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Map of Southern Leyte MAP OF SOUTHERN LEYTE SILAGO HINUNANGAN SOGOD HINUNDAYAN BONTOC ANAHAWAN TOMAS OPPUS SAN JUAN MAASIN CITY MALITBOG ST BERNARD LIBAGON MACROHON LILOAN PADRE BURGOS SN FRANCISCO PINTUYAN SN RICARDO LIMASAWA IS CLASSIFICATION: 3RD CLASS PROVINCE TOTAL LAND AREA: 1,735 SQ KM POPULATION: 399,137 TOTAL INCOME: P514,891,836.96 18 MUNICIPALITIES & 1 CITY 500 BARANGAYS HISTORICAL LANDMARK: LIMASAWA, SOUTHERN LEYTE SITE OF THE 1ST MASS IN THE PHILIPPINES AND ASIA THE SOUTHERN LEYTE PROVINCIAL CAPITOL The only Province in Region 8 to have a 100% province-wide implementation of CBMS financed by LGUs in 2006- 2008 Adopted the counter-parting scheme to ensure CBMS implementation: Barangay - shared in the honorarium of enumerators Municipality - Reproduction of Forms, Modules 1- 3 Trainings; Honorarium of Enumerators Province - Module 3 Training and the CBMS Provincial Consolidation Training CY 2006 - 1 City and 13 Municipalities implemented CBMS CY 2008 - 5 Municipalities implemented Indicator Magnitude Proportion Proportion of women death due to 13 0.2 pregnancy related- causes Contraceptive prevalence rate (proportion of couples 13,480 35.6 using contraceptive methods) Source: CBMS 2006-2008 data Proportion of Women Deaths due to pregnancy-related causes, Province of southern Leyte, 2006-2008 BOTTOM 5 BOTTOM 5 MUNICIPALITIES POPULATION Magnitude Proportion Sogod 2 0.3 Bontoc 2 0.4 San Juan 1 0.5 Hinundayan 1 0.6 Malitbog 4 2.0 ◦ Reduce the maternal mortality ratio by three quarters between 1990 and 2015 - Reduce the number of maternal mortality cases in Southern Leyte from 13 to at least 4 cases in 2015 Some deliveries are administered at home by untrained hilots Insufficient training of midwives and other health care personnel on maternal health and child care Poor birthing facilities and equipment Established partnership and linkage with the Department of Health, GIZ, LEAD for Health, European Commission, Plan International , and Municipal and Barangay Governments Inter-local Health Zone was institutionalized (Pacific ILHZ, Panaon ILHZ, Sogod Bay ILHZ & Maasin ILHZ) Municipalities passed ordinances on compulsory facility-based deliveries Organization and strengthening of Community Health Teams Capability building of health care service providers thru appropriate trainings and seminars Maternal , Newborn and Child Health and Nutrition Trainings Basic Emergency Obstetric and Newborn Trainings Conducted series of maternal death reviews . Health Facility/Equipment Enhancement Program Equipping barangay health stations Provision of sufficient birthing facilities and equipment . Health Facility/Equipment Enhancement Program Purchase of transportation vehicles/multicabs to Rural Health Stations thru the assistance of the European Commission . Increased enrollment to Philhealth Indigency Program sponsored by the Provincial Government 2007 – 1,024 enrollees 2008 – 2,635 enrollees 2009 – 8,545 enrollees 2010 – 11,045 enrollees 2011 – 11,045 enrollees 2012 – 40,000 enrollees PhilHealth Enrollees Province of Southern Leyte 40,000 30,000 PhilHealth 20,000 Enrollees 10,000 - 2007 2008 2009 2010 2011 2012 Source: IPHO, Southern Leyte PROVINCE-WIDE REPLICATION OF BEST PRACTICE on Community Maternal Health Care of Brgy. Asuncion, Saint Bernard, Southern Leyte TARGET ON MDG GOAL # 5: Reduce the maternal mortality ratio by three quarters between 1990 and 2015 SO. LEYTE TARGET ON MDG GOAL # 5: Reduce the number of maternal mortality cases in Southern Leyte from 13 to at least 4 cases in 2015 AS OF CY 2010: MATERNAL MORTALITY CASES IN SOUTHERN LEYTE HAD ALREADY REDUCED FROM 13 TO 4 CASES RATE 160 140 120 100 80 RATE 60 40 20 0 2006 2007 208 2009 2010 Source: IPHO, Southern Leyte CBMS data is very important in guiding local officials in prioritizing issues and concerns with the limited resources of the LGU. LET US CONTINUE SUPPORTING CBMS IMPLEMENTATION IN OUR LGUS. FEATURES OF THE BEST PRACTICE on Community Maternal Health Care of Brgy. Asuncion, Saint Bernard, Southern Leyte BY: DR. JOSELITO P. TRUMATA Southern Leyte Provincial Health Officer Ma. Asuncion Women’s Health Association Inc. (MAWHAI ) : an epitome of community cooperation Ma. Asuncion Women’s Health Association Inc. (MAWHAI ) : • Lack of money was always a problem to the community especially on health- related emergency situations • 90% had no savings for health especially for pregnant women. • Health workers were the ones to pay the clients expenses. •Vehicle owners refuse to transport the clients because they cannot pay. •The existing savings scheme initiated by the community is for funeral purposes only. To establish a HEALTH FINANCING SCHEME especially for maternal health and child care Started with the WOMENS’ HEALTH AND SAFE MOTHERHOOD PROJECT – PARTNERSHIP COMPONENT ◦ Renovated ◦ Equipped with the necessary facilities and equipment ◦ Allocated funds for maintenance and sustainability Normal spontaneous vaginal delivery handled by the midwife at the birthing facility. Postpartum mother breastfeeding her newborn child. • The birthing facility is managed by the WOMEN’S HEALTH TEAM – spearheaded by the Brgy Captain • Health Systems Installed – Health Planning and Evaluation – Health Advocacy and Monitoring – Health Financing/Peso for Health – Health Referral System – Health Facility Development and Maintenance 1. A monthly contribution per member ranging from P1.00-P10.00 is collected every purok depending on the capacity of the member. 2. The PIO is in charge of the collection in every purok and is remitted to their respective purok treasurer 3. The collected amount is deposited in the bank within 24 hours 4. The Purok Treasurer and MAWHAI Treasurer hold a P500.00 and P1,000.00 cash- on-hand respectively for emergency health cases. 5. Loans ranging from P300- 3,000 are granted to members depending on the needs of the borrower 6. The loan has no interest for 1 month, but if not paid, a fine of 2% per month is imposed 7. The payment of the loan may either be in cash, in kind or labor. 8. No re-loan is granted to members with unsettled accounts. 9. The money being loaned must be used for emergency health purposes only such as transportation, medicines and hospital bills. 10. The member applies their loan on their respective purok where he/she is a member. 11. The member can also contact debts at the Botica ng Barangay which will be paid by the Health Savings. 12. Normal delivery in the Barangay Health Station shall be paid by the Health Savings. 13. Fund raising must be made thrice every year for Health Savings and is compulsory for every member. 14. General Assembly must be conducted every year and a fine be imposed for not attending. 15. The income for swine dispersal be deposited in the Health Savings Account. Installation of Information Data Board Conduct of WOMENS Congress and Festival Reproduction of IEC Materials Yearly Symposium on Womens Right and Issues Film Showing(Puppet Show) Buntis Party • Prompt referral of clients • Easy access of medicines • Well maintained Barangay Health Station • Reduced cases of maternal mortality • Empowered community TRANSPARENCY AND ACCOUNTABILITY thru: • Monthly financial report presented during monthly meeting • Regular external audit conducted by Municipal Accounting Office. • Functional monitoring committee on Health savings. • Updated Passbook. • Semi-annual MAWHAI Assembly. MAWHAI was awarded Most Outstanding in responding to health needs through community – based health system. The province-wide replication of the MAWHAI BEST PRACTICE contributed a lot in the reduction of the maternal mortality cases in Southern Leyte .
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