Social Development Sector

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VISION

A WEALTHY AND HEALTHY CITY WITH PEOPLE WORKING AND SHARING IN PROGRESS
UNDER A GOD-CENTERED, TRANSFORMATIVE NATIONALISTIC GOVERNANCE

MISSION

We serve to:

 Reduce poverty through an equitable sharing of Butuan’s natural gifts and their
development;
 Promote greater people’s participation in all spheres of governance; and
 Attain a genuine sustainable development through empowered and nationalistic
citizenry

Social Development Plan

Introduction

This is a compendium of proposed activities designed to deal with the identified issues and
concerns relative to improving the state of well-being of the local population and upgrading the
quality of social services such as health, education, welfare, housing and the like. Questions of
equity and social justice and gender sensitivity are also addressed by this sectoral plan. Many
programs and projects in this sector are of the “soft” non-capital type but they are as important as
the capital investment or “hard” projects.

Sector Situation

POPULATION AND SOCIAL SERVICES

Population Size

Based on the 2007 National Statistics survey, the latest actual population of Butuan City
was 298,378 composed of 151,528 males and 146,850 females. This registered an increase of
31,099 or 11.63 in percentage from the latest actual census in the year 2000 which was 267,279,
translated into an annual population growth rate of 1.53% for the period 2000-2007. Projected
population for 2008 and 2009 is 303,122 and 307,942, respectively.

Butuan City has a total of 86 barangays, comprised of 27 urban and 59 rural. Out of the 59
rural barangays, fourteen (14) are urbanizing such as San Vicente, Libertad, Ampayon, Doongan,
Villa Kanangga, Bonbon, Bit-os, Ambago, Bancasi, Baan Riverside, Banza, Antongalon, Taguibo
and Sumilihon.

Of the 86 barangays, Libertad has the largest population registering 7% of the total
population of the entire city, followed by Doongan with 4%, San Vicente, 3.9% and Barangay
Ampayon with 3.7%. On the other hand, Barangay Sikatuna (urban) has the lowest population
numbering 136. Urban and rural population shares 31% and 69%, respectively to total city
population.

Age-Sex Distribution

The 2007 household population of the city consists of 150,242 males and 146,632 females.
It implies a sex ratio of 102 males for every 100 females. Projected household population for
2008 and 2009 has the same implication of males over females. Median age of household
population is 21 years, denoting that half of the household population of the city is below 21 years
old. The proportion of persons under 15 years old in the total household population is 36.4%,
while children 0-4 years old comprised the largest age-group with 12.5% of the total household
population.

There were more males than females in the age brackets 0-59 years, except in age group
15-19 years. On the other hand, in the age brackets 60 and over, there were more females than
males.

There were 167,730 persons or 56.5% of the household population belonging to the voting-
age population (aged 18 years and over) with about the same proportion of males over females.

Age Dependency Ratio is one of the most important aspect in the Age Structure in the
concept of economic dependency which we called the Dependency Burden. Those in the age
group 15-64 are considered as the “working population” while those below 15 years and above 64
years old are the “dependents”. About 60% of the household population belonged to the working-
age population. Roughly, dependency burden is measured by the ratio of the size of the
dependent age group to the size of the working population. During the latest census (2007), total
dependency ratio is 68.08 with the young age dependents taking the greater part of 61.46 leaving
a 6.63 ratio to the elderly dependents.

Household and Family

Family is a group of persons living in the same household related by blood, marriage or
adoption and can either be a nuclear family or an extended family. On the other hand, household
may consists of a person living alone or a group of persons who sleep in the same housing unit
and have common arrangement for the preparation and consumption of food which likewise can
be also in a family scenario.

Population counts includes persons living in quarters such as welfare institutions, penal and
corrective institutions, hospital, leprosarium, and nursing homes, lodging houses such as hotels,
tourist homes and the like; military camps and others.
The actual number of household in the city based on the 2007 census is 60,755 or an
increase of 10,482 households over the 2000 figure of 50,273 households. The average
household size decreased from 5.3 persons in 2000 to 4.9 persons in 2007. Number of
households as of 2008 and 2009 is 62,994 and 64,310, respectively as projected while average
household size is 5.

Population Growth

During the last three decades, growth in the city population has been dominated more by its
natural increase, that is, birth minus deaths, then by the movement of the people. The latest 2007
census count pegged the natural increase at 1.21%, about 0.64% lower compared to the
preceded census count in 2000. The decline in the natural growth of the population is attributed
to the increase in the number of deaths and increasing awareness of the populace on the
population control programs of both the private and government sectors.

Population Density

Population density is the number of persons per unit of land area. It is expressed as
population per square kilometer of land of the area concerned. The population density of Butuan
City is computed at 365 persons per square kilometer based on the 2007 population of 298,378
over the total city land area of 817.28 square kilometers or 81,728 hectares. Likewise as
projected, there are 368 and 374 persons per square kilometers for the succeeding years 2008
and 2009, respectively.

 Health, Nutrition and Family Planning

For the period 2007-2009, the number of malnourished preschool children (0-5 years old)
decreased by a mere 1.43 percentage from 8.58% in 2007 to 7.15% in 2009. In terms of
number of malnourished children, this would be around 3,229 in 2009 over the 45,169
children weighed, representing 86.47% of the total number of children aged 0-5 years old.

The constant decrease in the number of children with below normal weights during the
three-year period is an indication that there are now more children who are capable of
enjoying a healthy child life. These decreases were impacts of the continuous
implementation of the milk feeding and food supplementation programs of the city
government, as well as, the implementation of major impact programs and projects with the
cooperation of partner agencies, which promoted household food security and prevent
and/or eliminate malnutrition.
The table below shows the trend in vital health statistics for the three-year period, 2007-
2009.

From 2007 to 2009, infant mortality rate has fallen steadily from 14.2 in 2007; 9.8 in 2008
and 7.62 in 2009 displaying an apparent decrease of 4.4 and 2.18, respectively or a total of
6.58 over the three-year period. This decrease could be attributed to the continuous
implementation of the various nutrition, health and other related programs and services.
The leading causes of infant mortality includes Septecemia, Congenital Heart Disease,
Pneumonia, Still Birth, Prematurity and Gastroenteritis.
Efforts to prevent infant mortality should include programs to improve access to prenatal
and newborn care. Early and continuous prenatal care helps identify conditions and
behavior that can result in low birth weight babies.

In 2009, there were a total of 5,368 registered live births with a Crude Birth Rate (CBR) of
17.44 per 1000 population. It was 3.62% higher compared to 16.83 per 1000 population in
2008. On the other hand, a big jump can be observed from 2007-2008 which almost
doubled the CBR with a percentage increase of 92.56.

Death rate for 2007-2009 revealed a total increase of 1.55 from 3.75 in 2007 to 5.31 in
2009. Among the top ten leading causes of mortality, Cardiovascular consistently ranks
first. Mortality from infectious diseases still includes Pneumonia, as second among the top
ten, Pulmonary Tuberculosis, Septicemia, Gastroenteritis and Liver Cirrhosis. Among the
non-communicable diseases cause of mortality include the following: Cancer, Diabetes
Mellitus, Renal Disease and accidents/injuries. The rising mortality rate from these
diseases could also be attributed to the increasing prices of medicines. It’s high time to
promote generic and herbal medicines and processes in every barangay.

Despite the intensification of health and other related programs and services by the
agencies concerned, the current increase in the death rate could be attributed to the various
illness/diseases acquired due to our present lifestyle.
There were five (5) maternal deaths in 2007, eight (8) in 2008 and six (6) in 2009 with an
MMR of 1.91, 1.59 and 1.11, respectively. Maternal mortality rate for the last three years
has been diminishing slightly. From the 1.91 rate in 2007 it has gone down to 1.11 in 2009
or a decrease of .80 in three years’ time. In 2009, cases of maternal deaths include
Septicemia (3), Bleeding (2) and Anemia (1). The six (6) cases of maternal deaths were
coming from six barangays, one death from each.

The prevailing existence of Maternal Mortality although reducing in number has not yet
been sufficiently addressed to as there has been a need to establish 1 BemONC facility, the
three (3) Main Health Centers have yet to be fully equipped as Birthing Facilities and the
Butuan Medical Center as core and referral hospital by specialty is yet to be fully equipped
as CemONC.

Essential to reducing maternal deaths is having a skilled birth attendant present during a
delivery. In 2009, 60.23% of all deliveries were still handled by professional skilled birth
attendants, 43.76% by doctors and 16.47% by midwives.

Intensive efforts should be undertaken to accelerate and promote cost-effective


interventions, such as easy access to emergency obstetric care especially in far-flung
barangays, increasing the number of births in health facilities, and universal access to
reproductive health services, including family planning.

In 2008, under five mortality rate in Butuan City is 6.6 per 1000 live births revealing a
304.54% decline from the 2009 rate of 26.7 per 1000 live births.

For two (2) consecutive years, 2008 & 2009, Acute Respiratory Infection (TB) ranked first
among the leading causes of morbidity. This is followed by Hypertension and diarrhea.
Collated morbidity rate for other specific illnesses like Tuberculosis, HIV, Malaria Heart
Diseases, and Dengue revealed quite a number. Per LGPMS State of Development
Electronic Report for 2009, morbidity rate in Butuan City is alarming.

The table below shows the number of households served of potable water by level for the
period 2007-2009.
From 2007-2008, the magnitude and proportion of households without access to safe
drinking water versus total number of households is decreased by 2.79% while obtaining
almost the same percentage from 2008 to 2009.

As to toilet facilities, the magnitude and proportion of households with access to sanitary
toilet facilities versus the total number of households has been increasing constantly from
2007-2009. By 2009, out of the total number of households, the entire city has 96.45%
households with sanitary toilets while the rest of the 1,826 households belong to those that
have unsanitary and no toilet at all. Water pollution due to domestic wastes and its effect
to public health is less threatening.

Along with other environmental programs, the city government is determined to uplift the
health and sanitation state of every family or household in the area through continuous
implementation of the campaign for “one household, one sanitary toilet” policy.

From the five (5) hospitals operating in Butuan City in 2007, it has increased to seven (7) by
2008 & 2009 with an overall total bed capacity of 525 (table below). The seven (7)
hospitals operating in the city are composed of two (2) public and five (5) private, with the
following categories: four (4) tertiary, one (1) secondary and two (2) primary. Since 2007,
the city has three main health centers namely: Libertad, Obrero and Ampayon, and 83
barangay health centers.

Butuan Medical Center has been actively functioning as an accredited TB-DOTS facility.
The City has been complying with all the requirements needed for the TB-DOTS
accreditation of the three (3) main health centers while the Agusan del Norte Provincial
Hospital and M.J. Santos Hospital have been actively functioning as TB-DOTS facility. In
like manner, the services on malaria program with the Agusan del Norte Provincial Hospital
has been sustained.

The family planning program reflected a concern with rapid population growth and
inadequate maternal and child health. The program has had varying degrees of political
support. Among the benefits of family planning often cited by contraceptive users are
improvements in women’s health and the family’s economic status.
The most common method used which gathered the greatest percentage of users, both
from current users and new acceptors, is the Lactating Amenoria, followed by Pills, IUD and
Injectables/DMPA. From the table below, it can be observed that family planning current
users as well as new acceptors from 2007-2009 is increasing every year. Although the
different government agencies concerned in family planning is concentrating more on the
natural method, it continues to disseminate information on the use of family planning
devices through the health centers. Reproductive health and family planning activities such
as Responsible Parenthood and pre-marriage seminars are continuously conducted in the
different barangays.

In addressing the social obligation for the indigent families to have access to medical
attention, the City Government of Butuan has continuously extended assistance through a
PhilHealth Insurance membership to the identified underprivileged families of Butuan. The
table below displays the total number of beneficiaries from the eighty-six (86) barangays
assessed and have availed of the PhilHealth Para sa Masa Insurance membership for 2007
to 2009. An increase in membership of 1,625 families or 16.74 in percentage is observed
from 2007-2008 while maintaining the same number in 2009. Out of the 8,085 families
enrolled in the PhilHealth Para sa Masa in 2009, 2,167 families have been answered under
the congressional fund. The barangays were also encouraged to enroll the indigent families
in their own locality to strengthen the number of indigent families who can access the
PhilHealth Program. The local government of Butuan proposes a new program entitled
“Bagong Medicare Para sa Masa” that would benefit all the indigent families of Butuan City.

 Education and Manpower Development

Education is universally recognized as one of the most fundamental building blocks for
human development and poverty reduction. It is a key to attaining the Millenium
Development Goals. Thus, programs for education have always been one of the priority
concerns of the government. Many children are bridged to quality education in a lesser cost
through “Education for All” (EFA). Financial assistance through scholarship grants to poor
but deserving students with the desire to pursue their education is being provided.

The scholarship program that has been implemented by the city government is subdivided
into two (2) categories: the City Scholarship Program and Barangay Scholarship Program
with a total annual allocation of Php 2,000,000.00 divided as follows: Php 500,000.00 and
Php 1,500,000.00, respectively. Interested students who wish to avail of the grant will have
to undergo the competitive examination and acquire a recommendation from the barangay
officials and youth representatives. This way, students are inculcated with the value of
education as they are required to maintain a standard grade. The table below shows the
number of city/barangay scholars for the three school year period from 2007 – 2009.

Since the Barangay Scholarship Program caters to interested students from the eighty-six
(86) barangays of the city, the annual budget allocation for the program is three (3) times
the amount for the City Scholarship Program. All scholars from the two programs are
granted with Php 4,500.00 each per semester.

For school year 2007-2008 a total of 86 and 265 students were enrolled as city and
barangay scholars, respectively. The number of enrollees in both programs declined during
the next school year (2008-2009) in the two semesters. This decline could be due to the
scholars’ failing to maintain the required average of 2.5 per semester. However, during the
next school year (2009-2010), a 23% increase in the number of scholars for both programs
is revealed. This could be attributed to the acceptance of new entrants to both programs.

On the percentage of children (6-12 and 13-16 years old) not attending school during the
three school years from 2007-2009, it can be observed that the number of children 6-12
years old who are not attending elementary school vs. the total number of 6-12 years old
children, is constantly decreasing. This also holds true with the percentage of children 13-
16 years old who are not attending high school vs. the total number of 13-16 years old
children. This was an upshot of the efforts made by school heads through advocacy, home
visitation, feeding program, regular meeting with the stakeholders and other intervening
factors, i.e. Balik-Aral campaign; increased benefactors of the Adopt-A-Student Program
and etc.

13-16 y.o. children not attending


Enrolment in Secondary
Population Secondary School
Particulars
SY 2007- SY 2008- SY 2009- SY 2007- SY 2008- SY 2009-
2007 2008 2009 2008 2009 2010 2008 2009 2010
Children aged
28,002 28,431 28,866 23,620 24,599 25,379 4,382 3,832 3,487
13-16 y.o.
Percentage 84.35 86.52 87.92 15.65 13.48 12.08

The data on participation rates for both elementary and secondary levels as well as
completion rate for the secondary level all showed increases from SY 2007-2008 to SY
2009-2010 except for completion rate for elementary level which dropped by 1.88% during
SY 2008-2009. It rose back again during the next school year registering a 4.42% increase.
One program that also aims to support and maintain Participation Rate and to provide
livelihood and entrepreneurial skills for many of its learners is the intensification of the
Alternative Learning System (ALS). The ALS organizes and implements programs on Basic
Literacy, Accreditation and Equivalency Test (A & E Test), Literacy cum Livelihood Classes,
Education for Indigenous People and Information Education for Street and Working
Children and Arabic Language and Islamic Values Education (ALIVE) for the enrichment of
Madrasah education or our muslim brothers.
The city government is pouring chunk of its budget for the construction of different school
facilities, purchase of equipment and hiring of additional teachers. All barangays in Butuan
City has at least 1 Day Care Center.

As of school year 2009-2010, supporting the educational system of the city, were the 105
public and 36 private elementary schools, 36 public and 21 private secondary schools. It
has a total of 16 Higher Education Institutions comprising of 15 private and 1 State
University.

Of the household population five years old and over, one out of three persons (33.5%)
reached or completed high school education. About 3% had either attended or finished
elementary education. The proportion of persons who were academic degree holders was
10.7% while 9.8% had attended but did not complete college. There were more females
than males in the city who were academic degree holders (55.5%) and with post
baccalaureate courses (58.3%).

Among the household population 5 to 24 years old, about three in five persons (64.5%)
attended school at anytime during School Year 2007-2008. There were more males
(50.8%) than females (49.2%) who attended school during the said school year.

 Social Welfare and Community Development

The needs of the elderly should not be left out, thus attention and care must be a priority by
the government sector. Most of the disability experienced by the elderly results from the
disease, not from the aging process itself. Through the Senior Citizen – GERIACARE
Physical Therapy & Rehabilitation Center, the Geriacare Health Center and Luwas Pag-
atud Program continues to provide health care management to our elders in the area. With
the improved health condition brought about by the services of the Geriacare PT & Rehab
Center, our elderly citizens can now do more activities such as sending their grandchildren
to schools, manage a convenient store, do household chores, and can even participate in
livelihood training programs that will help augment the family’s income and family’s daily
expenses. In this way, the elderly feels important and useful and not a burden to the family.

New services were introduced each year adding up to the existing programs with the aim of
improving the well-being of the persons aged 60 and over. Health counseling was
introduced in 2007 while Mortuary Assistance Program in 2008. Every year, a number of
elders is added to the circle of the Senior Citizens of Butuan City who are issued with
Senior Citizens ID cards for availment of a 20% discount in every purchase as stated in the
revised Republic Act (RA) 7432. The table below reveals the number of Senior Citizens,
with and without I.D. cards for the three-year period 2007-2009.

Based on the actual census of the National Statistics Office in the year 2007, there were
17,862 persons aging 60 years old and above in Butuan City. This age group belongs to
the elderly or the Senior Citizens. Among the 17,862 qualified senior citizens, only 566 are
registered in 2007. However, the number has started to increase when additional 1,821
and 1,621 senior citizens registered in 2008 and 2009, respectively, bringing their total to
4,008.

Of the 86 barangays in Butuan City, only 55 barangays submitted their list of disabled
persons. From these 55 barangays, there are 834 disabled persons segregated into 502
males and 332 females. Among the disabilities that surmount most of the age levels are
(1) ortho impaired/polio, which is the leading disability in ages 0-10; 31-40; 41-50 and 51-
59 years old; (2) deaf/mute/ hearing and speech impaired which goes upfront in ages 11-
20 and 21-30; and lastly, (3) visually impaired/squint which is the leading disability in 0-10
years of age.

 Housing and Resettlement

The feasibility of the housing programs of the City Government keeps the flame of hope
burning as it further envisions to totally eradicating homelessness and landlessness in
Butuan City. In pursuit of its mandate, together with its dynamic and kind partners, the city
government continues to relocate families and build better communities, thereby achieving
suitable living environment and residential stability to more and more Butuanons. The
number of households accessed to housing programs (relocated by the city government)
was 565, 406 and 646 in 2007, 2008 and 2009, respectively, exclusive of the number of
households who accessed housing programs through Pag-Ibig Fund and other housing
institutions.

A total of 60,755 households resided in 59,510 housing units in Butuan City. These
numbers translated to a ratio of 102 households for every 100 occupied housing units. In
2000, the ratio of households to occupied housing units registered at 103 households for
every 100 occupied housing units. In 2007, there were 5 persons per occupied housing unit
while in 2000, there were 5.5.
In 2007, the tenure status of the lot of the 60,755 households are as follows: Owned/Being
Amortized, 36,179 (59.55%); Rented, 7,170 (11.80%); Rent-free with consent of owner,
14,180 (23.34%); Rent free without consent of owner, 1,935 (3.18%); Not Reported, 475
(0.78%); and Not Applicable, 816 (1.34%).

As of 2009, presence of squatters or informal dwellers in the city is unbearable with above
30 in percentage versus the total number of households. Furthermore, more than 2% of the
total number of households are living in makeshift houses.

The proportion of occupied housing units with roofs made of galvanized iron/aluminum rose
from 60.9% in 2000 to 67.9% in 2007. On the other hand, housing units with roofs made of
cogon/nipa/anahaw decreased from 32.6% in 2000 to 26% in 2007. As to construction
materials of the outer walls, a large proportion of occupied housing units had outer walls
made of wood, as recorded in 2000 (67.8%) and 2007 (60.7%).

Number of households with electrical connections numbered 41,538 in 2007, 43,021 in


2008 and 44,671 in 2009. Average monthly electrical consumption per household is
pegged at 100kwh.

 Peace and Security

As for the peace and order situation, Butuan has a low crime rate compared to other major
cities, although like most cities, there are the usual petty theft and occasional heinous crime
once in a blue moon. Over all, it is relatively safe to stay in Butuan.

Although crime rates in Butuan City had been increasing from 2007 to 2009, criminality is
well contained in the various barangays of the city. The occurrence of some crimes is
highest in 2009 as compared to 2007 and 2008. Total number of policeman in 2007 and
2008 is 336 which was increased by 5.06% in 2009 making the total number of 353. The
policeman to population ratio of 1:991 in 2007-2008 and 1:943 in 2009 was considerably
above the standard of 1,100.

Particular 2007 2008 2009


Murder 19 23 33
Homicide 25 19 12
Physical Injury 58 42 92
Robbery 28 11 33
Theft 48 29 37
Rape 18 15 15
Total Index Crime 196 139 222
Total Non-Index Crime 148 103 118
Total Crime Volume 344 242 343
Total Crime Solved 304 207 300
Crime Solution Efficiency 88% 86% 87%
Average Monthly Crime Rate 8.60 6.05 8.50
Average Monthly Index Crime Rate 4.90 2.58 2.90
Policeman to Population Ratio 1:991 1:991 1:943
Sectoral Goals and Objectives

Goals

1. Provide quality basic education to all children


2. All children are provided with quality reading materials
3. 50% of the youth are provided with either a 2 or 4 year college education
4. Create entrepreneurship awareness to children and unemployed adults
5. Decrease homeless and families of informal settlers
6. PhilHealth coverage for all indigent Butuanons
7. Disease Free Zone
8. Reduce Infant and Under-Five Mortality Rates
9. Reduce Maternal Mortality Rate
10. Decrease prevalence of dental caries
11. Reduction of incidence of infectious diseases
12. Reduction of Malnourished Children
13. Students and community groups work together and assist in the development of
Butuan City and the nation
14. Barangays have access and are utilizing different development information from
community libraries
15. Reduce PGR (Population Growth Rate) and TFR
16. Increase CPR
17. MWRA/MCRA have been provided information and services
18. Reduced incidence of primary cases (stroke and arthritic cases)
19. Augmentation of Burial Expenses
20. Butuan will become a Gawad Kalinga Designer City

Objectives and Targets

1. Provide OSYs and unemployed households with alternative livelihood


2. All children aged 5-6 years are attending pre-school/day care
3. All children aged 6-12 years are attending elementary school
4. All children aged 13-16 years are attending high school
5. Additional teachers hired beginning 2011
6. Additional classrooms built beginning 2011
7. Fifty percent (50%) of the youth aged 17-20 are enrolled in 2 or 4 year course
8. Entrepreneurship is integrated in all school curriculum in all levels
9. Non-formal education on entrepreneurship
10. To provide homes to the homeless
11. To promote generic and herbal medicines and processes
12. To ensure PhilHealth coverage to all Butuanons
13. To reduce the incidence of infectious diseases
14. To reduce child death and ensure survival among children
15. To ensure survival, health and well-being of mother and child
16. To provide sanitary toilet bowls to indigent families
17. To reduce the number of malnourished pre-school children
18. Promote interest and love in reading books through story telling, puppet shows and
other library activities
19. Expand library services to include establishment of community libraries in 86
barangays
20. Acts as over-all channel in various modules, information materials, from all service
department of LGUs
21. To coordinate in the basic literacy program of the government with activities like
story-telling, puppet show and library orientation and instruction
22. To increase awareness on RH/FP positive practices and develop healthy mothers,
babies and families
23. To increase awareness on their reproductive rights, needs and options and have
information needed to make informed choice
24. To increase gender awareness to attain equality for men and women
25. Reduction of patients with neuromuscular and musculoskeletal conditions
26. Reduction of patients with cataract
27. To augment burial expenses to identified beneficiaries
28. To make Butuan City a Gawad Kalinga Designer City

Strategy : Poverty Reduction

Programs and Projects

1. Financial support to families with pre-school / day care children


2. Establishment of additional schools/classrooms/teachers in identified barangays
3. Scholarship Fund for the youth
4. Hiring of additional teachers
5. Generic/Herbal Medicine promotion and processing
6. Dengue prevention and control
7. National TB Program
8. STI/HIV/AIDS Prevention and Control
9. HIV Project
10. Expanded Program on Immunization
11. Nutrition and Garantisadong Pambata Activity
12. Integrated Management of Childhood Illnesses
13. Newborn Screening
14. Maternal Health Program – Safe Motherhood
15. Purchase of 1 unit Ambulance
16. Family Planning Program
17. Reproductive Health Program
18. Provision of sanitary toilet bowls
19. Establishment of Water Laboratory
20. Purchase of 1 vehicle for Environment and Sanitary Section (CHO)
21. Food Handlers/Operators Seminars
22. Basic Oral Health Program
23. National Voluntary Blood Program
24. Business One Stop Shop
25. Nutrition Education
26. Cooking Demonstration
27. Food Processing
28. Nutrition Advocacy
29. Upgrading and Acquisition of new Hospital Facilities
30. Procurement of complete anesthetic medicine
31. Upgrading of existing laboratory equipment
32. Hiring of additional BMC personnel (Med Tech)
33. Regular purchase of Lab Reagents and Supplies
34. Enhanced PMC Program
35. Formation of Barangay Support
36. 360 RPM-NFP Class
37. Procurement of NFP paraphernalias
38. Livelihood/Skills Training
39. Site development of existing and new subdivisions
40. Balangayan Butuan House Build, Drainage
41. Support to Geodetic Survey/Subdivision Services
42. Augmentation for Shelter Programs & Projects
43. Land & Land Improvements Project
44. Creation of SWAT
45. Conduct of Saturation Drive
46. Surveillance and Monitoring
47. Special Program for Street Children
48. Construction/Establishment of Residential Home for Street Children
49. PhilHealth Enrolment Program for Indigents
50. Goat Milk Program
51. Financial Support to Indigent Families with school children
52. Hiring of additional teachers
53. Integration of entrepreneurial subjects in school

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