant Women given complete iron
w/FA –(Figure 2G.4) 250
Proportion
of Pregnant Women given Vitamin A supplementation –
(Figure 2G.5) 251
Proportion of Postpartum Women w/
at least 2 PPV – (Figure 2G.6)
252
Proportion
of Postpartum Women given complete iron – (Figure 2G.7)
252
Proportion
of Postpartum Women given Vitamin A – (Figure 2G.8)
253
Proportion
of Postpartum Women initiated breastfeeding –
(Figure 2G.9) 253
New smear positive cases cured by Sex – (Figure 2H.1)
Number of new smear cases cured – (Figure 2H.2)
265
265
Retreatment cases cured by Sex – (Figure 2H.4)
266
Number of TB symptomatic with Direct Sputum Smear Microscopy
(DSSM) – (Figure 2H.5)
267
Smear Positive discovered by Sex – (Figure 2H.6)
267
New Smear Cases initiated treatment by Sex – (Figure 2H.7)
Number of New smear cases initiated treatment – (Figure 2H.8)
268
268
Summary Tables
New Smear positive cases cured, Retreatment cases initiated treatment and Case cured – (Table 2H.1)
269
Confirmed cases by species
(Figure 2I.1) 279
Malaria Case by Sex (Figure 2I.2)
280
Malaria Case by Agegroup (Figure 2I.3)
280
Malaria Mortality Rate (Figure 2I.4)
281
Proportion
of Households at Risk given Insecticide Treated Nets (Figure
2I.5) 281
Summary Tables
Confirmed Cases by Method and Species (P. falciparum) (Table 2I.1)
282
Confirmed Cases by Method and Species (P. vivax, P. malariae & P. ovale)
(Table 2I.2) 288
Malaria Cases < 5 years and ≥5 years old (Table 2I.3)
293
Insecticide Treated Nets distributed and Malaria Deaths (Table 2I.4)
298
J.
Schistosomiasis
Morbidity rate (Figure 2J.1) 303
Proportion
of Positive Cases and Symptomatic Cases (Figure 2J.2)
303
Proportion
of Cases Treated (Figure 2J.3)
304
Proportion
of Cases Referred and Symptomatic Cases (Figure 2J.4)
304
Low, Moderate and High Intensity (Figure 2J.5)
Summary Table
Cases treated and Cases referred (Table 2J.2)
306
312
K.
Leprosy
Proportion
of Leprosy cases ≤15 years old
– (Figure 2K.2) 322
No. of newly detected leprosy cases – (Figure 2K.3)
323
Proportion
of new cases with grade 2 disability – (Figure 2K.4)
324
Leprosy cases
cured – (Figure 2K.5) 324
Summary Table
Leprosy cases, ≤15 yrs old and newly detected cases – (Table 2.K.1)
325
New Cases with grade 2 disability and Cases Cured (Table 2K.2)
330
L.
Filariasis
Proportion
of Filariasis Cases Found Positive
( Figure 2L.1)
MDA Coverage – (Figure 2L.2)
335
336
336
A.
Figures and Graphs (Philippines and Regions)
No. of Barangay Health Stations per 10,000 population – (Figure 3A.1)
349
Ratio of Barangay to Barangay Health Stations – (Figure 3A.2)
349
Summary Tables
Number/ Ratio of Barangay, Barangay Health Stations
(Table 3A.1) 350
B.
Number of Government Physician per
10,000 population (Figure 3B.1)
356
Number of Government Nurses and Midwives per 10,000 population (Figure 3B.2)
356
Ratio of Government Nurses and Midwives to Physicians –
(Figure 3B.3) 357
Number of Government Health Workers Per 10,000 population (Figure 3B.4)
358
Summary Tables
Number/ Ratio of Physicians, Dentists, PHNs and BHWs (Table 3B.1)
359
Number/ Ratio of Nutritionist and Medical Technologist (Table 3B.2)
363
Number/ Ratio of Sanitary Engineers/ Inspectors and Active BHWs (Table 3B.3)
368
Chapter 4 Notifiable Diseases
B.
Trend and Morbidity Rate of Selected Notifiable Diseases
Acute Bloody Diarrhea Morbidity Rate by Region (Figure 4B.1)
382
Acute Bloody Diarrhea by Agegroup and Sex, Province and City (Table 4B.1)
383
Acute Febrile Illness Morbidity Rate by Region (Figure 4B.2)
387
Acute Febrile Illness by Agegroup and Sex, Province and City (Table 4B.2)
388
Acute Flaccid Paralysis Morbidity Rate by Region (Figure 4B.3)
392
Acute Flaccid Paralysis by Agegroup and Sex, Province and City (Table 4B.3)
393
Acute Hemorrhagic
Fever Morbidity Rate by Region (Figure 4B.4)
397
Acute Hemorrhagic
Fever by Agegroup and Sex, Province and City (Table 4B.4)
398
Acute Lower Respiratory Tract Infection and Pneumonia Morbidity Rate by Year –
(Figure 4B.5) 402
Acute Lower Respiratory Tract Infection and Pneumonia Morbidity Rate
by Region (Figure 4B.6) 402
Acute Lower Respiratory Tract Infection and Pneumonia by Agegroup and Sex, Province and City
(Table 4B.5) 403
Acute Watery Diarrhea Morbidity Rate by Year (Figure 4B.7)
407
Acute Watery Diarrhea Morbidity
Rate by Region (Figure 4B.8)
407
Acute Watery Diarrhea by Agegroup and Sex , Province and City (Table 4B.6)
408
Cholera Morbidity Rate by Year (Figure 4B.9)
412
Cholera Morbidity Rate by Region (Figure
4B.10) 412
Cholera by Agegroup and Sex , Province and City (Table 4B.7)
413
Diphtheria Morbidity Rate by Year (Figure 4B.11)
417
Diphtheria Morbidity Rate by Region (Figure 4B.12)
417
Diphtheria by Agegroup and Sex , Province and City (Table 4B.8)
418
Filariasis
Morbidity Rate by Year (Figure 4B.13)
422
Filariasis
Morbidity Rate by Region (Figure 4B.14)
422
Filariasis
by Agegroup and Sex , Province and City (Table 4B.9)
423
Leprosy Morbidity Rate by Year (Figure 4B.15)
427
Leprosy Morbidity Rate by Region (Figure 4B.16)
427
Leprosy by Agegroup and Sex , Province and City (Table 4B.10)
428
Leptospirosis Morbidity Rate by Year (Figure 4B.17)
432
Leptospirosis Morbidity Rate by Region (Figure 4B.18)
432
Leptospirosis by Agegroup and Sex , Province and City (Table 4B.11)
433
Malaria Morbidity Rate by Year (Figure 4B.19)
437
Malaria Morbidity Rate by Region (Figure 4B.20)
437
Malaria by Agegroup and Sex , Province and City (Table 4B.12)
438
Measles Morbidity Rate by Year (Figure 4B.21)
442
Measles Morbidity Rate by Region (Figure 4B.22)
442
Measles by Agegroup and Sex , Province and City (Table4B.13)
443
Meningococcal Infection Morbidity Rate by Year (Figure 4B.23)
447
Meningococcal Infection Morbidity Rate by Region (Figure 4B.24)
447
Meningococcal Infection by Agegroup
and Sex , Province and City (Table 4B.14)
448
Neonatal Tetanus Morbidity Rate by Year (Figure 4B.25)
452
Neonatal Tetanus Morbidity Rate by Region (Figure 4B.26)
452
Neonatal Tetanus by Agegroup and Sex , Province and City (Table 4B.15)
453
NonNeonatal Tetanus Morbidity Rate by Year (Figure 4B.27)
457
NonNeonatal Tetanus Morbidity Rate by Region (Figure 4B.28)
457
NonNeonatal Tetanus by Agegroup and Sex , Province and City (Table 4B.16)
458
Paralytic
Shellfish Poisoning Morbidity Rate by Region (Figure 4B.29)
462
Paralytic
Shellfish Poisoning by Agegroup and Sex , Province and City (Table 4B.17)
463
Rabies Morbidity Rate by Year (Figure 4B.30)
467
Rabies Morbidity Rate by Region Figure 4B.31)
467
Rabies by Agegroup and Sex , Province and City (Table 4B.18)
468
Schistosomiasis Morbidity Rate by Year (Figure 4B.32)
472
Schistosomiasis
Morbidity Rate by Region (Figure 4B.33)
472
Schistosomiasis by Agegroup and Sex , Province and City (Table 4B.19)
473
Typhoid and Paratyphoid Fever Morbidity Rate by Year (Figure 4B.34)
477
Typhoid and Paratyphoid Fever Morbidity Rate by Region (Figure 4B.35)
477
Typhoid and Paratyphoid Fever by Agegroup and Sex, Province and City (Table 4B.20)
478
Viral Encephalitis Morbidity Rate by Region (Figure 4B.36)
482
Viral Encephalitis by Agegroup and Sex , Province and City (Table 4B.21)
483
Viral Hepatitis Morbidity Rate by Year (Figure 4B.37)
487
Viral Hepatitis Morbidity Rate by Region (Figure 4B.38)
487
Viral Hepatitis by Agegroup and Sex , Province and City (Table 4B.22)
488
Viral Meningitis Morbidity Rate by Region (Figure 4B.39)
492
Whooping Cough Morbidity Rate by Year (Figure 4B.40) 497
Whooping Cough Morbidity Rate by Region (Figure 4B.41)
497
Malabon 357,679 Aklan 555,776
Navotas 254,205 Antique 563,097
Iloilo 1,781,036
Pasig City 713,828
Quezon City 2,909,455 Cadiz City 153,520
Escalante City 96,246
Manila City 1,664,198 La Carlota City 65,535
Passi City 81,965
Muntinlupa City 455,064 Sagay City 143,115
Parañaque City 623,923 San Carlos City 132,557
Pasay City 401,741 Silay City 123,980
Sipalay City 68,561
Victorias City 89,711
Benguet 421,732
Siquijor 93,189
Canlaon City 51,494
Pangasinan 2,291,893 Lapu-Lapu City 393,309
Mandaue City 353,283
San Carlos City 179,863
San Fernando City 117,898
Philippines, 2012
Philippines, 2012
Region 2 3,325,919 Biliran 166,762
Eastern Samar 441,140
Nueva Vizcaya 433,995 Western Samar 575,989
Quirino 183,503
Bulacan 2,150,593 Zamboanga Sibugay 605,291
Nueva Ecija 1,385,109
Pagadian City 197,652
Balanga City 91,990
Gapan City 104,294
Meycauayan 207,455 Camiguin 85,998
Olongapo 226,368 Misamis Occidental 316,724
Palayan City 38,628 Misamis Oriental 728,583
San Fernando City 301,759
Tarlac City 331,590 Iligan City 331,337
Malaybalay City 159,644
Ozamis City 136,513
Laguna 1,562,714
Rizal 1,962,534
Bacoor City 594,321 Davao Oriental 534,300
Batangas City 319,219 Davao del Sur 893,845
Biñan City 303,413
Philippines, 2012
Cavite City 103,335
Dasmariñas City 641,673
Lipa City 299,323
Santa Rosa City 310,443 South Cotabato 859,132
Tagaytay City 67,608 Sultan Kudarat 786,549
Tanauan City 160,887
Trece Martires City 129,961 Gen. Santos City 569,517
Region 4B 2,851,028 A.R.M.M. 3,362,501
Marinduque 229,869 Basilan 301,026
Mindoro Oriental 680,843 Maguindanao 978,742
Palawan 815,817 Sulu 741,397
Romblon 288,008 Tawi-Tawi 376,776
Puerto Princesa City 238,296
Camarines Norte 559,755 Surigao del Norte 313,028
Camarines Sur 1,592,222 Surigao del Sur 478,604
Catanduanes 253,467 Province of Dinagat island 131,513
Masbate 864,689
Butuan City 319,622
Legaspi City 188,039
Naga City 184,094
Proportion of Death by Sex Philippines & Regions, 2012
4.45
5.49
4.60
4.61
4.95
4.31
3.48
3.94
4.74
6.06
4.80
6.62
3.55
4.29
3.43
3.70
1.39
3.45
Philippines
NCR
CAR
Philippines
NCR
CAR
8.68
16.29
10.34
6.67
6.46
5.60
7.93
9.21
7.66
10.43
6.71
9.02
8.85
6.99
7.62
8.41
4.78
6.03
0 2 4 6 8 10 12 14 16 18
Philippines
NCR
CAR
64.76
71.68
71.01
43.10
33.24
45.23
40.76
73.35
76.80
71.33
49.81
92.57
110.49
75.45
76.88
87.88
67.35
79.77
0 10 20 30 40 50 60 70 80 90 100 110 120
Philippines
NCR
CAR
Perinatal Mortality Rate Philippines & Regions, 2012
Phillippines
NCR
CAR
Phillippines
NCR
CAR
R e
g
i o
n
Percentage of Under Five Mortality Rate (UFMR) Philippines
& Regions, 2012
11.00
22.18
14.09
8.79
6.58
6.93
7.86
9.31
12.24
1.41
7.25
7.12
12.24
10.39
10.89
12.06
6.45
7.48
Phillippines
NCR
CAR
Male Female Total Rate* Male Female Total Rate** Male
Female Total Rate***
Table 1B.2 Mortality Annual Report 2012
Deaths due to Neonatal Tetanus, Perinatal Deaths
& UFMR