The present health situation

The Provision and delivery of primary health care services to the residents of
the seventeen (17) barangays in the municipality is spearheaded by the
Municipal Health Office. The Rural Health Unit being the main health center
located at the municipal compound provides basic health services, laboratory
and dental services. The Municipal Health Office is manned by a Municipal
Health Officer, 3 Public Health Nurses, a Medical Technologist, 8 Midwives, 11
Human Health Resources augmented by the Department of Health a Sanitary
Inspector, 3 Barangay Health Aides, 10 Admin support staff and a Municipal
Dentist. The Rural Health Unit regularly opens on weekdays from 8:00AM to
5:00PM.
Health care services and nutritional related activities are extended to the
grassroots level and are made accessible with the presence of seventeen (19)
barangay health stations situated in the different far-flung rural barangays and
sitios manned by a well-trained Rural Health Nurses/Midwifes with the
assistance of a barangay health workers and barangay nutrition scholars.
There is also a one 10 bed capacity infirmary in the area that caters and acted
upon emergency and critical health problems or provides health services to
the residents of the municipality. The Palanan Station Hospital is operated by
the Provincial Government of Isabela. It is being manned by three (3) doctors,
4 nurses, 9 medical staff rendering administrative support services. Some
medical equipment and supplies are provided by DOH and is supported by
local funds.
Emergency cases and critical health problems were immediately acted upon
and patients were quickly brought to hospitals for treatment with the presence
of one (1) ambulance and a transport vehicle operated by the Municipal Risk
Reduction Office.
HEALTH RESOURCES RATIO
 Health facilities population ratio: 1 facility for every 886 population
 Physician: 1 doctor for 18,596 population
 Nurse: 1 nurse for every 6,198 population
 Midwife: 1 midwife for every 2,324 population
 Sanitary Inspector : 1 Sanitary Inspector for for 18,596 population

SERVICES OFFERED

 Medical Consultation
  Dental Consultation
 Laboratory Services:
o Urinalysis
o Sputum Microscopy
o Fasting Blood Sugar
o Uric Acid
o BSMP
o Fecalysis
o Dengue NS1
o CBC
o Syphilis
 Expanded Program on Immunization
 Maternal, Child Health and Nutrition
 Family Planning
 Non-Communicable Diseases Program
 Communicable Diseases:
o Tuberculosis (TB-DOTS )
o Hbsag
o Malaria
o Dengue
o Typhoid
 Mental Health Program
 Health Education and Promotions Information
 Senior Citizen Immunization
 Adolescent Sexual and Reductive Health (ASRH)
 Community-Based Rehabilitation Program
 Environmental Health & Sanitation Program

ANNUAL VITAL INDICES

2022 2023
INDICATOR
No. % No. %
Crude Birth Rate 228 12.27 195 10.68%
Crude Death Rate 70 3.7 72 3.94%
Infant Mortality Rate 1 0.5 1 0.5%
Maternal Mortality
0 0 0 0
Rate
 Under Five Mortality
1 0.5 1 0.5%
Rate
Neonatal Death Rate 3 3.3 3 15.38%

TOP 10 CAUSES OF MORBIDITY

2022 2023
No Disease Actual Rate No. Disease Actual Rate
. No. % No. (%)
Upper 416 22.37 Acute 1,081 59.47%
Respiratory 1 Respiratory
1 Tract Infection Infection
Unspecified 237 12.74 296 16.22%
Musculoskeletal 2 Hypertension
2 Diseases
153 8.22 3 Musculoskeletal 265 14.52%
Hypertension
3 Disease
Acute Peptic 99 5.32 4 Urinary Tract 231 12.66%
4 Disease Infection
Acute 96 5.16 5 Skin Disease 155 8.49%
Uncomplicated (All Forms)
5 Cystitis
Allergic Cough 70 3.76 6 Acute 77 4.22%
Gastroenteritis
without
6 Dehydration
Acute 42 2.25 7 Tuberculosis 61 3.34%
7 Gastroenteritis
Wound, All 33 1.61 8 Conjunctivitis 60 3.28%
Forms (Bacterial and
8 Viral)
 Pediatric 30 1.61 9 Chronic 56 3.06%
Community Obstructive
Acquired Pulmonary
Pneumonia Disease in
Acute
9 Exacerbation
Diabetes 18 0.96 10 Anemia (All 56 3.06%
10 Forms)

Upper Respiratory Tract Infection, Unspecified Musculoskeletal Diseases and

Hypertension were the most common causes of morbidity on the year 2023
with the predominance of Non-Communicable Diseases.

TOP 10 CAUSES OF MORTALITY

2022 2023
No Disease Actual Rate No. Disease Actua Rate
. No. % l No. %
Myocardial 8 13.2 1 Underdetermined 15 8.22%
1 Infarction Natural Cause
Cardio 8 13.2 2 Myocardial 6 6%
2 Respiratory Arrest Infarction
8 13.2 3 Hypertensive 5 2.70%
Undetermined
Cardiovascular
Natural Cause
3 Disease
Cerebrovascular 6 8.5 4 Sepsis 5 2.70%
4 Accident
Chronic 5 8.4 5 Cancer (All 5 2.70%
Obstructive Types)
Pulmonary
Disease in
5 Exacerbation
Tuberculosis in all 5 8.4 6 Acute Heart 5 2.70%
6 Forms Failure
 Hypertensive 3 5.08 7 Chronic 4 2.10%
Cardiovascular Obstructive
Disease Pulmonary
Disease in Acute
7 Exacerbation
Bronchial Asthma 3 5.08 8 Kidney Disease 4 2.10%
8 in Exacerbation (Unspecified)
Asphyxia 2 3.3 9 Cardiorespiratory 4 2.10%
9 Arrest
Septicemia 2 3.3 10 Bronchial Asthma 3 1.60%
10 in Exacerbation

Causes of mortality on the year 2023 were predominated by non-

communicable diseases. It can be noticed that there is still increase
prevalence of natural causes as with 2022.