CHALLENGE OF MILLENIUM. by: Gov. Carmencita O. Reyes Marinduque

Transcription

1 MEETING THE CHALLENGE OF MILLENIUM DEVELOPMENT GOALS ON HEALTH by: Gov. Carmencita O. Reyes Marinduque

2 ... The heart of the Philippines

3 Political Subdivision and Classification Lone Congressional District Six (6) municipalities namely: Boac, the capital town, Buenavista, Gasan, Mogpog, Sta. cruz and Torrijos 218 Barangays Land Area in Hectares by Municipality, Income Class and Rural/Urban Category Municipality Land Area (has.) No. of Barangay Income Class Rural / Urban Marinduque 95, th Class Partially Urban Boac 21, st Class Partially Urban Buenavista 7, th class Partially Urban Gasan 11, rd Class Partially Urban Mogpog 8, rd Class Partially Urban Sta. Cruz 24, st class Partially Urban Torrijos 21, th Class Partially Urban

4 Land Area in Hectares, 2007 Population and Average Growth Rate ( ) Per Province, MIMAROPA MIMAROPA PROVINCES Land Area in Has Population Average Growth Rate ( ) Occidental 587, , Mindoro Oriental 436, , Mindoro Marinduque 95, , Romblon 135, , Palawan 1,489, , MIMAROPA 2,745,601 2,5598, Philippines 30,000,000 88,574,

5 Annual IRA Share, 2007 to 2011 Calendar Year Annual IRA Share Php 347,776, Php 326,921, Php 276,485, Php 247,671, Php 215,322,507.00

6 Technical grant assistance from the WB-ASEM in 2004 entitled, Strengthening the Government Capacity for Poverty Assessment, Plan Formulation and Monitoring, which led to the implementation of CBMS in 2005.

7 Who are the poor? Where are the poor? Why are they Poor?

8 CBMS Survey 2005 & 2008 (proportion of population below poverty threshold) % (24,000 hh) from the 2005 data of 62.7% (28,324 hh)

9 CBMS Survey 2005 & 2008 (proportion of population below poverty threshold) Buenavista from 77.9% in 2005 to 61.2% in 2008

10 CBMS Survey 2005 (Proportion of Population Below Food Threshold) % (85,213) from the 2005 data of 56.% (114,327)

11 CBMS % (1,876)- prevalence of underweight children under 5 years old 83% 8.3% - female 7.9% - in the rural areas 96% 9.6% - highest proportion is in Buenavista 3.8% - lowest proportion is in Boac

12 CBMS 2005 h th t th l i h d CBMS 2005 shows that there were 1,876 malnourished children in Marinduque and went up to 2,557 in 2008.

13 CBMS 2005 & 2008 (Proportion of population who are experiencing food shortage % (11,898) from the 2005 data of 4.1% equivalent to 8,396 population

14 CBMS Survey 2005 & 2008 (proportion of population below poverty threshold) Buenavista from 77.9% in 2005 to 61.2% in 2008

15 Meeting the MDG Challenges on Health

16 MDG 4 REDUCE CHILD MORTALITY MDG 5 IMPROVE MATERNAL HEALTH MDG 6 COMBAT HIV/AIDS AND OTHER COMMUNICABLE DISEASES

17 Goal 4. Reduce Child Mortality Target: Reduce child mortality by two- Target: Reduce child mortality by two thirds between 1990 to 2015.

18 CBMS 2005 (Proportion of Children 0 to less than 1 year old who died) 4,228 - population of children aged 0 to less than 1 yr old 87 infants died (2.0%), 2.1% are females (40) and 1.9% males (41). Most number of incidence are found in the urban areas (2.4%) Mogpog had the highest number with 23 deaths (3.7%) followed by Buenavista with 9 deaths

19 CBMS 2005 (Proportion of children o to less than 5 years old who died) 24,093 - population of children aged 0 to less than 5 years old 0.6% or 136 died and majority were males with 71 deaths Mogpog had the most number of children who died having 26 deaths, followed by Torrijos with 19 deaths. Torrijos consistently had high infant child death based on the CBMS 2005 and There was a decelerating trend in the number of FIC from 2001 to 2006 ( 85.3% to 71.00%) based on the NSCB Reg l. Social and Economic Trend.

20 Infant mortality rate (81/1,000 livebirths (ave. past 5 yrs, , PHO-Marinduque) and went Up to % or 87/1,000 livebirths in % in 2004 and went up to in 2006 (DOH MIMAROPA) the highest rate in the region At the national level, infant mortality rate is in a decreasing trend from 28.7% in 2003 to 24.7% in (source:

21 Seven (7) in every 1,000 children aged 0-4 years old died, based on 2008 CBMS Survey or158 children aged The highest proportion was found in the municipality of Gasan.

22 Programs and Strategies to Meet the Challenge Conduct of Essential Newborn Care (1 hour after delivery) Six (6) months exclusive breatfeeding, thereafter complementary foods are given to the infant Free immunization every month. Training for health personnel on Infant and Young Child Feeding (IYCF).

23 GOAL 5. REDUCE MATERNAL MORTALITY Target: Reduce maternal mortality rate by three quarters by 2015 and half by women died (0.35) mostly were from the rural areas (12 deaths), with Boac having the highest (5 deaths or 0.6%) based on the CBMS 2005 and went up to 29 deaths in % Maternal Mortality in Buenavista & Gasan 0.88% or 4 maternal mortality rates in the ave. past 5 yrs (PHO-Marinduque) Marinduque), rate increased from 5 deaths in 2008.

24 Some pregnant mothers still prefer traditional birth attendants or hilots since it costs them less and accessible, too. Distance and accessibility also pose a problem. There are 21 geographically isolated and disadvantaged areas (GIDAs) in the province. Transporting patients to the nearest referral health facility would mean traversing mountains, crossing rivers and seas.

25 Travel Time from RHU to its Referral Hospital Lucena City TRAVEL TIME: Less than 30min 30min to 1 hr More than 1 hr LEGEND: Municipal Hospital GIDA 1 GIDA 2 GIDA 3 District Hospital Provincial Hospital RHU Level I GIDA 1 Brgys: GIDA 3 brgy Tumagabok, Talawan Tambunan, Sabong GIDA 2 Brgys: Canat,Boi,Bayuti Level II Level III Sentrong Sigla I

26 Programs and Strategies to Meet the Challenge Establishment t of Blood Bank Facility since blood loss is one cause of maternal mortality. Increased number of Facility-based deliveries. Basic Emergency Obstetric and Newborn Care (BEMONC) and Comprehensive Emergency Obstetric and Newborn Care (CEMONC) serve as Halfway Homes. Ordinance will be passed for non-birth delivery at home.

27 Increase doctor in the barrios. Intensive training for Barangay Health Workers as counterpart of doctors in the barrios. Intensify yprenatal care visits. Improved maternal and pre-natal care through proper p health and nutrition practices.

28 GOAL 6. COMBAT HIV/MALARIA AND OTHER DISEASES Incidence of Malaria Marinduque is a Malaria-free province Incidence of Pulmonary Tuberculosis ranks 7th in the 10 leading causes of mortality with 44 cases (19.85%) in the past 5 yrs ( ) although detection rate is high at 78.0% to 100% in 2004 to 2008, cure rate remained low at 71% (PHO-Marinduque)

29 CBMS Incidence of Pulmonary Tuberculosis 81 cases (40.0%) PTB incidence Sta.Cruz had the highest number of case having 26, mostly are male (63) and are found in the urban areas. PTB cases went down to 44 in 2008.

30 Programs and Strategies to Meet the Challenge Maintain i status t as malaria-free province thru conduct of surveillance activities and monitoring Setting up of Social Hygience Clinics Advocacy and Awareness on the Prevention of and Control of STD Collaborate with organizations like Philippine Coalition Against TB. Conduct if Provincial i Sitation ti Analysis on PTB in Marinduque

31 Other Programs/Projects and Strategies to Meet the MDG Challenge on Health

32 Boac telemedisina/telerad (best practice in Boac) Continue/Strengthen tie-ups with organizations like Marinduque International for Medical Missions All Barangays must have Botika ng Barangay Universal coverage of Philhealth Insurance Distribution ib i of Health Card for the Indigent (local initiative) Strengthening of the InterLocal Health Zone Full implementation of Health Rationalization p Plan

33 Improvement and Upgrading of the 3 Hospitals (Dr. Damian Reyes Memorial Hospital, Sta.Cruz District Hospital and the Torrijos Municipal Hospital Strengthening of the Preventive Department Strong collaboration with NGOs for Medical Missions Increase budget allocation for Health

34

35 ANNUAL BUDGET Analysis of Expenditures For CY Economic Services 0.22 Other Services Gen. Public Services General Public Services Education, Culture, Sports and Manpower Development Health Services 1.76 Social Welfare Services Health Services 1.23 Education, Culture, Sports and Manpower Devt. Social Welfare Services Economic Services Other Purposes

36

37

38 Poverty is not a fate nor a punishment but a condition that can and must be changed. Let us bring the government closer to the people and elevate the status of a common man to the level of human dignity this will be our paramount bequest for the nation. - Nanay Carmencita

39 Thank you and Mabuhay!!!!