Health Profile 2011
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Transcript of Health Profile 2011
Republic of the Philippines
Department of Health
CENTER FOR HEALTH DEVELOPMENT-CARAGA Pizarro Street cor. Narra Road, Butuan City
FOREWORD This Regional Profile for Caraga Region is a compilation of updated
basic information about the region itself and its prevailing Health
Status. It is designed to provide health data users or individuals from
various institutions, local or international, private or government
with the important health data for planning for the improvement of
the health of the Caraganons and or for reference for research
and whatever endeavors that will contribute to the regional and or
national welfare.
Data for Vital Health Statistics are being presented by province and
city for easy reference should a data user/health planner need to
consider a particular area. Some regional consolidated data are
presented in trends to facilitate easy data interpretation.
Moreover, performances/ accomplishments that put CHD Caraga
in the limelight are included.
We acknowledge the efforts/assistance of the people from within
our organization like the Program Managers and the DOH
Representatives from Provincial Health Team Offices and from our
partner agencies like LGU health workers at the barangay health
stations, rural health units of various municipalities, main health
centers and city health offices and provincial health offices. Also
we acknowledge the valuable contribution of our counterpart
personnel from NEDA, NSO and many other government agencies.
Without them, this document could not have been materialized.
ARIEL I. VALENCIA, MD, MPH, CESO III Director IV
Table of Contents Foreword.....................................................................................i
Table Contents...........................................................................ii
CHD Vision and Mission............................................................1
CARAGA Profile.........................................................................2-8
A. Land Area
Population
B. Health Facilities and Human Resources...............9-15
Hospital Facilities
C. Vital Health Indices...............................................16-35
Crude Birth Rate
Contraceptive Prevalence Rate
Crude Death Rate
Leading Causes of Mortality and Morbidity
Infant Mortality Rate (IMR)
Leading Causes of Infant Mortality and Morbidity
Underfive Mortality
Leading Causes of Underfive Mortality and Morbidity
Maternal Mortality
Leading Causes of Maternal Mortality
Malnutrition Rate
Trend of Percentage of Fully Immunized Children
Environmental Sanitation of Caraga
CHD Caraga Progress Report on the Status of MDC
Attainment, 2011
D. Health Facilities Enhancement Projects in
Caraga ……………………..……………………...36-44
E. PHIC Enrollment Coverage thru NHTS ……………45
F. LGU Scorecard 2010 …………………………………46-53
G. CHD Caraga Personnel ……………………………..54
Center for Health Development
Caraga Region
Vision :
Champion in Accelerating Reforms for the
Attainment of a Guaranteed and Accessible
Healthcare Services
Mission :
Committed to provide a responsive and sustainable
quality healthcare services especially to the
marginalized sector in partnership
with all stakeholders
Thrusts : - Better Health Outcome
- More Responsive Health System
- Equitable Health Care Financing
Values : - Compassionate
- Accountable
- Responsive
- Achiever
- Grounded/God-fearing
- Available/Accessible
CARAGA REGION HEALTH PROFILE
2011
Caraga Administrative Region has come to exist thru Republic Act
No. 7901 which was signed into law by the then President Fidel V.
Ramos on February 25, 1995. Caraga Region is situated in the
Northeastern portion of the island of Mindanao. It is now composed
of 5 provinces, the 2 Agusan provinces – Norte and Sur, the 2
Surigao Provinces – Norte and Sur, and the newly created Province
of Dinagat Islands which creation was approved in 2006 and 6
cities which are: the chartered city of Butuan and the component
Cabadbaran (new), both in Agusan del Norte. Surigao City is the
component city of Surigao del Norte, Bislig City and the newly
created City of Tandag are component cities of Surigao del Sur
and Bayugan City, which is another newly created city is in Agusan
del Sur. There are a total of 67 municipalities and 1,310 officially
registered barangays distributed regionwide.
The history of Caraga Region can be traced back to the 15th
century when explorers discovered the existence of “Kalagans” –a
group of people believed to be of Visayan origin who occupied a
13.5
13.94
13.3
10.84
8.2
6.91
6.45
6.03
5.15
4.14
3.2
2.64
2.24
1.49
0.97
0.55
0.46
13.23
14.00
13.56
10.72
8.04
6.83
6.48
5.97
5.07
4.02
3.24
2.66
2.32
1.56
1.08
0.65
0.58
-20-15-10-505101520
Female
Male
80+
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
0-4
5 10 1 5 20
Age
Group
Percent
Percent Distribution of Population By Age Group and Sex
Caraga Region 2011
specific area or district in this part of Mindanao Island. Kalagan is a
combination of 2 Visayan words – kalag which means soul or
people and an to mean land. The Kalagans have a long history of
being brave and fearless, thus, early chroniclers called this region
as the “Land of the Brave and Fierce People”.
A.Land Area, Population, Population Density, Income
Classification According to Caraga Development Plan for 2004 – 2010 published
by NEDA Reg. 13 in 2004, Caraga Region has a total land area of
20,710.9 km2 which is equivalent to 6.9% to the total land area of
the entire Philippines and 21.88% to the total land area of
Mindanao.
The uneven distribution of the land area to the provinces and cities
greatly affects the economic and demographic factors including
health of the area. Having received the greatest portion, the
province of Agusan del Sur is being inhabited by most of the
indigenous peoples in the region, most commonly the three tribes
of Manobos, Higaonons, and the Banwaons, a number of them still
exist in the innermost barangays of forested area in the far
municipalities of this province. Though the other three remaining
provinces have also their share of indigenous peoples, yet, they are
only few compared to Agusan del Sur. The cities have smaller land
areas and therefore have higher population densities since it is in
these places where a lot of people prefer to stay for opportunities
like jobs, etc.
The 2010 Census conducted revealed that for that year the total
population of Caraga reached 2,429,224 with an observed growth
rate for 2000 – 2010 of 1.49%. With this land area and 2011
projected population that reached 2,466,200 (projected based on
2010 Census), the average population density is computed at 119
persons per square kilometer.
In 2011, an estimated 51% males and 49% females composed the
2,466,200 population of Caraga Region in a pyramidal distribution
that is more than 50% of the population belong to 25 years old
below, and as the age group advances, the population in both
sexes decreases almost equally. However, it can be noted that the
upper age groups have more females than males as there are
more males dying earlier than females – thus the ratio is reversed.
This phenomenon can be observed readily, starting age 50 and
over.
Dependency Ratio is 79%. Dependent age groups - below 15 years
old and above 65 years old, composed approximately 44% of the
total population or for every 100 individuals belonging to labor
force there are 79 persons depending on them for support.
Population of Vulnerable Groups By Province & City, Caraga, 2011
Province/City <5 Children Pop WRA Pop Over 65 y.o. pop
Agusan Norte 45,580 84,408 13,505
Agusan Sur 90,085 166,824 26,692
Surigao Norte 41,496 76,795 12,287
Surigao Sur 63,635 117,843 18,855
Prov. Din. Is. 17,418 32,256 5,161
Butuan City 42,430 78,573 12,572
Surigao City 19,299 35,739 5,718
Bislig City 13,021 24,113 3,858
Caraga
Region 332,934 616,551 98,648
The Province of Agusan del Norte has an estimated population of
337,632 or 14% of the regional population and is distributed in 166
barangays that are scattered in 10 municipalities and a city. A
population density of 92.82 persons per square kilometer is
computed for a total land area of 3,637.6 square kilometers. The
City of Cabadbaran is the newly created component city of this
province has the majority of the population, 19.1% while the
municipality of Kitcharao has the least with only 4.7% of the entire
population of the province.
The City of Butuan has an estimated population of 314,293 or 12.7%
of the region’s population distributed in 86 barangays covering a
total land area of 816.62 square kilometers which is equivalent to
2.79% of the region’s total land area. With this land area and
population, a density of 385 persons per square kilometer is
computed which is typical for a highly urbanized city. A
considerable percentage of population in this city comes from the
nearby provinces within and outside the region for various reasons
like seeking for jobs, schooling, etc. Most of these transient
Agusan del Norte Population Distribution
2011 (Based on 2010 Census)
Municipality
Income
Class
No. of
Barangays
PGR
(2010) 2011 Pop.
% Pop to
Prov.
% Pop
to
Region
Buenavista 2nd 25 1.04 56,723 18.6 2.3
Cabadbaran 31 2.33 70,854 19.1 2.9
Carmen 4th 8 1.34 20,046 5.8 0.8
Jabonga 3rd 15 1.52 24,195 6.8 1.0
Kitcharao 4th 11 0.86 17,526 4.7 0.7
Las Nieves 2nd 20 2.23 27,455 8.4 1.1
Magallanes 4th 8 0.77 21,646 7.1 0.9
Nasipit 3rd 19 1.28 41,184 11.5 1.7
Santiago 4th 8 1.57 21,284 7.0 0.9
Tubay 4th 13 1.46 20,724 6.0 0.8
RTR 5th 8 1.65 15,995 4.9 0.6
AGUSAN
NORTE 3rd 166 1.53 337,632 100.0 13.7
BUTUAN CITY 1st 86 1.48 314,293
12.7
individuals live in slum areas, leading to congestion and
overcrowding, a factor to consider in the spread of some infectious
diseases like measles and others.
The Province of Agusan del Sur has 27% of the population or
667,294 that are unequally distributed in 314 barangays under 13
municipalities and 1 component city, the newly created city of
Bayugan. The province has the largest area in the region that
comprise 47.57% or 8,965.50 square kilometer and a population
density of 75 per km2 which shows that this province is still sparsely
populated.
Agusan del Sur Population Distribution
2011(Based on 2010 Census)
Municipalities Income
Class
No. of
Barangays
PGR
(2010
Census)
2011 Pop.
(based on
2010
Census)
% Pop to
Prov.
% Pop to
Region
Bayugan City 1st 43 0.6 99,957 15.0 4.1
Esperanza 1st 48 3.45 38,775 5.8 1.6
Bunawan 1st 10 1.63 52,743 7.9 2.1
La Paz 1st 15 3.18 29,470 4.4 1.2
Loreto 1st 17 2.32 40,390 6.1 1.6
Prosperidad 1st 32 0.79 77,233 11.6 3.1
Rosario 2nd 11 2.93 39,402 5.9 1.6
San Francisco 1st 27 2.22 72,562 10.9 2.9
Sta. Josefa 3rd 11 2.37 33,509 5.0 1.4
San Luis 1st 25 1.02 25,413 3.8 1.0
Sibagat 1st 24 1.89 37,927 5.7 1.5
Talacogon 2nd 16 1.25 47,783 7.2 1.9
Trento 1st 16 1.11 40,906 6.1 1.7
Veruela 2nd 20 0.77 31,224 4.7 1.3
AGUSAN SUR 1st 314 1.61 667,294 100.0 27.05
Surigao del Norte Province has only 10.7% of the regional area or
2,017.10 square kilometers. It is composed of 20 municipalities and 1
component city, the City of Surigao and a total of 335 barangays
(281 barangays in the province and 54 barangays in Surigao City).
The 2011, estimated population of the entire province is 450,135 or
16.0% of the region’s population and 32.8% (142,957) of which is in
the city. The population density is computed at 223 persons per
square kilometer.
Surigao del Norte Population Distribution
2011(Based on 2010 Census)
Municipality Income
Class
No. of
Brgys PGR (2010) 2011 Pop.
% to
Prov. % to Region
Alegria 5th 12 1.18 14,711 3.3 0.6
Bacuag 5th 9 0.79 13,315 3.0 0.5
Burgos 5th 6 2.92 4,176 0.9 0.2
Claver 2nd 14 3.75 24,591 5.5 1.0
Dapa 4th 29 1.87 23,931 5.3 1.0
Del Carmen 5th 20 2.37 17,542 3.9 0.7
General Luna 5th 19 1.97 15,310 3.4 0.6
Gigaquit 4th 13 1.52 19,070 4.2 0.8
Mainit 4th 21 2.29 25,824 5.7 1.0
Malimono 5th 14 1.19 18,735 4.2 0.8
Pilar 5th 15 1.49 9,569 2.1 0.4
Placer 4th 20 0.89 24,930 5.5 1.0
San Benito 5th 6 1.47 5,587 1.2 0.2
San Fracisco 5th 11 1.34 13,531 3.0 0.5
San Isidro 5th 12 1.42 7,072 1.6 0.3
Sta. Monica 5th 11 1.17 8,817 2.0 0.4
Sison 5th 12 1.25 11,519 2.6 0.5
Socorro 5th 14 1.25 20,558 4.6 0.8
Tagana-an 5th 14 1.81 15,644 3.5 0.6
Tubod 5th 9 1.41 12,746 2.8 0.5
Surigao City 2nd 54 1.72 142,957 31.8 5.8
SURIGAO DEL NORTE 2nd 335 1.68 450,135 100.0 18.3
The Province of Surigao del Sur has 567,822 or 22% of the
population. 96,452 of it, is in the component city of Bislig and this is
equivalent to 4% of the population of the entire region. This
province has 309 barangays, of which, 24 are in Bislig City. Tandag
is the newly created component city for this province and has a
population of 52,963. Surigao del Sur with Bislig City have a total
land area of 4,552.16 square kilometer or 24.15% of the regional
area, thus a population density of 125 persons per square kilometer
is computed.
Surigao del Sur Population Distribution
2011 (Based on 2010 Census)
Municipality Income
Class
No. of
Brgys
PGR
(2010)
2011 Pop.
(based on
2010
Census)
% to
Prov. % to Region
Barobo 3rd 21 2.36 44,693 7.9 1.8
Bayabas 5th 7 0.09 7,786 1.4 0.3
Cagwait 4th 11 0.17 18,931 3.3 0.8
Cantilan 2nd 17 1.3 30,624 5.4 1.2
Carmen 5th 8 0.74 10,363 1.8 0.4
Carrascal 4th 14 2.31 16,911 3.0 0.7
Cortes 4th 12 0.47 15,614 2.7 0.6
Hinatuan 2nd 24 0.69 38,998 6.9 1.6
Lanuza 4th 13 1.66 12,054 2.1 0.5
Lianga 2nd 13 1.46 29,327 5.2 1.2
Lingig 4th 18 1.76 32,099 5.7 1.3
Madrid 4th 14 0.57 14,973 2.6 0.6
Marihatag 3rd 12 0.9 18,087 3.2 0.7
San Agustin 4th 13 3.36 21,349 3.8 0.9
San Miguel 1st 18 2.67 37,256 6.6 1.5
Tagbina 2nd 25 0.22 34,889 6.1 1.4
Tago 2nd 24 1.35 34,453 6.1 1.4
Tandag City 1st 21 1.63 52,963 9.3 2.1
Bislig City 3rd 24 -0.13 96,452 17.0 3.9
SURIGAO DEL
SUR 1st 309 1.12 567,822 100.0 21.7
The Province of Dinagat Islands is composed of 7 municipalities and
100 barangays and has a total population of 129,024 or 5% of the
region’s population which are distributed in a total land area of
721.92 square kilometers or 3.83% of the regional land area. A
population density ratio of 178 persons per square kilometer is
computed.
Generally, Caraga region is just a small region compared to other
regions in the island of Mindanao with most of the areas are rural as
indicated by population density per province. In cities and bigger
municipalities, congestion of population can only be seen in the
poblacion barangays. It is from these areas where high prevalence
of cases of infectious diseases are reported which can be due to
limited living spaces and poor environmental sanitation especially
waste disposal.
Province of Dinagat Islands Population Distribution
2011 (Based on 2010 Census)
Municipality Income
Class
No. of
Brgys
PGR
(2010) 2011 Pop. % to Prov. % to Region
Basilisa 4th 27 2.49 34,724 26.9 1.4
Cagdianao 3rd 14 1.56 15,282 11.8 0.6
Dinagat 5th 12 2.61 13,120 10.2 0.5
Libjo 5th 16 0.56 17,665 13.7 0.7
Loreto 4th 10 0.19 8,937 6.9 0.4
San Jose 4th 12 1.97 31,646 24.5 1.3
Tubajon 5th 9 1.08 7,650 5.9 0.3
Prov. Of Dinagat
Islands 100 1.72 129,024 100 5.2
B. Health Facilities and Human Resources
To meet increasing demands for quality healthcare services and to
realize targets, the Public Health Facilities are capacitated not only
to handle deliveries but to provide other health services to the
clients including newborn screening, treat TB and many others. With
these services come along Phil Health Benefit Packages such as,
maternal, outpatient, etc. This is designed to really encourage
patients, especially the poor to come to the clinic and submit
themselves for appropriate healthcare without apprehension of the
costs.
In recent years, a lot of repair/renovation/upgrading of Rural
Health Units or Barangay Health Stations were being done if not
construction of a new building. Hundreds of millions of pesos were
being invested in the enhancement of health facilities to include
provision of equipment.
At present, Caraga has already a total of 717 barangay health
stations and this reduces the average BHS to population ratio to
only 1:3,440 from 1:3,898 in 2010. However, in Surigao City and
Agusan del Sur the ratio is still very high at 6,807 and 5,055
respectively.
Important to healthcare service delivery are the corresponding
health manpower who are trained and skillful enough to perform
what is expected of them. However, quality of care can readily be
affected if these health personnel are overly tasked due to very
high personnel to popualtion ratio.
Of paramount importance to quality service provision to the public
is a complete set of health personnel in the rural health facility. In
the public health system, the standard ratio to population for
doctor and nurse is 1:20,000. For the public health dentist is 1:50,000.
For the rural health midwife,1:5,000. If these standard ratios are
observed, these health personnel are not overly worked and the
high quality of patient care can be assured. However in Caraga,
meeting these standard health manpower remains a challenge.
Only the province of Surigao del Norte perfectly meets these
requirements while in most areas these health personnel are heavily
tasked.
Health Manpower to Population Ratio
Caraga Region
2011
Area PH Physician PH Dentist PH Nurse RH Midwife
No. Ratio No. Ratio No. Ratio No. Ratio
A D N 9 37,515 11 30,694 20 16,882 88 3,837
A D S 14 47,664 8 83,412 30 22,243 149 4,478
S D N 20 15,359 12 25,598 21 14,628 98 3,134
S D S 19 24,809 18 26,187 26 18,130 146 3,229
P D I 7 18,432 - - 4 32,256 37 3,487
BXU 4 78,573 3 104,764 49 6,414 49 6,414
SC 6 23,826 3 47,652 9 15,884 23 6,216
BiC 4 24,113 3 32,151 4 24,113 43 2,243
Caraga 83 29,713 58 42,521 173 14,255 601 4,103
Public Health Facilities Caraga Region
2011
Prov/ City
Rural Health Unit/ Main Health Center Barangay Health Station
No. Birthing BEm
ONC MCP NBS
TB
DOTS OPB No. Birthing
Ratio to Population
A D N 11 11 4 2 8 7 9 98 58 3,445
A D S 14 11 6 8 4 5 14 132 42 5,055
S D N 20 19 0 6 6 4 20 79 11 3,888
S D S 18 4 3 3 4 2 18 198 1 2,381
PDI 7 5 1 - 7 - 6 68 11 1,897
B X U 3 3 - - - - 3 83 19 3,787
S C 4 4 2 4 4 3 4 21 - 6,807
Bi C 3 1 1 1 1 3 3 38 - 2,538
Caraga 80 58 17 24 34 24 77 717 142 3,440
Hospital Facilities Caraga Region
2011
Province/
City
Level 1 Level 2 Level 3 Total Total
Hosp Pvt Gov’t Pvt Gov’t Pvt Gov’t Pvt Gov’t
A D N 4 4 - 1 - 1 4 6 10
A D S 5 4 1 1 - 1 6 6 12
S D N - 9 - - - - - 9 9
S D S 3 5 - 3 - - 3 8 11
PDI - 3 - - - - - 3 3
B X U 2 - 1 - 2 1 5 1 6
S C 2 - 2 - - 1 4 1 5
Bi C 2 - - 1 1 - 3 1 4
Caraga 18 25 4 6 3 4 25 35 60 It is for this reason that the DOH has provided manpower
augmentation to the municipalities thru Rural Health Team
Placement Program (RHTPP), Rural Health Midwife Placement
Program (RHMPP), Registered Nurses for Health Enhancement And
Local Service (RNHEALS) and Doctor to the Barrios (DTTB).
Hospital Facilities in Caraga
Caraga has a total of 60 licensed hospitals to cater higher level of
healthcare needs of the people in a community. Should the
preventive measures in the public health system fail, the latter
should be able to effectively perform its roles and responsibilities to
treat and rehabilitate the patient.
The Philippine standard for Bed to Population ratio is 1000 persons
for every bed. But in Caraga region, the average ratio is higher
than this standard resulting to overcrowding of patients so that
even on hallways beds can be seen. This scenario can be seen
mostly in government hospitals particularly those with higher
capability like the 2 Retained Hospitals: Caraga Regional Hospital
(CRH) in Surigao City, Adela Memorial Medical Center (ASTMMC) in
Tandag City. Also in DO Plaza Memorial Hospital and Butuan
Medical Center – both are owned and operated by LGU in Agusan
Sur and Butuan City respectively.
Health Manpower to Population Ratio
Caraga Region
2011
Area
Nutritionist RH Medtech San. Inspector
BHW
No. Ratio No. Ratio No. Ratio No. Ratio
A D N 1 337,632 10 30,694 13 25,972 1,172 288
A D S 3 222,431 17 37,072 18 37,072 2,451 272
S D N 1 307,178 7 38,397 27 11,377 2,406 128
S D S 1 471,370 18 24,809 23 20,494 2,353 200
P D I 0 - 3 32,256 6 21,504 977 132
BXU 0 - 3 52,382 23 13,665 500 629
SC 1 142,957 3 47,652 4 35,739 458 312
BiC 0 - 3 32,151 5 19,290 380 254
Caraga 7 352,314 63 34,253 119 20,724 10,697 231
Hospital Bed to Population Ratio Caraga Region
2011
Area No. of Hospitals No. of Hosp. Beds Total
Beds Bed to
Pop Ratio Govt Pvt Govt Prvt
A D N 6 4 195 70 255 1:1,324
A D S 6 6 200 55 255 1:2,617
S D N 9 - 170 - 170 1:1,807
S D S 8 3 241 28 250 1:1,885
PDI 3 - 50 - 50 1:2,580
B X U 1 5 100 290 377 1:834
S C 1 4 150 100 258 1:554
Bi C 1 3 50 110 110 1:877
Caraga 35 25 1,110 612 1722
1:1,432
2011 Retained Hospitals Performance
Retained Hospitals Performance StatisticsCaraga Region
2011
Indicator: Access to Care C R H A S T M M C
• Authorized Bed Capacity 150 200
• Actual Implementing Beds 186 100
• Occupancy Rate (%) 138.7 102
• Total Admissions 18,639 11,266
• Daily Ave. of In-patients 208 102
• Total Outpatient Served 48,209 16,234
• Total ER Patients Served 23,178 3,234
• No. of Persons Given Diet Counseling 1,861 5,464
• Ambulance Calls/Conduct Patients 1,266 49
• Total Surgery 4,953 1,093
Retained Hospitals Performance StatisticsCaraga Region
2011
Indicator: Effectiveness & Efficiency of Care C R H A S T M M C
• Ave. Length of Stay (ALOS) 4 3.3
• Normal Spontaneous Delivery (NSD) 4,267 2,051
• Caesarian Section Rate 561 311
• Total Discharges 18,638 11,183
oDischarged Recovered 17,208 3,601
oDischarged Improved 665 7,201
oDischarged Unimproved 85 9
oDischarged Dead 680 372
• Gross Death Rate (%) 3.7 3.3
• Net Death Rate (%) 2.0 1.38
• Maternal Death Rate (%) 0.2 0.19
• Infant Death Rate (%) 2.7 2.0
Leading Causes of MortalityCaraga Regional Hospital
2011
CausesTOTAL
M F Total
1 Hypertensive Cardiovascular Diseases 73 64 137
2 Septicemia 51 40 91
3 Pneumonia 42 19 61
4 Certain conditions originating in the perinatal period 30 27 57
5 Respiratory Tuberculosis 24 10 34
6 Diseases of the genito-urinary system 15 9 24
7 Accidents/Assault/Injuries,all forms 25 5 30
8 Diarrhoea& gastro-enteritis of presumed infectious origin 9 7 16
9 Diseases of the Digestive system 11 3 14
10 Diseases of the Liver 5 6 11
11 Diseases of the respiratory system 7 2 9
12 Obstetric Deaths 9 9
13 Malignant neoplasm of liver/intrahepatic bile ducts 4 1 5
14 Meningitis 2 2 4
15 Others 91 92 183
TOTAL 398 287 685
Leading Causes of MortalityAdela Serra-Ty Memorial Medical Center
2011
CausesTOTAL
M F Total
1 Hypertensive Cardiovascular Diseases 40 32 72
2 Pneumonia 29 23 52
3 Certain Condition originating in Perinatal period 30 18 48
4 Respiratory Tuberculosis 16 8 24
5 Disease of the Genitourinary System 12 6 18
6 Diabetes Mellitus 8 8 16
7 Disease of Digestive 6 5 11
8 Diarrhea 5 3 8
9 Transport Accident 7 1 8
10 Anemias 1 5 6
11 Septicaemia 2 4 6
12 Chronic Lower Respiratory 4 1 5
13 Assault 5 0 5
14 Meningitis 2 2 4
TOTAL 167 116 283
C. Vital Health Indices
Vital Health IndicesCaraga Region
2011
Area PopLive
Births
CBR(per
1000
pop)
Deaths CDR (per
1000
pop)
Infant Deaths
Under FiveMortality
MaternalDeaths
M F Total No. IMR No. Rate No. Rate
ADN 337,632 7,565 22.4 507 367 874 2.6 27 3.6 37 4.9 6 0.79
ADS 667,294 15,946 23.9 1,064 545 1,609 2.4 140 8.8 175 11.0 13 0.81
SDN 307,178 5,949 19.4 721 543 1,264 4.1 46 7.7 80 13. 5 9 1.51
SDS 471,370 9,827 20.9 1,099 788 1,887 4.0 66 6.7 84 8.6 5 0.51
PDI 129,024 2,160 16.7 191 205 396 3.1 7 3.2 11 5.1 2 0.93
BXU 314,293 7,986 25.4 1,042 763 1,805 5.7 44 5.5 89 11.1 8 1.00
SC 142,957 2,863 20.0 536 361 897 6.3 35 12.2 47 16.4 2 0.70
BiC 96,452 1,952 20.2 280 167 447 4.6 7 3.6 11 5.6 0 0.00
Caraga 2,466,200 54,248 22.0 5,440 3,739 9,179 3.7 372 6.9 534 9.8 45 0.83
Leading Causes of MorbidityCaraga Regional Hospital
2011
CausesTOTAL
M F Total
1 Complications of pregnancy/delivery - 2059 2059
2 Diarrhea/acute gastro enteritis/amoebiasis 1061 938 1999
3 Pneumonias 902 645 1547
4 Diseases of the Genito-Urinary System 426 662 1088
5 Wounds/Injuries/fractures, specified or unspecified 509 104 613
6 Respiratory disorders originating in perinatal period 248 243 491
7 Respiratory Tuberculosis 280 175 455
8 Gastritis & Duodinitis 186 221 407
9 Hypertensive Cardiovascular diseases 290 401 691
10 Arthropod-borne viral and hemorrhagic fever 163 107 270
11 Other Viral Diseases 114 95 209
12 Disease of the Appendix 111 63 174
13 Diabetes Mellitus 70 102 172
14 Typhoid Fever 89 64 153
Leading Causes of MorbidityAdela Serra-Ty Memorial Medical Center
2011
CausesTOTAL
M F Total
1 Pneumonias 576 540 1116
2 Diarrhea & Amoebiasis 570 519 1089
3 Diseases of the Genito-Urinary System 228 333 561
4 Congenital Infection and Parasitic 205 222 427
5 Wounds/injuries specified or unspecified 188 55 243
6 Respiratory Tuberculosis 131 97 228
7 Hypertension, Essential or unspecied 70 112 182
8 Intra Uterine Hypoxia & Birth Asphyxia 73 74 147
9 Spontaneous Abortion - 133 133
10 Viral fever and viral hmeorrhagic fever 59 66 125
11 Diseases /Disorders of the Digestive Sys 76 47 123
12 Typhoid and para thyphoid fever 62 42 104
13 Bronchial Asthma 29 56 85
14 Disease of Appendex 48 25 73
15 Diabetes Mellitus 25 34 59
Indicator
Philippines
2010 (NOH)
CaragaCaraga Status
2001 2011
CBR 25.68/1000 pop 17.84 22.0 Increased by 23.32% from 2001 – 2011 Lower by 14.33% vs NOH 2010 target
CDR 3.2 3.72 Increased by 16.25% from 2001 – 2011
MMR90/100000 live
births161 83
Decreased by 48.45% from 2001 – 2011
More than attained the NOH 2010 target
IMR17/1000 live
births17.4 6.86
Decreased by 60.57% from 2001 – 2011
More than attained the NOH 2010 target
UFMR32/1000 live
births26 9.84
Decreased by 62.15% from 2001 – 2011
More than attained the NOH 2010 target
CPR 60% 47.3 52.5 Increased by 11% from 2001 – 2011
Attained 87.5% of the NOH 2010 target
FIC 95% 74.6 90.6 Increased by 21.5% from 2001 – 2011
Attained 95.37% of the NOH 2010 target
FBD 70% 16.5 70.0 Increased by 324% from 2001 – 2011
Attained 100% of the NOH 2010 target
Status of Important Health IndicatorCaraga Region Vs. National Target
Trend of Crude Birth Rates
Caraga Region
2001 - 2011(Rate per 1,000 pop.)
Area 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
AN 18.97 18.81 20.7 22.8 22.47 23.42 23.55 22 22.93 23.52 22.41
AS 17.91 17.46 18.7 20.6 20.37 19.64 21.9 22 17.53 22.32 23.91
SN 17.69 17.42 18.4 17.3 17.6 16.21 18.21 18 19.50 18.74 19.37
SS 17.55 17.26 17 17.1 16.48 15.43 18 17 20.04 19.80 20.85
PDI 11.68 16 15.07 16.13 16.74
BXU 16.02 15.49 16.3 17.1 20.07 16.4 14.71 17 21.20 25.08 25.41
SC 19.24 20.08 19.8 19.9 20.73 17.19 18.73 20 17.19 18.01 20.03
BC 18.43 15.41 18 18.6 18.58 17.05 16.44 19 16.25 17.10 20.24
Caraga 17.84 17.42 18.3 19.1 19.37 18.14 18.26 19 19.56 21.12 22.00
Crude Birth Rate (CBR)
Caraga Region registered a total live births of 54,248 in 2011 in a
nearly 52 males to 48 females ratio and the Crude Birth Rate (CBR)
is estimated to reach 22.0 per 1000 population. Among the
provinces, the province of Agusan del Sur contributed 29.40% or
15,946 of the total live births and consequently has the highest CBR
of 23.9 per 1000 population. The province of Dinagat Islands
contributed only 3.98% or 2160 live births so that the CBR is
registered at 16.7 per 1000 population. Among cities, Butuan City
contributed 7,986 live births or 14.72% and a CBR of 25.4/1000
population while Bislig City had the least with only 1,952 or 3.60% to
the total live births or a CBR of 20.2/1000 population.
The general trend of Crude Birth Rate (CBR) in the region is
increasing thru the years. It is observed in all areas except for
Agusan del Norte in which in 2011 a slight decrease of 4.7% (from
23.52 to 22.41 per 1000 population) was noted. However, Caraga’s
2011 CBR is 14.33% lower compared to the Philippines’ 2010 CBR
which is 25.68 per 1000 population.
The number of couples or women of reproductive age who chose
to avail of any birth control method of their choice whether natural
or artificial is a factor contributing to Caraga’s population growth.
The trend of Contraceptive Prevalence Rate (CPR) is somewhat
irregular since 2003, yet it is steadily increasing in the past 3 years
from 2009 – 2011. According to NDHS 2008 survey, TFR for Caraga
women is 4.3, this means that in their entire reproductive years,
these women can have 4 to 5 children.
Indicator
Philippines
2010 (NOH)
CaragaCaraga Status
2001 2011
SBA 70% 50.3 77.0 Increased by 53.1%
Attained 110% over NOH 2010 target
NHIP Enrolment
100% of Indigents
- 90% Attained 90% of the NOH 2010 target
HH w/
Access to Safe H2O
94% 70.6% 91.1% Increased by 29.0% from 2001 – 2011
Attained 97.0% of the NOH 2010 Target
HH w/ Sanitary
Toilet
91% 72.2% 84.5% Increased by 17.30% from 2001 – 2011
Attained 92.86% of the NOH 2010 Target
TB: CDR 70%89%
(2005)91.6%
Increased by 3% from 2005 – 2011
Attained 131% over NOH 2010 Target
TB: Cure Rate >85%90%
(2005)90.14
Increased by < 1% from 2005 – 2011
Attained 106% over NOH 2010 Target
Contraceptive Prevalence Rate
Comparing Caraga CPR with that of 60% NOH target for modern
natural and artificial FP methods for 2010, the province of Agusan
Sur and the cities of Butuan and Bislig have already reached it
while the rest are well on their way.
Comparing Caraga CPR with that of 60% NOH target for modern
natural and artificial FP methods for 2010, the province of Agusan
Sur and the cities of Butuan and Bislig have already reached it
while the rest are well on their way.
Crude Death Rate (CDR)
There were a total of 9,179 deaths in 2011. 59.26% of whom were
males and 48.74% females. With the projected population for this
year, a Crude Death Rate (CDR) of 3.7 per 1000 population can be
translated, that is for every 1000 population, 3 to 4 individuals died
in that year. Crude Birth Rates are higher in the cities than in the
provinces. The presence of hospitals in these cities where people
come to seek for the appropriate health care when they are sick
and giving a city address during their stay until they die can be a
factor to consider for these higher CDR. Several factors to consider
in interpreting crude death rates: population, the presence or
absence of hospitals in the area and their capabilities to manage
severe cases and the referral system. So that in Butuan City where
more hospitals with greater capabilities than in Surigao City, CDR
(5.7) is lower compared to latter’s 6.3. In Bislig City the CDR is the
lowest among cities since immediate referral of severe cases is
being done more often.
The provinces of Surigao del Norte and Surigao del Sur registered
an almost equal CDR of 4.1 and 4.0 respectively. Unavailability of
Family Planning ProgramCaraga Region
2011
Area Pop. Elig.Pop.Total Current
UsersCPR
ADN 337,632 41,613 19,670 47.3
ADS 667,294 82,244 50,846 61.8
SDN 307,178 37,860 14,029 37.1
SDS 471,370 58,096 26,665 45.9
PDI 129,024 15,902 8,028 50.5
BXU 314,293 38,737 23,817 61.5
SC 142,957 17,619 9,069 51.5
BiC 96,452 11,888 7,470 62.8
CARAGA 2,466,200 303,959 159,594 52.5
Trend of Contraceptive Prevalence Rate
Caraga Region
2003 - 2010
54
44
3943
41
45
38
47.36 52.5
0
10
20
30
40
50
60
2003 2004 2005 2006 2007 2008 2009 2010 2011
Ten – Year Trend of Crude Death Rates By Province & City
Caraga Region
2000 - 2010(per 1,000 pop.)
Area 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
AN 3.1 3.5 3.4 3.5 3.4 3.6 3.5 3.49 3.82 3.99 2.59
AS 2.1 2.1 2.5 2.2 1.9 2.1 1.9 2.24 2.27 2.24 2.41
SN 3.4 3.3 3.7 3.7 3.8 4.1 4 3.77 4.23 4.12 4.11
SS 3.6 3.8 4.3 4.7 3.7 3.7 3.8 3.47 3.65 3.46 4.00
PDI 3.1 3.8 3.76 2.51 3.07
BXU 3.9 4.8 3.7 5.1 5.1 5.1 3.8 4.72 5.24 2.21 5.74
SC 5.2 5.1 5.5 4.7 5.5 6 5.2 5.34 6.50 5.56 6.27
BC 3.4 3.6 4.1 4.7 4.6 4.7 4.4 4.35 4.39 3.66 4.63
Caraga 3.2 3.4 3.6 3.7 3.5 3.6 3.3 3.48 3.76 3.20 3.72
more hospitals which are capable of managing severe cases in
these provinces is a very factor that can be considered for this
occurrence.
Distribution of Deaths
By Province/City
Caraga Region 2011
AreaDeaths
Male Female Total Percent
Agusan del Norte 507 367 874 9.5
Agusan del Sur 1,064 545 1,609 17.5
Surigao del Norte 721 543 1,264 13.8
Surigao del Sur 1,099 788 1,887 20.6
Prov. of Dinagat Is. 191 205 396 4.3
Butuan City 1,042 763 1,805 19.7
Surigao City 536 361 897 9.8
Bislig City 280 167 447 4.9
Caraga Region 5,440 3,739 9,179 100
3.2
3.4
3.6
3.7
3.5
3.6
3.3
3.5
3.8
3.2
3.72
2.9
3
3.1
3.2
3.3
3.4
3.5
3.6
3.7
3.8
3.9
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Ten – Year Trend of Crude Death RatesCaraga Region
2001 – 2011(Rate per 1000 pop.)
LEADING CAUSES OF MORTALITYCaraga Region
CAUSES
CY: 2011(Rate/100,000 pop.)
CY: 2010(Rate/100,000 pop)
5 yr. Average (2004-2008)
Rate/100,000 pop.
No. Rate No. Rate No. Rate
1. Hypert. Cardiovascular Dis. 2761 112 2668 105 3328 151
2. Pneumonias 963 39 670 26 884 40
3. Cancer (all types) 835 34 787 31 709 32
4. Diabetes 422 17 303 12 391 18
5. Accident all forms 345 14 650 25 695 32
6. Tuberculosis 319 13 329 13 530 24
7. Renal Diseases 316 13 279 11 342 16
8. Multi Organ Failure 303 12 299 12 239 11
9. COPD 265 11 250 10 177 8
10. Sepsis/Septicemia 243 10 203 8 210 10
17.416
11 11.5
9.58
9.75
7.02
7.41
6.29
6.56.89
6.2
6.86
5.8
0
5
10
15
20
1991 1995 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2015
Baseline
(1991)
Current Level
(2011)
Target by 2015 Probability of Attaining
the Targets
17.4 6.86 5.8 High
Infant Mortality Rate Trend Towards MDG Attainment,
Caraga Region, 1991-2015
The province of Agusan del Sur has the most population so that
though it ranked 2nd among provinces in terms of number of deaths
(1,609 or 17.5% of 9,179), the CDR is the lowest (2.4 per 1000 pop).
Greater number of deaths can be attributed to the incapability of
hospitals, geographical features of the area along with the many
indigenous people with poor health seeking behavior.
Infant Mortality Rate (IMR)
Infant Mortality Rate (IMR) trend in Caraga Region reflects that the
Department of Health through the CHD has been very effective
and efficient in implementing various activities planned for the
different public health programs specifically for the care of under
one year olds. So that for IMR the number of babies dying before
reaching their first birthday is dramatically reduced – from 17.4 per
1000 live births in 1991 to 6.86 per 1000 live births in 2011.
Though these declining trend is irregular, yet, the values are still
within the desired pace. Hence, the probability of attaining
the MDG targets which is 5.8 per 1000 live births for IMR
by 2015 is very high.
Intensification of the implementation of planned activities for the
care of newborns and infants for the succeeding years until 2015 is
on – going and LGUs and NGOs at all levels are actively involved
thru Public Private Partnership strategy. Expanded program on
immunization, new born screening, promotion of exclusive
breastfeeding until 6 months, micronutrient supplementation thru
Garantisadong Pambata, facility-based delivery, skilled birth
attendance, training of health personnel on Integrated
Management of Childhood Illnesses and prenatal care for
pregnant women are some of these programs that are designed to
sustainably bring down the infant mortality rate until the MDG
target be achieved or even more.
CAUSES
CY:2011
(Rate/1,000 LB)
CY: 2010
(Rate/1,000 LB)
5 yr. Average
(2005-2009)
Per 1,000 Livebirths
No. Rate No. Rate No. Rate
1. URTI/ARI w/ Bronc. 27,221 1004 31,587 587 22,855 457
2. Skin Dis. all form 5,546 204 7,853 146 3,239 65
3. Pneumonias 6,031 222 6,682 124 5,379 108
4. Diarrheas 4,404 162 4,001 74 4,806 96
5. Influenza 1,971 73 2,356 44 1,585 32
6. Malnutrition 411 15 408 8 414 8
7. Genitourinary Dis. 227 8 256 5 198 4
8. Accidents/Injuries 224 8 245 5 203 4
9. Abdominal Disorders 126 5 125 2 127 3
10. Anemia 107 4 118 2 95 2
LEADING CAUSES OF INFANT MORBIDITYCaraga Region
Trend of U5MR Towards MDG Goal AttainmentCaraga Region
2000 - 2015
26
20.45
21.01
20.58
25.9
13.85
11.7410.64
9.55
10.59
8.19
9.84
8.7
0
5
10
15
20
25
30
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2015
Baseline
(2000)
Current Level
(2011)
Target by 2015 Probability of
Attaining the Targets
26/1000 Lb 9.84/1000 Lb 8.7/1000 Lb High
Underfive Mortality
Underfive mortality in Caraga is generally on the down trend. The
current (2011) rate 9.84 per 1000 live births is not very far from 8.7
per 1000 live births target for 2015. In 2010, MMR was its lowest at
8.19 so that 2015 target had been more than reached but due to
some factors like reporting system that is getting better resulting to
the minimization of underreporting of vital health indices, it
increased back to almost 10 but not more than the 2009 rate which
was 10.59. All health stakeholders are moving all opportunities,
plans are every now and then evaluated and necessary revisions
are being done in order to really achieve the target.
In 2011 the most increased of UFMR occurred in Surigao del Norte
and Butuan City. The leading causes like diarrhea, meningitis, RDS
and congenital anomalies had remarkably increased. Also
neonatal tetanus had increased from an average of 7 in the past
several years to 11 deaths, while the dreaded pneumonia along
with sepsis slightly decreased.
Ten-Year Trend of Underfive Mortality Ratio By Province & City
Caraga Region
2001 - 2011
(per 1000 live births)
Area 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
A D N 10.46 12.27 10.42 11.80 6.01 4.69 6.80 5.40 5.16 6.30 4.89
ADS 21.48 21.03 20.92 22.92 13.43 9.83 8.70 7.89 11.03 10.94 10.97
SDN 18.54 21.58 19.79 17.93 16.11 12.43 10.3 12.13 13.62 9.25 13.45
SDS 21.46 21.59 27.02 37.98 14.74 16.06 11.90 7.86 7.58 9.76 8.55
PDI 26.0 14.33 13.03 6.69 5.09
BXU 30.08 33.21 23.21 37.93 16.82 18.65 13.67 16.53 14.49 8.50 11.14
SC 27.09 16.13 25.90 23.75 21.49 17.77 13.73 13.57 19.52 17.83 16.42
BisC 16.25 20.76 17.25 52.97 13.81 10.14 9.00 9.00 8.63 5.55 5.64
Caraga 20.45 21.01 20.58 25.90 13.85 11.74 10.64 9.55 10.59 8.19 9.84
There is not much change in the order of the leading causes of
both mortality and morbidity for this age group. Most of these
causes if not all are preventable, hence activities included in child
care programs implemented in the communities should focus on
the preventive aspect more.
If efforts are intensified and unified, involving all sectors, especially
the individual families concerned and considering our present
health status of underfive children, there is a very high
probability of attaining the MDG target by 2015.
LEADING CAUSES OF UNDERFIVE MORBIDITYCaraga Region
CAUSES
CY: 2011(Per 10,000 <5 pop)
CY: 2010(Per 10,000 <5 pop)
5 yr. Average (2005-2009)
Per 10,000 <5 pop
No. Rate No. Rate No. Rate
1. ARI/URTI & Bronchitis/Bronchiolitis52,741
9,720 56,250 15,760 49,232 9,846
3. Pneumonia10,066
1,855 9,442 2,645 10,690 2,138
4. Diarrheas/AGE8,533
1,573 7,790 2,183 9,276 1,855
2. Skin Diseases7,904
1,457 10,887 3,050 4,920 984
5. Influenza2,783
513 4,024 1,127 1,541 308
6. Malnutrition2,758
508 2,702 757 2,814 563
7. Accidents/Injuries, all forms1,490
275 1,586 444 1,393 279
8. Kidney Problems1,324
244 1,574 441 1,074 215
9. Bronchial Asthma1,036
191 1,258
352 813 163
10. Abdominal Disturbances893
164 1,001 280 784 157
Trend of Maternal Mortality Ratio Towards MDG Attainment
Caraga Region, 1991-2015(Rate per 100,000 livebirths)
Baseline
(1991)
Current Level(2011) Target by 2015
Probability of Attaining the Target
161/100,000 l.b. 83/100,000 l.b. 52/100,000 l.b. Very Low
Trend of Maternal Mortality Ratio
Caraga Region
2001 - 2010
(per 1000 live births)
Area 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
A D N 0.35 0.88 0.00 0.57 0.57 0.27 0.68 0.81 0.77 1.48 0.79
ADS 2.00 1.72 2.72 1.39 1.44 1.00 0.90 1.02 0.96 0.83 0.81
SDN 0.30 1.52 0.43 1.37 1.19 0.96 1.39 0.71 2.05 1.88 1.51
SDS 2.08 0.97 1.40 1.10 2.26 2.08 0.76 2.58 1.08 1.05 0.51
PDI 0.71 1.54 2.61 3.34 0.93
BXU 2.23 1.13 1.75 1.64 2.24 1.66 1.14 1.59 1.30 1.25 1.00
SC 0.86 2.02 1.22 0.79 1.50 2.22 0.81 1.10 0.71 0.39 0.70
BisC 0.47 2.74 1.70 1.09 1.64 1.19 1.13 2.65 0.54 0.00 0.00
Caraga 1.38 1.43 1.43 1.19 1.52 1.18 0.91 1.37 1.14 1.19 0.83
Trend of Deliveries By AttendanceCaraga Region
2001 - 2011
50.3 50.1 49.8 50.4 49.554
5863.3 69
73.377
49.7 49.9 50.249.6 47.9 46.9
4236.09
3126.7
23
0
10
20
30
40
50
60
70
80
90
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
AREA TOTAL
Weighed NORMAL
UNDER WT
(UW)
SEVERE
UNDER (SUW)
OVER WT UW+SUW PR
AD S 89,072 80,440 6,352 1,542 738 7,894 8.9%
BAYUGAN 12,547 10,607 1,421 357 162 1,778 14.2%
AD N 44,920 40,051 3,917 658 294 4,575 10.2%
BXU 45,194 42,298 1,912 505 340 2,417 5.4%
SD N 39,123 32,780 4,308 1,259 776 5,567 14.2%
SC 17,381 15,158 1,533 429 261 1,962 11.3%
PDI 13,191 10,837 2,009 260 85 2,269 17.2%
SD S 56,983 48,272 6,486 1,648 577 8,134 14.3%
BISLIG 12,756 11,242 1,085 253 176 1,338 10.5%
CARAGA 331,167 291,685 29,023 6,911 3,409 35,934 10.9%
Maternal Mortality
To reduce maternal mortality ratio in Caraga region by three –
quarters (3/4) from the base line of 161 in 1991 to only 52 per
100,000 live births in 2015 remains a great challenge for Caraga
Region’s Stakeholders.
To ensure realization of this target, strategies like intensification of
promotion and advocacy for expectant mothers to deliver only in
the health facilities like hospitals and birthing homes is encouraged
where they are to be attended by skilled health professionals who
can ensure safe delivery and teach on how to effectively deal with
postpartum blues. Most LGUs have passed resolution supporting this
strategy.
These intensification efforts through the years resulted to the
constant decline of home delivery rate and the corresponding
increase of the deliveries in health facilities. In 2011 in Caraga
Region, at least 70% of deliveries occurred in the health facilities,
most of which were in the hospitals, while home delivery rate
dropped from almost 40% in 2010 to only 29% - a very remarkable
development. Births attended by skilled birth attendants increased
to 77% in 2011 – surpassing the 2010 NOH target of 70%. This
increasing trend has been observed since 2006.
With this strategy, a remarkable reduction by 30% of maternal
death was achieved – from 1.19 per 1000 live births in 2010 to 0.83
Malnutrition Rate Caraga vs. Philippines
2003 - 2008
Caraga Philippines
32 30.3
26.6
16.0
0
5
10
15
20
25
30
35
1998 2001 2003 2015
34.1 33.5
26.31
23.12
23.62
18.5
17.59
15.49
0
5
10
15
20
25
30
35
40
1998 2001 2003 2004 2005 2006 2007 2008
2015 target = 17.05%
per 1000 live births in 2011. This is a very good indicator that signals
that there is a possibility that the target of Caraga region for
maternal mortality reduction by 2015 – in remaining 4 years, can be
achieved.
Trend of Malnutrition Rate in Caraga
The Trend of Malnutrition Rate in Caraga has been continuously
declining so that MDG target for reduction of malnutrition has
already been attained. To sustain worthy efforts is what needed.
2011 Operation Timbang Accomplishment
Trend of Deliveries By Place
Caraga Region
2001 - 2011
82.9
81.1 80 78.9 79.4 78.976.7
67.2 49.4
40.07
29
16.517.5 19.4 19.7 19.5 19.5
23.325.9
48.4
59.64
70
0
10
20
30
40
50
60
70
80
90
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
AREA TOTAL
Weighed NORMAL
UNDER WT
(UW)
SEVERE
UNDER (SUW)
OVER WT UW+SUW PR
AD S 89,072 80,440 6,352 1,542 738 7,894 8.9%
BAYUGAN 12,547 10,607 1,421 357 162 1,778 14.2%
AD N 44,920 40,051 3,917 658 294 4,575 10.2%
BXU 45,194 42,298 1,912 505 340 2,417 5.4%
SD N 39,123 32,780 4,308 1,259 776 5,567 14.2%
SC 17,381 15,158 1,533 429 261 1,962 11.3%
PDI 13,191 10,837 2,009 260 85 2,269 17.2%
SD S 56,983 48,272 6,486 1,648 577 8,134 14.3%
BISLIG 12,756 11,242 1,085 253 176 1,338 10.5%
CARAGA 331,167 291,685 29,023 6,911 3,409 35,934 10.9%
Percentage of Fully Immunized ChildrenCaraga Region
2007 – 2011
101 103
88
81
69
100
84
67
9293 94
8582
74
97
85
66
88
9492
85 82
70
9989
68
88
9395
8384
66
99
7568
8884
99
84 89
69
105
81 80 91
0
20
40
60
80
100
120
A D N ADS SDN SDS PDI BXU SC BC Caraga
2007 2008 2009 2010 2011
p
e
r
c
e
n
t
Trend of Percentage of Fully Immunized Children
Expanded Program on Immunization has done so much to
eliminate many immunizable infant diseases. For many years
already, Caraga has no more case on poliomyelitis and cases of
measles have been scanty. The dreaded pertussis (whooping
cough), deptheria and a lot other diseases are no more. However,
to completely eradicate these diseases, immunization of all infants -
the vulnerable group should be achieved.
Caraga region has been consistently performing very satisfactorily
in the past 5 years and this has been proven true by every Rapid
Coverage Assessment (RCA) done. Non achievement of 100% can
be attributed to over projection of population inconsistent to the
present population growth rate which in 2010, it is 1.49% against the
targeted 2.7% of the population.
Environmental Sanitation Status of Caraga, 2011
Environmental Health Status Annual ReportCaraga Region
2011
Area No. of HH
% of HH
w/access to
safe H20 Supply
%
Level 1
%
Level 2
%
Level 3
Agusan Norte 59,067 99.2 42.4 31.5 25.3
Agusan Sur 106,484 87.0 35.9 37.6 13.5
Surigao Norte 60,988 95.6 16.9 47.8 30.9
Surigao Sur 92,258 84.5 25.5 31.3 27.8
Prov. Din. Is. 22,430 98.5 16.9 64.9 16.7
Butuan City 52,850 88.7 20.6 8.4 59.8
Surigao City 28,759 94.4 2.7 38.6 53.0
Bislig City 15,733 99.8 8.1 15.6 76.1
Caraga 438,569 91.1 25.9 34.0 31.1
Environmental Health Status Annual ReportCaraga Region
2011
Area No. of HH% HH with
to Sanitary
Toilet
% HH with
satisfactory
disposal of
solid waste
% HH with
complete
Basic Sanitation
Facilities
Agusan Norte 59,067 81.94 81.9 81.9
Agusan Sur 106,484 93.77 66.1 60.3
Surigao Norte 60,988 80.57 65.3 58.5
Surigao Sur 92,258 78.83 41.3 31.5
Prov. Din. Is. 22,430 82.51 50.8 54.1
Butuan City 52,850 84.66 67.7 84.7
Surigao City 28,759 76.24 62.9 68.8
Bislig City 15,733 95.94 19.0 2.8
Caraga 438,569 84.45 60.4 58.0
Environmental Health Status Annual Report
Caraga Region
2010
AreaFood Establishments Food Handlers
No. Percent with
Sanitary
Permit
No.Percent w/ Health
Certificate
Agusan Norte 4,794 51.4 3,828 89.4
Agusan Sur 6,292 43.5 6,192 55.8
Surigao Norte 3,340 79.3 3,199 100
Surigao Sur 5,884 80.2 7,560 71.0
Prov. Din. Is. 1,651 93.1 1,094 99.3
Butuan City 2528 95.6 22748 99.8
Surigao City 2,624 78.0 5,628 92.0
Bislig City 1090 94.8 1212 81.3
Caraga 28,203 69.5 51,461 92.9
HFEP
PROJECTS
HFEP SUMMARY
Area 2010 2011 2012 TOTAL
ADN 43,505,000 23,000,000 106,500,000
31,126,000
ADS 27,790,000 37,000,000 75,000,000
SDN 20,000,000 88,500,000 107,500,000
PDI 0 17,500,000
48,000,000
SDS 5,000,000 21,000,000 62,000,000
CARAGA 96,295,000 187,000,000 499,126,000
11,000,000 EQUIPMENT
EQUIPMENT
11,500,000 EQUIPMENT
35,000,000 EQUIPMENT
EQUIPMENT 11,500,000
204,131,000
151,290,000
251,000,000
76,500,000
99,500,000
782,421,000
Indicators 2015 Target Accomp.
MDG 1: Target 2: Prevalence of Underweight Children (%) Percent of Households with per capita energy less than
100% adequacy
17.2534.7
10.86 (NNC)
MDG 4: Target 5: Under 5 Mortality Rate (per 1000 l.b.) Infant Mortality Rate (per 1000 l.b.)
8.75.8
9.84 (FHSIS, 2011)6.86 (FHSIS, 2011)
MDG 5: Target 6: Maternal Mortality Ratio (per 1000 l.b.) Target 7: Contraceptive Prevalence Rate (%)
52
80
83 (FHSIS, 2011)
52.5 (FHSIS, 2011)
Status Report on MDG AttainmentCaraga Region, 2011
Indicators 2015 Target Accomp.
MDG 6: Target 8: HIV/AIDS Prevalence Rate (No. of Cases) < 1% < 1% (16) (RESU, 2011)
MDG 6: Target 9: Malaria Morbidity Rate Malaria Mortality Rate
TB Morbidity Rate (per 100,000 pop) TB Mortality Rate
15/100,000 0.05/100,000
137.3/100,00019.6/100,000
1.65 (FHSIS, 2011)
0.0 (FHSIS, 2011)
134.6 (FHSIS, 2011)
13.0 (FHSIS, 2011)
MDG 7: Target 11: Households with access to Safe Water (%) Households with Sanitary Toilet (%)
86.883.8
91.1 (FHSIS, 2011)
84.5 (FHSIS, 2011)
MDG 8: Target 13: Botika ng Barangay
(No. of BnBs/No. of Brgys)- 897 (68%)
Health Facility Enhancement Program is designed to address
poor quality health services due to poor facilities not only in terms
of building but lack of equipment and manpower as well. To
address this issue, the Department of Health has spearheaded the
expansion/renovation/repair and or construction of many health
facilities nationwide.
In 2010, 10 health infrastructure projects with a total cost that
reached PhP96,295,000.00 were implemented.
In 2011, a total of 80 health infrastructure projects amounting to
PhP187,000,000.00 pesos were given to Caraga Region and were
distributed to all provinces and cities.
Barangay Health Station Scope of Work Budget
1 Brgy. Casiklan, Las Nieves Construction 1,000,000
2 Brgy. Jaguimitan, Nasipit Construction 1,000,000
3 Brgy. Manoligao, Carmen Construction 1,000,000
4 Brgy. Guiasan, Magallanes Construction 1,000,000
5 Brgy. San Antonio, RTR Construction 1,000,000
6 Brgy. Bunga, Jabonga Construction 1,000,000
7 Brgy. Hinimbangan, Kitcharao Construction 1,000,000
Hospitals
1 Las Nieves Community Hospital Expansion/Repair/Renovation 3,000,000
2 Cabadbaran District Hospital Expansion/Repair/Renovation 5,000,000
3 Jabonga Municipal Hospital Expansion/Repair/Renovation 3,000,000
4 Kitcharao District Hospital Expansion/Repair/Renovation 5,000,000
TOTAL 23,000,000
Health Facilities Enhancement Projects Agusan del Norte, Caraga Region
2011
Most of these projects were expansion/renovation/repair of 21 rural
health units, 44 barangay health stations and 15 government
hospitals region wide.
All these are expected to become highly functional making the
quality of health services highly improved thus the desired MDG
targets are realized.
HFEP Agusan del Sur, Caraga Region 2011
Rural Health Unit/Main Health Centers/CHO Scope of Work Budget
1 RHU Esperanza Expansion/Repair/Renovation 1,000,000
2 RHU Prosperidad Construction 1,500,000
3 RHU San Luis Expansion/Repair/Renovation 1,500,000
4 RHU Talacogon Expansion/Repair/Renovation 1,500,000
5 RHU Sibagat Construction 1,500,000
6 CHO Bayugan Expansion/Repair/Renovation 1,000,000
7 RHU La Paz Expansion/Repair/Renovation 1,500,000
8 RHU Rosario Expansion/Repair/Renovation 1,500,000
9 RHU San Francisco Expansion/Repair/Renovation 1,000,000
Hospitals
5 Bunawan District Hospital Construction 7,000,000
Barangay Health Unit
1 BHS San Joaquin, Prosperidad Expansion/Repair/Renovation 1,000,000
2 BHS Mahayahay, San Luis Construction 1,000,000
3 BHS Sabang Gibong (Floating), Talacogon Construction 1,000,000
4 BHS Zillova, Talacogon Construction 1,000,000
5 BHS New Tubigon, Sibagat Construction 1,000,000
6 BHS Sta Irene, Bayuan Construction 1,000,000
7 BHS San Marcos, Bunawan Construction 1,000,000
8 BHS Nueva Era, Bunawan Construction 1,000,000
9 BHS Binucayan, Loreto Construction 1,000,000
10 BHS Comota, La Paz Construction 1,000,000
11 BHS Langasian, La Paz Construction 1,000,000
12 BHS Cabantao, Rosario Construction 1,000,000
13 BHS Sto. Tomas, Loreto Construction 1,000,000
14 BHS Bayugan3, Rosario Construction 1,000,000
15 BHS Lapinigan, San Francisco Construction 1,000,000
16 BHS Sta. Maria, Trento Construction 1,000,000
17 BHS Katipunan, Veruela Construction 1,000,000
18 BHS Sampaguita, Veruela Construction 1,000,000
TOTAL 37,000,000
HFEP Surigao del Norte, Caraga Region 2011
Hospitals Scope of Work Budget
1 Gigaquit Community Hospital Expansion/Repair/Renovation 3,000,000
2 Malimono District Hospital Expansion/Repair/Renovation 3,000,000
3 Mainit Medicare Hospital Expansion/Repair/Renovation 5,000,000
4 Placer District Hospital Expansion/Repair/Renovation 5,000,000
5 Socorro District Hospital Expansion/Repair/Renovation 5,000,000
6 Pilar District Hospital Expansion/Repair/Renovation 3,000,000
Rural Health Units
1 RHU Del Carmen Expansion/Repair/Renovation 1,000,000
2 RHU Sta. Monica Expansion/Repair/Renovation 1,500,000
3 RHU Dapa Expansion/Repair/Renovation 1,500,000
4 RHU Claver Expansion/Repair/Renovation 1,500,000
5 RHU Mainit Expansion/Repair/Renovation 1,000,000
6 RHU San Francisco Construction 1,000,000
7 RHU Tubod Construction 1,000,000
Barangay Health Stations
1 BHS Cabawa, Dapa Construction 1,000,000
2 BHS Caub, Del Carmen Construction 1,000,000
3 BHS Halian, Del Carmen Construction 1,000,000
4 BHS Suyangan, General Luna Construction 1,000,000
5 BHS Cagdianao, Claver Construction 1,000,000
6 BHS Capalayan, Surigao City Construction 1,000,000
GRAND TOTAL (SDN) 38,500,000
note: SDN Prov’l Hospital (Phase I) - 50,000,000 was also allocated with the breakdown of the
following below resulting to a total amount of 88,500,000 for SDN HFEP projects. Infra: 30,000,000
Equipment: 18,800,000
Transport Eqp’t: 1,200,000
HFEP Province of Dinagat Islands, Caraga Region 2011
Rural Health Units/City Health Office
1 RHU Cantilan Expansion/Repair/Renovation 1,500,000
2 RHU Carrascal Expansion/Repair/Renovation 1,500,000
3 RHU Barobo Expansion/Repair/Renovation 1,500,000
4 CHO Bislig Expansion/Repair/Renovation 1,500,000
Hospitals
5 Cortes Community Hospital Expansion/Repair/Renovation 5,000,000
6 Marihatag District Hospital Expansion/Repair/Renovation 5,000,000
7 Hinatuan District Hospital Expansion/Repair/Renovation 3,000,000
Barangay Health Stations
1 BHS Diatagon Construction 1,000,000
2 BHS Gamut, Barobo Construction 1,000,000
TOTAL 21,000,000
Health Facilities Enhancement Projects Surigao del Sur, Caraga Region
2011
Rural Health Unit/Main Health Centers Scope of Work Budget
1 RHU Dinagat Expansion/Repair/Renovation 1,500,000
Barangay Health Stations
1 BHS Montag, Basilisa Construction 1,000,000
2 BHS Benglen, Basilisa Construction 1,000,000
3 BHS Boa, Cagdianao Construction 1,000,000
4 BHS Tigbao, Cagdianao Construction 1,000,000
5 BHS Cabayawan, Dinagat Construction 1,000,000
6 BHS Bayanihan, Albor Construction 1,000,000
7 BHS Arellano, Albor Construction 1,000,000
8 BHS Busay, Loreto Construction 1,000,000
9 BHS Magsaysay, Loreto Construction 1,000,000
10 BHS Imelda, Tubajon Construction 1,000,000
11 BHS Malinao, Tubajon Construction 1,000,000
Hospitals
1 Loreto District Hospital Expansion/Repair/Renovation 5,000,000
TOTAL 17,500,000
2012 Health Facilities Enhancement Projects
A total of 70 infrastructure projects are programmed for 2012. 37 of
which are for RHUs, 30 are for hospitals, 3 for CHD. An estimated
total cost reaches to almost half a billion pesos, PhP499,126,000.00.
(PhP399,000,000 INFRA + Php100,126,000 Equipments)
The table shows a greater portion is allocated for either
construction, expansion/ repair of Agusan del Norte government
hospitals particularly the construction of Agusan del Norte
Provincial Hospital – PhP37,000,000 and
expansion/repair/renovation of Butuan Medical Center –
PhP10,000,000.00. And a total of 31,126,000 allocation for
equipment is distributed to Nasipit District Hospital, Cabadbaran
District Hospital , Kitcharao District Hospital, PNP hospital, Butuan
Medical Hospital, Agusan Provincial Hospital and CHD Regional
Water Laboratory.
Rural Health Unit/Main Health Centers Scope of Work Budget
1 RHU Esperanza Expan/Repair/Renov 2,200,000
2 RHU Talacogon Expan/Repair/Renov 1,700,000
3 RHU BunawaN Expan/Repair/Renov 2,700,000
4 RHU Loreto Expan/Repair/Renov 2,200,000
5 RHU Sta. Josefa Expan/Repair/Renov 2,700,000
6 RHU Trento Expan/Repair/Renov 2,700,000
7 RHU Veruala Expan/Repair/Renov 4,700,000
8 CHO Bayugan Expan/Repair/Renov 700,000
Hospitals
1 DO Plaza Memorial Hospital Expan/Repair/Renov 29,700,000
2 Bayugan Community Hospital Expan/Repair/Renov 7,700,000
3 Esperanza Community Hospital Expan/Repair/Renov 700,000
4 Talacogon District Hospital Expan/Repair/Renov 8,700,000
5 Bunawan District Hospital Construction 14,700,000
6 Loreto District Hospital Expan/Repair/Renov 4,700,000
7 La Paz District Hospital Equipments 700,000
Total 86,500,000
Health Facilities Enhancement Projects Agusan del Sur, Caraga Region
2012
Health Facilities Enhancement Projects
Surigao del Sur, Caraga Region
2012
Rural Health Unit/Main Health Centers Scope of Work Budget
1 RHU Bayabas Expan/Repair/Renov 3,000,000
2 RHU Barobo Expan/Repair/Renov 3,000,000
3 CHO Bislig Expan/Repair/Renov 4,000,000
4 CHO Bislig2 Expan/Repair/Renov 3,000,000
Hospitals
1 Marihatag District Hospital Expan/Repair/Renov 13,000,000
2 Madrid District Hospital Expan/Repair/Renov 4,000,000
3 Cortes Community Hospital Expan/Repair/Renov 9,000,000
4 Lianga District Hospital Expan/Repair/Renov 6,000,000
5 San Miguel District Hospital Expan/Repair/Renov 4,000,000
6 Hinatuan District Hospital Expan/Repair/Renov 6,000,000
7 Bislig District Hospital Expan/Repair/Renov 18,500,000
Total 73,500,00
Rural Health Unit/Main Health Centers Scope of Work Budget 1 RHU Ampayon Expan /Repair/ Renov 2,500,000 2 RHU Obrero Expan/Repair/Renov 2,500,000 3 RHU Libertad Expan/Repair/Renov 2,500,000 4 RHU Buenavista Expan/Repair/Renov 4,000,000 5 Main Health Center Butuan Expan /Repair/ Renov 7,000,000 6 Main Health Center Cabadbaran Expan /Repair/ Renov 4,000,000
Hospitals 1 Butuan Medical Center Hospital Expan /Repair/ Renov 10,000,000 2 Agusan Norte Provincial Hospital Construction 37,000,000 3 Las Nieves Community Hospital Expan /Repair/ Renov 2,000,000 4 PNP Hospital Construction 6,000,000
5 Cabadbaran District Hospital Expan/Repair/Renov 10,000,000 6 Jabonga Municipal Hospital Expan/Repair/Renov 2,000,000 7 Kitchararo District Hospital Expan /Repair/ Renov 5,000,000
Total 106,500,000
Health Facilities Enhancement Projects Agusan del Norte, Caraga Region
2012
CHD Cold Chain & Regional Water Laboratory refer to page 44 12,0000
Health Facilities Enhancement Projects
Surigao del Norte, Caraga Region
2012
Rural Health Unit/Main Health Centers Scope of Work Budget
1 RHU Del Carmen Expan /Repair/ Renov 1,000,000
2 RHU Gen Luna Expan /Repair/ Renov 4,000,000
3 RHU Pilar Expan /Repair/ Renov 2,000,000
4 RHU San Benito Construction 2,000,000
5 RHU Socorro Expan /Repair/ Renov 2,000,000
6 RHU Alegria Expan /Repair/ Renov 2,000,000
7 RHU Bacuag Expan /Repair/ Renov 2,000,000
8 RHU Gigaquit Expan /Repair/ Renov 3,500,000
9 RHU Placer Expan /Repair/ Renov 2,500,000
10 RHU San Francisco Construction 1,000,000
11 RHU Sison Expan /Repair/ Renov 1,000,000
12 RHU Taganaan Expan /Repair/ Renov 2,000,000
13 MHC Washington Expan /Repair/ Renov 3,000,000
Barangay Health Stations
1 BHS Cabugo , Claver Expan /Repair/ Renov 1,000,000
Hospitals
1 Gigaquit Community Hospital Expan /Repair/ Renov 4,000,000
2 Malimono Community Hospital Expan /Repair/ Renov 5,000,000
3 Mainit Community Hospital Expan /Repair/ Renov 3,000,000
4 Surigao del Norte Provincial Hospital Construction 72,000,000
5 Siargao District Hospital Upgrading 7,000,000
6 Socorro District Hospital Upgrading 6,500,000
7 Del Carmen District Hospital Upgrading 8,000,000
8 Pilar District Hospital Upgradign 3,000,000
TOTAL 142,500,000
Surigao del Norte likewise receives more than a hundred million
pesos, from which more than PhP70,000,000.00 is allocated for the
construction of Surigao del Norte Provincial Hospital in its new
location.
* w/ Dinagat (OPCEN) as reflected below gives a total amount of 59,000,000 for PDI
Rural Health Unit/Main Health Centers Scope of Work Budget
1 RHU Basilisa Expan/Repair/Renov 2,500,000
2 RHU Cagdianao Expan/Repair/Renov 2,500,000
3 RHU Albor, Libjo Expan/Repair/Renov 2,500,000
4 RHU Loreto Expan/Repair/Renov 2,500,000
5 RHU Tubajon Expan/Repair/Renov 4,000,000
6 RHU San Jose Construction 5,500,000
Hospitals
1 Loreto District Hospital Expan/Repair/Renov 7,500,000
2 Dinagat District Hospital Expan/Repair/Renov 9,000,000
3 Albor District Hospital Expan/Repair/Renov 16,000,000
Total 52,000,000
Health Facilities Enhancement Projects
Province of Dinagat Islands, Caraga Region
2012
Name of Project Scope of Work Budget
1 Dinagat DOH - Sub - office (OPCEN) Construction 7,000,000
2 Siargao DOH - Sub - office (OPCEN) Construction 5,000,000
3 CHD Cold Chain Construction 5,000,000
4 Regional Water Laboratroy Construction 7,000,000
Total 24,126,000
Health Facilities Enhancement Projects DOH - CHD, Caraga Region
2012
E. PHIC Enrolment Coverage Thru NHTS
PROVINCE No. of
Households
Target NHTS
for PHIC
Enrollment
No. of
Enrolled % Enrolled
AGUSAN DEL
NORTE 67,516 30,904 24,690 80
AGUSAN DEL
SUR 105,244 65,754 55,915 85
SURIGAO
DEL NORTE 60,988 34,111 28,808 85
DINAGAT
ISLANDS 24,162 12,949 11,442 88
BUTUAN CITY 54,617 18,146 12,385
68
SURIGAO
CITY 27,962 11,384 9,856 87
TOTAL 442,282 232,312 193,257
83
PhilHealth aimed at ensuring that all Filipinos gain access to
financial protection for their health care needs. It targets non-
PhilHealth members to register in the health insurance program.
PHIC avails of NHTS-PR to make registration more effective. NHTS-PR
is an information management system that identifies who and
where the poor are. It makes available to public and private social
protection stakeholders a socio-economic database of poor
households that can guide them in identifying qualified
beneficiaries for their programs. The system identifies poor
households through household assessments in areas with high
poverty incidence and where there are pockets of poverty.
CHD
and
LGU Scorecard
PHIC Enrollment Coverage Caraga Region
2011
CHD CARAGA PERSONNEL
RD/ARD DIVISION ARIEL I. VALENCIA, MD,MPH, CESO III CESAR C. CASSION, MD, MPH
Director IV OIC-ARD
Drug Treatment and Rehab
Ma. Flordelis M. Llesis
HRDU Ma. Wilma Joji O. Yu, MD, MPH
Lucita O. Tagudin, RN, MCH
PLANNING Meriedeth O. Pagaran, CE, MPH
HEPO Sunshine S. Alipayo, RN
INTERNAL CONTROL UNIT
Eleanor D. Lakag, MBA INFORMATION TECHNOLOGY UNIT
Fernando L. Mina Jr.
RD SECRETARY FICU
Luzminda G. Pol, RN Ma. Antonietta A. Fernandez
HFEP
Dennis Jose R. Malazarte
REGULATORY,LICENSING & FLORMINDA B. TEJANO,MD
ENFORCEMENT DIV Chief, RLED
Health Facilities Section Glynna B. Andoy, MD, MPH
Sarah Jean L. Jumamoy, CE
Jocelyn P. Magdula, RN
Ma. Ferma K. Liwat
Daryl A. Estrella
LOCAL HEALTH SUPPORT DIVISION ERNESTO E. PAREJA, MD,MPH
OIC-CHIEF, LSHD
Communicable Diseases Cluster
Casmerlita C. Yu, MD, MCH
Glenn H. Tiangha, MD, MPH
Arlene M. Serrano, RN
Jonathan Basadre, RMT
Non Communicable Diseases Cluster Governance
Delma O. Legaspi, RN Herodina T. Preston, RN, MPH
Dioscoro M. Navarro Jr., CE, SE Daylinda Alvizo, RN, MPH
Rowena O. Pabia Haydee R. Senaca, RN
CHD CARAGA PERSONNEL
Budget
Lutgarda U. Cabilogan, MPA
Jean P. Aganap
Ismael M. Morales, Jr.
Accounting
Aileen S. Abasolo, CPA
Ruchel Cumon
Vito S. Genotiva, Jr.
Supply
Jenalyn C. Reveche
Cirilo Q. Arbiol
Sionny R. Apas
Niel H. Nituda, RMT
Merlie E. Cagadas
Budget
Lutgarda U. Cabilogan, MPA
Jean P. Aganap
Ismael M. Morales, Jr.
Accounting
Aileen S. Abasolo, CPA
Ruchel Cumon
Vito S. Genotiva, Jr.
Supply
Jenalyn C. Reveche
Cirilo Q. Arbiol
Sionny R. Apas
Niel H. Nituda, RMT
Merlie E. Cagadas
Regional Epidemiology & Surveillance Unit (RESU) Gerna M. Manatad, MD, PHSAE
Cheryl Mary L. Plaza, RN
Sharon S. Coja, RN,RMT
Health Emergency Management Unit
Richard Maniago, RN
Health Infrastructure
Adreleo Jumamoy,CE
Dennis Jose R. Malazarte, CE
Zaldy Gumapac,CE
Food/Drug Regulation Section Fatima A. Lozada, RPh
Ms. Perla B. Alvizo, RPh
Eleonora Rey Jary M. Gaballo, RPh
Arnel Madula, RPh
Virginia K. Delani, RPh
Leslie T. Cimagala, RPh
Family Health Cluster
Grace M. Lim, MD Dionesia Ubanan, RND
Maria Carmela My A. Beltran, DDM
Ma. Jasmine M. Sarce, RN
Lourdes C. Plaza, RN
Emmi Marie J. Cabahug
Records Section
Lea Ludie T. Malicay
Andres Atregenio
Personnel Section Elpidia P. Bernaldez
Josefa C. Labandero
Cashier Section Elsie M. Bonocan
Sarah S. Pango
Eris W. Morallo
Supply
Jenalyn C. Reveche
Cirilo Q. Arbiol
Sionny R. Apas
Niel H. Nituda, RMT
Merlie E. Cagadas
Records Section
Lea Ludie T. Malicay
Andres Atregenio
Personnel Section
Elpidia P. Bernaldez
Josefa C. Labandero
Cashier Section
Elsie M. Bonocan
Sarah S. Pango
Eris W. Morallo