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General Health Indicators

Health facilities. At present, Naga is home to a total of five hospitals, two of which are government-owned while the rest are private. The two government hospitals are the 500-bed Bicol Medical Center along Panganiban Avenue and the 29-bed Naga City Primary Hospital owned and operated by the Naga City Government. The recent closure of the Ago Foundation Hospital has decreased the city’s number of hospital beds.

On the other hand, the four private hospitals, Mother Seton, St. John, Ago Foundation and Dr. Nilo Roa Hospital, boast of a combined 240 beds which, together with the two government hospitals’ 529, bring Naga’s total number of hospital beds to 769.

Bed-to-population ratio. Against the 2009 population of 165,368, the present number of beds translates to a bed-to-population ratio of 1:4,000. This is inadequate compared to the standard ratio of 1:2,000.

Physician, dentist-to-population ratio. Based on the standard ratio of 1 physician and 1 dentist per 20,000 population, Naga City has more than enough physicians and dentists to serve its residents.

Records show that there are 116 existing clinics in the city. Of these, 88 are medical and 28 are dental clinics. The number of physicians and dentists practicing their professions in the city totaled 271 and 76, respectively, which translate to the ratio of 2 physicians per 1,000 and 1 dentist per 1,000 population.

Birth, death rates. Per Local Civil Registrar’s (LCR) report, total births in Naga in 2009 tallied at 9,992 while the number of deaths was 2,705.

Crude Birth Rate. According to the primary data gathered from the LCR, the Crude Birth Rate (CBR) for Naga City in 2009 is 60.42 which translates to an estimated 60 livebirths per 1,000 population in year 2009.

Morbidity Indicators

Morbidity indicators are important tools which help determine the locality’s causes of deaths. These indices are the General Medical Consultation Rate (GMR) and Hospitalization Rate (HR).

General Medical Consultation Rate. Naga City’s estimated General Medical Consultation rate is 14.5. This, given the presence of 88 medical clinics with a minimum of 7 patients daily.

Peak season for medical consultations is noted during summer when residents, especially students and professionals find more time to confer with their physicians.

Hospitalization Rate. The Hospitalization Rate for 2009 is 670. For every 1000 population, 670 were hospitalized in 2009. This is attributed to the large number of patients coming from all over the Bicol region, a bulk of which (86 %) is accommodated by the Bicol Medical Center.

In 2009, Naga City Hospital registered a total of 55,811 cases attended to by the hospital staff from the out-patient, in-patients, pharmacy, dietary, medico-social, laboratory and emergency rescue services. This translates to an average of 219 patients daily.

The Bicol Medical Center, meanwhile registered a total of 2,330 patients attended to by the hospital staff from the medical, surgery, OB/Gyne, Pedia, Ortho/eent and pay services. This translates to an average of 78 patients daily.

Mortality Indicators

Leading the ten causes of mortality for 2009 are: (1) Heart Diseases, (2) Pneumonia, (3) Diseases of the Respiratory System, and; (4) Diseases of the Vascular System. This implies the rise of lifestyle-related diseases which has gone pandemic in the world today.

Crude Death Rate. Per CHO report, the CDR for Naga City is 16.36. This translates to an estimated average ratio of 16 deaths per 1,000 population in a calendar year.

Infant Mortality Rate. Per CHO report, IMR is 1.91, which translates to 2 infant deaths for every 10,000 livebirths. The total number of deaths, less than 1 year of age (of both sexes), in 2009 registered to 74 cases.

Maternal Mortality Rate. According to data gathered from the City Hospital Office, Maternal Mortality Rate for 2009 is 0.78. This can be attributed to the success of health programs of the City Health Office, most particularly on Maternal and Child Care.

Child Mortality Rate. Child Mortality Rate or CMR is 2.33. This states that mortality of young children ages 1 – 4 is 2 deaths per 1000 population.

Causes of Mortality and Morbidity

Epidemic Occurrence for the Last Five Years. From 2004 to 2009, there were no recorded incidence of epidemics, except for a sporadic dengue outbreak noted in 2008, particularly during summer. This was, however, immediately curbed by local health officials by distributing medicated mosquito nets to barangay residents.

Rate of Malnutrition. From a total of 26,120 0 to 71 months old children in the 27 barangays of Naga City evaluated in 2009, 95 percent were identified as normal, 3.7 percent Low (L) and 0.2 percent as Very Low (VL).

Health Resources, Facilities and Services. The City Health Office, the city government’s frontline health facility, serves the 27 barangays of the city. It is manned by the city health officer and the assistant city health officer, 1 medical officer IV, 3 public health nurses, 31 community health midwives, 1 barangay health aide, joined by 1 dentist and 1 medical technologist. Reinforcing this pool of personnel are 7 sanitary inspectors, 1 administrative officer, 1 supply officer, 1 clerk and 1 driver.

Waste Disposal

Of the 27,495 households surveyed by City Health Office, 26,395 or 96 percent practice satisfactory garbage disposal . Garbage collection is done in all the barangays of the City. Streets or routes are grouped into ten collection areas. Frequency of collection in commercial areas is daily while that in residential areas is three to four times a week, two times for biodegradable waste and once for the recyclable materials and another day for residual waste. For the second quarter of 2010, a total of 8,910 cubic meters of garbage was collected.

Sanitary Toilet Facilities

Of the 27,495 households surveyed with toilet facility, 97 percent have sanitary toilets while 412 or 1.5 percent have no toilets at all.

On the other hand, 64.3 percent of households use water-sealed toilet facilities used exclusively. The remaining 35.7 percent are using pail, closed, open pit.

The Urban HEART Project

The city was selected as pilot site for the Urban Health Equity and Response Assessment Tool (Urban HEART) in 2008, along with 6 other cities in the Philippines. The Urban HEART, developed by the World Health Organization (WHO), is designed to systematically generate evidence in assessing and responding to unfair health conditions and inequity in the urban setting.

According to the 28 indicators set by the WHO, Naga’s local Urban HEART Team was able to identify inequity gaps among its pilot barangays (Concepcion Pequena, Triangulo and Cararayan were chosen as poor barangays while barangays Concepcion Grande, San Felipe and Sta. Cruz were selected as rich barangays)

The Urban Health Equity Performance Monitor was initially prepared by the team during the Regional and Local Urban HEART Meeting held in November, 2008. The monitor was developed using the Urban HEART Form 2 which compares the indicators in the 2006 and 2007 data of city to the 2006 national average and 2010 national target. This was finalized prior to the feedback to stakeholders last December 9, 2008.

The City Health Equity Performance Monitor showed that, under the Health Outcome Indicator, there is an existing equity gap in the Maternal Mortality Ratio. Under Domain 1: Physical Environment and Infrastructure, there is an equity gap in the households with access to safe water and sanitary facilities. In the second domain which is Social and Human Development, an equity gap is present in the prevalence of teenage births and also in the fully immunized children but not much.

After the identification of health equity gaps, the local UH Team is now implementing its strategy packages in response to these health equity gaps in the city barangays.