Elderly Health Care in Iligan City

ELDERLY HEALTH CARE IN ILIGAN

CITY

INTRODUCTION The Philippine population aged 60

years old and above made up 6.8 percent of the 92.1 million household population of the country.

55.8% were females 44.2% were males. 1.3% of which are indigents

INTRODUCTIONLeading Causes of Morbidity

Visual impairment, difficulty in walking, chewing, hearing, arthritis, osteoporosis and incontinence

Leading Causes of Mortality cardiovascular (66%), pneumonia (65%), peptic ulcer and gastro-intestinal disorders (56%), diabetes mellitus (52%); and tuberculosis (51%)

INTRODUCTION Iligan City

Population aged 60 years old and above was 14,888 which constituted 4.6% of the total population of Iligan City which was 322,821 people.

52.03% were females 47.97% were males

INTRODUCTIONLaws and Provisions mandated for Elderly

Republic Act No. 9994 or the Expanded Senior Citizens Act of 2010

Republic Act No. 9336 or the General Appropriations Act of 2006

Republic Act No. 9994 Section 5

Republic Act No. 10351

The General Appropriations Act FY 2006 (RA9336)

Aquino Health Agenda (AHA), through Administrative Order No. 2010-0036

STATEMENT OF THE PROBLEM

Given the large population of the elderly in Iligan City, this paper seeks to find out if the health condition of the elderly of Iligan City follow the national trend in the leading causes of morbidity and mortality and also, if the mandated benefits and privileges for the improvement of the welfare of the elderly are available locally.

OBJECTIVES OF THE STUDY

1. To know the elderly population in Iligan City for both sexes for the years 2010-2015

2. To identify the following:a) Top 10 causes of morbidity among the elderly for the years

2009-2013b) Top 10 causes of mortality among the elderly for the years 2009-

20133. To determine the number of beneficiaries of free pneumococcal

vaccine among the elderly for the year 20144. To know the other elderly health care benefits that are locally

available.

OBJECTIVES OF THE STUDY

1. To determine the elderly health care benefits occurring in the Geographically Isolated and Disadvantaged Areas (GIDA)

2. To know the difficulties encountered locally in the implementation of elderly health care

3. To determine policy implications for elderly health care in Iligan City

METHODS

Figure 1. Map of Iligan City

METHODSMIXED METHOD:

Quantitative Approach- Secondary Data from the different offices

Qualitative Approach- Primary Data from Key Informants

CONCEPTUAL FRAMEWORK

RESULTS AND DISCUSSIONS

Table 1.1 Elderly Population in Iligan City against Total Population (continued)

2010* 2011 2012 2013 2014 2015

Total Pop’n 322,821 326,856 330,942 335,079 339,267 343,508

Elderly Pop’n (60 & above) 14,887 15,073 15,262 15,452 15,646 15,843

Percentage 4.61% 4.61% 4.61% 4.61% 4.61% 4.61%


Age Group.

2010* 2011 2012

M F Total M F Total M F Total

60 - 64 2,949 3,016 5,965 2,986 3,053 6,039 3,023 3,091 6,114

65 - 69 1,918 1,906 3,824 1,942 1,930 3,872 1,967 1,954 3,921

70 - 74 1,067 1,337 2,404 1,080 1,354 2,434 1,094 1,371 2,465

75 - 79 634 705 1,339 642 714 1,356 650 723 1,373

80 & up 573 782 1,355 580 792 1,372 587 802 1,389

Total 7,141 7,746 14,887 7,230 7,843 15,073 7,321 7,941 15,262

Table 1.2 Elderly Population in Iligan City for Both Sexes


Age Group.

2013 2014 2015

M F Total M F Total M F Total

60 - 64 3,061 3,130 6,191 3,099 3,169 6,268 3,138 3,209 6,347

65 - 69 1,991 1,978 3,969 2,016 2,003 4,019 2,041 2,028 4,069

70 - 74 1,107 1,388 2,495 1,121 1,406 2,527 1,135 1,423 2,558

75 - 79 658 732 1,390 667 741 1,408 675 751 1,426

80 & up 595 812 1,407 602 822 1,424 610 833 1,442

Total 7,413 8,041 15,452 7,505 8,141 15,646 7,599 8,243 15,843

Table 1.2 Elderly Population in Iligan City for Both Sexes (continued)


2009 2010 2011 2012 2013

CausesNo.of Cases Rank

No. of Cases Rank

No. of Cases Rank

No. of Cases Rank

No. of Cases Rank

Hypertension 559 1 253 1 168 1 616 1

Acute Respiratory Infection 330 2 59 2 110 2 46 2 390 2

Urinary Tract Infection 15 9Acute Gastroenteritis /Gastritis

18 7 2 6 12 5 56 4

Surgery/Injuries 7 5 4 4 84 1 48 5Asthma 4 10Anemia 1 8Dengue 3 7Pneumonia 16 8 5 6 15 9Diabetes Mellitus 25 5 3 5 28 7Pulmonary TB 26 4 14 3 11 10Diarrhea 31 3 9 4 5 3Skin Diseases 21 6 1 8 12 5Fever 3 7Arthritis 18 3Viral Infection 15 4Herpes 7 6Headache 5 7 21 8Allergy 4 8Ear/Eye Infection 7 6Musculoskeletal Infection 2 9 103 3Neuritis 2 9Tendonitis 2 9Kidney Problems 39 6

Table 1.3 Top Causes of Morbidity for 60 years old and above, Iligan City, 2009-2013


Table 1.4 Philippines’ 10 Leading Causes of Morbidity, 2010

Diseases

1. Acute Respiratory Infection 6. Influenza

2. Acute Lower Respiratory Tract Infection and

Pneumonia7. Urinary Tract Infection

3. Bronchitis/Bronchiolitis 8. TB Respiratory

4. Hypertension 9. Injuries

5. Acute Watery Diarrhea 10. Disease of the Heart


Table 1.5 Top Causes of Mortality for 60 years old and above, Iligan City, 2009-2013

2009 2010 2011 2012 2013

Causes No. of Cases Rank No.of

Cases Rank No. of Cases Rank No. of

Cases Rank No. of Cases Rank

Pneumonia 191 3 165 2 181 2 221 2 232 3Myocardial Infarction 244 1 219 1 247 1 275 1 304 1

Sepsis/ Septicemia 21 7 81 4 73 4 62 6

COPD/Asthma 19 8 13 10Renal Disease/Failure 23 6 37 8

Cancer (all forms) 30 5 55 5 66 5 82 4 64 5

Pulmonary TB 32 4 37 8 35 8 41 7 31 8Asphyxia 12 10 43 6 66 5 23 8Cerebrovascular Accident/ Failure 202 2 162 3 160 3 190 3 282 2

Liver Disease/ Cirrhosis 42 7 25 9 14 10 22 9

Diabetes Mellitus 17 9 63 5 54 6

Chronic Kidney Disease 54 6 18 9 45 7

Senility /Debility 16 10

Multiple Brain Failure 23 8

Gastric/Peptic Ulcer Disease 30 9

Respiratory Distress Syndrome 27 10 23 8 67 4

Drowning 49 7


Table 1.6 Philippines’ 10 Leading Causes of Mortality, 2010

Diseases

1. Diseases of the heart 6. Tuberculosis, all forms

2. Diseases of the vascular system 7. Chronic lower respiratory diseases

3. Malignant neoplasms 8. Diabetes mellitus

4. Pneumonia 9. Nephritis, nephrotic syndrome and nephrosis

5. Accidents10. Certain conditions originating in the perinatal period


Geographically Isolated and Disadvantage Areas (GIDA)-communities that are physically and socio-economically separated from the mainstream society - 40.91% of the barangays

Specific programs implemented: maternal health care child health care TB control program environmental health and sanitation disease surveillance control of lifestyle related diseases


Table 1.7 Elderly Population in the GIDA Barangays, 2014GIDA Barangays Total Pop’n Elderly Pop’n Percentage against Total Pop’n

Abuno 4,943 272 5.50%

Bonbonon 1,565 80 5.11%

Bunawan 2,293 97 4.23%

Digkilaan 4,454 267 5.99%

Dulag 1,124 30 2.67%

Hindang 1,182 18 1.52%

Kabacsanan 2,046 129 6.30%

Kalilangan 1,218 47 3.86%

Lanipao 2,468 87 3.53%

Mainit 2,606 136 5.22%

Mandulog 3,261 236 7.24%

Puga-an 7,775 347 4.46%

Rogongon 5,118 280 5.47%

Sta. Elena 5,380 266 4.94%

Tambacan 17,553 866 4.93%

Tipanoy 13,562 717 5.29%

Upper Tominobo 1,708 115 6.73%

Panoroganan 4,241 179 4.22%

Total 78,256 3,990 87.21%

Average 4347.556 221.6667 5.10%


Table 1.8 Pneumococcal Immunization for Indigent Senior Citizen, 2014

Barangays 60-69 yrs. Old 70-79 yrs. Old 80-89 yrs. Old 90-99 yrs. Old Total Number of Vaccines

M F M F M F M F M F B Allot-ment Used

Abuno 8 7 8 7 15 15 15 Acmac 6 2 10 12 16 14 30 30 30 Bagong Silang 2 3 4 6 6 9 15 15 15 Bonbonon 1 2 7 6 1 1 9 9 18 18 18 Bunawan 2 8 2 8 10 10 10 Buru-un 2 5 6 9 1 2 9 16 25 25 25 Dalipuga 2 6 15 12 17 18 35 35 35 Del Carmen 5 8 13 14 18 22 40 40 40 Digkilaan 4 5 2 3 1 6 9 15 15 15 Ditucalan 2 5 8 5 10 15 15 15 Dulag 2 5 3 5 5 10 10 10 Hinaplanon 1 1 2 5 1 4 6 10 10 10 Hindang 4 4 6 8 3 10 15 25 25 25 Kabacsanan 2 2 3 8 3 2 8 12 20 20 20 Kalilangan

Kiwalan 3 3 4 7 3 10 10 10

Lanipao 2 5 3 5 5 10 10 10

Mahayahay 2 3 6 9 8 12 10 10 10 Mainit 7 5 6 7 13 12 25 25 25 Mandulog 2 3 6 4 8 7 15 15 15 Maria Cristina 8 10 10 14 2 6 20 30 50 50 50 Pala-o 3 8 14 17 4 4 21 29 50 50 50 Panoroganan Poblacion 4 7 5 9 9 16 25 25 25 Puga-an 3 4 15 18 2 6 20 28 48 48 48


Table 1.8 Pneumococcal Immunization for Indigent Senior Citizen, 2014 (continued)

Barangays 60-69 yrs. Old 70-79 yrs. Old 80-89 yrs. Old

90-99 yrs. Old Total Number of Vaccines

M F M F M F M F M F Both Allot-ment Used

Rogongon 1 2 9 8 10 10 20 20 20San Miguel 1 7 11 3 3 10 15 25 25 25San Roque 2 1 9 8 11 9 20 20 20Sta. Elena 8 5 2 9 1 11 14 25 25 25

Sta. Filomena 2 10 19 2 2 12 23 35 35 35

Santiago 7 8 9 16 16 24 40 40 40

Sto. Rosario 1 2 7 2 8 10 10 10

Saray 5 7 7 11 3 2 15 20 35 35 35Suarez 6 5 10 14 3 2 19 21 40 40 40Tambacan 8 13 10 16 1 2 19 31 50 50 50Tibanga 2 7 9 12 2 3 13 22 35 35 35Tipanoy 2 3 11 8 3 3 16 14 30 30 30Tom. Prop. 7 8 9 8 3 4 1 20 20 40 40 40

Tom. Upper 2 2 6 2 8 10 10 10

Tubod 8 8 21 28 29 36 65 65 65

Ubaldo Laya 6 5 6 10 1 2 13 17 30 30 30

Upper Hinaplanon

Villa Verde 3 4 8 4 11 15 15 15OPD 8 14 11 18 2 1 21 33 54 54 54c/o Coun. Abragan 53 39 36 33 11 16 100 88 188 200 188

TOTAL 175 209 337 441 58 76 3 4 577 726 1303 1315 1303


Difficulties Encountered during Program Implementation:The low level of willingness

of the elderly to participate Shortage of workforceTopographyDistance to main health officesThreat to security, peace and order

CONCLUSION The number of elderly population in Iligan city is

expected to increase.

Benefits and Privileges:

Free medical and dental services

Free influenza virus and pneumococcal immunization

Elderly Filipino Week Celebration 1st week of October

CONCLUSION Morbidity

The number of cases on the top causes of morbidity from 2009 – 2012 declined

Mortality There are no declines in the number of reported cases of

the top causes of mortality

The local top causes of morbidity and mortality showed similarity to the nation’s top causes of morbidity and mortalityThe programs implemented were not effective as to decreasing the number of cases per ailment.

RECOMMENDATIONS The ICHO and OSCA must focus on campaigns and

seminars that will educate people on various health concerns of the elderly and also for the health provisions available for the elderly.

The local government must address this inadequacy and must act on it immediately.

The government must also increase its budget for the various programs for the elderly especially for the immunizations in order to cater the majority of the elderly population.

Workers should continually improve their data recording and data keeping practices.

RECOMMENDATIONS The data should also be readily available especially to students

conducting research.

Government personnel must also be research friendly, accommodating and cooperative to everyone who is willing to explore the knowledge about the elderly health care.

Future researchers must determine the budget allocation for the elderly to check if there is a correlation between the budget and program effectiveness.

Future researchers are also encouraged to visit barangay health centers for the evaluation of health programs. They must interview health care beneficiaries of different barangays to come up with a report in health care efficiency.

Elderly Health Care in Iligan City

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