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MANILA D II
DI
Land D IV
D VI
6 congressional
districts DV
The CITY OF
MANILA D II
DI
897 BARANGAYS D IV
D III
Depressed
230 Barangays D VI
Urban Poor
41% Population
DV
POPULATION
49%
1,576,975
(2002)
51%
POPULATION
HEALTCIL
FACILITIES
48 health centers
1 satellite clinic
12 lying-in-clinics
HEALTH
HEALTCIL
FACILITIES
108 public school clinics
4 comm. ref. Infirmaries w/
flying squad stations
HEALTH
HEALTCIL
FACILITIES
1 city gov’t employees clini c
1 physical therapy clinic
1 insect & vermin cntrl offc.
HEALTH
HEALTCIL
FACILITIES
HEALTCIL
FACILITIES
HEALTCIL
FACILITIES
HEALTCIL
FACILITIES
21 private lying-in-clinics
100 private school clinics
1998-
CITY HEALTH OFFICER NGOs
ADMINISTRATIVE
Administrative Services Health Operations Services
Planning, Training,
Research, Development and
Division of Maternal
Personnel Section
Laboratory and Child Health
O RGANI ZATIONA
Services
Division of Dental
Services
Office of Midwifery
L S TR UCT UR
Office of Family
Planning
Office of Nutrition
CITY HEALTH OFFICER NGOs
HLTH OPERATIONS
Administrative Services Health Operations Services
Planning, Training,
Research, Development and
Division of Maternal
Personnel Section
Laboratory and Child Health
O RGANI ZATIONA
Services
Division of Dental
Services
Office of Midwifery
L S TR UCT UR
Office of Family
Planning
Office of Nutrition
CITY HEALTH OFFICER NGOs
O RGANI ZATIONA
Services
Division of Dental
Services
Office of Midwifery
L S TR UCT UR
Office of Family
Planning
Office of Nutrition
A
NNUAL
HEALTH BUDGET
2002 - P5 .5
B
CI TY BU DG ET
A
NNUAL
HEALTH BUDGET
HEALTH
16% P915.6 M
NON-HEALTH
84% P4.624 B
NON-HEALTH RELATED
A
NNUAL
HEALTH BUDGET
GABMC 3%
O S 1%
MHD 7% OM 4% O T 1%
NON-HEALTH
84% P4.6 B
YE AR BU DGE T
2002 P 378.2 M
2001 P 366.5
2000 371.9
1999 345.7
1998 341.4
1997 203.6 1997 1998 1999 2000 2001 2002
A NNUAL
HEALTH BUDGET
Total
Budget 338.1 342.3 348.6 366.5 378.2 380.6
Figures in P
millions
A NNUAL
HEALTH BUDGET
Total
Budget 338.1 342.3 348.6 366.5 378.2 380.6
PS= Personal Services
Figures in P MOOE- Maitenance & Other Operating expenses
2001 2 20 03
OPERATING EXPENDITURES
(MAINTENANCE & OTHER OPERATING EXPENSES)
Traveling Expenses - Local 37,644.00 150,000.00 1,560,000.00
Training and Seminar Expenses 75,000.00 75,000.00
Water 1,299,999.94 1,500,000.00 1,700,000.00
Electricity 3,000,000.00 3,500,000.00 4,200,000.00
Telephone, Telegraph, Internet 982,000.00 1,000,000.00 1,200,000.00
Insurance Expense 325,000.00
Fidelity Bond Premiums 50,000.00
Fidelity Bond and Insurance Premiums 271,439.82 450,000.00
Office Supplies Expense 6,387,000.00
Supplies and Materials 2,233,193.80 3,730,000.00
Operation of Nutrition Projects 176,754.00 460,000.00
Community Reference Infirmaries-Lying-In-Clinic 2,847,966.86 3,560,000.00
Responsible Parenthood 71,002.50 200,000.00
Medical, Dental and Laboratory Supplies Expenses 37,873,000.00
Medicines 19,999,903.63 25,000,000.00
Medical Supplies 3,521,322.44 4,500,000.00
Dental Supplies 2,799,808.80 3,500,000.00
Laboratory Supplies 1,993,403.45 2,500,000.00
Expanded Program on Immunization 618,399.80 773,000.00
Medical Outreach Program 2,399,944.48 3,000,000.00
Insects and Rodents Control 399,970.00 600,000.00
Food and Non-Food Expenses 800,000.00
Disaster Emergency Operations 200,000.00 1,000,000.00
Gasoline, Oil and Lubricant Expenses 129,830.80 200,000.00 400,000.00
Taxes, Duties and Licenses 22,127.50 50,000.00
Hospital and Health Centers Maintenance 175,000.00
Repair and Maintenance of Government Facilities 95,691.00 175000
IT Equipment Maintenance 50,000.00
Motor Vehicle Maintenance 250,000.00
Repair and Maintenance of Government Vehicles 103,621.00 195,000.00
Spare Parts 13,872.50 130,000.00
Office Equipment Maintenance 50,000.00
Repair and Maint of Office and Medical Equipment 94,925.62 300,000.00
Other Equipment Maintenance 50,000.00
Furniture and Fixture Maintenance 50,000.00
Extraordinary and Miscellaneous Expenses 40,000.00 40,000.00
Other Expenses 56,768.50 125,000.00 50,000.00
2001 2 20 03
OPERATING EXPENDITURES
CAPITAL OUTLAY
Property, Plants and Equipment
Ofice Equipment 950,000.00
SUB-TOTAL 950,000.00
TOTAL APPROPRIATIONS
P378M P380M
P337M
2001 2 2003
A NNUAL
HEALTH BUDGET
MOOE
16%
Yr 2002
P378.2M
PERSONAL
SERVICES
84%
P HYSICAL
UPGRADING
1997 - 2002
2% 2M
104.2M Budget
4%4M
93.49M
1997 - 2002
Budgetary Allocation
For Medicine/Med Supplies
COMPLEMENT Dentists
PHNs
Midwives
151
211
122
(as of Oct, 2002) Med Techs 43
Sanitarians 67
Med & Pharmacists 3
Psychologist 1
Paramed Staff Med Lab Techs 4
Lab Aides 9
Nutritionists 4
Optometrist 1
Med Eqpt Techs 4
Radiologic Tech 1
HEPOs 9
Pest C Wkrs 26
Nursing Attdnts 66
Dental Aides 17
969 (74%)
MANPOWER Physicians 193
COMPLEMENT Dentists
PHNs
Midwives
151
211
122
(as of Oct, 2002) Med Techs 43
Sanitarians 67
Med & Pharmacists 3
Psychologist 1
Paramed Staff Med Lab Techs 4
Lab Aides 9
Nutritionists 4
Optometrist 1
Med Eqpt Techs 4
Radiologic Tech 1
HEPOs 9
Pest C Wkrs 26
Nursing Attdnts 66
Dental Aides 17
969 (74%)
SE&THRUST
PROGRAM
R S
V
A. Maternal and Child Health
I Maternal Care
C Safe Motherhood and Women’s Health
E Expanded Program on Immunization (EP
Control of Diarrheal Disease (CDD)
S Control of Acute Respiratory Infection
(CARI)
Under Five Clinic/Growth Monitoring
Breastfeeding Promotion
Nutrition
SE&THRUST
PROGRAM
R S
V
B. Communicable Disease
I
Control
Dengue Prevention and Control
C
E Program
Sexually Transmitted Diseases
S
Tuberculosis
Leprosy
SE&THRUST
PROGRAM
R S
V
C. Non-communicable Dis Control
I
Cardiovascular Diseases
C
Cancer Control Program
E
Primary Eye Care
S
National Voluntary Blood Donation
Diabetes Mellitus Control
SE&THRUST
PROGRAM
R S
V
D. Environmental Health
I Water and Sanitation
C Insect and Vermin Control
E Urban Cleaning and Greening
S
E. Dental Health
F. School Health
SE&THRUST
PROGRAM
R S
V
G. SPECIALIZED SERVICES
I Community Reference Infirmaries
C LICs including Flying Squads & Domicili
E Obstetrical Services (DOS)
S City Government Employees’ Clinic (CGE
Preventable Diseases
Geriatric Clinic
SE&THRUST
PROGRAM
R S
V
G. SPECIALIZED SERVICES
I Community Outreach
C Medical & Dental Mission -(Sama sa
E Masa)
S Cemetery Services
Special Programs/Projects
Public Health Laboratory
SE&THRUST
PROGRAM
R S
V
G. SPECIALIZED SERVICES
I Health Certificate Section
C Urban Cleaning & Greening
E Disaster/Emergency Management
S Pro-Life Movement
vital
Statistics
25.60
23.38 20.72
18.07
CRUD E BIR TH R AT E
16.58
1997 1998
1999 2000
2001
vital
Statistics
7.12
6.20 5.84 6.24
6.14
31.83
I NFAN T M ORTA LI TY
LE ADI NG CAUS ES
1. PNEUMONIA 6. MEASLES
2. PREMATURITY 7. CONGENITAL ANOMALIES
3. UPI 8. GASTROENTERITIS
4. SEPSIS 9. ASPHYXIA NEONATORUM
5. CONGENITAL HD 10. MECONIUM ASPIRATION
vital
Statistics
0.76
0.67
0.45
0.38
0.39
M AT ERN AL M ORTA LI TY
LE ADI NG C AUS ES
M AT ERN AL M ORTA LI TY
LE ADI NG C AUS ES
POPULATION 1,576,975
BIRTH 69/ DAY
DEATH 29/ DAY
MORBIDITY MORTALITY
cases per day cases per day
R ES PONS IBLE
P ARENT HO OD
LACTATION AMENORRHEA
2002 METHOD
4528
7221 7728
data
1st Qtr 2nd Qtr 3rd Qtr
1431
419 468
194
NEONATAL CASES 9 1 3 3
TETANUS DEATHS 4 1 3 3
C F R (%) 44.44 100 100 100
CARI
1998 1999 2000 2001 2002
PNEUMONIA TREATED 100 80 88 97.92 93.31
CDD
1998 1999 2000 2001 2002
ORS USE RATE 39.30 34.70 31.70 23.58 22.04
N
U OPT
T 97.00
92.95
97.20 95.46 98.00
R 83.00 82.30
88.90 82.60
98.00
I MRP
T Iodized salt
utilization
57% households
61% establishments
I PR
O 1.71 1.89 1.90 1.78 1.96
19,470 31,944
11,836
11,295
1,395
1,204 1,382
1,262
5.03
4.33
CASE 7.66
DETECTION 6.78
4.70 3.82
PREVALENCE
2.09
0.75 0.77 0.92 0.96
T ransmitted
D isease
1998 1999 2000 2001 2002
GONORRHEA 153 216 263 308 385
433
286
252
32 59 29 26
509
413
14 9 6 14 41
Fluoride
Sealant 1996
1997
Perm Filling 1998
1999
S ERVIC ES Temp Filling 2000
R EN DER ED Gum Tx
Extraction
0 50 100
10 DISEASES
L DIARR HE PNE UMON I
E A
BRON CHITI A TB
A S
D 1998 - 2002
I
1. Diarrhea 6. Diseases of heart
N 2. Bronchitis 7. Influenza
G 3. Pneumonia 8. Mumps
4. TB resp. 9. Chickenpox
5. Measles 10. Dengue
10 CAUSES OF DEATHS
L HEART MALIGN ANCIE
E DIS
PNE UMON I S
TB
A A RES PIRATORY
D 1998 - 2002
I 1. Dis of heart 6. Prematurity
N 2. Pneumonia 7. UPI
G 3. Malignancies 8. Sepsis
4. CVA 9. Homicide
5. TB resp 10. Hypertension
D ENTA
L
ORAL EXAM
100 1996 1998
1997 1999
80 2000
60
40
20
0
Prenatals Preschoolers Schoolers Other Adults
SCHOOL HEALTH
SCHOOL HE ALT H
SERVICES
SE RVI CES
1998 1999 2000 2001 2002
MED / NURSING SERVICES 204,349 257,634 313,683 285,725 124,800
Consultation/Treatment 92,687 83,886 76,546 71,972 77,245
DENTAL SERVICES
Cases/Patients Attended 2,926,251 2,960,138 2,887,790 1,407,406 151,085
Treatment 3,128,575 3,291,618 3,285,689 1,344,002 210,107
PHYSICAL EXAMINATIONS
Students 88,105 92,061 63,042 70,838 77,466
Teachers/sch personnel 10,526 10,570 8,086 13,274 10,636
Teacher Appli/Reinst. 1,077 1,194 938 755 1,307
SUPERVISORY VISITS
Medical 120 121 82 141 23
Dental 1,330 1,585 1,411 1,522 939
Nursing 309 379 308 421 139
NVBS P
natio nal vo lu nta ry10,445
blo od servic es61% accomp 9,053
progam donor retention
Repeat donor=4,469
index = 64.81%
donor retention index = 49%
blood
donors 4,218
6,708
June-Dec '98
1999 2000 2001 2002
NVBSP
national voluntary
blood services
program NO. OF BRGYS w\ WALKING 897
BLOOD BANK DIR
NO. OF GOs & NGOs WALKING 87
BLOOD BANK DIR
2002 NO. OF BRGYS w/ ADVOCACY 510
SESSIONS
NO. OF Gos & NGOs w/ 156
ADVOCACY SESSIONS
NO. OF MASS BLOOD 130
DONATIONS SESSIONS
UBSP C PC V
ACCOMPLISHMENTS
training of support group on basic nutrition &
enhanced child growth
conducted pregnant mothers’ class
orientation of supervisors on integrated mgt of
childhood illnesses
advocacy orientation on traditional birth
attendants
WORK
W ORK LOAD
L OAD
3,842,192
3,165,211
3,388,158
2,389,449
2,727,188
• lack of manpower
- ideal manpower to pop. ratio should
consider expected tasks to accomplish
Issues &
Concerns
•diversified focus on numerous
programs and projects
•target beneficiaries of programs/
projects based on estimated pop.
is not reliable
Issues &
Concerns
• networking needs strengthening
Hubert Humphrey
Services
… From
Womb TOMB
to
to
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