CASE STUDY (2005-2006) EASTERN SAMAR

District 1 11 municipalities
1. Borongan
2. San Julian
3. Sulat
4. Taft
5. Can-avid
6. Dolores
7. Maslog
8. Oras
9. Jipapad
10.San Policarpio
11.Arteche
District 2 12 southern municipalities
1. Maydolong
2. Balangkayan
3. Llorente
4. Hernani
5. General MacArthur
6. Salcedo
7. Quinapondan
8. Giporlos
9. Balangiga
10.Lawaan
11.Mercedes
12.Guiuan
-

The province has 597 barangays

Borongan 61 brgys
Guiuan 60 brgys
MUNICIPALITY/CITY
Arteche
Balangiga
Balangkayan
Borongan City
Can-avid
Dolores
General MacArthur
Giporlos
Guiuan
Hernani
Jipapad
Lawaan
Llorente
Maslog

NUMBER OF
BRGYS
20
13
15
61
28
45
30
18
60
13
13
16
33
12

Maydolong
Mercedes
Oras
Quinapondan
Salcedo
San Julian
San Policarpio
Sulat
Taft
TOTAL
-

20
16
42
25
42
16
17
18
24
597

Based on the CBMS Survey, 385, 875 population. Number of HH 79,976 with
each HH consisting of an average of 5 persons (year 2006)

Health Facilities
- 12 government hospitals, 10 private hospitals and clinics, 26 municipal health
centers, 104 BHS
MDG GOAL 4: REDUCE CHILD MORTALITY
Target: Reduce by 2/3, between 1990 and 2015, the under 5 mortality rate
1. Proportion of children aged 0 to <5 years old who died
a. The higher the proportion of deaths, the lesser the quality of
healthcare.
b. Of the 45,345 children ages 0-5 years, 410 (0.9%) died according to
CBMS survey.
i. Proportion of male 1% than female 0.8% deaths
c. The provincial health office in 2006 reported that the five leading
causes of under-five mortality per 1,000 livebirths were:
i. Pneumonia
ii. Diarrhea
iii. Sepsis
iv. Congenital heart disease
v. Pre-maturity
d. The highest proportion of children aged 0-5 years old who died was n:
i. Jipapad 6.4%
ii. Maydolong 1.8%
iii. Arteche 1.7%
iv. Balangkayan 1.5%
2. Proportion of infants who died
a. Children aged 0-1 year old or infants who died consisted of 175 out of
6,945 (2.5%) of children of this age.
i. Male deaths 2.8%
ii. Female deaths 2.1%
b. The proportions of infants who died were highest in:
i. Jipapad 14%
ii. Arteche 5.7%
iii. San Julian 5.7%
iv. Maydolong 5.5%

c. The leading causes of infant mortality per 1,000 live births were:
i. Pneumonia
ii. Diarrheal diseases
iii. Sepsis neonatorum
iv. Neonatal death
v. Pre-maturity
3. Proportion of children aged 1 to <5 years old who died
a. There were 38,400 children
b. 245 (0.6%)
c. The municipalities of:
i. Jipapad 4.2%
ii. Maslog 4.2%
iii. Dolores 1.4%
Current Policies & Programs
1. Integrated Management of Childhood Illnesses
a. Consists of comprehensive evidenced-based guidelines developed by
WHO to assess & classify childhood illnesses, thereby reducing
preventable deaths of children under 5 years old through early
recognition of signs, prompt treatment and referral to the appropriate
health facility
2. Expanded Program for Immunization
a. Overall, immunization coverage has been consistently over 90% of the
past 5 years.
b. The delivery of services to the community has greatly been
strengthened through the Reaching Every Barangay (REB) Strategy
3. Breast Feeding Program
a. 30.2% are exclusively breast-fed and on the average, children are
breastfed only until age of 15 months.
4. Essential Newborn care
a. DOH and WHO came up with anew protocol in newborn care that is
now being implemented in the province.
Challenges & Priorities for Action
1. Improving infant and young child is a more sustainable feeding practice at
the community level is a more sustainable way to address malnutrition.
a. Includes breastfeeding practices
2. Reducing disparity of immunization coverage by sustaining the REB
approach.
3. Improving newborn care by institutionalizing the essential newborn care in all
health facilities.
4. Institutionalize the Neonatal Death Review to identify preventable causes for
implementation of appropriate response strategies.
MDG GOAL 5: IMPROVE MATERNAL HEALTH
Target: Reduce by 3 quarters between 1990-2015, the maternal mortality ratio

1. Proportion of women deaths due to pregnancy related-causes

a. With CBMS, maternal mortality is computed in terms of proportion of
women deaths due to pregnancy-related causes over the number of
children less than 1 year old plus the number of women who died due
to pregnancy-related causes
b. There was a total of 31 maternal deaths during 2005-2006
c. Areas of pregnancy-related causes
i. Jipapad 1.8%
ii. Llorente 1.3%
iii. Arteche & Quinapondan 1.0%
d. The SR-MICS conducted in 2007 by the NSO revealed that although 8 of
10 women of reproductive age who gave birth were provided prenatal
care by skilled personnel, only about 3 out 10 deliveries were attended
by skilled personnel. 2/10 deliveries were in facilities as most of these
women had home deliveries.
Target: Achieve, by 2015, universal access to RH
1. Couples were using at least 1 method of contraception.
2. Causes of maternal deaths were related to:
a. Delay in seeking medical care
b. Delay in receiving adequate and appropriate care at health facility
c. Delay in identifying and reaching the appropriate level of facility
3. Improving access to facility based deliveries: BEONC
- attended by skilled birth attendants, this can reduce the 2 nd & 3rd delays
4. Improving access to BEmONC & CEmONC
5. Reduction of unmet needs for family
- no access to family planning services is the most common reason
6. Community involvement & participation
CHALLENGES & PRIORITIES FOR ACTION
1. Sustaining reforms and interventions initiated by development partners.
2. Improving community participation & involvement
3. Improving of delivery of health services (RHUs and hospitals)
4. Ensuring the availability of drugs, medicines and supplies in health facilities
at all times
CONCLUSIONS & RECOMMENDATIONS
1. Eastern Samar PDPFP for 2010-2015 proposes to adopt strategies for
economic development particularly on agri-based industries and the
development & promotion of eco-tourism.
2. The proportion of population living below food threshold was high. To optimize
productive levels of agricultural and fishery resources, the government
should provide adequate and timely production inputs such as appropriate
technology, seeds, fertilizers, pre and post-harvest facilities., high quality of
breed of livestock and poultry, and fishing gears and implements.
3. To address malnutrition, the province will continue to implement its nutrition
program micronutrient deficiencies and protein energy malnutrition.

4. In the area of health, diseases such as TB, filariasis, schistosomiasis, and

dengue must be controlled.
5. The public health improvement program aims to improve the delivery of
public health services and thus reduce mortality and morbidity cases.
6. The field facilities upgrading program aims to make all the provinces RHUs
be Sentrong Sigla certified and PhilHealth-accredited, and thus be able to
improve health services.
7. Reduction of maternal and child deaths must be sustained through the child
health program and maternal health program.
8. The Maternal Health Program is intended to improve direct services to
mothers and reduce maternal mortality and morbidity.
9. Provision of basic services such as water, sanitation, and adequate living
conditions need to be addressed vis-a-vis the need to ensure the protection
and sustainability of the environment and natural resources through the
Environment Protection and Development Program and Infrastructure and
Utilities Program.
10.More and better quality educational facilities for pre-school, elementary and
high school students.
11.Information technology and communication facilities need to be expanded to
include far-flung communities.
12.The attainment of the MDG goals and targets, however, depends largely on
the political will to carry out the policy directions and on provision of the
resources in the operationalization of the policies.