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CENTER FOR HEALTH DEVELOPMENT III ANNUAL REPORT 2012

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

THIS IS FOR INFORMATION, EDUCATION, AND COMMUNICATION PURPOSES ONLY. NOT FOR SALE.
The mention of specific companies, enterprise, and/or certain manufacturers products does not imply that they are
endorsed and/or recommended by the institution in preference over others of similar nature.
This report can be reproduced in full or in parts without prior notice as long as due credits shall be provided to the DOHCHD 3. Right citation shall then be exercised.

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

DEPARTMENT OF HEALTH

CENTER FOR HEALTH DEVELOPMENT III


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

TABLE OF CONTENTS
2

DIRECTORS MESSAGE

THE CHD 3 PROFILE

BACKGROUND OF KALUSUGAN
PANGKALAHATAN

9
12
23

KALUSUGAN PANGKALAHATAN:
THE THREE MAJOR THRUSTS
I. Financial Risk Protection
II. Improved Access to Quality Hospitals and
Health Care Facilities
III. Attainment of Health-Related Millennium
Development Goals

48

OTHER ACTIVITIES SUPPORTING


THE ATTAINMENT OF KALUSUGAN
PANGKALAHATAN

53

OTHER CHD 3 MILESTONES

61
68

APPENDICES
Appendix i: The CHD 3 Personnel
Appendix ii: The Management Committee
and Annual Working Committee

Only when we sow tough, plant patiently, and


toil harder, where we enjoy our HARVESTS,
the fruits of our labors. True to this, it is now
the time for us at the Department of HealthCenter for Health Development III (DOH-CHD
3) to reap our crops for the year 2012. Thus, as
we recognize the value of sharing our
fruitages, we dedicate this annual report to
you, our stakeholders, co-implementers, and
to the citizens of Central Luzon.
Kalusugan Pangkalahatan (KP) embodies our
mission as health service providers to deliver
affordable, accessible, and quality healthcare
to our constituents, our primordial reason for
chasing excellence in our service delivery.
Hence, to be truly successful in this attempt,
we shall realize that in this journey, no one
should be left behind. The heart of Universal
Health Care is us, we, together, trudging the
road to and for health.
This DOH-CHD 3 Annual Report emphasizes
our accomplishments for the year 2012. It aims
to present our various programs, drives, and
activities geared toward the attainment of KP,
particularly in pursuant of its three main
thrusts: 1) Financial Risk Protection, 2)
Improved Access to Quality Hospitals and
Health Care Facilities, and

3) Attainment of Health-Related Millennium


Development Goals (MDGs).
This also contains vital health statistics which
are intended to empirically provide valid data
for health information and dissemination.

Furthermore, this document highlights our


partners contribution, accentuating our
collaborative approach in our every health
endeavour.
Ergo, the moment of yesterday is our daylight
for today, and tomorrow is the dream we are
creating today. To simply put, today is the
time that destiny gives us the pleasure to act,
to inspire, and to serve.
Thus, I hope that through this, we shall reach
you better and you shall reach us more in
return.
To everyone, MABUHAY!

LEONITA P. GORGOLON, MD, MHA, MCHM, CEO VI


Director IV, CHD - Central Luzon

HISTORICAL BACKGROUND
The Board of Health, the countrys first established
institution for health, was formally founded on
September 29, 1898 under General Order No. 15.
Since then, the institution has undergone several
major transitions and reorganizations, including the
implementation of regionalization in 1959.
Used to be a part of the Regional Health Office No.
4 circa 1967, on September 1, 1974, Central Luzon
was weaned away from its mother region, and the
Regional Health Office No. 3 (RHO 3) was
established at the regions capital, City of San
Fernando, Pampanga.

In 1982, under Executive Order No. 851, the health


department (then is known as the Ministry of
Health) underwent organization and functional
changes, specifically integrating the preventive,
promotive, curative, and rehabilitative functions
into its scheme of health service delivery. With this
reorganization, the Regional Health Office was
renamed as Regional Health Services (RHS), and
this was headed by a Regional Director.
In the advent of the People Power Movement in
1986, streamlining bureaucracy, another light at
the end of the tunnel brought changes in the
government, thus also recognizing the need for
some health sector reforms. With the issuance of

Executive Order No. 199 in 1987, the Ministry of


Health was once again renamed to Department of
Health (DOH), and the regional offices into DOH Integrated Regional Field Offices (DIRFOs).
As per the 1987 Constitution, the DIFRO 3 fulfilled
its mandate of making essential goods, health, and
other services available to all people at affordable
costs, with priority for the needs of the
underprivileged, sick, elderly, disabled, women, and
children.
On the other hand, with the implementation of the
Local Government Code of 1991 (RA 7160), the
mandate of DOH and its regional offices changed
from program implementation to policy
formulation, planning, regulatory services, and the
provision of technical assistance to local
government units (LGUs). However, the regional
offices will take charge of the health service
delivery in case of declaration of disaster, and upon
the request of local chief executives (LCEs).
To further reach service recipients, in the late
1990s, Regional Extension Offices (REOs) were
established in the different provinces of the region.
Headed by the Provincial Health Team Leaders
(PHTLs), these REOs provided the link between
the regional office and the LGUs.

4
On the advent of the new millennium (year 2000), the
DOH experienced further restructuring with the
implementation of Executive Order No. 102, redirecting
its functions and operations in view of the devolution
of basic health services to the LGUs.
In this juncture, regional offices were further renamed
as Centers for Health Development (CHDs) with
functions focused on policy development, regulations
and licensing enforcement, provision of technical and
logistic assistance, (including advocacy, monitoring
and evaluation), and resource management.
By the year 2003, to ensure efficient and effective
health service delivery, another major reorganization
was experienced by the CHD 3 in pursuant to Executive
Order No. 103. Particularly, former President Gloria
Macapagal-Arroyo included the province of Aurora
(previously a part of Region 4) as a part of Region 3
under the CHD-Central Luzon among other six
provinces (Bataan, Bulacan, Nueva Ecija, Pampanga,
Tarlac, and Zambales).

REGIONAL DIRECTOR THEN AND NOW


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

MANDATE
As per Executive Order (EO) 102, The Department of
Health-Center for Health Development III (DOH-CHD 3)
shall oversee the implementation of policies and
programs at the regional level and in the retained
health facilities. It is responsible on handling the
enforcement of health regulatory policies and on
directly relating to local government units (LGUs), nongovernment organizations (NGOs), peoples
organizations (POs) , and the private sector in the
development of local health systems, extension of
technical, and other kinds of assistance in the field of
health.

VISION
A healthy and responsive community in Central
Luzon.

MISSION
To ensure effective and efficient delivery of
quality, affordable, accessible, equitable, and
sustainable health services;
To develop, organize, and mobilize stakeholders
for health; and
To foster collaboration, partnership, and linkages
with government and non-government offices for
the people of Central Luzon, especially the poor,
disadvantaged, and marginalized.

CORE VALUES
Integrity The DOH-CHD 3 believes in upholding
truth and pursuing honesty, accountability, and
consistency in performing its functions.
Excellence The DOH-CHD 3 continuously strives
for the best by fostering innovation,
effectiveness, efficiency, pro-action, dynamism,
and openness to change.
Compassion and respect for human dignity The
DOH-CHD 3 upholds the quality of life and respect
for human dignity by working with sympathy and
benevolence for the people in need.
Commitment The DOH-CHD 3 commits to
achieve its vision for the health and development
of future generations.
Professionalism The DOH-CHD 3 performs its
functions in accordance with the highest ethical
standards, principles of accountability, and full
responsibility.
Teamwork The DOH-CHD 3 employees work
together with a result-oriented mindset.
Stewardship of the health of the people Being
stewards of health for the people, the DOH-CHD 3
pursues sustainable development and care for the
environment.

5
QUALITY POLICY
The Department of Health, as the nations leader
in health, is committed to guarantee equitable,
accessible, and quality health services for all
Filipinos.
We at the DOH, together with our partners, shall
ensure the highest standards of health care in
compliance with statutory and regulatory
requirements.
And shall continually improve our quality
management systems to the satisfaction of our
citizens.

CHD 3 GENERAL FUNCTIONS


To develop and implement health plans,
programs, and projects.
To enforce standards and regulations.
To exercise general supervision over DOH
facilities within the region.
To provide advisories, training, and technical
and logistics assistance to local government
units.
To coordinate with other departments,
agencies, and entities in the government and
private sector.
To inform and/or update the Secretary of
Health through the operation cluster head on
matters pertaining to health service delivery,
regulation, and financing in the regional and
local areas.

THE FIVE DIVISIONS:


CHD 3 SPECIFIC FUNCTIONS
Office of the Regional Director (RD)/ Assistant
Regional Director (ARD)
To provide overall administration, supervision,
coordination, leadership, and policy direction
to the health sector in the region. It is also
responsible in providing planning, human

health resource, internal audit, and public


information services.
All the divisions and sections are under the
sovereignty of the RD and ARD. However, the
following units are under their direct supervision
and/or authority:
Planning Unit
Governance (including the seven Provincial
Health Team Offices)
Health Promotion Cluster (HPC)
Human Resource Development Unit (HRDU)
Health Emergency Management Staff (HEMS)
Regional Epidemiology and Surveillance Unit
(RESU)
Field Health Service Information System (FHSIS)
Information Management System (IMS)
Infrastructure/Health Facility Enhancement
Program (HFEP)
Collaborating Center for Disease Prevention and
Control (CCDPC)

Licensing Regulation, and Enforcement Division


(LRED)
To enforce policies, rules, and standards on
matters related to the regulation of health
facilities and services, food, blood products,
drugs and cosmetics, health and health-related
devices, and household hazardous substances.
To ensure compliance by health facilities and
health providers, manufacturers, distributors,
advertisers, and retailers of health products,
devices, and technologies to health rules,
regulations, and standards of quality.
To manage and oversee the operations of
satellite laboratories for food, blood products,
drugs, cosmetics, and household hazardous
substances.
In LRED, there are two sections:
Hospital Licensing, Clinic, Laboratories, Dental
Prosthetic Laboratory, Radiation Health
Facilities, etc.
Food and Drug Administration (FDA)

6
Health Operations Division (HOD)
To be responsible for the development of
health plans, programs, and projects for both
public health and hospitals in consonance with
national policies, goals, and objectives.
To monitor and evaluate the implementation
of health programs and projects by the local
government units and other implementing
health partners.
To provide advisories, consultancy services,
and technical assistance to implementing units
and other partners in matters pertaining to the
implementation of health programs and
projects.
To design and operationalize advocacy and
other health promotion and education
activities.
To conduct researches relative to health
service delivery, regulations, and financing at
the local levels.
To coordinate with the RESU in the conduct of
epidemiology and surveillance activities.
To provide direct services on priority diseases
and other major public health concerns.
In HOD, there are three clusters:
Communicable Cluster
Non-Communicable Cluster
Family Health Cluster

Budget and Finance Division


To oversee, handle, and control all financial
transactions of the institution.
To monitor the financial, internal operations,
and performance of the center and retained
facilities, including review of systems and
procedures, to make sure all resources are
managed and utilized in accordance with
prescribed laws and regulations.
To provide assistance to managers of centers
and retained facilities in optimizing the internal
operating efficiencies of the aforesaid
institutions.
To provide the management with accurate,
reliable, and timely financial reports.

In the Budget and Finance Division, there are two


sections:
Budget Section
Accounting Section

Administrative Division
To provide the institution with efficient and
effective services related to legal; financial
management; administrative services to include
personnel management and services, records
and communication; supply management and
procurement services; and general services,
which would also include library, dormitory,
transport security, and janitorial services.
To supervise the implementation of policies in
the office and to oversee the overall
maintenance of the institution's facilities and
equipment.
To facilitate the provision and monitor the
utilization of logistics assistance to local
government units and other implementing
partners.
In the Administrative Division, there are six sections:

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

Demographic Profile

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

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

ZAMBALES
Projected Population: 557,234
Total Land Area: 3,714.4 sq.km

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

BULACAN
Projected Population: 2,148,453
Total Land Area: 2,625 sq.km

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

PAMPANGA
Projected Population: 988,816
Total Land Area: 2,180.68 sq.km

CITIES 2012 PROJECTED POPULATION

Total Land Area

21,692.16 sq.km

Total Population

10,577,926

Population Density

482.07 pop./sq.km

No. of Cities

14

No. of Municipalities

116

No. of Barangays

3,102

No. of Govt. Hospitals

63

No. of RHUs

269

No. of BHS

1,907

Angeles

340,453

Balanga

91,669

Cabanatuan

281, 749

Gapan

104,865

Malolos

247,948

Meycauayan

210, 176

Olongapo

227,011

Palayan

38,457

San Fernando

298,698

San Jose

133,730

San Jose del Monte

479, 710

Science City of Muoz


Data Source: Field Health Service Information System (FHSIS)

Tarlac

77,973
329, 636

Kalusugan Pangkalahatan (KP) is the operational


strategy of the Aquino Administration which
aims to achieve Universal Health Care for all
Filipinos. It seeks to ensure equitable access to
quality health care by all Filipinos beginning in
those low income quintiles.

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

SIX COMPONENTS OF KP
1. Health Financing
2. Health Service Delivery
3. Health Human Resource
4. Health Regulation
5. Health Information System
6. Good Governance

THREE KP THRUSTS
Financial Risk Protection through the expansion
of the National Health Insurance Programs
(NHIP) enrollment, utilization, and enhancement
of benefit delivery.
Improved Access to Quality Hospitals and Health
Care Facilities through Health Facility
Enhancement Programs (HFEPs) and by
upgrading the capacity of DOH hospitals,
provincial hospitals, district hospitals, rural
health units, and barangay health stations to
provide quality and more comprehensive
services.
Attaining Health-Related Millennium
Development Goals (MDGs) by fielding
Community Health Teams (CHTs) to help Filipino
families know and gain benefits from PhilHealth
and public health programs in reducing maternal
and child mortality, morbidity and mortality from
tuberculosis and malaria, and the prevalence of
HIV/AIDS, in addition to being prepared for
emerging disease trends and prevention of noncommunicable diseases.

Data Source: PhilHealth-Regional Office III.

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


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

ENROLLED BENEFICIARIES AS OF DECEMBER 2012


COVERAGE

PHILHEALTH COVERAGE ON SPONSORED


PROGRAM (SP) AS OF DECEMBER 2012

TARGET
POPULATION

NO. OF MEMBERS
& BENEFICIARIES
(ALL CATEGORIES)

PERCENTAGE

Aurora

222,067

122,903

55.34

Bataan

711,899

583,755

82.00

Bulacan

2,851,832

2,165,418

75.93

Nueva Ecija

2,118,070

1,259,971

59.49

Pampanga

2,399,665

2,060,285

85.86

Tarlac

1,365,600

1,117,674

81.84

801,439

628,930

78.48

10,470,571

7,938, 936

75.82

Total

PROVINCE

Zambales
Total

PROVINCE

SP COVERAGE (W/ BENEFICIARIES)

NON-NHTS

NHTS

TOTAL

Aurora

25,533

40,220

65,753

Bataan

67,885

59,530

127,415

Bulacan

276,568

295,186

571,754

Nueva Ecija

139,774

381,494

521,268

Pampanga

402,732

200,294

603,026

Tarlac

349,049

168,320

517,369

Zambales

52,189

77,451

129,640

1,313,730

1,222,495

2,536,225

10
NHTS FAMILIES ENROLLED TO PHILHEALTH
AS OF DECEMBER 2012
TARGET
NHTS*
FAMILIES

NHTS
FAMILIES
ENROLLED

PERCENTAGE

Aurora

9,417

9,194

97.63

Bataan

16,784

15,192

90.51

Bulacan

74,978

68,754

91.70

Nueva Ecija

98,045

94,858

96.75

Pampanga

56,197

49,604

88.27

Tarlac

47,607

41,217

86.58

Zambales

23,945

19,577

81.76

Total

326,973

298,397

91.26

PROVINCE

*National Household Targeting System

RATE OF UTILIZATION AS OF NOVEMBER 2012


NO. OF
CLAIMS
PAID

AMOUNT OF
CLAIMS PAID

PERCENTAGE

Aurora

2,578

17,965,474.89

2.17

Bataan

24,301

218,372,826.70

4.57

Bulacan

91,400

848,257,950.12

4.28

Nueva Ecija

56,289

569,552,425.88

4.70

Pampanga

120,665

1,046,135,224.50

6.05

Tarlac

41,784

415,202,505.46

3.95

Zambales

17,940

171,873953.64

3.48

Total

354,957

3,287,360,361.19

4.70

PROVINCE

partnered milestones of the PHIC and DOH for the


year 2012:

PHILHEALTH DESKS IN DOH


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

PHILHEALTH OFFICER IN LEVEL 2


AND 3 HOSPITALS
According to Licensing Division of CHD 3, based on
the new hospital classifications, a PhilHealth Officer
is now being deployed for level 2 and 3 hospitals.

PHILHEALTH EXPRESS

An increase in the percentage of utilization (from 3.42% to 4.70%) is due


to the introduction of new benefit packages.

As stipulated in RA 7875, the Philippine Health


Insurance Corporation (PHIC) or PhilHealth is a taxexempt government company attached to the
Department of Health (DOH) for policy coordination
and guidance.
Thus, being a partner agency and a primary mover
for the attainment of the Thrust 1 of the Kalusugan
Pangkalahatan (KP) , which is financial risk
protection, the following are the other significant

PhilHealth Express Centers are satellite offices of


the PHIC strategically placed on different malls.
These stations, open from Monday to Sunday (10:00
am 8:00 pm), provide services such as PhilHealth
Identification Number (PIN), ID and Member Data
Record (MDR) generation, data amendment,
premium collection, and information kiosk for walkin inquiries.
In the region, the two PhilHealth Express Centers are
in Robinsons Starmills, City of San Fernando,
Pampanga and Marquee Mall, Angeles City.

PHILHEALTH CASE RATE SCHEME


Since September 2011, the PhilHealth Case Rate
Scheme has improved the turnaround time for
processing of claims and payment to providers in
order to achieve better cost-efficiency. As embodied
in the PhilHealth Circular No. 011-2011 and 011-Board
Order 2011, this provides an all-in package payment
for the following medical and surgical conditions:

PHILHEALTH CARES
C-ostumer
A-ssistance
R-elations &
E-mpowerment
S-taff

RATE
(PHP)

CASE

CASE

RATE
(PHP)

Dengue I

8,000

Hemodialysis (per session)

4,000

Dengue II

16,000

Maternity Care Package

8,000

Pneumonia I

15,000

NSD Package in Level 1 Hospitals

8,000

Pneumonia II

32,000

NSD Package in Level 2 to 4 Hospitals

6,500

Radiotherapy (per session)

3,000

Hysterectomy

30,000

Essential Hypertension

9,000

Caesarian Section

19,000

Cerebral Infarction (CVA 1)

28,000

Appendectomy

24,000

Cataract Surgery

16,000

Cholecystectomy

31,000

Mastectomy

22,000

Dilatation and Curetage

11,000

PHILHEALTH MOVES

Acute Gastroenteritis

6,000

Thyroidectomy

31,000

M-obile
O-rientation
V-alidation &
E-nrollment
S-cheme

Asthma

9,000

Herniorrhaphy

21,000

Typhoid Fever

14,000

Cerebro-vascular Accident
(Hemorrhage, CVA II)

1,750

38,000

Newborn Care Packsge in Hospitals


and Lying-in Clinics

The CARES are deployed in all


accredited levels 3 and 4
hospitals and levels 1 and 2
government hospitals. They
are available for service
Mondays to Fridays from 9:00
am to 5:00 pm, and on
Saturdays from 9:00 am to 2:00
pm. Aside from responding to
basic member and
stakeholders inquiries, the
CARES can also administer
surveys and studies initiated by
PhilHealth.

This is an integrated marketing


approach which is currently
being utilized by PhilHealth to
provide a cohesive strategy of
ensuring members
commitment and enthusiasm
of being informed of their
membership coverage and of
being guided on the
procedures / processes when
availing PhilHealth benefits and
priviledges at the local level.

PHILHEALTH SHINES
S-ocial
H-ealth
IN-surance
E-ducational
S-eries
PhilHeath SHInES, formerly
know as SHIAC (Social Health
Insurance Advocates and
Champions), is an information
disseminination drive under the
banner of Be PhilHealth
Now!. This movement aims to
educate the people and
promote the key concepts of
social health insurance,
imbibing values of equity and
social solidarity.

NO BALANCE BILLING AS OF
NOVEMBER 2012

CATASTROPHIC CARE
PACKAGES

Complementing the Case Rate Scheme is


the No Balance Billing (NBB) System for
NHTS-PR members and dependents
covered by the PhilHealth Sponsored
Program (as reflected from the PhilHealth
Board Resolution No. 1441, and further
defined in Section III of PhilHealth Circular
No. 011-2011). Number and amount of
claims paid under NBB in Central Luzon are
as follows:

This intends to provide substantial


assistance to any member who
contracts illness/es, such as cancer and
end-stage renal disease. This package
was developed by DOH, Philhealth, the
Presidential Management Staff, the
Philippine Amusement and Gaming
Corporation (PAGCOR), and the
Philippine Charity Sweepstakes Office
(PCSO).

PROVINCE

Aurora
Bataan
Bulacan
Nueva Ecija
Pampanga
Tarlac
Zambales
Total

NO. OF CLAIMS PAID

AMOUNT OF CLAIMS PAID

214
1,555
2,113
1,608
4,760
3,301
1,388
14,939

2,016,150.00
15,695,465.00
26,409,162.17
20,749,981.40
42,281,719.48
41,917,172.00
12,643,081.30
161,712,731.35

HEALTH FACILITY ENHANCEMENT PROGRAM


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

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


PROVINCE

PROGRAMMED FACILITIES RATE OF COMPLETION


2009

RATE

2010

RATE

2011

RATE

2012

Aurora

19

100%

Bataan

100%

11

Bulacan

36

Nueva Ecija

100%

37

Pampanga

100%

100%

26

100%
24 or
66.66%
31 or
83.78%
13 or 50%

Tarlac

23

20 or 87%

Zambales

100%

100%

12

Regional

100%

15

100%

164

11 or 92%
129 or
78.66%

0
7
2

15

13
PHILHEALTH ACCREDITATION
OF RURAL HEALTH UNITS (RHUs)
AS OF NOVEMBER 2012
PROVINCE

Aurora
Bataan
Bulacan
Nueva Ecija
Pampanga
Tarlac
Zambales
Total

NUMBER
OF RHUS

9
20
64
65
51
39
32
280

PHILHEALTH ACCREDITATION
OF OTHER HEALTH FACILITIES
AS OF NOVEMBER 2012

PHILHEALTH ACCREDITATION

OPB*
1
13
24
15
25
10
10
98

2 in 1
0
0
4
2
6
5
1
18

PROVINCE

3 in 1
0
0
1
1
1
1
0
4

Aurora
Bataan
Bulacan
Nueva Ecija
Pampanga
Tarlac
Zambales

PHILHEALTH ACCREDITATION

Lying-in
0
1
46
5
40
4
9

FSDC*
0
1
4
0
6
1
0

ASC**
0
2
2
0
2
0
0

105

12

Total

*Free Standing Dialysis Center


** Accredited Surgical Center

*Outpatient Benefit Package

PHILHEALTH ACCREDITATION OF HOSPITALS


AS OF NOVEMBER 2012
NUMBER OF HOSPITAL

PHILHEALTH ACCREDITATION

PROVINCE

Aurora
Bataan
Bulacan
Nueva Ecija
Pampanga
Tarlac
Zambales
Total

Gov.

Private

Total

Gov.

Private

Total

4
6
11
16
15
6
5
63

1
10
56
14
38
17
10
148

5
16
69
30
53
23
15
211

2
5
11
12
14
5
5
54

1
10
54
13
34
15
8
135

3
15
65
25
48
20
13
189

Macabebe District Hospital

60
93.75
94.20
83.33
90.57
86.66
86.66
89.57

In line with the goal of


achieving Universal Health
Care through the
improvement of access to
quality hospitals and health
care facilities, the DOH-CHD
3 is strongly advocating
PhilHealth Accreditation of
health facilities.

14
HEALTH FACILITY ENHANCEMENT PROGRAM 2012
RECIPIENT

CONTRACT COST (Php)

AURORA
1. Casiguran District Hospital

1,757,926.59

2. Maria Aurora Community Hospital

4,982,915.78

BATAAN
1. Orani District Hospital

5,856,339.99

2. Bataan Drug Treatment and Rehab Center

4,985,838.79

NUEVA ECIJA
1. Guimba District Hospital

8,599,202.81

2. Sto. Domingo District Hospital

8,440,093.96

3. ELJ Medical Center-Cabanatuan City

4,276,251.00

4. MV Gallego General Hospital

5,109,958.60

5. Bongabon District Hospital

7,300,000.00

6. San Antonio District Hospital

7,872,165.00

7. Gapan District Hospital

7,639,549.44

PAMPANGA
1. Jose Songco Lapid District Hospital

9,505,131.05

2. Macabebe District Hospital

7,888,888.88

TARLAC
1. Gilberto Teodoro Mem. Hospital

10,122,402.95

ZAMBALES
1. Ramon Magsaysay Mem. Hospital
TOTAL

6,084,626.50
100,421,291.34

P6,913,000

Thus, to optimize the usage of the aforementioned facilities,


worth of equipment was sub-allotted by the DOH-Central Office to the region. This
includes medical and office equipment, particularly prioritizing the need of
Comprehensive Emergency Obstetric Newborn Care (CEmONC) facilities.

Bongabon District Hospital

Guimba District Hospital

15

M.V. Gallego General Hospital


Macabebe District Hospital

Orani District Hospital

Eduardo L. Joson Medical Center

Casiguran District Hospital


Ma. Aurora Community Hospital

Gapan District Hospital


Gilberto O. Teodoro Memorial Hospital

16

17

LICENSING, REGULATION, AND ENFORCEMENT


Total Collection (from the license fees):

TECHNICAL ASSISTANCE

Php 6,020,330.00

TARGET

ACCOMPLISHMENT

1,944

4,094 (210.60%)

175 clients who were randomly given a Customer


Satisfactory Survey (CSS) Form graded the staff
with 8 10 satisfaction point.

LICENSING: NEW/APPLICATION FOR


POST APPROVAL CHANGES
NUMBER OF
APPLICATION
S RECEIVED

NUMBER
INSPECTED

NUMBER
ENDORSED

NUMBER OF
ISSUED LTO

459

403 (88 %
of
application
received)

339 (84% of
those
inspected)

222 (65 %
endorsed)

Post Market Surveillance


TARGET

ACCOMPLISHMENT

20

28 (25 anti-TB drugs as support to USP PQM


project, 1 drug, and 2 cosmetics)

ENFORCEMENT
Number of Cease &
Desist Order Served
Number of Notice of
Violations issued
Number of Report of
Violations submitted for
legal action
Number of
investigations
conducted (complaint
referred)

MONITORING
Inspection of Facilities for Renewal/Revalidation of
LTO
TARGET

INSPECTED

REVALIDATE/
REISSUANCE OF LTO

1,050

573 (55%)

256

41: were received in 2012


37: were received during the last
quarter of 2011
24: submitted position papers
137
18

7: Report of Investigations
forwarded to FDA

18

TITLE OF SEMINAR/ ORIENTATION

TARGET

NUMBER OF PARTICIPANTS

New Licensing Regulations Seminar for


Drug Outlets and Drug Establishments (AO
56)

360 pax
(90 pax x 4 batches)

4 batches attended by 460 pharmacists and


drugstore owners

Seminar/ Training on Food Safety AO 153


and HACCP Elements

150 pax
(75 pax x 2 batches)

2 batches attended by 125 participants from


the food industry

Training on Good Dispensing for BNB


Operators

280 pax
(70 pax x 4 batches)

3 batches attended by 210 BNB Operators

TITLE OF TRAINING

ATTENDEE/S

2012 National Consultative& Orientation Seminars for DOH Regulatory Officers on


Streamlining of Licensure & Accreditation of Hospitals

Ms. Melinda Hilario

Cosmetic Safety Assessment Seminar

Ms. Virginia Timbol

Hands on Training on Licensing & Technical Requirements ( Food)

8 FDROs

National Orientation Seminar for DOH Regulatory Officers on Administrative Order #


2012-0012 (Rules & regulations Governing the New Classification of Hospitals and Other
Health Facilities in the Phil.)

Ms. Melinda Hilario and


Ms. Melissa G. Salonga

2012 National FDROs Conference

8 FDROs

Various Technical Hands on Training for GMP Inspectorate

Ms. Alicia Montano and


Ms. Clarissa Mendoza

HOSPITAL PHARMACIES : ONE STOP SHOP LICENSING SYSTEM


Monitoring (Evaluation and Inspection):
138 : Hospital pharmacies were recommendation for the inclusion as ancillary to the hospitals LTO
3: New hospital pharmacies inspected, issued, and endorsed to COC and BHFS

EDPMS (ELECTRONIC DRUG PRICE MONITORING SYSTEM)


988 clients accommodated on various concerns, such as website accessibility during downloading/uploading and
clients comprehension using the system. Individual coaching of clients was done by the EDPMS Help Desk.
219 drug outlets were given accounts/password after evaluation of documents.
Daily Monitoring of facility compliance were religiously done. List of facilities with violations to MDRP/GMAP was
downloaded and submitted to FDA Section for appropriate actions.

19

OTHER SIGNIFICANT ACTIVITIES


Participation in the Pharmaceutical Inspection
Cooperation Scheme (PIC/S)
To assess the CHD 3-FDAs preparedness to the
PIC/S and ISO 9001-2008, an audit was done by
FDA Alabang on August.
With the findings, technical assistance was
provided to CHD 3. Quality Manual, Inspectorate
Manual, and Quality Work Procedure (QWP)
were exhaustively discussed.
21 QWP were finalized and approved by the
Division Chief and are now in the process of
implementation.
In September 10-14, the FDA Philippines was
assessed for conformance to PIC/S by the
following assessors:
Bertrand Perrin from France (lead
rapporteur) Sulaiman Haji of Malaysia (corapporteur)
Boon Meow Hoe of Singapore (member)
Martin Eisenhawer of Switzerland (member)
(With its goal to lead the international
development, implementation, and maintenance
of harmonized GMP standards and Quality Systems
of Inspectorate in the field of medicinal products,
PIC/S is a established cooperative arrangement
between GMP regulatory authorities of member
countries worldwide.)

20

DENTAL LABORATORY LICENSING


AND REGULATIONS
Background

Issuance of Licenses for Dental Laboratories

Administrative Order No. 2008-0010 (Revised Rules


and Regulations re: The Registration and Licensure of
Dental Laboratories in the Philippines) categorized
dental prosthetic laboratories (DPLs) into four
service capabilities, which are: a) Removable
Prostheses Services, b) Fixed Prostheses Services, c)
Removable and Fixed Prostheses Services, and d)
Limited Services.

A total of 20 applications were received for the year.


10 out of which were for issuance of initial
license (change of location, newly applied and
expired LTO) and the rest were for renewal of the
three years LTO.

As of 2012, Region 3 has a total of 72 licensed DPLs


(24 Removable Prostheses, 5 Fixed Prostheses and 43
Removable and Fixed Prostheses). 28 out of those
are under the supervision of dental technologists,
and the rest are under the supervision of licensed
dentists.

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


applied for renewal were issued LTO. Because of
some technicalities, the others were not licensed, but
were given recommendations for them to comply for
facilitation.

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

Monitoring/Inspection
A total of 63 dental laboratories were monitored to
ensure compliance to standards.
During the monitoring, four dental laboratories were
surveyed without license to operate and were
advised to secure LTO. Three of the said laboratories
were initially inspected upon applying
to validate the accuracy and merit of the submitted
documents.

Some aspects on the issuance of Certificate of


Competency from TESDA and the stand of the BHFS
regarding the issuance of LTO to facilities without
dental technologists were tackled. There, it was
clearly explained that an LTO can be issued to a
dental laboratory even if there is no dental
technologist supervisor as long as there is a notarized
Memorandum of Agreement between the owner of
the facility and a licensed dentist, stipulating that the
dentist will act as the supervisor of the dental
prosthetic laboratory.
Election of officers for the Regional Dental Technician
Association was also done.

21
Staff Development
CHD 3 LRED staff attended and participated to the
following:
National Consultation and Orientation Seminar
for Regulatory Officers on Streamlining of
Licensure and Accreditation of Hospitals
DOH Regional Directors Meeting
Orientation Seminar for the Regulatory Officers
on the Rules Governing the New Classifications
of Hospitals and other Health-Related Facilities.

HUMAN RESOURCES FOR HEALTH


Committed to the achievement of Universal Health
Care through access to professional health care
providers, the Department of Health-Center for
Health Development III (DOH-CHD 3) continuously
engage in activities geared towards developing
management capabilities, improving technical
assistance, and deployment of human resources for
health.

REGISTERED NURSES FOR HEALTH


ENHANCEMENT AND LOCAL SERVICE
(RNHEALS)
The RNheals Project was conceptualized in
response to the countrys constitutional mandate to
make essential health goods and social services
available to all Filipinos, especially the poor. This
program deploys registered nurses in areas where
nursing services are mostly ended.
On the part of the nurses, this is considered as a
learning and development opportunity more than
an employment, thus making the nurses employed
under this program as service trainees receiving
stipends from DOH.

RNHEALS DEPLOYMENT STATUS


IN CENTRAL LUZON
PROVINCE

Aurora
Bataan
Bulacan
Nueva Ecija
Pampanga
Tarlac
Zambales
Total

RNHEALS
BATCH II

RNHEALS
BATCH III

TOTAL

2
6
10
21
20
0
2
61

42
63
116
175
100
102
82
680

44
69
126
196
120
102
84
741

RURAL HEALTH MIDWIVES PLACEMENT


PROGRAM (RHMPP)
The Rural Health Team Placement Program (RHTTP) of
DOH has created a pool of registered midwives with
clinical and public health competencies to provide
quality healthcare services with focus on Maternal,
Newborn, and Child Health Nutrition (MNCHN).
These midwives are deployed in rural health units
(RHUs) and/or Basic Emergency Obstetric Newborn
Care (BEmONC) facilities, particularly to the far-flung
areas of the country, under the Rural Health Midwives
Placement Program Training cum Deployment
(RHMPP-TcD).

22

DOCTORS TO THE BARRIOS (DTTB)

RHMPP DEPLOYMENT STATUS


IN CENTRAL LUZON
RHMPP
BATCH II

RHMPP
BATCH III

TOTAL

Aurora
Bataan
Bulacan
Nueva Ecija
Pampanga
Tarlac
Zambales

2
2
10
12
4
8
3

11
14
25
43
26
23
21

13
16
35
55
30
31
24

Total

41

163

204

PROVINCE

To address the doctorless communities and to


respond to the lacking adequate health services
resulting in high mortality and morbidity rates in
these areas, the DTTB program was established by
DOH in 1993.
This program visions that all municipalities in the
Philippines shall have doctors to respond to the
growing health needs of the people over time.
Thus, its mission is to deploy competent,
committed, people-oriented, and dedicated
doctors to the communities.
Being sponsored by the DOH for their 4-year
medical scholarship program, the DTTBs are
required to render 2 years of service in their
deployed community, and they have the option to
continue if they opted to or if the local
government will offer them a position as a local
health officer.

DTTB DEPLOYMENT STATUS IN CENTRAL LUZON


INCLUSIVE YEARS
PROVINCE

Aurora
Bataan
Nueva Ecija
Total

2008-2010

2010-2012

2011-2013

2012-2014

2
2

2
2

2
2

1
1
2
4

TOTAL
1
1
8
10

Data Source: Field Health Service Information System (FHSIS)

VITAL HEALTH INDICES


LEADING CAUSES OF MORBIDITY
NUMBER AND RATE PER 100,000 POPULATION
5 YEAR AVERAGE (2007-2011 & 2012)
CAUSES

5-YEAR AVERAGE
(2007-2011)

2012

LEADING CAUSES OF MORTALITY


NUMBER AND RATE PER 100,000 POPULATION
5 YEAR AVERAGE (2007-2011 & 2012)
CAUSES

5-YEAR AVERAGE
(2007-2011)

2012

NO.

RATE

NO.

RATE

Cardio-vascular
Diseases

10,417

102.71

15,778

149.16

Cancer

3,940

38.85

4,262

40.29

Pneumonia

3,452

34.04

3,981

37.63

Kidney Diseases

1,414

13.94

1,956

18.49

Chronic
Obstructive
Pulmonary
Disease (COPD)

1,779

17.54

1,942

18.36

Cerebrovascular
Accident (CVA)

2,228

21.97

1,683

15.91

Diabetes Mellitus
(DM)

1,677

16.53

1,511

14.28

Pulmonary
Tuberculosis (PTB)

1,542

15.20

1,331

12.58

NO.

RATE

NO.

RATE

Acute
Respiratory
Infection

439,773

4336.03

967,958

9150.74

Hypertension

69,749

687.70

90,339

854.60

Diarrhea

63,753

628.58

71,387

674.87

Urinary Tract
Infection

39,336

387.84

54,672

516.85

Fever

15,000

147.89

46,000

434.87

Skin Problems

17,935

176.83

44,333

419.11

Bronchitis

30,398

299.71

34,545

326.58

Asthma

10,668

105.38

26,795

253.31

Pneumonia

26,987

266.08

23,526

222.41

Multi-organ
Failure

391

3.86

953

9.01

Parasitism

9,205

90.76

16,112

152.32

Sepsis/Septicemia

474

4.67

837

7.91

24

LEADING CAUSES OF MATERNAL MORTALITY


NUMBER AND RATE PER 100,000 LIVEBIRTHS
5 YEAR AVERAGE (2007-2011 & 2012)
5-YEAR AVERAGE (2007-2011)

2012

CAUSES
NO.

RATE

NO.

RATE

Pre-eclampsia/Eclampsia

16

8.20

31

15.53

Uterine Atony

2.56

13

6.51

Pulmonary Embolism

2.50

Amniotic Embolism

1.50

CHF IV HELLP Syndrome

1.50

Abruptio Placenta

1.54

1.00

Placenta Previa

0.51

1.OO

Myocardial Infarction

1.OO

Disseminated Intravascular
Coagulopathy

1.OO

Sepsis/Septicemia

0.51

0.50

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

LEADING CAUSES OF INFANT MORTALITY


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

2012

CAUSES
NO.

RATE

NO.

RATE

Pneumonia

203

1.04

293

1.46

Prematurity

137

0.70

196

0.97

Sepsis/Septicemia

103

0.53

113

0.56

Heart Disease

71

0.36

71

0.35

Diarrhea

23

0.12

14

0.07

Hydrocephalus

0.02

12

0.06

Asthma

0.04

11

0.05

Aspiration

0.04

10

0.05

Cancer

0.02

0.03

Meningitis

0.03

0.01

25
LEADING CAUSES OF UNDER FIVE MORBIDITY
NUMBER AND RATE PER 100,000 UNDER FIVE POPULATION
5 YEAR AVERAGE (2007-2011 & 2012)
5-YEAR AVERAGE (2007-2011)

2012

CAUSES
NO.

RATE

NO.

RATE

Acute Respiratory Infection (ARI)

192,932

17761.42

435,468

40246.77

Pneumonia

18,596

1711.96

62,415

5768.51

Diarrhea

37,578

3459.45

45.054

4163.97

Fever

3,696

340.25

21,959

2029.49

Skin Problems

6,126

563.96

16,906

1562.48

Bronchitis

14,487

1333.68

14,694

1358.05

Asthma

4,222

388.68

10,760

994.46

Urinary Tract Infection

7,090

652.71

8,833

816.36

Parasitism

3,171

291.92

7,488

692.05

Influenza

2,756

253.72

3,328

307.58

LEADING CAUSES OF UNDER FIVE MORTALITY


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

2012

CAUSES
NO.

RATE

NO.

RATE

Pneumonia

283

1.45

375

1.88

Diarrhea

62

0.32

85

0.43

Heart Disease

106

0.54

72

0.36

Sepsis/ Septicemia

140

0.72

45

0.23

Asthma

15

0.08

41

0.21

Kidney Disease

12

0.06

24

0.12

Cancer

15

0.08

23

0.12

Meningitis

25

0.13

12

0.06

Malnutrition

15

0.08

11

0.06

Dengue

17

0.09

0.04

26

FAMILY PLANNING
PROGRAM
Family Planning (FP) remains to be one of the flagship programs of the
health department.
As a program support, CHD 3 procured FP commodities using Maternal,
Neonatal, Child Health, and Nutrition (MNCHN) grant to augment the
needs of the LGUs with priority to the Conditional Cash Transfer (CCT )
areas.
In 2012, the LGUs that procured FP commodities using LGU funds are 2 out
of 7 provinces; 6 out of 13 cities; and 42 out of 117 municipalities.
Compliance to Informed Choice and Voluntarism (ICV) is also continuously
being monitored. No ICV violation was noted.
For capacity building, seven batches of Family Planning Competency-Based
Training (FPCBT) Level I (156pax) and one batch of FPCBT Level II (22pax)
were conducted for doctors and nurses region-wide.

NUTRITION PROGRAM
Nutrition is a major determinant of ones health and well-being. The
Department of Health (DOH), through the Centers for Health
Development (CHDs), continues to strengthen the delivery of nutrition
services by capacitating the service providers and service supervisors, as
well as providing augmentation for essential program requirements.

27

Nutrition in Emergency
Nutrition coordinators and nutrition officers from all
provinces, cities, and 28 disaster-prone municipalities
were trained on nutrition management during
disasters and emergencies.

Infant Feeding in Emergency


This activity aims to emphasize the importance of
breastfeeding, especially during disasters and
calamities.

Child Injury Prevention through Administration of


Safe Setting Tools
The training aims to assess if homes, schools, and
communities meet the standards of safety, and so
making the childs environment conducive to
development.

In the said activity, according to the speakers,


common child injuries, which may lead to
childrens death, include road traffic injury,
drowning, falls, suffocation, and cuts from sharp
objects.
To ensure compliance to program standards, the
following training activities were conducted in
2012:

Infant and Young Child Feeding (IYCF)


Counselling: An Integrated Course
The Global Strategy for IYCF recommends that
infants must be breastfed for the first six months.
Hence, all rural health units (RHUs) were
capacitated to implement the recommended
feeding practices for the infant and young child.
Also, 16 government hospitals nutritionistdietitians underwent training to help the health
department in disseminating and educating
mothers on proper breastfeeding.

Operation Timbang

Operation Timbang is an annual activity being


conducted in all municipalities in the region to
identify undernourished children. This activity is
facilitated by different RHUs, barangay health
stations (BHSs), and other participating agencies
and volunteers.
In 2012, various offices and units covered a total of
963, 981 children in the seven provinces and 382,
298 children aged 0 to 71 months for 13 cities.

28

PROVINCIAL OPERATION TIMBANG COVERAGE


FOR THE YEAR 2012

CITY OPERATION TIMBANG COVERAGE


FOR THE YEAR 2012
300,000

400,000
350,000

250,000

300,000
200,000

250,000

P.S. WEIGHED

200,000

150,000

150,000

normal
sev. Under weight

100,000

under weight

100,000
50,000

50,000

over weight

TARGET P.S 0-71 MOs

TARGET NUMBER
OF P.S. AGED
0 - 71 MOS.

NUMBER OF
P.S. WEIGHED

%
ACC.

Aurora

37,924

35,208

92.84

Bataan

105,414

91,029

86.35

Bulacan

376,083

280,655

74.62

Nueva Ecija

219,461

187,849

85.59

Pampanga

274,185

236,139

86.12

Tarlac

158,679

153,444

96.70

Zambales

82,134

70,504

85.84

Prov. Total

1,253,880

1,054,828

84.12

PROVINCE

NUTRITIONAL STATUS PER PROVINCE 2012

CITY

TA
RL
AC
ZA
M
BA
LE
S

N.
EC
IJA
PA
M
PA
NG
A

BU
LA
CA

AU
RO
RA

TA
RL
AC
ZA
M
BA
LE
S

AU
RO
RA
BA
TA
AN
BU
LA
CA
N
N.
EC
IJA
PA
M
PA
NG
A

P.S. WEIGHED

0
BA
TA
AN

TARGETNUMBER
OF P.S. AGED
0 - 71 MOS.

NUMBER OF
P.S. WEIGHED

%
ACC.

46,429
15,520
46,478
17,593
42,006
35,105
29,144
9,121
49,928
21,740

50,632
13,167
45,369
16,343
22,282
35,020
43,230
4,564
39,174
18,755

88.09
84.83
99.37
92.89
99.99
96.00
97.53
74.48
94.63
97.60

79,201

77,937

98.40

12,682
55,129
460,076

11,452
55,245
433,170

90.30
100.21
94.15

Angeles
Balanga
Cabanatuan
Gapan
Malolos
Meycauyan
Olongapo
Palayan
San Fernando
San Jose
San Jose Del
Monte
Muoz
Tarlac
City Total

300,000
250,000

NUTRITIONAL STATUS PER CITY 2012

under weight

TARLAC

MUNOZ

SN. JOSE

SN. FDO

SN. JOSE

over weight

PALAYAN

over weight

OLONGAPO

under weight

sev. Under weight

MEYCUAYAN

ES

ZA
M
BA
L

TA
RL
AC

N
BU
LA
CA

N.
EC
IJA
PA
M
PA
NG
A

sev. Under weight

BA
TA
AN

AU
RO
RA

normal

MALOLOS

normal

P.S. WEIGHED

GAPAN

P.S. WEIGHED

50,000

BALANGA

100,000

90,000
80,000
70,000
60,000
50,000
40,000
30,000
20,000
10,000
0

CABANATUAN

150,000

ANGELES

200,000

29
Thus, as per the statistics generated, in Central Luzon, a total of 1, 274, 448 children are with normal
weight (94.66 %), 42, 697 are underweight, 11, 820 (0.87 %) are severely underweight and 17, 568 (1.30 %)
are overweight.
For micronutrient supplementation, the following endeavours were operationalized:
Provision of 100 % Retinyl Palmitate requirements for Universal Vitamin A Supplementation during
Garantisadong Pambata on April and October, as well as the needs of high-risk children and lactating
mothers
Grant of 45% of the iron supplements for pregnant women
Ferrous sulfate drops to those born with low birth weight
micronutrient powder for six months old infants who have started complementary feeding.
Zinc provision to young children with severe diarrhea.

NUTRITIONAL STATUS PER PROVINCE 2012


UNDERWEIGHT
PROVINCE

Aurora
Bataan
Bulacan
Nueva Ecija
Pampanga
Tarlac
Zambales
TOTAL

NORMAL

31,379
84,582
273,858
175,960
218,316
143,082
63,566
990,743

88.83
92.92
97.57
93.67
92.45
93.24
90.15
93.92

SEVERLY
UNDERWEIGHT

UNDERWEIGHT

OVERWEIGHT

728
973
576
1,677
2,619
1,822
1,360
9,755

2.06
1.07
0.20
0.89
1.11
1.18
1.92
0.92

2,799
4,214
4,226
7,551
9,585
6,475
4,739
39,589

7.92
4.63
1.50
4.02
4.05
4.21
6.72
3.75

302
1,260
1,995
2,661
5,619
2,065
839
14,741

0.85
1.38
0.71
1.42
2.38
1.34
1.19
1.39

NUTRITIONAL STATUS PER CITY 2012


UNDERWEIGHT
CITY

Angeles
Balanga
Cabanatuan
Gapan
Malolos
Meycauayan
Olongapo
Palayan
San Fernnado
San Jose
San Jose Del Monte
Muoz
Tarlac
TOTAL

NORMAL

48,334
12,585
44,999
15,594
20,105
33,934
41,859
3,844
36,395
17,661
74,854
10,991
53,168
414,323

95.46
95.57
99.20
95.41
90.22
96.89
96.82
82.59
92.90
94.16
96.04
95.97
96.24
95.87

SEVERLY
UNDERWEIGHT

UNDERWEIGHT

OVERWEIGHT

435
68
10
117
382
225
306
168
554
226
961
57
310
3,819

0.85
0.51
0.02
0.71
1.71
0.64
0.70
3.68
1.41
1.20
1.23
0.49
0.56
0.88

1,326
316
245
409
1221
556
659
453
1,386
703
1665
313
1,443
10,696

2.61
2.39
0.54
2.50
5.47
1.58
1.52
9.92
3.53
3.74
2.13
2.73
2.62
2.47

537
198
106
223
574
305
406
99
839
165
457
91
324
4324

1.06
1.50
0.23
1.35
2.57
0.89
0.93
2.16
2.14
0.87
0.58
0.79
0.59
1.00

30

NEWBORN SCREENING PROGRAM


Based from regional statistics,

85,598 (41.63%)

out of 205,626 live births were screened.

Meeting with the Volunteer Youth Leaders for


Health [VLYH] (October 19)
The Center for Health Development III (CHD 3), in
partnership with the Newborn Screening Center
Central Luzon (NSCCL), organized a regional
meeting to gather all the VYLH in mobilizing them
towards health work. Their advocacy focuses on 3
health concerns namely: (1) Folic Acid
Supplementation, (2) Newborn Screening, and (3)
Care for Rare. With the pioneer volunteer youth
leaders, they were able to invite and orient new
recruits to join this noble attempt.

Newborn Screening Orientations


Prioritizing health workers from the rural health
units (RHUs), seven batches of Newborn Screening
Orientations (265 participants) were conducted.
Consultative Planning Workshops
(November 16 and 23)
Newborn Screening (NBS) aims to give newborns a
chance to live a normal life by providing the
opportunity for early detection of congenital
metabolic disorders which, if left untreated, may
lead to mental retardation and even death.
Thus, in this health attempt, private registered
midwives with birthing homes/lying-in clinics play an
important role in the care of newborns and in the
institutionalization of newborn screening in their
facilities.
Hence, two batches of Consultative Planning
Workshop for Private Practicing Midwives were
conducted to encourage and get their full
commitment on the implementation of the
Newborn Screening Program.

The activity involves lectures about the history,


advocacies, introduction of the NBS-Central Luzon
situationer, sharing of experiences, and interactive
games. Also, present in the activity were the overall
secretariat of the program from UP-Manila, who
imparted encouragement to the new recruits and
shared their best practices regarding the program
implementation of other regions, thus motivating
them to replicate and be innovative on their
approaches. With the guidance of the advisers, the
volunteers were highly encouraged on pushing for
the advocacy in their respective communities and
universities.
The activity also emphasized that there should be
an open communication between the CHD 3, NSCCL
and the VYLH with regards to the youths planned
activities for recognition and documentation.

Buntis Day in Angeles City (November 14)


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

31

BREASTFEEDING PROGRAM
2012 Summary of Accomplishments:
Assessment of Mother-Baby Friendly Hospital
(MBFHI) accomplishments
Out of 84 Non-MBFI facilities, 10 health facilities
assessed, and only one was accredited.
1. Premiere General Hospital of Baler, Aurora
2. Sto. Ara Medical Center, Dinalupihan, Bataan
3. Bataan Peninsula Medical Center,
Dinalupihan, Bataan
4. Ospital ng Guiguinto, Guiguinto, Bulacan
5. Mexico Community Hospital, Mexico
Pampanga
6. St. Rafael Medical Center, Mabalacat,
Pampanga
7. Ospital ng Capas, Capas Tarlac
8. Baypointe Hospital and Medical Center,
SBMA, Subic, Zambales
9. Sta. Cecilia Medical Center, Iba, Zambales
10. Bustos Community Hospital, Bustos,
Bulacan (Accredited)

Assessment for Mother Baby Friendly Workplace


Royale Duty Free, SBMA, Subic, Zambales
National Breastfeeding Summit Awardees
(October 18)
Bataan General Hospital
Paulino J. Garcia Memorial Research and
Medical Center
James L. Gordon Memorial Hospital
2012 Summary of Activities
Ride on Activity on Breastfeeding
Private Midwife Meeting (Bulacan and
Pampanga)
Ride-on Buntis Party (Angeles City)
Breastfeeding Summit (CSFP)
2013 Activities under GAA
Lactation Management Training

GOVERNMENT HOSPITALS (LGU)


CATEGORY

NO. OF HEALTH
FACILITY

NO. OF ACCREDITED
MBFHI

NO. OF NONACCREDITED MBFHI

NO. OF RETAINED HOSPITAL


MBFHI ACCREDITED

WITH
COCs

Infirmary

15

12

Level 1

42

37

17

Level 2

Level 3

TOTAL

64

52

23

PRIVATE HOSPITALS
CATEGORY

NO. OF HEALTH
FACILITY

NO. OF ACCREDITED
MBFHI

NO. OF NONACCREDITED MBFHI

NO. OF RETAINED HOSPITAL


MBFHI ACCREDITED

WITH
COCs

Infirmary

29

18

10

Level 1

82

36

46

Level 2

28

16

13

Level 3

TOTAL

144

74

70

32

EXPANDED PROGRAM FOR IMMUNIZATION


Attended by the representatives from the cities and
municipalities of the provinces of Bataan, Zambales,
and Aurora, Provincial Program Implementation
Reviews were conducted on February 14, March 29,
and August 31 respectively.
In this activity, the national, regional, and provincial
statuses of EPI were discussed. Recommended
strategies to reach the under-immunized and
unimmunized children were also tackled in order to
improve the immunization coverage and obviate the
vaccine-preventable disease outbreaks in the future.
A Regional EPI-VPD (Vaccine of Preventable Diseases)
Program Implementation Review was also done in
order to identify different approaches to improve
coverage and strengthen VPD Surveillance.
Last April 15-17, sharing of best practices for health
workers of the CARAGA Region was held. Bulacan
and Pampanga showcased their best practices on
maternal and child health programs, including EPI.

EPI-Midlevel Course for Supervisors of Bulacan,


Bataan, and Zambales were held on July 24-27,
August 7-10, September 18-21, and September 25-28,
respectively. Rural health physicians and public
health nurses were trained on the technical aspect
of EPI ,as well as on supportive supervision in order
to improve EPI implementation at the local level.
Basic Course for Health Workers was attended by
rural health midwives, some public health nurses,
and RN heals involved in the implementation of EPI
in the province of Bulacan (August 1-3), Aurora
(August 28-30), and Zambales (October 2-4). This is
to train them on the proper administration, storage,
and handling of vaccines.

LOCAL
GOVERNMENT
UNIT

ELIGIBLE
POPULATION

FULLY IMMUNIZED
CHILD (FIC)

Angeles City
Balanga City
Cabanatuan City
Gapan City
Malolos City

PROVINCES
6,210
17,569
62,681
36,577
45,698
26,447
13,689
CITIES
7,738
2,587
7,746
2,932
7,001

Meycauayan City

5,851

5,751

98.29

Muoz City

2,068

1,909

92.30

Olongapo City

4,857

4,085

84.10

Palayan City
City of San
Fernando
San Jose City
San Jose Del
Monte City
Tarlac City
TOTAL

1,520

678

44.60

8,321

5,766

69.29

3,623

3,057

84.37

16,405

10,494

63.97

9,188
288,708

8,319
201,345

90.54
69.74

Aurora
Bataan
Bulacan
Nueva Ecija
Pampanga
Tarlac
Zambales

2,225
12,600
38,580
25,103
38,046
18,425
6,665

35.83
71.72
61.55
68.63
83.26
69.67
48.69

5,563
2,164
5,883
1,992
4,040

71.89
83.66
75.95
67.94
57.71

33
Organizational Meeting For Blood Services Network

BLOOD SERVICES PROGRAM


Consultative Meetings
The 1st National Voluntary Blood Services Program
(NVBSP) Consultative Meeting was conducted last
March 16-20. In this activity, the following data of
the Blood Services Program in Central Luzon were
presented: 93,831 blood units were collected with a
donation rate of 9 per 1,000 population (target:
11/1,000 pop.) and Voluntary Non-Remunerated
Blood Donation (VNRBD) rate of 45.26%.
The 2nd Consultative Meeting for the year was held
on July 25-27, where program coordinator
presented the regional status of the Blood Services
Program.

Blood Donors Month

In compliance with the provision of Republic Act


7719 (The National Service Act of 1994), the
Department of Health (DOH)-NVBSP assigned
Region III to host the celebration of Blood Donors
Month, which is regularly held every first week of
July. Two pre-activity meetings in preparation for
the occasion were conducted in June, and
Pampanga was chosen as the host province. On July
9, the kick-off ceremony for the celebration was
held in Bren Z. Guiao Convention Hall, City of San
Fernando, Pampanga, through the assistance of the
Pampanga Provincial Blood Program Coordinator
Ms. Rina Canda.

On September 28, an Organizational Meeting for


the Blood Services Network of Central Luzon was
conducted at Century Hotel, Angeles City. Dr.
Milagros Viacrucis and Mr. Salvador Aydante were
invited as resource speakers.

Other Significant Milestones:


The DOH Blood Service Facilities had the most
number of whole blood units collected (14,476),
followed by the Philippine National Red Cross
(13,315), LGUs (9,592), and private blood service
facilities (6,140)
As per Department Circular 2012-0359, the following
institutions are to be designated as lead blood
service facilities for Region III:
Jose B. Lingad Memorial Regional Hospital
Bulacan Provincial Blood Center
Dr. Paulino J, Garcia Memorial Research and
Medical Center

34

Globally, the epidemic of non-communicable chronic diseases threatens


economic and social development and the lives and health of millions of
people. In 2005, an estimated 35 million people worldwide died from
chronic diseases, doubling the number of deaths from all infectious
diseases, maternal and perinatal conditions, and nutritional deficiencies
combined. In 2015, deaths due to chronic diseases are projected to increase
by 17%.
In the Philippines, NCDs are among the top killers and cause more than half
of all deaths annually. Hypertension and diseases of the heart are among
the ten leading causes of illness each year. The same panorama pictures
the Central Luzons situation. Particularly, prevalence of risk factors,
particularly tobacco and alcohol use, unhealthy diet, and sedentary lifestyle
are high among adults and increasing among adolescents and children.
As a response to this growing challenge, the Center for Health Development
III (CHD 3) continuously invests towards the promotion of healthy lifestyle
which aims to increase the awareness of the people on the common risk
factors on NCDs.
In the year 2012, the following are the significant activities/accomplishments
of the CHD 3 on these advocacies:
Combating NCDs
Cancer Prevention: Promotion and aid provision on the following
interventions: Hepatitis B Immunization for liver cancer, Visual
Inspection with Acetic Acid for cervical cancer and treatment of precancerous lesions.
Cardiovascular diseases and diabetes: Multi-drug therapy for individuals
who have had heart attack or stroke, and to persons high-risk of a
cardiovascular event.
Promotion of health lifestyle activities across age-groups
7 lifestyle training courses and 22 orientations on the importance of the
prevention of NCDs. These include public awareness programs about
diet and physical activity.
Summer Camp ni Lolo at Lola Training (April 17-20)
Individualized-based interventions addressing the NCDs in primary care
setting through the WHO-PEN Training (June 26- 28 and November 5-7)

35
Advocating Mental Health

RED ORCHID AWARDS 2012

Reiterating the indispensable roles of stakeholders on the


promotion of mental health and to integrate it in their program
of activities, Community Mental Health Orientation among
stakeholders was conducted on May 24.
Stress Management Seminars were also conducted to the
following agencies, offices, and local government units (LGUs):
Clark Development Corporation, Clarkfield, Angeles City
September 19
National Food Authority, City of San Fernando, Pampanga
September 21
Civil Service Commission, City of San Fernando, Pampanga
October 23
San Rafael, Bulacan (LGU) October 23
Department of Environment and Natural Resources (DENR),
City of San Fernando, Pampanga
Department of Labor and Employment (DOLE), City of San
Fernando, Pampanga
Fight against the harmful effects of tobacco and alcohol
Advocacy on the passage of Sin Tax Bill and comprehensive
restrictions and bans on alcohol and tobacco marketing on the
local government level.
Promotion of 100% smoke-free indoor and public places and
tobacco-related banning activities through the conduct of
MPOWER Training Courses for various local government units.

Campaign on environmental sanitation


Sanitation Summits and series of training on Chemical Safety and
Climate Change for Sanitary Engineers and Rural Sanitary
Inspectors were conducted in parallel with the MDG goal of KP.
Awarding of the Regional Barangay with Best Sanitation Practices
(RBBSP)
Winners:
Barangay Bacsay, Camiling, Tarlac
Barangay Manaois, Paniqui, Tarlac
*The inclusion of NCDs in the final outcome document of the 2010 Millennium Development Goals
(MDGs) Review positions NCDs as a key issue for inclusion in the post-2015 development
framework, and recognizes NCDs as a core development issue requiring urgent action.
.

RED ORCHID AWARDEES:


Center for Health Development
Central Luzon (CHD 3)
Dr. Paulino J. Garcia Memorial
Research and Medical Center
(PJGMRMC)
Jose B. Lingad Memorial Regional
Hospital (JBLMRH)
Mariveles Mental Hospital (MMH)
Balanga City, Bataan

PINK ORCHID AWARDEES:


Bataan General
Hospital (BGH)
Talavera Extension
Hospital

36

DENGUE CONTROL
PROGRAM
Central Luzon ranked second among dengue-affected regions in 2011,
tallying 25,839 cases and 56 deaths that year. In 2012, figure for the cases
was 5% higher compared in 2011; however, reported deaths in 2012 are only
48.

CASES AND DEATHS BY PROVINCE


2011

2012

PROVINCE
CASES

DEATHS

CFR

CASES

DEATHS

CFR

Aurora

124

251

Bataan

1,739

0.3

1,843

0.2

Bulacan

7,575

21

0.3

6,893

11

0.2

Nueva Ecija

4,756

0.1

6,097

0.1

Pampanga

7,439

0.1

6,826

10

0.1

Tarlac

3,322

11

0.3

3,624

10

0.3

773

0.4

1,540

0.3

25,728

56

0.2

27,074

48

0.2

Zambales
Total

Highlights of Regional Activities:


It is the CHD 3 Dengue Control Program that spearheaded different
strategies (monitoring, supervision, evaluation of program
implementation, among others) to effect awareness in the control and
prevention of dengue region-wide.
Strengthening the implementation of vector control measures through
the implementation of the project Establishing Dengue-Free School
Initiatives in Central Luzon and provision of vector control commodities
to local government units are continuously being done.

37

MALARIA CONTROL PROGRAM


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

In response to the continuous threat of dengue in


the region, strengthening advocacy through
dengue awareness campaign, dengue summit,
observation of the ASEAN Dengue Day, celebration
of the Dengue Awareness Month, and conduct of
orientation-updates to the different stakeholders
were done.

Regional Strategic Planning on Dengue


Development of priorities, as well as the
development of tools and interventions to
facilitate program management, a periodic
program implementation review, and strategic
planning and workshop were also held.

Updates on the Clinical Management of Dengue


Capability building through accelerated training
and adoption of the World Health Organization
(WHO) Standard Clinical Management Guidelines
on Dengue Management and Vector Surveillance
were conducted. Regular updates on dengue
status in Central Luzon were also facilitated to
sustain the awareness of the people about dengue
prevention.

For the year 2012, different strategies were


implemented to achieve a remarkable decrease of
cases by 73% compared to 2011 cases. No death from
malaria was reported.
The decrease in morbidity and no mortality regional
situation can be attributed to the implementation of
the following key strategies:
Stratification of areas and priority settings
through provincial and regional program
implementation reviews and stratification
workshops
Constant monitoring of the program
implementation at the grassroots level through
regular task force meetings, provision of
technical assistance, and conduct of monitoring
and evaluation workshops region-wide
Inter- border operations activities and provision
of needed commodities like insecticides for IRS
as well as long-lasting insecticide treated nets
for the vulnerable population
Capability building on the diagnosis and
treatment through the conduct of training/
refresher courses on basic malaria management,
basic malaria microscopy, and combo RDT
Advocacy activities like meeting with the local
chief executives (LCEs) and other stakeholders
to promote and sustain the prevention and
control of malaria in the community and through
awareness campaigns like the celebration of the
World Malaria Day in April and the Malaria
Awareness Month in November
Program management enhancement through
national program implementation reviews done
periodically.

38
MALARIA POSITIVE CASES
2005

2006

2007

2008

2009

2010

2011

2012

TOTAL

Aurora

451

91

120

109

79

31

17

899

Bataan

55

25

111

37

10

11

261

Bulacan

15

16

24

30

94

89

85

22

375

Nueva Ecija

45

137

151

60

17

431

Pampanga

54

71

21

128

Tarlac

65

139

74

79

121

119

48

647

Zambales

576

786

1182

921

2341

861

161

50

6878

756

1104

1716

1238

2733

1134

329

88

9619

PROVINCE

TOTAL

TREND OF MALARIA DEATHS


2010 VS. 2011 VS. 2012

TREND OF MALARIA CASES


2010 VS. 2011 VS. 2012
3.5

1000
900

800

2.5

no. of deaths

700

(+) cases

600
500
400

2
1.5

300

200

0.5

100

Aurora

Bataan

Bulacan

Nueva
Ecija

Pampang
a

Tarlac

Zambales

2010

161

2011

50

2012

Aurora

Bataan

Bulacan

Nueva
Ecija

Pampanga

Tarlac

Zambales

2010

31

89

21

119

861

2011

17

11

85

48

2012

22

RABIES PREVENTION & CONTROL PROGRAM


Highlights of Regional Activities:
A Training on the Management of Rabies Exposure
and Animal Bites was conducted in Tarlac City on
October 10-12 to capacitate doctors and nurses
manning Animal Bite Treatment Centers (ABTCs) with
the necessary knowledge and skills in the quality
management of bite victims.
Rabies Fair with the theme Rabies-Free Central
Luzon as a form of advocacy promotion showcasing
the LGUs best practices was conducted at Jose B.
Lingad Memorial Regional Hospital in coordination
with the Department of Agriculture- Bureau of Animal
Industry who provided free dog vaccination during
the fair on March 30.

HUMAN RABIES CASES, 2009-2012

39

LEPROSY PREVENTION
& CONTROL PROGRAM
TRENDS IN LEPROSY (CDR%), 2011 - 2012

INTEGRATED HELMINTH
CONTROL PROGRAM
Highlights of Regional Activities:
An advocacy activity entitled Meet, Greet, and
Inform the Local Chief Executuves on Integrated
Helminth Control was conducted to encourage
stakeholders in managing heminth-related
diseases.
Monitoring and supervision among school
division offices regionwide was also conducted.
Mass deworming activities among target
populations were done region-wide with a total
coverage of 75% for April 2012 and 78.6% for
October 2012.

Highlights of Regional Activities:


For 2012, the National Leprosy Control Program
(NLCP) conducted 12 batches of Orientation of
Barangay Health Workers (BHWs) on the Early Signs
and Symptoms of Leprosy which were participated
by a total of 600 BHWs from all the provinces of the
region. One batch per province, except for Nueva
Ecija and Tarlac who have 2 batches. Likewise, one
batch each was conducted for the cities of Angeles,
Tarlac, and San Fernando.
Moreover, in order to increase the knowledge and
awareness of the local chief executives (LCEs) and
school officials on the program, thereby reducing
the stigma and discrimination against leprosy cases,
two batches (100 pax/batch) of advocacy meetings
were conducted for the cities of San Jose and Tarlac
which have high incidence of leprosy cases based on
the 2011 data.

SCHISTOSOMIASIS CASES
2010 VS. 2011 VS. 2012

40

NATIONAL TUBERCULOSIS CONTROL PROGRAM


Highlights of Regional Activities:

NTP Laboratory Activities:

Advocacy meeting with the barangay captains


and Councilors on Health for the lowperforming municipalities on case detection
rate (CDR) and cure rate (CR).
Advocacy meetings on Hospital TB DOTS
Training on Modular Basic TB DOTS
1st and 2nd Regional TB Forum
TB Summit
Program Implementation Review (PIR)
Advocacy meetings with the local chief
executives
DOH-PhilCAT Regional Certifiers Training
Data validation

Regional PIR on TB Lab External Quality


Assessment
Training on Direct Sputum Smear Microscopy
(DSSM) for Hospital-Based Medical
Technologist of Pampanga
Training on DSSM for Microscopists of
Pampanga
Training on DSSM for Medical Technologist in
Region 3
Training of Informal Laboratory Workers on
Standard TB Smear Preparation
Training of Informal Laboratory Workers on
Standard TB Smear Preparation

2012 DATA OF NTP


COHORT NSP
PROVINCE

Aurora
Bataan
Bulacan
Nueva Ecija
Pampanga
Tarlac
Zambales
Central Luzon

CDR ALL FORMS

48%
106%
88%
87%
70%
63%
132%
86%

CDR NSP

43%
60%
77%
71%
65%
60%
108%
71%

CURE RATE

TSR

40%
70%
79%
85%
72%
88%
69%
78%

89%
87%
91%
91%
88%
97%
82%
90%

41

NATIONAL AIDS/STD PREVENTION AND CONTROL PROGRAM


Highlights of Regional Activities:
Availability of free voluntary HIV
Counseling and Testing Service in selected
sites
100% Condom Use Program (CUP) ,
especially for entertainment
establishments
Peer education and outreach activities in
HIV sentinel sites
Multi-sectoral coordination through Local
AIDS Council
Augmentation of resources of social
hygiene clinics
Distribution of male condoms and
educational materials during outreach
activities in sentinel sites
Capability building to improve STI and HIV
services (HIV Proficiency Training, VCT
Training and PMTCT Training)

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


1984-PRESENT
PROVINCE

AIDS

Asymptomatic

Aurora

Bataan

43

Bulacan

28

251

Nueva Ecija

66

Pampanga

42

261

Tarlac

10

48

Zambales

39

122

Total

127

792

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


Central Luzon is 919, which is still less than the 1 percent of
the total projected population of the region.

42

EPIDEMIOLOGY AND SURVEILLANCE


The Regional Epidemiology and Surveillance Unit
(RESU) is the unit responsible for maintaining a
disease surveillance system to continuously assess the
health status of the region. The data that it collects is
processed into information utilized by public health
managers to aid them in implementing prevention and
control measures, program monitoring, and to
prevent possible outbreaks and the occurrence of
similar events in the future. Utilizing epidemiologic
principles as well as data analysis, the RESU also
functions as an early warning system for possible
epidemics.
Since its introduction in 2009, the RESU has been
implementing the Philippine Integrated Disease
Surveillance and Response (PIDSR) in its collection,
analysis, dissemination, and response functions.
PIDSR is an integrated approach to surveillance and
response from all the levels of the health care system.
The system monitors 25 notifiable diseases,
syndromes, and/or conditions reported by different
trained disease reporting units (DRUs) regularly.
Notifiable diseases under PIDSR are divided into two
categories (a. Immediately notifiable-for diseases
which should be reported within 24 hours and b.
Weekly notifiable- for diseases reported within the
week) depending on the urgency of the specific
disease to be reported.
The following are the various activities that were
conducted by RESU in the year 2012:
In line with its mandate of establishing,
maintaining, and strengthening epidemiology and
surveillance units, the RESU had conducted
numbers of training on Basic Epidemiology and
Surveillance for untrained health staff at the local
level.

Likewise, it has conducted PIDSR training courses


for untrained health personnel. These aim to teach
participants on various technicalities regarding the
PIDSRs operationalization.
To monitor the needs and gaps of the PIDSR
reporting units, the RESU conducted semi-annual
and annual program implementation reviews
(PIR).
Disease surveillance being one of its core
functions, the RESU worked hand-in-hand with the
Health Emergency Management System during
times of disaster. Common diseases reported
during the Habagat aftermath were leptospirosis,
dengue, and diarrhea.
Since the RESU monitors vaccine-preventable
diseases such as polio, measles, tetanus,
diphtheria, and pertussis, it works closely with the
immunization program in providing information on
outbreaks of these diseases. Several measles
outbreaks were investigated together with the
Expanded Program for Immunization (EPI )
program coordinator.
Before the end of the year, an accidental
puncturing of an oil pipeline in Dinalupihan, Bataan
occurred. The RESU, together with the Bataan
Provincial Health Office (PHO) and Provincial
Epidemiology and Surveillance Unit (PESU),
assisted in determining the extent of the oil spill as
well as its possible health effects to the local
community.

43

FIELD HEALTH SERVICE INFORMATION SYSTEM


As per Executive Order No. 352, the Field Health Service
Information System (FHSIS) was designated as the
official system of the Department of Health and was
included by the National Statistical Coordination Board
(NSCB) in a system of designated statistics. 1992 marked
its full implementation (nationwide), and over time, it
had undergone series of modifications and revisions. To
date, it evolved into Electronic Field Health Service
Information System (eFHSIS).
For 2012, series of activities were conducted in
compliance with Administrative Order 2011-0010
(Reporting of FHSIS Data to the DOH-Central Office).
In October of 2012, three batches of training on eFHSIS
were conducted among doctors, nurses, midwives, and
encoders region-wide. A total of 102 participants were
equipped with eFHSIS technical know-how and

computer desktops. This training aimed at improving the


availability, quality, and use of health information for
improved efficiency and effectiveness of health
programs.
Below are regular FHSIS activities done year-round:
2011 Annual Report
2012 Projected Population (from the barangay to the
provincial level)
ICD Coding of Mortality and Morbidity Data
Classification, Consolidation, and Ranking of Mortality
and Morbidity Data
Monthly Encoding and Validation of eFHSIS Report
Monthly Uploading of Database to IMS-DOH
Quarterly Data Consolidation
Maintenance of eFHSIS Database (2009 2012)

COLLABORATING CENTER FOR


DISEASE PREVENTION AND CONTROL
For the year 2012, there were 2,318 water samples
received and processed for bacteriology and 1,044
Heterotrophic Plate Count performed in the Water
Analysis Laboratory. There were also 48 water samples
received and tested for manganese, copper, and iron in
the Physico-Chem Laboratory. Remote urine collection
of 103 specimen for drug testing at Tarlac Electric
Company, Tarlac City was also done.
Aside from the performance of different laboratory
examinations, various activities were also carried out to
support other DOH Programs, like Tuberculosis (TB) and
Malaria Control Programs.

Mandated by Administrative Order No. 2007-0019


(Guidelines for the Implementation of the Quality
Assurance System on Direct Sputum Smear Microscopy),
the Regional TB Laboratory (RTL) of the Collaborating
Center for Disease Prevention and Control (CCDPC) as
the technical laboratory arm support to the CHD 3
National TB Program has been continuously working
hard to achieve the above directive by strengthening and
sustaining the TB Laboratory Network in the region.

The year 2012 was the most productive year for the RTL.
Several tasks have been accomplished to meet the its
objectives through the 3 Es strategies which are: (1)
Empower what is existing, (2) Equip what is lacking, and
(3) Expand what is in demand.

44
Empowering through Quality Assurance System (QAS)

Malaria Microscopy Quality Assurance System

To ensure quality TB bacteriologic diagnosis in the


region, the RTL conducts monitoring of QAS
implementation status through data analysis and on-site
visits of the 7 Quality Assurance Centers (QAC). To
further discuss and analyze the current situation of
External QAS in the region, an Annual EQA Program
Implementation Review was also conducted last
November 22-23. The current 187 existing engaged
microscopy centers are in 100% full participation in QAS.
85% of them are well-performing, while only 15% are
adequately performing. Thus, all of them are 100% within
the EQA standards with less than 5% major error. With
about 50,000 TB symptomatics being examined yearly,
there are about 148,000 smears generated.

In 2012, the Malaria Control Program (MCP)-Laboratory


Component accomplished several activities to implement
the Three- Level Quality Assurance System (QAS) for
Malaria Microscopy in the region.

Equipping with knowledge and skills in TB microscopy


Three batches of Training on Direct Sputum Smear
Microscopy have been conducted. A total of 40 medical
technologists/ microscopists assigned from different
DOTS Centers are now equipped with knowledge and
skills to aid in the diagnosis of active TB through
microscopy. This is to address the issues on unavailability
of microscopy services and or inadequacy in the number
of available rural health unit (RHU) based medical
technologists to meet the increasing demand for Direct
Sputum Smear Microscopy (DSSM).

Expand laboratory network through improving access


to microscopy services
Four batches of Training of Informal Laboratory
Workers on Standard TB Smear Preparation have been
conducted and participated by a total of 41 health
workers (barangay health workers, midwives, and
nurses) assigned in far-flung areas/barangays in the
provinces of Aurora, Bulacan, and Pampanga. They were
equipped with the skills on proper and safe preparation
of quality smear.

Level- 1 QAS ensures that all microscopy centers providing


malaria diagnosis must have a malaria-trained
microscopist for accurate results and correct treatment.
Accordingly, the MCP provided a Basic Malaria
Microscopy Course to 16 medical technologists from
RHUs and hospitals from different provinces. All medical
technologists who completed the course successfully
achieved the required grade which is 80% and above.
Refresher Course for Malaria Microscopy was also offered
and this was attended by 7 medical technologists from
RHUs and 5 non-medical technologists from barangay
malaria microscopy centers. The course aims to further
improve the skills of the microscopists to detect malaria
parasites through microscopy. There was also a Training
on Malaria Rapid Diagnostic Test (RDT) for 21 barangay
health workers (BHWs) and rural health midwives
(RHMs). These trained personnel now provides early
diagnosis and treatment of malaria by using RDT in far
and hard to reach endemic areas.
Level- 2 QAS regularly assesses the performance of
malaria microscopists and the support system of health
facilities providing malaria microscopy & treatment. 30
priority microscopy centers in highly endemic
municipalities were visited for on-site supervision.
Level-3 QAS is the proficiency assessment of provincial or
regional validators and the certification of National Core
Group of Trainers and Validators. Three medical
technologists who went through the proficiency
assessment at the Research Institute for Tropical
Medicine (RITM) passed and qualified as provincial
validators. Two regional validators were certified as Level
1- Expert Microscopist by the World Health Organization
(WHO) Regional Accreditation and External Quality
Assurance Program.

45

HEALTH EMERGENCY PREPAREDNESS,


MITIGATION, AND RESPONSE
Health Emergency Management Staff (HEMS)Central Luzon is the unit dedicated in overseeing
the regions preparedness and response to health
emergencies region-wide by directly providing
technical assistance to local government units
(LGUs) through capability building related to
health emergencies, disaster management, and
provision of logistics during emergencies and
disaster.
CHD 3-HEMS has updated annually the Regional
Health Emergency Response and Rehabilitation
Plan as a guide in implementing the different
strategies/activities related to health emergencies
and disasters in Central Luzon. Training on Basic
Life Support for Health Workers for the provinces
of Aurora, Pampanga ,and Tarlac were also
conducted as part of their technical assistance to
the different LGUs.
During the effects of Typhoon Gener, Habagat,
and Typhoon Helen, the CHD 3-HEMS
responded to the needs of the victims in Central
Luzon through the activation of the CHD 3
Medical Response Teams, HEMS-OPCEN 24-hours
Operation, and deployment of Rapid Health
Assessment Team and medical teams from the
different DOH hospitals to the different affected
areas and evacuation centers. So as to harmonize
and communicate efforts, coordination meetings,
media watch, and press releases were also done.

A total of P2,994,298.90 worth of drugs, medicines,


and supplies were procured and distributed to the victims
in the seven provinces.

HEMS were also involved with the following activities related


to health emergencies :
Emergency Meeting on Nutrition
DOH-HEMS Creation of Technical Working Group (TWG) for
Public Health Policies and Service Package
National SPEED Simulation Exercise participated by the
different LGUs and hospital personnel
Fire and Earthquake Drill for CHD 3 Personnel and
simultaneous National Earthquake Drill as member of the
evaluators
Participated in the inter-agency activities such as the kickoff ceremony of the Fire Prevention Awareness
Month(March 202)
Validation of Gawad Kalasag for Emergency Responders in
Region 3
Consultation Meeting of the Regional Peace & Order
Council
Invited as Resource Speaker on Disaster Management &
Contingency Planning Formulation for the Province of
Pampanga
Participated in RDRRMCs Regular & Emergency Meetings
HEMS Lakbay Aral to Bicol Region.

46

COMMUNITY HEALTH TEAM


Many families, especially those with limited
capabilities to access health services, suffer from
health conditions that can be prevented if treated
early enough or given proper care. Often, these
families do not know their health risks and needs,
have no financial means to get the health services
they need, have little knowledge of available health
providers in their area, and have no ready access to
emergency transportation that can bring them to
these service providers.

barangay nutrition scholar, and community


volunteers. Each identified member of the family
will be provided with forms (including infant, child,
and pregnant woman, among others) within their
concerned areas of responsibility.

To help break these barriers to health care delivery,


Community Health Teams (CHTs) are tasked with
giving direct assistance to underserved families,
especially those identified by the Dapartment of
Social Welfare and Development (DSWD) in the
National Household Targeting System (NHTS),
including those covered by Pantawid Pamilyang
Pilipino Program (4Ps), by helping them navigate or
find their way through the existing health system.

Out of the 322,622 NHTS households identified,


207,166 households were already visited by the
Team, signifying 84.69%.

A CHT partner will be assigned to some of these


families within a community or purok who are in
most need of health assistance. With guidance,
their access to health care can be greatly
enhanced.
The CHTs will do door-to-door visits to reach all
families, especially the poorest Filipino households.
The CHT Mobilization aims to link these families to
social service providers, provide critical social
services when needed, and deliver key health
messages.

CHT MOBILIZATION STATUS


The CHT Program is a part of the governments
efforts to achieve Kalusugan Pangkalahatan or the
Universal Health Care. In line with this, the CHTs
will be the frontliners in their respective
communities in giving information and guidance to
those who want to access health services. Each
team is composed of a rural health
midwife, barangay chairman, barangay health
worker , barangay committee chairman on health,

In Region 3, the following are the CHT Mobilization


Statuses:
100% trained and deployed CHTs
100% trained and 98.61% deployed RNheals

47
TRAINED AND DEPLOYED COMMUNITY HEALTH TEAM
COMMUNITY HEALTH TEAMS
PROVINCE

NHTS (Q1 )

TARGET (Q1)

TRAINED

DEPLOYED

% OF TRAINED TEAMS

% OF DEPLOYED TEAMS

Aurora

9,333

99

99

99

100.00%

100.00%

Bataan

16655

188

188

188

100.00%

100.00%

Bulacan

73683

824

824

824

100.00%

100.00%

Nueva Ecija

96863

1,137

1,137

1137

100.00%

100.00%

Pampanga

55328

569

569

569

100.00%

100.00%

Tarlac

46956

535

540

540

100.00%

100.93%

Zambales

23804

253

253

253

100.00%

100.00%

REGION III

322622

3,605

3,610

3610

100.00%

100.14%

TRAINED AND DEPLOYED RNHEALS


PROVINCE

NHTS (Q1 )

RNHEALS
TARGET

TRAINED

DEPLOYED

% OF TRAINED RNHEALS % OF DEPLOYED RNHEALS

Aurora

9,333

54

54

53

100.00%

98.15%

Bataan

16655

85

85

85

100.00%

97.65%

Bulacan

73683

156

156

156

100.00%

100.00%

Nueva Ecija

96863

195

195

195

100.00%

100.00%

Pampanga

55328

146

146

146

100.00%

100.00%

Tarlac

46956

123

123

120

100.00%

97.56%

Zambales

23804

107

107

101

100.00%

94.39%

REGION III

322622

866

866

854

100.00%

98.61%

NATIONAL HOUSEHOLD TARGETING SYSTEM (NHTS)


PROVINCE

NHTS (Q1 )

HOUSEHOLD VISITED
VISITED

% OF HOUSEHOLD VISITED

Aurora

9,333

8,579

91.92%

Bataan

16655

14,274

85.70%

Bulacan

73683

60,588

82.23%

Nueva Ecija

96863

79,680

82.26%

Pampanga

55328

49,543

89.54%

Tarlac

46956

41,761

88.94%

Zambales

23804

18,820

79.06%

REGION III

322622

273,245

84.69%

OTHER ACTIVITIES SUPPORTING THE ATTAINMENT


OF KALUSUGAN PANGKALAHATAN

The following are the activities conducted by the Planning and Governance Units:

Conduct of Regional and Provincial Interlocal Health Zone (ILHZ) Summit


Hosting of KP ME 3 for Northern and Central Luzon Cluster
Barangay Health Workers (BHW) Summit
Local Government Unit (LGU) Annual Operational Plan (AOP) Workshop
Regional Implementation & Coordination Team (RICT) Meetings
Provincial, Municipal, and City Health Officers and DOH Representatives Meetings
Expanded Management Committee Meetings conducted Data Quality Check Consultative Meeting
Conduct of Work and Financial Planning Workshops
Budget Utilization Reviews
Local Health Accounts Workshop
Management Workshop
Expenditure Tracking System (ETS) Training for CHD 3 and DOH hospitals staff
Series of consultative meetings for civic society organizations

49

Aside from the distribution of health


information, education, and communication
materials of various media for all DOHs
programs distributed to stakeholders and
service recipients region-wide, several
advocacy drives were spearheaded by the
Health Promotion Cluster (HPC) during the
year 2012. Particularly, the cluster in
coordination with the technical staff of the
Health Operations Division (HOD) led the
launching of the Oplan Dengue, Leptospirosis,
and Diarrhea (DLD), Health Emergency
Measures, and various lifestyle activities.

THE REBIRTH OF THE HEALTH NEWSCRIBE, THE


OFFICIAL NEWSLETTER OF THE DOH-CHD 3.
Two issues, which were released on the last quarter of the
year, were published, released, and distributed on national
circulation for 2000 clients, stakeholders, and partners.

MEDIA ENCOUNTERS. With the belief on the strong media


partnership that the institution should establish to the mass
media, regular press conferences were conducted during
the year.
Aside from these, numerous media coverages, television and
radio guestings, press releases, and related activities were
conducted, supported, and participated by the institution
for the better promotion and dissemination of health
information.

The DOH-CHD3s Journey


As per Executive Order No. 65, Institutionalizing the Structure, Mechanisms, and Standard to Implement
the Government Quality Management Program (GQMP), the Department of Health-Center for Health
Development 3 (DOH-CHD 3), in coordination with the Quality Management System Office-Department of
Health (QMS-DOH), have commenced with the establishment of a Quality Management System (QMS)
certifiable under the ISO 9001:2008.
In conformance to the DOHs battle cry, ISO tayo. Serbisyong dekalidad at siguraDOH, the men and
women of CHD 3 started this determined attempt a with a series of activities that were conducted in 2012
in anticipation of the ISO Certification in September of 2013.

51

52

PARTNERSHIP WITH KAKAK FOUNDATION, INC.


KaKaK Foundation, which is also known as the Kapansanan ng
Kawarayan at Kakurian Foundation, Inc., headed by Sr. Eloisa
David,MD, is a non-profit private partner of DOH-CHD 3 facilitating
the establishment and operations of the Mother Bless Birthing
Clinics (MBBC).
MBBC are networks of PhilHealth accredited birthing health
facility which started in the Leyte Province. Their program aims to
provide poor pregnant women with accessible and affordable
maternal and infant health care services.
In Central Luzon, on 2012, the DOH-CHD 3 in collaboration with the
KaKaK Foundation, plans, established and are currently
structuring five (5) Mother Bles Birthing Clinics. The DOH will
equip the chosen rural health units (RHUs) or barangay health
stations (BHS), while the KaKaK Foundation will renovate and/or
refurbish the facilities in compliance with the accreditation
requirements of PhilHealth to operate as birthing clinics.
The identified MBBC recipients in Central Luzon are as follows:
Barangay Health Station Cutud, Angeles City, Pampanga
Barangay Health Station, Tarlac
Rural Health Unit I, Candaba, Pampanga
*The other two (2) recipients of the MBBC are yet to be identified.

TOP SPOT: CHD 3 ON THE LEAD


The Department of Health - Center for Development 3 (DOH-CHD 3) bested 16 other CHDs and topped the ranking
based from the results of the cumulative scores of the CHD Computed Performance Based Bonus (PBB)
Performance Achievement Score (PPAS) for the year 2012.
The scoring system is in conformity with President Aquinos Executive Order (EO) Number 80 which has directed
the adoption of the Performance-Based Incentive (PIB) System for employees in government departments,
agencies, state universities and colleges, and state corporations to motivate better performance and greater
accountability in the public sector and ensure accomplishment of commitments and targets under the Five Key
Result Areas of the administration as laid out in EO. No 43 and the Philippine Development Plan of 2011-2016.
Serving the aforesaid purpose, CHD 3 got a PPAS average of 261.68, almost doubling and tripling all their set
targets among all the Performance Indicators (PIs) and Major Final Outputs (MFOs). Particularly, the quantitative
representations of the CHD 3 performance are described as:
MFO1

Number of
evidence-based
policies, plans,
programs, and
systems
developed as
scheduled

Number of policies
circularized that
were approved by
the DOH Execom
members based on
prescribed
guidelines on policy
development

169.70

600

Number of
advocacy
packages
developed as
scheduled

155.56

CLEXAH RECOGNITION DAY 2012


Aimed to recognize the outstanding performances
and to high spot the significant contributions of
health and health-related sectors stakeholders and
champions toward the attainment of Kalusugan
Pangkalahatan (KP), the first-ever Central Luzon
Excellence Awards for Health (CLExAH) 2012 was
celebrated by the Center for Health Development III
(CHD 3).
The following are the CLExAH awardees for 2012:

MFO 2

MFO 3

Number of training
courses conducted
as scheduled

Percent of health
facilities that are
licensed and
accredited
according to DOH
standards within the
specified time in the
citizens charter

191.18

100

PPAS
AVERAGE

261.68

I. Top Performers
Newborn Screening Program
1. Sta Cruz Hospital Calumpit, Bulacan
2. Bataan General Hospital, Balanga City, Bataam
3. Premiere General Hospital Cabanatuan City, Nueva
Ecija
4. San Marcelino District Hospital, San Marcelino,
Zambales
5. Central Luzon Doctors Hospitals, Tarlac City, Tarlac
6. Angeles University Foundation Medical Center,
Angeles City
7. Nueva Ecija Doctors Hospital, Cabanatuan City,
Nueva Ecija

Expanded Program for Immunization


1. Municipality of Mabalacat, Pampanga
2. Municipality of Pulilan, Bulacan
3. Municipality of San Jose, Tarlac
4. Municipality of Cabiao, Nueva Ecija
Garantisadong Pambata (Best Garantisadong Pambata
Implementers)
1. Province of Tarlac
2. San Jose City, Nueva Ecija
Family Planning Program (Best Family Planning
Implementers)
1. Angat, Bulacan
2. San Jose del Monte, Bulacan
Oral Health Program
1. Dr. Mirriam Santiago and Dr. Manuel Luis Osorio
(Best Program Implementers - Public Health Dentist
Category)
2. Municipality of Bulakan, Bulacan (Orally Fit
Community LGU Category - Municipal)
3. San Jose Day Care Center (Orally Fit Day Care Center School Setting Category)
National Tuberculosis Program
1. Province of Bataan

II. Excellent Innovators:


Dengue/Malaria Prevention and Control Program
1. Balanga City, Bataan (Best Contemporary Approach in
Dengue Control and Prevention)
2. City of San Fernando, Pampanga (Best Contemporary
Approach in Dengue Control and Prevention)
3. Province of Zambales (Best in Program Sustainability
Awardee)
4. Subic, Zambales (Best in Program Sustainability
Awardee)
Regional Rabies Control Program
1. San Jose City, Nueva Ecija (Regional Rabies Control
Novelty Awardee)
III. Health Governance Stewards
Health Emergency Response
1. 7th Infantry Division

2. CHD 3 Medical Response Team IV


3. CHD 3 Medical Response Team VII
4. Office of the Civil Defence RO3
5. PHTO - Bulacan
6. PHTO - Bataan
7. PHTO - Pampanga
8. City of San Fernando, Pampanga
9. Province of Pampanga
10. Province of Bataan
11. Province of Bulacan
Mother and Baby Friendly Hospitals
1. James L. Gordon Memorial Hospital, Olongapo City
2. Paulino J. Garcia Memorial Research and Medical
Center, Cabanatuan City, Nueva Ecija
3. Calumpit District Hospital, Calumpit, Bulacan
4. Bataan General Hospital, Balanga City, Bataan
Three-in-One Certified Facilities
1. Bustos RHU I, Bustos, Bulacan
2. Pulilan Municipal Maternity and Child Care Center,
Pulilan, Bulucan
3. Sto. Domingo RHU I and II, Sto. Domingo, Nueva Ecija
4. General Tinio RHU, General Tinio, Nueva Ecija
5. Sto. Domingo RHU I, Angeles City
6. Gerona Health Center, Gerona, Tarlac
Leprosy Control Program
1. Subic RHU, Subic, Zambales (Best Practice in Leprosy
Control Program)
Mental Health in the Community
1. Province of Zambales
Tobacco Control Program
1. Balanga City, Bataan
2. Paulino J. Garcia Memorial Research and Medical
Center, Cabanatuan City, Nueva Ecija
3. Mariveles Memorial Hospital, Mariveles, Bataan
4. Jose B. Lingad Memorial Regional Hospital, City of
San Fernando, Pampanga
Barangay with Best Sanitation Practices
1. Barangay Bacsay, Camiling, Tarlac
2. Barangay Manaois, Paniqui, Tarlac

55

56

57

58

59

60

Appendix I:

The CHD3 Personnel

Data Source: Personnel Section

CHD 3 STAFFING PATTERN as of December 31, 2012


DIVISION

TOTAL NUMBER OF
PERSONNEL

Office of the Regional Director

Office of the Assistant Regional Director


Administrative Division
Budget and Finance Division
Technical Division

19
26
12
26

Local Health Board


Malaria Service
Food & Drug
Travelling Skin Clinic
Sexually Transmitted Disease
Health Manpower Dev. Trng. Division
SUB - TOTAL

37
29
6
14
14
20
211

Additional: Job Contract Personnel


Bataan Rehab. Personnel
SUB - TOTAL

61
15
76

GRAND TOTAL

287

Management Committee
DIR. LEONITA P. GORGOLON
Director IV

DR. ELOISA C. PINEDA

DR. JULIANA M. REYES

OIC - Medical Officer VII (HOD)

OIC - Chief (LRED)

DR. MARILU F. MALAMUG


MS IV / Head (Governance)

DR. RUBY C. CONSTANTINO


OIC - Director III

MS. GRACE D. QUIZON

Chief Admin. Offiver (Finance)

DR. JESSIE F. FANTONE


RHP / Head (RESU)

MS. LOURDES C. MACABULOS


OIC - Chief Admin. Offiver (Admin)

MS. SHERILL P. AURE


Admin. Officer IV

ANNUAL WORKING COMMITTEE

ELENITA P. CARREON
Editor

SHERILL P. AURE
Editor

JOSEPH MICHAEL D. MANLUTAC


Editor

RAMONICO L. USMAN
Lay-out/Graphic Artist

ADRIAN L. DE JESUS
Graphic Artist

Department of Health

CENTER FOR HEALTH DEVELOPMENT III

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