STRATEGY STRATEGY towards towards SAFE AND SH SAFE AND SHARED - - PowerPoint PPT Presentation

ALBAY ALBAY HEALTH HEALTH STRATEGY STRATEGY

towards towards

SAFE AND SH SAFE AND SHARED ARED DEVELOPMEN DEVELOPMENT

Governor Joey Sarte Salceda Province of Albay

MDG is all about

• dignity. Engaging

dignity, Empoweri ng dignity and Ennobling dignity

• Albay MDG Achievements
• Albay Health Strategies

Story Story Line Line

MDG – make it a goal, the rest follows

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

MDGs are achieved ahead of 2015 exc. MDG 2 and 7

Achievements on MDG, 2009

133 133 59 59

20 40 60 80 100 120 140 1998 2009

Maternal Mortality Ratio

90/ 100,000 LB

33 33 12 12

5 10 15 20 25 30 35 1998 2009

Infant Mortality Rate

17/1,000 LB

Achievements on MDG, 2009

80%

Proportion of facility-based deliveries

11 88

10 20 30 40 50 60 70 80 90 100 1998 2009

Achievements on MDG, 2009

80%

Proportion of births attended by skilled health personnel

29 88

10 20 30 40 50 60 70 80 90 100 1998 2009

Achievements on MDG, 2009

80%

Proportion of births attended by skilled health personnel

29 90

10 20 30 40 50 60 70 80 90 100 1998 2009

Achievements on MDG, 2009

65% 8 29

5 10 15 20 25 30 35 1990 2009

Contraceptive Prevalence Rate

Achievements on MDG, 2009

28 28 18 18

5 10 15 20 25 30 1998 2009

Child Mortality Rate

27/1,000 LB

Achievements on MDG, 2009

95% 96 86

80 82 84 86 88 90 92 94 96 98 1990 2009

Fully-Immunized Children

Achievements on MDG, 2009

24% 22 16

5 10 15 20 25 1992 2009

Proportion of 0 - 5 years old who are malnourished

Achievements on MDG, 2009

Make it a goal Ordain policies and Give it a Budget Execute programs and projects Build institutions Nurture partnerships

Albay MDG Strategy

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

• bstacles 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.

Health for All Goal for Health Sector

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%.

• 6. To increase voluntary blood donation to 1%
• f 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%.

Objectives for Health, 2011

Total Health Budget

2007 - 2010

20,000,000 40,000,000 60,000,000 80,000,000 100,000,000 120,000,000 140,000,000 160,000,000 180,000,000 2007 2008 2009 2010

101,669,158 135,673,326 134,566,903 161,373,128

Source: PBO, Albay

Initiatives

Universal Phil Health Coverage: 2007-2010 Number of Families Enrolled

20,000 40,000 60,000 80,000 100,000 120,000 140,000 160,000 180,000 2007 2008 2009 2010

18,510 122,600 158,000 173,262

Source: PSWDO, Albay

Health Health Facilities: 15 acilities: 15 BEmONCS BEmONCS

• Source: PHO, Albay
• Hospitals
• BEmONC
• RHUs/CHOs

Amb Ambulance ulance Dep Deplo loymen yment

• Source: PHO, Albay
• 2
• 2
• 2
• 1
• 6
• 4
• 3
• 2
• 1
• 2
• 4
• 2
• 3
• 6
• 2
• 1
• 2
• 1
• 2
• 2
• 2
• 1
• 4
• RHUs & BEmONC
• Hospitals

Health Capital Expenditures

Source Committed by Source (from AOP) Amount Received by the province Received by the province (in kind) Amount Utilized Number of Recipient Municipalities PLGU 134,566,903.00 134,566,903.00 134,566,903.00 18 M/C LGUs M/C LGUs (15 MLGUs/ 3 CLGUs) 188,470,320.51 170,905,125.99 18 M/C LGUs DOH-regular fund 24,372,850.33 24,372,850.33 EPI vaccines, Vit. A, antihelminthics, TB drugs, Iron 24,372,850.33 18 M/C LGUs 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 Dev't/RAT Plan 97,608,000.00 71,191,000.00 71,191,000.00 6 District Hospitals > Health Systems Dev't 2,000,000.00 2,000,000.00 18 M/C LGUs > RHU/BHS Facility Devt/Eqpt 7,350,000.00 5,900,000.00 8 M/C LGUs Others: > USAID 134,823,414.00 Technical assistance 18,600,000.00 18 M/C LGUs > AECID 43,000,000.00 24,000,000.00 24,000,000.00 9 M/C LGUs > capitation (for CSR + drugs) 18,473,296.71 5,000,000.00 18 M/C LGUs > PCSO 7,984,000.00 drugs, medicines & ambulances 7,984,000.00 18 M/C LGUs TOTAL 630,191,487.84 296,107,370.04 460,439,199.32

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

• versight MDG progress (b) coordinate MDG

programs within functional units and program

• ffices 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

• 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

Strategies on Maternal Health Care

• 8. Capacity building

 NBS training (Newborn Screening)  ENC training (Essential Newborn Care)  LSS training (Life-Saving Skills)  BEMONC training (Basic Emergency Obstetric and Newborn Care)  WHT training (Women’s Health Team)  CMMNC training (Community-Managed Maternal and Newborn Care)

• 9. Sustain Universal Phil Health

Enrollment/Coverage

Strategies on Maternal Health Care

• 10. MCP Accreditation of LGU’s birthing facilities

(Maternity Care Package)

• 11. Enact ordinances on FBD and User’s Fee
• 12. Sustain MBDs (Mass Blood Donation)

in all LGUs.

Strategies on Maternal Health Care

Strategies on Family Planning

• 1. Establish a system of monitoring FP users with

private providers and other stakeholders

• inventory of FP private providers & other stakeholders

in the municipality/ city

• conduct one day orientation to identified FP private

providers & other stakeholders

• 2. Validation of current FP users (data cleaning)
• 3. Review/assess CDLMIS of LGUs (Contraceptive

Distribution, Logistics, Management Information System)

Strategies on Family Planning

• 4. Planning workshop to draft plan to
• perationalize modified CDLMIS
• 5. Capacity Building
• FP-Competency-based training
• NSV Training ( non scalpel vasectomy )

BTL Training ( bilateral tubal ligation)

• Training on FP Counseling for health personnel
• Training of health personnel on IPCC

Strategies on Family Planning

• 6. Provision of FP Commodities
• Targeting, costing and forecasting FP commodities

requirements based on validated current users

• Procurement and Provision of 50% of FP commodities

requirements (Pills, DMPA, Condom, NFP to LGUs

• Provision of medicines and supplies for BTL & NSV to

District Hospitals providing surgical sterilization

Strategies on Family Planning

• 7. Intensify and Improve FP Promotion and

Education Integration of FP in EPI (Expanded Program on Immunization)

• Conduct regular RPM ( Responsible Parenting

Movement)

• Conduct regular AHYD (Adolescent Health and Youth)

Development) classes in high schools

• Conduct regular PMC (Pre-Marital Counseling)
• Conduct FP counseling to new acceptors and follow-

up by BHWs of FP current users & defaulters

• Conduct ICV (Informed Choice and Volunteerism)
• Conduct Men’s Congress (Usapang Macho)

Strategies on Family Planning

• 8. Enactment of CSR+ Ordinance (Commodities

Self Reliance)

• Advocacy with the LCEs/SBs for CSR+ ordinance
• One day orientation with LCEs, MHOs, LFC re:

formulation, CSR implementation and drafting of CSR+ ordinance

• Training of SB/SP Committee on Health on Evidence-

based legislation

• Present proposal to the PHB and seek SP Committee
• n Health Chair’s sponsorship
• Strengthen 2-way referral system for FP (BTL-NSV-

IUD) Provision of referral form

Strategies on Family Planning

• 9. Monitoring and Supervision
• Regular visits to 18 LGUs monthly
• Revisit CSR Plans
• Collection, recording and reporting of FP activities

through FHSIS (Field Health Services Information System)

Strategies on Nutrition Program

• 1. Operation Timbang (OPT)
• Identification of malnourished children thru mass

weighing of 0-71 mos. old children

• 2. Micronutrient supplementation
• Provision of Vitamin A capsules & iron

supplementation to:

• a. infants
• b. preschool children
• c. pregnant women
• d. lactating women
• e. sick children

Strategies on Nutrition Program

• 3. Food Fortification
• Monitoring of fortified food products in the markets,

sari-sari stores, groceries & household utilization of iodized salts

• 4. Local Level Nutrition Program Implementation
• Local Plan of Action for Nutrition at the municipal and

barangay level

• 5. Capacity building
• IYCF Infant and Young Child Feeding
• CGS (Child Growth Standard)

• 6. Accelerated Hunger Mitigation Program
• Milk feeding (tie up with NDA)
• Supplemental feeding
• Distribution of growth monitoring charts
• Pabasa sa Nutrisyon Classes
• Promotion of child rearing practices during GP
• Distribution of IEC materials
• Feeding during disasters
• Breastfeeding initiatives
• 7. Monitoring and supervision

Strategies on Nutrition Program

Strategic Imperatives

• Policies
• Institutions
• Public-Private Partnerships
• Resources
• Champion

Other Provincial Initiatives

Initiatives

• A. Beneficiary-led Procurement :
• Universal Phil Health Coverage: 2007-2010
• Universal Anti-Rabies Immunization

Initiatives

• B. Safe Hospitals:
• Upgrading of structures and equipment of

Provincial Hospital System

• Modernization of the Bicol Regional Teaching

and Training Hospital [BRTTH]

• Rationalization Plan & Health Facility Mapping
• Establishment of BEMONC/CEMONC facilities
• Merging of district and regional hospitals

Initiatives

• C. Partnership with NGOs:
• Health Program Management (USAID,

PTSI, Intervida, MIDAS, WHSMP2, CSCDI)

• Health Promotion (PRRM, PBSP)
• Discounted Medicines (Pfizer, RNMD)
• Health Infrastructure (AECID, PODER,

WHSMP2)

Initiatives

• D. Partnerships with LGUs:
• Inter-local Health Zones [ILHZ]
• Commodity Self-Reliance Strategy [CSR]
• Botika ng Barangays [BnBs]

Initiatives

• E. Disaster Risk Management - Health:
• Preemptive Health Care – Medical Missions

targeted at APSEMO identified vulnerable areas

• Albay Health Emergency Management [AHEM]
• Emergency Paramedic Training Unit

[EPTU] – in cooperation with the Bicol University [BU], BRTTH &n DOH

• Operation Centers [OPCEN] in all three

districts

• Evacuation Camp Management

Initiatives

Ambulance Project: Provision of ambulances (57) to:

• Provincial Hospital System
• Rural Health Units & City Health Offices
• Basic Emergency Obstetrical and Newborn

Care Facilities

• Operation Centers
• Geographically-Isolated and

Disadvantaged Areas [GIDA]

Strategic Priorities: Public Health

Strategic Priorities Funding Gaps Health Care Waste Management under BOT 40 M Establishment of another 9 BEMONC facilities 45 M Renovation of 30 BHS 15 M Establishment of PhilHealth Desks 2 M Capacity Building 10 M Provision of Sanitary Toilet 40 M Strengthening of Public Health Program Management 30 M TOTAL 182 M

Strategic Priorities: Hospital

Strategic Priorities Funding Gaps Merging of ZMDH and JBDMDH to BRTTH 200 M Upgrading of PDMDH and PDH into a secondary (inc. safe hospitals) 50 M Conversion of VMH into a Birthing Home 5 M Modernization of BRTTH: Oncology Center under BOT 240 M TOTAL 495 M GRAND TOTAL 677 M

ME MEET ET Albay Albay

 Medical

• BRTTH modernization

 Educational

• Bicol University modernization

 Eco-cultural Tourism

• Magayon Festival

 Infrastructure Development

• Transportation facilities by National Government
• Tourism facilities by private sector

MEET MEET Albay Albay

EDUCATIONAL MEDICAL ECO-CULTURAL TOURISM

VISION Bicol University as first class higher education institution Bicol Regional Training and Teaching Hospital as wellness Center Albay as prime destination for culture and nature Albay as hub to tourist destinations of Bicol SUPPLY SIDE Bicol University modernization Bicol University School of Medicine Province to gatekeep thru facilities upgrading Bicol University Medical Center Magayon Festival Albay History Project Mayon Resort House Ligñon Hills Mayon Trek Wildlife Park Southern Luzon International Airport Pantao Port Albay Donsol Access Roads Andaya Highway DEMAND SIDE AHECS Seek more scholarship funds for Albay studies Universal PhilHealth Responsible Agencies Bicol University EQUAL DOH/BRTTH PHO DOT/NCCA PTCAO/ACAC DOTC, PPA PPDO, PEO AHECS – Albay Higher Education Contribution Scheme EQUAL – Education Quality for Albayanos

Health Sector Reform

Framework

• Service Delivery
• Governance
• Regulation
• Health Care Financing

for Listening