Philippines Provincial Maternal Health Data

Health GapsLeadership Supply Demand

Technical Assistance on Health Governance

Technical Assistance on Referral System

Technical Assistance on Local Health Board (LHB)

Technical Assistance on Inter-Local Health Zone

Passage of Maternal Newborn Child Health & Nutrition (MNCHN) ordinance and related Health Laws

Leadership Training (Municipal Leaders for Health)

Device an Incentive Scheme for Municipalities with Zero Maternal Deaths

PangasinanOutcomes/Indicator 2006 2007 2008 2009 2010 2011

Infant Mortality Rate

Maternal Mortality Rate

Percentage ofFacility-BasedDeliveries

Percentage ofDeliveries by SkilledBirth Attendants

Contraceptive PrevalenceRate

Percentage of Fully-Immunized Children

Malnutrition Rate

9.19 8.46 8.81 8.95 8.3 9.86

39 28 104 68 63 68.5

18 19 24 30 42 *54

90.37 90.25 89.34 91 91.71 *92.24

83 85 83 88 83 **77

Institutionalization ofPerformance Management System

Note:Data gathered from the 44 municipal and 3 cities (Alaminos, Urdaneta & San Carlos) Excluding Dagupan City*After the Data Quality Check of DOH-CHD I-PHO-HealthGov (USAID)**interruption of 4th Qtr Antigen (Measles) & Supplies

Technical Assistance on Pharmacy ServiceTechnical Assistance on Outpatient Services andEmergency CareTechnical Assistance onHospital Management and Birthing Facilities

Hospital Management Training

Implementation of eFHSIS

Development of Policy Guidelines for Temporary Use of Vacant Permanent Items such as Job Orders/Contractual/Casual

Passage of Ordinance to Include Philhealth Enrollment as Requirement for Business Permit

Health/Hospital Information System

Essential Intrapartum and Newborn Care Training

Organization/Strengthening of Deployment of Community Health Team (CHTs)

Health Summit/Fair

Barangay Health ScorecardFamily Health CareBarangay Health Assemblies

LGU Health Data Board

Citizen’s Feedback Initiative

Provision of Buntis Baby Bags

Conduct of Quarterly Maternal Death Review

Conduct of Buntis Congress

Institutionalization of LGU Scorecard

35 37 34 32 37 *35

7.28 6.55 6.15 5.66 5.13 4.16

Outcomes/Indicator 2006 2007 2008 2009 2010 2011







Malnutrition Rate

8.4 6.7 6.8 5.46 6.4 5.69

49 60 49 97 105 103

25.3 26.1 29.5 29.1 35 38.9

34.7 35.2 39.5 41.49 46 46.3

83.9 76.2 73.86 82 70 20.7



Creation of Memorandum of Understanding in Support to the Province’s Health Programs

Training of Private Practitioners

Engagement of Private Practitio-ners during Health Event Cel-ebrations

Davao del Sur

56.82 57.7 56.19 23.7


Effective Referral System (Private to Private and viceversa)

Intra- agency Referral

CebuOutcomes/Indicator 2006 2007 2008 2009 2010 2011







Malnutrition Rate

4.3 7.5 7.8 10.20 6.00 7.7

21 38 32.79 25.05 21.00 27

26 26.5 28.40 67.92 68.20 89

80.8 79.1 86.1 85.40 87.10 88.00

89.6 86.4 94.20 92.20 86.50 87.9

Implementation of e-FHSIS

Hospital Information System

Technical Assistance on Pharmacy services

Technical Assistance on Laboratory and Diagnostic Services

Establishing and Implementing Local Programs for Engaging Private Practice Midwives

Strengthen collaboration with private practitioners through meetings

Private clinics must report accomplishment to government facilities

22.58 19.4 41.04 23.47 15 14

11.81 10.51 10.11 9.47 7.89 7.86


Leadership Training (MCH,policy-making ordinances)

Technical Assistance onImplementation and Budget Allocation

Technical Assistance on LocalHealth Boards

Camarines SurOutcomes/Indicator 2006 2007 2008 2009 2010 2011







Malnutrition Rate

9.85 9.54 8.48 9.37 9.07 12

90 69 67 66 79 6

9.8 10 10.7 10.44 16.12 24

40.44 45.08 45.34 44.88 52.17 42

79.2 72.8 76.7 79 77.2 79

Hospital construction and management (provincial hospital)

Repair and reconstruction ofrural health units and districthospitals (Facility Accreditation,national standards)

Transportation for Geographically Isolated and Disadvantaged Areas

Health Information Systems

ENC and BEMONC Trainings

Commodity and Service Distributiono Stockouts o Rational drug use issues

Entitlement education and IECs

Low Philhealth EnrollmentCSOs not maximized fully o Efforts of private sector must be centralized

24.15 17.73 15.88 17.77 18.20 14.61

25.17 24.76 25.41 22.93 21.32 19.05

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HEALTH SITUATION per Province

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IloiloOutcomes/Indicator 2006 2007 2008 2009 2010 2011







Malnutrition Rate

4.68 4.49 5.24 4.65 4.42 7.64

34.26 32.90 36.97 19.63 23.03 41.40

33.70 39.02 45.50 47.04 56.83 68.62

67.80 70.09 75.68 71.25 73.14 78.33

74 89 80 73.86

Construction of Rural Health Units

Construction of Barangay Health StationsReconstruction of Rural Health UnitsRepair and Reconstruction of Barangay Health StationsLying-in ClinicHospital Information SystemHospital Management and TrainingEssential Intrapartum and Newborn Care Training

24.3 25.4 29.7 32.19

14.85 13.85 12.02 11.86 10.5 9.08

Health Gaps

Health Gaps

Leadership Supply Supply

Supply

Surigao del NorteOutcomes/Indicator 2006 2007 2008 2009 2010 2011


Maternal Mortality Rate(per 1,000)





Malnutrition Rate

9.4 7 7 7.3 6.8 7.6

0.3 1.4 0.7 2 2 1.3

14 17 30 53 83 84

50 60 60 72 82 86.7

79 77 91 85 83 89

Consultative Workshop on Infant Deaths of Municipalities with High Infant DeathsPurchase of life-saving drugs (Mgs04, Oxytocin, Vit. K, Antibiotic)

Conduct of Outreach Services thru Immunization of All Children Below 5 Years Old

Monitoring of Infant Deaths due to Immunization-related IllnessesPurchase of Newborn Screening Kits for 9 Hospitals

Consultative Workshop on Maternal Deaths of Municipalities with High Maternal Deaths

Monitoring of Rural Health Units for MCP Accreditation(8/20 Rural Health Units)

Program Implementation Review on Maternal and Infant deathsAcquisition of 4 Generators for BEMONC Hospitals

MDG Training of Hospital Nurses (ER/DR)

DemandBarangay Health Scorecard

38 36.3 30 27 36 40

21.4 22.7 21.4 20.3 16 14.2

Purchase of Family Planning Commodities

Consultative Workshop on MCH, EPI. FP, Nutrition and Essential Newborn Care

Enrollment of 1st TrimesterPregnant Mothers to Philhealth

Strengthening of Advocacy for the Implementation of Contraceptive Self Reliance Strategy

Purchase of Ambulance for 6 Hospitals

Rural Health Midwife Replacement Program for Barangay Health Stations without MidwifeInstallation of Communication Infrastructure for Coastal Barangays Without Cell SitesProvision of Sea Ambulance to Coastal BarangaysDoctor to the Barrio Replacement for Rural Health Units without DoctorProgram Intervention on Protein Energy Malnutrition (PEM)

Supply Supply SupplyStrengthening capacity of health service providers to provide quality maternal newborn child health and nutrition:1. Technical Assistance on Hospital & Public Health Management2. Capacity Building on BEmONC and CEmONC among Health Personnel3. Essential Intrapartum & Newborn Care Training4. Maternal Death Review5. Interpersonal Communication/Counseling Training (MNCHN/FP)6. Training on FP CBT Level 1 & 27. Training on Pre-marriage Counseling8. Technical Assistance on Acute Malnutrition Training for Health Personnel9. Training on Nutrition in Emergencies10. Training on IYCF11. Conduct of Pabasa sa Nutrisyon12.Training on Basic IMCI13.Training on Community IMCI

Establishment of Blood Collection Units in the 5 Inter-local Health Zones:1. Training of 5 Medtechs2. Provision of supplies Support to Monitoring/ Evaluation on program implementationa. Mentoring/Coaching (TEVs)b. Meetings/Conferencesc. Program Implementation ReviewProvision of transport vehicle for monitoring

Provision of ambulanceto hospitals:1. Claveria District Hospital2. Ticao District Hospital3. Aroroy Municipal Hospital4. Balud Municipal Hospital5. Moises R. Espinosa Municipal Hospital6. Mandaon Medicare and Community Hospital

Establishment of Social Hygiene Clinics in Masbate City, Aroroy and San Jacinto thru provision of necessary supplies and equipment

Health Gaps

Health Gaps

Leadership Supply SupplyLeadership Training (Municipal Leaders for Health)


Technical Assistance/Strengthening Local Health Board

Technical Assistance on Inter-Local Health Zones

Technical Assistance on Inter-Barangay Health Zones

MasbateOutcomes/Indicator 2006 2007 2008 2009 2010 2011







Malnutrition Rate

11.58 9.45 11.34 10.63 15.34 7.73

130 124 131 134 156 112.50

10.3 18.0 17.4 46.79 48.26 59

46.82 56.25 49.48 57.2 58.39 63.55

107.1 89.2 84.8 92 78 87

Repair/Rehabilitation of Rural Health Units (Batuan, Mandaon, Uson & Monreal)

24 28 28.43 33.21 37 41

19.55 20.31 19.14 19.07 16.64 15.79

Repair/Rehabilitation of Baran-gay Health Stationsa) Matagbac,Milagrosb) Bara, Milagrosc) Nagarao, Placerd) Bagahanglad, San Jacintoe) Cadulawan, Catainganf) Bunducan, Pio V. Corpusg) Guinhadap, Monrealh) Pulu-Dacu, Mandaon

Licensing/Accreditation of Health Facilities

Establishment of PopshopsProvision of Weight/Height Measurement Equipment

Continuous Provision of Micronutrient Supplements to Women and Children

Upgrading of Hospital Information System thru provision of computers

Provision of adequate BEmONC/CEmONC supplies, drugs & medicines and equipment

Establishment of Social Hygiene Clinics in Masbate City, Aroroy and San Jacinto thru provision of necessary supplies and equipment

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DemandRural Health Units:1. Baleno2. Balud3. Batuan4. Cataingan5. Dimasalang6. Esperanza7. Mandaon8. Monreal9. Palanas10. Pio V. Corpus11. San Fernando12. San Pascual13. Uson

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Barangay Health Scorecard

Family Health CardEntitlement Education (available services, medicines, PhilHealth benefits, etc.)LGU Health Data BoardCitizens Feedback InitiativesHealth Summit Fair

Health Summit/Fair(STI HIV/AIDS, Nutrition, Buntis Congress and other Health Program)

Establishment of Buntis Baby Bank

Put-up/Updating of Health and Nutrition Data Board in the community


Provision/Utilization of Family Health Card

Provision/Utilization of Mother and Child book

Provision of FP Form 1

Entitlement Education (available health services, medicines, PhilHealth benefits,etc)Citizen’s Charter

Citizen’s Feedback Initiatives

Establishment/Utilization of Food Always in the Home

Organization of Support Groups (BF, CHTs, etc)

Barangay Health Assemblies


QuezonOutcomes/Indicator 2006 2007 2008 2009 2010 2011







Malnutrition Rate

5.46 15.04 11.52 6.57 8.96 7.96

22 83 51 58 42 38

27 38.5 31 20.28 32.36 34.09

51.89 63.80 56.05 48.71 63 64.03

56.1 65.1 54.9 55.45 67.08 50.15


41.51 37.81

16.81 18.28 15.41 14.23

Technical Assistance on Pharmacy Services


Technical Assistance on Local Health Board



Tawi-TawiOutcomes/Indicator 2006 2007 2008 2009 2010 2011







Malnutrition Rate

249 177 188 103 162 138

187 119 125 114 81 93

3 3 3 4 4 5

59 59 65 65 77 77

79 82 72 88 72 63


Hospital Management TrainingEssential Intrapartum and Newborn Care TrainingTechnical Assistance on Pharmacy ServicesTechnical Assistance on Laboratory and DiagnosticsTechnical Assistance on Emergency and Outpatient Service

Health Summit


LGU Health Data BoardCitizen’s Feedback Initiative

22 26 24 28 38 33

12 23 16 16 13 12


Negros OrientalOutcomes/Indicator 2006 2007 2008 2009 2010 2011







Malnutrition Rate

5.76 5.76 10.05 8.57 14.89

77 70 102 104 119

22.10 26 31.50 37.42 64.19

57 62.74 64.67 67.57 67.87

56 47.1 46.8 44 47

73.7 81 86 82 78

11.42 10.6 10.7 10.34 8.2

Establishment of Lying-in Clinics in Geographically Isolated and Disadvantaged Areas

Hiring of Additional Midwives

Construction of Barangay Health Stations

Assigning Surgeons/Anesthesiologists in District Hospitals

Fast track Accreditation of BEMONC/Lying -in Clinics

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Health Gaps

Health Gaps

Leadership Supply Supply

Demand





Leadership Training for Public Health Managers and Supervisors

Fund Management Training

Negros OccidentalOutcomes/Indicator 2006 2007 2008 2009 2010 2011







Malnutrition Rate

8.59 7.31 7.03 6.37 6.44

76 89 45 51 56

40.10 49.84 56.92 65 68.30

57.54 61.07 69.08 72.45 77.99

83.37 81.34 89 83 79

35 34 40 30.43 38

12.39 10.63 10 8.98 8.39

Health Summit / Fair


Family Health Card


Citizen’s Charter

Entitlement Education (available services, medicines, Philhealth benefits, etc.)



Networking / Partnership with Trimedia

Intensifying Health Education and Health Promotion Activities


Repair and Reconstruction of Rural Health Units

Repair and Reconstruction of Barangay Health Stations

Lying-in Clinic (Business Investment)






Technical Assistance on Hospital Management and Birthing Facilities

Technical Assistance on Outpatient Services andEmergency Care

Health Information System

Management of Consignment System with Private Partners for MCH Commodity Security

Organization and Linking of Hospital and Field Information System



Technical Assistance on Interlocal Health Zones


Technical Assistance on Interbarangay health zone

Human Resource Management


Sultan KudaratOutcomes/Indicator 2006 2007 2008 2009 2010 2011







Malnutrition Rate

4.3 4.55 4.15 6.14 4.81 3.95

51 76 97 89 125 92

14.67 18.31 50.19 48.99 57.09 68.94

52.27 52.21 59.6 67.9 55.62 73.98

77.82 77.24 89.07 87.32 85.92 83.18

Construction of Barangay Health Stations in Remote Areas

Construction of Birthing Facilities


Additional Personnel

Health Summit/Fair

46.68 47.88 50.07 51.68 67.25 51.87

14.63 15



LeyteOutcomes/Indicator 2006 2007 2008 2009 2010 2011







Malnutrition Rate

8.49 6.83 6.07 7.56 6.02 7.41

41.76 40.49 52.94 39.64 74.49 33.51

19.74 22.66 21.93 20.68 57.22 73.11

75.85 77.46 77.51 79.47 81.54 83.96

84.95 80.76 96.89 85.65 84.35 79.56


Funding Assistance for Trainings of All Private Midwives in all Birthing Clinics in the Province on Basic Life Skills (1 week training) and Other Relevant Trainings Related to BEMONC and Family Planning

35.78 32.2 43.59 55.35 13.18 23.86

20.36 19.06 18.53 17.98 15.48 15.77

Essential Intrapartum and Newborn Care Training for all Private and Public Health Workers in the Province

Health GapsLeadership Supply Supply


MaguindanaoOutcomes/Indicator 2006 2007 2008 2009 2010 2011







Malnutrition Rate

1.6 2.4 3.3 3.27 3.07 3.14

65 89 76 60 61 36

9.1 8.9 11.1 19.8 17 16.2

61.5 63.5 66.9 61 51.7 51.8

103 126 98 96 91.03 101.3

Construction of Birthing Clinics

Construction of Barangay Health Centers and Provision of Medical Equipment

Upgrading of Health Facilities including Provision of Medical Equipment and Clinic Supplies

Intensifying Health Education and Health Promotion ActivitiesProvision of referral vehicles

Enhancing Hospital Information System Feedback

Capability Building Activities a. Knowledge & skills enhancement of health professionals b. Conduct of scientific symposia c. Organization of community health teams d. Skills enhancement of community support groups

Enhancing Health information system a. Provision of recording forms b. Data validation c. Data analysis d. Feed backing mechanism

Service Delivery a. Attendance to labor and delivery 28.4 28 31

9.0 9.8 9.8 9.7

b. Conduct of comprehensive medical outreach services

Enhancing Referral System a. Community to Rural Health Unit b. Rural Health Unit to Hospital

c. Hospital to Medical Center

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Demand

Investment of the PHO in the Family Welfare Program or Work Place Task Force in Private Companies

CaviteOutcomes/Indicator 2006 2007 2008 2009 2010 2011







Malnutrition Rate

6.4 4.55 5.51 5.54 7.39 8.08

0.22 0.12 0.24 29 61.29 24.77

39.5 38.0 48.9 49.08 65.65 72.11

80.96 83.26 82.87 83.84 86.40 66.57

95.8 64.5 83 87 84 57

Orientation of Private Practicing Midwives inn MNCHN

Training of Private Practicing Midwives in FHSIS for Maternal Health and Data Quality CheckPartnership with PRISM/USAID on different trainings and workshop

32.08 27.91 37.17 32.17 18.04

9.31 9.66 9.36 5.86 5.62

Inclusion of Private Lying-in/Ma-ternity Clinics and Hospitals in the Development of the Mater-nal Health Referral System

C3FH/Cavite Coordinating Council for Family Health Meetings





PalawanOutcomes/Indicator 2006 2007 2008 2009 2010 2011







Malnutrition Rate

12.88 10.58 8.61 10.12 9.96

221 143 132 172 254

8.92 12.32 10.74 13.29 16.58

36.01 31.92 32.21 35.63 37.41

85 84 82.68 80 75



Hospital Management TrainingEssential Intrapartum and Newborn Care Training

Health Summit/Fair

Barangay Family Health Card


Buntis Congress

44 34 44.69 51 38

16.18 20.07 19.10 17.10 14.90

Health Gaps

Health Gaps

Leadership Supply

Supply

Supply

Demand

Leadership Training(Barangay and Municipal Leaders for Health)

Lanao del SurOutcomes/Indicator 2006 2007 2008 2009 2010 2011







Malnutrition Rate

3.59 5.28 4.47 2.0 3.30 3.8

106 91.3 81.2 76.2 75.79 46.24

5.63 10.41 10.47 15.91 22.58 27.76

58 63.54 99 69.3 69.54 70.92

79.08 81.72 74.63 75.72 76.33 77.63

Health Facility Construction, Upgrading and Repairs ( Rural Health Units & Barangay Health Stations)

Technical Assistance on Logistics Management System



Technical Assistance on IEC Materials Development

Technical Assistance on Communication and Marketing Strategy

Technical Assistance on Developing Health Campaigns

33 33.7 15.3 18.6 16.7 17.9

12.2 14.1 11.88 15.37 7.42 7.63


Health Data Board

Municipal/ Barangay Health Scorecard

Health Assemblies

Citizen’s Charter

PhilHealth services and benefits Orientations


Health Summit/Fair



Technical Assistance on Inter-Local / Inter-barangay Health Zones

Team Building


Leadership Training

Technical Assistance on RS


Technical Assistance on Inter-local Health Zone


Northern SamarOutcomes/Indicator 2006 2007 2008 2009 2010 2011







Malnutrition Rate

12.60 9.30 7.63 8.86 9.8 8.3

229 174 145 180 161 135

16.3 17 19 21 28 31.26

47 48 49.19 51 55 55

84.3 80.7 75.2 82 73 71

12 14 15 20.3 10.56 11.8

27 28 26.3 23.4 20 17.92

Health Summit Fair

Brgy. Health Scorecard

Family Health Card

Entitlement Education (available services, meds, PMIC benefits, etc.)

Community Based Financing – Buntis Baby Bank



BEMONC supply/e.g. essentialmedical equipment and supply

Newborn Screening Kit e.g. essential medical equipment and supply

Nutrition - Indigenours Supplementary Mixture (INSUMIX)

Health Information System- Computerized andSystematic Records/Internet Connection


Technical Assistance on aboratory and Diagnostic Service

Maternal and Infant Audit

M/E Training

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Zamboanga del SurOutcomes/Indicator 2006 2007 2008 2009 2010 2011







Malnutrition Rate

7.18 3.99 3.98 2.00 4.89 6.38

82.86 55.98 29.72 90.29 110.92 82.10

12.52 19.44 15.90 19.79 33.16 38.27

49.96 64.48 56.75 64.79 64.63 66.71

86.74 83.27 87.78 91.04 87.69 83.94

44.69 40.41 36.44 36.79 44.13 36.39

14 13 13 12 9.76 10.04

Technical Assistance on Laboratory Services


PampangaOutcomes/Indicator 2006 2007 2008 2009 2010 2011







Malnutrition Rate

2.81 1.85 2.56 2.96 1.65 3.44

17.56 25.98 14.03 17.24 55.11 39.63

58.8 65.0 67.0 64.17 73.6 63.81

79.39 88.04 91.09 89.47 83.71 83.53

91.02 91.1 95.47 88.43 86.88 80

57.05 22.08 23.85

5.98 5.20 5.08 4.63 4.3 3.32

Construction of Rural Health Units



Repair and Reconstruction of Barangay Health Stations

Lying-in Clinics (businessinvestment)






Technical Assistance on Outpatient Services and Emergency Care








Family Health Card


Citizen’s Charter

Entitlement Education (available services, medicines, PhilHealth benefits, etc)



Technical Assistance on Monitoring, Supervision and Evaluation

Technical Assistance on Health Research

Training on BEMONC

Training on Essential Intrapartum and Newborn Care

Quality Assurance Training of Field Health Workers

Recording and Reporting System

Environmental Sanitation Training

Health Emergency Preparedness

Supervisory Trainings

Community Health Teams

Philippines Provincial Maternal Health Data

Documents

Transcript of Philippines Provincial Maternal Health Data