Magsaysay

Local Investment Plan for Health

2017-2019

Prepared by:
Arthur F. Navidad, M.D.
Karen Mae D. Torreon, R.N.
Mr. Joseph V. Penonia, MPDO
Gemro C. Eballe, R.N.

Approved by:
Hon. Arthur D. Davin, C.E.
Municipal Mayor
EXECUTIVE SUMMARY

The Local Investment Plan for Health serves as vehicle for implementing and consolidating support for health
reforms to achieve health sector goals of better health outcomes, more responsive health system, and equitable
health care financing through DOH-LGU partnership representing all interests, activities, investments of
stakeholders for health. With the use of the LGU scorecard as a tool to look into the performance indicators and
the external and internal benchmarks and identify the accomplishments, gaps and deficiencies, we have
outlined the Local Investment Plan for Health (LIPH) of Magsaysay, Davao del Sur.

The municipality is relying mainly on the internal revenue allotment as its major source of funds. The
administration, though giving its best in tax collection, still find the amount collected meager compared to the
needs of the total populace. From the 2015 annual municipal budget of 118,243,606.09, 9.78% or 11,565,302.00
is allotted for health. The bigger portion of this goes to personnel services, while 4,932,300.00 (42.64%) is sub-
allotted for maintenance and operating expenses (MOOE), to pay for travel expenses, office supplies, medicines
and medical supplies and 48.65% of the MOOE or 2,400.000.00 is sub allotted for PHIC premium for the Indigent
families..

Through the LCE’s initiative Incentives were given to traditional birth attendants (TBA) who bring expectant
mothers to the birthing facility for delivery, Barangay LGU who refers pregnant mothers to RHU birthing facility
also receive incentives, Pregnant women with quality AP care are given cash incentives after delivery in a safe
birthing facility. These strategies contributed to the increase in Facility based deliveries, from 59.1% in 2011 to
81.8% in 2015.

In 2015 the LGU enrolled 1,300 indigent families that were left out by the National Housing targeting System
(NHTS) to the PHIC and 10,266 were sponsored by the DOH thru the NHTS Program. Moreover, Local revenues
can now generated from the income and PHIC reimbursement of the existing RHU Birthing Unit.

Infectious diseases still dominate the causes of morbidity and mortality. One of them is Pulmonary Tuberculosis.
Though the DOTS (Directly Observed Treatment on Short Course Chemotherapy) had helped a lot in solving TB
problems, the emergence of 2 suspected multi-drug resistant (MDR) cases marred the otherwise improving
picture. This situation got even easier with the presence of appropriate health facility for MDR in the Region.
The increasing diseases due to unhealthy lifestyle are also increasing in the past five years.

The malnutrition rate of the municipality had remained low in the past 5 years. But to maintain such good
performance, the municipality has to have supplemental feeding for all underweight and severely underweight
children. Regular weighing, measuring and monitoring of these malnourished children should be done.

The percentage of Fully Immunized Children (FIC) in 2011 is 70.5%. Immunization of children was intensified but
FIC remained low at 77.9% in 2015, Contraceptive Prevalence Rate (CPR) of 79.7% is relatively high compared to
the 65% of the national target.

Although the Municipal Health Office (MHO) with the Barangay Health Stations serving as its satellites in the
different barangays dispense mainly preventive services, the curative aspect of health delivery could never be
taken off from it. People would still go to these facilities for medical consultations and treatment. Majority of
the BHS do not meet the basic standards for a BHS in terms of floor area, building condition and equipment,
thus the poorest of the poor have no access to quality health care from the BHS.

Most of the health personnel were trained on the different treatment protocols and the different health
programs. However, newly hired personnel still have to be trained.

Laboratory services are available in the MHO, but the laboratory examinations that it could perform are limited
because of the absence of some equipment. And this means patients would still be referred to laboratories
outside of the municipality for additional work-up.
Dental services are also available in the MHO that address the dental needs especially of the school children and
pregnant women. Moreover, some dental services like prophylaxis could be availed because of the available
portable equipment and brand new dental unit provided by DOH HFEP.

The referral system adopted by the municipality, is the two-way referral system. Within the municipality, a
system had already been adopted between the referring and the referred level. The problems that the MHO
often encountered regarding referrals are those cases that are being referred to outside municipality health
facility. There are cases where return slips are not returned. With the implementation of the ILHZ two way
referral system, such problem would surely be solved. One of the hindrance is the non-establishment of the
D’MaBaMaS office inside the DSPH compound.

CHAPTER I

INTRODUCTION

Health is a right of every Filipino Citizen and the state is duty- bound and ensures that all Filipinos have equitable
access to effective health care services”. This is according to the Philippine Constitution and the Priority
Direction of the Universal Health Care program which includes the objectives for better health outcomes; more
responsive health systems; and equitable health care financing. This concern is also inspired from the Global call
for achieving the issues in the Millennium Development Goals (MDG’s) such as reduce child mortality; improve
maternal health; combat HIV/ AIDS, malaria and other diseases; develop partnership for development; eradicate
extreme poverty; promote gender equality and empower women; and achieve universal primary education.

The Local Government of Magsaysay, under the strong-willed and very sincere leadership of Mayor Arthur D.
Davin, CE, has seriously considered this mandate after graduating from the Municipal Local Governance Program
(MLGP) and giving more priority to the health-related programs of the municipality. Thus, the Mayor through
the Local Health Board (LHB), calls for the development of the Local Investment Plan for Health (LIPH) for
Magsaysay. As the municipality’s population increases, the demand for health services also increases. The
LGU’s resources are limited and through the LIPH, we will be able to have additional resources for health. The
enthusiasm of the LCE, is indeed one of the driving forces behind the crafting of the LIPH for the year 2017-2019.

Certainly the LIPH 2017-2019 is crafted suitably to give priority to the health and medical needs of the
underprivileged, sick, elderly, disabled, women and children as mandated by the 1987 constitution, and to
answer the health problems of the municipality, with the full support of the Chief Executive and the local
institutions technically and financially. Every program in the LIPH is planned into the details from health human
resource, logistics, and health facility development to ensure quality health care services are offered to all the
constituents of Magsaysay.

With the continuous demand for essential health care services which are constantly rendered by the
LGU through the Municipal Health Office, finally, the Local Investment Plan for Health 2017-2019 is formulated
in the pursuit of this endeavor to fulfill the dreams of making the “people of Magsaysay” Healthy and
Productive!
CHAPTER II

LGU Profile

The current administration prioritizes the implementation of the four (4) engagement areas, such as (1) Social
Protection and Social Services, (2) Agro-Development and Eco-Tourism, (3) Community-based Inclusive Growth
Development and (4) Disaster Preparedness and Environmental Development.

On social protection and social services, the MLGU provides services that promote the welfare of its people such
as sponsoring indigent families to PHIC membership and other Health Services, Health and Sanitation,
Scholarship Programs, Provision of Potable Water System in remote areas, and Community Processing to
increase trust and confidence within communities to the government and maintain the Peace and Order
Situation of the locality.

On Agro-development and Eco-Tourism, the MLGU encourages its populace to plant and care for the
environment in order to uplift its social living condition.

On Community-based Inclusive Growth Development, the MLGU creates an opportunity of its people through
providing them technical skills training and livelihood and to encourage various civil society organizations to
participate in its economic activity.

On Disaster Preparedness and Environmental Development, the MLGU through this program address to reduce
risk among disaster prone areas. It provides them basic calamity response capability building seminar. It creates
a system on proper waste disposal through establishment of collection points and Materials Recovery Facility
within the 22 barangays.

1. Physical Environment:
1.1.1. Topography

A substantial part of Magsaysay is considered upland characterized by extensive mountain ranges. The mountain
range that runs along the western and northern boundary of the municipality is shared with the municipalities of
Makilala and Tulunan, North Cotabato and Columbio, Sultan Kudarat. These mountain ranges extends to the
northeast and east to the province of Davao Oriental. Along this range is Mt. Apo it has an elevation of about
10.311 feet (3,144 meters) above sea level. It has been considered as semi-active volcano. On a cloudless day it
is believed that Mt Apo is viewed best from Magsaysay

The slope classification of the area considered is 21.25% or 5,718 hectares of which are mountainous and gently
sloping hills while the rest are generally plain. There are four (4) slope categories namely: 0-8%, 8- 18%, 18 –
30% and 30 – 50%

The types of soil predominantly found in the municipality are San Manuel Silly Clay Loam, Miral Clay Loam and
Kidapawan Clay Loam. The different technical soil characteristics are being found in these following landform
characteristic and geographic formation of the areas:

.
Table 1
Basic Soil Type, Area and Location
Municipality of Magsaysay, Davao del Sur
1995
BASIC SOIL TYPE LAND AREA LOCATION (Barangay)
San Manuel Silty Clay Loam 5,733.02 has. Part of Lower Bala, Mabini,
Poblacion, Dalawinon,
Kasuga. New Ilocos, Barayong
Miral Clay Loam 10,664.84 has. Blocon, San Isidro, Part of
Upper Bala, part of Tacul,
Balnate, San Miguel, part of
Bacungan, Dalumay,
Malawanit, Glamang.
Kidapawan Clay Loam 10,501.77 has. Malongon, Maibo, Tagaytay,
Part of Upper Bala, part of
Tacul, part of Bacungan,
Part of Malwanit, part of
San Miguel, New Opon and
Kanapolo.
Source: Computed by the MPDO based on DA data.

Table 2
Slope Classification
Municipality of Magsaysay, Davao del Sur
1996
Slope Classification Land Area % Total
0-8% 7,600 28.28%
8-18% 9,720.80 36.13%
18-30% 3,860.83 14.34%
30-50% 5,718 21.25%
Source: Computed by the MPDO based on PDS, MASSO, DA, and DENR data
1.2. Geo-hazard Map

This map below shows the detailed landslide and flood susceptibility of Magsaysay, Davao del Sur. The survey
was conducted by the Mines and Geosciences Bureau (MGB) Region XI, Davao City last March 2016.

Figure 1. Geo-hazard map of Magsaysay, Davao del Sur.

1.3. Location of communities and health facilities

The map below shows the location of Barangay Health Stations (BHS) within the municipality. The Rural Health
Unit and Birthing Center Facility is colored green while Barangay Health Stations is colored red.

Figure 2. Health Facilities Map of Magsaysay, Davao del Sur.

1.4. Risk or hazards

Magsaysay has only four (4) types of hazards or risks, those are fire, earthquake, flood and landslide.

As per Mines and Geosciences Bureau survey conducted last March 2016, all of the twenty-two (22) barangays
had low and moderate landslide and flood susceptibility indicators. However, they had identified puroks that are
high and very high in landslide vulnerability, namely some puroks in barangays Bacungan, Balnate, Glamang,
Maibo, Malongon, San Miguel, Tagaytay and Upper Bala. Some puroks of Barangays Kanapolo, Kasuga, New
Ilocos, Poblacion and Tacul are highly flood susceptible areas.

The municipality is outside the typhoon belt, however, there are occurrence of whirlwind along Barangays Bala,
New Ilocos and Poblacion.
2. Demographic Profile

The municipality has a total population of 52,358 and total land area of 26,899.63 has. Out of the 22 barangays,
Poblacion has placed the highest and densest with 6.91 persons per hectare. This is because the major
concentration of population and the center of major socio-economic activities are in Poblacion. The least
densely populated barangay is Barangay Maibo, the Upland barangay which has a small population but has a
large area. It has 0.58 persons per hectare.

Table 3.
Density Death Rate
Barangay Population Land Area
(Person/ha.) /1,000 pop
Urban:
1. Poblacion 7,432 1,075.449 6.91 5.6
Sub-total 7,432 1,075.449 6.91 5.6
Rural:
1. Bacungan 2,480 2,969.202 0.84 2
2. Balnate 1,190 1,021.344 1.17 1.6
3. Barayong 5,580 924.916 6.03 6.2
4. Blocon 1,746 522.943 3.34 2.8
5. Dalawinon 2,633 625.279 4.21 3
6. Dalumay 882 469.482 1.88 7
7. Glamang 1,571 1,343.220 1.17 4
8. Kanapolo 1,600 1,714.026 0.93 2.5
9. Kasuga 1,841 541.691 3.40 4
10. Lower Bala 3,251 1,094.361 2.97 5.2
11. Mabini 1,984 706.572 2.81 4
12. Malawanit 1,657 2,574.901 0.64 5.4
13. Malongon 834 560 1.49 2.3
14. New Ilocos 1,327 449.298 2.95 3
15. San Isidro 4,019 1,545.578 2.60 2.7
16. San Miguel 1,479 971.133 1.52 2.7
17. Tacul 3,649 1,220.746 2.99 5
18. Tagaytay 1,304 1,433.242 0.91 3
19. Upper Bala 3,160 2,222.204 1.42 3.7
20. Maibo 1,095 1,903.800 0.58 2.7
21. New Opon 1,644 1,010.243 1.63 4.8
TOTAL 52,358 26,899.630 1.95 4.28
Source: MPDO

The growth rate of the municipality is 1.00% as per DOH computation from the year 2012 to 2016. The death
rate of the MLGU for the year 2015 is 4.28 in every 1,000 population.
3. Vulnerable populations needing more health care

The table below shows the vulnerable populations needing more health care per sector.

Table 4.
Women and
Children in Living in Urban Senior
Barangay Youth IPs PWDs
difficult GIDAs Poor Citizen
situations
Bacungan 554 736 1 98 0 7 234
Bala 624 320 0 0 0 7 379
Balnate 248 255 0 355 0 3 81
Barayong 1,154 299 0 0 0 12 532
Blocon 353 0 0 0 0 3 148
Dalawinon 469 0 0 0 0 4 278
Dalumay 160 326 0 0 0 0 54
Glamang 339 568 0 78 0 1 113
Kanapolo 350 716 0 97 0 2 131
Kasuga 407 0 1 0 0 9 179
Mabini 313 164 0 0 0 6 250
Maibo 383 1,499 0 1,791 0 4 72
Malawanit 449 991 0 325 0 3 169
Malongon 160 630 0 803 0 0 33
New Ilocos 274 0 0 0 0 4 127
New Opon 256 998 0 0 0 0 100
Poblacion 1,308 356 5 0 800 47 632
San Isidro 667 756 0 0 0 9 346
San Miguel 328 174 0 0 0 5 174
Tacul 676 1,149 0 0 0 7 283
Tagaytay 291 1,319 0 559 0 1 100
Upper Bala 690 887 0 470 0 3 201
TOTAL 10,353 12,142 7 8,449 800 137 4,611
Source: MSWDO, MHO

The table above shows that there are many vulnerable populations needing more health care and correlating
this data to the existing Health facilities and their status we can say that there is a need to construct or renovate
these Health Facilities to provide quality health care to the vulnerable populations.
4. Environmental Sanitation, sources and status of potable water

Environmental Sanitation

Table 5. Number of Households by Type of Toilet Facilities, 2015.

Type of Toilet Facility (No.)
Sanitary Unsanitary
Barangay Own Shared Closed Open Pit Drop/ No
Flush Flush Pit TOTAL Latrine Overhang Facility/ TOTAL
Latrine Field
Bacungan 267 - - 267 69 - 88 157
Bala 952 - - 952 5 - 7 12
Balnate 123 - - 123 135 - 73 208
Barayong 1,325 - - 1,325 10 - 130 140
Blocon 317 - - 317 - - 150 150
Dalawinon 519 - - 519 - - 169 169
Dalumay 101 - - 101 53 - 24 77
Glamang 242 - - 242 169 - - 169
Kanapolo 312 - - 312 60 - 18 78
Kasuga 477 - - 477 8 - 34 42
Mabini 423 - - 423 10 - 11 21
Maibo 56 - - 56 247 - 134 381
Malawanit 171 - - 171 150 - 71 221
Malongon 120 - - 120 72 - - 72
New Ilocos 325 - - 325 - - 22 22
New Opon 214 - - 214 60 - 9 69
Poblacion 1,523 - - 1,523 85 - 55 140
San Isidro 961 - - 961 49 - 5 54
San Miguel 400 - - 400 4 - 23 27
Tacul 650 - - 650 150 - 131 281
Tagaytay 13 - - 13 70 - 253 323
Upper Bala 446 - - 446 117 - 80 197
TOTAL 9,937 - - 9,937 1,523 - 1,487 3,010
Source: MHO

The municipality has 9,937 households that complied with the sanitary toilet facility, while, 1,523 households
that are classified as unsanitary toilets, while 1,487 households are without toilet facility. This issue is being
addressed through local purchase of toilet bowls and construction materials and implemented with the help of
the BLGU and the community.
Potable Water System

The table below shows the names of water service providers of Magsaysay, Davao del Sur indicating their level
of service. As of this date, all of these water facilities are serviceable, most of them are already outdated and
needs repair.
Table 6. Potable water system
Name of Water Service Provider Management Type Level of Service
POMARUWASA RWSA Level 3
San Isidro Elem School Unnamed Water Service Provider Level 3
Barangay San Miguel Unnamed Water Service Provider Level 2
Barangay Bacungan Unnamed Water Service Provider Level 2
Bala Water Users Assn BWSA Level 2
Sitio Kabuhuan, Barangay Upper Bala Unnamed Water Service Provider Level 2
Sitio Ugsing, Tacul Unnamed Water Service Provider Level 2
Purok 1 & 2, Tagaytay Unnamed Water Service Provider Level 2
Centro Balnate Unnamed Water Service Provider Level 2
Purok 1, Balnate Unnamed Water Service Provider Level 2
Purok 3B & 4, Balnate Unnamed Water Service Provider Level 2
Purok 5, Malawanit Unnamed Water Service Provider Level 2
Purok Centro, Malawanit Unnamed Water Service Provider Level 2
Barangay Blocon Unnamed Water Service Provider Level 2
Barangay Malongon Unnamed Water Service Provider Level 2
Barangay Kasuga Kasuga waterworks association Level 2
Barangay Maibo Unnamed Water Service Provider Level 1
Barangay Glamang Unnamed Water Service Provider Mixed Level 1 & 2
Purok 1 & 5, Dalumay Dalumay Homeowners Assn Level 2
Pag-asa Maligaya Water System Homeowners Association Level 2
Simon Water System BWSA Level 1
Barangay Kanapolo Unnamed Water Service Provider Level 1
Purok 1, Upper Bala Unnamed Water Service Provider Level 1
Barangay Site, Upper Bala BWSA Level 1
Tacul Water Users Homeowners Association Level 3
SOURCE: MPDO

5. Economic situation:
a. Major economic activities

Magsaysay is primarily an agricultural municipality as such farming is the major economic activity.

b. People’s sources of income

Our people’s main source of income is in farming and livestock raising.

c. Poverty incidence and areas of concentration

The Municipality of Magsaysay, Davao del Sur has been ranked number 17 by the National Anti-Poverty Council
(NAPC) with high incidence of poverty nationwide. Out of 49,141 population of the municipality, there are
11,266 belong to the poorest of the poor as identified during the National Household Targeting System (NHTS)
Survey conducted by the Department of Social Welfare and Development (DSWD).
6. Social Situation:

a. Education

In the education sector, the MLGU have twenty six (26) Public and one (1) Private Elementary Schools,
respectively. For the secondary level, the MLGU have six (6) public and two (2) private schools.

Generally, the literacy rate of the LGU is 95% with only 5% illiterate. That is why massive campaign for
enrollment in the LGU’s Scholarship Program and Alternative Learning System (ALS) is being intensified.

For the year 2015, there was an increase in the number of enrollees due to compulsory attendance in school
among 4Ps beneficiaries.

b. Peace and Order

Magsaysay is generally peaceful. But due to its geographical location, hilly and mountainous, sometimes there
are sightings of the New People’s Army (NPA) in the upland barangays, namely Barangays Upper Bala, Kanapolo,
New Opon, Malongon, Tacul, Maibo, Tagaytay, Balnate, San Miguel, Bacungan, Malawanit and Glamang.

7. Source(s) of Food

The people of Magsaysay are mostly dependent on rice as the main staple food, Meat and some meat products
are also locally produced while most of processed meat products come from the nearby municipalities and
cities. Fish usually are purchased in Digos city and are retailed at the wet market, Fish vendors from Digos city
are going to the different Barangays on a daily basis. Fruits and Vegetables are locally produced and sold at the
market.

8. Support facilities

a. Transportation

All the 22 barangays are accessible by land. For the barangays along the Provincial Road, jeepneys/multicabs
and motorcycles are commonly used while motorized vehicles commonly called “Payong-payong” and
motorcycles are the means of transportation usually used in going to barangays.

Travel time from the farthest barangay to the Municipal Health Office is around 50 minutes excluding the
waiting time. And it takes around 40 minutes to travel from the Municipal Health Office to Davao del sur
Provincial Hospital, the core referral hospital in Digos city.

There are 2 municipal ambulance utilized to transport patients from the RHU to the core referral hospital and to
SPMC. Barangay service vehicles are utilized to transport patients from their barangay to the RHU.

b. Communication

Globe, Smart and Sun cellular communications is available in the lowland barangays, such as, Poblacion, New
Ilocos, Blocon, Kasuga, Dalawinon, Barayong, Bala, and Mabini. Globe Telecom put up a cell site in Barangays
Tacul and Barayong which gave access to most upland barangays. The Barangay Poblacion enjoys 3G internet
access with Smart broadband and Globe tattoo.
c. Access to information

All informations needed by its constituents are made available through the Community Development
Information Center handled by the Community Affairs Office. Informations are made available 5 days a week
from 8 AM until 5 PM. Moreover, the LGU is on the process of having a website, www.magsaysay.gov.ph to
foster transparency in governance.

9. Ethnicity and Religion

Household Population by Religious Affiliation and Sex

The Roman Catholic group has dominant number of household population. This represents 68% of the total
household population. This is followed by Evangelicals, Southern Baptist and Iglesia ni Kristo. As observed from
the 1995 to year 2000, there was an increase of almost 100% on the number of religious groups existing in the
municipality. From 20 religious groups in 1995, it reached to 29 in 2000. This means that the constituents has
organized or affiliated religious groups whom they believed can boast them spiritually and morally. Their
awareness to spiritual aspect has been developed.

Household Population by Ethnicity and Sex

Cebuanos are the predominant ethnic in the locality representing 61% of the total population. The cultural
minorities considered as the pioneer settlers of the municipality are the B’laan tribe which represents 12% of
the population. The Ilocanos rank to the third highest household population in the locality who represent the
majority ethnic group who migrated from Luzon and who were able to acquire and tilled an agricultural land in
one of the barangays, New Ilocos.

10. Political subdivision, administrative jurisdiction and income class

Political Subdivision

On the northwest, Magsaysay is bounded by point of National (Davao-Cotabato) Highway; thence straight line to
the West following the Davao-Cotabato boundary; on the southwest, point upstream to the National Highway;
thence following the said highway, to the point of Davao-Cotabato boundary; thence straight line to the South
following the Western Bansalan boundary up to the point of Matanao-Bansalan boundary. Its geographical
location lies along 125° 10’ longitude and 6°45’9” latitude.
Administrative Jurisdiction

Below is the map showing the administrative jurisdiction of Magsaysay, Davao del Sur.

Figure 3. Municipal Base Map of Magsaysay, Davao del Sur.

Moreover, Magsaysay has a total land area of 26,899.63 hectares which is about 7 percent of the total land area
of the province. It is composed of 22 barangays namely: Poblacion, Bacungan, Balnate, Barayong, Blocon,
Dalawinon, Dalumay, Glamang, Kanapulo, Kasuga, Lower Bala, Mabini, Malawanit, Malongon, Maibo, New
Ilocos, New Opon, San Miguel, San Isidro, Tacul, Tagaytay, and Upper Bala. Among these barangays, the largest
is Bacungan with an area of 2,969.202 hectares or 11 percent of the municipality’s total area and the smallest
barangay is Barangay New Ilocos with only 449.298 hectares or 1.67 percent of the total area.
The land area of the MLGU per barangay is shown in the table below.

Table 7. Land Area per barangay.

Barangay Land Area % Distribution
1. Poblacion 1,075.449 3.99
2. Bacungan 2,969.202 11.03
3. Balnate 1,021.344 3.79
4. Barayong 924.916 3.43
5. Blocon 522.943 1.94
6. Dalawinon 625.279 2.32
7. Dalumay 469.482 1.74
8. Glamang 1,343.220 4.99
9. Kanapolo 1,714.026 6.37
10. Kasuga 541.691 2.01
11. Bala 1,094.361 4.06
12. Mabini 706.572 2.62
13. Malawanit 2,574.901 9.57
14. Malongon 560 2.08
15. New Ilocos 449.298 1.67
16. San Isidro 1,545.578 5.74
17. San Miguel 971.133 3.61
18. Tacul 1,220.746 4.53
19. Tagaytay 1,433.242 5.32
20. Upper Bala 2,222.204 8.26
21. Maibo 1,903.800 7.07
22. New Opon 1,010.243 3.75
TOTAL 26,899.630
SOURCE: MPDO

Income Class

The Municipality of Magsaysay, Davao del Sur is a 2nd class municipality with a total population of 52,358 as of
2015 DOH projected population with 11,671 households. During the year 2014, it has an Internal Revenue
Allotment of Php 98,439,545.00 and a Local Income of Php 8,455,473.62 which totaled to Php 106,895,018.62.
In 2015 the IRA and local income totaled 118,243,606.09.
CHAPTER III
HEALTH SITUATIONER

D. Health Situationer

1. General Health Status

The General Health Situation of the Municipality of Magsaysay is shown here based on the indicators of the
Regional Health Information System. Shown below is the comparative data of common indicators from 2011 to
2015:

Graph 1. 5-year comparative data of common indicators.

Source: RHIS

Of the above shown maternal indicators, Women receiving Quality Prenatal Care has consistently received the
lowest mark. Although erratic in its first three years, it, together with all the other indicators, has significantly
increased from 2014 to 2015.

Teenage Pregnancy has invariably been high for 5 years. Its lowest mark of 18.2% in 2011 and 2014 is still
apparently too high for the National target of 4%. Its highest is at 23.85% in 2015 with 219 out of 918
pregnancies.

Although it decreased in 2012, Facility-based Deliveries and Deliveries attended by Skilled Birth Attendants
began to rise back in 2013 with the opening of the RHU’s Safe Birthing Facility which was manned by only 6
personnel back then. In 2013, out of the 635 who delivered in a Facility, 94 delivered at the RHU’s Safe Birthing
Facility. In 2014, 285 out of 595 FBDs. And in 2015, 515 out of 751 FBDs.

The number of women with Quality Prenatal Care has markedly increased from 4.2% in 2011 to 55.8% in 2015.
Pregnant women with 4 prenatal visits is the leading factor for the low accomplishment in this indicator from
2011 to 2013 while complete Ferrous supplementation for 6 months contributed to its low accomplishment in
2015, as seen in the graph below.
 Graph 2. 5-year comparative data of factors affecting quality prenatal care.
90.0%

80.0%
Complete FeSO4
70.0% supplementation
3 Basic Labs
60.0%

50.0% Seen by the Doctor

40.0% Seen by the Dentist

30.0%
4 Prenatal visits (1-1-2)
20.0%
1st prenatal visit on the 1st
10.0% trim

0.0%
2011 2012 2013 2014 2015
Source: RHIS
Women who received Quality Postpartum Care has also noticeably increased from 39.3% in 2011 to 80.6% in
2015. Although erratic, it can be seen below that the constant factor for the low accomplishment for this
indicator is the 2 postpartum visits after delivery (within 24 hours and within 7 days), as shown below.

Graph 3. 5-year comparative data on factors affecting qua

120.0%

100.0%

80.0%
2 postpartum visits

60.0% 4-6 weeks visit

Vitamin A after delivery

40.0% Initiated breastfeeding

20.0%

0.0%
2011 2012 2013 2014 2015

Source: RHIS
 Graph 4. 5-year comparative data on exclusive breastfeeding and FIC
100
86.4 87.6 86.6 86.4
90

80
83.6
68.8
70 77.9 77.9
74.2
55.8
60
Children with Exclusive
50 Breastfeeding for 6 Months
Fully Immunized Children
40

30

20

10

0
2011 2012 2013 2014 2015

Source: RHIS
The table above shows a sudden decrease for both the indicators in 2014. The reshuffling of midwives from their
respective barangay assignments has been attributed to this occurrence.

5-Year Data of the Leading Causes of Morbidity

2011 2012 2013 2014 2015
Cause No. Cause No. Cause No. Cause No. Cause No.
Acute Upper Acute Upper Acute Upper Acute Upper Acute Upper
Respiratory 1881 Respiratory 3178 Respiratory 3478 Respiratory 1358 Respiratory 2904
Illness Illness Illness Illness Illness
Diarrhea/ Infections: Soft
Soft Tissue
Acute 261 611 Tissue, Skin, 707 Hypertension 338 Hypertension 277
Infection
Gastroenteritis Wound
Other Diseases
Urinary Tract
208 Hypertension 323 Hypertension 551 Bronchitis 170 of the Urinary 274
Infection
System
Infections of
Diarrhea/
Diarrhea/ Acute the Skin and
Hypertension 193 Acute 278 415 137 242
Gastroenteritis Gastroenteritis Subcutaneous
Gastroenteritis
Tissues
Fever, Diarrhea/
Urinary Tract Urinary Tract Urinary Tract
unknown 127 235 330 129 Acute 137
Infection Infection Infection
origin Gastroenteritis
Fever,
Wound,
Anemia 73 unknown 210 Bronchitis 308 41 Open Wounds 132
Puncture
origin
Upper Acute Lower
Vitamin Peptic Ulcer
Bronchitis 71 94 Gastrointestinal 203 39 Respiratory 114
deficiency Disease
Illness Illness
Fever,
Gastritis and Vitamin
69 Bronchitis 91 166 unknown 38 Otitis Media 49
Duodenitis Deficiency
origin
Fever, unknown Gastritis and
Arthritis 56 Arthritid 64 150 Anemia 36 47
origin Duodenitis
Otitis 31 Tonsilitis 23 Arthritis 89 Amoebiasis 28 COPD 33
Others 184 Others 250 Others 515 Others 408 Others 247
Total 3154 Total 5357 Total 6912 Total 2722 Total 4456
The 5-year leading causes of morbidity shows the top 10 causes of morbidity every year. This data is based on
the diagnoses given to patients who underwent consultation at the Rural Health Unit. For the past 5 years, Acute
Upper Respiratory Illness, Hypertension, Acute Gastroenteritis and Urinary Tract Infections/Other diseases of
the Urinary System have been consistently present among the top 5 causes.

5-Year Data of the Leading Causes of Mortality

2011 2012 2013 2014 2015
Cause No. Cause No. Cause No. Cause No. Cause No.
Cardio Cerebro
Congestive Multiple
respiratory 46 39 Pneumonia 23 32 vascular 36
Heart Failure Organ Failure
arrest accident
Cerebro Cerebro Cerebro
Other forms of
vascular 29 vascular 37 Heart Failure 21 vascular 27 31
heart diseases
accident accident accident
Cerebro
Acute Renal Acute renal
Heart Failure 17 25 vascular 20 Pneumonia 24 26
Failure failure
accident
Cardio
Myocardial Multiple organ
Pneumonia 15 Pneumonia 20 14 respiratory 24 24
infarction failure
arrest
Cardio
Myocardial Acute Renal Myocardial Ischaemic
12 respiratory 16 13 16 23
Infarction Failure infarction Heart Diseases
arrest
Acute Renal Myocardial Congestive Acute Renal
9 13 12 14 Pneumonia 21
Failure infarction Heart Failure Failure
Congestive Multiple Organ Congestive Tuberculosis,
7 Sepsis 7 12 8 6
Heart Failure Failure Heart Failure respiratory
Pulmonary
Sepsis 5 Leukemia 6 Colon cancer 9 6 Cancer, Liver 6
Tuberculosis
Status
Liver cirrhosis 5 Liver cirrhosis 4 Senile Debility 8 5 Cancer, Lung 6
Asthmaticus
Pulmonary Pulmonary
5 Ovarian cancer 3 7 Sepsis 4 Septicemia 5
Tuberculosis Tuberculosis
Others 22 Others 41 Others 118 Others 30 Others 40
Total 172 Total 211 Total 257 Total 190 Total 224

The 5-year leading causes of mortality shows the top causes of mortality every year. This data is based on the
records of the Office of the Civil Registrar in the municipality and the reported outside deaths. Cerebrovascular
accident, pneumonia and acute renal failure are consistent causes reflected in the table for the past 5 years.

Public and private hospitals

There are no public and private hospitals in the municipality for the past 3 years.
LGU health scorecard
This is a 3-year comparison of the LGU Health Scorecard of 2012, 2014 and 2015 using the Zuellig Family
Foundation, Inc.’s Municipal Basic Health System’s Technical Roadmap.

Figure 1. Municipal Basic Health System's Technical Roadmap 2012

Source: RHIS, MBO, Brgy. data

Figure 2. Municipal Basic Health System's Technical Roadmap 2014

Source: RHIS, MBO, Brgy. data

 Figure 3. Municipal Basic Health System's Technical Roadmap 2015

Source: RHIS, MBO, Brgy. data

The 2015 Scorecard shows a significant improvement of the municipality’s Roadmap to Health.
The areas still needing progress are Health Financing’s LGU Budget for Health (still at 11%); Health Human
Resource’s Health Human Resource Adequacy at the RHU (MD:52,358 population), RHU HHR Competency
(inadequate basic trainings for nurses and midwives), Full Implementation of Magna Carta for Public Health
Workers, Health Human Resource Adequacy in BHS (1 BHW:30-35 population) and BHS HHR Competency (active
BHWs without Basic BHW Training); Health Information System’s Regular Data Gathering and Recording; Health
Service Delivery’s Maintenance and Operation (BHS without Functional Basic Medical Equipment) and Below-
the-target accomplishments for Prenatal services, Post natal services, Facility-based deliveries and deliveries by
skilled birth attendants, Fully Immunized Children and Sanitary Toilets and High Teenage Pregnancy Rate, and
Sustainable Adolescent Reproductive Health Initiatives (no AO and MOP for ARH programs).

2. Health Needs

a. Gaps in the Health Service Delivery

Low economic status, poor health seeking behavior of clients, distance to health facility and no roads from far
flung sitios/ puroks are identified as some of reasons of low coverage in most of the Health programs.
Interventions and strategies were introduced to increase clients awareness to health problems while low income
of families are being addressed by the LGU through partnership with the DOST, DA and livelihood projects of the
LGU. Roads in the highlands of the municipality are being improved through the PAMANA project, Farm to
Market road projects, Provincial rural development program (PRDP). These projects are still ongoing upon
completion this will greatly increase clients access to quality health care.

PHIC Accreditation. The RHU is PCB, accredited since 2011, TB DOTS and MCP accreditation was granted on
April 2013. The license to operate of the RHU birthing facility is under process, on initial inspection several
deficiencies were noted and are addressed and complied.
1. Health facilities found in the municipality
Table 8.

Barangays No. of private No. of BHS Remarks

clinics/hospitals
Poblacion 0 0 MHC utilized
Bacungan 0 1 Needs minor repair
Bala 0 1 Dilapidated
Balnate 0 1 Dilapidated/Substandard
Barayong 0 1 Dilapidated
Blocon 0 1 Dilapidated/Substandard
Dalawinon 0 1 Dilapidated
Dalumay 0 1 Dilapidated/Substandard
Glamang 0 1 Dilapidated/Substandard
Kanapolo 0 1 Dilapidated/Substandard
Kasuga 0 1 Newly Constructed; no equipment
Mabini 0 1 Dilapidated
Maibo 0 1 Needs minor repair
Malawanit 0 1 Dilapidated/Substandard
Malongon 0 1 Newly Constructed; no equipment
New Ilocos 0 0 none
New Opon 0 1 Dilapidated/Substandard
San Isidro 0 1 Needs minor repair
San Miguel 0 1 Newly Constructed; no equipment
Tacul 0 1 Dilapidated
Tagaytay 0 1 Newly Constructed; no equipment
Upper Bala 0 1 Dilapidated/Substandard
SOURCE: MHO

There are no health facilities in the municipality other than the government-owned Rural Health Unit and
Barangay Health Stations.

The RHU is PhilHealth-accredited and is utilized by all the barangays for services other than EPI, Family Planning,
Prenatal and Postpartum consultations and IYCF counselling. The RHU has a functional Basic Medical Equipment
and is open from Mondays to Fridays at 8 in the morning to 5 in the afternoon.

The RHU’s Safe Birthing Facility, constructed under the Health Facility Enhancement Program, is open 24/7 and
serves women for delivery from within the municipality and the neighboring municipalities, i.e. Matanao,
Bansalan, Tulunan, as well. It has a 6-bed capacity.

The RHU utilizes two ambulances for the transport and referral of patients, where the older ambulance needs
constant major repairs.
B. GAPS IN HEALTH FINANCING

1. Budget for Health

YEAR 2013 2014 2015 2016

LGU Annual Budget 90,004,468.00 102,326,310.00 118,243,206.09 129,431,420.00
Personal services 6,080,119.00 6,639,587.00 6,633,002.00 7,447,036.00
MOOE 1,000,000.00 1,400,000.00 4,932,300.00 4,934,300.00
Capital outlay 500,000.00 0 0
Total 7,580,119.00 8,039,587.00 11,565,302.00 12,381,336.00
% Health:LGU 8.42% 7,85% 9.78% 9.56%
SOURCE: MBO

The WHO recommends 15% of the Total LGU Budget should be allocated for Health for Optimal and quality
health services.

PHIC REIMBURSEMENTS
CAPITATION FUND
LGU SPONSORSHIP

C. GAPS IN HEALTH REGULATION

The LGU has local ordinances adopting the following national laws on health:
1. Children’s Welfare Code in 1994
2. Women Development Code in 1997
3. Asin Ordinance in 1993
4. Fire Cracker Ban in 2001
6. Smoking Ordinance in 2002
7. Women’s Health Care Clinic in 2010
8. Barangay Blood Donation Program in 2010
9. Responsible Pet Ownership

While the LGUs have issued local policies to address various local health concerns, some have also
ordinances/resolutions/adopting & supporting the national health laws. However, implementation of some
national health laws has been affected by inadequate enforcement and inadequate community dissemination.

Some ordinances are also in need of amendment, such as Local Sanitation Code.

D. GAPS IN HEALTH GOVERNANCE

ILHZ-DMBAMAS

Health Referral System

At present, there is a weak referral system that needs to be strengthened. Referral forms are not being returned
to the referring unit. There were already initiatives in the past in coordination with a non-government
organization to put in placed the referral system in the city, however, the same has not been fully implemented
and sustained, maybe due to the lack of structure to make it functional. There is therefore a need to review,
revisit and assess the said initiative through consultative meetings and dialogues.

EMERGENCY PREPAREDNESS

DRRM
The Local Health Board was organized and later expanded to include other stakeholders, meetings are held
quarterly, The LCE created the LHB technical working group which meets monthly.
Barangay Health Boards (BHB) were organized and are now functional, NDPs acts as the DOH representative,
through the BHB health program implementation with the full support of the Barangay LGU and purok leaders.
The national health laws are being observed by the RHU in the delivery of services; Most of these are being
adopted at the municipal level thru passing of Municipal Ordinance/ resolution. However
implementation/enforcement of this laws are subject to the political will of the LCE.

E. GAPS IN HUMAN HEALTH RESOURCES

Table 9.

BARANGAY Doctor PHNs Den Med. RHM Sanitary Dental Casual NDP RHMPP Active Ambulance
tist Tech Inspecto Aide RHM BHWs Driver
r
Poblacion 1 2 1 1 1 1 1 1 1 34 3
1 (MTDP)
Bacungan 1 1 15
Bala 1 1 20
Balnate 1 1 13
Barayong 1 1 24
Blocon 1 1 14
Dalawinon 1 1 16
Dalumay 1 1 14
Glamang 1 1 16
Kanapolo 1 19
Kasuga 1 1 14
Mabini 1 1 17
Maibo 1 1 17
Malawanit 1 1 10
Malongon 1 13
New Ilocos 1 1 13
New Opon 1 1 10
San Isidro 1 1 20
San Miguel 1 1 14
Tacul 1 32
Tagaytay 1 1 25
Upper Bala 1 1 24
TOTAL 1 2 1 2 8 1 1 7 21 7 394 3
SOURCE: MHO

Of the 22 barangays, 1 barangay remained as a catchment area: Barangay Malongon, a GIDA. All the other
barangays have midwives and nurses manning the Barangay Health Stations through the deployment of
midwives and nurses by the DOH.

There is a need to augment health staff of the safe birthing facility. It is in need of 4 nurses and 8 midwives to
solely man the said facility.
Personnel to Population ratio
Table 10.
Personnel Ideal ratio actual gap
Doctor 1:20,000 1:52,360 1
Dentist 1:50,000 1:52,360 1
Nurse 1:20,000 1:25,032 0
Medical technologist 1:20,000 1:52,360 1
Midwife 1:1 Barangay 15:22 Barangay 7
Sanitary Inspector 1:20,000 0 2
Dental Aide 1:50,000 1:52,360 0
BHW 1:20 HH 1:27 HH 136
SOURCE: MHO

CHAPTER IV

LGU SECTORAL MANAGEMENT

A. Local Health systems Development

1. Inter-local Health Zone
Magsaysay is a member of the DiMaBaMa’s inter-local Health Zone, this is composed of 1 City and 4
municipalities namely; Digos City, Magsaysay, Bansalan, Matanao and Santa Cruz. There has been a regular
meeting of the ILHZ technical working committee and a quarterly meeting of the ILHZ board where Health issues
are discussed and addressed.

2. Public-Private Partnerships for Health

Tuberculosis Diagnostic Committee is composed of Physicians of different specialties from the public and private
sector, TB DOTS patients who are x-ray positive but negative on sputum microscopy are referred to the TBDC for
evaluation. Private Hospitals and Clinics from neighboring towns refer TB patients for possible enrollment in the
SCC.
Marie Stopes Clinic an NGO is providing BTL and Pap Smear services in the Municipality.

3. Local Health Information System

The Regional Health Information System is in place but needs to be integrated to the DRHIS and regularly
updated,
The Health data board is updated semiannual, due to the load of activities on the office and the delayed
submission of some reports from BHS it is difficult to have an updated data board. With the deployment of a
Public Health Assistant from the DOH this problem will be solved.

4. Monitoring and Evaluation

Barangay visit and monitoring are done erratically due to no readily available vehicle, another reason is the work
overload of the public health nurses.
Program implementation review per Barangay were conducted semiannually to assess the progress of the
different health programs.

B. Internal Management

1. Local Finance Management.

All revenues generated by Municipal Health Office were generally remitted to the general funds. These revenues
are noted and will be the basis for requesting an increase in the MOOE of the MHO budget.
PHIC MCP and TB DOTS reimbursements together with the PCB capitation funds are deposited in a trust fund
and are utilized for the procurement of needed supplies, medicines and instruments to improve health services
in the Main Health Center and Safe Birthing Facility.
2. Procurement Management.

The Municipal Health Office adopts the following procedure to wit:

1. MHO purchase request
2. Approval of Purchase Request
3. Pre-procurement Conference
4. Posting to PHILGEPS
5. Pre-bid Conference
6. Opening of Bids
7. Post Qualification of Bids
8. Approval of Purchase Order
9. Delivery of Items
10. Inspection and Acceptance
11. Payment

3. Logistics Management.

At present the Municipal Health Office is adopting the “Ledger or Stock Card” system in determining the level of
supply of stocks of instruments, equipment, laboratory, dental & medical supplies and drugs & medicines. Upon
delivery, designated supply officer will check on items received. RIVs are filed according to their source and the
medicines and supplies are recorded and arranged following First Expiry First Out (FEFO) Policy
On the other hand, supplies from CHD XI are directly delivered to the RHU. These are duly received and
acknowledged by the supply officer and the same are stored in the storeroom. Vaccines are withdrawn from
the PHO and are transported in iceboxes, maintenance of the cold chain is strictly observed. Vaccines are stored
in the vaccine Refrigerator in the Main Health Center. FEFO management is likewise implemented. Respective
program coordinators are informed of the delivery and any other supplies for proper allocations to BHSs.

4. Internal Audit.

It has been the practice of the LGU that when locally purchased goods, supplies and services are delivered, a
team composed of a representative from the municipal accounting office, treasurer’s office and MPDO conducts
inspection as to the quality, completeness and compliance to the specification of items requested.
MUNICIPALITY OF: MAGSAYSAY, DAVAO DEL SUR
PREVENTIVE AND REHABILITATIVE
GAPS/DEFECIENCES

SERVICE
DELIVERY 1.1 MNCHN

a. HFEP

 Dilapidated/ substandard BHS

 Inadequate storage area for supplies

 Inadequate and/or defective instruments and equipment on BHS

 Low coverage

 Quality AP care

 FBD

 SBA

 IBF

 Quality post-partum care

 Heap at birth

 NBS + hearing test

 EBF

 FIC

 Micronutrient supplementation

 Contraceptive prevalence rate

 Deworming

 Inadequate health logistics

1.2 COMMUNICABLE DISEASES

 Weak implementation of communicable diseases program
 Lacking/ inadequate laboratory equipment and reagents
1.3 NON-COMMUNICABLE DISEASES
 Weak implementation of non-communicable diseases program
 Lacking/ inadequate drugs and medicines
 Lacking/ inadequate laboratory supplies and materials
1.4 ENVIRONMENTAL AND OCCUPATIONAL HEALTH AND SANITATION
 Lacking/ inadequate toilet bowls
 Irregular water sampling
 Irregular water source disinfection
 Lacking septic vault for infectious waste disposal
1.5 DENTAL HEALTH
 Irregular dental schedule to different barangays
 Lacking vehicle RHU staff field use
 Lacking/ inadequate dental supplies and logistics
HEALTH 1. Some Families still not PHIC members
FINANCING 2. LGU Budget for health still not 15% of the total LGU budget
 Only 9.56% of municipal budget is allocated on health
HEALTH 1. Municipal resolutions/ ordinances needs updating/amending/ reviewing
REGULATION  Smoking ordinances
 Amendment of Facility-based deliveries
 Sanitary toilet per Household
 Prenatal and postpartum visits
 Immunization ordinances
 Nutrition in emergency situation
 Adolescent and youth health development ordinance
 Pregnancy tracking ordinance
 Revision and adoption of sanitary code
HEALTH 1. Irregular Local Health Board meetings
GOVERNANCE 2. Irregular Barangay Health Board meetings
3. Two way referral system not implemented
4. No harmonized ILHZ strategic Health plan
5. No ILHZ HEMRRP
HUMAN 1. Organic RHU staff does not meet DOH human resources for health standards
RESOURCES  Lacking 1 additional MD; 1 dentist; 12 RHM; 2 RSI
FOR HEALTH  Lacking RHU staff training
A. MNCHN
 BEMONC refresher course
 BEMONC standard course
 EINC
 Basic Life Support training
 NBS training
 Basic EPI skills
 IMCI/ ICATT
 FP CBT1
 FP CBT2
 PP Family Planning
 PP IUD training
 Nutrition in emergencies training
B. COMMUNICABLE DISEASES
 New NTP MOP training
 National rabies control program
 Emerging and re-emerging infectious diseases
 National STI-HIV/AIDS prevention and control program
 VCT training
 National leprosy control program
 Disease surveillance training
C. NON-COMMUNICABLE DISEASES
 Smoking cessation counseling training
 Mental health program
 Blindness prevention program
 WHODAS
 ReDCoP training
D. ENVIRONMENTAL AND OCCUPATIONAL HEALTH AND SANITATION
 WaSH in emergencies
E. VOLUNTARY BLOOD SERVICES
 Phlebotomy training
HEALTH
INFORMATION 1. Lacking/ inadequate laptops/ Computers to all BHS
2. Lacking/ inadequate Pocket wifi to all BHS
3. No basic computer skills among RHU staff
4. ClinicSys not installed
5. PHIC MCP and TB DOTs Portal not installed
6. DRHIS not installed

HEALTH STRATEGY AND INTERVENTIONS

MUNICIPALITY OF: MAGSAYSAY
STRATEGY INTERVENTIONS TARGETS ACTIVITIES TIME MEANS OF
LINE VERIFICATION
I. SERVICE
DELIVERY

1.1 MNCHN 1. Provision of 2 BHS 1. Construction of 2 BHS; 13 New

Brgy Bala & 2017 -Land/ Lot title,
with SBF BHS
Kanapolo to Barangay resolution
a. HFEP 2. Secure proof of ownership of
Brgy 2019 donating part of
Balnate, the site development. Brgy lot for the use
Malawanit,3. Secure certification from of BHS+SBF / BHS
2. Provision of 13 BHS Upper structural engineer of current -Inventory, pictures,
in Brgys with no Bala, New BHS Building’s structurally ocular inspection
BHS & Dilapidated Opon, unfit for human use. and documentation
BHS Dalumay, 4. Request for site development of health facilities.
Blocon, plans for BHS renovation and -Certificate of
Glamang, upgrading from Municipal building completion
Dalumay, Engineering Office. -Certificate of
Barayong, 5. Submission of health facility occupancy
Dalawinon, enhancement proposal to
Mabini, DOH.
New Ilocos,
Poblacion

Brgy San
3. Upgrading of non- Isidro, 1. DOH-HFEP inspection of 2018 -BHS Inspection
DOH standard Maibo, existing BHS for determination report
compliant BHS Kasuga, & if conforms to DOH basic BHS
Bacungan building standards.

4. Provision of 1 @ RHU 1. Construction of storage 2017 -Certificate of

storage area for building to completion
supplies 2019

5. Security of Health 3 BHS with1. Construction of perimeter 2017 -Certificate of

Facilities SBF fences in completion
-19 BHS b. 1 RHU+SBF 2018
 -1 c. 3 BHS+SBF to
RHU+SBF d. 19 BHS 2019

6. Equipping and -3 BHS with

1. Inventory of current RHU/BHS 2017 Inventory report
instrumentation SBF Instruments and equipment. to
a.(Provision of -19 BHS 2. Request for 3 BHS with Basic 2019 Delivery receipt
complete and -1 SBF equipment package RIV
standard BHS RHU+SBF 3. Request for 19 basic BHS DOH certification
equipment and equipment package that BHS/SBF meets
instruments) basic/ minimum
requirements

b.(Provision of 1 RHU; 3 1. Request for 1 unit 50KVA 2017 -RIV

emergency power BHS+SBF; Genset for RHU to
supply) 19 BHS 2. Request for 3 units 10 KVA 2019
Genset for BHS+SBF
3. Request for 19 units Solar
Powered standby power for
BHS
4.

c.(Provision of 1 RHU; 3 1. Request for installation of 2017 -Certificate of

standby water BHS+SBF; overhead water tank for to completion
source) 19 BHS e. 1 RHU+SBF 2019 -water sampling
f. 3 BHS+SBF results
g. 19 BHS

AP mothers Quality AP Care 2017 -accomplished

Sustain/Strengthen to pregnancy tracking
1. Use Pregnancy Tracking Tool
a. Quality AP care 2019 tool
to track first trimester
b. FBD -TCL
pregnant woman.
c. SBA -UTZ logbook
2. Strengthen IEC advocacy on
d. IBF -Delivery/official
early ANC on the first
e. Quality PP care receipt
trimester:
f. Hepa at birth
a. Pregnancy testing 45 days
g. NBS + Hearing test
after first missed period.
h. EBF
b. Limited OB sonography to
i. FIC
confirm viable pregnancy.
j. Micronutrient
3. Increase local procurement of
supplementation
Ferrous fumarate with folate.
k. CPR
4. Reinforce IEC on importance
l. Deworming
of iron supplementation
during pregnancy;
characteristics and effects of
iron to their body, etc.

AP & PP Facility Based Delivery 2017 -TCL

mothers handled by Skilled Birth to -SBF logbook
Attendant 2019 -Payroll for
1. Sustain and strengthen Birth TBA/BHW incentives
 Plan Formulation & tracking of
near term mothers
2. Sustain and strengthen
campaign against home
deliveries
3. Sustain and strengthen good
relationship between TBA and
Health staff.
4. Sustain and strengthen LCE’s
initiative on incentives to
Brgy, TBA &/or BHW on FBD

Newborns EINC 2017 -Patients

1. Strict implementation of to chart/records
“unang yakap” , Hepa at birth, 2019
Early breastfeeding initiation

Newborns NBS + Hearing test 2017 -NBS logbook

1. Ensure availability of NBS kits to -Hearing test
2. Coordinate with Hearing test 2019 logbook
provider for regular/weekly
schedule

PP mothers Quality Post-Partum care 2017 -TCL

1. Ensure availability of Ferrous to -Supply cards
sulfate tablets 2019 -pregnancy tracking
2. Tracking of Term pregnancies tool
and immediate PP
examination

PP mothers EBF 2017 -TCL

1. Sustain intensive IEC on EBF to
during AP and PP 2019
consultations.

WRA CPR 2017 -Bi-annual HH

1. Review Household survey to survey reports
2. Masterlisting of WRA with 2019 -Updated TCL
unmet needs
3. Update TCL 2017
4. Strengthen IEC on the to
different methods of family 2019
planning.

Training of health providers on 2017

Establish friendly AJA and Orientation on to
AYHP facilities Guidelines (SOPs, job aids, 2019
recording /reporting, etc.)

Local policy guidelines on

development on AY-friendly
 facility (E.O; memorandum
order,etc)

Quartrerly monitoring , coaching

and mentoring of AY facilities

Conduct of symposiums at the

community levels and schools

Conduct of HEADSS in RHUs and

hospitals

Drugs& 1. Regular inventory of logistics 2017 - Stock cards

1. Ensure availability Medicines;2. Requisition of supplies when -logbook
of health logistics Medical, stock is at buffer level -RIV
Dental & 3. Construction of Storage -Delivery
Laboratory Building receipts/OR
Supplies;
Office
supplies

Equipment1. Request DOH ROXI for 2017 -Maintenance

2. Ensure & semestral preventive & to logbook/ record
serviceability of Instrument corrective maintenance of 2019
equipment and s equipment and instruments
instruments

1.
1 unit L3002. Procurement of 1 unit L300fb 2017 -Vehicle
3. Provision of RHU fb close close cab van to Registration
vehicle cab van 2019

1.2. COMMUNI- NTP 2017 -Gen xpert result

CABLE DISEASES1. Strengthen and
intensify
implementation of
communicable
disease program
(TB, Filariasis,
Malaria, Leprosy,
HIV AIDS, etc)
1. Active case finding -Referral Return slip
2. Early referral to Gen Xpert of -Treatment cards
sputum - cases
3. Treatment defaulter tracing
Malaria Elimination Program 2017 -# of blood smear
1. Blood smear exam for all cases to made and examined
of fever in MEPA Brgys 2019
2. IEC on Malaria prevention

Filariasis 2017 -MDA report

1. Include in BHB agenda MDA to
for support 2019
 Leprosy Control Program 2017 -# of close contact
1. Skin exam “Kilatis Kutis” of all to examined
HH contacts of NLCP patients 2019
2.

HIV AIDS 2017

1. IEC on to -Attendance record
2019 of HIV AIDS
lectures/counselling

Rabbies 2017
1. IEC on Rabbies to -Animal Bite
2. Early passive/ active 2019 Teatment record
immunization

Dengue Control Program 2017

1. IEC to -# of purok iEC
2019 activities (
attendance record)

1 Blood 1. Procurement of 1 unit Blood 2017

2. Provision of Basic Chemistry Chem Analyzer ang 1 unit to -Delivery receipt or
Laboratory analyzer; Hematology analyzer 2019 OR -RIV
equipment and 1Hemato-
reagents logy
Analyzer; 2017
1. 2. Procurement of Reagents to -Official receipt/
2019 Delivery receipt
-RIV
1.
1.3 NON 2.
COMMUNICABL2. -CVD 3. Regular schedule for CVD and 2017
E DISEASES 3. Intensify Non -DM Diabetes Clinic to -Client master list
Communicable -ReDCoP 4. Master listing of all clients 2019
disease -Smoking
Implementation cessation
-Mental
Health
-Blindness
prevention
program

2017
1. Procurement of Drugs and -RIV
4. Provision of Drugs medicines for non- -OR/Delivery receipt
& medicines communicable diseases.
2. Procurement of medical and
5. Provision of med laboratory supplies and
and Laboratory materials
Supplies and
materials.
 1. Identify and Designate
smoking area 2017 Presence of smoking
6. Provision of area at the
smoking areas municipal hall
1.4 ENVIRO compound
NMENTAL AND 1. Procurement of toilet bowls
OCCUPATIONAL Toilets and cement 2017
HEALTH AND 1. Provision of Toilet -RIV
SANITATION bowls -OR/ Delivery
1. Procurement of water receipt
Water sampling bottles 2017
2. Regular water sources -water sampling
sampling results

1. Procurement of Chlorine 2017

granules to -OR/ Delivery
3. Regular water 2019 receipt
source disinfection

Infectious 1. Construction of Septic vault at 2017

waste the municipal Dumping site to -Construction
Provision of Septic 2019 completion report
vault for infectious
1.5 DENTAL waste disposal
HEALTH
1. Schedule Barangay Visit a 2017
month in advance -Certificate of
1. Regular Dental appearances
schedule to the -Monthly Itinerary
different Barangays 2. Procurement of RHU vehicle 2017 -Registration of
2. Provision of Vehicle for Barangay visit use to Vehicle
for RHU staff field 3. Procurement of dental 2019
use supplies/ Logistics -OR/ Delivery
3. Provision of Dental receipts
II. HEALTH Supplies/ logistics
FINANCING
Indigent 1. Enrollment of all indigent 2017
Families Families left out by the NHTS to -PHIC receipts of
1. Universal Health sponsored PHIC 2019 LGU sponsored
Care families

Budget for2. Increase RHU income thru 2017

Health better PHIC reimbursements to -PHIC
2. Increase RHU 3. Realistic Budget Preparation 2019 reimbursement
budget to 15% of vouchers
annual LGU budget -Budget for Health
III. HEALTH CY 2018 & 2019
REGULATION
Municipal 1. Review existing municipal
SB resolutions/ ordinances on 2017 Municipal Health
1. Update/ Amend resolutions health. to related resolutions/
existing municipal & 2. Recommend amendments to 2019 ordinances
resolutions/ ordinances obsolete resolutions/ amended
ordinances ordinances
 1. Identify Health programs with 2017
2. Review existing no Municipal legislation to # of New municipal
health related 2. Recommend to the SB on 2019 resolution/
resolutions/ health to sponsor a SB ordinance passed
ordinances resolution/ ordinance to
support the health program.
IV. HEALTH
GOVERNANCE

Local 1. Schedule LHB meeting 2017

1. Sustain regular Health 2. Follow up invitation to LHB to -Minutes of LHB
Local Health Board Board members 2019 meetings
Meetings 3. Conduct LHB meeting as -# of LHB
scheduled resolutions passed

Barangay 1. Attend BHB Meeting as 2017

2. Sustain monthly Health scheduled to -Minutes of BHB
Barangay Health Board 2019 meetings
Board meetings -# of BHB
resolutions passed
ILHZ 1. Utilize the two way referral 2017
3. Implement the referral form to -# of return slip
ILHZ 2 way referral system 2. Patients/ clients with proper 2019 “returned”
system referral form prioritized at -# of referred clients
referral center/ hospital entertained

ILHZ 1. Review AOP of 5 ILHZ LGU 2017

4. Formulation ILHZ Strategic members -available ILHZ
strategic Health Health Plan
2. Collate/ Harmonize the 5 AOP strategic plan
Plan

ILHZ 1. Review Municipal HEMRRP of 2017

HEMRRP the 5 LGU members -Available ILHZ
5. Formulation of 2. Collate/ Harmonize the 5 HEMRRP
ILHZ HEMRRP HEMRRP
ILHZ board meeting and pass 2017
ILHZ Office ILHZ Board resolution for the
Construction of construction of an office Certificate of
D’MaBaMaS ILHZ completion of ILHZ
office Office
V. HEALTH
HUMAN RHU staff 1. Request DOH RO XI for 2017
RESOURCES inclusion in the Additional staff
1. Hiring of additional NDP/RHMPP/Dentist & DTTB hired through DOH
1 MD; 1 Dentist; 12 2. Creation of 2 plantilla position 2018 augmentation
RHM; 2 RSI for RSI program
2 RSI position
created
Identified 1. Inventory of RHU staff
2. RHU Staff Training RHU staff Trainings

Request DOH RO XI for 2017

needed Training/ to -# of RHU staff with
workshop and Send 2019 complete Skills
Identified Staff for training on all health
 training programs

 MNCHN 2017
-BEMONC refresher course to -1 MD and 4 RHMs
( 1 MD, 4 RHMs) 2019 undergone
refresher course on
BEMONC

-BEMONC standard course 2017

( 7RMs and 6 to -7 RMs & 6 RHMPPs
RHMPPs) 2019 trained on BEMONC

-EINC (1 PHN ,7 RHMs, and 2017

4 RHMPPs) to -1 PHN, 7 RHM & 4
2019 RHMPPs trained on
EINC

2017
- Basic Life Support
to -7 RHMs trained on
Training ( 7RHMs)
2019 BLST

2017
-NBS training( 4RHMs) to -4 RHM trained on
2019 NBS

2017
- Basic EPI skills (7 RHMs
to -7RHM & 7 RHMPP
and 7 RHMPPs)
2019 trained on Basic EPI
skills

2017
to -6 RHM & 7RHMPP
- IMCI/ ICATT (6 RHMs and 2019 trained on
7RHMPPs) IMCI/ICATT

2017
- FP CBT1 ( 1 PHN, 2 RM
to -1PHN, 2RM & 6
and 6 RHMPPs)
2019 RHMPP trained on
CBT1

- FP CBT2 ( 5 RHMs and 7 2017

RHMPPs) to -5 RHM & 7 RHMPP
2019 trained on CBT2

- PP Family planning and 2017

PP IUD training (5 to 5RHMs & 7 RHMPP
RHMs, and 7 2019 trained on PP IUD
RHMPPs)

2017
-Nutrition in Emergencies
 Training ( 1PHN, to 1PHN, 14RHM, and
14RHMs and 7 2019 7RHMPP trained on
RHMPP) Nutrition in
emergencies

 COMMUNICABLE 2017
DISEASE to -6RHMPPs trained
New NTP MOP Training- 2019 on NTP MOP
(6RHMPPs)

National Rabies Control 2017

Program ( 14 RHMs, to -14 RHMs, 7
7 RHMPPs and 2019 RHMPPs, and 1 PHN
1PHNs) trained on Rabies
Control Program

2017
-Emerging and Re-
to -2PHNs, 14RHMs
Emerging Infectious
2019 and 7 RHMPP
Diseases (2PHNs,
trained on
14RHMs and 7
infectious diseases
RHMPP)

2017
- National STI-HIV/AIDS to -14RHMs, 7 RHMPPs
Prevention and 2019 and 1PHN trained
Control Program on STI-HIV/AIDS
(14RHMs, 7 RHMPPs Prevention and
and 1PHN) Control

2017
-VCT Training (1 MT, 2PHNs
to -1 MT, 2PHNs and
and 3RHMs)
2019 3RHMs trained on
VCT

2017
- National Leprosy Control to -8RHMs and 1PHN
Program (8RHMs and 2019 trained on Leprosy
1PHN) Control Program

- Disease Surveillance Training 2017

( 7RHMPP, 1PHNs, 14 to -7RHMPP, 1PHNs,
RHMs,1 MD and 22 2019 14 RHMs,1 MD and
BHWs) 22 BHWs trained on
Disease Surveillance

2017
 NON-COMMUNICABLE to -1PHNs and 7RHMs
DISEASE 2019 trained on Smoking
- Smoking cessation cessation counseling
 counseling training
(1PHNs and 7RHMs)

2017
- Mental Health Program ( to -1 MD, 2PHNs and
1 MD, 2PHNs and 14 2019 14 RHMs trained on
RHMs) Mental Health
Program

- Blindness Prevention 2017

Program ( 12 RHMs and to -12 RHMs and
2PHNs) 2019 2PHNs trained on
Blindness
Prevention Program

2017
- WHODAS Training to -2PHNs 14RHMs, &
(2PHNs 14RHMs, & 7 2019 7 RHMPP trained on
RHMPP) WHODAS
2017
- ReDCoP Training (2PHNs, to -2PHNs, and
and 14RHMs) 2019 14RHMs trained on
ReDCoP

 ENVIRONMENTAL AND 2017

OCCUPATIONAL HEALTH to -16RHMs trained on
AND SANITATION 2019 WaSH in
- WaSH in Emergencies Emergencies
(16RHMs)

 VOLUNTARY BLOOD 2017

SERVICES to -1 PHN, 4 NDP and
-Phlebotomy Training (1 2019 2RHMs trained on
PHN, 4 NDP and 2RHMs) phlebotomy

VI HEALTH 1. Provision of All BHS 1. Procurement of Laptops/ 2017 -OR/ Delivery

INFORMATION laptops/ Computers to receipts
Computers to all 2019 -RIV
BHS

2. Provision of Pocket All BHS 2. Procurement of Pocket wifi -OR/ Delivery

wifi to all BHS with SIM receipts
-RIV

3. Basic computer RHU staff 3. Request LCE for Basic -Certificate of

skills training computer skills training for attendance to
RHU staff training
4. Installation of
Clinic Sys &
4. Request DOH RO XI to install -Copy of Request
ClinicSys & DRHIS
DRHIS clinicsys & DRHIS letter

RHU staff 5. Request DOH RO XI for - Certificate of

 5. Training on DRHIS training on DRHIS attendance to
training

MCP & TB -PHIC Rcvd Request

6. Installation of PHIC 6. Request PHIC to install MCP &
DOTS PHIC letter
MCP and TB DOTs TB DOTS portal
portal -MCP & TB DOTS
Portal
Portal installed and
functional
7. Sustain and RHIS 7. Ensure quality and accurate
improve RHIS Data, and on time submission -RHIS Reports

Magsaysay
Local Investment Plan for Health
2017-2019

Prepared by:

ARTHUR F. NAVIDAD, M.D.

KAREN MAE D. TORREON, R.N.

JOSEPH V. PENONIA, MPDO

GEMRO C. EBALLE, R.N.

Approved by:

ARTHUR D. DAVIN, C.E.

Municipal Mayor