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ANNUAL~';"·- ,

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REPORT,:"·/

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i~ ditorial Board. ~

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Dr. Zenaida LndoviceDirectorInternal Planning Service

Ms. Agnelte PeraltaDirectorRadiation Health Service

Dr. Antonio FaraonMedical Officer VIIHealth Intelligence Service

Dr. Rosario FamaranMedical Officer VIIInternal Planning Service

Dr. Juanito D. TaleonMedical Officer VIIInternal Planning Service

Dr. Corazon V. TeoxonMedical Officer VIIOffice for Public Health Service

Ms. Angelina K. SebialHealth Education and Promotions Officer VPublic Information & Health Education Service

Mr. Rolando BenitezEconomist IVOffice for Management Services

Ms. Antonina U. CuetoStatistician IVInternal Planning Service

Ms. Luz TagunicarInformation Officer IIIHealth Manpower Dev't & Training Service

Ms. Asuncion V. ZamoraStatistician IIIInternal Planning Service

Ms. Ellen F. FranciscoMedia Production Specialist IIIPublic Information & Health Education Service

Ms. May Elenor de GuzmanPress Relation Officer IIIPublic Information & Health Education Service

Table of Contents

l¥Iessage ---------------------------------------

Accomplishment Report

• Office of the Chief of Staff --------------- 1

• Officeof Management Services ---------- 14

• Office of Public Health Services --------- 16

• Officefor Health Facilities, Standards

and Regulation .:------------------------- 29

• Regional Health Office------------------ 4S

• Attached Agency ----------------"'-------- SI

HealthStatus ---------------------------- S2

HealthResources ----------------------- SS

Editorial Board

essage

In 1995, health was promotedunder the umbrella of the ThinkHealth, Health Link mult isectoral strategy and was given

Health is a primary concern ofall and with this grows the need tofocus our efforts to work as onenation. We have, in many instances,manifested this sense of unity.

The Think Health, Health Linkwas conceptualized to bring healthmessages to where the people arewhile the Five for Life made thepeople aware of the five impactprograms of the Department, namelyNational Immunization Day,Huling Hirit : Tubig, Kubeta,Oresol (TKO): Kontra Kolera;Target : Stop TB; Araw ngSangkap Pinoy (ASAP); and Family

....................................................................~~~~~.i.':'.~: .The year 1995 is

another example ofa concerted effortthat will bring uscloser towards therealization of aHealthy Philippines2000. Networkingwith our partners intheothergovernment, nongovernment andprivateorganizations alsolend invaluablesupport to all our

...................................................................................... programs.

media attention through the Fivefor Life in '95 package of priorityprograms.

OOH

1IIII1111.llj'IIIIII!111111

0699H1.11 Ana1995/ Department of Health annual report1995

Kayang-kaya kung samasama tungo sa Pilipinas 2000.Mabuhay tayong lahat.

011

COiViiVi\JNITV HEALTH SERVICE (CHS)

/

I, "" .\ffice of the:h:ef of Staff

/ (OCS)

c) Healthy Barrio Initiatived) Health Development Fund for 20 SRA

Provincese) Community Health Databoardt) DOH-Social Reform Agenda Program

Support* Initiated the development of the PHC Policy

for Community Health Development* Creation of the Multisectoral Technical

Working Group to formulate:a) The BHW Basic Training Curriculumb) Botica ng Barangay Guidelines

Mandate:2. Capability Building

3. Resource Management

* Facilitated release of funds/grants for:a) Planning, capability and community

projects through NGOslLGUs forIndigenous People's communities inCAR, Regions IV, VI, X, XI andCARAGA

b) Communities in 61 provincesthrough LGUs to set-up and operateCommunity Health Databoards

c) Proponent NGOs/AcademeslLGUs ofduly reviewed and approved projects

underPHCd) Healthy Barrio Initiatives at field

levele) Support to LGUs, NGOs, pas and BHWs for

area-based planning process, communityprojects and capability-building activities.

* Distribution of Logistics and IEC Materialssuch as:a) Health Data Board Guidebookb) Partnership for Community Health

Development Manualc) Barangay Health Workers' Kit

4. Monitoring and Evaluation* Conduct Rapid Appraisal of the year 3 PCHD

Implementation in 64 Barangays

* Formulation of the Implementing Rulesand Regulations of R.A. 7883 otherwiseknown as "Barangay Health Workers'Benefits and Incentives Act of 1995"

* Guidelines/Administrative Issuancesprepared in support of theimplementation of the followingprograms:a) Primary Health Careb) Indigenous People's Health Programs

Accomplishments:

1. Policy, Standards and GuidelinesDevelopment

To provide services related toformulating plans and programs for * Leadership Training of 25 officers ofcoordinating with non-government National Confederations ofBHWsorganizations, peoples organizations, the local * Minimum Basic Need - Data Board Systemgovernment units and the communities in Integration among 60 National andhealth and health-related activities, programs Regional Health Staffand projects. * National Workshop on Program Integration

............................................................................................. for SRA with 75 DOH national andregional participants

1

* Monitored the funds released to concernedunits, LGUs, NGOs, POs and Academes

5. Advocacy

* Conducted the Third National Congress ofBarangay Health Workers on December 1014, 1995 with 500 participants.

* Conducted the Second National Congress forthe Partnership for Community HealthDevelopment on November 5-8, 1995 with45Q participants

* Launching of and development of IECmaterials for "Healthy Barrio".

* Social Reform Agenda Orientation of 450National and Regional Health Staff

6. Networking and Linkaging

* Established DOH-Save the ChildrenFederation, Inc. Partnerships for themanagement of the Community VolunteerHealth Worker's program.

* Facilitated and coordinated the preparationand DBM approval of 1995 and 1996Operational Plans and budget of lineagencies under the newly created CARAGARegion as CORD for CARAGA - assisted 12line agencies namely: DILG, DSWD, DECS,DOLE, DPWH, DOH, DTI, DOTC, DOST,LTFRB, OSCC and NEDA

DEPARTMENT lEGISLATIVE LIAISONOFFICE (DllO)

Mandate:

To maintain a strong relationshipbetween DOH and the strategic governmentoffices particularly, the Senate and House ofRepresentatives and to bridge a good workingsystem relative to policy making and theattainment of national objectives througheffective legislative liaising

Accomplishments:

1. Establishment of the Congressional ResponseSystem in the regional level

2. Formulation of the Department LegislativeAgenda for the 10th Congress.

2

3. Legislation coordination for the approval ofthe DOH 1995 budget

4. Enactment of the following health laws:

a) National Health Insurance (RA 7875) February 14, 1995

b) Barangay Health Workers Incentives (RA7883) - February 20, 1995

c) Corneal Transplant (RA 7885)d) Salt Iodization

5. FilinglRefiling of the following health billsin Congress

a) SB 1704 . on AIDS education andprevention program

b) SB 1893 - Rights of Patientsc) SB 1254 - Regulation on Smokingd) SB 1944 . bill penalizing fake drug!

productione) SB 1979 - Hospital Licensure Actf) Health Facilities Licensure Actg) Herbal Medicine Patientsh) Vesting quasi-judicial powers to BFADi) DOH Reorganizationj) Botica sa Binhik) Biological Production CorporationI) Internal Revenue Allotment (IRA)

amendment to improve devolution ofhealth services

Program: DISASTER MANAGEMENTUNIT (DMU)

Mandate:

To lead in the provision of health servicesand to organize disaster control groups inhospitals clinics and other health facilities

Accomplishments:

In 1995, the Disaster Management Unit(DMU) accomplished the following:

1. Responded rapidly and efficiently to fourteen(14) disasters which occurred from man-madedisaster to a natural calamity

2. Est~blished linkages with other GOs, NGOs,

LGUs and international organizations

3. Conducted the First Celebration of theNatural Disaster Consciousness Week

4. Conducted National Disaster ManagementConsultative Workshop.

5. Conducted training in Basic DisasterManagement

6. Went on 24-hour duty for the monitoring offire cracker-related injuries

7. Produced and disseminated IEC materials,e.g., newsletter Disaster Watch

2. Orientation of Health DirectorslProgramManagers on Health Systems Research

3. Training needs assessment among ENHRstaff and coordinators

4. Monthly forum for research dissemination!utilization

5. Production and dissemination of newsletterand executive briefs on research

6. Establishment of one (1) ENHR Library

7. Monitored ENHR/Regional ResearchProgram Plan implementation

ESSENTIAL NATIONALRESEARCH (ENHR)

Mandate:

HEALTH FOREIGN ASSISTANCE COORDINATIONSERVICE (FACS)

Mandate:

To direct coordinate support and sustainheath research activity in the health sector.

Accomplishments:

To achieve its mandated function, theEssential National Health Research (ENHR),undertook the following activities:

1. Launching of Research Consciousness Week"Tuklas Lunas" Celebration

3

To provide staff services related to thedevelopment, coordination, monitoring, reportingand assessment offoreign assisted projects of theDepartment of Health.

Accomplishments:

In 1995, the Foreign AssistanceCoordination Service (FACS) coordinated/assistedin the negotiations, implementation andmonitoring of 18 foreign-assisted projects fundedby 10 foreign institutions. It has also made

representations in 5 inter-agency bodies and wasalso involved in 3 various intra-DOH committees/task forces. It has also produced nine (9)documentations which were submitted/disseminated to embassies/consulates andforeign-funding agencies.

.' Medical Missions and other volunteergroups conducted free clinics, surgical operationsand other forms of-health/medical assistance ofwhich six (6) missions were conducted. FACS

.also facilitated the release/distribution of foreigndonations to NGO recipients.

FACS continue'; to discharge projectcoordinating functions for the 1994-1995 WHOProgram of Cooperation even as it began startup activities for the 1996-1997. Program andpreparatory work on the formulation of the 19981999 Program. As databases on fellowships andother forms of external assistance are updated,FACS also started to focus on its evaluationfunction, beginning with its annual assessmentof the availment and impact of fellowships andpost-project evaluation of the JICA projectEquipment Upgrading of Provincial Hospitals(Phases I and II). To further improve theevaluation of DOH investment in human capital,FACS prepared a Department Circular requiringreturning fellows to work on re-entry plans Oron special assignments. It also put together anupdated compilation of guidelines on foreigndonations under the regular facility of the Officeof the President (OP) for donations to calamityareas/victims.

FAMILY HEALTH MANAGEMENT BY ANDFOR URBAN POOR SETTLERS (FAMUS)

Mandate:

To provide services related to theimprovement of the Health of the Urban Poor.

Accomplishments:

For the year, FAMUS coordinated theconduct of operational planing updates inAgusan, Cavite and Quezon and participatoryplanning with Region 4 and CARAGA Region.Planning and feasibility studies on FAMUSpharmacies was also undertaken.

Training on Comprehensive FamilyPlanning attended by 85 participants was held.A total of 108 barangay health workers and 375family health workers, including hilots weretrained. There was also a training on BotikaBinhi.

All public hospitals in Quezon and Cavitewere computerized. As to infrastructure 2pharmacies were being constructed while '10botica binhi were made operational in 10barangays of Cavite and 2 in Lucena.

FAMUS Pharmacy which is theflagship of the program had undertaken thefollowing activities: a) absorptive capacities fordrugs studied; b) logistic information systemadjusted; c) infrastructure plan done; d) FAMUSspecific means-test developed and tested; ande) awareness of community organizationsexpanded.

4

FIELD EPIDEMIOLOGY TRAININGPROGRAM (FETP)

Mandate:

• Training in Epidemiology - 2 year course andshort courses for MHOs

• Outbreak investigations

• Disease surveilllance

Accomplishments:

Among the major achievements of theprogram during the year are as follows:

• Conducted twenty (20) outbreakinvestigations

• Published 1994 Epidemiology Report (FETPBulletin)

• Conducted Basic Epidemiology andSurveillance Courses for MHOs, PHNs, andRHMs

• Conducted supervisory visits in all regionalsentinel sites .

• Trained FETP graduates and fellow on costanalysis

• Trained National Epidemic SentinelSurveillance System staff (Nurses andClerks)

5

FINANCIAL OPERATIONS ANDFRONTLINE SERVICES AUDIT (FOFLSA)

Mandate:

To provide assistance to managers of theDepartment of Health in the effective dischargeof their responsibility by seeing to it that allresources made available to the department aremanaged and expended/utilized in accordancewith laws and regulations and safeguarded

against loss of wastage, through illegal andimproper disposition with a view ofensuring efficiency, economy andeffectiveness in its operation

Accomplishments: .

The Financial Operation and FrontlineServices Audit (FOFLSA) accomplished thefollowing in 1995:

1. Audited twenty (20) agencies/officesunder the DOH

2. Conducted five (5) fact-findinginvestigation of reported complaintsagainst DOH personnel

3. Evaluated fifty-nine (59) ProcurementMonitoring Reports as well as fifteen (15)

Progress Reports on the implementation ofaudit recommendations

4. Validated six (6) inventory reports ofequipment submitted by field health agencies

5. Acted on fifty two (52) referrals/requests fromRegional Field Offices and two (2) from theoffice of Ombudsman

HEALTH AND _ MANAGEMENT IINFORMAtION SYSTEM (HAMIS) . I

I. Mandate: I

"-'0 develop measures so that informationand knowledge are utilized for a more efficient,effective and equity-oriented Health ManagementSystem.

Accomplishments: .

L HAMIS Expansion

Regional Information Center for Health(RICH) in Region X

WINHEALTH in Region XI

2. Development and testingof licensinginformation system

3. Mini-research contest in Lucena

HEALTH INTELLIGENCE SERVICE (HIS)

Mandate:

To provide services related to theformulation of disease intelligence, assessmentof the state of health of the country anddevelopment and maintenance of effective andcomprehensive health information systems tosupport planning and implementation of healthprograms.

Accomplishments:

L Conducted FHSIS National ConsultativeWorkshop and Operational Planning Workshop

2. Published 1994 Philippine Health Situationerand 1995 Updates on Philippine HealthStatistics

3. Participated in the activities of NationalStatistics Month Celebration

4. Publication and dissemination of policypapers on community health carefinancing

5. Upgrading of computer systems at DOl'!and in some devolved health offices

6. HAMIS'Presentations

European Tropical Medicine Conferencein Hamburg

Health Care Financing Seminar inBerlin

Regional Conference of GTZ supportprojects in Asia

4. Monitoring and Alternative Data CollectionActivities

5. Training of all HIS personnel on Health FacilitySurvey

6

HEALTH MANPOWER DEVELOPMENT ANDTRAINING SERVICE (HMDTS)

Mandate:

To formulate, plans guidelines andstandards for Health Manpower Development.

Accomplishments:

1. Doctors to the Barrios

Recruited and deployed 126 doctors in 36priority provinces

2. Rural Health Practice Program

- Deployed 15 nurses to serve in depressedand disadvantaged areas of the country

3. Third Country Nationals Training Program

A total of 51 Third Country Nationals toattend various fields of studies wereoriented on the :\iission, Vision, Goals,Objective, as "cdl 3M the Organization ofthe Department of Health.

4. Partnership for Alternative Health SciencesEducation (PA!ISE)

This project supports programs that seekto widen the Filipino peoples access toappropriate health carl' services byproviding health workers not only in farflung communities. The DOH supportsfinancially the education of health workersin the community to pursue a ladderizedtype of education suited for the communitylike BHW. midwives. nurses and doctors.

HEALTH POLICY DEVELOPMENT STAFF(HPDS)

Mandate:

To establish, strengthen and managethe Health Policy process of the department andfacilitate the development of Health CareFinancing Policies.

Accomplishments:

During the year, the HPDS undertook thefollowing;

1. Development of a model for a Health PolicyProcess at the national and regional levels.

2. Development, compilation and maintenanceof policy data bases.

3. Linkage and networking with publidprivate sector.

4. Review and consolidation of DOH positionpapers on proposed legislation.

5. Publication and dissemination ofmonographs, policy memos and briefs.

6. Provision of Secretariat support toManagement Committee, ExecutiveCommittee and National Staff meetings.

7. Technical1Administrative Support to thefoundation and/or passage of Healthy Carepreventing laws like the National HealthInsurance Law.

8. Technical and Administrative Support to thedevelopment of operational andadministrative support policies.

7

INTERNAL PLANNING SERVICE (IPS)

Mandate:

To provide the Department withnecessary services related to planning,programming and project development

Accomplishments:

In line with its mandate under E.O, 119,the Internal Planning Service (IPS) hascontinued to f~ction as the central planningunit of tlj/,·DOH. In 1995, the following majoractivities highlighted the accomplishments ofthe Service:

1. Updating of the 1993-1998 Medium-TermDevelopment Plan and Medium-Term PublicInvestment Program.

In pursuance to Memorandum Circular No.113, dated March 31, 1995, of the Office ofthe President, the 1993-1998 Medium-TermPhilippine Development Plan (MTPDP) wasupdated. The updating was necessary toinclude a realistic program of activities forthe remaining three years (1996-1998) of theplan period considering recent developmentssuch as the World Trade Organization(WTO), World Summit for SocialDevelopment (WSSD), and the Social ReformAgenda (SRA). The updated MTPDP calledfor revised targets and priority activitiesachievable in 1998 and the updating of theMedium-Term Public Investment Program(MTPIP) as its coordinating mechanism forfunding requirements.

2. Updating of the 10-Year Public InvestmentPlan of the Health Sector

The Plan will serve as the main instrumentto achieve improvement in governmentspending on health in order to adequatelyprovide for health interventions addressed tothe most important needs of the peoplethrough a combination of increases in levelsof public spending, sharing of health programcosts between national and local government,reallocations within the current budget fornational and local expenditures, and better

8

management of public investments. This Plancovers the major public investment projects forhealth with funding from the regular nationalbudget, foreign grants and loans.

3. Writeshop on the 1996 Operational Planning andBudgeting.

As a regular function of the IPS, updatedguidelines for the 1996 Operational Plannngand Budgeting were disseminated to thedifferent serviceslbureaus/programs, regionsand retained hospitals. To provide venue forthe presentation and refinement of therespective operational plans by these officeslprograms, ten (10) batches of writeshops wereconducted by the IPS.

4. 1997 Operational Planning

In order to have a clear and uniform direction inthe preparation of the 1997 Operational Planwhich shall he the basis of the DOH budgetestimate for the succeeding fiscal year, a set ofguidelines, embodied in a DepartmentMemorandum, was prepared and disseminatedto the different serviceslbureausl programs,regions and retained health facilities of theDOH.

5. National Health Plan Formulation.

The formulation of the National Health Plan(1995-2020) is a joint project of the DOH andUSAID designed to provide a coordinatingmechanism for all levels of planning within andoutside the health sector, as well as providegeneral directions and broad strategies for aneffective and efficient future health care systemin the country. As a country plan, it emanatesfrom a multi-sectoral effort involving variousdisciplines from the government, private andnon-government sectors.

6. Preparation of the Mindanao PublicInvestment Plan for the Health Sector (19952005)

The 10-year Mindanao Public Investment Planfor the Health Sector was prepared to addressthe urgent need to accelerate the economicand social development of Mindanao anduplift the standard of living of its people. ThePlan specifically aims to determine the 10-

year regional investment requirements forthe health sector in Mindanao; prioritizeregional health investment initiative forproject development and implementation;and formulate integrated investmentprograms for Mindanao.

7. Performance and Budget Utilization Review

The conduct of performance and budgetutilization has proven to be a very usefulvenue for identifying and eventuallyaddressing problems in implementation andmanagement of resources.

During the year, the Internal PlanningService facilitated and documented the 1994end-of-year and 1995 first quarter/firstsemester performance and budget utilizationreviews of the central officeprograms/services,seven (7) regions and their retained hospitalsand fifteen (15) Metro Manila hospitals. Panel

.of reactors representing experts in the fieldsof public health, organization andmanagement, primary health care advocates,hospital administrators, other governmentagencies and non-government organizationswere invited.

8. Monitoring

Monitoring visits to ten (10) regions includingtheir hospitals were conducted by the servicein collaboration with the Hospital Operationsand Management Service (HOMS)

9. 1995 Work and Financial Plan Consolidation

In collaboration with the Office ofManagementService, the Consolidation Workshop on the1995 Work and Financial Planning wasundertaken during the early part of the year.

10 . Improvement ofPlanning and Budget Process

The IPS drafted and held consultativemeetings on the proposed AdministrativeOrder regarding Establishment of ImprovedProcedures and Systems for a SynchronizedDOH Planning and Budget Process.

II. DOHAonual ReportPreparation

The DOH Annual Report highlights theaccnmplishments of the agency that includes theconsolidation of information generated from theimplementation of DOH programs and projectsthrough itsdifferent officeslservices/bureaus, regionsand retained health facilities. It also contains thecurrent thrustand future plansof theagency. In 1995,it disseminated 3,000 copies of the 1994 DOHAnnual Report to various offices within andoutside of the DOH.

12. Consolidation of Weekly Situationer Briefs.

Administrative Order No. 12-A s. 1995, wasissued to enable the DOH management toeffectively manage the department andrespond immediately to issues as necessary.This order requires the submission of weeklysituationer briefs by the different DOHoffices, including the regions and theirretained hospitals.

LOCAL GOVERNMENT ASSISTANCEAND MONITORING SERVICE (LGAMS)

Mandate:

To facilitate the smooth transfer ofpower and resources to LGUs during thechange over phase.

Among the major achievements of theservice during the year are as follows:

9

1. Established Mechanism for Technical HealthCoordination;

2. Established Transition Action Team;

3. Organized, established, and operationalizedQuick Response System (QRS);

4. Enforced!mandated fifty percent LGUcounterpart for Magna Carta benefits;

5. Drafted and deliberated IRR and IRAreallocation to Local Government Units (LGU);

6. Developed, produced, and disseminatedComprehensive Health Care Agreement(CHCA) primer;

3. Revised Personnel Information System

-The system was installed and also evaluatedin all regional offices.

4. Developed and disseminated DOH Directory

5. Revised Field Health Service InformationSystem

6. Tested Health Facilities Licensing Systemfor the local area network version

7. Published copies of the 1995 Field HealthUnits Directory. This is a listing of devolvedhospitals, rural health units and mainhealth centers and barangay health

stations.7. Developed/Pre-tested LHBAG Monitoring

tool;

8. Monitored Local Health Board (LHB)/LGUperformance and CHCA implementation

MANAGEMENT ADVISORY SERVICE (MAS)

~Anrlate:

&V r~~·.-- -~--- _.-on internal control, management systemsimprovement, and to supervise theestablishment of a management accountingsystem, control procedures and managementinformation system for improved decisionmaking per Execcutive Order 119.

Accomplishments:

Among the major accomplishments of theservice during the year are as follows:

1. System Development and Maintenance

- Computerized sub-systems of LogisticsManagement System (LMS) are now fully

developed and ready for implementation.

2. Financial Management System

- The cashiering model has been tested andmost reports of the accounting module arealready developed. The budgeting module Iis being revised to include modification onthe government budgeting procedures.

10

MENTAL HEALTH PROGRAM (MHP)

Mandate:

To serve as a technical advisory and policymaking body on Mental Health for theDepartment of Health.

Accomplishments:

1. Established eight (8) Mental Health Services!Facilities

2. Celebrated Mental Health/Substance AbusePrevention Week (Lusog -Isip '95)

:1. l)~\I'lol,,'d Space Prtl/;r:ltll and l'l"(·llminnrylh' ;:~r: ~trli"d:~rrl... fur :1 ~lt'nt~:; Hca lt hFacility In a Hl·~~ilJn;:-ll/C.'n{''''a: Hospit a l/"iedical Center Setting.

4. Conducted training on Psychosocial Care inDisaster Management in DIR!"O III, VIII, andXI

;;. Pa rt icipated in the Emergency MedicalTechnicians lEMT) 'I'raining Course andas-usted in t hi- dr.iftim, of E:lIT TrainingManual

PUBLIC INFORMATION AND HEALTHEDUCATION SERVICE (PIHES)

Mandate:

To provide leadership in healthactivities, social mobilization and advocacyin it int ivr-s of the' different health prozrarns ofthe DOH.

Accomplishments:

Spearhead I'd the develupment andimp~{~P.'I·nt;ltionof rorn munication plan for theFive for Lif,' in 95 (TB, TKO, ASAP, NID,~'?) I. ;:"hip prog-rams and the 13 PhilippineHealthy Initiatives Project.

Mobi li xe d all government, nongovern mi-nt. private and business sector, civicand community organizations as well asreli-rious groups in participating in the variousDOH campaign.

11

Manar.ed tLc 1JOIJ..1l·ws printed andhroadrast in t!,l' mast .nodia throuuh the conductof three time -n-w cr-k prc's b r i cfing andconferences; Lsuunce of dai.y press releases;coordination of television and radio guesting forthe Secretary and other DOH management staff,and; provision of audio-visual and photographydocumentation to major field inspection trips andconferences of the Secretary and othermanagement staff.

Provided daily print and radio health ru-wsmonitoring and monthly news analysis. Part of

this media relations task were the issuance ofnews advisory to the DOH management andresponding to adverse publicity and broadcastin media, whenever necessary.

Eotahlished the high technology AudioVisual Unit with the acquisition of latest andstate-of-the-art audio-visual equipment andfacilities donated by the Japan InternationalCooperation Agency.

Produced in-house television and radioadvertisements, video documentaries, printand graphic materials for the different DOHcampaigns and programs.

Started the implementation of the MultiMedia Center Project which would createtraining modules and information, education

and communication (lEe) materials in CD-RO:l1.

Served as the clearing house for all DOHproduced IEC materials

Conducted Basic Training course onHealth Education for 22 Central and ProvincialHealth Education and Promotion Officers

Developed and produced 45,000 FamilyGuide Manual. 20,000 Household TeachingManual and 2,000 Operational Manual onTeacher, Child, Parent Manual. (Printing isongoing as of January 1996)

Distributed additional MidwifesIntegrated Communication Aide for Maternal andChild Health (MICAMS) to 75 provinces.

Provided orientation about the DOH andits services and programs to students, researchersand the general public as well as foreign fellowsfrom Vietnam, China, and Malaysia.

Implemented the TCPM approach inregions with TCPM areas of DECS through TWGorien ta tions in Regions.

4. Distributed flipcharts arid manuals on herbalmedicine;

5. Organized training on acupuncture forDoctors

. .

..............................................................................

TRADITIONAL MEDICINE UNIT (TMU)

Mandate:

To develop, establish and utilizeTraditional Medicine in the Philippines

Accomplishments:

In 1995, the Traditional Medicine Unit(TMU) undertook the following activities:

1. Finalized Draft Executive Order on PhilippineTraditional Medicine Program;

2. Developed prototype code of Ethics oraccreditation system and regulatorymechanism for traditional medicinepractitioner;

3. Supported project proposals of NGOs andother Gas Buod-Buhay Foundation - Anationwide study on the Knowledge, Attitudeand Practices (KAP) of Multi-Sectoral Groupson Health and Traditional Medicine;

I.

12

HEALTH HUMAN RESOURCEDEVELOPMENT (HHRD) PROGRAM

The project which started in 1993 preparedtogether several HHRD policies and programdocuments which underwent through a series oftechnical review and multi-sectoralconsultations. The first draft of the NationalHHRD plan was prepared by March 1995 afterwhich it underwent a review by technical experts.The plan was presented in a multi-sectoralconsultation in June 1995 after which it wasfinalized.

The proposed national HHRD plan prepareda Philippine Health System Scenario for the year2000 which guided the formulation of the HHRDvision, mission, goals, strategies arid programsfor the next 25 years. The plan also presented aset of recommendations to put the proposedHHRD plan in motion.

Several other documents were preparedtogether witli. the National HHRD Plan. Amongthese are:

1. A proposed model for projectingRegional Health Human ResourceRequirements

2. A proposed HHRD ResearchAgenda

3, A proposed HHRD LegislativeAgenda

In December 1995, the project made theinitial preparations for a Human Resourcefor Health Information System (HRHIS) topursue the recommendations set in theNational HHRD Plan. The HRH-IS will bethe main focus of the project in 1996.

13

Ice ofanagement

.rvices

OFFICE OF MANAGEMENT SERVICESPROPER (OMS)

Description:

Exercised overall supervrsron andcoordination on financial management,administrative, procurement and logistics.

Accomplishments:

1. Conducted meetings with ServiceDirectors and officers under the Officeof Management Services (OMS), 3dialogues with Regional Directors,consultative meeting on procurementwith Program Managers, and facilitated2 consultative meetings with regionalFinance Officers, Budget Officers andAdministrative Officers.

2. Attended coordination/consultativemeetings with NEDA, DBM, DOJ,NDCC, Office of the President,operational planning and budgetingworkshop, technical budget hearingswith DBM, congressional/Senate budgethearings, meetings with somecongressmen, moral recovery seminarworkshop, and DOH transitionmeetings.

3. Referred/participated in the evaluationand screening of job applicants at DOH.

4. Initiated the conduct of budget hearing.

5. Attended and participated the conduct ofEXECOM and MANCOM meetings.

6. Initiated the conduct of initial activitiesof Ra-engineering the governmentbureaucracy at DOH.

14

7. Evaluated Magna Carta of Health Workers- related issues, provided recommendationsand appropriate actions.

8. Provided greater assistance and coordinationto Finance Service specially prior to anybudget hearings.

9. Directly managed the P161.6 million budgetfor locally-funded projects and monitoredimplementation of the same.

"10. Evaluated, processed, coordinated andmonitored Congressional Initiative projects.

ADMINISTRAnVE SERVICE (AS)

Accomplishments:

1. Performed 1,947 corrective and preventiverepair and maintenance activitiesincluding garbage disposal and registrationof vehicles.

2. Managed 42,569 DOH administrativeissuances, and personnel miscellaneousrecords.

3. Provided 115,182 outgoing and incomingradio communication services and 23trunklines for PABX communicationsystem.

4. Conducted 17,827 physical, medical,laboratory, malaria, and radiologicexaminations.

5. Provided 24,392 medical consultations and19,094 immunization services.

FINANCE SERVICE (FS)

Accomplishments:

1. Conducted orientation workshops on thepreparation of 1996 budget estimates and1995 DOH Agency Budget Matrix (ABM)with Regional Health Offices andconsultative meeting with regionalFinance Officers, Budget Officers andPlanning Officers.

2. Prepared 1996 DOH agency budgetproposals in coordination with IPS and inaccordance to DBM guidelines.

3. Assisted preparation of documentss during1995 consultation with DBM andsupporting documents for 1996 budgetproposals and attended series ofCongressional/Senate budget hearings.

4. Spearheaded the execution of 1995 DOHbudget under R.A. No. 7845 whichincluded, among others, preparation,review, and recommendation of SpecialBudgets, requesition of Special AdviceRelease Orders (SAROs), and Notice ofCash Allocations (NCAs) from DBM,collection of P 121 million, informationdessimination of General Advice ReleaseOrder (GAROs), SAROs, P 2.2 billion worthof NCAs preparation and release of 75,000sub-allotments, 180,000 Request ofAllocations (ROAs), and 23,414 fundingchecks.

5. Prepared periodic summary records ofreleased allotments, obligations, and fundbalances in relation to monitoring budgetutilization.

6.. Prepared and processed fund releases ofaround 15,000 Congressional/SenatorialInitiative and CDF Projects.

7. Conducted reconcillation of sub-allotmentstogether with regional health offices, andspecial hospitals.

8. Complied periodic reportorial requirementsto EXECOM, MANCOM, DBM , Bureau ofTreasury, Congress, COA, and coordinativeinformation to GSIS, Land Bank, etc.

PROCUREMENT AND LOGISTICSSERVICE (PLS)

Accomplishments:

1. Distributed medical supplies and drugs andprovided IEC materials for NationalImmunization Days, Araw ng SangkapPinoy, World AIDS Day, Phil. HealthyInitiatives & other DOH special projects.

2. Delivered needed drugs, medicines, waterdisinfectants, & water jugs duringoccurrence of typhoons and tragedies.

3. Procured health care products and suppliesamounting to around P 959 million as partof its regular activities. Out of this totalamount, around 88% were procurementactivities at DOH - Central Office (mostlydrugs and medicines) and around 12%wereprocurement activities done through theProcurement Service (PS) of DBM (mostlyoffice supplies and equipment).

4. Distributed drugs, medicines, equipment,and other commodities based on thesubmitted allocation plans of different DOHoperating units, programs and projectswhich amounted to around P 275 million.

15

ffice ofublic Health

.ervices

(OPHS)COMMUNICABLE DISEASECONTROL SERVICE (CDCS)

DENGUE CONTROL PROGRAM (DCP)

Program Description:

A program in its pilot stage designed for theprevention of epidemics and control ofseasonal outareaks of dengue fever in areasexposed to both the disease agent andvector.

Accomplishments:

Developed program policies, guidelines andmanual on training; provided technical andlogistics assistance to local units in pilot areasand in those reporting dengue outbreak.

The Dengue Control Program packagepilot tested in 7 provinces applied the RapidResponse Mosquito project in several areasin 6 regions where dengue fever outbreak wasreported, suspected or confirmed.

FILARIA CONTROL PROGRAM (FCP)


DOH-assisted program for the control of filariain limited areas of endemicity in four (4)regions of the country.

Accomplishments:

1. Provided supplies for case finding, drugs forthe treatment of 1,288 cases, and publicinformation materials on the prevention andcontrol of filariasis to Regions 4,5,8 and 11,which host isolated patches of communitiesendemic for filiarisis.

16

2. Undertaken a research, "InsecticidalZooprophylaxis," to determine an adjunctstrategy to prevent malaria and filariasistransmission.

LEPROSY CONTROL PROGRAM (LCP)


Nationwide surveillance, case-finding,treatment and social rehabilitation programparticipated in by field health units andsanitaria.

Accomplishments:

1. Launched the extensive information andeducation campaign to increase society'sawareness of the need for concerted actionto advocate for the cure of all leprosypatients; conducted active searching andscreening of skin diseases in endemic areas.

2. Made bulk shipment of drugs to regionaloffices and sanitaria all over the country.

3. Provided bicycles to 200 cured leprosypatients who volunteered to motivate,'monitor treatment compliance and dosurveillance work for currently ill leprosypatients, thus, improving the treatmentcompletion and cure rate of patientsidentified by the local health workers.

NATIONAL RABIES CONTROL PROGRAM


A multi-agency program, it intends to makethe Philippines a rabies-free country throughits Responsible Pet Ownership Campaign.This activity popularizes the benefits of petvaccination, pet leashing or confinement, andprovision of clean pet food in the campaignagainst rabies and animal bites among thegeneral population particularly the schoolchildren.

Accomplishments:

1. Assisted LGUs in the management: of dogbite patients through the provision of 2,060doses of human anti-rabies vaccine for freepost-exposure prophylaxis.

2. Immunized 2tl,U44 dogs agamst rabiesduring the Mindanao Anti-Rabies Day(MAD) Campaign in Agusan del Sur andCamiguin in collaboration with theDepartment of Agriculture, Bureau ofAnimal Industry (DA-BAI).

3. Trained/Oriented 180 field health staff onthe local implementation of the Programand on Management of Animal BitePatients.

4. Developed awareness among thepopulation on the effects of animal bitesand rabies and it prevention thru anIntensified Information Campaign onResponsible Pet Ownership.

NON-COMMUNICABLEDISEASE CONTROL SERVICE(NCDCS)

NATIONAL CARDIOVASCULARDISEASE PREVENTION AND CONTROL~f10GRAM (NCDPCP)


The program seeks to prevent theemergence of and control the rising morbidityand mortality from cardiovascular diseasesthrough a predominantly health promotionstrategy. The target population includes 15years and over, particularly the 20-50 agegroups whose lifestyle and demanding careersmake them prone to hypertension andischaemic heart disease.

Accomplishments :

1. Trained Regional and Provincial Corps ofTrainors as well as field healthimplementors.

2. Organized Provincial CVD Task Forces.

3. Trained 66 physicians and nurses who arebased at Regional Hospital and priorityprovincial hospital on upgrading of CVDclinical skills at Philippine Heart Center.

4. Upgraded CVD Clinical skills at thePhilippine Heart Center for the physicians(internist and pediatrician) and nursesbased at Regional Hospitals and priorityProvincial Hospitals (2 batches).

5. Integrated the CVD Hospital BasedComponent to Hospitals as Centers ofWellness Program (pilot areas: Regions I,VI, & Xl)

b. 1 ramen mnustry-oasec pnysicians ana nursesre ; establishment of Heart FriendlyIndustry.

7. Installed CVD program in some industrieslworkplaces.

8. Conducted an orientation workshop withDECS area level supervisors on Guidelineson screening and management of RFIRHD .

9. Approved the DECS proposal on CVD schoolbased program

·····sMoi<iiiia··cEs·SAfioN··PROGRA"M-·············_······(SCP)


A multi-sectoral approach towards thereduction of the prevalence of smoking andsmoking related illnesses through massiveinformation campaign, policy developmentand legislation.

Accomplishments:

1. Conducted activities related to World NoTobacco Day & National No SmokingMonth

2. Conducted "Yosi Kadiri" Campaign in theschools, community & industry.

3. Produced promotional materials for theprevention and control of smoking andsmoking related illnesses.

4. Conducted annual holding of the Tobaccoof Health Conference.

5. Formulated policy on Smoke-free Sports.

6. Supported Comprehensive Bill on TobaccoAdvertising.

7. Conducted research on Tobacco Economics.

8. Published/circulated National SmokingPrevalence Survey results.

17

9. Trained Smoking Cessation Counselors forSmoking Cessation Clinics on SpecialtyHospitals in Metro Manila and HegionalOffices/Hospitals.

10. Purchased/distributed Nicotine Patches aslast alternative means in smokingcessation.

11. Conducted Annual Program Evaluation andPlanning.

4. Lauched information campaign dubbed as"Healthy Workplaces" and "HealthyWorkforce" initiatives. 1,473 members of thetransport sector availed of free medical!health services provided by the CentralOfficelDIRFO's/Hospitals nationwide.

OCCUPATIONAL HEALTH PROGRAM(CHP)


Occupational health services will beintegrated with the basic health services,utilizing the time-honored Primary Health CareApproach in partnership with the communityto promote workers health safety and preventwork-related diseases and disabilities

Accomplishments:

1. Prepared guidelines for the establishment ofRegional Occupational Toxicology and NonCommunicable Disease Information Servicein Regions 5,7 and 11.

2.665 DIRFO/hospital based personnel trainedon Occupational Health and Toxicologyin theManagement of Pesticide Poisoning andGeothermal Operations

3. Conducted toxicovigilance and surveillanceactivities among workers in high riskindustries where 15 persons were detoxifiedfor mercury poisoning in collaboration withUP-National Poisons Control andInformation Service.

18

COMMUNITY - BASEDREHABILITATION PROGRAM (CBRP)


Community-Based Rehabilitation Program(CBHP) is a creative application of thePrimary Health Care (PHC) approach in't,ehabilitation services. It involves measurestaken at the community level to use and buildon the resources of tbe community, includingthe impaired, disabled and handicappedpersons themselves, their families, and theircommunity as a whole.

Among its major activities in 1995 were:

1. Conducted skills training for (a) LocalSupervisors in the First Level Training forPhysical, Occupational, Speech andBiopsychosocial Therapies; (b) LocalSupervisors in Higher Level Training forPhysical, Occupational, Speech andBiopsychosocial Therapies; (c) PhysicalTherapy Assistants; and (d) BracelProsthetic Technicians;

2. Advocated for the adoption of the CBRProgram by the local government units;and

3. Conducted support program operationsthrough monitoring and evaluation,Documentation Updates, National DisabilityPrevention and Rehabilitation WeekCelebration, and Annual Planning andEvaluation Workshop.

6. Assisted close to 5,000 cancer patients foravailment of free anti-cancer treatment,pain-relief or both, through the Program incoordination with partner governmenthospitals.

PHILIPPINE CAN.CER CONTROL PROGRAM(PCCP)

NATIONALDIABETES PREVENTION ANDCONTROL PROGRAM (NDPCP)

Program Description: Program Description:

A multi-sector, multi-specialty nat ion a lprogram for the prevention of cancer and forthe provision of assistance for the earlydiagnosis, cure, social support andrehabilitation of cancer patients

Principally, a preventive program in itsdevelopmental stage which is implementedalong side NGOs with long established curative,

, social support and rehabilitation programs forFilipino diabetics

Accomplishments: Accomplishments:

1. Worked for the approval of the framework forthe prevention and control of diabetes in thecountry.

2. Aligned the manual of operations for thehospital-based component of the DiabetesControl Program according to the masterplan;

3. Finalized protocol for a national diabetessurvey which shall be implemented in 1996.

1. Integrated cancer prevention and controlmessages in to the secondary curriculum;

2. Trained of 270 health supervisors anddepartment heads of the Department ofEducation.

3. Celebrated the Cancer Consciousness incoordination with the members of the'Philippine Cancer Society; cancer-smartmessages were circulated through radio andTV and other information materials.

4. Held the First National Convention onHospice Care for Cancer Patients, where 390cancer program implementors and patientsconvened to have an update on currentpalliative care for cancer victims.

5. Screened 1.1 million women for breast cancerand 499,311 for cervical or uterine cancerwhile 254,195 men and women had chest xray particularly for screening for lungcancer. 19

MATERNAL AND CHILO HEALTHSERVICE (MCHS)

Mandate:

The MCHS is the public health office in thecentral DOH which oversees and manages six(6) national programs namely: ExpandedProgram on Immunization, Control of DiarhealDiseases, Promotion of Breastfeeding andProper Weaning, Control of Acute RespiratoryInfection, Maternal Care Program andUnderfives Care.

Altogether, these programs aim to lowerqveratl deaths and illnesses among mothersespecially the pregnant women and childrenaged younger than 5 years old. The mainstrategy is to provide basic prenatal, postnataland safe delivery care to mothers and providepreventive and early intervention servicesagainst the most common and most seriousdiseases among children such as measles,pneumonia, diarrhea, undernutrition, neonataltetanus, poliomyelitis, diphtheria andpertussis, among others.

More than 40% of the Filipino populationare women of childbearing age and childrenunder 5 years old. Through more than 15,000rural health midwives and 2,000 public healthnurses and doctors, MCHS hopes to reach morethan 2M Filipino mothers and 9M childrenevery year.

EXPANDED PROGRAM ON IMMUNIZATION(EPI)


A nationwide, multisectoral service focusedon the provision of immunization of vulnerablegroups: infants, young children and mothersto protect them from seven immunizablediseases and to eventually eliminate thesediseases.

Accomplishments:

• Continued to provide the vaccine, syringeand needle requirements nationwide for usein the various immunization activitiesnamely: routine immunization, nationalimmunization days, mop-up operations andoutbreak response immunization.

• Provided technical assistance through varioustraining conferences, workshops, andformulation and dissemination of programguidelines and policies.

• Conducted two rounds of Nationalimmunization Days ("Oplan Alis Disease")which resulted in a 90% nationwide coveragefor Oral Polio Vaccine (OPY).• Completed cold chain inventory in 73 provincesand 65 cities. Data still undergoing finalanalysis.

CONTROL OF DIARRHEAL DISEASES(COD) AND PROMOTION OFBREASTFEEDING (BF) AND PROPERWEANING


Primary targeting under-five children, theprogram is a nationwide drive to preventdiarrhea and control its adverse effects in thisage group through the provision of technicalcapabilities and promotion of breastfeeding,correct feeding and weaning practices, usc oforal rehydration fluids and measlesimmunization.

Accomplishments:

• Provided 7.62 M sachets of Ore sol and 600,000hydrite tablets nationwide especially in disasterareas and evacuation centers.• Conducted 6 SAV.E.R.S. (Scout's AuxiliaryVolunteers Emergency and Relief Service)workshops for the Boy Scouts and Girl Scouts

20

of the Philippines as part of their commitmentin advocating for Oral Rehydration Therapy(aRT).• Conducted combined Program ManagersCourse for CDD and CARl as part of theIntegrated Child Care and Management (ICCM)of common childhood diseases.• Distributed lEC materials nationwide whichincluded radio ads on aRT.• Initiated the Philippine Pharmacy StaffTraining Project to improve the treatment ofdiarrhea at home as a result ofthe pharmacist'sadvice to mothers. An ORS Consumer UseSurvey involving 500 households and 103Manila based drugstores; and a focused groupdiscussion involving pharmacists andsalesclerks assessed their knowledge of diarrheaand its management.• Conducted a workshop on Milk CodeMonitoring with participants from other GO andNGOs to strengthen the implementation of theMilk Code.

management of various ART cases.• Conducted combined CDD and CARl ClinicalManagement and Communication SkillsCourse in line with the Integrated Child Careand Management (ICCM) of common childhooddiseases.

MATERNAL CARE PROGRAM (MC)AND UNDER FIVES CARE (UFC)

Program Descrtptioh:

Preventive, promotive and curative healthservices for women of the reproductive age,designed to reduce maternal mortality.

Nationwide health service designed tofocus on the provision of preventive, promotiveand curative care to children under five years

of age.

CONTROL OF ACUTE RESPIRATORYINFECTIONS (CARl)


Accomplishments:

• Provided Homebased Mothers Records(HBMR) nationwide.* Developing various training manualsand teaching tools including the HilotTraining Manual which is currentlyundergoing pilot testing revisions andfinalization.• Conducted an evaluation of the HilotTraining conducted in Region X, findingsof which were used to revise the HilotManual.• Held an inter-agency meeting on theFemale Functional Literacy (FFL),Project aimed at empowering the womenespecially in health where a technicalworking group for FFL was created.

• Conducted Health Facility CapabilitySurveys in the 15 Aus/AID assisted provinceswhich involved training on encoding andanalysis of data.

etlUltRl.U1ItICUllS.- .....~-

MCHS was also responsible for thedevelopment of Early Child Development(ECD) and Adolescent Health Care.

A health care program integrated into thegeneral services of field-based and hospitalbased implementing units focused on thereduction of deaths among under-five childrencaused by pneumonias.

Accomplishments:

• Provided essential drugs for the managementof ARI cases nationwide namely: cotrimoxazole,benzyl penicillin, chloramphenicol, gentamycinand epinephrine.·Provided otoscope and pediatric resuscitatorsto various DOH hospitals to support the

21

80

60

40

20

o~~~~~~,=,=,I:"

Smear (+) c... DetKtJon Rate and Trutrr.nt Efftctency RateNationalTuberculosisControl Program. PhD.. 1990.094

OSm8ar (+)OetDdion

•TreatmentEllicleney

100

1990 1991 1992 1993 1994Soun::.:T~l. Control SeMce. DOH"'J'lIaed_&---,_.~._...._..,..,..,--_ .._--


Nationwide, community-based casediagnosis and case-holding programimplemented by local government, fieldhealth services and by DOH-retainedhospitals in part, with the technical andlogistical assistance of the Departmentof Health.

TUBERCULOSIS CONTROL PROGRAM(TCP)

Accomplishments:

1. Drafted the NTP policies inconsultations with other agencies andfield workers.

2. Launched Target: STOP TBnationwide by the Secretary of Healthin Paranaque for Metro Manila,Antique for the Visayas and Surigaodel Sur for Mindanao and in all regions.

3. Conducted training courses for Sputummicroscopy (5) and NTP NewGuidelines (8) .

4. Distributed anti-TB drugs for 175,000 activecases ofTB.

MALARIA CONTROL PROGRAM (MCP)

5. Provided 64 brand new microscopes to-selectedmicroscopy centers especially SRA provincesto improve the quality of TB diagnosis.

6. Repaired 84 microscopes in different regionsof the country.


Semi-vertical, nationwide malaria casefinding and treatment and mosquito vectorcontrol program.

Accomplishments

7. Distributed microscopy supplies andinformation materials to all implementingunits.

8. Conducted two (2) researches.

As a result, about 236,518 cases wereinitiated into anti-TB treatment in 1995 and theyare being monitored closely by the LGUs healthworkers. Through the participation of DOHretained hospitals in TB control, some 12,000special cases of TB were admitted and treatedin hospitals where anti-TB drugs were also madeavailable.

Results of the successfully concluded biannual Malaria Control Program review in1995 became the basis for shifting programpriority to the training of field personnel.Program budget was re-aligned to meet thetraining needs and demands of 291 RHUpersonnel and local government officials inendemic provinces. Program accomplishmentsincluded the following:

1. Initiated evaluation of Aklan, Antique,Biliran, Carniguin, Capiz and Guimarasprovinces with low endemicity for malaria,a component of the drive to render these

22

provinces malaria-freed by end of 1996.

2. Worked out operational researches forfunding by the "World Health Organizationand drawn up the terms for technicalcooperation between the Malaria ControlService and the Research Institute forTropical Medicine (RITM) and the Frenchgovernment.

4. Conducted extensive schistosomiasis casefinding, aggressive treatment and intensivesnail colony liquidation in the island ofSiargao achieve schistosomiasis eliminationof the island by Year 2000.

5. Undertook 14 researches on programoperations and schistosomiasis controltechnology, 6 of which were completed in1995 and a wait analysis for programapplication

3. Treated 366,844 cases of malaria.

COMPREHENSIVE NUTRITIONPROGRAM (CNP)

........................................................................................

19951994199319921991

~~na

~_._---

--~·iif ~M-

1-

- -o

4. Distributed 224,232 insecticide-impregnatedmosquito nets to risk households.

20.000

80.000

" •..-xl

SCHISTOSOMIASIS CONTROL PROGRAM(SCP)

"'.000

5. Sprayed 350,990 houses and cleared 3,153kms. and seeded 3,206 streams withlarvivorous fish.MalariaControl Program CaseFinding

PhBIppfnea, 1991-95

ca..120,000

100.000

Program description:Program Description:

Area- based schistosomiasis case-finding andtreatment program concurrent with vectorcontrol and environmental engineeringmeasures

Nationwide and multisectoral nutrition statusmonitoring and intervention program, with theDOH providing management and developmentsupport. Standard nutrition interventionsinclude food and micronutrientsupplementation, food fortification, nutritionpromotion and advocacy.

Accomplishments:

1. Screened close to 267,347 suspects andfound 25,428 positive and treated for thesnail-borne disease.

2. Identified 25,884 cases with commonintestinal parasites and given treatment.

3. Inspected 376.3 hectares of snail coloniesin endemic areas and treated 67 hectareswith molluscicides,

Accomplishments:

1. Mobilized and coordinated with partneragencies nationwide for the Araw NgSangkap Pinoy (October 17, 1995);

2. Distributed Vitamin A capsules to about 8.5million preschoolers and iodized oil capsulesto at least 11 million targeted women andchildren.

23

3. Advocated the passage into la"w of RepublicAct No. 8172, the "Act Promoting SaltIodization Nationwide and for RelatedPurposes." The law requires allmanufacturers and producers of food-grade'salt to iodize the salt they produce,manufacture, import, trade or distribute and,mandates all government agenciesconcerned in health, food regulation,distribution and trade to make sure that thelaw is enforced.)

4. Installed salt iodization machines in 32strategic locations nationwide;

5. Pilot-tested the community-based saltmonitoring using Lot Quality AssuranceSampling in 4 municipalities in Mt. Province.This system assesses quality and usage ofiodized sail

6. Trained 210 personnel from 14 salt farms andrepresentatives of different governmentagencies on salt iodization technology.

l'·'·t~~\ .,".'

To ensure that the product 1$reolly tort,""fled. the consumer should look for the"scmgKOpPInOY Sear on every productlabel The Seal guaronf9$S that thecroooct e sofa to em and fortified withm.crooctnents wilhln acceptable levelsooprOyed by the gepol1m91)tofHeo1th

VItamin A, Iron, &. IodIne

,~ .. ,

7. Launched the Sangkap Pinoy Seal projecton food products that contain nutritive valuein the right quantities.

FAMILY PLANNING PROGRAM


8. Trained 4,585 barangay and municipalhealth workers on community-basedplanning and management of nutritionprograms in 36 selected provinces; and

Nationwide family planning information andservices provided by government and nongovernment organizations for the protection ofthe reproductive health of women.

9. Provided bulgur wheat and green peas andBP -5 Compact Food where necessary.(BP-5 Compact Food is the brand of highlynutritious food mix being distributed indisaster areas to prevent starvation andmalnutrition in case of food shortage.)

Accomplishments:

1. Developed the critical Five-YearCommunication Strategy for the PhilippinesFamily Planning Program.

l'ercent Target Accomplishment on Vitamin Aand Iodized 011Supplementatlon,OOH,1993-95

2. Provided close to 2 million continuing userswith services and supplies;

3. Initiated 296,720 to the programs.

5. Upgraded the supplies and equipment of 300selected family planning outlets; andfacilitated the setting up of the Center forMother and Child in the province of Tarlac,

4. Distributed Family Planning supplies to14,839 outlets nationwide.

6. Completed the validation of the 1993contraceptive prevalence survey;

199519941993

12O~---------~

IIVAn I100 ..,..,,---1 Dice

80

60

40

20

o

24

7. Updated the family planning/reproductivehealth data bank;

8. Reviewed and refined of pre-marriagecounselling manual;

9. Developed new training modules focusingon gender sensitivity and intergrating HIVAIDS; and

10. Trained 4,500 personnel on the differentaspects of family planning program.

In areas where access to government orprivate dentists is difficult, barangay healthworkers were trained and equipped to becomebarangay dental auxiliaries by the DentalHealth Service staff in coordination withregional and provincial dentists. This strategyof training indigenous human resource fordental health care in far-flung areas began in1993. As of now, there are 500 barangay dentalauxiliaries throughout the country who can dooral examination, coronal scaling and canmanage common oral infections for people who

............................................................................................................................................................

Among the vital management initiatives in1995 are: (1) the review and updating of newdental care standards for hospitals, privateschools and occupational health services whichshall also hopefully upgrade the standard ofcare given to the public by these facilities and,(2) the completion of the "Study on the Cost ofDental Treatment in the Dental Health ServiceClinic" which makes easily available theestimation of cost of any given dental service.

Barangay Dental AuxiliariesPhiBppines, 1993 to 1995

-~

'"

,~I---j

1$93 1994 1995--",,,,,,,,,,_-,0011

"'I---fi~l

otherwise would not have known any dentalhealth care service. On the other hand, 73dentists based in 45 DOH-retained hospitals,and catering mostly to urban centers, wereoriented on the preventive and promotiveaspects of dental health care.

For the first time in Philippine history, amemorandum of agreement among all majorinfluence groups in dental health care wassigned on February 9, 1995 to effect a multisectoral approach in the prevention and controlof dental diseases. The Philippine DentalAssociation and Colgate-Palmolive Philippinesjoined government. agencies led by theDepart.uent of Health in forging this covenantto propagate, promote and utilize tsaanggubat as a cheap and natural source ofsupplemental sodium fluoride. Othersignatories to the memorandum were theDepartment of Interior and Local Governmentsand the Philippine Information Agency.

Accomplishments:

Nationwide preventive, promotive, curativeand restorative oral health servicesimplemented by government hospitals andhealth clinics.


COMPREHENSIVE DENTAL HEALTHPROGRAM (CDHP)

25

ENVIRONMENTAL HEALTHSERVICE (EHS)

ENVIRONMENTAL SANITATIONPROGRAM (ESP).


Nationwide, multi-agency, multisectoralprogram concerned with the basic componentsof water sanitation and sanitary disposal ofcommon household wastes.

government agencies, private sector, includingprivate citizens, to operationalize theprovisions under the said IRRs andmaintaining a healthful environment.

Four (4) new IRRs were also been initiallydrafted pertaining to Massage Clinics andSauna Bath Establishments: Hotel, Motel andApartments; Vermin Control and Disposal ofDead Persons. It is expected that the 22sections of the Code will be provided with IRRby end of 1997.

cesee1.200 r-----------------~

October 2 and December 18, when HealthyMarket and Healthy Moviehouse werelaunched, respectively, in connection to theHealthy Initiative Program ofthe Department.Awards were given to the chosen HealthyMarket in Manila and the Cleanest andHealthy Moviehouse in Quezon City.

A National Directional Plan (1996-2004) forEnvironmental Health Impact Assessment wasdrafted in cooperation with WHO and UP-CPH.The plan is aimed to come-up with activities to .guide the Department to face emerging healthproblems or conditions arising from new andexpanding development projects. The Office isalso involved in the review of EnvironmentalImpact Statement Documents.

,. m' --•••fI-::;.,

Cholera cases Reported by MonthPhilippines, 1994 & 1995

'DO

'DO...

.....

Aside from the monitoring and technicalsupervision of sanitation services, theEnvironmental Sanitation Program laboriouslyconsulted with various agencies and privateenterprises to arrive at the final draft of theimplementing rules and regulations (IRR)covering Chapters 2,3 and 17 of the Code ofSanitation of the Philippines. The IRR madepossible the upgrading of standards on watersupply, food sanitation, excreta disposal anddrainage and spelled out the responsibilities of

During the Papal visit in early January, DOHsanitation officials and engineers personallycoordinated, supervised and provided for theinstallation of sanitation facilities in strategiccamping sites and venues of the millions whogathered to see the Pope. No disease outbreakrelated to poor sanitation occurred even fromamong those who camped out for several daysin Metro Manila parks.

To increase the level of awareness of thegeneral public and to stimulate communityaction to ensure the availability of safe sourcesof drinking water, sanitary toilet facilities andoral rehydration fluids to all households, theinformation-action campaign, TKO or Tubig,Kubeta, Oresol was launched in 1995.Immediate results of this campaign includedconstruction of safe water sources in 96communities, installation of 139,525 sanitarytoilet facilities, and the distribution andpromotion of oral rehydration salts. The trimedia campaign that accompanied this projectpublicized simple messages like the value ofhand washing and the proper use of toilets. Asa result, cholera was TKO'd this year. Nocholera outbreak of regional or nationalsignificance occurred in 1995.

Accomplishments:

26

}{CS?:;-AL WASTE MANAGEMENTPROGRAP.Il (I~WMP)


Hospital-based sanitation program

Accomplishments:

The completed study on Hospital WasteManagement and Sanitation Practices in DOHHospitals and Sanitaria, will serve as basis forthe development of the Program as it improveswaste management in DOH-retained hospitalsand as it expands implementation to othergovernment and private-owned hospital facilities.

There is presently a developed manual onProper Hospital Waste Management and seriesof training activities has been conducted tocentral and field hospital personnel.

To initiate the program, logistic support suchas color coded bags and bins, sharp collectors,personal protective equipment and IECmaterials were distributed to all retained andselected devolved hospitals. Technical andconsultative services were likewise provided.

I

The lACEH was created through E.O.489 to serve as a venue for inter-agencycollaboration and cooperation to betterprotect the health of the people fromgrowing health problems related toenvironmental degradation. There are 11member agencies, chaired by DOH. TheEHS serves as the Secretariat to thecommittee.

27

There are five (5) working groupscorresponding to the major concerns such as:solid waste sector, water sector, air sector, toxicand hazardous substances sector andoccupational health sector.

To ensure safety of the consuming public, thefollowing monitoring activities have beencontinously undertaken:

- red tide toxin in shellfish and cells in seawater;

- pesticide residue in vegetables;- antibiotic residue in meat;- sanitary conditions of landfills in

Carmona and San Mateo.

FIRST WATER SUPPLY, SEWERAGEAND SANITATION SECTOR PROJECT

(FW4SP)

Project Description :

World Bank funded, multi-agency ruraldevelopment project begun in 1991 which aimsto provide safe and adequate water, seweragesystems and sanitation facilities to rural

communities. In the DOH, this ishandled by the Environmental HealthService.

Accomplishments:

Aside from its gross appearance,water safety is determined through aseries of laboratory tests performed byhighly skilled personnel. To ensure thereliability of laboratory tests on watersamples and thus, improve the qualityof water safety monitoring done by ourhealth offices, the First Water Supply,Sewerage and Sanitation Sector Projectprovided the logistics and technicalinputs to upgrade all 75 waterlaboratories in provincial health offices

and all the 14 water laboratories run by DOHregional offices. The facilities and equipmentimprovement was coupled with skillsupgrading when at least 90 laboratorypersonnel were made to undergo re-trainingon the necessary basic laboratory methods andtraining on new technology in waterexamination.

A total of 4,220 Rural Sanitary Inspectorscompleted training under the National andRegional Sanitation Training Programs - PhaseI & II. These personnel were trained in supportof DOH on-going drinking water qualitymanagement programs and rural health andhygiene education program.

To augment our local resources for sanitationfacilities, 174,000 families were rnotivaf.ed.,taught the technology, and given plastic toiletbowls for the construction of each theirhousehold latrine. The family, assisted by thecommunity when necessary, provided thematerials for the installation of toilet bowls. Forimprove sanitation in public places and amongvulnerable groups, 1,000 school toilets and 100public toilets in different underserved provinceswhich could provide the necessary space andwater supply were provided with the materialsand assisted with the construction of schooltoilets.

WOMEN'S HEALTH AND SAFEMOTHERHOOD PROJECT (WHSMP)


The Women's Health and Safe MotherhoodProject is a project that aims to improve thehealth status of women particularly to reducemorbidities in women and maternal mortality.It is contained in the ten years Investment Planfor the Health Sector-Investing in Equity inhealth. It has four specific objectivesaddressing its four components namely;

* Service delivery-to improve the quality andrange of women's health services.

* Institutional Strengthening-to improve thecapabilities of the LGU to provide womenhealth services and of the DOH toprovide policy, technical, financial andlogistics support.

* Oommunity Partnership-to enhance theeffectiveness and sustainability ofwomen's health interventions throughpartnerships among NGO, localcommunities, LGU and DOH.

28

* Research-to expand the knowledge baseupon which policy and technical guidancecan be drawn for women's healthprograms.

Pre-implementation activities which startedin early 1995 showed significant highlights.Among these are the following:

i. Signing of the financial agreements withfour of the five co-financiers namely:ADB, AusAid, IBRD and KFW.

2. Development of General ImplementationArrangements.

3. Development of Project ImplementationAgreements.

4. Request of Special Budget.

5. Organizational build-up to supportService Delivery, InstitutionalStrengthening and CommunityPartnership.

6. Initial activities regarding procurementof technical assistance.

(I~= ::-_ ffice for Health

/ ~acilities,, \ 'II 'Standards and

I \ I i

~. \ ;Regulation. \ / /

.. -~/(OHFSR)HOSPITALS AS CENTERS OF WELLNESS

PROGRAM (HCWP)


The Hospital as Centers of Wellness(HCWP) is the first comprehensive nationalprogram in the world in which health promotion,

disease prevention and primary health care havebeen successfully integrated as major activities ofDOH hospitals.

Accomplishments:

The HCWP celebrated its 1st Anniversarywith the theme "'OS PITAL PINOY: Tugon saPilipinas 2000". The celebration was highlightedby the National Awards for Innovations inHospitals. Of the twenty-one programs which werecited, the following garnered the highest distinctionas Lifetime Wellness Awardees for havingpioneered innovations which served as models forthe rest of the country: Baguio General andMedical Center's Under Five Clinic, JoseFabella Hospital's Infant Feeding Program,and Rizal Medical Center's Adopt a BarangayProgram. Achievement Awards were also givento the following: Home Oxygen Program (LungCenter of the Philippines), Tatak JR. (Jose ReyesMemorial Medical Center), Diabetes Organizationof E. Rodriguez (AMANG Rodriguez Medical

29

Center),Model Psychiatry Department(Jose Reyes Memorial Medical Center),Innovative Program of the DentalDivision (Fabella Hospital), S.A.K.S.I.(Diabetes Education - San Lazaro Hospital),Buhay Pamilya (Fabella Hospital), Healthin Every Home (llocos Regional Hospital).Wellness citation were given to the followingnewly established programs: the Adopt ABarangay of Ilocos Regional Hospital, theVoluntary Blood Donation Program, and thePediatric Dentistry Division of the PhilippineChildren's Medical Center.

In collaboration with the NonCommunicable Disease Control Service(NCDCS) and other corresponding offices!units of the Department of Health, the HCWP

lent technical and funding support tovarious promotive! preventiveprograms being implemented in DOHretained hospitals. Among these arethe Hospital- Based Diabetes ControlProJfram, the hospital component of theNational Cardiovascular DiseasePrevention and Control Program.Asthma Prevention and ControlProgram, Environmental HealthProgram, Hospital PreventiveMaintenance and BuildingMaintenance Program and HospitalBased-Dental Health Program.

The HCWP actively assisted theNCDCS and the Institute for Studies inDiabetes in organizing the Second AnnualDiabetes Congress where NGOs, LGUs,support groups, diabetics and their families,and the private sector renewed theircommitment to the prevention and control ofDiabetes in the country. In a similardevelopment, the HCWP assisted the NationalAsthma Movement in the holding of anAsthma Fair.

The program thrust for the secondyear of implementation centered on theconduct of two workshops for Chief Nurses,Assistant Chief Nurses, and the HealthEducation and Promotion Officers (HEPOs) ofthe retained hospitals. The first Workshopwas held on July 12 in Baguio City where anAction Plan for sustaining the HCWP in theirrespective hospitals was drawn up. OnDecember 17-18, the same participantsconvened to assess the progress of HCWP

!

implementation in hospitals. A networkof all Chief Nurses and HEPOs referredto as the NAG (for Nursing Action Group)was organized for collaborative purposes.

The Chiefs of Hospitals, for theirpart, met for a one-day conference inMarch and December 1995. The outcomeof these conferences was the formallaunching of the HOSPITAL NATIONALNETWORK which expanded its coverageto include not only programs and activitiesof the HCWP, but all other activities andconcerns ofretained hospitals nationwide.

The HCWP likewise laid down thefoundation for the replication of theprogram among devolved and privatehospitals. In collaboration with theDepartment Legislative Liaison Officea draftfor the HOSPITALS AS CENTERS OFWELLNESS ACT was prepared forpresentation to the DOH leadership. The Actmandates the inclusion of all Philippinehospital in the HCWP implementation andoutlines the principles, approaches, andfeatures of a Wellness Center.

PREVENTIVE NEPHROLOGY PROJECT(PNP)


The Preventive Nephrology Project isa nationwide project with two phases. Phase Iis the mass urine screening of all public schoolchildren for urine abnormality through thedipstick method. Phase II is the evaluation andmanagement of those children found to haveabnormal urine findings in Phase 1. Its ultimategoal is to determine the true incidence of asymptomatic renal disease children and to effecttreatment so that end stage renal disease maybe avoided.

Accomplishments:

In 1995, eight million plus schoolchildren were screened for urine abnormality;35,656 positive cases were given laboratorywork-ups and medical treatment; monitoringand consultative meetings were held in 14regions; and one training workshop for fieldimplementors was held.

30

DOH· HOSPITAL POISON CONTROLPROGRAM (DOH-HPCP)


The DOH-Hospital Poison ControlProgram aims to reduce morbidity andmortality from poisoning throughout thecountry. It envisions a national networksystem which includes the DOH, theUniversity of the Philippines; DOH-retainedhospitals and other government and nongovernment organizations which would makeavailable to the people experts in the properdiagnosis, management and prevention ofpoisoning.

Accomplishments:

In 1995, it set up two (2) poison controlcoordinating centers, one at the East AvenueMedical Center and one at the Davao MedicalCenter. It developed and disseminatedprotocols on paralytic shellfish poisoning,mushroom poisoning, and watusi poisoning.It developed the material for on-sitemanagement of mass chemical posoning thatwas included in the STOP DEATHOperations Manual. It sent 6 DOH physiciansfor 6 months fellowship training at the UPNational Poison Control Information Service.It participated in the emergency drill andsimulation exercise involving poison gasattack at the Manila light rail transit stationon October 28,1995 in cooperation with STOPDEATH and the Armed Forces of the

BIOLOGICALS PRODUCTION SERVICE(BPS)


The Biologicals Production Serviceproduces vaccines and other biologicals forDOH public health programs. In 1995, BPShad to reduce its activities because of thedemolition of some of its building inconnection with the development of theAlabang area as a joint venture project of thegovernment and in preparation for thetransfer of BPS to its new site at theUniversity of the Philippines-Los Banos.

Accomplishments:

Despite the on-going demolition, theBPS produced the following doses of vaccines:BCG -1,392,000, purified protein derivative(2 tuberculin units) - 61,250; purified proteinderivative (5 tuberculin units) - 14,500 ; EITor - 156,000; typhoid- 11,000; cobraantivenin· 1,596; and anti-rabies - 514,656.

The BPS also distributed thefollowing vaccines to various DOH regionaloffices in support of the Expanded Programon Immunization: BCG - 10,061,920; DPT 8,525,010; oral polio vaccine - 28,981.380;tetanus - 13,634,310; and measles - 6,311,220.

Accomplishments:

In 1995, the BRL did 91,174 laboratoryexaminations in support of public healthprograms/projects; evaluated/inspected 1,940and licensed 1,489 clinical laboratories andblood banks; evaluated/inspected 263 andaccredited 223 HIV testing laboratories,medical technology internship traininglaboratories and laboratories for wateranalysis; conducted 16 training courses/workshops/seminars; evaluated 2,322diagnostic kits/reagents; repaired/maintained21 laboratory equipment items; and published1 regulatory issuance in the nationalnewspapers.

It established and made operationalthe TB reference laboratory and mycologylaboratory. It completed the following researchprojects: "Hepatitis C antibody positivity intwo major groups: voluntary blood donors andpersons with high risk behavior (i.e.commercial sex workers, drug pushers, patientswith STDS, etc.) "Prevalence of iodinedeficiency disorder through urinary iodine andblood spot TSH (thyroid stimulating hormone)levels"; and "Use of alternative reagent (95%ethyl alcohol) for cytology staining."

BUREAU OF RESEARCH AND.LABORATORIES (BRL)


The BRL is tasked to develop andformulate plans, standards and policies forthe establishment, licensing andaccreditation of laboratories, blood banksand entities handling biological products;to provide consultative training andadvisory services to public and privatelaboratories, and to conduct studies andresearch related to laboratory proceduresand operations.

31

THE HOSPITAL OPERATIONS ANDMANAGEMENT SERVICE (HOMS)


HOMS is mandated to formulate andimplement plans, programs policies,standards and techniques related tomanagement improvement and qualitycontrol of hospital operations; provideconsultative, training and advisory servicesto field offices in relation to the supervisionand management of hospital components; andconduct studies and research relatedto hospital operations andmanagement.

Accomplisltments :

HOMS successfully managedthe Mother Baby Friendly HospitalInitiative Program.

It launched in 45 DOHhospitals, the Healthy HospitalInitiative Program (HHIP) which is theadvocacy arm of the Hospital asCenters of Wellness Program. TheHHIP was able to establish linkageswith 12 organizations. It conducted 3workshops and 2 multisectoralmeetings and printed 25,000 primers.

HOMS reviewed 82 hospitalapplications; reviewed the Five Year NursingDevelopment Plan; evaluated 106 residentphysicians for dispersal; reviewed 45 QualityAssurance Program reports; visited 2hospitals for validation of QAP reports;drafted 40 protocols for 10 leading causes ofdischarges for the four major services;rendered 476 consultative and advisoryservices; did operation research of hospitalson government resident physicians 24 hoursduty rotation; conducted 56 orientationtraining courses on the use of the hospitalcomponent manuals; conducted 3 courses onemergency room trainings; evaluated 9hospital procurement plans; evaluated 16hospital equipment requests; evaluated FiveYear Equipment upgrading programs of 25hospitals; prepared hospital statistical reportsfor 3 quarters; assessed 4 hospitals on hospitaloperations; did 31 fact-finding investigations;evaluated 55 Congressional bills; andevaluated 14 proposals of DOH retained &devolved hospitals for facility improvement.

32

THE BUREAU OF LICENSING ANDREGULATION (BlR)


The BLR is the DOH regulatoryagency for hospitals, clinics and other healthfacilities. It recommends accreditation/issuance oflicenses of health facilities exceptfor renewal of licenses of primary andsecondary level hospitals which had beendelegated to the regional health offices.

o

Accomplishments:

In 1995, it amended A.O. 68-A, s. 1989.It reviewed and evaluated 271 applications forpermit to construct; 4 'applications forambulatory surgical clinics; 145 applicationsfor medical clinics for overseas contractworkers; 28 applications for clearance tooperate health maintenance organizations.

The BLR processed 421 hospital licenseapplications and 329 dental prostheticlaboratories license applications. It conductedocular inspection of 414 hospitals, 417 dentalprosthetic laboratories, 149 medical clinics foroverseas contract workers, and 4 ambulatorysurgical clinics.

It authenticated 13,641 medicalexaminations/AIDS test results and monitored207 hospitals; 491 dental prosthetic laboratories;and 80 medical clinics for overseas contractworkers. It also undertook fact-funding activitiesfor complaints filed against 48 hospitals and 10medical clinics for overseas contract workers.

It conducted a consultative meeting with theregional health office licensing team and acted assecretariat for the DOH-POEA-MARINAConsultative Committee Meeting.

The BLR continued data-gathering for itsbaseline survey on capability of lying-in clinics/hospitals, its five-year retrospective study ofhospital capabilities licensed in 1988-1992 and itssurvey on occupational hazards in dentalprosthetic laboratories.

HEALTH INFRASTRUCTURE SERVICE(INFRA)


The objectives of the Program are to ensure thatlicensure and quality standards for physicalplants are met by retained hospitals, to providefor their utility and safety requirements, tou.eet the new and developmental demands ofhospital frontline services and to institute ahospital physical plant maintenance system.

Accomplishments:

Under the 1995 Health InfrastructureProgram of the DOH (based on the 1993 1998 Medium Term Plan for HealthInfrastructure), forty (40) retainedhospitals and fifteen (15) offices, includingCentral Office and Regional Health Officesof the DOH, undertook various repair/renovation/completion/new constructionprojects in 1995 with a total infrastructurecapital outlay of approximately Onebillionpesos. The Program was managed by theHealth Infrastructure Service.

In 1995, the preliminary or schematicplans of fifty five (55) projects wereprepared and approved. The projectdocumentation (Detailed Architecture andEngineering Plans, Estimates and other Biddocuments), bidding and awarding of twenty(20) of these projects were completed. Theproject documentation of the remaining thirtyfive (35) projects will be prepared by the privatesector through the hiring of consultants basedon NEDA guidelines. The corresponding projectdocumentation, bidding and awarding worksare expected to be completed by the second

33

quarter of 1996. The target date of completionof construction of the first twenty (20) projectswill be from December 1995 to June 1996,while the target date of completion of theremaining thirty five (35) projects will be fromJune 1996 to March 1997, all under thecontinuing appropriations programs.

Six (6) training workshops on HospitalPlanning and Design, Hospital Physical PlantMaintenance and Project Implementation wereconducted in 1995. Participants to thesetraining workshops were provincial andmunicipal architects and engineers, andmaintenance staff of devolved hospitals.

As a result of INFRA's research activities,five (5) manuals for hospital planning anddesign (tu-bed and lOa-bed hospitals), and forhospital physical plant maintenance werefinalized and bidded for publication.

Three (3) foreign-assisted projects wereprovided with technical assistance with regardsto civil works component. The projects includethe Urban health and Nutrition Project(UHNP), the Women's Health and SafeMotherhood project, and the DOH Multi-MediaCenter Project.

HOSPITAL MAINTENANCE SERVICE(HMS)


The HMS provides hospitalequipment maintenance and repairservices for DOH retained and devolvedhospitals. It undertakes training ofhospital equipment users andmaintenance technicians. It has technicalsupervision over the HMS Workshop forVisayas (HMS-V) based in RegionalHealth Office No.7 in Cebu City and theHMS Workshop for Mindanao (HMS-M)based in Regional Health Office No. 11 in DavaoCity.

Accomplishments:

The HMS proper conducted 15consultative workshops on formulation of healthcare equipment specifications and on the role ofhospital engineers and hospital maintence units.It repaired 264 laboratory, X-ray,electromedical, and other hospital equipment.It undertook preventive maintenance visits to156 hospitals during which 583 pieces ofequipment were checked and 273 were repaired.Training in preventive maintenance was givento 72 user and technicians. Ten monitoringvisits to hospitals were also made. As part ofthe Think Health Health Link program for 1995,the HMS was responsible for the HealthyVehicle Initiative for which 2 consultativeworkshops were held and one rECmaterial wasprepared.

The HMS -V repaired 519 pieces ofhospital equipment. It undertook preventivemaintenance visits to 120 hospitalsduring which 660 equipment items wererepaired. It conducted 2 users' trainingcourses with 2 participating hospitals.Two skills upgrading courses were alsoconducted.

The HMS-M repaired 473 piecesof hospitals equipment. It undertookpreventive maintenance visits to 144hospitals during which 2,267 equipmentitems were repaired. It conducted 5 users'training COurses with 117 participantsand 2 skills upgrading courses with 54participants.

34

Mother Baby Friendly Hospital Initiative(MBFHIP)


The MBFHIP is the DOH programwhich promotes, protects and supports breastfeeding. Its goal is to make all hospitals withmaternity and newborn services into MotherBaby Friendly hospitals by the year 2000.

Accomplishments:

In 1995, the MBFHIP conducted 12lactation management training courses; preassessed 438 hospitals; conducted 3 symposiaJscientific meetings; assessed 324 hospitals;and monitored 11 hospitals.

It awarded 580 new Mother BabyFriendly Hospitals thus bringing to 805 thetotal number of such hospitals and exceedingby 32% the targeted mid-decade goal of 612hospitals.

. " :,!\-('ON HEALTH SERVICE

{~:-:Jv.i"cm description:

.The RHS is the DOH regulatoryagency mandated to protect the workers andmembers of the public from the hazards posedby ionizing and non-ionizing radiation fromelectrical! electronic devices and to promote thesafe and efficient use of radiation technologies.

In 1995, the RHS drafted twoadministrative orders for regulation andcontrol of x-ray devices used in veterinarymedicine and in education and research. Itissued 44 permits to import radiation devices,undertook for licensing purposes radiationprotection survey and evaluation of 1178government and private x-ray facilities and thework there at, and monitored 31 facilities withquality assurance programs.

The RHS did acceptance testing of 25ionizing radiation squipment/accessories, did

. o testing/evaluation of61 non-ionizing radiationdevices/facilities, designed 61 radiationfacilities, calibrated/repaired 31 radiationmeasuring instruments, calibrated 4 radiationtherapy equipment, monitored individualradiation doses of 1255 radiation workers, andconducted 22 training courses in radiationprotection/quality assurance in diagnosticradiology.

The RHS with the assistance of threeDOH agencies prepared a project proposalentitled the "Upgrading of RadiologicalCapabilities of Selected DOH Hospitals andPriority Programs." The project was approvedby the government's Investment CoordinationCommittee resulting in its inclusion in theFinancial Protocol agreement signed by ourgovernment with the French Republic onDecember 18, 1995.

On September 11-15,1995, the RHShosted the International Atomic EnergyAgency meeting on the Coordinated ResearchProject on Determination of Radiation Dosesfrom Diagnostic Radiology examinations. Theparticipants came from Thailand, Malaysia,China, New Zealand, Pakistan, Bangladeshand the Philippines.

Since 1995 was the centenary of thediscovery of x-rays on November 8, 1895 by

William Conrad Roentgen, a special exhibitwas organized by the RHS to celebrate thishistoric event. A broadcasters' manual wasprepared and several radio interviews weregiven by the RHS Director. The RHS alsoheld its 2nd Star Awards ceremony and gave30 STAR awards to deserving hospitalradiology departments. The RHS also coorganized several activities together with thevarious professional associations ofradiologists, medical physicists andradiologic technologists which culminated inthe holding of the Radiology CentennialCongress on October 11-13,1995.

STOP DISASTERS, EPIDEMICS,ACCIDENTS ANDTRAUMA FOR HEALTH(STOP DEATH)

PTOl!ram Description:

The Stop DEATH Program is aninnovative strategy to consolidate and enhancethe resources and capabilities of the DOHtowards a coherent and effective response intimes of emergencies. It emphasizes the crucialrole of hospitals in establishing a nationalhealth and emergency services network, andaims at institutionalizing emergencypreparedness planning and response in theperiphery.

35

Accomplishments:

Emergency medical services were providedfor the:

a. State visit of His Holiness Pope John Paul IIand the World Youth Day 1995

b. 23rd American Society of Travel AgentsInternational Conference

c. 9th Anniversary of the EDSA Revolutiond. 97th Anniversary of the Philippine

Independencee. Pilgrimage of the Interfaith Pilgrimage of Peace

and Life

Disaster response teams provided emergencymedical services "d psychosocial care to:

a. Victims of the 04 April 1995 terrorist attack inIpil, Zamboanga del Sur

b. Victims (4,000 Filipino Muslims) of the fire thatgutted the town of Pulao Gaya, Sab ah ,Malaysia (May 4, 1995)

c. An ailing priest stranded in Mt. Halcon, OrientalMindoro

d. Victims of the sunken MV Antipolo(Marinduque), and MV Kimelody (Batangas)

e. Victims of the Mt. Parker Tragedyf. Victims of the lahar affected areasg. Victims of the typhoon Rosingh. Affected families of the Smokey Mountain

Demolition

Twenty-seven (27) nurses were trainedduring the Emergency Medical Technician's andAdvanced Life Support Course, 120 midwives fromGuimaras, Iloilo and Tanauan, Batangas weretrained on Basic Life Support; and 34 Stop DEATHCoordinators from the DOH Regional HealthOffices and Retained Hospitals attended the 1stmodule of the Health Emergency ManagementCourse.

Now on its second year, the relaunching ofthe OPLA1'l TOROTOT proved to be a successfulone. This is the promotion of injury preventionand safe revelry during the holiday season. Therewas a decline of 50% on the number of firecrackerrelated injury based on our national registry.

The program in coordination with thePhilippine College of Surgeons, organized theWorld Health Organization WHO- sponsored 1stNational Trauma Congress, a seminar-workshopwhich served as a forum for the health sector andother sectors involved in emergency managementto discuss emerging concerns and developmentsin the fields of accident and injury prevention,trauma management and disaster medicine.

With support from WHO, two documents"Emergency Preparedness: A Guidebook onHealth Emergencies for the Stop DEATHProgram" and "Management InformationSystem for the Stop DEATH Program:Proposed Design and Architecture" wereproduced. Two IEC materials, the first issueof the Stop DEATH Chronicle and thedocumentary film about the Stop DEATHProgram entitled "The Will To Survive" werealso produced.

36

NATIONALVOLUNTARYBLOOD SERVICESPROGRAM (NVBSP)


The passage of the National BloodServices Act of 1994 (RA 7719) led to the creationof the NVBSP of the DOH. The NVBSP providesthe framework and sets the direction for anintegrated national response to the problem of I

an inadequate and unsafe blood supply through ithe promotion of voluntary blood donation. Itaims to establish a Blood Transfusion ServicesNetwork that will efficiently provide safe andadequate blood supply through a nonremunerated blood donation scheme.

Accomplishments

In 1995, the NVBSP participated in thefinalization of the implementing Rules andRegulations (IRR) of RA 7719 which wasapproved by the Secretary of Health and issuedas DOH Administrative Order No.9 s. 1995.

It conducted 3 regional workshops;completed 3 regional consultations and procuredreagents and supplies for 26 blood centers.

THE NATIONAL QUARANTINE OFFICE(NQO)


The NQO is the DOH sentinel in all partsand airports of entry into our country. Itprovides maximum security against theentry and international spread ofquarantinable diseases. It promoteshealth and sanitation in its areas ofjurisdiction. It ensures that aliens whoare admitted for residency in thePhilippines are healthy.

Accomplishments

In 1995, the NQO succeeded inmaintaining at safe levels the indices forplague and yellow fever which monitorthe possible transmission of these twodiseases. Its effective surveillancemeasures successfully quelled fears of thepublic arising from the Ebola

37

hemorrhagic fever outbreak in Zaire.

For its disease surveillance services, the NQO- inspected 24,385 vessels and aircraft from

foreign ports and airports.- immunized 183,977 travellers and other

clients- undertook the physical examination of 15,540

aliens, stewards and foodhandlers- tested 7,787 food and water samples from

ports, airports, vessels, aircraft, catering andeating establishments and from foodstuffexports prior to shipment.

For its port and airport health services, theNQO- did 7,735 sanitary inspection of interisland

vessels, eating and catering establishments.- did 2,062 inspections/fumigations of rodent

infested vessels- did 119,151 rat-trapping/dissecting/poisoning

operations for plague surveillance andpreventiondid 8,540 disinsectionllarviciding/foggingoperations for yellow fever surveillance andprevention

- conducted health education seminars with2,611 participants

It successfully launched its HealthyPorts Initiative in Manila on February 23 andin Cebu City on November 15 as part of theThink Health -Health Link program of theDOH. This initiative strengthened thepartnership between the port authorities andthe port users.

Another quarantine station was openedat the Port of General Santos City which hasbecome quite busy due to an upsurge in socioeconomic developments in the area.

BUREAU OF FOOD AND DRUGS (BFAD)

The Bureau of Food and Drugs was createdunder R.A. 3720 which was amended hy E.O.No. 175. It is the regulatory agency mandatedto ensure the safety, efficacy, quality and purityof processed food, drugs, diagnostic reagents,medical devices cosmetics and hazardoussubstances. It is further authorized toadminister and enforce:

R.A. 6675 - the Generics Act of 1988,R.A. 7394 - the Consumer's Act,R.A. 7581 - the Price Act, andR.A. 7432 - the Senior Citizen's Act

1. Phase-out of Potassium Bromate as FlourTreatment and Dough Improver

The BFAD implemented the phase-out useof potassium bromate as flour treatmentagent on a gradual basis after years ofconsultations and series of public hearings.The schedule of the phase-out from allaffected sectors (flour millers, bakers,suppliers of bakery additives/ingredients)was laid down per Bureau Circular No.1 s.1995. Monitoring of flour manufacturers,suppliers and distributors was conductedand compliance was found to besatisfactory. Tentative date for the finalphase-out was set on December 31, 1995.Thereafter, the use of potassium bromateor potassium b roma te-co n tain ingingredient in bread-making shall make thebread or bakery product adulterated andits mere possession will give rise to thepresumption that the same will be used inbread-making.

2. Guidelines on Food FortificationIn 1995, the Guidelines on MicronutrientFortification of Processed Foods was issued(Administrative Order No. 44s. 1995) toavoid over-or-under fortification ofprocessed foods that may create animbalance in the diet as well as to avoidmisleading label claims to gain competitivemarketing advantage. It shall apply to allfortified foods except dietary supplementsand foods for which established standardsinclude specifications for nutrientcomposition or loveIs of fortification, e.g.,breastmilk substitutes, follow-up formula.

\

\

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3. Approval of Philippine Natural GradeCarageenan as food additive by CodexAlimentarius Commission.

The approval of Philippine GradeCarageenan as a food additive by the CodexAlimentarious Commission of the U.N.FAO/WHO will definitely propel thePhilippine seaweed industry as a majorexport industry. The BFAD and U.P.Diliman conducted toxicological tests on thecarageenan in their effort to assist theindustry in complying with therequirements for acceptance in the worldmarket.

4. Fake and Conterfeit Drugs

The BFAD in coordination with theCriminal Investigation Services Commandof the PNP and the pharmaceutical industryconducted several raids in Metro Manilaand Metro Cebu against the suspecteddistributors or sources of fake andcounterfeit drug products. The raidsresulted in the filing of criminal complaintsagainst the suspects, two of which are nowpending litigation in the trial courts ofManila. Two other criminal complaints arepending investigation at the StateProsecutor's Office of the Department ofJustice.

5. Good Manufacturing Practices (GMP)

A comprehensive training program onGood Manufacturing Practice (GMP) wasconducted by an Australian expert withBFAD central and regional inspectors andabout 400 representatives of the PhilippinePharmaceutical Industry as participants.The seminar culminated in the drafting ofthe "Bayanihan Supplementary Notes tothe ASEAN Code of GMP" which willgreatly enhance the auditing and inspectionexpertise of the BFAD Food and DrugRegulation Officers. Manufacturing auditwas conducted on all drug manufacturersat the National Capital Region (NCR) andRegions I to XII. Eighty (80%) percent ofthe audited establishments complied withthe minimum requirements of GMP whilethe rest expressed their willingness tocomply strictly with the GMP requirements.

6. SeminarlWorkshop to define BFAD Vision,Mission and Core Values

Through a series of seminar-workshop at theDevelopment Academy of the Philippinesparticipated in by management staff, theBFAD vision, mission and core values weredeveloped, formulated and defined,concurred by the rank and file employeesand finally approved by the BFADManagement Committee.

7. Filinvest Corporate City Development

BFAD finds itself in the midst of a rapidlychanging urbanized environment - acorporate city, with the implementation ofthe joint venture project between theFilinvest Corporation and the Governmentof the Philippines. The environmentalchange affecting BFAD is in consonance withthe BFAD's vision of becoming a world classfood and drug regulatory agency and centerof scientific excellence nestled in a clean,green and forested site.

8. Field visit to all regions as part of thepreparation to the effort of reengineering thebureaucracy of the DOH

9. WHO Adverse Drug Reaction (ADR) Network

In February 1995, the Philippinesthrough the BFAD was accepted as amember of the WHO Collaborating Centrefor International Drug Monitoring, BFADwill play an important role in advancemonitoring activities and in providing timelyand accurate drug information to the generalpublic. To assist the BFAD in evaluatingreports of adverse drug reactions, theNational Adverse Drug Reaction AdvisoryCommittee (NADRAC) was created.

10. Cosmetic Regulation Innovation

To facilitate the processing of cosmeticproduct applications, a list of simple and safecosmetic products which would require onlydocumentary evaluation and listing prior tomarketing rather than a complete laboratorytesting and registration was prepared. Adynamic list of permissible and nonpermissible claims was also issued to aid inthe evaluation of cosmetic products. Inconsonance with these innovations, acontinuous review is being undertaken by

the Joint BFAD-Industry Committee toupdate the specific standards andrequirements for the registration of allcosmetic products.

11. BFAD Laboratory Information Bulletin(BLIB)

The BFAD Laboratory InformationBulletin Or BLTB's maiden issue waslaunched On April 30, 1995 during the 8thAnniversary ofBFAD. It was created as aforum for exchanging scientificinformation within and beyond theconfines of BFAD.

NATIONAL DRUG POLICY PROGRAM(NDPP)

1995 was a banner year for the National DrugPolicy movement both nationally andinternationally. In the Philippines, the eightyear of the NDP Program implementation andthe 7th year of the Generics Act of 1988 sawthe expansion and strength envying of theNDP organizational structure, and formalefforts of external review and impactassessment of NDP and full implementationof the Philippines-Australia NDP CooperationProject and WHO assisted projects.Internationally, major developments includedthe holding of a major InternationalConference on National Medicinal Drugpolicies in Sydney, Australia, a major revisionof the WHO Guidelines for DevelopingNational Drug Policies, the publication of aspecial issue ofDHF Development Journal onNational Drug Policy, use of a common set ofindicators to assess the impact ofNDP in eightcountries.

39

Accomplishments:

1. Upgrading of the 1993 edition of PhilippineNational Drug Formulary Vol. I orPhilippine Essential Drugs List by theNational Drug Committee in consultationwith affected and interested sectors wasdone.

2. Nationwide implementation in all 15 regionsof the country of activities under the fiveNDP pillars. Compliance with theGenerics Act of 1988 was promoted andmonitored with innovative approachessuch as the use of Generics Menu Card andGenerics Star Ra ting for Drugstore.

3. Continued implementation of both theQuality Assurance component andRational Use component of the PhilippineAustralia NDP Cooperation Project,including the establishment ofBioavailability Unit at the University ofSanto Tomas Hospital to undertakebioequivalence studies of selected productswith reported Bioavailability problems.

4. Conduct of a Seminar-Workshop on DrugPrice Monitoring and NDP Indicators onFeb. 7-9, 1995 for regional Food-DrugRegulation Officers and NDP ComplianceOfficers.

5. Conduct of a Seminar-Workshop onPromoting Rational Drug Use held onJune 7-9, 1995 for health workers in thefield, NGOs and LGUs on Sept. 5-6, 1995,for DOH services and programs.

6. Conduct of a Seminar-Workshop on Tailoredprocurement on Rational Management ofDrug Supply comprising E.O. 49 s. 1993for health personnel, academe, Filipinodrug manufacturers, COA and othergovernment agencies.

7. Conduct of a Seminar-Workshop on PolicyReview and Program Evaluation onGenerics Law and PNDFconducted by theUP College of Public Administration in allregions.

8. Conduct several training courses/workshopsand seminars on antimicrobial resistance,adverse drug reaction, RDU in the medicalcurriculum and drug use studies as partof activities involving variousstakeholders.

9. Conduct by the Philippine Core Group ofthe International Network for theRational Use of Drugs (NRUD), incollaboration with the World HealthOrganization (WHO), AustralianAgency for International Development(AusAID) and the ManagementSciences for Health of the "7thInternational Course on PromotingRational Drug Use" on Nov. 27 - Dec. 8,1995 with twenty-two (22) delegatesfrom Bangladesh, Cambodia, China,Indonesia, Malaysia, Nepal,Philippines, Thailand and Vietnam.The INRUD course in the Philippinesacquired the highest score ratingcompared to the course held in othercountries in the previous years.

10. Monitoring of Generics dispensing andprescribing

11. Price monitoring of 24 essential drugswas conducted quarterly nationwide.

12. Publication of price differentials of eight(8) essential drugs quarterly in leadingnewspapers.

40

HOSPITAL SERVICES

The DOH has 47 hospitals which wereretained after the devolution with a bedoccupancy rate at 82.51 % These hospitals are:

1) Four specialty hospitals (Heart,Lung,Kidney, and Childrens);

2) Five special hospitals (Maternity,Orthopedic, National Childrens, Mental,San Lazaro);

3) Two research hospitals (one in Metro Manilaand one in Leyte del Norte);

4) Nine medical centers (three in Metro Manilaand six in regions);

5) Three district hospitals in Manila;

6) Fourteen regional hospitals (two in Manilaand 12 in regions);

7) Eight sanitaria (one in Metro Manila,Palawan, Camarines Sur, Iloilo City, CebuCity, Sulu, Zamboanga del Sur, and SultanKudarat).

These hospitals reported a total of 5,098,384in-patient days, with 535,416 admissions and877,445 discharges.

The hospitals also performed a total of131,531 minor and 83,343 major operations;made 6,831,163 prescriptions; and conducted826,160 x-ray examinations.

Many of these government hospitalsreported the following milestones:

1) Philippine Heart Center, Quezon City. given "Most Outstanding Hospital on

Sanitation & Waste Management" award& "National Public Service" award byKapwa Ko, Mahal Ko Foundation, Inc.

. restored the Experimental SurgeryLaboratory for research

2) Northern Mindanao Medical Center,Cagayan de Oro City. upgraded into Northern Mindanao

Medical Center by virtue ofR.A. 7938 last1 March 1995

. given the "Two-Star" award by RadiationHealth Service (DOH)

41

3) Eulogio "Amang'' Rodriguez St. MedicalCenter, Marikina

· upgraded from a provincial hospital tomedical center by virtue of R.A. 8019last 25 May 1995given the Star Award for QualityAssurance in Xvray Service

· given Special Recognition as one of theHospitals to Achieve 100%Accomplishment under the SisterHospital Scheme

4) Research Institute for Tropical Medicine(RITM), Muntinlupa· set up a Molecular Biology Laboratory

for vaccine development· conducted the Second National AIDS

Research Forum

5) Bicol Medical Center, Naga City· upgraded from Bicol Regional Training

& Teaching Hospital to Bicol MedicalCenter by virtue of R. A. 8053 last 15June 1995

6) East Avenue Medical Center, Quezon City· became the DOH Poison Control

Coordinating Center for NCR· initiated the Edi·TAI QUIGONG

Exercise which is being conducted every5:30 a.m. Tuesday & Thursday at thehospital grounds

7) San Lazaro Hospital, Manila· given Recognition for the first Hospital

to Respond to the Emergency Call evenon Traumatic Situations (StopD.E.A.T.H. program)

· given an award and recognition forproviding information education andcommunication (IEC) materials for theS.A.K.S.I. program on (TV or radio???)

8) Eastern Visayas Regional & MedicalCenter, Cebu City· was a pilot area for the Quality Control

program of the Radiation HealthService, DOH

· computerized fully the records-keeping& upgraded the library of the Dept. ofOrthopedics & Traumatology

9) Paulino J. Garcia Memorial MedicalCenter, Nueva Ecija

. received Special Recognition from DOHand UNICEF for strongImplementation of Steps 3 & 10 of theTen Steps to Successful Breastfeeding

- received 2 special awards during theAwarding & "Pasasalamat" Ceremonies forthe Mother-& Baby-Friendly HospitalInitiative Program

10) Philippine Orthopedic Center, QuezonCity- manufactured 1,947 orthopedic appliances

to patients through the Prosthetic &Surgical Appliance Factory (PASAF)

11) Rizal Medical Center, Pasig City- computerized hospital operations and

management information system

12) Dr. Jose Fabella Memorial Hospital, Manila- received an award as the "OutstandingHospital on Sanitation and WasteManagement"

- received "National Award for Excellence"for its Infant-Feeding Practice

- received "National Wellness Citation forVoluntary Blood Donation"

- received "National Wellness Innovations"for its Department of Dental Medicine

- received "National Wellness" for its"Buhay Pamilya" cancer ward

- achieved a 100% passing rate in the 1995Midwifery Board Exams, with 5 examineeswithin the top 20

13) Vicente Sotto Memorial Hospital, Cebu City- conducted researches on:- "Closed Intramedullary Nailing of Tibia

Shaft Fractures"- "Wound Closure Using Locally-made

Skin-stretching Device"- "Compression Plating of the Radius with

Intramedullary Pinning of the UlnaWithout Post-operative Immobilization"

- "llizarove External Fixation for OpenType III Tibia Fracture"

"Torsion Dystonia with SecondaryScolliosis"

14) Jose R. Reyes Memorial Medical Center,Manila

- conducted researches on:- "Fournier's Gangrene: JRRMMC

Experience ", Drs. Roberto Lopez &Reynaldo Combe, Phil. Journal ofUrology, Jan.-June 1995

- "The Outcome of 85 Cases of BluntRenal Injury in a Tertiary Hospital",Phil. Journal of Urology, June-Dec.1995

"A Prospective Study of theCommonDermatoses Among Filipino

42

Children Aged 0-14 Years at theDermatology Department of theJRRMMC", Drs. Cecilia Rosete &JesusaBarcelona Tan, Journal of Phil.Dermatological Society, November 1995

- "Prevalence of Common Hair & ScalpDisorders Among Filipinos Being Seenas Out-patient at the Department ofDermatologyof the JRRMMC from 1Nov. 1993-31 Oct. 1994", Drs. Ma.Cynthia Caparas, Ma. AuroraHortaleza, Ma. Asuncion Mendoza,Marilou Sarmiento & Elizabeth AmeliaTianco, Journal of the Phil.Dermatological Society, Nov. 1995

- "Chronic Blistering Diseases: AComparison of the ClinicalHistopathologic, DirectImmunoflorescence Studies & Serum C3Level", Drs. Cecilia Rosete & JesusaBarcelona Tan, Journal of Phil.Dermatological Society, November 1995

- "Acute Traumatic diaphragmaticHernias", Dr. Robert Chang, Phil.Journal of Surgical Specialties

- "Management of Foreign BodyIngestion Beyond the GastroesophagealJunction", Dr. Robert Chang, Phil.Journal of Surgical Specialties

- received honors for the following researches:. 1st place, PSO-HNS Interhospital

Surgical Innovations & InstrumentsDesign Research Paper Contest, SubicBay, April 1995

- 1st place. "A Double-Blind PlaceboControlled Trial of Levamisole in theTreatment of Mollusan Contagiosum",Dr. Angeli SP Garcia InterhospitalResearch Contest, East Avenue MedicalCenter, Oct. 1995

- Lst place, "Evaluation of Ultrasonography& Diagnostic Peritoneal Lavage in BluntAbdominal Trauma", Dr. John Cruz,PCS Trauma Research Paper Contest,Dec: 1995

- 3rd place, "A Profile of ENT ExaminationPostures Among Junior or ENTResidents in Metro Manila: SomeErgonomic Considerations", Dr. JesusRandy Canal, PSO-HNS AnnualInterdepartmental Descriptive ResearchPaper Contest

"

HOSPITAL PERFORMANCE REPORT(Retained Hospitals) FY 1993-1995

INDICATORS 1993 1994 1995

. Bed Occupancy Rate 76.36 85.12 82.51

Adniissions 506,694 480,270 535,416

Discharges 532,329 542,051 877,445

HOSPITAL PERFORMANCE REPORT(Rdaln<d lIosph.b) FY 1993·1995

....•••

l 600

ii5 ...

,..•

1993 1994 1995\'EAR

BEDOCCUPANCY RATE(Retained Hospltab)}IY 1993-1995.

1993 1994YEAR

1995

GIONALALTH

FICE"FIVE FOR LIFE IN '95"

and"THINK HEALTH, HEALTH LINK":

"Health for all Filipinos by Year 2000"and "Health in the Hands of the People by theYear 2020" continue to be the guideposts of theDepartment of Health (DOH). The formerrefers to equity, quality and access to healthwhile the latter aims to make the peopleunderstand the determinants of health, thus,allowing them to shape their lives and the livesof their communities.

Thus, for 1995, the DOH directed itssights on five major concerns popularly knownas "Five for Life in '95". Equally important butwith lesser media hype was the umbrella of"Think Health, Health Link" or the PhilippineHealthy Initiatives. Together with the otherregular programs, the 1995 accomplishmentsof the DOH are as follows:

I. FIVE FOR LIFE IN '95

1. OPLAN ALIS DISEASE, HULINGHIRIT

The 1995 NIDs: Oplan Alis Disease,Huling Hirit aimed to preserve the gains ofthe previous years and to achieve a polio-freeworld by the year 2000; also, to eliminatemeasles and neonatal tetanus from the list ofpublic health problems.

Results of this year's NID show a 90%Oral Polio Vaccine (OPY) coverage of childrenbelow five years old, 70% measles vaccinecoverage of children 1 to 4 years old, and 43%tetanus toxoid coverage among women ofreproductive age (15-44 years old).

The tetanus toxoid (TT) immunizationwas affected by the issue raised by the CatholicChurch that the TT vaccine was tainted withan abortifacient substance called HumanChorionic Gonadotropin (HeG). Subsequenttestings by an independent panel of expertsshowing that the level of HeG detected isinsignificant failed to convince most of thewomen to have themselves immunized againsttetanus.

45

2. TUBIG, KUBEl'A, ORESOL (TKO):KONTRA KOLERA

To. prevent the outbreak of cholera,diarrheal and other food and water-relateddiseases, specially in the depressed areas ofthe country, the DOH raised publicawareness through a media campaign aboutthese diseases and how to prevent them.Specifically, community-based sanitationmeasures were encouraged, such as boilingdrinking water, using sanitary toilets, andwhen experiencing diarrhea, the use of OralRehydration Solutions (ORS) such as Oresolwas advocated. In areas where there is noaccess to safe drinking water, theconstruction of spring boxes for unprotectedsprings, or of deep wells were subsidized inpart by government. Labor and other costswere shouldered by the community througha barangay water supply association thatthey formed for this purpose. Toilet bowlswere allocated for priority areas and Oresolwere distributed to households during theTKO: KONTRA KOLERA.

The campaign's effectivity can bemeasured when cholera cases in 1995 wascompared to the number of cases recorded in1994. There were 3,277 confirmed cases and

·27 deaths in 1994 while, in 1995, only 845cases were recorded.

3. TARGET: STOP TBI

To respond to the challenge createdby the worlwide re-emergence of tuberculosis(TB) as one of the major causes of mortality,an intensified media campaign was launchedin August. The campaign highlighted thechange of strategies to control this diseasefrom the clinic to family/community-assistedtreatment compliance scheme.

Activities included treating 236,518new cases and 12,000 special cases of TB inhospitals, distribution of anti-TB drugs for175,000 active cases, provided 64 brand newmicroscopes to selected microscopy centersand repaired 84 microscopes in differentregions of the country to improve the qualityof TB diagnosis.

4. ARAW NG SANGKAP PINOY (ASAP)

Vitamin A capsules to some 8.5million children 1 to 4 years old and iodinecapsules to at least 11 million women 15 to40 years old were distributed nationwideduring the "ASAP" IlIon October 17. Free

vegetable seedlings rich in Vitamin A and Ironwere also distributed to ensure the program'ssustainability.

5. KUNG SILA'Y MAHAL N'YO,MAGPLANO

Information and services on thedifferent family planning methods wereprovided to close to 2 million continuing usersin 14,839 outlets nationwide. The Center forMother and Child in Tarlac was set up as partof the close coordination being maintained withthe local government units to sustaininformation, education, and communicationstrategies at the field level.

II. THINK HEALTH, HEALTH LINK orPHILIPPINE HEALTHY INITIATIVES

To bring health messages to where thepeople are, a national multi-sectoral healthpromotion strategy was launched in the latterpart of 1994. In an effort to develop healthpromoting environments or "healthy places",this strategy will be implemented throughlinkages, networking, and multi-sectoral action.Under this umbrella, several healthy placeswere launched:

1. Healthy Schools Initiative

This initiative takes advantage of theschool as the venue to promote health habitsand the most accessible provider of primaryhealth care to schoolchildren. It was launchedin partnership with the Department ofEducation, Culture, & Sports on 4 July at theGen. Gregorio del Pilar Elem. School inBulacan, Bulacan.

2. Healthy Hotels, Healthy EatingPlaces, & Healthy Marketplaces

The rekindling of commitment andcooperation of the different local governmentunits, the DOH and other government agencies,non-government organizations, private andbusiness sector to make our lodging facilities,food establishments, and marketplaces moresanitary and healthful was marked by thelaunching of these projects on 30 August forHealthy Hotels, 14 July for Healthy EatingPlaces, & 2 October for Healthy Marketplaces.

46

a.Healthy WorkplacesThis initiative encourages workplaces

to be one where the health and safety ofworkers, including their immediate families,are promoted. Another program, "Health of theWorkforce" was integrated into this initiativeand targetted the transport sector, like thejeepney and bus drivers. The HealthyWorkplace was launched on 22 May in a modelindustrial establishment in Sta. Rosa, Laguna,while health care delivery service to thetransport sector for the Health of the Workforcewas conducted at the DOH also on May.

4. Healthy Vehicles and HealthyStreets

This was launched by the DOHRegional Field Office No. 1 at the ProvincialCapitol of La Union on 17 May in collaborationwith such agencies as: the Phil. National Police,Land Transportation Office, DILG, DECS,DENR, Land Transportation Franchise &Regulatory Board, Traffic ManagementCommand, Transport Cooperatives, and otherNGOs. A search for the cleanest & healthiestbus terminal, bus, mini-bus, and jeepney in thewhole region is on-going.

III. OTHER PROGRAMS

1. PEOPLE'S HEALTH DAY or "ARAWNG KALUSUGAN"

The project was conceived to helpindigent Filipinos avail of expensive surgicalinterventions and medical care. It waslaunched on 29 September and wassubsequently conducted every last Friday of themo~h. Thousands benefitted from the projectas on its first day alone, 500 major and 665minor surgeries were performed, 363 special(ECG & ultrasound) & 4,086 laboratoryexaminations were conducted, 761 x-rayexaminations & 17,188 medical consultationswere done in all DOH-retained hospitals andmedical centers nationwide.

2. MOTHER & BABY-FRIENDLYHOSPITALS

Already, 432 government hospitals and235 private hospitals nationwide to MotherBaby-Friendly institutions to promoterooming-in and breastfeeding among mothersand newborns.

3. DISABILITY PREVENTIONPROGRAM

The information campaign for the'Il,ationwic;le reg\stratio,n of disabled personswas1atinchiid in' Julyinpreparation for theNational Registration Day for Persons withDisabilities, conducted on December to enablethe DOH to introduce interventions to improvethe quality of their lives.

4. NATIONAL A.I.D.S. AWARENESS &PREVENTION DAY

To heighten public awareness onAIDS and to emphasize the responsibility ofthe individual in preventing the spread of thisdisease, this year's theme was "Shared rights,shared responsibilities". A concert was heldat the Araneta Coliseum featuring young andpopular entertainment personalities as partof the World AIDS Day observance.

5. HEALTH CARE INFORMATIONPROGRAMS

Health care information programswere also highlighted to further encouragehealth consciousness and awareness amongthe populace. Among these are: the "Hataw,Bayan, Hataw: The Great Filipino Work-out",as part of every Filipino's lifestyle that willhelp him reduce heart diseases. and deaths;the observance of World No Tobacco Day withthe theme, "Tobacco Costs More Than YouThink"; and the promotion of "tsaang-gubat"with fluoride to prevent dental caries amongchildren nationwide.

6. HOSPITALS AS CENTERS OFWELLNESS

The Hospitals as Centers of WellnessProgram is the initiative which hastransformed forty-five (45) DOH retainedhospitals from "disease palaces" to "centers ofwellness", These hospitals have establishedsmoking cessation clinics; family counsellingclinics; asthma and diabetes clubs; and alcoholand substance abuse therapy clinics, amongothers. .

7. CORNEAL DONATION PROGRAM

The DOH committed to assure thecontinuous supply of human cornea (fortransplant) to prevent blindness among many

47

*

*

*

Filipinos through the Corneal DonationProgram which was launched in cooperationwith NGOs and the academe on 15 August.

8. REGIONAL OCCUPATIONALTOXICOLOGY & NON-COMINFORMATION CENTER

This is the mechanism by which theDOH and UP-PGH shall be able toimmediately and adequately respond toreports of poisoning from different causesfrom various areas of the country. Amemorandum of agreement was signed inJuly with UP-PGH.

9. RHEUMATIC FEVERIRHEUMATICHEART DISEASE(RFJRHD)CONTROL PROGRAM

This was launched on 25 Septemberas a sub-program of the National Cardiovascular Disease Control Program to focuspublic health interventions to the mostcommon and preventable cause of heartdisease in the country.

SPECIAL AND UNIQUE PROJECTS:

Under the Partnership for CommunityHealth Development (PCHD) Project, 9municipalities from Quirino and NuevaVizcaya provinces have completedmunicipal projects and were turned over tothe community for maintenance andsustainability.

Lingkod Sagip-Bahay Project which offeredbasic health programs, surgical operationsand relief goods distribution to familiesaffected by the recent flooding wasimplemented in Region III.

A Diabetes Club and Diabetes EducationCenter was established in JB LingadMemorial General Hospital. This iscomposed of diabetic persons who joinedmonthly activities like exercise, glucosemonitoring and diabetes education.Outpatient teaching sessions were alsoconducted.

l

•

"Project Zero Indigenous Case" waslaunched on June 1995 to reduce furthermorbidity and mortality rates of malariaand to eliminate the disease in 12 selected'project municipalities of Hn:ion V anddeclare them "no new indigenous case"municipalitieo.

A special project "Data for DecisionMaking" (DR¥) wherein computerworkstations hl1'Ve been established andmade operational in Albay, Camarines Surand Legazpi City. Outputs were utilizedby local executives and LHBs in concensusbuilding and decision-making.

*

•

Conducted advocacy meetings, socialmobilization, extensive IEC campaignsand research. Results is that more than33% of Metro Manila's households areueing iOOize salt end IlIbwt6 % ci;e"..~

oalt mtailem am calling it. With thb. itcopped that first prize in the "MasigasigWard".

Propagated Tsaang Gubat herbal plant inthe health center and public schools.Continued supporting the Boy's TownStudy and Reception Center in terms ofsupplies such as toothbrushes and flouridegel.

• During the ASAP, VAC coverage in RegionVI was 100% due to their RegionalAdvocacy Team reached out clientsthrough the municipal level advocacymeetings. This innovation has reaped anaward for the FIDEL Program in theNational Masigasig Award Contest.

• Establishments of nine (9) Botika Binhi inCordillera Administrative Region (CAR) incoordination with SamahangMangagawang Binhi ng Kalusugan.

• Regional Health Congress held andawarding of the Most OutstandingBarangay Health Worker on December 15,1995.

• Installation of two (2) iodization plants inKalinga and Bagnio City on April and J uiy,respectively.

• Organization of the Regional Blood ServiceNetwork.

The Regional Health Offices like theCentral Office also performed the followingroles and functions:

1. Policymaking/planning2. Assistance to our LGU partners3. lEC, social mobilization and linkaging/

networking4. Standards, licensing and regulation5. Research and development6. Resource management7. Monitoring/evaluation8. Disaster/epidemic management9. Health information and exhange

•

•

Implemented the Local Health BoardAssessment Guide regionwide

Implemented Social Reform Agenda (SRA)in Agusan del Sur and Surigao del Sur.Through provision of technical andlogistics support to DSWD and LGUs inthe launching of Brgy. Consuelo,Bunawan, Agusan del Sur as CIDSSConvergence area and installation oflocalhealth information system.

• Conducted a Health Facility Survey on theControl of Acute Respiratory Infection incollaboration with UNICEF, WHO andDOH-MCHS.

48

ATTACHED AGENCY

PHILIPPINECOMMISSION

Accomplishments:

MEDICAL CARE

In 1995, Medicare Program 1 continued toprovide Medicare benefits to Medicare SSSIGSIS beneficiaries. Coverage 1 was registeredat 24.87 M representing 35.39% of theestimated population. There were 858,344claims paid and the average value paid perclaim was P2,290.09 M. There was increase inbeneficiaries served by 43% and slight decreaseof 3.84% of average value paid per claimcompared to last year's performance.

During the year, Executive Order 195 wasimplemented providing coverage for allOversease Contract Workers who are notcovered by SSS/GSIS regular and voluntarymembership program. A t~al of 364,310members are enrolled and only 12% availed ofthe benefits. An average of P2,988.74 was paidper claim.

Accreditation of health care providerremains with the Corporation. It is a privilegebeing granted to hospitals, physicians anddentist to participate in the Medicare Programand provide directly the services to Medicarebeneficiaries. As of December 31, there were11,536 physicians, 168 dentists and 1,489hospitals accredited.

51

:i.••

ALTHTATUS

POPULATION

The country's population increased by13.2 percent from 62,049,229 in 1990 to70,266,876 in 1995.

In 1995, the estimated life expectancy atbirth of the female is longer compared to themale, with 68.83 and 63.58 years, respectively.However, the male dominated the female with asex ratio of 100 males to 101 females.

The 1992 Philippine Health Statisticsshowed that as ranked, the leading causes ofillnesses in the country are: diarrheal diseases;bronchitis; influenza; pneumonia;tuberculosis, all forms; accidents; diseases ofthe heart; varicella; measles; and malaria.

For the same period, the leadingcauses of deaths are: diseases of the heart;

pneumonia; diseases of the vascular system;malignant neoplasms; tuberculosis, all forms;accidents; chronic obstructive pulmonarydisease; other diseases of respiratory system;diarrheal disease; and septicemia.

Maternal Mortality Rate also showeda declining trend from 2.09 per 1,000livebirths in 1990 to 1.80 in 1995

'i

POPULATION, BY REGION1995

POPULATION % DISTRI·BUTION

The population remains to be young witho to 14 years comprising 37.45% of the totalpopulation; 15 to 64 years - 58.77%; and 65 yearsand over· 3.88%. The age dependency ratio orthe ratio of population frorp-0-14years of age and65 years and over to the population 15-64 yearsof age decreased by 3.6 percentage point from73.8 in 1990 to 70.2 in 1995.

Among regions, Region IV and NCR aredensely populated with 13.80 and 12.98percentages of the country's population;respectively. On the other hand, CARis the leastpopulated region with only 1.89 percen\of thetotal population.

BIRTHS, MORBIDITY AND MORTALITY

Estimated Crude Birth Rate (CBR) was26.9 per 1000 population in 1995. This is 2.9percentage point lower than the 1990, which is29.8.

REGION

PHILIPPINESNCRCARRegion IRegion IIRegion IIIRegion IVRegion VRegion VIRegion VIIRegion VIIIRegion IXRegion XRegion XIRegion XIIARMM

70,266,8769,117,6321,329,4774,031,0232,712,8237,167,0459,698,4474,490,3596,155,0875,277,6243,527,1492,890,3864,111,3595,271,98!>2,387,9992,098,512

100.0012.98

1.895.743.86

10.2013.806.398.767.515.024.115.857.503.402.99

Likewise, Crude Death Rate (CDR)decreased by 0.5 percentage point from 7.2 in1990 to 6.7 per 1000 population in 1995.

Infant Mortality Rate (IMR) also showedan improvement, as it went down from 56.69 per1000 live births in 1990 to 48.93 in 1995.Likewise, estimated Child Mortality Ratedecreased from 24.33 in 1990 to 18.78 per 1000population in 1995.

52

Source: National Statistical CoordinationBoard

HEALTH INDICATORS: PHIUPPlNES1990& 1995 .

.'-'

HEALTH INDICATOR 1990 1995

• Population 62,049,229 70,266,876• Crude Birth Rate (per 1000 pop.) 29.8 26.9• Crude Death Rate (per 1000 pop.) 7.2 6.7• Infant Mortality Rate (per 1000 Livebirths) 56.69 48.93• Child Mortality Rate (per 1000 pop.) 24.33 1~.78 .• Maternal Mortality Rate (per 1000livebirths) 2.09 1.80• Life Expectancy (in year)'

• Male 62.20 63.58• Female 67.45 68.83

Source: National Statistical Coordination Board

MORBIDITY:TEN(10) LEADING CAUSESNo. & Rate/lOO,OOO Pop.

PHILIPPINES5·YEAR AVERAGE (1987-1991) & 1992

5-Year Average . 1992(1987-1991)

CAUSE NUMBER RATE NUMBER RATE

1. Diarrheal Dise~ses 986,474 ,1634.1 1,037,121 1587.32. Bronchitis 833,611 1380.9 770,396 1179.13. Influenza 570,610 373.9 510,190 780.84. Pneumonias 225,712 945.2 401,025 613.85. Tuberculosis All Forms 166,621 276.0 136,981 209.66. Accidents 114,449 189.6 135,247 207.07. Diseases of the Heart 82,293 136.3 71,027 108.78. Varicella 21,215 35.1 62,327 95.49. Measles 59,861 99.2 54,570 83.510. Malaria 95,543 158.3 46,614 71.3

Source: Philippine Health Statistics, 1992

mS-Yr. Ave.(2J 1992

MALARIA'"''-----~----------'

BRONCHITIS

INFLUENZA

VARICELLA

PNEUMONlAS

MORBIDITY: TEN (10) LEADING CAUSESRate per 100,000 Population

Phils., 5 Yr. Ave.(1987-1991) & 1992<Z •

T.8. ALL FOR.l\lS ~~""

DIARRHEAL DISEASES

ACCIDENTS

DISEASES OF THE HEART

o ""0 1000 1500 2000

53

MORTALITY: TEN (10) LEADING CAUSESNo. & Rate/100,000 Pop.

PHILIPPINES5-YEAR AVERAGE (1987-1991) & 1992

5-Year Average 1992(1987-1991)

CAUSE NUMBER RATE %OF NUMBER RATI %OFTOTAL TOTALD:EATHS DEATHS

1. Diseases of the Heart 43,383 71.9 13.6 49,022 75.0 15.3

2. Pneumonias 44,871 74.3 14.0 42,074 64.4 13.2

3. Diseases of the Vascular .32,363 53.6 10.1 35,414 54.2 ILlSystem

4. Malignant Neoplasms 21,609 35.8 6.8 23,946 36.6 7.5

5. Tuberculosis, All Forms 25.828 42.8 8.1 23,356 35.7 7.3

6. Accidents 11,560 19.1 3.6 11,292 17.3 3.5

7. Chronic Obstructive 7,521 12.5 2.4 9,391 14.4 2.9Pulmonary Diseasesand Allied Conditions

8. Other Diseases of the 6,511 10.8 2.0 6,973 10.7 2.2Respiratory system

9. Diarrheal Diseases 8,443 14.0 2.6 6,742 10.3 2.1

lO. Septicemia 5,160 8.5 1.6 5,774 8.8 1.8

Source: Philippine Health Statistics, 1992

MORTALITY: TEN (10) LEADING CAUSESRate per 100,000 Population

Phils., S-rr. Ave.(I987-1~l)& 1m

DISEASES OFTHEHEART

PNEUMONIAS

DISEASES OFTHE VASCUI..AR SYSTEM

MAUGNANT NEOPLASMS

TIJllEB.CUWSIS. ALL FORMS

ACCIDENTS

CHRONIC OBSTRUCTIVE PULMONARY DIS.

OTfIERDIS.OF RESPlRATORYSYSTEM

DIARRHEAL DISI!ASE

SEPTICEMIA

,

o 20 4() 60 80

RATE

54

L _

MANPOWER

A total of 24,776 comprised theDOH personnel complement in 1995. Ofthese, 2,540 are from the central office

FACILITIES

There are 1,702 hospitals with$\4,482 beds. Of these, 48 are DOHretained with 20,730 beds, 1,111 arelicensed private hospitals with 37,571beds; 504 are devolvedILGUs with 19,495beds and 39 belong to other governmentagencies with 6,686 beds.

The following are the DOHretaine1 hospitals as to classification:

Special.ty Hospitals· 5

National Kidney and Transplant Institute·Lung Center of the.PhilippinesPhilippine Children's Medical CenterPhilippine Heart C~nter' .St. Anthony Mother and Child Hospital

Special Hospitals· 5

Dr. Jose Fabella Memorial HospitalSan Lazaro HospitalPhilippine Orthopedic CenterNational Children's HospitalNational Center for Mental Health

55

There are also 2 researchhospitals; 16 medical centers; 3 districthospitals; 9 regional hospitals and 8sanitaria which are also distributednationwide

During the year there are 2,335Rural Health Units-Main Health Centersand 11,646 Barangay Health StationsBarangay Health Centers.

DISTRIBUTION OF RHU·MHC &BHS·BHCby Re.9ion, Philippines

1995

Region RHU·MHC BHS-BHC

1 147 8192 98 5443 252 1,2064 292 1,4865 129 7426 144 1,2777 155 1,0998 159 7189 99 615

10 80 52611 94 793·12 54 524NCR 366 2CAR 96 516ARMM 90 352·CARAGA 80 427

PUlLS. 2335 11646

Legend:

RHU-MHC - Rural Health Unit-MainHealth Center

BHS-BHC - Barangay Health StationBarangay Health Ctr.

Source: Management Advisory Service

DISTRIBUTION OF HOSPITALSBY REGION, PHILIPPINES

1QQI:;

DOH PRIVATE DEVOLVEDI OTHER GOV'T. TOTALRETAINED LGUs* AGENCIES*

REGION HOSP. BED HOSP. BED HOSP. BED HaSP. BED HOSP. BED

1 2 400 73 1,600 32 1,425 107 3,5152 2 600 41 691 33 1,098 1 50 77 2,4393 2 1,150 114 2,450 38 2,064 5 337 159 6,0014 2 850 156 4,515 85 2,948 6 370 249 8,6835 2 700 91 1,822 46 1,531 139 4,0536 3 1,100 30 1,989 45 1,440 2 175 80 4,7047 4 1,150 50 2,586 38 1,430 3 135 95 5,3018 2 275 26 664 44 1,785 2 35 74 2,7599 3 820 51 1,029 37 1,140 3 221 94 3,210

10 1 300 73 1,851 15 626 2 125 91 2,90211 2 800 145 4,513 22 685 169 5,99812 2 450 83 2,088 16 620 2 80 103 3,238NCR 20 11,735 126 10,340 11 993 12 5108 169 28,176CAR 1 400 28 790 26 950 1 50 56 2,190CARAGA 24 553 16 760 40 1,313

PHILS. 48 20,730 1,111 37,571 504 19,495 )9 6,686 1,702 84,482

Note: * Licensed only

Sources: HaMS· DOHBLR·DOH

••

•

199519941992 1993

YEAR

In terms of sources, the bulk (92.74%)camefrom the government of the Philippines (GOP) andthe rest from foreign assistance (loan proceeds) like6.31 % from the International DevelopmentAssociation (IDA), 0.74% from the International

I Bank for Reconstruction and Development (IBRD),I' and 0.21% from the Asian Development Bank! (ADB).

1991

DOHTotal Appropriations, 1991 - 1995Including Attached Agencies

2 i'"

0/

In 1995, DOH had a tota' appropriationof P8,647,889,000 including PH3,SI3,000 forattached agencies shared by Dangerous DrugsBoard and Philippine medical Care Commission.This appropriation is 16.58% h'lgher than in1994 representing 17.07% of the social sectorbudget, 2.23% of national budget, and just 0.45%of Gross National Product(GNP) of the same year atcurrent prices. TheDepartment ranked filthamong other governmentagencies (same as inprevious year) in terms ofits share of nationall:lu~get.

By expenditureclass, the bulk (42.26%)went into maintenanceand other operatingexpenses (MOOE) and therest went into personalservices (33.75%) And .,capital outlay (23.99%).Ranking of expenditureclass was the same as thatof the previous yearexcept that there was a minor re-allocation of

, resources from MOOE to Capital Outlay.

The 1995 appropriation can only financean average of P123.00 for each Filipino. Butsince the 1995 real total appropriation wasestimated to be only P3,791,603.00 due toaccumulated reduction of purchasing powercaused by general price increases (inflation)based on 1985 constant prices, the real perperson budget was only P54.00 for each Filipino.However, all indicators used showedimprovements compared to last year except inMOOE and percent relative to national budget.The 16.58% increase in 1995 appropriationcontained more than enough to finance inflationand population growth of the same year.

57

DEPARTMENT OF HEALTH APPROPRIATIONS, 1991-1995(INCLUDING ATTACHED AGENCIES)·

As of February 20, 1996

1991 1992 1993 I 19941995

PARTICULAR

BREAKDOWN BYEXPENSECLASS (In thousandsPesos)

A. PersonalServices .999.296 40.18 5.125,756 48.23 2,256.864 31.07 2.313.894 31.19 2.918,431 33.75

B.MOOE .146.476 ,55.54 5.061.960 47.63 4.180.185 57.56 3,725,994 50.23 3,654,941 42.26

C.CO 319,392 4.28 440,528 4.14 825,780 11.37 1,378,345 18.58 2,074,51~ 23.99

TOTAL ,465,164 100.00 10,628,244 100.00 7,262,829 100.00 7,418,233 100.00 8,647,889 100.00

% Growth Rate -2.50 42.70 -31.70 2.14 16.58

Rank Compared To Other (5th) (5th) (6th) (5th) (5th)Gov't. Agencies

REAL TOTAL APPROP. .271,666 5,641,917 3.623.804 3.366.721 3,791,603(in thousand Pesos atConstant 1985 Prices

%Relative toSocial Sector Budget" 20.82 23.09 17.01 15.48 17.07

%Relative to National Budget 4.49 5.46 2.35 2.30 2.23

%Relative toGNP (Current prices) 0.59 0.78 0.48 0.42 0.45

Nomiaal Per Capita Budget (P) 118 164 110 108 123

Real Per Capita Budget (P) at 68 87 55 49 54Constant 1985 Prices

* Total Appropriations ofall DOH attached agencies ranged onlyfrom P86-400 million with an average ofP248 million per year

**Social Sector is composed ofDOH, DECS. DSWD. and DOLE

58

Sources:

General AppropriationsAct (Several Years)National Statistical Coordination Board (NSCB)Executive Board Resolution No. 11-93

NSCB Phil. StatitisticalYearbookNationalAccounts of the Phil. (Several Years)TechnicalCommittee Report on Population andHousing (Updated), Dec. J994

Department 01Health !,pproprlatlons By expenditures Class, 1991-1995(Including Attached Agencies)

6

4

o1991 1992 1993 1994 1995

YEAR

1995 DOH Appropriation by Major Purposes

53.3 Hospital OperationsRelated Facilitiea

29.83Public Health

16.55 GeneralAdministration

0.320thera

1995 DOH Appropriation by Expenditure Clase(PS, MOOE, CO)

33.75 PS

59

1995 DOH Appropriation by Sources

92.74 Gov't. of the Phils.

0.21 Asian Development Bank

6.31 Int'\. Dev't, Association

0.74 Int'L Bank for Reconstruction & Dev't.

Treno1 01~ominal & Real Per Capita (Per Person) Budget1991-1995

160

'40

60

·- .;

DOH

1111[111111111[1111~~D699

H1.11 AnB j 995/ Department of Healthannual report 1995