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ALBAY HEALTH STRATEGY Albay MDG Achievements

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ALBAY HEALTH STRATEGY Albay MDG Achievements Story Line ALBAY HEALTH STRATEGY . Albay MDG Achievements towards SAFE AND SHARED . Albay Health Strategies DEVELOPMENT MDG – make it a MDG is all about goal, the rest follows dignity. Engaging dignity, Empoweri Governor Joey Sarte Salceda ng dignity Province of Albay Ennobling dignity MDGs are achieved ahead of 2015 exc. MDG 2 and 7 Goal Indicator Bicol Region Albay Achievements on MDG, 2009 1 Poverty Incidence MH Proportion of 0 - 5 years old who are malnourished Subsistence Incidence HH 25 24% Underweight (IRS) HH 2 Participation - Elementary LM 22 Cohort survival - elementary ML 20 3 Gender parity - elementary HH 4 Under-five mortality HH 16 Infant mortality H H 15 Proportion of fully-immunized children MH 5 Maternal mortality rate LH Contraceptive prevalence rate LM 10 Condom use rate LM 6 Deaths due to TB LH Malaria positive cases HH 5 7 Household with access to sanitary toilets HL Household with access to safe drinking water HH 0 Legend: 1992 2009 L low probability H high probability M medium probability no data Achievements on MDG, 2009 Achievements on MDG, 2009 Maternal Mortality Ratio Infant Mortality Rate 35 140 133 33 120 30 100 25 90/ 100,000 LB 80 20 60 59 15 17/1,000 LB 12 40 10 20 5 0 1998 2009 0 1998 2009 1 Achievements on MDG, 2009 Achievements on MDG, 2009 Proportion of births attended by skilled health personnel Proportion of facility-based deliveries 100 100 90 90 90 88 80% 80 80% 80 70 70 60 60 50 50 40 40 30 29 30 20 20 10 10 11 0 1998 2009 0 1998 2009 Achievements on MDG, 2009 Achievements on MDG, 2009 Contraceptive Prevalence Rate 65% Child Mortality Rate 30 35 28 27/1,000 LB 30 25 29 25 20 18 20 15 15 10 10 8 5 5 0 0 1990 2009 1998 2009 Achievements on MDG, 2009 Achievements on MDG Fully-Immunized Children 98 TB Mortality Rate 60 96 96 95% 50 94 •44/100,000 pop 92 40 90 30 88 86 86 20 84 10 82 80 0 1990 2009 1997 2009 2 ••AchievementsAchievements on MDG ••AchievementsAchievements on MDG Case Detection Rate for TB Cure Rate for TB 120 90 •85% 80 100 70 80 60 •70% 50 60 40 40 30 20 20 10 0 0 1999 2009 1999 2009 ••HealthHealth Outcomes Albay MDG Strategy National National Performance Gaps/ Make MDG a goal Indicators Average (2006) Target (2010) ALBAY (2009) Gains Ordain policies and Give it a Budget Intensified Disease Prevention and Control: TB Execute programs and projects Mortality (per 100,000 28,000 44 26 (18) pop) Build institutions TB Case Detection 72 70 100 30 Nurture partnerships Rate, % (NTP Register) TB Cure Rate, % 81 85 81 (4) Albay Development Goal Vision 1. Shared development: operationally defined as: Safe and shared development compliance with MDG and improvement in HDI. Albay as most liveable province known for good Climate change and disaster risks are key education, good health and good environment obstacles to MDG and HDI. to secure safe and shared development 2. Safe development: Disaster risk reduction and Vision for Health: longer life expectancy, climate act ion are bu ilt-ilin elements o fhf the centra l wellbeing in itself, wellbeing for labor productivity economic strategy, not a contingency plan. a. Disaster risk reduction is guided by Hyogo Albayanos as healthy and happy, well-educated, Framework for Action well-trained b. Climate action is guided by UNFCCC. Low-rise, low-carbon, low-energy intensity = green development model 3. Structural governance x safe development = shared economic growth. 3 Average annual losses to infrastructure and agriculture in 10 most vulnerable POVERTY AS AN INITIAL CONDITION IS A MAJOR provinces vs. their 2006 local calamity funds OBSTACLE TO HEALTH OUTCOMES p Poverty Threshold (in Poverty Incidence Among Families (%) Magnitude of Poor Families Region/Province Pesos) Estimates (%) Coefficient of Variation Estimates Coefficient of Variation 2000 2003 2006 2000 2003 2006 2000 2003 2006 2000 2003 2006 2000 2003 2006 PHILIPPINES 11,458 12,309 15,057 27.5 24.4 26.9 1.6 1.3 1.3 4,146,663 4,022,695 4,677,305 1.6 1.4 1.3 Region V 11,375 12,379 15,015 45.3 40.6 41.8 4.2 3.6 3.5 407,176 383,625 422,278 4.7 4.3 4.3 Albay 12,144 12,915 16,128 40.3 34.4 37.8 11.5 8.1 8.4 83,398 76,200 88,676 11.2 8.5 10.1 Camarines Norte 11,505 12,727 14,854 52.7 46.1 38.4 10.9 14.4 18.8 50,670 44,874 39,421 11.8 14 22.6 Camarines Sur 11,054 11,873 14,634 40.8 40.1 41.2 9.3 7.0 5.6 120,762 121,936 134,599 11.8 7.7 6.6 Catanduanes* 11,587 11,815 13,654 43.9 31.8 37.3 10.9 10.3 22.1 18,541 13,604 16,999 10.4 29.3 33.3 •Albay poverty Masbate 11,019 12,504 14,248 61.3 55.9 51.0 5.8 5.7 6.5 83,660 81,804 80,512 5.9 7.4 8.0 incidence at Sorsogon 11,146 12,452 15,687 41.4 33.7 43.5 7.3 10.3 5.4 50,146 45,207 62,071 7.6 14.5 5.6 37.8%, while * Coefficient of Variation (CV) of 2006 poverty incidence is greater than 20% lowest in region, remains high •19 •Source: World Bank Objectives for Health, 2011 Net resource outflow to cities 1. To decrease maternal mortality ratio from 59/100,000 to 50/100,000. 2. To decrease infant mortality rate from 10/1,000 to 8/1,000. 3. To decrease child mortality rate from 18/1,000 to 15/1,000. 4. Increase FIC coverage from 84% to 88%. 5. To increase CPR from 33% to 40%. •21 Objectives for Health, 2011 Objectives for Health, 2011 6. To increase voluntary blood donation to 1% of the provincial population. 12. To reduce the incidence of STI/HIV by 2% points annually. 7. To reduce soil-transmitted helminthiasis to below 50% among children. 13. To eliminate incidence of filaria to zero. 8. To reduce prevalence of malnutrition from 14. To increase multi drug administration for 19% to 17%. filariasis control by 2%. 9. To reduce TB mortality rate by 3%. 15. To reduce rabies incidence from 5/million population to 2.5/million population. 10. To sustain TB case detection at 90%. 11. To sustain TB cure rate at 85%. 4 Objectives for Health, 2011 Total Health Budget 2007 - 2010 16. To sustain leprosy prevalence at less than 24% of provincial 1/10,000 population. budget 180,000,000 161,373,128 17. To increase leprosy cure rate by 2%. 160,000,000 135,673,326 134,566,903 140,000,000 18. To reduce the mortalityyy and morbidity of 120, 000, 000 lifestyle-related diseases by 2% annually. 101,669,158 100,000,000 19. To increase proportion of HH with access to 80,000,000 safe drinking water from 94% to 95%. 60,000,000 40,000,000 20. To increase proportion of HH with sanitary toilets from 69% to 89%. 20,000,000 0 2007 2008 2009 2010 Source: PBO, Albay Resources for Institutionalized MDG Office Albay MDG Supercom • Program office: AMDGO – created by ordinance in 2009 with regular provincial budget – Oversight to MDG performance and secretariat to MDG Supercom – Management MDG projects • Managgpges relocation program • Social assets programs esp livelihood like SEA-K, ETODA • CRABS or coastal and marine resources management • AIDS Council – HIV/AIDS advocacy • Sources of Funds – Regular allocation from the annual provincial budget (IRA) – Intermittent but steady flow of technical and logistical assistance from NG agencies, UNDP and other UN offices, INGOs, NGOs for capacity building and skills training •2 •2 Provincial Initiatives Initiatives • 2011- P178m (exc PHIC) for health PS and MOOE essentially for hospital care and public Universal Phil Health Coverage: 2007-2010 health Number of Families Enrolled • Universal health coverage at P59m pa 173,262 •Acquisition of 57 ambulances 180,000 158,000 160,000 • 19 BeMoNCs 140,000 122,600 120,000 • Modernization of provincial hospitals: Ziga (80- 100,000 bed) and Duran (60-bed) 80,000 60,000 • Modernization of BRTTH (300-bed) 40,000 18,510 20,000 • Merger of BRTTH, Ziga and Duran into a 500- 0 2007 2008 2009 2010 bed capacity Source: PSWDO, Albay 5 •BRTTH: PHIC REIMBURSEMENT Ambulance Deployment FOR 2010 33% •RHUs & BEmONC •2 •Hospitals •2 54% •6 •2 •6 •2 •3 •1 13% HOSPITAL INCOME •4 •1 •2 MEDICINES •1 PHIC REIMBURSEMENTS •2 PROFESSIONAL FEE •2 •2 •4 •2 HOSPITAL INCOME 67,403,506.73 •4 •3 DRUGS AND •2 MEDICINES 16,929,387.25 BRTTH earns P127m •2 •1 •1 PROFESSIONAL from PHIC vs P59m FEES 42,339,658.00 by province TOTAL 126,672,551.98 •Source: PHO, Albay Health Facilities: 15 BEmONCS Medical Mobile Assets •Hospitals •BEmONC •RHUs/CHOs •Source: PHO, Albay JBDMH JBDMH 6 JBDMH JBDMH ZIGA Memorial District Hospital ZDMH ZDMH ZDMH 7 ZDMH ZDMH ZDMH •2007 - Renovated under the B-CARE project •BRTTH Main Building •Salceda Wing / Philhealth/Surgery Ward •Out-Patient Department •Emergency Room 8 •Maintenance Building •Laundry •Services Offered •Emergency Room •Trauma Unit •Dorm •Isolation Ward •Philhealth Ward •Surgery Ward •OB-Gyne Ward •Private Ward •Delivery Room •CT Scan •Pedia Ward •Medical Ward •Dialysis •ECG/EEG •Cath Lab •2D Echo •CCU •ICU •Ultrasoud •X-Ray •NICU •PICU 9 •Operating Room – Room 1 - 4 •Laboratory Prov’l Gov’t of •Pharmacy Albay, project of •Electric Power Substation Gov.
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