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ELDERLY HEALTH CARE IN ILIGAN
CITY
INTRODUCTION The Philippine population aged 60
years old and above made up 6.8 percent of the 92.1 million household population of the country.
55.8% were females 44.2% were males. 1.3% of which are indigents
INTRODUCTIONLeading Causes of Morbidity
Visual impairment, difficulty in walking, chewing, hearing, arthritis, osteoporosis and incontinence
Leading Causes of Mortality cardiovascular (66%), pneumonia (65%), peptic ulcer and gastro-intestinal disorders (56%), diabetes mellitus (52%); and tuberculosis (51%)
INTRODUCTION Iligan City
Population aged 60 years old and above was 14,888 which constituted 4.6% of the total population of Iligan City which was 322,821 people.
52.03% were females 47.97% were males
INTRODUCTIONLaws and Provisions mandated for Elderly
Republic Act No. 9994 or the Expanded Senior Citizens Act of 2010
Republic Act No. 9336 or the General Appropriations Act of 2006
Republic Act No. 9994 Section 5
Republic Act No. 10351
The General Appropriations Act FY 2006 (RA9336)
Aquino Health Agenda (AHA), through Administrative Order No. 2010-0036
STATEMENT OF THE PROBLEM
Given the large population of the elderly in Iligan City, this paper seeks to find out if the health condition of the elderly of Iligan City follow the national trend in the leading causes of morbidity and mortality and also, if the mandated benefits and privileges for the improvement of the welfare of the elderly are available locally.
OBJECTIVES OF THE STUDY
1. To know the elderly population in Iligan City for both sexes for the years 2010-2015
2. To identify the following:a) Top 10 causes of morbidity among the elderly for the years
2009-2013b) Top 10 causes of mortality among the elderly for the years 2009-
20133. To determine the number of beneficiaries of free pneumococcal
vaccine among the elderly for the year 20144. To know the other elderly health care benefits that are locally
available.
OBJECTIVES OF THE STUDY
1. To determine the elderly health care benefits occurring in the Geographically Isolated and Disadvantaged Areas (GIDA)
2. To know the difficulties encountered locally in the implementation of elderly health care
3. To determine policy implications for elderly health care in Iligan City
METHODS
Figure 1. Map of Iligan City
METHODSMIXED METHOD:
Quantitative Approach- Secondary Data from the different offices
Qualitative Approach- Primary Data from Key Informants
CONCEPTUAL FRAMEWORK
RESULTS AND DISCUSSIONS
Table 1.1 Elderly Population in Iligan City against Total Population (continued)
2010* 2011 2012 2013 2014 2015
Total Pop’n 322,821 326,856 330,942 335,079 339,267 343,508
Elderly Pop’n (60 & above) 14,887 15,073 15,262 15,452 15,646 15,843
Percentage 4.61% 4.61% 4.61% 4.61% 4.61% 4.61%
RESULTS AND DISCUSSIONS
Age Group.
2010* 2011 2012
M F Total M F Total M F Total
60 - 64 2,949 3,016 5,965 2,986 3,053 6,039 3,023 3,091 6,114
65 - 69 1,918 1,906 3,824 1,942 1,930 3,872 1,967 1,954 3,921
70 - 74 1,067 1,337 2,404 1,080 1,354 2,434 1,094 1,371 2,465
75 - 79 634 705 1,339 642 714 1,356 650 723 1,373
80 & up 573 782 1,355 580 792 1,372 587 802 1,389
Total 7,141 7,746 14,887 7,230 7,843 15,073 7,321 7,941 15,262
Table 1.2 Elderly Population in Iligan City for Both Sexes
RESULTS AND DISCUSSIONS
Age Group.
2013 2014 2015
M F Total M F Total M F Total
60 - 64 3,061 3,130 6,191 3,099 3,169 6,268 3,138 3,209 6,347
65 - 69 1,991 1,978 3,969 2,016 2,003 4,019 2,041 2,028 4,069
70 - 74 1,107 1,388 2,495 1,121 1,406 2,527 1,135 1,423 2,558
75 - 79 658 732 1,390 667 741 1,408 675 751 1,426
80 & up 595 812 1,407 602 822 1,424 610 833 1,442
Total 7,413 8,041 15,452 7,505 8,141 15,646 7,599 8,243 15,843
Table 1.2 Elderly Population in Iligan City for Both Sexes (continued)
RESULTS AND DISCUSSIONS
2009 2010 2011 2012 2013
CausesNo.of Cases Rank
No. of Cases Rank
No. of Cases Rank
No. of Cases Rank
No. of Cases Rank
Hypertension 559 1 253 1 168 1 616 1
Acute Respiratory Infection 330 2 59 2 110 2 46 2 390 2
Urinary Tract Infection 15 9Acute Gastroenteritis /Gastritis
18 7 2 6 12 5 56 4
Surgery/Injuries 7 5 4 4 84 1 48 5Asthma 4 10Anemia 1 8Dengue 3 7Pneumonia 16 8 5 6 15 9Diabetes Mellitus 25 5 3 5 28 7Pulmonary TB 26 4 14 3 11 10Diarrhea 31 3 9 4 5 3Skin Diseases 21 6 1 8 12 5Fever 3 7Arthritis 18 3Viral Infection 15 4Herpes 7 6Headache 5 7 21 8Allergy 4 8Ear/Eye Infection 7 6Musculoskeletal Infection 2 9 103 3Neuritis 2 9Tendonitis 2 9Kidney Problems 39 6
Table 1.3 Top Causes of Morbidity for 60 years old and above, Iligan City, 2009-2013
RESULTS AND DISCUSSIONS
Table 1.4 Philippines’ 10 Leading Causes of Morbidity, 2010
Diseases
1. Acute Respiratory Infection 6. Influenza
2. Acute Lower Respiratory Tract Infection and
Pneumonia7. Urinary Tract Infection
3. Bronchitis/Bronchiolitis 8. TB Respiratory
4. Hypertension 9. Injuries
5. Acute Watery Diarrhea 10. Disease of the Heart
RESULTS AND DISCUSSIONS
Table 1.5 Top Causes of Mortality for 60 years old and above, Iligan City, 2009-2013
2009 2010 2011 2012 2013
Causes No. of Cases Rank No.of
Cases Rank No. of Cases Rank No. of
Cases Rank No. of Cases Rank
Pneumonia 191 3 165 2 181 2 221 2 232 3Myocardial Infarction 244 1 219 1 247 1 275 1 304 1
Sepsis/ Septicemia 21 7 81 4 73 4 62 6
COPD/Asthma 19 8 13 10Renal Disease/Failure 23 6 37 8
Cancer (all forms) 30 5 55 5 66 5 82 4 64 5
Pulmonary TB 32 4 37 8 35 8 41 7 31 8Asphyxia 12 10 43 6 66 5 23 8Cerebrovascular Accident/ Failure 202 2 162 3 160 3 190 3 282 2
Liver Disease/ Cirrhosis 42 7 25 9 14 10 22 9
Diabetes Mellitus 17 9 63 5 54 6
Chronic Kidney Disease 54 6 18 9 45 7
Senility /Debility 16 10
Multiple Brain Failure 23 8
Gastric/Peptic Ulcer Disease 30 9
Respiratory Distress Syndrome 27 10 23 8 67 4
Drowning 49 7
RESULTS AND DISCUSSIONS
Table 1.6 Philippines’ 10 Leading Causes of Mortality, 2010
Diseases
1. Diseases of the heart 6. Tuberculosis, all forms
2. Diseases of the vascular system 7. Chronic lower respiratory diseases
3. Malignant neoplasms 8. Diabetes mellitus
4. Pneumonia 9. Nephritis, nephrotic syndrome and nephrosis
5. Accidents10. Certain conditions originating in the perinatal period
RESULTS AND DISCUSSIONS
Geographically Isolated and Disadvantage Areas (GIDA)-communities that are physically and socio-economically separated from the mainstream society - 40.91% of the barangays
Specific programs implemented: maternal health care child health care TB control program environmental health and sanitation disease surveillance control of lifestyle related diseases
RESULTS AND DISCUSSIONS
Table 1.7 Elderly Population in the GIDA Barangays, 2014GIDA Barangays Total Pop’n Elderly Pop’n Percentage against Total Pop’n
Abuno 4,943 272 5.50%
Bonbonon 1,565 80 5.11%
Bunawan 2,293 97 4.23%
Digkilaan 4,454 267 5.99%
Dulag 1,124 30 2.67%
Hindang 1,182 18 1.52%
Kabacsanan 2,046 129 6.30%
Kalilangan 1,218 47 3.86%
Lanipao 2,468 87 3.53%
Mainit 2,606 136 5.22%
Mandulog 3,261 236 7.24%
Puga-an 7,775 347 4.46%
Rogongon 5,118 280 5.47%
Sta. Elena 5,380 266 4.94%
Tambacan 17,553 866 4.93%
Tipanoy 13,562 717 5.29%
Upper Tominobo 1,708 115 6.73%
Panoroganan 4,241 179 4.22%
Total 78,256 3,990 87.21%
Average 4347.556 221.6667 5.10%
RESULTS AND DISCUSSIONS
Table 1.8 Pneumococcal Immunization for Indigent Senior Citizen, 2014
Barangays 60-69 yrs. Old 70-79 yrs. Old 80-89 yrs. Old 90-99 yrs. Old Total Number of Vaccines
M F M F M F M F M F B Allot-ment Used
Abuno 8 7 8 7 15 15 15 Acmac 6 2 10 12 16 14 30 30 30 Bagong Silang 2 3 4 6 6 9 15 15 15 Bonbonon 1 2 7 6 1 1 9 9 18 18 18 Bunawan 2 8 2 8 10 10 10 Buru-un 2 5 6 9 1 2 9 16 25 25 25 Dalipuga 2 6 15 12 17 18 35 35 35 Del Carmen 5 8 13 14 18 22 40 40 40 Digkilaan 4 5 2 3 1 6 9 15 15 15 Ditucalan 2 5 8 5 10 15 15 15 Dulag 2 5 3 5 5 10 10 10 Hinaplanon 1 1 2 5 1 4 6 10 10 10 Hindang 4 4 6 8 3 10 15 25 25 25 Kabacsanan 2 2 3 8 3 2 8 12 20 20 20 Kalilangan
Kiwalan 3 3 4 7 3 10 10 10
Lanipao 2 5 3 5 5 10 10 10
Mahayahay 2 3 6 9 8 12 10 10 10 Mainit 7 5 6 7 13 12 25 25 25 Mandulog 2 3 6 4 8 7 15 15 15 Maria Cristina 8 10 10 14 2 6 20 30 50 50 50 Pala-o 3 8 14 17 4 4 21 29 50 50 50 Panoroganan Poblacion 4 7 5 9 9 16 25 25 25 Puga-an 3 4 15 18 2 6 20 28 48 48 48
RESULTS AND DISCUSSIONS
Table 1.8 Pneumococcal Immunization for Indigent Senior Citizen, 2014 (continued)
Barangays 60-69 yrs. Old 70-79 yrs. Old 80-89 yrs. Old
90-99 yrs. Old Total Number of Vaccines
M F M F M F M F M F Both Allot-ment Used
Rogongon 1 2 9 8 10 10 20 20 20San Miguel 1 7 11 3 3 10 15 25 25 25San Roque 2 1 9 8 11 9 20 20 20Sta. Elena 8 5 2 9 1 11 14 25 25 25
Sta. Filomena 2 10 19 2 2 12 23 35 35 35
Santiago 7 8 9 16 16 24 40 40 40
Sto. Rosario 1 2 7 2 8 10 10 10
Saray 5 7 7 11 3 2 15 20 35 35 35Suarez 6 5 10 14 3 2 19 21 40 40 40Tambacan 8 13 10 16 1 2 19 31 50 50 50Tibanga 2 7 9 12 2 3 13 22 35 35 35Tipanoy 2 3 11 8 3 3 16 14 30 30 30Tom. Prop. 7 8 9 8 3 4 1 20 20 40 40 40
Tom. Upper 2 2 6 2 8 10 10 10
Tubod 8 8 21 28 29 36 65 65 65
Ubaldo Laya 6 5 6 10 1 2 13 17 30 30 30
Upper Hinaplanon
Villa Verde 3 4 8 4 11 15 15 15OPD 8 14 11 18 2 1 21 33 54 54 54c/o Coun. Abragan 53 39 36 33 11 16 100 88 188 200 188
TOTAL 175 209 337 441 58 76 3 4 577 726 1303 1315 1303
RESULTS AND DISCUSSIONS
Difficulties Encountered during Program Implementation:The low level of willingness
of the elderly to participate Shortage of workforceTopographyDistance to main health officesThreat to security, peace and order
CONCLUSION The number of elderly population in Iligan city is
expected to increase.
Benefits and Privileges:
Free medical and dental services
Free influenza virus and pneumococcal immunization
Elderly Filipino Week Celebration 1st week of October
CONCLUSION Morbidity
The number of cases on the top causes of morbidity from 2009 – 2012 declined
Mortality There are no declines in the number of reported cases of
the top causes of mortality
The local top causes of morbidity and mortality showed similarity to the nation’s top causes of morbidity and mortalityThe programs implemented were not effective as to decreasing the number of cases per ailment.
RECOMMENDATIONS The ICHO and OSCA must focus on campaigns and
seminars that will educate people on various health concerns of the elderly and also for the health provisions available for the elderly.
The local government must address this inadequacy and must act on it immediately.
The government must also increase its budget for the various programs for the elderly especially for the immunizations in order to cater the majority of the elderly population.
Workers should continually improve their data recording and data keeping practices.
RECOMMENDATIONS The data should also be readily available especially to students
conducting research.
Government personnel must also be research friendly, accommodating and cooperative to everyone who is willing to explore the knowledge about the elderly health care.
Future researchers must determine the budget allocation for the elderly to check if there is a correlation between the budget and program effectiveness.
Future researchers are also encouraged to visit barangay health centers for the evaluation of health programs. They must interview health care beneficiaries of different barangays to come up with a report in health care efficiency.