Navotas City Health Department: Background and Overview

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NAVOTAS CITY HEALTH

DEPARTMENT
Background and Overview

2022
Map of Navotas
Table 1: Population, Households, Land Area and Population Density per Barangay for 2022
Source: LHD Office-Center for Health Development NCR 2014/ City Planning Office

Barangay Population Households Land Population Density


Area (/ha)
(hectares
)

Sipac-Almacen 9,467 2,314 27 351


Bagumbayan North 2,828 691 4 707
Bagumbayan South 5,538 1,354 5 1108
Bangkulasi 8,721 2,132 15 581
Daanghari 18,523 4,527 26 712
Navotas East 2,427 593 6 405
Navotas West 6,697 1,637 7 957
North Bay Boulevard North 15,497 3,788 65 238

North Bay Boulevard South 77,772 19,009 254 306

San Jose 28,047 6,855 71 395


San Rafael Village 3,942 964 39 101
San Roque 21,534 5,263 27 798
Tangos 40,486 9,896 31 1306
Tanza 32,034 7,830 492 65

TOTAL 273,513 66,853 1,069 256


Population Pyramid
Table 2. Population Pyramid 2022

Population Pyramid 2022


Age Group % % % Female Population Male Female
per Age Male
Group
50.30% 49.70% 273,513 137577 135936
0-11 3.40% 1.70% 1.70% 9299 4650 4650
1-4 13.20% 6.60% 6.60% 36104 18052 18052
5-9 14.30% 7.20% 7.10% 39112 19693 19419
10-14 12.30% 6.20% 6.10% 33642 16958 16684
15-19 10.20% 5.10% 5.10% 27898 13949 13949
20-24 8.80% 4.40% 4.40% 24069 12035 12035
25-29 7.80% 3.90% 3.90% 21334 10667 10667
30-34 6.30% 3.20% 3.10% 17231 8752 8479
35-39 5.10% 2.60% 2.50% 13949 7111 6838
45-49 3.40% 1.70% 1.70% 9299 4650 4650
50-54 3.00% 1.50% 1.50% 8205 4103 4103
55-59 2.70% 1.40% 1.30% 7385 3829 3556
60-64 2.20% 1.10% 1.10% 6017 3009 3009
65-69 1.50% 0.80% 0.70% 4103 2188 1915
70 & over 1.70% 0.90% 0.80% 4650 2462 2188
100.00% 50.30% 49.70% 273513 137577 135936
Personnel 2012 Nat’l 2017 2013 Number Ratio to City
Average National National (Permanent & Population
Contractual )
(baseline) Target Average

Physicians 35,497 20,000 35,291 14 1:19,534


16 (january to 1: 17,095
june 2022)

Nurses 22,947 10,000 22,313 21 1:13,024


+ 8 (NDP) = 29 1:9,431
(w/ NDP)

Midwives 6,591 5,000 6,580 38 (12 at 1:7,198


lying in)
+ 6 (RHMPP) 1:6,512
= 42 (w/ RHMPP)

Dentists 50,000 11 1:24,865


Sanitary Inspectors 20,000 13 1:21,039
Medical Technologists 20,000 9 1:30,390
Nutritionists 20,000 7 1:39,073
Barangay Health Workers 1:20 HH 195 1:343

Table 4: Personnel to Population Ratios for 2022


Population Trend from 2018 to 2022
CBR= Live Births / TP x 1,000 (CBR 2022: 3975/273,513 x 1,000 =
14.53)
Cause Total Rate*
1. Acute Upper Respiratory Tract Infection 31,242 114.22

1. Hypertension 13,887 50.77


1. Urinary Tract Infection 5,261 19.23
1. Allergic Rhinitis 4,244 15.52
1. Acute Gastroenteritis 3,018 11.03
1. Infected Wound 2,966 10.84
1. Hypersensitivity Reactions 2,748 10.04
1. Carbuncle, Furuncle 2,699 9.88
1. Pulmonary Tuberculosis 2,480 9.07
1. Diabetes Mellitus 2,152 7.87

OVERALL TOTAL 103,360 378.89

Ten Leading Causes of Morbidity


Cause Male Female Total Rate*
1. Acute Myocardial 100 54 154 0.56
Infarction
1. Cancer, all kinds 64 59 123 0.45
Top 5: Lung Cancer
13 06 19 0.07
Liver Cancer
Breast Cancer 11 05 16 0.06
Colon Cancer 01 14 15 0.05
Brain Cancer 04 06 10 0.04
05 04 09 0.03
3. Community Acquired 69 47 116 0.42
Pneumonia
4. Cerebrovascular 68 39 107 0.39
Accident
5. Hypertensive CV 41 52 93 0.34
Disease
6. COVID 19 50 42 92 0.34
7. Acute Coronary 56 35 91 0.33
Syndrome

8. Senility 16 39 55 0.20
9. External Causes 36 14 50 0.18
Top 5: Drowning
11 01 12 0.04
Suffocation
Hanging 03 09 12 0.04
Gunshot 06 01 07 0.03
Stabbing 06 01 07 0.03
Vehicular Accident
03 01 04 0.01
04 00 04 0.01
10. Diabetes Mellitus 21 11 32 0.12
ALL CAUSES 703 437 1225 4.48

Total Mortality Cases : 2022: 1225, 2021 = 1512, 2020 = 1,359, 2019:
1,220, 2018: 1118 * per 1,000 population
2022: CDR = 1225 / 273,513 x 1,000 = 4.48, 2021 : 5.59, 2020 =
5.08, 2019: 4.91
Source: City Health Office
o 2022
MMR = 101 per 100,000 LB
85 per 100,000

Cause Total Rate*

2022- Placenta Previa, 4 101


Ruptured Ectopic Pregnancy,
Postpartum Hemorrhage,
Pre-eclampsia with severe features

2021 - Preeclampsia with severe features (3) 6 185


Peripartum Cardiomyopathy (2)
Uterine Atony (1)

2020- Gestational Trophoblastic Neoplasm 2 47


Postpartum Cardiomyopathy

2019- Eclampsia, ESDR 2 40


2018- Postpartum Hemorrhage 1 18

Leading Causes of Maternal Mortality for 2018 to 2022


2022 Total Maternal Deaths : 4, Live Births : 3975, MMR = 101 per 100,000 LB
2021 Total maternal deaths : 6, Live births : 3241, MMR = 185 per 100,000
INFANT MORTALITY RATE 2022
Figure 8: Infant Mortality Rate from 2018 to 2022

IMR 2022: infant deaths / live births x 1000 (42/3975 x 1000 = 10.56)
UNDER-FIVE MORTALITY RATE 2022
Figure 9: Under-Five Mortality Rate from 2018 to 2022

U5MR: under 5 deaths /live births x 1000 (55/ 3975 x 1000 = 13.84)
f Infant Mortality 2022

Cause Male Female Total Rate*


1. IntraUterine Fetal Death 05 02 07 1.76
2. Pneumonia 02 05 07 1.76
3 Aspiration (cord coil) 05 01 06 1.51
4. Sepsis Neonatorum 03 03 06 1.51
5. SIDS 02 02 04 1.01
6. Dehydration 02 00 02 0.50
7. Uteroplacental 00 02 02 0.50
Insufficiency
8. Drowning 02 00 02 0.50
9. Prematurity 00 01 01 0.25
Fetal Asphyxia 01 00 01 0.25
RDS 00 01 01 0.25
PDA 00 01 01 0.25
Hypoglycemia severe 01 00 01 0.25
Hypovolemic Shock 01 00 01 0.25

OVER ALL TOTAL 24 18 42 10.56

Leading Causes of Infant Mortality


y 2022

Cause Male Female Total Rate*


1. Pneumonia 02 06 08 2.01
2. IntraUterine Fetal Death 05 02 07 1.76
3 Aspiration (cord coil) 05 01 06 1.51
4. Sepsis Neonatorum 03 03 06 1.51
5. Dehydration 04 01 05 1.26
6. SIDS 02 02 04 1.01
6. Drowning 04 00 04 1.01
8. Suffocation 01 03 04 1.01
9. Uteroplacental 00 02 02 0.50
Insufficiency
10. Prematurity 00 01 01 0.25
Fetal Asphyxia 01 00 01 0.25
RDS 00 01 01 0.25
PDA 00 01 01 0.25
Hypoglycemia severe 01 00 01 0.25
Vehicular accident 01 00 01 0.25
Hypovolemic Shock 01 00 01 0.25
Leptospirosis 01 00 01 0.25
Status Epilepticus 01 00 01 0.25

Leading Causes of Under-Five


OVER ALL TOTAL Mortality
32 23 55 13.84
mortalities. However, some of the most
common causes of both infant and under
five deaths are infectious in nature, the
most common which would be pneumonia
or gastroenteritis. For 2022, pneumonia
ranked second for infant and number one
for under five deaths.
For 2022, even with the decline in fully
immunized children, there was no reported
cases of other vaccine preventable
diseases as cause of death for infants and
under five, except for pneumonia. With
93% newborn screening being done also
there was no reported case of inborn
diseases as cause of death for the
mentioned age group. Prematurity which
was also low in 2022 did not affect infant
and under five mortalities. However,
despite the good coverage of
Pneumococcal Conjugate Vaccine in
infants and under five, pneumonia as the
cause of death, remained high in 2022.

RECOMMENDATION
Prenatal and postpartum check-
ERIC C. DAVID, MD
Ac t in g C it y He a lt h O ffic e r

CHARMAINE L. NAGAYO, MD
Ac t ing Assist a nt Cit y He a lt h O ffic e r

PERFORMANCE MONITORING FACILITY MONITORING PROGRAM MONITORING

FACILITY MANAGERS 7S PROGRAM TECHNICAL OFFICE

ERLYN ENDENO, MD JANETSAN AGUSTIN, MD MA. ARIANA BEATRIZ G. CRUZ ANTONIO C. PASCO III, MD
Ka u nla ra n Villa g e He a lt h Ce nt e r Ba g o n g Lip una n He a lt h Ce nt e r 7S Pro g ra m Co o rd ina t o r Te c hnic a l He a d
Ru ra l He a lt h Physic ia n Rura l He a lt h Physic ia n De nt ist II Rura l He a lt h Physic ia n

FERDINAND M. SALVADORA, MD HENRY B. TINIO, MD RIEÑER JAN O. DOMINGO, LPT MARIA CARIDAD P. FRONDOZA, DMD FELICITAS M. MANUEL, RN, MAN
Pha se 2 Are a 1 He a lt h C e nt e r Sa n Ro q u e He a lt h Ce nt e r Po llu t io n Co nt ro l a nd Sa fe t y O ffic e r De n t ist Sup e rviso r Nurse Sup e rv iso r
Ru ra l He a lt h Physic ia n Rura l He a lt h Physic ia n Sa n it a t io n Insp e c t o r II De nt ist IV Nurse IV

JACQUELINE R. INVENTOR, MD
No rt h Ba y Bo ule v a rd So u t h He a lt h C e nt e r
ELMER B. PANGILINAN, MD PATRICIA C. AGRAS, RM LORENZ AUSTIN F. TALAL, RN
Na v o t a s C o m m unit y Iso la t io n Fa c ility Ta n g o s He a lt h C e nt e r Mid w ife Sup e rv iso r He a lt h Ed u c a t io n a nd Pro m o t io n O ffic e r
Rura l He a lt h Physic ia n Mid w ife IV Nurse II
Rura l He a lt h Ph ysic ia n

ELENITA N. FELIPE, MD
No rt h Ba y Bo ule v a rd No rt h He a lt h C e n t e r
ELA E. CAPISTRANO, MD RIEÑER JAN O. DOMINGO, LPT ARMEL C. BERIÑO, RN
Ba ng kula si He a lt h C e nt e r Ta nza He a lt h Ce nt e r Po llut io n Co n t ro l a nd Sa fe t y O ffic e r C it y Ep id e m io lo g y a nd Surv e illa nc e O ffic e r
Rura l He a lt h Physic ia n Sa nit a t ion Insp e c t o r II Nurse II
Ru ra l He a lt h Physic ia n

CHRISTINE MEARILLE C. SIAPNO, MD MA. CONCEPCION C. RIVERA, RM


Ba g u m b a ya n He a lt h Ce nt e r Ta nza Lying -In C linic
Ru ra l He a lt h Physic ia n Mid w ife IV

ALMA P. LALIC, MD
Sip a c He a lt h Ce n t e r
Ru ra l He a lt h Ph ysic ia n

Navotas City Health Department


• The office of the City Health Officer is responsible for
the overall supervision and management of the city health
department, including the health centers and the
emergency and lying-in clinic.

1. City Health Officer


• The technical section of the city health department is
responsible for quality control, health needs assessment,
planning, monitoring and evaluation of the performance
of the city health department. It is also responsible for
capability building.

2. Technical Section
• The records section of the city health department is
mainly responsible for the processing, issuance and
safekeeping of various health-related permits and
documents such as death certificates, medical certificates
and others.

3. Records Section
• The supply section receives, allocates and distributes all
the various medical supplies, materials and equipment to
the various health facilities and offices. These include
medicines, medical and surgical supplies, even furniture,
appliances and electronic equipment.

4. Supply Section
• The laboratory performs diagnostic procedures and
formulates reports on a regular basis. The city’s
laboratory offers clinical blood examinations,
microbiological examinations and diagnostic imaging
such as X-rays and Ultrasound. Electrocardiogram is also
available.

5. Laboratory Section
• The sanitation section is responsible for implementing
national and local sanitation laws and ensuring that the
various establishments in the city are compliant. It is also
responsible for the issuance of sanitation permits.

6. Sanitation Section
• The Tanza Lying-in Clinic is located at Doña Aurora
St.Merville Subd. Tanza1 Navotas City.

7. Tanza Lying-in Clinic


• The city’s various health centers are the frontline health
service providers in the barangays. They provide basic
preventive public health services, basic curative services
and also conduct regular health information, education
and promotion, and disease surveillance. We have 11
health Centers & 1 Barangay Health Station. They served
also as our COVID-19 Vaccination Sites( Tanza, Tangos,
San Roque, Bagong Lipunan, Bagumbayan, NBBN,
Kaunlaran & NBBS Dagat Dagatan

8. Health Centers
Rural Health Physician

Rural Health Dentist Rural Health Nurse Rural Health Medical Technician

Rural Health Midwives

Barangay Nutrition Scholars

Barangay Health Workers

HEALTH CENTER
ORGANIZATION CHART
By the year 2025, we envision a well equipped Health
Department administered and managed by God-fearing,
knowledgeable, highly competent, satisfied and dedicated
health workers, working hand- in-hand with a supportive
local government and an empowered populace.

Guided by the spirit of equality and compassion, we hope to


effectively deliver high quality health services to the people
of Navotas so as to realize a healthy citizenry.

VISION
– What we aim to be
We, at the Navotas Health Department, are committed to
provide the people of Navotas with the highest degree of
quality health care thru:

•Excellence and compassion in health service provision


•Intensive information, education and communication
activities
•Effective human resource management
•Active community involvement
•Strong partnership with Government and other sectors

MISSION
- What we do
Improve the lives of the people of Navotas, specifically
through:

•Progressive targeting and improvement of health


outcomes, especially among the poor;
•Adjusting to meet the health needs and demands of
constituents and;
•Ensuring Financial Risk protection for all thru the
provision of social health insurance.

GOALS
• Integrity - Public service is a public trust, and this extends to all government
employees and officials at all levels. The City Health Department of the City of
Navotas is committed to uphold the honor of the civil service.
• Partnership – Health is affected by factors beyond the control of the health sector
itself, and the participation of various sectors in health interventions and activities is a
key strategy of the City Health Department.
• Equity – It is the duty of the state to ensure the welfare of its citizens, especially those
who are less fortunate. Our services are open to all, but it is the poor to whom we reach
out to and commit ourselves to.
• Respect – As public health workers and public employees, we are dedicated to
conducting ourselves in a professional and appropriate manner at all times.
• Science – We utilize scientific data and methods to guide our policies and actions in
the promotion and protection of the health of the people of Navotas. We rely on the
objective facts of evidence-based science to build a strong foundation to address health
needs and concerns.

CORE VALUES
SERVICES
Health Centers
Maternal Health:
•Pre- and Post-natal examinations
•Micronutrient Supplementation (Iron/Folate)
•Routine Immunization for Children
•Treatment for common pregnancy-related problems
•Counseling and Family Planning (Mother’s Classes)
•COVID-19 Vaccination

Maternal and Child Health


Child Health:
•Well-baby checkups
•Treatment of common infant and childhood illnesses
•Newborn Screening
•Expanded Program on Immunization
•Nutrition Counseling (Breastfeeding, infant and young child
feeding)
•Deworming
•Micronutrient Supplementation (Vit. A and Iron)
•Health Information Activities (Lectures, Mother’s Classes)

Maternal and Child Health


• Directly-Observed Treatment Short Course (DOTS) for
children and adults
• Screening: Sputum microscopy, PPD testing, referral to
TBDC
• Counseling

Tuberculosis
• Screening (CBC, FBS, Blood Chemistry)
• Treatment and management of lifestyle-related illnesses
• Counseling for lifestyle related illnesses
• Health Risk Assessment
• VIA

Healthy Lifestyle Program


• Anti-Dengue and anti-Rabies Programs
• Information dissemination activities
• Environmental intervention (eg. Cleaning, spraying)
• Assessment and treatment of symptomatic patients
• Management of respiratory, gastrointestinal and skin
diseases
• COVID-19 Vaccination Program
• Referral of complicated cases

Infectious Diseases
• Screening for children and adults
• Medical and surgical treatment of dental caries
• Preventive management and dental counseling
• School Visit to Day Care & Elementary in coordination
w/ DepEd dentists.
• Fluoride application

Dental Health
OTHER SERVICES AND
FUNCTIONS
Health Centers and City Health Office
Sections
• Sanitation Unit
• Inspections of establishments and households regarding
compliance with sanitation requirements
• Issuance of sanitation permits

Environmental Health
• Routine urine drug testing

Drug Testing
• Routine surveillance of 28 notifiable diseases that are
under DOH surveillance
• Investigation of reported cases
• Community intervention

Disease Surveillance
THANK YOU
FOR LISTENING
mortalities. However, some of the most
common causes of both infant and under
five deaths are infectious in nature, the
most common which would be pneumonia
or gastroenteritis. For 2022, pneumonia
ranked second for infant and number one
for under five deaths.
For 2022, even with the decline in fully
immunized children, there was no reported
cases of other vaccine preventable
diseases as cause of death for infants and
under five, except for pneumonia. With
93% newborn screening being done also
there was no reported case of inborn
diseases as cause of death for the
mentioned age group. Prematurity which
was also low in 2022 did not affect infant
and under five mortalities. However,
despite the good coverage of
Pneumococcal Conjugate Vaccine in
infants and under five, pneumonia as the
cause of death, remained high in 2022.

RECOMMENDATION
Prenatal and postpartum check-

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