ALBAY ALBAY HEALTH HEALTH STRATEGY STRATEGY towards towards SAFE AND SH SAFE AND SHARED ARED DEVELOPMEN DEVELOPMENT MDG is all about dignity. Engaging dignity, Empoweri Governor Joey Sarte Salceda ng dignity and Ennobling dignity Province of Albay
Story Story Line Line Albay MDG Achievements Albay Health Strategies MDG – make it a goal, the rest follows
MDGs are achieved ahead of 2015 exc. MDG 2 and 7 Goal Indicator Bicol Region Albay 1 Poverty Incidence M H Subsistence Incidence H H Underweight (IRS) H H 2 Participation - Elementary L L Cohort survival - elementary M L 3 Gender parity - elementary H H 4 Under-five mortality H H Infant mortality H H Proportion of fully-immunized children M H 5 Maternal mortality rate L H Contraceptive prevalence rate L M Condom use rate L M 6 Deaths due to TB L H Malaria positive cases H H 7 Household with access to sanitary toilets H L Household with access to safe drinking water H H Legend: L low probability H high probability M medium probability no data
Achievements on MDG, 2009 Maternal Mortality Ratio 140 133 133 120 100 90/ 100,000 LB 80 59 59 60 40 20 0 1998 2009
Achievements on MDG, 2009 Infant Mortality Rate 35 33 33 30 25 20 15 17/1,000 LB 12 12 10 5 0 1998 2009
Achievements on MDG, 2009 Proportion of facility-based deliveries 100 90 88 80% 80 70 60 50 40 30 20 11 10 0 1998 2009
Achievements on MDG, 2009 Proportion of births attended by skilled health personnel 100 90 88 80% 80 70 60 50 40 30 29 20 10 0 1998 2009
Achievements on MDG, 2009 Proportion of births attended by skilled health personnel 100 90 90 80% 80 70 60 50 40 30 29 20 10 0 1998 2009
Achievements on MDG, 2009 Contraceptive Prevalence Rate 65% 35 30 29 25 20 15 10 8 5 0 1990 2009
Achievements on MDG, 2009 Child Mortality Rate 30 28 28 27/1,000 LB 25 20 18 18 15 10 5 0 1998 2009
Achievements on MDG, 2009 Fully-Immunized Children 98 96 96 95% 94 92 90 88 86 86 84 82 80 1990 2009
Achievements on MDG, 2009 Proportion of 0 - 5 years old who are malnourished 25 24% 22 20 16 15 10 5 0 1992 2009
Albay MDG Strategy Make it a goal Ordain policies and Give it a Budget Execute programs and projects Build institutions Nurture partnerships
Vision Vision Safe and shared development Albay as most liveable province known for good education, good health and good environment to secure safe and shared development Albayanos as healthy, well- educated, well-trained and happy people Low-rise, low-carbon, low-energy intensity = green development model
Albay Dev Albay Development Goal elopment Goal 1. Shared development operationally defined as: compliance with MDG and improvement in HDI. Climate change and disaster risks are key obstacles to MDG and HDI. 2. Safe development : Disaster risk reduction and climate action are built-in elements of the central economic strategy, not a contingency plan. a. Disaster risk reduction is guided by Hyogo Framework for Action b. Climate action is guided by UNFCCC. 3. Structural governance x safe development = shared economic growth.
Goal for Health Sector Health for All Capacity Building for: Better health outcomes More responsive health system Equitable health care financing Opportunity-seeking for: Medical tourism
Objectives for Health, 2011 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%.
Objectives for Health, 2011 6. To increase voluntary blood donation to 1% of the provincial population. 7. To reduce soil-transmitted helminthiasis to below 50% among children. 8. To reduce prevalence of malnutrition from 19% to 17%. 9. To reduce TB mortality rate by 3%. 10. To sustain TB case detection at 90%. 11. To sustain TB cure rate at 85%.
Objectives for Health, 2011 12. To reduce the incidence of STI/HIV by 2% points annually. 13. To eliminate incidence of filaria to zero. 14. To increase multi drug administration for filariasis control by 2%. 15. To reduce rabies incidence from 5/million population to 2.5/million population.
Objectives for Health, 2011 16. To sustain leprosy prevalence at less than 1/10,000 population. 17. To increase leprosy cure rate by 2%. 18. To reduce the mortality and morbidity of lifestyle-related diseases by 2% annually. 19. To increase proportion of HH with access to safe drinking water from 94% to 95%. 20. To increase proportion of HH with sanitary toilets from 69% to 89%.
Total Health Budget 2007 - 2010 180,000,000 161,373,128 160,000,000 135,673,326 134,566,903 140,000,000 120,000,000 101,669,158 100,000,000 80,000,000 60,000,000 40,000,000 20,000,000 0 2007 2008 2009 2010 Source: PBO, Albay
Initiatives Universal Phil Health Coverage: 2007-2010 Number of Families Enrolled 173,262 180,000 158,000 160,000 122,600 140,000 120,000 100,000 80,000 60,000 40,000 18,510 20,000 0 2007 2008 2009 2010 Source: PSWDO, Albay
Health Health Facilities: 15 acilities: 15 BEmONCS BEmONCS • Hospitals • BEmONC • RHUs/CHOs • Source: PHO, Albay
Amb Ambulance ulance Dep Deplo loymen yment • RHUs & BEmONC • 2 • Hospitals • 2 • 6 • 2 • 6 • 2 • 1 • 3 • 4 • 2 • 1 • 1 • 2 • 2 • 4 • 2 • 2 • 4 • 3 • 2 • 1 • 2 • 1 • Source: PHO, Albay
Health Capital Expenditures Committed by Number of Amount Received Received by the Source Source (from Amount Utilized Recipient by the province province (in kind) AOP) Municipalities PLGU 134,566,903.00 134,566,903.00 134,566,903.00 18 M/C LGUs M/C LGUs (15 188,470,320.51 170,905,125.99 18 M/C LGUs MLGUs/ 3 CLGUs) EPI vaccines, Vit. DOH-regular fund 24,372,850.33 24,372,850.33 A, antihelminthics, 24,372,850.33 18 M/C LGUs TB drugs, Iron DOH- special fund >MNCHN 2,419,320.00 2,419,320.00 18 M/C LGUs > start-up 2,000,000.00 2,000,000.00 18 M/C LGUs > HEMS 9,100,000.00 9,100,000.00 18 M/C LGUs > Health Facilities 97,608,000.00 71,191,000.00 71,191,000.00 6 District Hospitals Dev't/RAT Plan > Health Systems 2,000,000.00 2,000,000.00 18 M/C LGUs Dev't > RHU/BHS Facility 7,350,000.00 5,900,000.00 8 M/C LGUs Devt/Eqpt Others: Technical > USAID 134,823,414.00 18,600,000.00 18 M/C LGUs assistance > AECID 43,000,000.00 24,000,000.00 24,000,000.00 9 M/C LGUs > capitation (for 18,473,296.71 5,000,000.00 18 M/C LGUs CSR + drugs) drugs, medicines & > PCSO 7,984,000.00 7,984,000.00 18 M/C LGUs ambulances 630,191,487.84 296,107,370.04 460,439,199.32 TOTAL
AMDGO • Program office started as Ayuda Albay in 2007, renamed as Albay Mabuhay Task Force to manage the cluster approach to Reming rehabilitation • Reorganized in June 2009 as Albay Millenium Development Office or AMDGO to (a) monitor and oversight MDG progress (b) coordinate MDG programs within functional units and program offices of the provincial government and with NGAs, NGOs and INGOs and (c) manage social assets program of the province including SEA-K, E-TODA • Staff complement of 15 personnel with a senior staff (rank Assistant Department Head) • 2010 organic budget of P2m.
for Listening
Strategies on Maternal Health Care 1. Formulation of the PIPH . (Province-wide Investment Plan for Health) inc MNCHN (Maternal, Newborn and Child Health Care) Program 2. Advocacy Campaign : Birth Plan/FBD by Skilled Health Worker • Bench Conferences • Buntis Congress • Buntis Pageant • IPCC (Interpersonal Communication and Counseling) Training of Health Personnel and BHW’s on MNCHN • Mothers’ Classes • Radio announcement/ plugging • Health Education Classes • Establishment of breastfeeding stations in private and government institutions including evacuation centers
Strategies on Maternal Health Care 3. Maternal Deaths Review • Reviews maternal deaths • Give recommendation and feedback to LGUs with maternal deaths • Maternal death reporting 4. Facility based deliveries (FBD): • Barangay Health Stations • Lying-In Clinics • Birthing homes • Rural Health Units • Hospitals (public or private) 5. REB (Reaching Every Barangay)
Strategies on Maternal Health Care 6. Rationalization planning and health facility mapping • Upgrading of CEMONC facilities. (Comprehensive Emergency Obstetric and Newborn Care) • Construction of BEMONC facilities. (Basic Emergency Obstetric and Newborn Care) • Hiring of Staff Complement to fill up vacancies and/or augment personnel 7. Organization of Women’s Health Teams in every barangay: • Pregnancy tracking & birth planning • Reporting of maternal deaths • Referral of pregnant women to deliver at health facility • Stewardship to the family of the pregnant mother
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