-.-I 111 111 111 ""I01118

HIt 1 AIt8 2003'~tOfHN&lh.",.,..~ 200J

The Department of Health was able to lead the health sector to achievemajor accomplishments and wortd class recogrunon, with collaborative effortsand strengthened partnershrps. Nowhere was this synchronized efforts moreevident than in the strong surveillance and information dissemination in the'combat against the SARS epidemic which the country was able to contain.

Despite ensuing government budget deficits and the very limited and dwlndlingresources tor health, we were able to forge a stronger networking strategyWith the private sector, civil societies and other Government Offices. Thesuccessful Implementation of major actwrues such as the Expanded Programon Immunization; the nationwide launching of the national healthy lifestylecampaign thru the synchronized znmtnutes mass aerobic exercises andattaining the pro-poor program objectives, such as the Gamot na Mabisa atAbot Kaya with a SO% reduction in the prices of drugs and medicines mostcommonly used by the poor; and Greater Medicare Access Program whichenrolled 500,000 urban poor beneficiaries to the National Health InsuranceProgram, are just some of the significant results .

The One Script Systems Improvement Program was established to orchestrateunity, synchronicity and focused targeting of priority public health programsthat would provide the biggest impact to attaining equity, etfictency. accessand quality health care in the land . A major breakthrough was achieved inproviding fiscal autonomy on its b8 retained hospitals With the approval of aspecial provrsron of FY 2003 GAA which authorizE"d100'\ retention and theuse of ~itat income for upgrading of health tacuntes and services . AnotherfeathE"r on Its cap was added when the International SASAKAWA Health Prizefor 2003 was won by the DOH Center for Health Development for EasternVisayas for its successful implementation of Its Geographically Isolated andDisadvantaged Areas Project. We were able to attain a 100' nationwidecoverage of Directly Observed Treatment Shortcourse Chemotherapy.ThePhilippine National Health Research System which would consolidate researchefforts in the country. was established in par tnerstup WIth the PhilippineCouncil for Health Research and De....elopment.

External sources were able to provide for more focused health investmentsresponsive to national policies and Investment pnonnes. A total of 9 HSRAconvergence sites were developed through the financial assistance fromWorld Bank and Asian Development Bank.

WE" have ecmeved our major goals and targets. with concerted efforts andcontinued collaboration from our partners. A strong partnerstup with boththe public and private sectors wtll enable us to ectneve more 10 the PtuhpplOehealth sector.

•

Partnerships for

Prevention and Control of Severe Acute RespiratorySyndrome (SARS)

When SARS emerged as a disease that caused global alert the DOH

reporting and surveillance system facilitated quick response. With the first

suspected case in Philippine soil. the President signed Execullve Order No. 201

designating the Secretary of Health as the Crisis Manager for SARS granting

power and authority necessary to contain. control. prevent and restrict the

spread ot SARS in the country. Several agencies were also tapped to provide

assistance to the Secretary of Health.

The DOH has intensified efforts to strengthen the quarantine functions and

international health surveillance. It intensified advocacy campaigns. Triaging

of cases was established. A $ARS expert panel was convened. Technical

assistance for logistic preparedness for hospitals and other health agencies

were also provided as well as public health information campaign that created

strong awareness on the basic information on SARS.

With the help of the World Health Organization (WHO!. the Philippines was

removed from the list of SARS-afflicted countries. There were 14 reparted SARS

cases in fhe Philippines. 2 of whom died. Seven of these cases were imported

cases while the other seven IlJ cases were locally acquired from fhe two

imported cases. "Five Strategic Action on SARS". was implemented by the

DOH with help from WHO. resulting in the following: Imported cases were

minimized: Locallransmissian of cases was averted: SARS death was minimized:

and. Economic and non-health consequence of SARS was controlled.

One Script System Improvement Program

A IFf ~ I "V>'en Impr "en erd Pr qron we developed I unify and

It> fEr pn IIt~' pub I he lilt") pr =trom tt 0' sed .rp rc Be percent

! r e ] u- t vlet~ Jfl:1 w t h vlitnb ted the ;jreotest Impact to vltol health

n jl e Tht: p !Ih,. pr grom( ore T.ibe-cutos.s ono Robles Control EPI and FoodF r 1111 III r S lIe M .... lherh0 d one Family Planning and Healthy Lifestyles GMA

50 Gmn)1 no Mobl a at Abol Kayo wnu.n ensure. ovoilobifitv of quality one

rttoroobie essennot drugs and GMA 500 wt11Cti ensures SOCIal health Insuranceror sao 000 Indigents were also marked as pnontv programs, Targets systemmooers ond resources were focused on these pllorily programs and functionsfOf Improving hospitals one regulatIons. to ensure HllPClct and beIter steworcsruo

f resour ps

Tuberculosis (T8) Control

Program

Nationwide coverage at TB-DOTS

is now 100%. with a case detection

rate of 47.3% and cure rate at 73%. TB

Reference laboratories were

established in 5 CHDs namely CHD

nocos. CHD Bicol. CHD Central visovos

CHD Nor thern Mindanao and CHD

Do vo o . A toto: 01 41.037 TB cases

were treated this year.

Rabies Prevention and

Control Program

Intensified Ra bies Prevention and

Control Prog ra m was launched

specifically in Metro Manila with the

support and auspices of civil

organizations such os the Rotary Club

which provided rabies billboards and

5.000 CDs. An Anti-Rabies Bill is in the

drawing board of the two seats of

legislature in the country About

32.QCX) vials of dog voccme was given

to Department of Agriculture-Bureau

of An im a l Industry and lGUs to

augment their supply of vaccines.

A nt i-ra b ie s vaccine and

immunoglubulin were oiso distributed

to animal bite treatment cenlers

through the regions.

Expanded Program on Immunization

Because of the decline of full immunization coverage among infants. a

memorondum wos disseminated to validate coverage reports. analyze causes for the

decline. identify high risk areas and c ond uc t Supplemental Immunization Activities

(SIAs) in the identified high risk area. The purpose is to catch children who missed their

routine immunization. Priority sholl be given to areas with low immunization coverage .

hard-ta-reach-areas. densely populated urban areas and tribal communities.

Project Proposal for Follow-up Measles Campaign for 2004

The project proposal for the Measles Follow-Up Campaign in year 2004 was

approved by the Government of Japan. The total Japan Grant Aid project cost is

JY881.000.000 (approximately US $ 7.8 million). This will come in the form of supplies. i.e.

measles vaccine. auto-disable syringes. mixing syringes. and safety disposal boxes.

Bidding procedures were done in Japan. Expected delivery of the supplies is from

September to December 2003. The campaign will utilize the doar-to-door strategy

used during the successful Balik Patak Kontra Polio campaign.

Family Planning /

In support of the mojor pronouncements of the President during the 4" World Meeting

of the Families. the DOH has adop ted 4 major p rinciples. These are: (il Responsible

Parenthood. the family has fhe right and duty to decide on the number of children fhey will

have: (ii) Respect for Life. the government protects the sancti ty of life and aborfion is

never considered a family planning method: (iii) Birth Spacing. interval between

pregnancies which is ideally 3 years: and [ivj lntorrned Choice. upholding and ensuring the

right of couples to determine the number and spacing of their children according to their

Iife's aspirations.

Initial launch of the Responsible Parenthood Movement was included during the

celebration of International Women's Day/Women's Health Day last March 8. 2003 at

Mankina Sports Center. The President focused on the promotions of Natural Family Planning.

emphasizing the B8BB methods: Birth Spacing through Billings or Cervical Mucus mefhods.

Basal body temperature and Body signs or sympothermal method.

As a follow-up activity. the DOH launched the Rllsponsible Parenthood Campaign. in

cooperation with the Inner Wheel Club of fhe Philippines. Inc. District 381 and the City

Government of Manila. A mass ballroom dancing was organized last June 7. 2003 at Rajah

Sulaiman Pork, Malate. Manila. It was attended by parents. government and LGU officials.

NGO. portner oqencies representatives. and about 10,000 couples. The Responsible

Parenthood campaign seeks to empower families to make truly inforrned choices on family

planning.

Safe Motherhood

PI ~1PC1IIt .... nos .ecent y embarked )1 Np"' .... Molernlly poe - agt" Ie er ) It 1ft pr( JI 11 Y

.J tr- 1'erl ron Itat on ono o agnostic benefit oo ~,age through A It 1118d R r J: Heo H

f II ~ PH 51 Heoltb Center P, vo,p. elm "01 Authorized H sp '0 t ,I pl .... r ]1 1 H-' J

t rr , l'e .re I ')w r Of' I Ph 't len 'h 'Do' en! PI v es DO •ooe

The 2 'r\''")nier Heol H one Safe Mnlherh:)oa Proiec 2nd WHS\~D\ I l 1]1 p' Ii w II

I o-ovro r 9 quoul, ,""un er

mp ,. -HI' e en e- Is tor lOCO govprnmenl I de ver henl'h SCI,- e po l. l)t t \I'. P e:

ThiS or iec: WI er sur e that slrl) turol tleallh fOClI tv and humor rp Jf e UPOCll1t'

nee es orv to oeuver heottr services curr entr, not ovouobre H1 rne WHSt-.~, :,t:>r.; P P 1 ~ auf'

we !fbI llied uno maintained 01 oooroonore levels of the iocoi heottn core deilvt~rv system

The National Healthy Lifestyle Campaign to increase people's awareness and consciousness

was I J n nee on Februorv 16 200301 the Luneto oroncsrono. A svncbroruzeo 20 minutes moss

.ier t exercise attended by more than 1()(HXX) participants from the Greater Melro MOfl'Ia

Jrea re ev sed and o"red on notional TV and radio highlighted the event The activity was

r j tea irnuttoneouslv In the various reg ens of the country lEe materials were produced

Jr j..J sen r-oteo focus ng Of' the sx key messages: Don I Smoke Do Regu If Exer se E)I a

Heo tt y D et Watct"l yu r We jt" I r'roc.t«.e Stress Monogemen and Have Reg )r Hea th

Chec ~ ps

,_•._---

AI

Pled es

Gamot na Mabisa at Abot Kaya (GMA 50)

In response to the call o f the presid ent to reduce by half the prices of medicine

commonly used by the poor to benefit millions o f Filipinos. GMA 50 IGa mot no Mabisa a t

Abo l xovo ) was created. This projec t aims to ensure that affordable. high quali ty. safe and

effeclive drugs and medicines are always available. especially tor the poor.

Using parallel drug imports of 42 drugs including antihypertensives and antibiotics. on

average of 50% price reduction was achieved, The se medicines are being sold in 72 DOH

hospitals and 3 LGU hospitals.

Greater Medicare Access Program (GMA 500)

The total members of the National Health Insurance Program now covers more than

54.3% of the country's population.

President Gloria Macapagal Arroyo's pledge of enrolling 500 .000 urban poor

beneliciaries by the end of June 2002 served as the catalyst for the massive enrollment.

Ph,lHealth launched Plan 500 and surpassed the torget as it enrolled 506.770 lamilies or

2.5 M beneficiaries. As of end of December 2003. PhilHealth has enrolled about 8.8 million

beneficiaries nationwide or 1,762 116 indigent families in its Sponsored Program. The

Individually-Paying Program now has about 1.77 M members as of December 2003.

1st Philippine T8 Summit

PUBLICHEALTH I

CHIEVEMENTf

•.......

The DOH in partnership with the Philippine

Coalition Against Tuberculosis (PHILCAT)

conducted the First Philippine Tuberculosis

Summit on March 7. 2003 01 the EDSA Shangri-la

Hotel. Mandaluyong City . with support from the

Philippine TB Initiatives for the Private Sector.

Presented during the Summit were the

following: TB in the Philippines: Findings of the 1997 Nationol Prevalence Survey: Measuring

the Economic Burden of TB in the Philippines; and . Highlights of the Comprehensive and

Unified Policy (CUP) far TB Control in the Philippines. Declaration of Support for the CUP from

other government representatives and other stakeholders from the private sector was also

done.

Public Health Development Plan

A roundtable discussion addressing required public health reforms was held at the Pearl

Manila Hotel on July 10-11. 2003 to lay the groundwork for a Public Health Developmenf

Plan. Various technical working groups (TWGs)

composed of different stakeholders were

created for each disease cluster on Infectious.

Degenerative. Family Health and Environmental

and Occupational Health.

The TWGs have held workshops to validate

policy gaps. issues. and developed resolutions.

They have prioritized key policy issues

considering the limited resources; defined the

strotegies that will reform public health service delivery in the country. and translate it into

a framework for developing sustainable programs and activities. The fromework tor public

health reform is set on redefining how service delivery for priority public health progroms

should be organized. finonced and regulated at 011 levels of public health facilities and to

include the private sector at all levels. It also includes the perspective of inclusion of 011

public and private stokeholders in the health sector. in the organization of technical expertise

in the country.

Garantisadong Pambata

This is an annual campoign held twice a year in April and October. The

Campaign serves to highlight routine health services for children under five

years old and provides another opportunity for children who "missed" their

routine services on immunization, Vitamin A supplementation. weighing oroi

health and ather services. Last April 2003. a total of 9 million children were

provided witt, Vitamin A capsules. Other child health services were olso

provided during the week long campaign.

Food Fortification Program

The Philippine Food Fortiticatian Strategic Plan 12000-2004) aims to increase

Infake 01 Vitamin A. iron and iodine Iortified toads by at least 50% at the

Recommended Dietary Allowance IRDAJ of the vulnerable groups particularly

women and children. At presenl 26 companies have availed of the Sangkap

Pinoy Seal ISPSJ for processed foods. 55 load products with SPS are already

available In the morket. The DOH through BFAD has forged partnerships with

pnvote sectors in the implementation of the Food Fortification Program. Among

the DOH partners in the private sectors are. the PhilipPine Chamber of

Commerce ana Industry" Philippine Chambers of Food Manufacturers. Inc

Coconut Oil Refners Associotion Rotary lntemotionot and Kiwanis.

Patak sa Asin

Palo, so Asin IPSAJ is a market to market salt testing for iodine campaign

to promote salt iooizotion with the end-view of increasing utilization of iodized

salt nouonwide. The campaign also aims to intensify awareness on the Asin

Law to enhance understanding of the public on the benefits of iodized salt

and to promote consumption 01 iodized salt by the general pubtic. Sail testing

is being conducted in all markets nationwide Resulfs at the 3' quarter PSA

report showed that 78.1% of salt tested is positive tor iodine.

LOCALHElLTH ,....,""'.........,

Sentrong Sigia Standards Development

The Sentrong Sigla is a program for ensuring quality assurance for public health facilities. Yeor

2003 sow the transition of Sentrong Sigla (SS) from Phase f certification of public health facilities

using inpu! quality standards heightened by financially-driven recognition scheme. to Phase II

aiming at total quality systems approach coupled with purposive technical assistance. Relative

to this. Administrative Order No. 17-B series 2003: Philippine Quality in Health Program 2003-2007.

Five Year Strategic Plan was issued. Moreover, Administrative Order, No. 100 s. 2003 was issued to

Strengthen SS Certification. The Phase II Quality Standards List for level 1 Basic Certification was

finatized. Seven (7) botches of Training of Assessment Teams at the Central Office and CHD levels

were also completed.

For 2003, P28.7M was allocated to upgrade 12core referral hospitals and 54 non-SS certified

RHUs in 4'"-6' class municipalit ies in 12lnter-Local Health Zones{ILHZI , About P27M was also allocated

as technical assistance package to meet the requirement for SS certification of 132 non-SS

certified RHUs in 4'"-6'" class municipalities in 19 convergence sites.

Award for GIDA implementation

The Philippines won the Sosokowo Heolth Prize for 2003. besting

several entities coming from a number ot Member States. The award

was accepfed by Sec. Manuel M. Dovrit. on behalf of the DOH Center

for Health Development - Eostern visovos. It is a recognition of the

successful implementation of their Geographically Iso la te d and

Disadvantaged Areos IGIDA} Projec t in six (6) pilot municipalities of the

said reg ion. The GIDA Project is a comprehensive health program

especially designed to respond to the unique health problems of the

people in these areos within the context of their geography. culture

and socioeconomic condition. The program consists of strengthening

district health systems. upgrading local health facilities. and improving

referral and health information systems.

Inter-Local Health Zones

A total of 91 ILHZ in 36 convergence siteshave signed Memorandum

of Agreements IMOAs} . and formed ILHZ Boards and Technical

Management Committees. There are now 70 ILHZ and 460 Local Health

Boards that are functional.

'1TIlREFORMHospital Income Retention

Currently, there are 68 DOH retained hospitals using up to 70% of the annual

health bUdget. Since the national government spending on hospital personal health

care, which hos very limited impact on health status was already too high , a special

provision in the General Appropriations Act IGAAJ wos initiated, This was designed

to enable DOH hospitals to collect and retain a portion of their income, in order tor

them to have funds other than the national government budget subsidy, for improving

and upgrading services and equipment. Progressively, income retention ceilings

have increased from 30%in FY 2001 to 60%in FY 2002, For year 2003, special provision

# 6 of the GAA for FY 2003 IRepublic Act 92061 authorized 100% retention and use of

income for all DOH hospitals,

DOH-DOF-DBMissued Joint Circular No, 2003-1 dated july 16,2003 which prescribes

the guidelines on the implementation at the said special provision, It specitically

provides that the hospital income shall be used to augment the maintenance and

o ther operating expenditures including repair and maintenance of existing hospital

facilities, It is also provides that at least 25% shall be used to purchose and upgrade

hospital equipment used directly in the delivery of services, Furthermore, no amount

of the said income shall be used for the payment of salaries and other allowances

and benefits whether in cosh or in kind,

Hospital Corporate Re-structurlng

The Executive Order for the hospital restructuring ot fhe Quirino Memorial Medical

Center and the Ilocos Training and Regional Medical Center is now being tinalized

otter incorporating the comments of the Department of Budget and Management.

IIIDrafting of its Implementing Rules and Regulations is also ongoing,

DOH RETAINED HOSPITALS

RESEARCH MEDI CA L DI STRICT REGIONAL SANfTARlA EXIENTlON

REGULAR MENTAl .

Cf NTERS HOSPITAL S , HOSPITAlS HOSPITALS HOSPITAi.SI HOSP WI

REGUl.AR IBloDS

Oocupnncy Rate

.''IMi•••", (Actual)Bed

Occuoen<yR...

T...._

TcQlNo dP-*DItys

--

7647

563

702

22.999

116.117

13281

•

2,185 4,100

7434 14&6

1.640 3.621

83.71 8400

86,244 8.186

25833 1,29>4

33.586 3

15 7,Dl

:n g, 13

57 6,838

Jiil 9644

1.345 427.813

1.816 2.359.271

11 29455

o 121513

275

..,76

....16.932

61 ,139

'aa6,816

n.35

2.12.

188 ,771

809,392

13041

33.950

1.120

513

702

'"'"

126 .230

.,

.7

eo

.. 76

63.96

2,741

1,661

'.38,..

.u.12.374

146.851

14364

1116,031

...., ,....10295 87£»

4,323 16,697

~()I 8198

8,897 155.748

t.oro,671J 4._.37'2

6896i 29a 11

7'0 186.101

4243 141

87,(l13 S,115

..'02,621 " ..

223 >Ill

176 41885

8.819 756191

.. 319 309Jl1(j

115316 14,31&172

7244 1,(X• .525

120 ."0 lUJ6A43

1M

'02

741,912

2113

•

,.1.243

1115 521

0.9 24

1 342 m ,011

22 111 3,an 781

3364 14,142,196

4918 1031.281

8 iS1 11.J15.l533

o

764

35

".• 203

9,520

14114

34 424

36,238

9293

'"

182 ,246

3,.

325 " .

141 11W

16.943

12.016 41304

19.268 143 ,820

82 .100 981 .429

108,375 109,210

199 ,7S5 1,844 ,l!l83

'2112

65 26068

1142 568. ,..

1,356 438 112

3089 626,643

o 184.027

63 .740 2.341.Q21

90 .066 10 m 053

12.611 1218,852

'63

'52

".60.310

111290

138.138

6.692

,.96

6.41

33l

145,060

521.518

915.606

1616 .674

'22

g.,..

' .020

••

22 ,939

S26 110

105.900

&8.483

1.(l66.95&

- A UN't't.d lind Stronger Partnership with th Gover nmen t inPhar"'ilCflutical He Ithcare ~

APPMAN, CFlJ. ro l, ADIPDOH Sec. MANUEL. M . DAYRITDT! Sec. MANUEL. A . ROXAS

Her Excellency GLORIA MACAPAGAL -ARROYO

_HE LTHE llTi N

Botike n9 Berengey

Approximately 500 Botiko ng Borongay (BnBsl are now existing.

These BnBs are now selling over-the-counter drugs and medications

and two (2) prescription drugs (amoxicillin and cotrimoxazole) . A

Special License to Operate was recently granted to BnBs and there

ore now 22 Licensed BnBs. About 4.800 BnBs are targeted to opened

by 1' semester 01 2004. 200 of which will be opened by mid January

2004. There ore also 516 NFA Rolling Stores selling over the counter

drug and herbal medications (Logundi and Sornbonq].

-Drug Consignment

Administrative Order NO.5 s. 2003 institutionalized Drug Consignment as a

means ot drug procurement. To ensure that only high quality drugs and

medicines will be made available to the public . all prospective suppliers

were pre-screened and required to have a Certificate of Good Manufacturing

Process from BFAD. The public can be assured that the prices for these

medicines are at least 10% cheaper as compared to retail price. At present. 4

local drug companies have been awarded consignment rights and are in the

process of executing consignment contracts with the DOH Hospitals.

Quality Seal Award for Retail Drugstores

BFAD continues to provide incentives to drugstares. for providing qualify

but affordable drugs . through the awarding of quality seal. The seal is given to

encourage drugstores to improve community service to highly professional

pharmaceutical care. II is a challenge to drugs tare owners and pharmacists

to continue their efforts in safeguarding public health by ensuring that drugs

sold are of good quality. safe . effective and affordable.

This year. three (3) botches of awarding ceremonies were done, 1 each

for Luzon. Visayas and Mindanao. A total of 9B drugstores under the single

category and B2 drugstores under the chain category were recognized and

given the award.

EALTHBE

Expansion of Philhealth Enrollees

AS of end of December 2003. PhilHealth has enrolled about 8.8 million

beneficiaries nationwide or 1.762.1 16 indigent families in its Sponsored Program.

The Individually-Paying Program now has about 1.77 M members. Recently.

PhilHealth launched the registration of Filipino pensioners and retirees to the

Non-Paying Program. A total of 76.209 members nationwide have registered to

the program.

Benefit Enhancement

Inpatient benefit ceilings have increased by as much as 34% for drugs and

medicines and 45% for x-ray and laboratory examinations effective 1 January

2002. In April 2003. benefit ceilings of room and board has been increased. The

number of lGUs implementing the outpatient diagnostic packages increased

from 162 in April 2003 to 249 in December 2003. There are 1.534 accredited

hospitals nationwide (includes 15Ambulatory Surgical Clinics) and 573 accredited

RHUs extending health care services to the members.

New benefit packages such as maternity care package for normal

spontaneous deliveries. SARS package and outpatient treatment of Tuberculosis

(TB-DOTSI package have been added in Philhealths' benefits as of Morch 2003.

Some benefits such as increased In-patient benefits. better dialysis benefits

and low-priced quality drugs are currently being developed.

• ~ 1' ...,.. .. • 8-.--

I~DeWJlopmenlIor

HSRA~

HSRA Technical CoordlnaHng Group

The Technical Coordinating Group (lCG) for the Health Sector Reform Agenda (HSRA)

conducted eight 18) meetings in 2003. to updafe re form managers on reform ac tivities.donor agencies an HSRA ac tivities and training opportunities. Revision ot fhe Guidelines

for the Operationalization o f the Hea lth Sector Ref orm Agenda Implementation Plan

(HSRAIP) a t the Convergence Sites was also done.

Pursuan t to Department Order No . 227-G series 2002. the TC G fo r the HSRA

Implementat ion was recons ti tu ted. A m ong i ts fu nc tions are: overall te ch nic al

management a nd coordina tion of the HSRAIP; coordinate a ll programs. projec ts a ndac tivit ies based on HSRAIP timelines; faci lita te the prepara tion/upda ting and review o fnecessary inves tment plans a nd packages as well as researc h. policy and legislative

a gend a in support o f HSRA; put in place a monitoring and evaluation system to trac kHSRAIP progress; and provide periodic feedback to the Steering Commitlee.

EssenHal National Health Research Forum

The 4· Health Research for Action National Forum held in August 6-7. 2003 a t theWestin Philippine Plaza showcased 19research studies. which represented the theme of

this year's forum on "Public-Private Sector Partic ipa tio n in Health Development". Mojorfeatured researches included presentations ot the Philippine Millennium Development

Gaols. Philippine Health Human Resources: Issues and Challenges" and the Philippine

National Health Research System". Poster Exhibit contest which was participated in byeight IB} budding researchers in the country. was introduced in this lorum. It also featuredDr. Sornsok Chunharas. a represen tative from the Commission on Health Research(COHRED). There were over 400 participants from private and public research groupsand health policy makers who participated in the forum.

Health R s a rch System

In partnership with the Philippine Council for Health Research and Development (PCHRD).

the DOH established a system fo r managing research in the country through the

institutionaliza tion 0 1 the Philippine Notio na l Health Research System IPNHRS). A

Memorandum 0 1 Understanding (MOU) was signed by and be tween the Secretory ofHealt h and the Secretary o f Science and Technology. which served as basis for succeeding

ac tivities under the PNHRS. Some o f the ac tivi ties conduc ted were the unification o fagenda. organizatio n o f technical working grou ps. which will look into the country's

uniform researc h system. a nd dra tli ng o f bill on researc h fund .

Online moderated discussion

The Legisla tive Ad voc acy Project was jointly undertake n by the Health Policy Development

and Development Bureau (HPDPBI a nd the Philippine Institute for Development Studies - Na tiona l

Economic Development Au thority. An on- line moderated disc ussion on the specific items of the

DOH Legislative Agend a was held from March 16 to April 30. 2003. Participants included the

legisla tors and their respective staff from both Houses of Congress. members of the academe.

NGOs. and o ther stakeholders. It encouraged an online exchange of views as well as ques tions

and answers among stakeholders and p eopl e w ho are in teres ted in the speci fic legislative

proposals of the DOH.

Led by designaled moderators from the Department o f Health. the online discussion featured

3 major topics under the HSRA. namely: (o) HSRA Implementation Ac t; (b) Health Regulation; and

(c ) Government Hospi tal Corporate Restructuring. The Legislative Agenda was based on the

legislative needs of the hea lth sec tor as identified in the HSRA.

-_._-_.._-----_.-_ .._._--_....__..--_.... ....__ ..__.,,,_,_ fO___ _.__ .. I :.J ·~

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~ H 1l' A. Nf 1;-

" v t I I, "fll I, l .ovr: i f ; """l)(J lion 0'1 the p roqres 01 impten emotion of " e Heo th cc 101

R rm if' ~ h 0 r.Irv ...... I) rtev 1 rx J Th website i on online preseruotion fall 0 t vifie ondir.t rmotionouoi I H$t<.A pr qrt II d implelll ' nto tion I well a the d i t il~,en t actors and sro keholder: in iTS development.II 1 0 1_ rovi t Iii op» IrhJnily fo r Pl1PIG lion of uti I ct tnerv in H5RA. Ii wos p.tblis t .ect wilhin the DOH momv- t >h In J lv 2003 ino 1 now ecce ibl i

NHPC J-Year LGU Strategic Plan

The Na tiona l Health Planning Commi ttee INHPC) throug h the HPDPB formu lated and

disseminated Guidelines fo r LG U Strategic He a lth Plan for CY 200 4-2006 . This was the

recammendation during one of the NHPC meeting s to come-up with a three 13) year stra tegic

health plan porticulortv for all provinces and highly urbanized ci ties ot the country for submission to

the Office of the President.

The guidelines aim to guide the LGUs in preparing their 3-Year Stra tegic Health Plan (2004­

20061 and translate this p lan into annual operationa l he alth p lan tha t a re responsive to their

health needs.

1111 11 11 11 111101118H l II AnI 2003

Health Human Resource Information System

Developed the Notional Health Human Resource Plan. version 1. Installed

and utilized Career Development and Management System. Developed

and validated DOH core and func tional competences. and finalized

the profiling of the DOH Management Pool competency.

Health Workers Deployment Program

Thirty-seven (37) new doctors (DTTBj. 41 MO III a nd 95 MS II Pa rt Time

(Medical Pool) a nd 2B allied health pro fessionals were d ep loyed to

doctortess and health workerless oreos.

Sustainable Training and Development Mechanism

Conducted 10 courses for the reloo ling / re tra ining o f Central Office

personnel. Reviewed/screened 109 training courses that ere outside

the activities of the Bureau. Provided fund assistance tor post-graduate

degree to 37 scholers. Developed and coordinated 6 training programs

for 44 foreign nationals from the Asia-Pacific Region. Provided Continuing

Medical Education to 55 doctors to the barrios. Conducted the 5 Annual

Qualifying Examination for Residency Training. 1.039 possed the

examination. 879 of whom were matched.

Developed and installed in 85% of the more than 800 DOH accredited

drug testing centers a computerized system which will give drug test

results verification within a month. This is a subsystem of the Drug Testing

Operations Management Information System. Continued to implement

the Hospital Operation Management Information System in 34 hospitals.

Developed a drug mobili ty monitoring system in support of Phermo 50.

This system was able to monitor delivery and consumption of

pnorrnoc euticol products. moni tor remittances of hosp it a ls. and

produce management reports for the hospi tal concerned.

CHDl\ocosTB Control Program. Full implementation of DOTS with a cure rate 6f 85.4% ICY2002j . and a casedetection rate of 97.5%. CKgon~ed and established PPMD porlnermips and IS Diagnostic Committee inPangasinan. Gave awards to NTP Regional Best Performing Health facil ities and personnel. RabiesPrevention and Control Program. Disseminate Manual of Operation and Management Guidelines toISO RHUs. Maintained 12 ABTes in the region and ensored provision of 1~ supply of vaccines in 01

ASICs. Child Health Increased FIC coverage from 79%in 2002 10 82.7% in 2003. Conducted planningvvorkshops at 01 levels lor the FoIow-vp Measles Imm ....nccroo campaign. Provided 11))% vaccines andsupplies required lor routine immunization in all cities and municipalities, Upgraded regional. 12

provincial and city cold rooms with provision of new freezers. retrigerat0r5 and generators from KFWgant. Gorontisodong Pombato coveroge increased from 39% in Apri to 9()'% in October for chilci'en 6­11 months old and from 98% (Apil to 1~ (October) for children aged 12-59 months old. tncreasedhousehold utilization of iodized soli from 63% in 2002 to 93% in 2003 based on rapid assessmentconducted on iodized salt utiizotion. Bontoy Asin checkpoints were mobilized in entry and exit oonts incoordination with PNP. Assisted LGUs in the passage of ordinances and enforcement of Asin Low, Gaveawards to outstanding LGUs in impementing the Asin Law. Women 's Health . Raised fertility awareness ofcouples by 5% and NFP users 10 5%. Maintained the rates of those currentty using temporary FP method.

Healthy lifestyle. Launched healthy lifestyle campaign simultaneously in 5 cities in the region. with a totalof 9.503 participants form various orgon~ations. GOs. and NGOs.

ratiCollar-w......

CHDMetro Man aTuberculosis Control Program. Increased case detection rote from 45.8% in 2(XX) to 79% in 2CXXl and acure rate from 69% to 7n:., Focused DOTS enpementoton in CHO MM retained hospitotsllGU hospitalsand povote practitioners wherein a technical guideline was conceptualized for the use of PPM..()()TS inNCR. Rabies Prevention and Control Program. Conducted Robies Summit and Launched Rabies FreeMetro Monila in support of Responsible Pet Ownership. Increased awareness and improved reportingsystem. which resulted in 15% increased in the number of reported animal bite cases. Child Health.Increased Fie coverage from 87%in 2CX)2 to 90%in 2OC)3. Conducted series of program implementationreviews with 17 lGUs to improve immunization coverage in high risk areas. Tsik.iting Center wasexpanded to National Children's Hospital. Patak so Asin so Palengke was done quarterty and resultsshowed an increased in the availability of iodized salt tram 31.5% in October 2002 to 81% in December

2003. Patak so Asin so Warehouses was launched covering more than 100 warehouses. Launched "Go90 for SIP". on advocacy to increase awareness. demand for and utilization of iodized salt. with support

from Robinson's Galleria. OZMM Live and Salinas Foods Inc. The conduct of Garantisadong Pombotocampaign showed a 93.310 and 97.3% accomplishments in April and OCtober respectively. Women 'sHealth . Three batches of TOT training and 3 botches of NFP training for service providers wereconducted to mainstream NFP in the region. GMA 50. Established GMA SO program in DOH-retainedhospitals. Estob6shed 17 BnBs, conducted training for 67 BnB operators and provided processing fee forthe licensing of BnBs.

CHD CordilleraTB Control Progmm. Esto~hed DOTS units in 4 hospitals and a validation center fOf TB and malariamicroscopy. Conducted drug microscopy survey on new TB treatment Increased case detectionrote from 30% in 2002 10 57% in 2003 and cure rate from 55% in 20)1 10 65% in 2003. Heotthy lifestyfeAdvocated healthy lifestyle tocusinq on healthy diet and increase onvs.ccr ocuvttv Hctcw 2003was launched in February porticlpoted in by at leost 1000 oorncoonts from various governmentoffices In BagulO City lnst lufionaliZed Hotcrw as a regular activity of most government offices In theirweekly flog ceremony. GMA SO Seven (7) hospitals in the region ore procuring GMA 50 drugs. Anetworking system occoreo among The nosouois in the region such t 101 dlstncl bosooots in Ifugaoprocure GMA 50 drugs from ltugao Provincioi Hospital and Atok District Hospital in Benguet, NHIPEnrolled 28227 nd1gents under the sconscono of congressmen 26 702 lndtgents enrolled by lGUsand 7900 indlQenls sponsored by PCSO. Facirtated the establishment of community based heatlhinsurance schemes and the accreditation of 1J RHUs to ova of Ihe co noron f nd from PHIC

CHD Cagayan ValleyT8 Control Program Oeqcnized CaVaCAT - Cagayan Volley Coalition AgQlnst ts. a local coalitionoqoinst TB with member) from Med col Societies concerned rerreo health personnel and alliedprofessions ijl(e PNA, PAMET, Members osssteo the IB dlOQnostIC committees organized in Coqovonand was expanded to the provinces of tsobeto and Ouirino. Robles Prevention and ControlProgram Developed prototype robles ordinance for t.Ous. Passed resolutions requesting theSecretary 01 Agriculture to allocate funds for onn-rotnes vcccmes as a result of consultativemeetings of the Regional Advisory Commillee - Animal Diseases Control and Emergency, ChildHealth DOH·Representatives teamed up with RHU steff to conduct outreach immunizationactivities in high risk and far flung areas. Institutionalized monItoring of Salt lodizotlon Program withthe Department of Agriculture. Philippine Notional Police. Department of Energy and NaturalResources and the local units, especially at the "Bantay sa Asin'' checkpoints in Sto. Proxedes.Cogayan and Sto. Fe. Nueva vizcovo. Women's Heolth. In addition 10 the regular strategies oftraining service providers and coordinators and information campaigns. interfaith on NFP andfertility awareness onentotion 01 couples were conducted to mainstream the program. Healthylifestyle. launching of healthy lifestyle was conducted on February 16. 2003 which included otheractivities like BP screening. weight taking and diet counseling for the participants. Regular "HotowNo" IS done every Mondays, Wednesdays and Fridays at the CHD end other offices to sustain thisactivity. GMA 50 Conducted advocacy meetings to Sangguniang Boven members for Health,media and DOH representatives. 10 expand coverage and mcreose cworeness for GMA 50 localrodiofTV guestings were also done. NHIP Enrolled 71,925 ind'gent famlles to the MedIcare Para saMOSO Program Pl60 450.799 34 was paid fO( claims reimbursement of all PHIC members as benefitutilizatIOn to( the year 2'CXJ3

CHD Central LuzonT8 Control Progrom Conducted Rapid Appraisal Survey \howng c cure rate 01 540;' and a ccseoetecroo rote 0' 44';" Ira ned rneoicol otficers and stof nurses rr- 3 rete ned nosouo sand 46 L.GUnoso to 5 on nosp fa based NIP was done A tala of 14 874 TB patients were placed under shortecorse criemctheroov ng DOTS. Increased case detection rate from 44% to 5190% and cure reterrorovec from 5400' to 67%. Launched 188: A Coo iticn for FIgf"',' Ago'nst T8In Cent-ottuzoo" In August2(()3 to address the TB problem and treat 10340 TB patents through DOTS n 8 high burden areas inCentra L zon and conducted a strategic Diann ng workshop to effect vetv carry out 'he protectChild Heotth voce nes w€fe provided to LGUs '0 sostoin hlQh routine coverage Conducted 0 SolesConference one on onentotion for Follow up Measles Eiminotion Campo'gn N nety percent {9O%Ior 1023834 children received the second dose of vitorrun A capsule during the OCTober roundConduct of Patak so Asin in the moreet and households were man 100ed rests showed that 74% ofsalt tested from household ond 71%of the salt from morvets were oosnve fO( ine. Women 's Heotth.A total of 580 porncioonts were trained, 270 of which were trained through fhe Initiatives of lGUs. Anoutreach VOluntary sterneotoo was conducted by Dr. Pou inc J MemOrial Research and MedicalCenter and Jose B. lingad MemorlOl Regional Hospitot. Healthy Lifestyle With support from the lGUs.about 5.000 delegates from the region ocrnciocteo In the National Healthy lifestyle Campaignconducted ot the Quirino Grandstand, RilOI Pork. Promoted Simple easy -ro do activities formaintenance of good health to include regular exercise, healthy die! regular check. up. managingstress ono smokmq control. GMA SO. A totol of 46 BnBs were established in the region as Of December31 2003. NHIP. Strengthened oovococv to promote health core financing and encourage LCEs toenroll more indigent indivicuols to Philheal1h.

CHO CalabarzonTB Control Program. Conducted TB Alert Awareness campaign. provincial validation lor QualityAssurance System on microscopy and testing of Contract Distribution Scheme of TB Drugs andsupplies. Organized Regional tnter-Aqencv Mix on 18 and established Public-Private Sector Mix inone province. Rabies Prevenfton and Control Program. Established ABles in 5 provinces and 10 citiesand disseminated Manual of Operation and Management Guidelines. Conducted Rabies Solesconference and organized Rabies Task. Force in areas with new rabies cases. Child Health. Fiecoverage 01 45.8% based on I' semester reports. All government health tocilities ore providingimmunization. Eighty-seven percent (87%) of children aged 6-72 months old given Vitamin Asupplementation. Conducted Patok so Asin with a 78% availability of iodized salt in the markets.Household salt testing showed a 97% utilization of iodized salt. Women's Health. ConductedvoluntOfY sterizatK>n services to 113clients. Oriented 500 BHWs on NFP and trained 40 participants onCBT. Celebrated Family Planning Day and Natural Family Planning. Heatthy LHestyle. Conductedsimultaneous exercise in luneta Grandstand. Developed. and distributed lEe materials to cities andmunicipalities. GMA 50 Procured and distributed GMA 50 drugs tor 5 lGUs. and p'ovided technicalassistance to 2 provinces in the procurement of drugs from the Philippine International TradingCorporahon. Established to BnBs and tro<>ed BnB aides.

CHO M1maropaTIl Control Program. Conducted orientation/training on NTP guidelines to MHO's PHN's RHM'S,microscopists. treatment partners and other health stoff from public and private sector includinghospital level. Provided anti- TB drugs, and lEe materials to 5 provinces arid 2 cities. Robles Preventionand Control Distributed anti-rabies vaccines to animal bite treatment centers and lobby for thepassage of 2 local ordinances on Responsible Pet Onwership. Child Health. Distributed 662.500capsules of vitamin A to 5 provinces and 2 cities.36 government and 16 private hospitals are usingiodized salt. Increased household utillzrrtion of iodized salt from 41% in 2002 to 71%in 2003 and marketsalt testing from 45% in 2002 to 87% in 2003. 70% of salt stored in warehouses/market are iodized.Women 's Heatth. Conducted ooentotion and awareness campaign on FP methods to BHWs. religioussectors. women's groups. and indigenous groups. Celebrated Women's Health. Family PlanningWeek and Breaslfeeding Month and continued information/dissemination campaign on thedifferent family planning methods. Implemented the use of portograph in 5 provinces and 2 cities.Healthy lifestyle. Conducted healthy lifestyte campaign and joined the mass aerobic exercise heldat Quirino Grandstand lost February 16. 2003. Celebrated Wor1d Hearts Day in Ultra lost September2003. GMA SO. Conducted training of BnB operators in 36 borangays in Oriental Mindoro and 69barangays in Occidental Mindoro. Operationalized 5 BnBs in the municipalities of Victoria.Bongaoong. Bulclacao one Gloric. NHIP A total of 121.656 were enrolled to Philhealth, 60.241 of....mich were indigents. User's fee was implemented at the provincial level and oR district hospitals inOriental Mindoro.

CHOSlcoiTB Control Program Attained a case detection rate to 70.3% coc cure rate to 78.6%. SputumMicroscopy trainirlg was done Io- 20 newty hi'ed medical technok>gists. Inaugurated the Regionol TBReference laboratory, donated by the Spanish government. Robles Prevention and ControlProgram. There were 63 human rabies cases monitored in the region. This figure is 7% higher ascompared to kJst year's data 01 59 cases. Chid Heotth. Increased trend on the availabi~ty of iodizedsalt in the market. from 62% in the l' Quarter to 95% in the 4' Quarter. This is due to continuousadvocacy on the benefits 01 iodized soli utilization. close coordination with lGUs/NGOs and thesuccessful launching of "Patak sa Asin so Warehouse" and close monitoring 01 markets andwarehouses. Women's Health. Conducted training of 725 health workers on NFP and communityassemblies on fertility cworeoess. participated in by 85 coopes and 765 individuals. The NFP user ratewas increased to 5% among couples ....mo are not using any FP method. A total of 5,308 bilateral n.oorligation and 212 non-surqicol vasectomy were conducted. Healthy lifestyle. launched healthy~festyle campaign at the Blcol Universitv Soccer Field on February 16, 2003 with 1.330participants fromvarious GOs, NGQs, schools and line agencies. GMA SO. Expanded GMA 50 protect to the lGUs. four14J lGUs availed 01 the project: Gubat and Prieto Diaz in Sorsogon and ligao City in Albay purchasedmedicines for the RHUs while Catanduanes availed of the medicines through bulk procurement fordistribution to the seven (7) district hospitals in the province. Rfty (50) BnB operators were trained. andtwo (2) regular BnBs were issued Special license to Operate. NHIP. Conducted writeshop on trainingmodule lor Social Health Insurance and intensified advocacy in partnership with PhilHeallh.

CHD Western Visayas18 \".ontTo a Attoined a 100% TB DOTS with a cure rote of 85% end me defection rate of82% A totol of 7775 (82% of torqet) sputum positive cases were reached In L ) oborot or- withPHllCAT and World VIS on and adopting the Pub c Pr vote M x DOTS fPPMOJ cccroo r theC !Zen's lon990 Coot ton Agolnst Iuberculosis (ClC AT was organ led rest. t ngn theestcbnsbrnent of 3 PPMD 18 c n cs Rob e s Pre..-e to or Of fir 9 Six roundtob ed SCUSS10ns and mu I sectoral conferences were conducted Iointens.tv health promotion endadvocacy on Respons b e Pet Ownetsf D. An mcreose n the 'lumber of lGUs rnp erner fngoro nonces was notced dur"ng the man lorn9 porte tortv n G moras 'he orov nce wlh themost number Of hurr:on rooies cases. Iecbnico ossistonce end a croer--onoo of post ex sureoropnvioc: ~ cqents were provided lor 'he ooeo-oo 0' 3 An ma B te Treatment Centers C

a ...GU:; wefe provided Wl'h 'lace nes and augmen'a' )r Of need es ora Syr r-oes The newEP 9 de ne _and poectes were d ssem ooteo n a lora" 'lees and 'es Th( se e l' _ 5 res ted 'n'he lG or-o nrner-r :::;1 8I'J""-: FlC v 'am n A capsules were gven ',- 49843 7 -n drer ~ a' -orce­GOd 583858 ct- dreo 81"" I largeI during the Apr and October comporqo C,-nOL ted PO'OKa Asn ' 'Y\e ma I(el ie ", sh wed n-o- 9 '% 0' so' sam es tested r 'nork-ets ""efe oo nve fOJ

iooine . Patal:. sa A<n so worenocse" showed thot 73~ (89 OLf 0/ r : ,I these man to-ed have'0dang mo hne ntensl~d heath oromot n reSl)Ing r lert'v cworeness of3~ os reoorted 'lore cent "AP sorvev n the reg on There were 388 t otero ' ba gal nperformed by 2 I nerorv 'earns 'rom wesrern V sovcs Med co' Cer-ter or d Corozon tees f

Monte bono Memora Regona Hosptto ··No SCope vcsecroo V jerv -es were 0<': providedr' and Negros a oentot and vcsectornized 87 Cler'lt. rr-ct ng 'he regor No n molerwo vement r fom V pronn ng n the whole country e I too-c-eo neo thy ntestvlecampa gnr, Feb!' 0')' 2CXJ3 which wos pornc poled In by abo t 5 (XX) oovo ores n Ihe reg onCond cted oeorot on JI hasp '0 oersonne 0(1 ~he esrooisr merits :JI Srnok ng cessouoos C InICS nDOH coo lGU hoso to s GM 50 AI the four (4) DOH reta ned t-oso 10,; and some lGU rr onagedt.oso 10 s are r-ow porcnos ng drugs and medicines tram PITC Pursued setting up of the BnBssoectouv GIOAS and identifieo 12 boroncovs as BnB rec pients NHIP Focus was made on theexponaon of the rncnqencv Program and to reach out to Informal sector Potentlol member) suchas 'he dnvees and market vendors were targeted In the advocacy campaign. local chiefexecutives and officials were onented In tne program Its importance and advantages

CHDCentral VisayasT8 Control Program Thp region achieved a cure rate of 86.1% and a cose detection rate of 54% AReference laboratory for Mycobacterial Identification and Differentiotion was estoousneo onotasked to troin mcroscoost in BaSIC Microscopy and Quality Assorcnce System Robies Preventionand Control Program Reduction of human rabies cases Irom 35/1 COO 000 ooouonon in 2002 to1 5/1 COO (XX) population due to the intensified inlormot On campaign ABTes ore ,n placed andIunctionol In major Cities of the rxovmces and strategically located 10 provide easy access to biteVICtims Child Health Promoted Ch~d Health throvgh the Implementation of Child Core ccooomExpanded Program on Immun zonon Breastfeedng and tocrouon Management and NewbornScreer n9. Conoucteo POlO V tom n A Deficiency and Measles E n ration Compciqn n coontvareas as a response 10 ncteosmq number of meoses cases n some m nClpOllles cno citiesViassve advocacy on Food Fortitic ot on {As n low was done 10 the entire reg on 0 n SHea Strengthened fam y p ann ng to ncrease contracepl 'Ie pleVa ence rate wh"ch

rren' y pegged at 49"r based 'n 2002 Forn, y P onn n9 S rvey launched theHea 'hV l 'e 'y1e Jmr-o qr' h gh IQhled by a moss Hataw eXef -se octv ty JI the T Pork lohug.Cebu C 'y The on, r ng n, ded nformO'lOn campo gn on hea thy dl€t eltect<, of smol::ngmportar..:e of reg or -hei..K ps and stress reduct on G 5 Adopted 'he Paro e Drugm at on and es'obshmenl f BnBs. To dote 7 lGLJs have opled PO pl"U( ,,!ferner' omoun' ng'a P3 040 654 IX' ~en bef< enrolled throvgh CHD etforts ae 7881 L ')nd 86 605 nd vid als lorMedICare Paro Q Mesa pr gram and ndlvidua IV PaYing Program rE'Sf.=! t 'Ie y

CHD Eastern V1sayasCo Celebrated wOfk1 TB Day ond L ng M n'h y., 'h J rr '')r 'Joe )ym~ SlO 1\

ona rod 0 guest rg A Nat '0 Dr' g Ress'ance S rve or e wO ')f! j ne .1)('3 )nd stongo'rg 10 de'errr ne the nofona prevoence 0/ prfT'ary ressfan e I 'f'le I r rro r Qnt·TBdrugs C 01 Program Massve 'n/()(fT'OIO' :Jmc J gr r )fdnotonw'''' the lGUS ~:::r-::erned ar>j )Ih ~r GO and NGOs were '- ,j, d 'ed L)I tot ve w )(h~ opw'h the different ABTC stott or d se ecled MHOs and PHOs ""OS n j 'ed f:ree anti rab'esvoce ne or d :Jnli rabies serum were provded ihro gh 'he ABTe:> C nd ctedpreparet ry o( 1 v I es lor the 2004 Ph po·ne Measles E m r at )n C:JrT po gr> A , 10 of456781 (88 27""l :Jnd 559942 (88 89%l h dren aged 6 59 monlh j were verec1 'juring theApn and October Gorontlsadong Pombo to Week respectively The salt testing In markets doneq orterty showed on In reased n lhe avollabllity of IodIzed solI from 86 6'r' In March 2(X)3 to 94%in December 2OJ3 Household so t tesl ng done in October showed 85 7<11. household ullizotlon ofodlzed sail Women s Health A Dlalogue·Consullat on was conduc led 10 prOVide 'ley.,

informatIOn to stakeholders on MOlnstreomlng Of Natural Family Planning and Fertility Awarenessparticipated by GOs NGOs and pnvote sec lars. Major a : 'lilies Include the presentation of theNotional ond Regional Situation on NFP, Sfmulate Mel and Joy or d Press conference. andstrategic planning lor slokeho!dArs Healthy lifestyle A synchronized m 1S aerobiC exercise wasc.0nducted·p elet)rot" n f thE Heart month Abou' 1COO partll P Jnls 10rnt 1 the (I -lll/lty at RTRPalO To I t lr C ty Wee~ V exer ISE JI DOH (Ike every 400 t 500 prr he n 1h Cl

CHD Zamboanga PeninsulaRabies Prevention and Control Program . Zamboongo del Sur launched "Bantay Rabies so Borongay" OrganizedBorongay Rabies Control Committees to ensure immunization of all dogs against rabies. and to assist in the campaignlor responsible pet ownership. 10 advertise the existence of Animol Bile Treatment Centers and to submit me headspecrnen of the biting animal to the diagnostic Clinic. Healthy LHestyle. A Comprehensive Healthy Lifesty1e Advocacyand Health Promotion Campaign was developed to promote pubK oworeness on the need to practice a healthier~festyle On February 16. 2OJ3. an estimated 3O.()(X) porticipoots from oM over the region oortcooteo In the activityEorty mOfning exercises is being held at the Joaquin Erviquez Memorial Soons Complex through the initiatIve of thelGUs of lombOOngo City. There is also a continuing activities on healthy ~festyles diet and onvscor exercise for allhealth stakehOlders. GMA SO AI the 7 DOH-retoined hospitals in the region are dispensing GMA 50 drugs. There orealso 9 munlcipol/districtlpmvincial hospitals in Zomboanga del Norte that are dIspenSIng drugs from the GMA .soproteet. The reglQn is in the process of icensing 8 BnBs. NHIP. A total of 47 lGUs hove enroled 58 359 famiies to thesooosceeo pmgrom. Reimt::>ur5ement of medical expenses for indigent BHWs is also implemented If) the regIOn.

CHD Northern MindanaoT8 Control Program Increased TB cure rate from 8715% in 2002 to 88.29% in 20)3. and a case oetecroo rate 01 101.4%against the B8% target for the year. Organized the Northern Mindanao Coolition Against TB fNORMINCAT} during asvrr-oosom on PPMD. \Nhtch was attended by 100 porticiponts from the different sectors 'Nithln Cagayan de Oro City.A Rapid Field Appraisal in 70 lGUs was conducted to assess and evaluate the program implementation. DrugResistance Survey in selected areas was also done. Robles Prevention and Control Program . There was a 39%reduction in the number of dog biles this year compared to the previous year. that from 5.818 in 2002 to 3539 in 2003.Established two (2j ABTCs In the province of Bukidnon. making it a total of 7 ABTCs in the region. Camlguin was the 1Iskmd province to be declared Rabies Free alter satisfying the criteria of no human rabies death lor the last 3 years.and all 5 municipalities implemented the ordinance an Responsible Pet Ownership. Seventy (70j lGUs wereprovided with the Manual of Operations and Management Guidelines in the Management of Animal Bites. Ninetv­three percent f93%j of the 70 lGUs have implemented the ordinances 01 Responsible Pet Ownership. Child Health.Salt testing results showed that 85% of solt tested in the rnonet. and 86.92% of those hom the household were positivelor iodine. There ore 4 soli iodizotion machine in the region and 2 licensed soil producer/manufacturer. TheGorontisadaong Pambata conducted in April and October 2003 exceeded the target by occornplishioq 102.23%and 99.93%. respectively. Women's Health. Provided/distributed drugs and medicines to fifteen (15) hospitals andseven l71 CHOs with sterilization services. Conducted NFP training to 15 participants from Misomis Occidental.Bukidnon, Gingoog City, Northern Mindanao Medical Center. POPCOM staff and FPO nurse. Conducted intensivemonitoring and evaluation of modem FP methods. to 35 RHUs and 15 hospitals. Health Ufestyle. Conducted a MossWalk within Coqovon de Oro followed by aerothenics at Pelaez Sports Center with an estimated 2.000 participantsfrom the different agencies and NGOs. In celebration of Heart Month and Wood No Tobacco Day celebration, pressconferences press releases and radio guestings were done.

CHDDavaoT8 Control Program. TB cases odmitted in 20)2 showed a cure rate of 72%. Completed data coaectoo on the DrugReSistance study porticipcted in by 78 TB cases. Three PJ PPMD Centers were organized. A Regional CoordinatingCommittee tor PPMD was created to expand PPMD to private hospitals under the Global Fund Rabies Preventionand Contfol Program. There were 3.051 bite cases seen in the 14 functional ABTCs in the reg on. Sustained theenforcement of the ordinance on ResponSIble Pet ONnership in Dovoo City. in the Island Gorden City 01 Samet andfl the 10 other municifX!~ties/componentcities in the region. Chid Health. Addfessed the dec~ning EPI coverage inthe regK)n fhough organization and oepovment of the Regional Technical Assistance Teams to the 4 provinces andDevoe City 10 provide ossstonce 10 ocoi health units. facilitate monthly performance ovdit and formulate cotcn­up plan per monkipohtv. The quality of EPI records and reoorts were upgraded through reports va }dation activemastert1stlng of births, and use of CBMIS dota to update EPI·CPl. Strenglhen'ng of cold chain and logisTIcmanagement through reguk:Jr monitonng visits by the Regional Cold Chain Manager. Portial EPI reports in the regionshowed 070% FIC coverage for 20)3. Availobi~tyof iodized soli increased from 51 in October 2CXJ2 to 96% in December2C03.There IS a 94% uUization of iodized salt in the household. Eiqhtv-one percent f8l %) of municipalilles and citieshove oedmonces and resolutions in sopport of Asin Low. Women 's Heotth. Partial Family Planning reports in the regionshowed a Contraceptive Prevalence Rate 0149%. There were 55 MHOs trained and conducted vasectomy on 78clients. Standard Days Method was piloted in lupon and Banaybanay of Davao Oriental wherein the highestnumber of SDM users was reported. Healthy Ufestyte . launched healthy fifestyle campaign lhrough a mass aerobicexercise at SM City Park: in Dovoo City with more than 10.000 participants Irom different public and privatesorganizations. Participated in the "Aravv ng Debow" with a healthy lifestyle fkxJt that won them the third prize in thetloot contest. GMA SO. Four (4) government hospitals are selling GMA 50 drugs. There are 62 functional gngs. 20 01 whichwere oeeocv evaluated for licensing. Conducted training of trainers IOf 151 BnB Aides. and training on Drug andTherapeutics Committee of secondary and tertiary hospitals.

CHDSOCCSKSARGEN18 Control Program. Conducted oriental on n Fixed Druq Comb")OIIQn andHosrxtol Based DOTS and MeOSUfes 10 implement n the d spensnq f Ant TBdrugs Rapid Field Aooro.sot fOf 52 RHUs and mon tanng VIsits fOf RHUS with

ure role below 85% was a so done Trained mlcoscoplSI<j on OuoritvSmearing and SIc n"ng. Case oerecroo rote S 783«: and cure rate IS 782%Robies Prevention and Control Program Conde led training on theManagement of Animal Bite vic tiro and oovocorco Responsible PetOwnersh p to lGUs. VerOfob/Erig voce ne were allocated and distr bored tod uerent ABles tstotssneo 1 ABIC A fotal Of 323 an rna b te case" wereseer 2655 (82%) poi.ents were giver> oo« ex ee treatment Chikj HealthConde led or entat on on PMEC on the e Of ovto destruct svr ngesomonq neo Ih w ers and us proper d s sa and m mtonnq and Inventory.... f old rha n management among lGu C ,nd IEo rvey I' household

I zonor- of iodizeo so t quarterly salt test f\g oc flvlles f\ mo-kets foodestob sbrnents/restouronts sen-sor stores and grocer f. -, mol' lor n9 v sits rcfood ncustrv/rncnutcctvrer and program .mptemenf o t on reviewsWomen 's Health , Conducted Competency Based Tron'ng Course amonghealth core providers. Provided CDlMIS recording forms 10 55 lGUs andgrants amounting to P2.150,0cx) to 18 lGUs Mobilized BHWs in the promotionat FP WIth emphasis on no scalpel vasectomy Healthy Ufestyle launched"Healthy People for a Strong Republic" a mass oerobic activity onoconduced Sales and Command Conference on Hl orienlorion on SmokingCessotion among lGUs, and symposium on REDCOP, Aovocoteo Hl toNGOs, GMA 50. Conducted advocacy campaigns including radio pluggingto lGU hospitals, and regular monitoring of 2 retained hospitals on theimplementation of GMA 50. Provide esseouot drugs and medicines to SOlGUs, NHIP Conduc ted consulta tive meeting with PHIC and advocacycampaigns to LGUs. Iri-rnedio campaign on Indigency Program was also

conoucted

CHDCARAGAT8 Control Progcam. Established TB ct nICS n retained hasp tcls TB cure rate of89 J0%. Conouc ted World TB Dov and Nat anal TB Day Rabies Preventionand Control Program. Conducted advocacy 10 lGUs and portners agenciesin Aguson del Norte Mainto'ned 9 ABTCs. Alloned sopport of 100% lGUs inthe enforcement of Responsib e Pel Ownersn p_ Child Health. Conductedonentot on oo the 200 4 PhTpp'ne Measles Elrrnatlon Campo gn Ninety six.(96%) of en oren aged 12·59 months 0 d qrven V lam r A sooceroentonood ng the Apr Garant sooonq Pamboto Pafak. a As n ono -reo n Z'Ooorter of Ihe year showed thot 95SC'" ..... f ompies wf>fe smve for odme.Eghfy nne percent (89%/ at no sene dare ut Znq d led o.' Women 'sHealth C nducted onentonor- lra'nflg ")n the se f ocnc a-opt- amongrasp 10 ono RHu staff Conducted c ons., lot ve workvnop 0f' tam I yplann ng and reoroooct -ce hec In Healthy lIf@style Conde fed nee thyresivre campogr n Butuan Citv Soo-ts Comp ell w th hen In fa rand

booths dSplQYlng food products W1lh Sonqot oo PI' y sea Ine PHA Agu onde Norte Provine o: Hasp'to and But an C'y Med a Center cooo, cieocrooetes and blood cnoiesrero screening or o toc rg f oooo pressure

ealth investments have become more focused in 2003. This was supported

by an Administrative Order No. 189 S. 2002 that provided the directions for

investments in the health sector. Unified GTZ Support for HSRA continued

implementation of HSRA in Southern Leyte while the preparation studies for several

comprehensive projects like the Health Sector Development Project (HSOP) supported

by the ADB. the Health Sector Reform Project (HSRP) and the 2'Y.l WHSMP assisted by

World Bonk and JtCA support to the HSRA have looked at the Health Sector Reform

Agenda as the policy framework.

nified ~ Support for HSRA included assistance in areas of policy advocacy. systems

development. commodity support. capacity building and social mobilization in areas

of Family Planning and Reproductive Health. Social Health Insurance. drug distribution

through social franchising and Local Health Systems. This assistance covers various

levels of the health sector. from the national and regional DOH. Population Commission.

Local Government Units in Region 8 particularly Southern Leyte and civil society.

he preparation studies for the in the provinces of Ifugao. Nueva vizccvo

nocos Norte. Romblon and Oriental Mindoro have also been srortec. The project

preparation has identified policy areas that ore needed to be in place to sustain the

gains for health sector including network. licensing. strengthening the fiscal autonomy

of national and local hospitals and establishing the essential package of services at

different levels of health care. on the other hand developed the a) second

peso benefit for the indigents of pilot sites that include Copiz. Agusan Sur Misamis

Occidental and Pangasinan; b) established the drug management system lor the

ILHZ; and c] identified the mechanisms to identify the poor in the convergence sites.

he preparation studies developed the service delivery models for maternal

core. family planning services. STI-HIV and ARH in the context of the Health Sector

Reform Agenda in Bukidnon. 110110 City and Surigao Sur.

tI project proposals for 2003 have been reviewed and developed along the

framework of the institutional and convergence site development articulated in the

HSRA Implementation Plan. In addition. the oversight agencies and increasing number

of the donor partners of the DOH hove subscribed for the lmplernentonon of HSRA.

tlOO AgencyIth

ch Foundation Inc

-Among the bilateral donors, JICA stortec 10 focus their assistance along the Health Sector Reform Agenda.

They have conducted the Training for Policy and Project Development for Health Sector Reform tor DOH

centro! and regional personnel and seiecreo LGU participants JICA 0150 conducted boseline studies for

their prospective sites.

Training on Policy and Project Development

The Deportment of Health. in collaboration with the Social Science and Pnilosoptw Research Foundotion

Inc (UP-Dillman). with funding support from JICA conducted a live-day training on Pol cv and Project

Development lor Health Sector Reform The training aims to enhance stoll c ooocnv in lGUs in the

Implementation of the HSRA. At the end of the lraining, participants from the different CHDs and lGUs were

recused 10 submit their Project Proposal lor HSRA implementation. These proposals were the basis lor the

selection of three (3) HSRA convergence sites 10 be funded by JICA

ecseuee Data formation for Three Convergence Sites

Three localities have been .cennneo to be prospective beneficiaries of Japan's assistance: the provinces of

Cotonduones and Bukidnon. and lhe city of Iloilo. Bcsefine data have been collected lor these areas to

provide a starting point from which the convergence site planning will advance. The purpose of the

baseline data survey is to assess further the convergence sites and determine what assistance con be

provided by JICA.

u

The DOH totoI budget lor 2003 is P 9.9 billion. Mosl of the proposed

budget goes 10 personol services ond MOOE. end minimal amounl for capitol

outlay. The budget includes locally-funded projects proposed for: 11 Social

Expenditure Management Program (SEMP3) under wono Bonk (Health Sector

Reform Project); 2) Assistance for Improvements for primary/secondary

hospitals; and 3) Foreign Assisted Projects.

Some format changes were mode in Ihe CY2003 budget. The changes

include. Program Activilies and Projecls (PAPs) for Centers for Health

Development (CHDsl in Mindanao were renamed as per Execulive Order No.

35. as follows: CHD Zamboanga Peninsula. CHD Northern Mindanao. CHD

Davao Region. CHD SOCCSKSARGEN and CHD Coraga.

Likewise. new PAPS have been included. Provision lor lire salety equipment

lor hospitals was added. in compliance to Ihe Fire Safety Code. Under the

locally lunded projects two line items were included; (I) Health Sector Reform

Project. 10 assist local developmenl ot reform projects: and (2) Local

Assistance lor Primary and Secondary Hospital Core to assist in the

development of primary and secondary hospital core.

About 55% of

Ihe 10101 DOH budget

00 CY2In b n p OS

Capital Outlay 7%

Personal Services55%

goes to Personal

Services (PSI. 38% to

Maintenance and

Operating Expenses

(MOOE). and only 7%

to Capitol Outlay

(CO).

Our budget provides for more funds to (CHDs).

suc h that 52% of our budget is allocated for CHDs and

tne ir Regional Hospitals.CHD Hospltols 35% Central Office s 27%

\CHD 17% 12 MM Hospltol21%

n 'I Fur-c 'on C

' O (; "rj

o 1

Since 2000 . more fhan 50% of the

MOOE is allocated to hospifal services. For

2003. 70% of ou r budget is still used up by

health facilifies because of the high cost of

Hospitals70'l4

maintain ing hospifal services. Spec ia l

provision # 6 of the General Ap pro pria tions

Act for FY 2003 (Republic Act 92061

authorized 100%retenfion and use of income

for all DOH hospitals.

o

Luzon gets the highest MOOE shore for 2003 with

43% shore. Mindanao gets 30%. followed by Visayos wi th

2 1% and NCR with 6%shore.

lUZCN43"4

ID

DOH OFFICIALS

Dr. Antonio S. LopezDr. Margarita M. Galon

Dr. Milagros L. FemandezAtty. Alexander DA Padilla

Dr. Epifanio A. LacapUndersecretaries

Dr. Juanito A. RubioDr. Nemesio T. Gako

Dr. Zenaida O. LudoviceDr. Rolando Enrique D. Domingo

Assistant Secretaries

.~

JICA Printed with the assistance of JAPANINTERNATIONAL COOPERATION AGENCY

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1-11 tt An82003'~ 01~~ report 2083