STRATEGIC PLANNING FOR

SINUNUC HEALTH CENTER

A Proposal

Adil, Rafshanjani C.
Diansuy, Geode Allan V.
Manzur, Aisha A.

Que, Princess Shelmerry Dawn M.

April 2019
 Sinunuc Health Center

History

The word sinunuc means “burned” in Tagalog. It is believed that a great fire once ravished
the land from early socio-political conflicts. From this grief came the word Sinunuc or ‘Sinunug’.
It is a hotpot of mixed ethnicities (Chavacano, Tausug, Sama, Badjao and Bisaya). The
predominant religion of the population in the barangay is Roman Catholic at 60%. The presence
of Silsilah Foundation in the barangay promoted a dialogue for Christians and Muslims to attain
peace, unity and harmony among constituents.

The major sources of livelihood are: factory work (most in canning factories), fishing,
farming, sari-sari stores and migrant jobs. Main crops are copra, corn and seaweeds, which, have
3, 1 and 8 number of cropping seasons per year respectively. Agricultural products include
coconut, banana, cassava, corn and various vegetables. Aqua marine products from this barangay
include seaweeds.

The health center has long been established by the Department of Health under the Ayala
District Health center. It was completely renovated in May 2016, financially aided by a non-profit
religious organization.

Mission

We provide the highest quality health services to all Zamboanguenos through active care
community participation, easy accessibility and innovative health programs

Vision

A well-equipped health unit of Zamboanga with proactive and responsive health service
for the needs of every Zamboangueno

Status
Population- 20,960 (10,728 Male, 10,232 Female)
Household- 4,300
Distance from City Proper- 9.30 km
Political district: I
No. of Patients on a monthly basis per Barangay (per CHO records)- Sinunuc HC: 221

Sinunuc Health center is under Ayala Municipal Health Center (along with Baluno BHS,
Cawit BHS, Maasin BHS, Recodo BHS, Sinunuc BHS, Kalinaw BHS, Tulungatung BHS)
Programs available:

1) Expanded program on immunization

2) Disease surveillance
3) Control of Acute Respiratory Infections (ARI)
4) Control of Diarrheal Diseases (CDD)
5) Micronutrients supplementation/nutrition
6) Family planning program
7) Tuberculosis control program
8) Sexually Transmitted Diseases (STD) /Acute Immunodeficiency Syndrome (AIDS)
prevention and control program
9) Environmental sanitation program
10) Cancer control program – cervical cancer screening program
11) Maternal care

A survey by the Commission on Audit conducted on the respondents / patients disclosed

that generally, they feel that the BHCs are a great help in treating their illnesses and that they are
generally pleased with the quality of services offered. However, the patients are not aware of, or
benefit from all the programs and services required by the DOH for BHCs. The survey also showed
that for the patients respondents, the non-availability or shortage of medicines and drugs in the
health centers should be addressed or given priority.

Other deficiencies noted were the non-maintenance of adequate records, no proper

monitoring of the receipts, issuances and balances of drugs, medicines, medical and laboratory
supplies of the BHCs, making it difficult to determine available balances at any given time. Drugs,
medicines, medical and laboratory supplies, office supplies and other supplies were not provided
when needed, nor were these maintained in sufficient quantities, affecting the delivery of better
health services to the barangays served. In addition, the whereabouts of medical equipment with
total cost of P123,705.00 could not be located, attributable to the non- maintenance of adequate
records and improper turn-over of the equipment from one BHC or BHS to another.

BHCs in general, are clean. The health personnel regularly maintain the cleanliness of the
BHC. However, in some instances, overgrown grass can be seen in some areas surrounding the
BHC, like in the case of the Ayala MHC and Kalinaw HS. According to the midwife, they usually
require the assistance of the barangay council in cleaning or weeding out the surrounding areas of
the BHC.
 SWOT Analysis
Community aware of HC
Services
Easy, accessible location
OPPORTUNITIES
Rapidly growing HC
Good utilization of barangay
health services by community
(as evidenced by statistics)
Presence of near diagnostic and
consultation clinic
Lack of support from political
body
THREATS
Not well funded by local
government
Healthcare reform cutbacks
STRENGTHS
Good inter-staff relationship
Friendly multilingual staff
Health workers show
willingness to serve
Clean and effective
infrastructure
Organize community
participatory activities such as
Zumba for healthy lifestyle,
Coastal clean-up, feeding
program
Health Teachings in local dialect
(IEC materials, lectures, mothers’
class)
Team building activities
Establish rapport with political
sector
Proper and complete reporting to
local government and DOH
Coordinate with LGU for
community programs
WEAKNESSES
Irregular schedule of actual doctor
availability.
Staff works beyond job description
Insufficient resources namely
vaccines and medications
Poor implementation of proposed
daily schedule
Non-maintenance of adequate
records
No proper monitoring of the
receipts, issuances and balances of
drugs
Lack of supervision
Lack of regular training of staff
Lack of dental services
Lack of diagnostic tools
Conduct inventory analysis
Disease surveillance
Proper referral system
(diagnostic, dental)
Implementation of regular clinic
schedule
Improve relations and
understanding between health
care and political sector.
Proper of allocation of funds.
Improve strict implementation of
services.
Maintain adequate supply of
resources.
Recommend Strategies – Justify

1. Organize community participatory activities

The community is receptive to the programs of the health center as evidence by positive
statistics (ie low infant and mortality rates, good prenatal turn-out, etc). It is an opportunity to
mobilize the community with activities that aim to promote health such as such as Zumba for
healthy lifestyle and hypertension prevention, coastal clean-up for a clean environment, feeding
program for the nutrition of children, etc).

2. Health Teachings in local dialect (IEC materials, lectures, mothers’ class)

Sinunuc has a variety of ethnicities. The advantage of having health workers fluent in all
local dialects can be maximized by conducting mass health teachings and mother’s classes in their
local dialect. IEC materials written in local dialects can be designed with the help multi-dialect
health workers to be able to provide a more efficient medium for health teachings available for
every household increasing health awareness and improved health seeking behaviours.

3. Team building activities

To strengthen the already existing good inter-staff relationship to boost efficiency.

4. Conduct inventory analysis

Conduct inventory analysis to determine the minimum stock level and re-order point for
drugs and medicines dispensed by the Health Center, and other supplies needed in its operations,
and to make representation with the CHO to consider increasing the provision of drugs, medicines,
medical and laboratory supplies, as well as office and other supplies identified in the inventory
analysis

5. Disease surveillance
The BHC should perform disease surveillance to measure the magnitude of the local health
problems and the effects of the control programs delivered. Surveillance data can be used by the
facility to improve strategies in delivering health services and thus prevent these from occurring,
e.g. immunizable diseases like diphtheria, pertussis, tetanus, polio, measles, etc.

Organize Community Participatory Activities to help address health needs of the

community. To not only focus on the treatment but also on the preventive side.

6. Proper referral system (ie diagnostic, dental)

There is lack dental services, personnel and diagnostic equipment in the health center.
However, despite this deficiency and lack of funding, there is an opportunity for an effective
referral system for diagnostic and dental services towards nearby health institutions.

7. Implementation of regular clinic schedule

Regular medical consultation schedule will improve the health status and health seeking
behaviour of the community,

8. Improve rapport with political sector

 Health care is part of the political process. Politics is often defined as the competition for
the allocation of scarce resources. Recent budget constraints suggests funding increases for health
care could become scarce. However, allowing the political sector to understand at a deeper level
the need to include health care in its list of priorities will benefit the community as a whole.
Improving the relationship between this two sectors will improve communication and
subsequently improve mutual understanding of their roles.

9. Proper and complete reporting to local government and DOH

The DOH is responsible for developing health policies, programs, and regulations. The
LGU implements health programs in the local or barangay level. Proper reporting of the HC will
ensure sustainability of projects, availability of resources and continuous supervision.

10. Coordinate with LGU for community programs

Being the primary implementer of health programs in the local or barangay level, allowing
the LGU to participate and planning and implementation of health programs will boost their morale
and improve relationship between the political and medical sector whilst at the same time
delivering innovative health programs to the community.

Make strategic plan – Goals/ Objectives/ Success Indicators

Goals Objectives Success Indicators

1. Recognising health Ensure equal access to services and Improved utilization of

inequities. programs for communities who are available services and
vulnerable, marginalized, programs
disadvantaged and with the poorest
health.

2. Integrated patient Build community health services that
and family centred care place the patient, family and their
community at the centre while
ensuring a targeted approach for
communities that have poor health.
Health Teachings in local dialect (IEC
materials, lectures, mothers’ class)
Improved health indices
( I.e Infant mortality rate,
maternal health status,
Nutritional status,
Medication compliance
Rate)
Improved Utilization of
Health Services

3. Prevention and Improve current health teaching Improved Utilization of

Health Promotion strategies and health home visiting Health Services
programs (Immunization, prenatal and
house to house visits)
 Health Teachings in local dialect (IEC
materials, lectures, mothers’ class)

Improve Disease surveillance capacity

of the Local Health Centre Accurate annual health
report

4. Community Improve health literacy of the Active participation on

Engagement community and engaged them in Health Programs
designing locally focused, responsive,
sustainable and culturally sensitive
services and programs.

Organize community participatory

activities

5. Strengthening Strengthen the relationship with Allocation of funds for

partnership stakeholders including health from the LGU and
local council, religious sectors, and DOH;
community.

Coordinate with LGU for community

programs

6. Effective and efficient Ensure transparent performance Accurate data collection

services and programs monitoring and ongoing quality and good performance
improvement and support the delivery management, solid
of quality community-based health program evaluation.
care.
Improved health indices
Improve diagnostic capability of the ( I.e Infant mortality rate,
Local Health Centre (Establish maternal health status,
partnership with Local Diagnostic Nutritional status,
Laboratory Medication compliance
Rate)
Implementation of regular clinic
schedule

Improve referral system

Proper and complete reporting to local

government and DOH
7. Continue to Build Improve and sustain a workforce that Adequate ratio of health
Workforce is committed, supported and optimally worker per population
trained to deliver quality care to the
local community. Trained workforce

Establish Team building activities

Bi-annual team building
activities