HEALTH, NUTRITION, and SANITATION PROFILE
Health Personnel and Facilities
The City Health Office (CHO) in Santa Rosa is divided into Health Office I and Health Office II. Each health office is equally attending the 18 barangays in the city.
The Health Office 1 covers the barangays of Tagapo, Market Area, Kanluran, Ibaba, Malusak, Labas, and bayshore barangays of Caingin, Sinalhan, and Aplaya. On the other hand, CHO 2 covers the barangays of Macabling, Balibago, Pooc, Dila, Dita, Malitlit, Pulong Sta.Cruz, Don Jose, and Santo Domingo.
Table 5-13 shows the number of health personnel in the City of Santa Rosa.
Source: City Health Offices 1 & 2, City of Santa Rosa, Laguna.
Table 5-14 shows the ratio of health personnel to the local residents of Santa Rosa. The data reveal that the ratio of public health doctors, nurses, midwives, dentists, sanitary inspectors, and barangay health workers to the total population in the City of Santa Rosa did not meet the standards.
Although there are slight improvements in the number of nurses and midwives in CHO 1, it is highly recommended to hire more doctors, nurses, and other medical personnel to fill the service demand of growing population.
Health Facilities, Public and Private
Health Care Facilities (HCFs) comprise hospitals, lying-in clinics, medical and dental clinics, optical centers, medical laboratories, and pharmacies. In the City of Santa Rosa, almost all HCFs are privately owned (99) and only one percent is owned by the government.
In 2013, these HCFs in the city employed an estimated 2,603 employees, both medical and nonmedical staff.
Santa Rosa has a total of seven hospitals with a hospital bed-population ratio of 2 beds for every 1,000 population (Table 5-15).
Majority (57) of these hospitals are categorized as Level III, which means these are departmentalized hospitals. These hospitals render services such as general medicine, pediatrics, surgery, anesthesia, obstetrics and gynecology, first and second level radiology, second and tertiary clinical laboratory, pharmacy, specialty clinical care, and nursing care for patients needing intermediate supervised, total, and intensive care.
The remaining hospitals (43) are categorized as Level II, or non-departmentalized hospitals. These hospitals render all services of Level III hospitals except for specialty clinical care, secondary level radiology, tertiary clinical laboratory, and total and intensive nursing care for patients.
In 2013, there were a total of eight registered lying-in clinics in Santa Rosa. These are all privatelyowned, with a total bed capacity of 21. These facilities had a total of 18 personnel, of which 13 are midwives and five are nurses (Table 5-17).
Family Planning and Maternal Care Services
As shown in Table 5-18, there are a total of 11 family planning services rendered by the City Health Offices in the City of Santa Rosa. In 2013, there were 29,246 couples who availed of the family planning services, an increase of 2,75 percent from the total of 28,643 couples recorded in 2012.
The family planning services offered are female sterilization, male sterilization, pills, IUD, injectable, condoms, and different NFP components.
Maternal care services are also offered in the health units of the city. Among the maternal care services provided are tetanus toxoid immunization, iron supplementation, vitamin A supplementation, breastfeeding, and maternal consultations (Table 5-19).
In 2012, the city recorded a total of 6,570 new births, which was 16.76 percent higher than the 2012 total number of live births of 5,627 babies (Table 5-20). The Crude Birth Rate (CBR) in 2011 of CHO 1 and CHO 2 was recorded at 22 and 14 live births for every 1,000 population, respectively.
Out of the 6,570 new babies born in 2012 in the City of Santa Rosa, the deliveries of the majority of the babies were attended by skilled health personnel (96%) and the remaining births were attended by traditional health personnel (4%).
In 2013, majority of pregnant mothers had a normal delivery at the hospital (43%). The rest had normal delivery at home (24%), normal delivery either at lying-in clinics or BHS (22%), and delivery via caesarean operation (11% ).
The crude death rate in the City of Santa Rosa increased from 2013 to 2014. Table 5-21 shows that the crude death rate (CDR) in 2014 is about 6 deaths per 1,000 population, higher than the CDR of 3 per 1,000 population in 2013.
Ten leading Causes of Morbidity
Morbidity is the frequency of disease and illness, injuries, and disabilities in a population. In the City of Santa Rosa, the top leading cause of morbidity is the Acute Upper Respiratory Tract Infection (AURTI) with 40,763 cases. Other leading causes of morbidity are acute viral infection, iron deficiency, urinary tract infection, hypertension, tonsillitis, asthma, gastroenteritis, and bronchitis.
Ten Leading Causes of Mortality
The leading cause of mortality in Santa Rosa is pneumonia. This is followed by multiple organ failure, ischemic heart disease, type II diabetes, septicemia, and hypertensive heart disease.
Awards and Recognitions - City Health Office
The Santa Rosa City Health Office has received the following awards and citations as of 2014:
The nutrition program of the City of Santa Rosa aims to achieve zero malnourished children through various activities that are focused on the proper nutrition of children. Twelve supplementary feeding sessions are held every month, which are intended to improve the nutrition status of children
in the city.
The Operation Timbang (OPT) measures the number of malnourished children in the city It is conducted every first quarter of the year, and malnourished children between the ages of 0-71 months are fed through the Food Assistance Program.
Through the Barangay Nutrition Scholars (BNS), the City Government continues to disseminate information on health and nutrition with the end view of achieving the city's goals under the Philippine Plan of Action for Nutrition.
Foremost in this campaign is the PABASA sa Nutrisyon program where mothers are educated on the importance of knowing the three basic food groups in food preparation for the family and which provide them with the necessary tools to prevent malnutrition in their home.
In July 2009, the City of Santa Rosa was cited at the Hall of Fame Philippine Association on Nutrition for being a recipient of the Exemplary Award for PABASA sa Nutrisyon for three consecutive years.
In November 2010, the City of Santa Rosa was among the recipients of the Consistent Regional Outstanding Winner in Nutrition (CROWN) award for 2010 during the National Nutrition Awarding Ceremony at the Philippine International Convention Center.
In October 25, 2011 the City of Santa Rosa received its First Year CROWN Maintenance Award given by the National Nutrition Council Region IV-A.
While the city's nutrition program has heaped awards and recognitions, the City Government, through the City Nutrition Council chaired by City Mayor Arlene B. Arcillas, has committed to achieve its goals in nutrition. The slogan SERBISYONG MAKATAO, LUNGSOD NA MAKABAGO was used to guide the mission and vision of the city in this regard.
The City Nutrition Office vision is for Santa Rosa to be a nutritionally improved city whose people are well nourished, healthy, intelligent, socially, and economically productive with a high sense of human dignity. Its mission is to uphold the value of human life by improving the nutritional status of the populace by promoting household food security and reducing the prevalence of malnutrition.
The City Nutrition Committee as well as the Barangay Nutrition Committee is implementing programs and activities aligned with the seven impact programs of the Philippine Plan of Action for Nutrition. These programs are the Home, School, and Community Food Production; Micronutrient Supplementation; Food Fortification; Nutrition Education Program; Food Assistance Program; Nutrition in Essential Maternal and Child Health Services; and Livelihood Assistance.
In the City of Santa Rosa, the Supplementary Feeding Program (SFP) is done separately by the City Social Welfare and Development (CSWD) Office and the City Nutrition Office (CNO).
In terms of funding, the SFP Program of the CSWD is subsidized by the National Government It caters to all day care students in the 32 Day Care Centers (DCCs) and those in the evacuation centers affected by typhoons in 2012. The SFP of the City Nutrition Office is solely funded by the City Government. It caters to all children ages 12-71 months.
In 2012, the city received a total amount of PhP 5.817 Million from the DSWD IV-A for the supplementary feeding program, which provided hot meals and rice for 120 days to 3,011 day care students and 718 children in the evacuation centers. The city government allotted a budget for the cooking gas expenses amounting to PhP 600,000 as counterpart.
Table 5-25 shows the nutritional status of day care students in all DCCs in Santa Rosa. Majority of children have normal nutritional status (86). Underweight children accounted for 13 percent of the total 3,017 pre-school children being served by SFP. However, there are still 25 children who were severely underweight while 16 children were obese or overweight.
Based on the mass weighing program (Table 5-26), the number of malnourished children is decreasing annually. In 2010, there were 1,157 classified as underweight, severely underweight, and overweight. In 2013, majority of children have normal nutritional status (98). Underweight children accounted for almost 2 percent of the total children ages 0-71 months old.
Philhealth ng Masa(PNM)
Philhealth ng Masa Work Programs
The following table lists the programs implemented in the Philhealth ng Masa in 2014.
Philhealth ng Masa Total Enrollees
The following table shows the number of enrollees in the Philhealth ng Masa as of 2015.
Table 5-30 presents the amount of paid claims in CY 2012 and 2013 (two-year lock-in period). This table also includes claims in accredited hospitals outside the provinces of Cavite, Laguna and Quezon.
Table 5-31 shows the number of enrolled members under the Santa Rosa City sponsorship with 86 returns on the investment for the constituents' financial health risk protection. The payment for the Per Family Payment rate for CY 2013 as wen as the 3rd and 4th quarters for CY 2012 will be paid by PhilHealth once the required reports are submitted by the City Health Office I and II.
Table 5-32 indicates the amount of payments made by PhilHealth for the confinement/benefit utilization of all membership categories that were confined or availed of out-patient benefits in the LGU-owned hospital and health center respectively. Santa Rosa City Health Office is accredited by Phil Health for the provision of TB DOTS Package and Animal Bite Treatment Package.
City Health Offices can also apply for accreditation to provide maternity care package (MCP) to all qualified Phil health members and dependents. The MCP amounting to PhP 8,000.00 includes the pre-natal, delivery and post-natal services for the first four normal deliveries. Furthermore, if the LGU-owned health facility is also an accredited newborn screening facility, Philhealth pays the amount of PhP 1,750.00 for the Newborn Care package (NCP) which covers the routine newborn care (including vaccines), newborn screening and newborn hearing screening tests.
In the City of Santa Rosa, there are 65,807 households with access to safer water, comprising 94 percent of the total number of households. Among the total households, majority have Level I access to water (65) followed by Level III access to water (35). There are no households with access to Level II access to water (Table 5-33).
It was recorded in 2013 that there are 64,775 households with sanitary toilets and complete basic sanitation facilities, and 68 100 households with satisfactory garbage disposal.
Santa Rosa Community Hospital
Santa Rosa Community Hospital Profile
To meet the demands of th ere S id e n ts of Santa Rosa with regard to health services and facilities, the Santa Rosa Community Hospital (SRCH) was constructed in 1995. The hospital is located in a 10, 162-sq m area on Cattleya Street, LM Subdivision, Barangay MarketArea, City of Santa Rosa.
This hospital is categorized a secondary hospital with a total of 405 personnel at present.
Vision, Mission, Objectives, and Manpower
SRCH is the leading secondary hospital in the Southern Tagalog Region.
To ensure quality health care among people of Santa Rosa, laguna through holistic, comprehensive, specialized and individualized health care service delivery.
- To reduce the incidence of communicable, non-communicable and other health related diseases.
- To provide the constituents of SRL and neighboring places immediate and affordable access to health care services.
- To strengthen the inter-local coordination and networks through the Local Health Board.
- To achieve appropriate roles and respective strengths of the public and private sectors in health care including people's organizations and community based health care organizations. To assist in the promotion of universal coverage of the health insurance scheme
- To promote the health and welfare of the community and further support and guarantee their right to public participation.
- To promote research for clinical studies and advancement in the field of medicine.
The greatest asset and backbone of SRCH is its manpower which is instrumental in providing effective and adequate health care service to its clients.
Santa Rosa Community Hospital Services
To complement the existing services, SRCH is equipped with the following: Outpatient Department; Emergency Room; Pediatric Surgery-minor; Nursinq Service; Radiology Department; Laboratory Department; Dietary; Central Supply Room; Pharmacy; Information/Admitting; Medical Records; Medical Social Service.
Quality Assurance Program
SRCH is implementing the Quality Assurance Program in cooperation with the goals of National Health Insurance Act of 1995 or RA 7875.
The goal of QAP is to maintain the highest quality of standards and harness its holistic approach to patient care services. The components of the QAP are the following:
- Nursing Audit
- Patient Evaluation Sheet
- Credentials Committee
- Medical Audit
- Therapeutic Committee
- Ethics and Grievance Committee
- Medical Records
- Disaster Preparedness
Hospital Equipment and Facilities
Santa Rosa Community Hospital has the following state of the art equipment:
- Hamilton Bell- Clinical Centrifuge
Cambridge Nikon YS 100
3. I-stat- Electrical
Stimulator Portable Clinical analyzer
2000 Microline 7a - analyzer Pipette Shaker ECO (USA)
- X-ray machine
Model GX 530
2. Mobile X-ray Unit
Model mobile #plus
3. Ultrasound unit
Hitachi Model- EUB 40
Clients Served - Radiology Department, Santa Rosa Community Hospital, 2012-2013
The following table and figure show the number of clients served in the Radiology Department.
Clients Served - Medical Ward Department, Santa Rosa Community Hospital, 2013
The following table and figure show the number of clients served in the Medical Ward Department
Figure 5-9: Annual Report (Admission, HC, PC, NH, NN, NH Masa) Medical Ward Department, 2013
Clients Served - Surgical Ward Department, Santa Rosa Community Hospital, 2012-2013
The following table and figure show the number of clients served in the Surgical Ward Department.
Table 5-37: Total Number of Clients, Surgical Ward Department, 2012-2013
Figure 5-10: Annual Report, Surgical Ward Department, 2013
Clients Served - Pediatric Ward Department, Santa Rosa Community Hospital,2012-2013
The following table and figure show the number of clients served in the Pediatric Ward Department.
Table 5-38: Total Number of Clients Pediatric Ward Department, 2013
Clients Served - Emergency Room, Santa Rosa Community Hospital, 2013
The following table and figure show the number of clients served in the Emergency Room
Table 5-39: Total Number of Clients, Emergency Room, 2013
Figure 5-12: Annual Report, Emergency Room, 2013
Clients Served - Payward Department, Santa Rosa Community Hospital, 2013
The following table and figure show the number of clients served in the Payward Department
Table 5-40: Total Number of Clients Payward Department, 2013
Medical Social Services, Santa Rosa Community Hospital, 2013
The following tables show the financial assistance extended by various agencies for the medical services of clients.
Cases Served, Benefit Section, Santa Rosa Community Hospital, 2013
The following table and figure show the number of cases served in the Benefit Section.
Table 5-43: Cases Served, Benefit Section, 2013
Figure 5-13: Cases Served, Benefit Section, 2013
Clients Served, Out-Patient Department, Santa Rosa Community Hospital, 2013
The following table and figure show the number of clients served in the Out-Patient Department
Table 5-44: Clients Served, Out-Patient Department, 2013
Figure 5-14: Clients Served, Out-Patient Department, 2013
Annual Report, OR-DR Department, Santa Rosa Community Hospital, 2013
The following table and figure show the number of clients served in the OR-DR Department
Table 5-45: Clients Served, OR-DR Department, 2013
Figure 5-15: Clients Served, OR-DR Department, 2013
Clients Served, Newborn Screening, Santa Rosa Community Hospital, 2013
The following table and figure show the number of clients served in Newborn Screening.
Figure 5-16: Clients Served, Newborn Screening, 2013
Summary of Collections, Santa Rosa Community Hospital, 2012-2013
The following table and figure show the summary of collections at the Santa Rosa Community Hospital.
Figure 5-17: Summary of Collections, 2012-2013
Clients Served, Laboratory Department, Santa Rosa Community Hospital, 2012-2013
The following table shows the number of clients served in the Laboratory Department
Number of Deliveries - NICU/SCABU, Santa Rosa Community Hospital, 2013
The following table and figure show the number of deliveries in the NICU/SCABU
Figure 5-18: Number of Deliveries - NICU/SCABU, 2013
Clients Served -HEPA BI BCG Vaccine, Santa Rosa Community Hospital, 2013
The following table shows the number of clients administered the HEPA BI BeG vaccine.
Table 5-50' Clients Served - HEPA BIBCG Vaccine 2013
Sales - Pharmacy Department, Santa Rosa Community Hospital, 2012· 2013
The following table shows the sales of the Pharmacy Department
Table 5-51: Sales -Pharmacy Department, 2012-2013