MEETING THEMEETING THE CHALLENGE OF MILLENIUM DEVELOPMENT GOALSDEVELOPMENT GOALSON HEALTHON HEALTHby: Gov. Carmencita O. Reyes

Marinduque

. . . The heart f thof the

PhilippinesPhilippines

Political Subdivision and ClassificationPolitical 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 95,925 218 4th Class Partially Urban

Boac 21,270 61 1st Class Partially Urban

Buenavista 7,860 15 4th class Partially Urban

Gasan 11 930 25 3rd Class Partially UrbanGasan 11,930 25 3 Class Partially Urban

Mogpog 8,770 37 3rd Class Partially Urban

Sta. Cruz 24,665 55 1st class Partially Urban

hTorrijos 21,430 25 4th Class Partially Urban

Land Area in Hectares, 2007 Population and Average Growth Rate (2000-2007) Per Province, MIMAROPAMIMAROPA PROVINCES

Land Area in Has. 2007 Population Average Growth Rate (2000-2007)

Occidental Mindoro

587,985 421,952 1.44

OrientalMindoro

436,472 735,769 1.06MindoroMarinduque 95,925 229,636 0.76

Romblon 135 593 279 774 0 78Romblon 135,593 279,774 0.78

Palawan 1,489,626 682,152 1.94

MIMAROPA 2,745,601 2,5598,791 1.49

Philippines 30,000,000 88,574,614 2.04

Annual IRA Share 2007 to 2011Annual IRA Share, 2007 to 2011

Calendar Year2011

Annual IRA SharePhp 347,776,304.00

20102009

Php 326,921,778.00Php 276,485,390.00

20082007

Php 247,671,336.00Php 215,322,507.00p

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

Who are the poor?

Wh thWhere are the poor?

Why are they Poor?Poor?

CBMS Survey 2005 & 2008 (proportion of population below poverty threshold)below poverty threshold)

2008 - 47.91% (24,000 hh) from the 2005 data of 62.7% (28,324 hh)

CBMS Survey 2005 & 2008 (proportion of population below poverty threshold)below poverty threshold)

Buenavista from 77 9% in 2005 to 61 2%Buenavista – from 77.9% in 2005 to 61.2% in 2008

CBMS Survey 2005 (Proportion of Population Below Food Threshold)

2008- 33.82% (85,213) from the2005 data of 56.% (114,327)

CBMS 20058 0% (1 876)- prevalence of underweight children under8.0% (1,876)- prevalence of underweight children under

5 years old8 3% female8.3% - female7.9% - in the rural areas9 6% highest proportion is in Buenavista9.6% - highest proportion is in Buenavista3.8% - lowest proportion is in Boac

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

CBMS 2005 & 2008 (Proportion of population who are experiencing food shortage

2008- 5.1% (11,898) from the 2005 data of 4.1% equivalent to 8,396 population

CBMS Survey 2005 & 2008 (proportion of population below poverty threshold)below poverty threshold)

Buenavista from 77 9% in 2005 to 61 2%Buenavista – from 77.9% in 2005 to 61.2% in 2008

Meeting the MDGMeeting the MDG Challenges on Healthg

MDG 4 – REDUCE CHILD MORTALITYMORTALITY

MDG 5 – IMPROVE MATERNAL HEALTH

MDG 6 – COMBAT HIV/AIDS ANDMDG 6 – COMBAT HIV/AIDS AND OTHER COMMUNICABLE DISEASESDISEASES

Goal 4. Reduce Child MortalityTarget: Reduce child mortality by two-Target: Reduce child mortality by two

thirds between 1990 to 2015.

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

CBMS 2005 (Proportion of children o to less than 5years old who died)

24,093 - population of children aged 0 to less than 5 years old0.6% or 136 died and majority were males with 71 deaths Mogpog had the most number of children who died having 26 deaths, followed byTorrijos with 19 deaths.

Torrijos consistently had high infant child death based on the CBMS 2005 and 2008.

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.

Infant mortality rate – 18.11 (81/1,000 livebirths (ave. past 5 yrs, 2004-2008, PHO-Marinduque) and wentUp to 19.21 % or 87/1,000 livebirths in 2009.

11.41% in 2004 and went up to 19.99 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% in2008. (source: www.nscb.gov.)

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

Programs and Strategies to Meet the Challenge

C d t f E ti l N b CConduct of Essential Newborn Care (1 hour after delivery)Six (6) months exclusive breatfeeding, thereafter g,complementary foods are given to the infanta tFree immunization every month.Training for health personnel on InfantTraining for health personnel on Infant and Young Child Feeding (IYCF).

GOAL 5. REDUCE MATERNAL MORTALITYTarget: Reduce maternal mortality rate by three quarters by 2015 and half by 2000

13 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 2008and went up to 29 deaths in 2008.

0 % Maternal Mortality in Buenavista & Gasan 0 88% or 4 maternal mortality rates in the ave past 5 yrs (PHO-Marinduque)0.88% or 4 maternal mortality rates in the ave. past 5 yrs (PHO Marinduque),

rate increased from 5 deaths in 2008.

S t th till f t diti lSome pregnant mothers still prefer traditional birth attendants or “hilots” since it costs them less and accessible toothem less and accessible, too.

Di t d ibilit lDistance and accessibility also pose a problem. There are 21 geographically isolated and disadvantaged areas (GIDAs)isolated and disadvantaged areas (GIDAs) in the province. Transporting patients to the nearest referral health facility would meannearest referral health facility would mean traversing mountains, crossing rivers and seas.

Travel Time from RHU to its Referral Hospital

Lucena City

Less than 30min

TRAVEL TIME:

30min to 1 hr

More than 1 hr

Municipal Hospital

LEGEND:

GIDA 1

GIDA 2

GIDA 3

District Hospital

Provincial Hospital

RHU

GIDA 1 Brgys: GIDA 3 brgy Tumagabok, TalawanTambunan, Sabong

GIDA 2 Brgys:

Level I

Level II

RHU GIDA 2 Brgys:Canat,Boi,Bayuti

Sentrong Sigla I

Level III

Programs and Strategies to Meet the Challenge

E t bli h t f Bl d B k F ilit iEstablishment of Blood Bank Facility since blood loss is one cause of maternal mortalitymortality.Increased number of Facility-based deliveries Basic Emergency Obstetric anddeliveries. Basic Emergency Obstetric and Newborn Care (BEMONC) and Comprehensive Emergency Obstetric andComprehensive Emergency Obstetric and Newborn Care (CEMONC) serve as Halfway Homes.yOrdinance will be passed for non-birth delivery at home.y

Increase doctor in the barrios.Intensive training for Barangay Health Workers as counterpart of doctors in the pbarrios.Intensify prenatal care visits.y pImproved maternal and pre-natal care through proper health and nutrition g p ppractices.

GOAL 6. COMBAT HIV/MALARIA AND OTHER DISEASESOTHER DISEASESIncidence of Malaria – Marinduque is a Malaria-free q

province

Incidence of Pulmonary Tuberculosis – ranks 7th in the 10 leading causes of mortality with g y

44 cases (19.85%) in the past 5 yrs (2003-2007) although detection rate is high at 78.0% to 100%

in 2004 to 2008, cure rate remained low at 71% (PHO-Marinduque)

CBMS 2005- Incidence of Pulmonary Tuberculosis81 cases (40.0%) – PTB incidence Sta.Cruz had the highest number of case having 26,

Pulmonary Tuberculosis

g g ,mostly are male (63) and are found in the urban areas. PTB cases went down to 44 in 2008.

Programs and Strategies to Meet the Challenge

M i t i t t l i f iMaintain status as malaria-free province thru conduct of surveillance activities and monitoringmonitoringSetting up of Social Hygience Clinics Ad d A thAdvocacy and Awareness on the Prevention of and Control of STDC ll b t ith i ti likCollaborate with organizations like Philippine Coalition Against TB.C d t if P i i l Sit ti A l iConduct if Provincial Sitation Analysis on PTB in Marinduque

Other Programs/Projects and Strategies to Meet theStrategies to Meet the

MDG Challenge on HealthMDG Challenge on Health

Boac telemedisina/telerad (best practice in Boac)

Continue/Strengthen tie-ups with organizations like Marinduque International for Medical Missions

All Barangays must have Botika ngBarangayBarangay

Universal coverage of Philhealth InsuranceDi ib i f H l h C d f h I di Distribution of Health Card for the Indigent (local initiative)

Strengthening of the InterLocal Health Zone Full implementation of Health Rationalization p

Plan

Improvement and Upgrading of the 3 Improvement and Upgrading of the 3 Hospitals (Dr. Damian Reyes Memorial Hospital, Sta.Cruz District Hospital and the Torrijos Municipal p j pHospital Strengthening of the Preventive Strengthening of the Preventive

Department Strong collaboration with NGOs for

Medical MissionsMedical Missions Increase budget allocation for Health

ANNUAL BUDGETA l i f E diAnalysis of ExpendituresFor CY 2007

37 65 Gen P blic25.34 Economic Ser ices

0.22 Other Services

General PublicServices

37.65 Gen. Public Services

ServicesEducation, Culture,Sports andManpowerDevelopmentHealth Services

1.76 Social Welfare Services

Social WelfareServices

Economic Services1.23 Education, Culture, Sports and Manpower Devt.

33.81 Health Services

Other Purposes

““Poverty is not a fate nor a punishment but a

condition that can and must be changedcondition 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- Nanay Carmencita

Thank you and Mabuhay!!!!