INTRODUCTION
Health is the only treasure that an individual, a group, a community and a province can be functional and productive to its optimum level. It is a combination of fitness – mentally, emotionally, physically and spiritually.
Health is a basic right that an individual should enjoy, have access to in order to have life satisfaction towards the community and the environment as a whole. It is therefore the role of the Health Sector that these can be achieved.
Achievement of it is only feasible with the prompt and thorough analysis of the entire health situation of an area so as to achieve good plan of action. However, analysis needs to be holistic in such manner that each health indicator plays a role in the planning process.
It is therefore the main concern of the health sector in Davao Oriental to see to it what indigenous strategies that would empower the Dabaweños of this province for the next four years. Hence, this Provincial Health Plan.
DEMOGRAPHIC AND SOCIO-ECONOMIC PROFILE
I. POPULATION
Population and Physical Descriptions:
Davao Oriental, which is a part of Southern Mindanao, or Region XI, is situated in the southeastern section of Mindanao. It came into existence as an independent political subdivision by virtue of RA 4867 on July 1, 1967 which is divided the defunct of Davao into three (3) distinct and separate provinces namely : Davao Oriental, Davao del Sur and Davao del Norte. Davao Gulf defines its boundaries on the north, Agusan del Sur on the south, on the east by the Pacific Ocean and on the west by Davao Province. The province is composed of 183 barangays and two congressional districts covering six municipalities in District I and five municipalities in District II with Mati as the Provincial Capital town.
The 11 municipalities of the province namely: Mati, Tarragona, Manay, Caraga, Baganga, Cateel and Boston along the Pacific Coast (enumerated in sequence according to its proximity to the capital town of Mati) and the Gulf towns which are Banaybanay,, Lupon, San Isidro and Governor Generoso. Davao Oriental has a land area of 516,446 hectares, which is 16.26% of the total land area of Region XI and 1.72% of the total land area of the country (Table 1). It covers 5.16 kms. of extensive mountain ranges with uneven distribution of plateaus and extensive swamps and lowlands.
Latest census of population puts the province’s total inhabitants at 485,346 as of 2005. Among its inhabitants are Christian and non-Christian who originally were from the nearby provinces, cities and from native cultures of Kalagans, Manobos and Mandayans which play the highest role in its cultural aspect. Davao Oriental is also supplemented by additional influx of exogenous native cultures of the Visayas, Tagalogs and Ilocanos; Dabaweño is the native dialect of the population, although Cebuano is generally used.
Davao Oriental is also known for its beautiful resorts like white sand beaches, hot springs, waterfalls and the most famous scenery, THE MILLENNIUM SUNRISE which can be viewed at Pusan Point barangay Santiago, Caraga, Davao Oriental.
Table 1. – Land Area by Municipality
MUNICIPALITY / LAND AREA (HAS.) / PER CENT DISTRIBUTIONBaganga
Banaybanay
Boston
Caraga
Cateel
Gov. Generoso
Lupon
Manay
Mati
San Isidro
Tarragona / 117,710
41,930
33,750
55,375
46,712
30,295
22,722
47,964
68,180
20,520
31,288 / 22.79
8.12
6.54
10.72
9.04
5.87
4.4
9.29
13.2
3.97
6.06
DAVAO ORIENTAL / 516,446 / 100
Region XI
Philippines
Davao Oriental XI (%)
Davao Oriental Philippines (%) / 3,169,275
30,000,000 / 16.26
1.72
II. ECONOMIC GROWTH
Livelihood:
Livelihood is mainly farming predominantly copra, followed by rice, corn and some other secondary products like abaca; fruits and vegetables, fishing also augment the income. Several fishponds and fish cage exist and other aqua culture being developed. Poultry and hog raising are another added income. Several are going onto cooperatives. Others are engaged in handicraft like rattan and bamboo furniture and fixture, shellcraft, mat weaving, basket making, brickmaking and ceramic. Gold mining also exists. An ice plant supplying bulk of crystal ice throughout the province generates employment.
III. ENVIRONMENT
Climate:
There is no definite dry and wet season in Davao Oriental and according to the climate classification in the Philippines, the province belongs to the type II classification characterized by no length of dry season and a very pronounced maximum rainfall from the months of November to February and May extended to March. The province, being surrounded by mountain ranges, is outside the typhoon belt; hence depression or typhoon does not affect it.
Water :
Safe water is still a problem of the province. Although pumps have been installed, deep wells constructed, spring developed, still the supply of the water is inadequate and some water sources are dubious source.
IV. SCIENCE AND TECHNOLOGY
Transportation and Communication
The means of transportation in Davao Oriental is mostly by land. Buses and jeepneys travel along highways and provincial roads while motorcycles ply along underdeveloped areas. However, it requires the practical use of horses, carabaos and cows along rocky steep and muddy trail (Table 2).
Table 2. – Distances, Means of Transportation, Davao Oriental
FROM / TO / KMS. / MEANS OF TRANSPORTATIONProvincial Capital
M
A
T
I / Baganga
Banaybanay
Boston
Caraga
Cateel
Gov. Generoso
Lupon
Manay
San Isidro
Tarragona / 126.02
43.48
178.11
87.74
160.11
57.34
36.69
67.27
32.3
40.24 / Bus, Jeep, Motorcycle
Bus, Jeep, Motorcycle
Jeep, Motorcycle
Bus, Jeep, Motorcycle
Bus, Jeep, Motorcycle
Jeep, Motorcycle
Bus, Jeep
Bus, Jeep, Motorcycle
Jeep, Motorcycle
Bus, Jeep, Motorcycle
The province is not far behind others in terms of technological communication. The two-way radio with handsets, which has been widely used both by Government and Business sectors among municipalities, has its frequency reaching the barangays even on the coastal and gulf town. Moreover, the new cable transmission, the use of mobile phone and easy access on the Internet are now within the grasp of the province. As of Calendar Year 2004, a total of eleven (11) cell sites for both GLOBE and SMART (Cellular Mobile Telephone Services) were built which helped usher major improvements in the communication sector (Table 4). Areas that are not yet served or underserved by telephone facilities rely on the services provided by the BayanTel installed in selected areas and of the telecommunications offices (TELOF), which is owned and operated by the government in all municipalities in the province.
Through the information superhighway, Davao oriental could now be accessed worldwide thru its website at . Aside from the telecommunication services, telegraphic services were also provided by the TELOF and two other private carriers the LBC and JRS Express. The basic mail operations are performed in the eleven (11) postal offices throughout the province (Table 3).
Table 3. – Existing Telephone Service as of CY 2004
Table 4. Name of Existing Cell Sites, By Municipality – As of 2004
MUNICIPALITY / NAME OF CELL SITEBaganga
Banaybanay
Boston
Caraga
Cateel
Gov. Generoso
Lupon
Manay
Mati
San Isidro
Tarragona / Smart
Smart, Globe
Smart
Smart,Globe
Smart
Smart, Globe
Globe
Smart, Globe
Light and Power:
In all municipalities of Davao Oriental, electricity is available 24 hours a day except for some unavoidable power interruption. Besides there are still some barangay where electricity is not available especially in far flung barangay in East coast towns. While the health services have benefited from it as it gives an easy delivery of health services particularly in the hospitals.
Infrastructure:
The road for the progressive Philippines 2000 looks bright for the province making accessible to travel from one municipality to another except for some barangays, which is not passable during rainy season. Thus, this is an indicator of smooth delivery of goods and supplies and other commodities as well as health care.
V. HEALTH SERVICES
Health Facilities:
All the municipalities have Rural Health Unit (RHU) building. Davao Oriental has one tertiary hospital, the Davao Oriental Provincial Hospital (DOPH); three (3) district hospitals namely: the Manay District Hospital, Lupon District Hospital and the Cateel District Hospital, and one (1) Municipal hospital, the Governor Generoso Municipal Hospital.
Personnel Compliment:
The province has twelve (12) municipal health officers, eighteen (18) public health nurses, and one hundred forty six (146) rural health midwives in different barangays. Some barangays are manned by casual midwives hired by the LGU. The health personnel are being aided in their implementation of the different health programs by the presence of the ever-committed 2,089 barangay health workers and hilots.
Government hospitals in Davao Oriental are composed of one (1) Provincial Hospital, three (3) District Hospitals and one (1) Municipal hospital.
HEALTH SECTOR OF DAVAO ORIENTAL
I. STRUCTURE
The health sector of Davao Oriental is mainly composed of:
a)Hospital Services
b)Field Health Services
c)Health manpower
At the hospital services, the province has one (1) Provincial Hospital, three (3) District hospitals and one (1) Municipal hospital. The Davao Oriental Provincial Hospital, strategically located in the capital town (Mati) serves as the primary referring unit of other hospitals. Cateel District Hospital, Manay District Hospital, Lupon District Hospital and Governor Generoso Municipal Hospital are the immediate referring unit of the rural health units.
Cateel District Hospital caters medical services to the populace of Boston, Cateel and Baganga. It was originally named as Cateel Medicare Community Hospital, which started its operation last December 21, 1976, and in the year 1994 thru Republic Act 8052 it was changed to district hospital with a 25 bed capacity hospital.
Manay District Hospital started its operation on July 15, 1986 as a primary hospital and on July 17, 1992 under Republic Act 7632 it was upgraded to secondary hospital with 25-bed capacity. Manay District Hospital caters health services to the municipality of Manay and Caraga. Through the effort and initiative of the management, the hospital has acquired new facilities and has adapted the recent technologies that will help uplift their services.
Lupon District Hospital is the only district hospital along the gulf town areas. It caters its hospital services to the municipalities of Banabanay, Lupon, San Isidro and Governor Generoso.
In 1991, through the combined effort of the Provincial Health Office and Lupon District Hospital, Governor Generoso Municipal Hospital started to operate as immediate referring unit of Governor Generoso Rural Health Unit.
With its meager sources to maintain its operation and services, referral to higher-level hospital is practiced so as to have further management of referred cases.
Davao Oriental Provincial Hospital is the main referring unit of all district and municipal hospital in the province. It is a departmentalized hospital with four major departments of different services. Additional services include specialty procedures like X-ray, ultrasound, laboratory diagnostic, ECG and surgical procedures.
With the transition of modern services in terms of skills and knowledge, the management sent personnel for enhancement of kills in the hospital including doctors, nurses, laboratory staff and others. Knowledge wise, the hospital management accommodates residency training (Dispersal) which is one way or another enrich the knowledge of the existing resident doctors. Consultancy is another strategy that the hospital is offering. In fact Medicine, OB-GYNE, Surgery and Pedia have consultants who can give further management including the Pathologist who gave big part in the interpretation of laboratory results.
Davao Oriental Provincial Hospital is an adopted sister hospital of Davao Medical Center. Davao Medical Center on the other hand augmented also the needs of the Provincial Hospital through equipment and other logistical support. In this manner the networking and linkage of the two hospitals is maintained.
These five hospitals served the entire population of the province and have different services offered according to capabilities and availability of equipment. The five hospitals of Davao Oriental have been accredited for Mother – Baby Friendly Hospital Initiative.
VISION:
The Provincial Government of Davao Oriental envisions attaining optimum health for maximum citizenry through sustainable delivery of quality health care.
MISSION:
Responsive and participative delivery of promotive, preventive, curative, rehabilitative quality health care services.
GOAL:
The populace of Davao oriental shall have access to quality health care to enable them to achieve level of health that is socially economically productive with longer life expectancy.
GENERARL OBJECTIVES:
By the year 2010, there will be an improved health status of the general population of Davao Oriental.
VITAL STATISTICS
20042005
Population476,113485,347
No. of Livebirths 9,169 9,626
No. of Deaths 1,504 1,512
No. of Infant Deaths 94 66
No. of Matenral Deaths 10 16
Crude Birth Rate 19/1,000 pop. 20/1,000 pop
Crude Death Rate 3/1,000 pop 3/1,000 pop
Infant Mortality Rate 10/1,000 LB 7/1,000 LB
Maternal Mortality Rate 1/1,000 LB 2/1,000 LB
Malnutrition Rate 4.8% 18%
Fully Immunized Mother (FIM) 55% 73%
Fully Immunized Children (FIC) 74% 55%
Total Household 84,414 86,701
No. of Household with Sanitary Toilet 82% [69,460] 73% [62,890]
No. of Household w/ Access to
Safe Water 72% [61,046]81% [70,276]
POPULATION BY DISTRICT/MUNICIPALITY
DAVAO ORIENTAL
2005
MUNICIPALITY/DISTRICT / NUMBER / %DISTRIBUTIONCATEEL DISTRICT:
Baganga
Boston
Cateel / 46,906
11,167
31,170 / 9.66
2.30
6.42
Sub-total / 89,243 / 18.39
MANAY DISTRICT:
Caraga
Manay / 36,419
39,917 / 7.50
8.22
Sub-total / 76,336 / 15.73
MATI DISTRICT:
Mati
Tarragona / 115,202
24,851 / 23.74
5.12
Sub-total / 140,053 / 28.86
LUPON DISTRICT:
Banaybanay
Gov. Generoso
Lupon
San Isidro / 36,673
46,453
62,102
34,487 / 7.56
9.57
12.80
7.11
Sub-total / 179,715 / 37.03
PROVINCIAL TOTAL
/ 485,347 / 100.00MORBIDITY, LEADING CAUSES
Number & Rate/1,000 POPULATION
5 Year Average (2000-2004) & 2005
DAVAO ORIENTAL
CAUSES / 5 YEAR AVERAGE(2000-2004) / 2005
Number / Rate / Number / Rate
A U R I / 20,081 / 43.94 / 15,801 / 32.56
INFLUENZA / 4,341 / 9.50 / 2,697 / 5.56
PNEUMONIA / 4,270 / 9.34 / 2,414 / 4.97
BRONCHITIS / 3,214 / 7.03 / 2,265 / 4.67
DIARRHEA / 3,350 / 7.33 / 2,194 / 4.52
URINARY SYSTEM DISORDER / 1,160 / 2.54 / 1,906 / 3.93
HYPERTENSION / 1,989 / 4.35 / 1,523 / 3.14
GASTRITIS / 27 / 0.06 / 420 / 0.87
TB, ALL FORMS / 510 / 1.12 / 360 / 0.74
MALARIA / 350 / 0.77 / 352 / 0.73
MORTALITY, LEADING CAUSES
Number & Rate/1,000 POPULATION
5 Year Average (2000 – 2004) & 2005
DAVAO ORIENTAL
CAUSES / 5 YEAR AVERAGE(2000 – 2004) / 2005Number / Rate / Number / Rate
PNEUMONIA / 238 / 0.52 / 277 / 0.06
C V A / 139 / 0.31 / 165 / 0.34
CANCER, ALL FORMS / 99 / 0.22 / 135 / 0.28
HYPERTENSIVE DISEASES / 84 / 0.19 / 110 / 0.23
ASSAULT / 48 / 0.11 / 81 / 0.17
MYOCARDIAL INFARCTION / 49 / 0.11 / 73 / 0.15
RENAL FAILURE / 35 / 0.08 / 65 / 0.13
OTHER FORMS OF HEART DISEASE / 24 / 0.05 / 56 / 0.12
PEPTIC ULCER DISEASE / 43 / 0.10 / 56 / 0.12
TUBERCULOSIS, ALL FORMS / 71 / 0.16 / 55 / 0.11
CHRONIC LOWER RESPIRATORY DIS. / 31 / 0.07 / 45 / 0.09
INFANT MORTALITY, LEADING CAUSES
Number & Rate/1,000 POPULATION
5 Year Average (2000 – 2004) & 2005
DAVAO ORIENTAL
CAUSES / 5 YEAR AVERAGE(2000 - 2004) / 2005Number / Rate /
Number
/ RateCertain conditions originating in the perinatal period ( P00 – P96) / 32 / 3.55 / 21 / 2.19
Pneumonia (J12 – J18) / 26 / 2.88 / 15 / 1.57
Congenital Malformations/deformation & chromosomal abnormalities (Q99 – Q99) / 8 / 0.89 / 8 / 0.83
Diarrhea & Gastroenteritis (A09) / 3 / 0.33 / 4 / 0.42
Drowning (W74) / - / - / 3 / 0.31
Septicemia (A41) / 9 / 1.00 / 2 / 0.21
Cardio Respiratory Failure (R09) / - / - / 2 / 0.21
Metabolic Disorders (E70 – E90) / 2 / 0.22 / 2 / 0.21
Other Diseases of the Intestine (K55-K63) / - / - / 2 / 0.21
Viral Hepatitis (B15 – B19) / - / - / 1 / 0.10
Tetanus Neonaturom (A33) / - / - / 1 / 0.10
Glomerular Diseases (N00-N08)
Other Diseases of the Urinary System (N30-N39) / -
- / -
- / 1
1 / 0.10
0.10
Injuries to the head (S00-S09)
Unknown / -
- / -
- / 1
1 / 0.10
0.10
MATERNAL MORTALITY, MAIN CAUSES
Number and Rate/1,000 LIVEBIRTHS
5 Year Average (2000-2004)
CAUSES / 5 YEAR AVERAGE(2000-2004) / 2005
Number / Rate / Number /
Rate
Complications of Labor & Delivery(O60 – O75) / 3 / 0.33 / 8 / 0.89
Oedema, proteinuria & Hypertensive Disorders,
Childbirth in the Puerperium (O10-O16) / 3 / 0.33 / 4 / 0.44
Maternal Care related to the fetus and amniotic cavity & possible delivery problem (O30-O48) / 1 / 0.11 / 2 / 0.22
Complications predominantly related to the
Puerperium (O85-O92) / 2 / 0.22 / 2 / 0.22
1