1

Introduction

In the past, hundreds of vulnerable people die unnecessarily of disease

and malnutrition because they lack access to basic health care and nutrition.
This brought about the establishment of primary health care facilities in
communities to make health services accessible to the townspeople. It serves as
the nucleus of every health care system. As the first point of contact for
individuals, families and the community, it supports every citizen to stay healthy,
get better, live capably with disease and cope with the end of life. It has a great
potential to improve the health of the population and contribute to the
sustainability of the health care system.
This paper intends to ascertain whether such services are made available
to people in communities in Cagayan de Oro City by showing the programs,
practices or incidences that are of wide occurrence in the area. This research
entirely covers health care activities regarding family planning methods,
immunization, maternal and child health, nutrition, and treatment of endemic and
communicable diseases in the year 2007 exclusively in Barangay Lumbia of
Cagayan de Oro City.

The researchers attempt to present, interpret, and analyze the data

gathered.
Family Planning
Barangay Lumbia of this city has a dynamic health center which started to
operate just two years ago (2006). Their action on Family planning starts as
soon as the mothers deliver their babies in the said health center. At this point,
they give teachings to the couples on family planning and grant the couple the
liberty for them to choose which method they would follow and implement. The
commonly used contraceptive among the constituents of Barangay Lumbia are
IUD and the pills. They do not use the widespread and quite known
contraceptive which is the condom. As of this moment, they newly implemented
the use of natural method such as the colored beads.
On Immunization, Barangay Lumbia follows the schedule of Wednesdays
(every 2nd and 4th of the month) as Immunization Day. Prior to the conferring of
the vaccines, they would give the recipient paracetamols in order to prevent side
effects. The giving of the vaccines to children is massive since they make it a
point to maximize their supplies to prevent unnecessary disposal (exposure and
expiration) of the ampules of vaccines. For minor cases, fever for instance, the
health center encourages the use of alternatives and they conduct health
teachings for the residents’ benefit as well.
 2

Actual: 7859

1st Quarter 2nd Quarter 3rd Quarter 4th Quarter Annual

Program Target Cu Cu Cu
# % # % # % # % # %
Total Total Total
Family Planning

Ø New 50 52 102 23 125 42 167 72

Acceptor %
435 50 506 44 947 43 437
Ø 6 1 7 68
Current %
User

This table shows that the 2nd quarter of the year has the highest number
of new acceptor of family planning methods. There is a total number of 167 new
users by the end of the last quarter. All in all, 68% of the married population has
implemented family planning methods in the year 2007.

Birth Sex Ditribution

Barangay Lumbia
2007

Category Number Rate

Male 66 49.6
Female 67 50.4
Total 133 100 %

This table shows the birth sex distribution in Barangay Lumbia in the
year 2007. The table illustrates that there are more female babies delivered than
males. Babies which are female accounts for 50.4% of the total population while
49.6% comprises the males.
 3

FAMILY PLANNING METHODS

Jan Feb Mar Apr May Jun
Method New Curren New Curr New Curr New Curr New Curr New Curr
s Accepto t User Acce ent Acce ent Acce ent Acce ent Acce ent
r ptor User ptor User ptor User ptor User ptor User
a. 0 0 0 0 0 0 0 0 0 0 0 0
Condo
m
b. 0 0 0 0 0 0 0 0 3 0 0 0
injectio
n
c. IUD 3 17 1 0 5 0 1 1 5 3 0 0
d. LAM 18 396 6 0 4 12 10 0 0 0
e. NFP 0 0 0 0 0 0 0 0 0 0 0 0
Ovulati 0 0 0 0 0 0 0 0 0 0 0 0
on
Basal 0 0 0 0 0 0 0 0 0 0 0 0
body
LAM 0 0 0 0 0 0 12 0 0 0 0 0
Sympto 0 0 0 0 0 0 0 0 0 0 0 0
tuning
f. Pills 3 22 5 4 2 30 5-0-2 29 3 31
g. Male 0 0 0 0 0 0 0 0 0 0 0 0
Ster
h. 0 0 0 0 0 0 0 0 0 0 0 0
Female
Ster
 4

Jul Aug Sept Oct Nov Dec

Method New Curren New Curr New Curr New Curr New Curr New Curr
s Accepto t User Acce ent Acce ent Acce ent Acce ent Acce ent
r ptor User ptor User ptor User ptor User ptor User
a. 0 0 0 0 0 0 0 0 0 0 0 0
Condo
m
b. 0 0 0 0 0 0 0 0 0 0 0 0
injectio
n
c. IUD 0 0 0 0 0 0 0 0 0 0 0 0
d. LAM 15 0 0 0 0 0 15 0 0 0 0 0
e. NFP 0 0 0 0 0 0 0 0 0 0 0 0
Ovulati 0 0 0 0 0 0 0 0 0 0 0 0
on
Basal 0 0 0 0 0 0 0 0 0 0 0 0
body
LAM 0 0 0 0 0 0 0 0 0 0 0 0
Sympto 0 0 0 0 0 0 0 0 0 0 0 0
tuning
f. Pills 4 27 29 27 0 27 1 27 1 26
g. Male 0 0 0 0 0 0 0 0 0 0 0 0
Ster
h. 0 0 0 0 0 0 0 0 0 0 0 0
Female
Ster

In the year 2007, majority of the population used pills and none of the
population used condoms as contraceptive. In the month of February, the new
acceptors of pills method had the greatest count at 5 and in the months of
January, August, September and October, there were no new acceptors. The
usage of other methods like IUD and LAM has the population which only lasted
from January to May and January to October respectively of the said year.
 5

DROP-OUT RATE

Method Jan Feb Mar Apr Ma Jun Jul Aug Sep Oct Nov Dec
y t
a. 0 0 0 0 0 0 0 0 0 0 0 0
Condom
b. 0 0 0 0 0 0 0 0 1 0 0 1
injection
c. IUD 4 2 0 1 3 2 0 1 2 0 0 2
d. LAM 0 0 0 0 0 0 0 0 0 0 0 0
e. NFP 0 0 0 0 0 0 0 0 0 0 0 0
f. Pills 0 0 0 2 2 3 7 2 2 0 0 2
g. Male 0 0 0 0 0 0 0 0 0 0 0 0
Ster
h. 0 0 0 0 0 0 0 0 0 0 0 0
Female
Ster

In the month of January of year 2007, the highest number of drop-outs

was recorded at 4 for the IUD method. Over-all, the IUD method was second to
pills in terms of number of drop-outs at a total of 19 drop-outs while the latter at
20 for the whole year.

Current
Methods New Acceptors Users
Condom 0 0
Injection 0 17
IUD 3 396
LAM 18 0
NFP 0 0
Ovulation/Billing
Method 0 0
Basal Body
Temperature 0 0
Sympothermal 0 0
Pills 3 22
Male Ster. 0 0
MAle Ster. 0 0
The table shows that the highlanders or the people who are dwelling in
Lumbia don’t use other contraceptive except Pills, IUD and Lam. The table also
exclaimed that most people there prefer to use IUD than any other
 6

contraceptives. Nevertheless, new users or acceptors prefer to use LAM and few
prefer to use pills and IUD.
Immunization

1st Quarter 2nd Quarter 3rd Quarter 4th Quarter Annual

Program Target Cu Cu Cu
# % # % # % # % # %
Total Total Total
Expanded Program
on Immunization
270 70 26 7 28 146 8 230 9 361 134
Ø Fully % 6 % 4 1 %
Immunized
Child

Shown in the table above are the total numbers of Fully Immunized
Children (FIC) in Brgy. Lumbia in the year 2007. 134% of the eligible population
was catered, which is more than the target number of residents to be
immunized.

Number of Ma Ap Ma Jun Jul Au Sep Oc No

Infants given: Jan Feb r r y e y g t t v Dec
DPT1 22 23 23 24 17 21 24 14 13 22 31 29
DPT2 12 25 28 31 23 8 16 28 13 16 29 29
DPT3 26 17 23 22 26 13 9 23 12 16 17 25
OPV1 22 23 23 24 17 21 24 14 13 22 31 29
OPV2 12 25 28 31 23 8 16 28 13 16 29 29
OPV3 26 17 23 22 26 13 9 23 12 16 17 25
BCG 19 27 29 23 25 21 19 15 21 21 20 26
Measles 19 17 25 21 25 30 34 18 32 41 35 15
HepB1 14 31 31 28 29 19 19 13 22 14 14 24
HepB2 25 29 34 35 21 9 24 30 15 13 30 15
HepB3 17 38 27 28 29 9 13 22 17 19 14 29

From the data gathered in Lumbia Health Center pertaining to the

number of infants given the necessary vaccines, the results are as follows; for
 7

the month of January the highest number of vaccinations given is DPT3 and
OPV3. In February, 38 infants were given the HepB3 vaccine making it the
month with the most number of infants who received immunizations. The highest
number of infants given the BCG and HepB1 were on March of the same year.
During the month of April the vaccines DPT2, OPV2 and HepB2 has the
highest population of infants given the said vaccines. Infants were given the
most number of vaccines for measles in October while DPT had the highest
number of infants immunized on the month of November. On the last month of
the year OPV1 had the greatest number of infants provided with the vaccine
shot.
EPI MONITORING CHART
Year: 2007
Health Center : Lumbia Health Center
Total Population: 9002

Eligible Population: 270

Antigen: BCG
#
o % of eligible
f record
c
h
i
l 100%
d
r
e
n

i 75%
m
m
u
n
i
z 50%
e
d

25%
 8

JAN FEB MA APRI MA JUN JUL AU SEP OC NO DE

R L Y E Y G T T V C
NUMBER OF 19 27 29 23 25 21 19 15 21 21 20 26
CHILDEN
IMMUNIZED

COMMULATI 46 75 98 123 144 163 178 199 220 240 266

VE
PERCENTA 7 17 28 36 46 53 60 66 74 81 89 99
GE

Based on the data, 266 children in Lumbia were immunized in the year
2007. 29 of these children (the highest number of children immunized in a
month) were immunized in the month of March. The lowest number of children
which is 15 was immunized in the month August.
The data also tells us that at the starting of the year, only 7% of the
children’s total population in Lumbia was immunized and at the end of the year,
99% of the children’s total population in the said area were immunized.
With this data, it can be inferred that the Expanded Program for
Immunization (EPI) has been well implemented since at the end of the year
2007, almost all of the children in Lumbia were successfully immunized.

Eligible Population: 270

Antigen: OPV3

Month Jan Feb Ma Apri Ma Jun Jul Au Se Oct No Dec

r l y e y g p v
Number 26 17 23 22 26 13 9 23 12 16 17 25
Cumulativ 43 66 88 114 127 136 159 171 18 204 229
e 7
Percentag 10 16 24 33 42 47 50 59 63 69 76 85
e

The Immunization schedule is every second (2nd) and fourth (4th)

Wednesday of the month. January and May has the highest number (26) while
July (9) accounts the lowest number of given OPV3 immunizations to the
projected population. Only eighty-five percent (85%) out of one hundred of the
eligible population was given OPV3 immunization, the other fifteen percent
(15%) was not met.
 9

Eligible Population: 270

Antigen: Measles

JAN FEB MAR AP MAY JU JU AUG SEP OC NOV DEC

Cumulativ 19 17 25 R
21 25 N
30 L
34 18 T
32 T
41 35 15
e 36 61 82 107 137 171 189 221 262 297 312
7 13 23 30 40 51 63 70 82 97 110 116

This table shows the immunization for Measles in the Lumbia are
of CDO. They have reached 50% of immunizing in the month of June and have
catered the eligible population at the end of the year. The highest number of
recipients of this vaccine was in the month of October which is 41 individuals.

Antigen: TT1 and TT2

Eligible Population: 315

Month TT1 TT2

Number Cumulative Percent Number Cumulative Percent

January 5 1 9 3
Februar
y 10 15 5 21 30 9
March 9 24 8 25 55 21
April 10 34 11 25 80 28
May 6 40 13 19 99 35
June 9 49 15 14 113 39
July 12 61 19 33 146 49
August 5 66 21 30 176 59
September 6 72 23 18 194 65
October 4 76 24 23 217 72
November 6 82 26 25 242 80
December 4 86 27 30 262 83

This table shows the Expanded Program on Immunization for the antigen
TT1 and TT2 in the year 2007 at Lumbia of this city. Of the 315 eligible population
for these vaccines, only 83% of which was catered as recipients by the end of
the year. Although the distribution of the vaccine had not reached its full
coverage, it is quite notable that the said barangay has offered the service to
almost all the target recipients.
 10

Endemic Diseases
Endemic disease such as pneumonia, diarrhea and filariasis are three
diseases with the highest morbidity rate in Barangay Lumbia. They afflict the
most vulnerable, the young and the elderly. They have many effects not only to
the affected individual but also to their families and communities.
This Barangay has many cases of filariasis due to a high concentration of
mosquitoes. However, the health center did not remain passive but implemented
the 5 year program for filariasis control, where the health workers provided
patients or potential patients in the area with medications that prevent or cure
filariasis. As one enters the health center, the person can see many posters that
display information about filariasis. This program was not limited only to the area
in Brgy. Lumbia but also extends to the city and schools like Xavier Universty.
From October to December, health workers from Lumbia visit the city proper to
provide health teachings and treatments for filariasis.

Pneumonia Cases Seen 2007

40
Number of Cases

30

20

10

0
1 2 3 4
Quarter

Pneumonia and diarrhea ranked top two in the most number of cases.
Some diseases like dengue, leprosy and tuberculosis (TB) are present in the
area but are controlled. With the health teachings and clean-up drive, dengue
was controlled. Barangay Lumbia has 37% of the whole population inflicted with
TB annually but then preventive measures are observed to prevent it. There are
no serious diseases in Barangay Lumbia that did not remain uncontrolled.
National tuberculosis program
Total population: 9002
Target TB symptomatic: 234
Sputum positive: 19
 11

Symptomatic:
Ja Fe Ma Ap Ma Ju Ju Au Se Oc No De
n b r r y n l g p t v c
10 6 5 5 3 2 3 8 5 1 1 3 Number
3 Cumulati
16 21 26 29 31 4 42 47 48 49 52 ve
1 Percenta
4 8 9 11 12 13 4 17 20 20 20 22 ge

For the month of January, there are 10 symptomatic patients of TB, which
is the highest in this year. By the end of the year, 52 symptomatic patients are
identified, which is 22 % of the total population.
Sputum Positive
Ja Fe Ma Ap Ma Ju Ju Au Se Oc No De
n b r r y n l g p t v c
3 1 0 0 0 0 0 1 0 1 1 0 Number
Cumulati
4 4 4 4 4 4 5 5 6 7 7 ve
2 Percenta
16 21 21 21 21 21 1 26 26 31 37 37 ge

There are 3 patients who revealed positive for TB Sputum Test for the
month of January which accounts for the most number of patients throughout the
year. By the month of December, a total of 7 patients were identified positive
which is 37% of the total population.
Action to prevent these diseases should therefore focus on controlling
risk factors in a unified manner. Health promotions as well as health teachings is
a major approach to prevent the emergent of diseases.
Maternal and Child Health
Maternity care aims to ensure that every expectant and nursing mother
maintain good health, learns the art of child care, has normal delivery and bears
healthy children. Maternal health care begins from the time of conception of the
child, therefore, the pre and postnatal care of the expectant mother is included in
the health care system.
Factors that prevent women from getting the health care they need
include distance from health services, cost (direct fees as well as the cost of
transportation, drugs, and supplies), multiple demands on their time, and
women’s lack of decision-making power within the family.
In Barangay Lumbia, iron supplementation was not given to the pregnant
women for the reason that they lack the supplement. They just give prescription
to the mother and the mother will buy those medicine/vitamins in the Botika ng
Barangay for the medicines there are cheaper and its quality is good.
Before the mother will deliver the baby in the health center, they will first
assess the women if they can accommodate her or they will refer her to a
hospital. However, mothers preferred to deliver their babies in their home due to
 12

their economic status. They thought that they would pay a big amount if they will
deliver their babies in the health center where in fact it is free of charge. Also,
transportation is a big problem. In this area, there are only few vehicles and
charge may be of high cost. Trained hilots are usually responsible for every
labor.
In the case of BCG vaccination, it is not actually given to infants after
birth. The health center will schedule the giving of BCG vaccines and they will
wait until more or less 20 infants were scheduled. One ampule of BCG can
accommodate 20 infants and it will expire after 6 hours. If only 1 infant will be
given the vaccine in a day then the remaining 19 will expire.
Overall, there are many services offered to pregnant women before and
after they will deliver their babies. These services include antenatal registration,
tetanus toxoid immunization, and micronutrient supplementation and these are
all essential to the mother and the baby.
Place of Deliveries
Barangay Lumbia
2007

Category Number of Births Rate

Hospital 60 45.1
Private Clinic 0 0
Health Center 10 7.5
Home 63 47.4
Total 133 100 %

The places of child delivery in Brgy. Lumbia for the year 2007 is shown in
the table. Majority of the pregnant women preferred to deliver their babies at
home and this accounts to 63 births while pregnant women who delivered in the
hospitals constitute 60 births. On the other hand, there are only 10 babies
delivered in the health center whereas no deliveries in the private clinics.
Mothers preferred to deliver their babies in their home due to their
economic status. They thought that they would pay a big amount if they will
deliver their babies in the health center where in fact it is free of charge. Also,
transportation is a big problem. If their house is far from the health center, they
will need a vehicle. In this area, there are only few vehicles and charge may be
of high cost. Trained hilots are usually responsible for every labor.
 13

Child Care
Barangay Lumbia
2007

Ja Fe Ma Ap Ma Jun Jul Au Se No
Child Care n b r r y e y g pt Oct v Dec
Fully Immunized Children (9-11
mos.) 19 26 25 21 25 30 34 18 32 41 35 15
Infant given 3rd dose of Hepa B 17 38 27 28 29 9 13 22 17 19 14 29
Infants seen at 6th month 32 27 32 28 17 33 26 20 22 28 30 22
Infants exclusively breastfeed up to
6th month 32 27 32 28 17 33 26 20 22 28 30 22
Diarrhea cases seen (0-59 mos.) 8 9 7 7 6 9 5 7 5 7 8 7
Diarrhea cases given ORS (0-59
mos.) 8 9 7 0 0 0 0 0 5 7 8 7
Pneumonia cases seen (0-59 mos.) 12 10 12 9 6 7 10 12 12 10 12 8
Pneumonia cases given treatment
(0-59 mos) 12 10 12 9 6 7 10 12 12 10 12 8
Children (6-11 mos.) given Vit. A
capsules 17 26 25 21 25 31 34 0 0 112 112 0
Children (12-71 mos.) given Vit. A 90 120 120
capsules 0 0 0 3 0 0 0 18 32 0 0 15
12 12 12 15 15 15
Below Normal children (6-11 mos.) 9 8 9 9 9 159 159 9 159 159 159 159
-Given food supplementation
(New) 0 0 0 0 0 0 0 0 0 0 0 0
-Receiving food supplementation 0 0 0 0 0 0 0 0 0 0 0 0
-Rehabilitated 0 0 0 0 0 0 0 0 0 0 0 0
Below Normal children (12-71 mos.) 0 0 0 14 14 14 14 14 14 0 159 159
-Given food supplementation
(New) 0 0 0 0 0 0 0 0 0 0 0 0
-Receiving food supplementation 0 0 0 0 0 0 0 0 0 0 0 0
-Rehabilitated 0 0 0 0 0 0 0 0 0 0 0 0
Below Normal (very low) children
(6-59 mos.) 14 14 14 0 0 0 0 0 0 14 14 14
-Given food supplementation
(New) 0 0 0 0 0 0 0 0 0 0 0 0
-Receiving food supplementation 0 0 0 0 0 0 0 0 0 0 0 0
-Rehabilitated 0 0 0 0 0 0 0 0 0 0 0 0
Below Normal (very low) children
(6-59 mos.) 0 0 0 0 0 0 0 0 0 0 14 14
-Given food supplementation
(New) 0 0 0 0 0 0 0 0 0 0 0 0
-Receiving food supplementation 0 0 0 0 0 0 0 0 0 0 0 0
 14

The Lumbia health center presented data with regards to Child Care
which includes immunizations, vaccines as well as food supplementations.
Based on the gathered information, Fully Immunized Children (9 to 11 months)
were at its highest peak in the month of October with a total of 41 children. The
smallest number of children who are said to be Fully Immunized were noted on
the month of December.
Infants were given the 3rd and last dose of Hepa B with the highest
number in February and the least in June. There were also infants underwent
breastfeeding up to 6th month. The highest noted data was in the months of
January and March while the least number of data were recorded in the month of
May.
There were diarrhea and pneumonia cases seen to babies ranging to 0 to
50 months in this barangay. The highest recorded number of diarrhea cases was
in the months of February and June and the least recorded cases were seen in
the months of July and September. On the other hand, the highest number of
pneumonia cases were in the months of January, March, August, September
and November while the least cases were seen during May. All children who
were affected with diarrhea and pneumonia are given complete treatment.
Children in Barangay Lumbia were also given Vitamin A supplements.
The highest vitamin supplementation given to children from 6 to 11 months was
in the months of October and November with 112 children. Conversely, the
highest vitamin supplementation given to children from 12 to 71 months was its
highest peak still in the months of October and November.
Nutrition
Barangay Lumbia’s approach towards the nutrition of its residents is not
very particular. In an interview with the Barangay health nurse, the researchers
discovered that the barangay health center do not have nutritional programs
such as feeding supplementation for children who are undernourished. However,
they conduct feeding assistance when there are funds given by the barangay
administration or certain sponsors. This is due mainly to insufficiency of funds
being allocated to nutrition of the community.
It is interesting to note, however, that the health workers of this area have
an intensive nutrient supplementation, Vitamin A that is. They give this vitamin
every quarter of the year, covering all the eligible population of their community,
especially children. 200,000 units of Vitamin A are given to children above 1
year of age and 100,000 units are given to those who are aged 1 year and
below. The following graph shows the number of children provided with this
supplement every quarter on the year 2007.
 15

Children (9-59 months) given vitamin A

The health workers of this barangay also conduct weighing of children

monthly, a project they call as “Operation Timbang”. This is done to identify
malnourished inhabitants and give them appropriate and immediate attention. In
severe cases, identified people are sent to the City Hospital, the barangay’s
direct referral. For typical situations, they usually conduct health teaching to the
community members, especially those who are afflicted with malnourishment.
Treatment of Communicable Diseases
The most common communicable diseases in this barangay rank from
pneumonia, diarrhea, filariasis, leprosy, to tuberculosis. Dengue H-Fever case is
also present, but in a very rare occasion.
Pneumonia, being the most common infectious disease of the community,
affects a total of 120 residents in 2007 alone. But all of these people were given
treatment and pneumonia regimen by the community health center. The table
below shows the number of pneumonia patients being treated by the local health
station.
 16

Pneumonia Cases given TX

Filariasis, also a common communicable disease in the district, is given a

proper action by the health workers as well. A regimen made up of
Diethylcarbamazine (DEC) and Mebendazole are given to affected residents,
with varying dosage, depending on the patient’s age (1 dose DEC and
Mebendazole for 0-5 years old; 2 doses DEC, 1 dose Mebendazole for ages 6-
12; 4 doses DEC, 1 dose Mebendazole for 13-20 yrs old; and 5 doses DEC, 1
dose Mebendazole for patients over 20 years old). A 5-year program is also
launched by the local health officials of the barangay to pursue their campaign
against this dreaded disease. This program includes rounding different schools
in the city to give health teaching about filariasis, giving prophylactic medications
to prevent susceptible people (which could be anyone) from getting it, and
treatment for those who are already affected. The operation of this program is
done every October to December of the year.
Tuberculosis cases are also given ample treatment in this area.
Suspected persons are collected with their sputum samples which are cultured
to affirm or deny their carrying of the bacteria. Suitable treatments are then given
to eradicate the disease. The table below shows the total number of identified
and treated patients on the year 2007.
 17

National TB program: Sputum (identified and treated)

In times wherein dengue cases emerge, immediate actions related to

sanitation are done to the household of the affected individual. Health workers
and residents manage possible areas of ovulation and propagation of the
mosquito (specifically the anopheles mosquito) to prevent further infection and
transmission.
Conclusion
In the entire year of 2007, a good number of inhabitants of Barangay
Lumbia, Cagayan de Oro City availed of the services made available for them in
health centers.
Access of care is improved with the strategic location of the facility to
provide opportunity for the majority of the residents to avail of these services. To
ensure good health, they strongly emphasize prevention, early intervention,
rehabilitation and education in addition to direct care. However, their health care
center is still lacking some essential drugs and facilities; without which could
place the lives of its residents in jeopardy.
Recommendation
With respect to the findings and conclusions, the researchers give the
following recommendations:
1. It is recommended that more emphasis should be given to
supplying the needed micronutrients, especially to children and
mothers.
2. Treatments to communicable diseases should be readily
available at the health center to provide better health outcomes,
especially to afflicted residents.
 18

3. More financial support should be allocated to the health center

by the local government, as well as other agencies, to ensure
the health of its populace, which is essential in the development
of the community.
References
Dumas, M.C.A. (2008 August 27). Primary health care programs of
Barangay Lumbia. Health Center, Brgy. Lumbia, Cagayan de Oro City.

Lumbia Health Center Information Board.