Executive Summary

The Municipality of Cordon is a third class municipality and can be considered as

the gateway of Cagayan Valley. Its nearby neighboring provinces are Nueva Vizcaya and
Quirino Province. It is composed of 26 barangay with a projected population of 44,633
(2017). Six of these barangay is considered as geographically isolated and
disadvantaged area (GIDA); barangay Anonang, Villamiemban, Camarao, Capirpiriwan,
Dallao and Taliktik.

The Municipal Health Office (MHO) has a Rural Health Unit (RHU) located at the
poblacion proper barangay Magsaysay which render primary health care to the people.
Beside the RHU is the Local Birthing Clinic open 24/7. Under the RHU It has 24 functional
Barangay Health Station manned by nurses, midwives and NDPs. In the barangay level,
it has a barangay health board which includes barangay official and other stakeholders.
The RHU and the BHS renders primary health care--maternal and child care, family
planning, immunization and simple laboratory procedures.

Most of the activities led by the MHO is funded by the Local Government Unit
(LGU) and supported by the Provincial and Regional Department of Health Offices.
Guided by the principles and guidelines of the DOH, the Local Investment Plan for Health
is formulated. This is a plan that benefits many aspects of health concerns specifically all
clusters under the 6 pillars of health namely Service Delivery, Health Regulation, Health
Financing, Human Resource for Health, Health Information System and Good
Governance.

With the newly hired Municipal Health Officer, it is in fact a challenge to spearhead
every activities and health programs of the Department of Health (DOH). A challenge that
will be guided and assisted by its health personnel, inter-agencies and the Local
Government Unit (LGU) of Cordon. For the past years, it has been a struggle for the
Municipal Health Office to have a high marks in the different health programs being
implemented. Reasons shows justification for some of the low accomplishment of the
health indicators, but non-the less, its efforts and passion in the community is vital and
should be strengthen to produce satisfaction aiming high scores and output.
 This LIPH in collaboration of the different agencies aims to create a mission to
have a better health services to the people. Planning makes an institution for it to have a
goal and a step by step process towards excellence.

I. Introduction

The Municipal Investment Plan for Health (MIPH) is a new initiative for all the local
government units in our country. It was introduced initially to selected provinces to
strengthen local planning and localize the health sector reform agenda in 2005. Seeing
the improvement brought about by having and subsequent execution of this plan, it was
later launched in selected cities in 2009. This year and in consonance with the start of the
term of the local chief executive, the Local Investment Plan for Health is institutionalized
in our municipality to localize national health programs, use as basis for resource
mobilization and investment planning for the attainment of local and national goals and
lastly, serve as venue to engage our municipality with the Department of Health (DOH)
and other national agencies.

The Municipal Investment Plan for Health will help in realizing the vision of the
municipal government of Cordon which is: “Well Planned, healthy and happy families,
responsive individuals, empowered communities, guided by the divine providence, living
harmoniously and equitably in a sustainable environment”.

The Cordon MIPH was developed in collaboration with local policy makers, heads
of national and local agencies working within the municipality, leaders of both public and
private sectors in health across all levels of care, other service providers and the
community in the spirit of dialogue to analyze and plan (and eventually implement,
evaluate together) projects and programs that aim to improve further health outcomes.
Efficiency and equity are shared values prioritized in crafting the plan. The development
of the MIPH began towards the 2nd quarter of 2016 when the DOH Regional Office 02
with the Provincial Health Office of Isabela conducted orientation workshop. This was
later followed by one on one mentoring to the staff of rural health unit with assigned
Development Management Officers and Program Coordinators from PHO Isabela. The
MIPH concept and processes was presented to, and approved by, Hon. Lynn M. Zuniega,
the Mayor, during a Local Health Board Meeting. The DOH Administrative Order 2007-
0034 was passed defining the roles and responsibilities of the local government unit and
its members in crafting implementing and monitoring of the MIPH. This also led to the
creation of the Local Investment Plan for Health Planning team with the Rural Health Unit
as lead agency. A situational analysis of the municipality was developed using prescribed
tools and available databases to determine current situation, gaps so that appropriate
intervention will be identified. Information was also sourced with consultation from the
Sangguniang Bayan representative for health to identify the social determinants
contributory to the health problems identified. A series of inter-agency meetings were held
for the same purpose as well as to identify if interventions are aligned with the sustainable
development goals for our country and the Duterte Health Agenda. Critical interventions
to attain these goals within the three-year time frame of the project, and specific costs
thereof were also specified.
II. Ecological Profile

CORDON

Geographical Location

The municipality of Cordon is located at the southwestern part of the province of

Isabela and is bounded on the north by the Province of Ifugao, on the east by Santiago
City, on the south by the province of Quirino and on the west by the province of Nueva
Vizcaya. It is situated at meridian 121o27’ E longitude and 16o40’ N latitude. It is 9 km.
away from the City of Santiago, 80 km. away from the capital City of Ilagan and 317 km.
away from Manila. The town is crossed by 2 National Roads, the Cagayan Valley Road
and Cordon-Quirino-Aurora Road.

The municipality has an approximate land area of 22,891 hectares unevenly

distributed among its 26 barangays. This represents about 1.82 percent of the total area
of the province of Isabela which is 1,255,679 hectares. The total land area of the nine (9)
urban barangays namely Laurel, Magsaysay, Osmena,Quezon, Quirino, Roxas, Tanggal,
Taringsing, Turod Norte, Turod Sur is 884 hectares which represent about 3.86 percent
of the total land area 9 of the municipality while the 17 rural barangays such as Aguinaldo,
Anonang, Calimaturod, Camarao, Caquilingan, Dallao, Gayong, Malapat, Rizaluna,
Sagat, San Juan, Taliktik, Villamarzo, Villamiemban and Wigan has a combined total
area of 22,07 hectares representing about 96.14 percent of the municipality’s total land
area.

Cordon is composed of 26 barangay. These barangays are classified under urban

and rural barangay and are subdivided further into smaller districts called sitios or puroks.
There are 9 barangay that constitute the urban area, such as Laurel, Magsaysay,
Osmena, Quezon, Quirino, Roxas, Tanggal, Taringsing, Turod Norte, Turod Sur while the
rural barangay are Aguinaldo, Anonang, Calimaturod, Camarao, Caquilingan, Dallao,
Gayong, Malapat, Rizaluna, Sagat, San Juan, Taliktik, Villamarzo, Villamiemban and
Wigan.

Topography

The western and southern parts of the Municipality are rolling hills to mountainous
where Barangay Anonang, Caquilingan, Dallao, and Taliktik and Villamiemban are
located. Part of the western portion are gently sloping suited for upland farming and
pasture land. On the eastern and southwestern part are flat to nearly level terrain.

Climate

Cordon falls under the third type of climate as identified by the coronas climate
classification characterized as its rainfall are evenly distributed, relatively dry from the
months of February to early May and wet for the rest of the year. The heaviest rainfall
occur during the period from the month of September to the later part of November.
Climate is considered moderate from end of May to early September including December
and January.

Water Bodies

Among the 26 major water bodies that are found in the municipality, 2 are rivers
(Magat River and Diadi River) and 24 are creeks and streams. The Magat River with its
magat high dam reservoir lies at the northwestern part of the municipality and serving as
the natural territorial boundary with the Ifugao province is the main source of water supply
for irrigation in the locality. Also, the Diadi River which emanates from Nueva Vizcaya
province that crosses through the middle section of the town is considered as a viable
and potential source of power supply and water supply for irrigation purposes when fully
developed. Likewise, the 24 creeks and streams especially the ilut creek and the cama
creek are utilized for communal irrigation, and the other creeks are tapped to supply
water for elevated agricultural lands through the use of water pumps.

Population

The Municipal Health Office considers the Projected Population as the baseline
data in computing the target population of the different health indicators.

Aguinaldo 945
Anonang 1759
Calimaturod 409
Camarao 975
Capirpiriwan 3925
Caquilingan 2708
Dallao 2195
Gayong 2407
Laurel 1153
Magsaysay 534
Malapat 2153
 Osmena 1134
Quezon 958
Quirino 2250
Rizaluna 2751
Roxas 978
Sagat 1885
San Juan 696
Taliktik 1664
Tanggal 1068
Taringsing 1506
Turod Norte 1279
Turod Sur 3963
Villamarzo 1960
Villamiemban 819
Wigan 2559
TOTAL 44,633

Religious Affiliation

The religious affiliation of Cordon is predominantly Roman Catholic with about

67.09 percent of the total population belonging to this religion and it was followed by
Iglesia ni Cristo with almost 6.33 percent of the total population. A small percentage
belongs to other religious groups/sects such as the United Methodist Church, Aglipayan
Church and others.

Mother tongue

Ilocano is generally the mother tongue of the populace, although as a result of

inter-marriages and in-migration, other dialects and languages were also spoken by few
like Tagalog, Ibanag, Pangasinan, and others. However, English and Filipino languages
are used as medium of instruction and communication in schools and business
transactions.
Environmental Sanitation

The municipality implements the relevant provisions of RA 9003, otherwise known

as the Ecological Solid Waste Management Act. Segregation at source is enforced,
maximize the reduction of wastes, maximize resource recovery and initiate the ecological
disposal of wastes are also implemented. Garbage collections through the services of
garbage dump truck are done daily in the urban area, from households, commercial and
industrial establishments and from schools and government institutions. Bulks of wastes
come from the public market, collected wastes are being dumped at the 2 hectares
controlled dumpsite located at Barangay Capirpirwan.

General Air and Water Quality

At present, there is no air quality monitoring equipment installed in the

municipality, hence, there is no scientific data available to present status of the general
air quality in the town. The ambient air quality monitoring station for region 2 is located at
Tuguegarao City, Cagayan.
The current environmental situation of the municipal rivers, creeks and streams
are quite challenging. Along the urban and rural areas, the fresh stream waters are
classified under Class C, based on intended Water Use Stream Classification Scheme of
the Philippines. This qualifies its waters for irrigation of agricultural crops, the propagation
and growth of fish and other aquatic resources, boating for recreation, and industrial water
supply for manufacturing processes after treatment.

Economic Situation

The revenues of the municipality are derived from internal and external resources.
Internal revenues are those derived from local resources such as real property taxes,
business taxes and charges which the local government is authorized to impose. External
revenues are those coming from the national government, grants and donations.
 Most of its people derive their income from crops, livestock and fisheries since
Cordon has an agricultural economy, others derive their income from the practice of their
professions, from service oriented establishments, industry, working in the government
or private firms, and working abroad.

a. Employment

Majority of the economically active population are engaged in agriculture. The rest are
engaged in services like beauty parlors, repair of vehicles and equipment, hotels and
restaurants, domestic services, manufacturing, trade and construction. Others are
overseas workers and self-employed.

b. Agriculture

Water for irrigation purposes is provided by the Magat High Dam Reservoir through
the National Irrigation Administration-Magat River Irrigation System (NIA-MARIIS). Its
service area within the town is 4,302 hectares of irrigated rice lands. Some other farmers
use water pumps and shallow tube wells for their irrigation needs.

Post-harvest facilities include mechanical dryers, multi-purpose drying

pavements, rice mills, threshers, huskers and warehouses. There are also, plant
nurseries located in the different barangays of the municipality.

Education

a. Pre-schools Level
The municipality has sixty five (40) pre-school/nursery/kindergarten schools,
of which thirty eight (38) are Day Care Centers managed by the LGU through the
MSWDO, two are (2) privately-owned schools
 b. Elementary Level

There are twenty three (23) elementary schools in the municipality, two (2) are
privately owned and the 21 schools are under the Department of Education comprising
of two (2) Districts namely, Cordon North District and Cordon South District.

c. Secondary Level

For the secondary level, there are five (5) public secondary high schools in the
municipality and two (2) private high schools. The five (5) public schools are Cagasat
National High School, Dona Josefa Edralin National High School, Diadi Region National
High School, Wigan Integrated High School, and Cagasat National High School (Annex).
The two (3) private schools found in poblacion are the School of St. John Berchman’s
High School, Cordon Archangels Montessori School and the newly opened Amazing
Grace Montessori School.

d. Tertiary Level And Vocational School

There is only one (1) vocational school in the municipality, the Manantan Institute of
Science and Technology which offers vocational courses such as auto diesel mechanic,
practical electricity, electronics and other technical and vocational courses.

e. Non-Formal Education

Various training and livelihood programs are sponsored by the Local Government
Unit through the Municipal Agricultural Office (MAO), the Public Employment and
Service Office (PESO) and the Municipal Social Welfare and Development Office
(MSWDO) in coordination with various government line agencies such as the Technical
Education and Skills Development Authority (TESDA), Department of Trade and Industry
(DTI), Department of Labor and Employment (DOLE) and the Department of Social
Welfare and Development (DSWD).
III. Health Situationer

General Health Status

The projected population of a municipality is handed down by the DOH regional

office, computed with statistical growth produces target numbers of the different health
indicators. This year, 2017 the projected population of Cordon is equal to 44, 633. There
is a difference in the actual target and the computed target population based on the
projected population, thus some of the indicators get low results due to its contrast
numbers. Aside from its difference, there are things to be considered to have or generate
high scores in the health indicators.

Health indicators of Cordon for the past years reflects low accomplishment reports
in target indices. This shows a must improvement for the most of the health indicators
present and maintain or even improve the indices with high accomplishments.

Morbidity

Mortality

Maternal Health

Despite of the intensified pregnancy tracking and activities like Buntis Congress
last 2017, there was a maternal death recorded. For the past three years since 2015 there
are recorded reports of maternal death in the municipality (2015—2, 2016—2, 2017—1).

Table below shows maternal health indicators for 2017.

Health Indicators Target Accomplishment %

Prenatal and Post-natal
4 or more prenatal visits (90%) 1,195 634 53%
Given Tetanus Toxoid Plus (90%) 1,195 612 51%
Given Complete FeSO4 supp. 1,195 665 56%
(80%)
 With at least 2 post-partum visits 1,195 800 67%
(90%)
Given FeSO4—post-partum (90%) 1,195 723 61%
Given Vit. A (80%) 1,195 657 55%
Initiated Breast Feeding (86%) 1,195 779 65%
Family Planning
Contraceptive Prevalence Rate
(65%)

Child care

Caring for children starts in conception where mothers are given supplements and
vaccine for child development and protection. It continues through immunization,
monitoring of health status like operation timbang and giving off micronutrient
supplements with vitamin A and deworming. There are 4 recorded neonatal deaths and
3 under five deaths last 2017 into account.

Below are the data accomplishments included in the child care.

Health Indicators Target Accomplishment %

Exclusive Breast Feeding (100%) 1,214 774 64%
Referred for Newborn screening 1,214 731 60%
(100%)
Fully Immunized Children (90%) 1,205 751 63%
Micronutrient Supplementation (6- 601 460/476 76%/79%
11mos)
Micronutrient Supplementation(12- 4,820 4,117/4,089 85%/85%
59mos)
Deworming 12-59 mos 4,565 3,715/3,913 80%/86%
Nutritional Status
Underweight 285
 Severely underweight 87
Overweight 122

Non communicable Disease

As time goes by, non-communicable diseases related to lifestyle related diseases

continuous to be the highest cause of morbidity not only in the municipality of Cordon but
also worldwide. Below are the Non-communicable disease cluster—report on PhilPEN
Implementation for 2017.

# 25 y/o and above screened using PhilPEN protocol 2,095

Hypertension diagnosed and managed 1,727
Diabetis Mellitus Diagnosed and managed 192
High Risk Adults (>30% CVD Risk) 162

Communicable disease

The most common communicable disease in the municipality taken into account is
the Pulmonary Tuberculosis cases. Currently, there are 114 PTB cases in the
municipality, one of them is considered to be Multi-drug resistant patients.

Below are the accomplishments under the National TB program 2017.

Health Indicators Target Accomplishment %

TB Detection Rate (90%) 247 114 46%
TB Cure Rate (85%) 44 33 75%
TB Success Rate (90%) 132 112 85%
Environmental Sanitation

Consistently for the past years, the accomplishments under the health and
environmental sanitation is high. Below are the breakdown of the accomplishments per
barangay.

Barangay Projected Target HH with % HH with %

Population household Safe (94%) Sanitary (91%)
Water Toilet
Aguinaldo 945 158 150 94.93% 145 91.77%
Anonang 1759 293 276 94.20% 267 91.13%
Calimaturod 409 68 65 95.58% 62 91.17%
Camarao 975 163 154 94.47% 150 92.02%
Capirpiriwan 3925 654 615 94.04% 608 92.97%
Caquilingan 2708 451 425 94.23% 418 92.68%
Dallao 2195 366 330 90.16% 334 91.25%
Gayong 2407 401 378 94.26% 368 91.77%
Laurel 1153 192 185 96.35% 179 93.22%
Magsaysay 534 89 84 94.38% 86 96.62%
Malapat 2153 359 340 94.71% 337 93.87%
Osmena 1134 189 179 94.70% 184 97.35%
Quezon 958 160 151 94.38% 157 98.125%
Quirino 2250 375 353 94.13% 363 96.80%
Rizaluna 2751 459 432 94.12% 439 95.64%
Roxas 978 163 155 95.09% 159 97.54%
Sagat 1885 314 297 94.59% 295 93.95%
San Juan 696 116 110 94.83% 106 91.38%
Taliktik 1664 277 245 88.84% 246 92.43%
Tanggal 1068 178 168 94.38% 156 92.86%
Taringsing 1506 251 244 96.06% 232 92.43%
Turod Norte 1279 213 204 97.18% 207 97.18%
Turod Sur 3963 661 622 95.77% 633 95.76%
Villamarzo 1960 326 307 94.17% 311 95.39%
Villamiemban 819 137 125 91.24% 125 91.24%
Wigan 2559 427 384 89.93% 389 91.10%
TOTAL 44,633 7,439 6,978 93.80% 6,956 93.51%
IV. Health Needs

1. Health Service Delivery

The RHU down to the Barangay Health Stations around the area is assigned to
render primary health care to the people of Cordon covering a holistic care from womb to
tomb. The RHU, a Philhealth accredited facility is fully functional with its outpatient
department, laboratory services, Family Planning and first aid. Beside the RHU is the
Local Birthing Clinic, also accredited by Philhealth and serves as an operational Basic
Emergency Obstetric and Newborn Care (BEmONC) Facility.

The Barangay Health Stations around Cordon is considered as the grass root level
of primary health care where basic health intervention is given to all clients with health
needs. Currently, there are 23 barangay with a BHS, this excludes Barangay Camarao,
Quezon, and Villamiemban. Last 2016, the Department of Health Regional Office under
the Health Facilities Enhancement Program (HFEP) had two BHS upgraded and
renovated—BHS Caquilingan and Wigan. Below is the breakdown of the BHS needing
renovation. This 2018, there will be three BHS that will be renovated under the HFEP of
the DOH. These BHS are Rizaluna, Malapat and Capirpiriwan.

Barangay Construction or Renovation With own Building

Aguinaldo Renovation and or for upgrading Yes

Anonang Renovation and or for upgrading Yes
Calimaturod Renovation and or for upgrading Yes
Camarao Construction No BHS
Capirpiriwan Renovation and or for upgrading Yes
Caquilingan - Yes
Dallao Renovation and or for upgrading Yes
Gayong Renovation and or for upgrading Yes
Laurel Renovation and or for upgrading Yes
Magsaysay Renovation and or for upgrading Yes
 Malapat Renovation and or for upgrading Yes
Osmeña Renovation and or for upgrading Yes
Quezon Construction No BHS
Quirino Renovation and or for upgrading Yes
Rizaluna Renovation and or for upgrading Yes
Roxas Renovation and or for upgrading No
Sagat Renovation and or for upgrading No
San Juan Renovation and or for upgrading Yes
Taliktik Renovation and or for upgrading Yes
Tanggal Renovation and or for upgrading No separate building
Taringsing Renovation and or for upgrading Yes
Turod Norte Renovation and or for upgrading No separate building
Turod Sur Renovation and or for upgrading Yes
Villamarzo Renovation and or for upgrading Yes
Villamiemban Finishing Yes
Wigan -- Yes

The RHU, Local Birthing Clinic, down to the Barangay Health Stations are manned
by health professionals. The RHU-outpatient department caters an average of 100
patients per day. The Local birthing clinic catered 137 pregnant women last 2017, the
highest catered since it opened.

Considering the low percentage of accomplishments in the different health

indicators for past years, there are many things to be considered and look upon for better
results.

Service Delivery Problems and Gaps

1. Low percentage of accomplishments in the different health programs.

2. Presence of Malnourish Children
3. Procurement of Essential Logistics
4. Absence of an Animal Bite Treatment Center
 5. Increasing number of Teenage Pregnancy- Absence of an adolescent Clinic
6. Construction and Renovation of Barangay Health Stations
7. Increasing number of morbidity under the lifestyle related diseases
8. Sanitation-backyard burial

2. Health Financing

The LGU allocates the budget for the Municipal Health Office for its continuous
function mainly based on the prioritization of programs, offices and the IRA handed down
by the national government. Below is the Programmed Appropriation and Obligation by
Object of Expenditure of the LGU.

Object Expenditure Budget Year Budget Year

(Past Year) (Current Year)

2017 2018

1.0 Current Operating

Expenditure
8,455,515.40 9,225,729.25
1.1 Personal Services
1.2 Maintenance and Other 1,098,000 443,200
Operating Expenses
36,000
1.3 Capital Outlay

TOTAL 9,553,515.40 9,704,929.25

(Source: Municipal Budget)

In the National Objective for Health, the standard allocated budget for health is
15% in the Municipal level. The allocated budget for health is vital for the continuous
operation and conduction of activities of the LGU owned health facility in the area.
Health Financing Problems and Gaps

1. Less than 15% of allocated budget for health in the Municipal level.
2. Large number of families not enrolled to Philhealth

3. Health Regulation

The Municipal Health Office is abided by the standards and norms under the
Department of Health, but there are certain advocacies, problems or issues that needed
intervention by the LGU itself. The LGU respectively made ordinances related to health
as a complement needed in attaining prevention and good health.

Health Related Ordinances listed below:

Ordinance no. 97-18 or the anti-rabies ordinance—this is an act providing for

the control and elimination of human and animal rabies with its prescribed penalties. This
talks about the registration of dogs and its owner, and the immunization of the dogs
against rabies care of the Department of Agriculture

Ordinance no. 2006-04 or the comprehensive solid waste management

ordinance—an ordinance that supplement the provision of existing laws and ordinances
related to solid waste management. Another ordinance regarding waste management is
the Ordinance no.2005-05 which is also known as the Anti-littering Ordinance.

Ordinance no. 2011-06 or the Anti-Smoking Ordinance of Cordon—it is

prohibition of smoking in all public utility and government owned vehicles, public places
and government owned buildings in Cordon provided that it is declared as absolutely
smoke-free areas. This also regulates the sale of cigarettes to minors or children 15 years
old of age and below.

Ordinance no. 2010-05 or the Regulating of the practice of traditional birth

attendants or (“HILOTS”) in the Municipality of Cordon—this is to address the
problems arising from the deaths of mothers and infants during the delivery attended by
Traditional Birth Attendants or “Hilots”.
Health Regulation Problems and Gaps

1. Unsustained promotion and regulation in the health related ordinances

1.1 Rampant smoking out of the designated smoking areas is uncontrolled in
public areas
1.2 Presence of home deliveries
1.3 Improper segregation of waste
1.4 Consistently high number of dog bites
2. Ordinance or presence of a Local Blood Council-ongoing
3. Formulation of Disaster Risk Reduction Management for Health Plan (DRRM-
H)

4. Good Governance

Catering the primary health care of the people starts at the barangay level where
it is closer and accessible to the people. Under the barangay, the flowchart of work
relating to health is situated to the formed barangay health board—the barangay captain
as the chairman, vice chairman is the barangay councilor for health along with the support
of other barangay officials, then to the midwife of nurse down to the barangay nutrition
scholar and barangay health workers. The successful operation of the barangay health
station giving primary care is with the support of the barangay and barangay officials itself.

As the barangay health station establishes in the area, a larger picture is controlled
and supported by the Local Health Board where the Mayor acts as the Chairman and the
Municipal Health Officer as the Vice chairman together with other members and
stakeholders.

In the barangay, it is part of the agenda in the monthly barangay session the health
situation where the primary health care provider discusses the activities,
accomplishments, needs and other matters. In the municipal level, the Local Health Board
discusses or lobbies the problems encountered, activities and other matters. The Local
Health Board must be set every quarter of the year to show updates most especially to
address issues, propose activities and plans for health.
Good Governance Problems and Gaps

1. Evaluation of the barangay health board flowchart and function

2. Unavailability of transportation in the barangay for emergency cases especially in
the far flung areas
3. Lack of needed logistics in complement for the BHS functionality.

5. Human Resource for Health

The Municipal Health Office with its health facilities in the area is manned by both
regular and job order or contractual employees. The vision of the Philippine Health
Agenda under the Duterte Administration is to have one health worker per barangay.
Cordon, with its projected population of 45,212 requires certain numbers of health
workers following the 2016 National Objectives for Health Ratio.

Projected Population= 44,633

Health Personnel 2016 National Objectives Current LGU Needed
for Health Ratio employed Personnel
Physician 1:20,000 1 1
Nurse 1:20,000 5 -
Midwife 1:5,000 11 -
Medical Technologist 1:20,000 1 1
Dentist 1:50,000 1 -

Human Resource for Health Problems and Gaps

1. Lack of plantilla positions for the needed health personnel in compliance to the
2016 National Objectives for Health Ratio.
2. Unstable Status of health personnel—job orders and contractual.
3. Lack of supplementary trainings for the health staff for competency for better
health services.
 4. Compliance to the Magna Carta for health—absence of hazard pay for the health
personnel.
5. Lack of additional positions for BNS and BHW especially to barangays with
diverse areas
6. Low honorarium of BNS and BHW

6. Health Information System

Midwives and Nurses in the area uses the Field Health Services and Information
System (FHSIS) or the Client Target list where all records of different health programs
conducted is written (e.g. prenatal care, post-natal care, expanded program on
immunization etc.). It is essential for the health personnel for their monitoring and
accomplishments. From the midwives and nurses deployed in the barangay, the reports
are consolidated and reviewed to be passed in the provincial health office, and from the
provincial health office to the DOH regional office. Every year, there is a Program
Implementation Review which discusses the consolidated accomplishment of every
barangay and its annual consolidated accomplishments.

Aside from the FHSIS, there is the iClinic System (IclinicSys) where every patients
or clients admitted or rendered primary health care are encoded. The iclinicsys is the
future of the FHSIS where it can generate data comparable to the FHSIS consolidated
accomplishment report. Furthermore, it is the new tool accepted by the Philhealth in giving
off philhealth capitation to the LGU.

Health Information System Problems and Gaps

1. Additional computers for the encoding of data in the iclinicsys.

2. Additional encoder for faster data entering to the iclinicsys.
-the MOA for the implementation of the iclinicsys requires or subject at least two
encoders.

V. Plan Management

Vision and Mission

 Vision

Well planned, healthy and happy families, responsive individuals, empowered

communities guided by the Divine Providence living harmoniously and equitably in a
sustainable environment.

Mission

We are technical and information resource agency working in partnership with

national and local government policy and decision makers, program implementers,
community leaders and civil society.

SWOT Analysis

STRENGTHS
Helpful Local Government Leaders
Empowered personnel
WEAKNESSES
Strong collection of data to identify problems and Unstable status of personnel employment
allow strategic planning
Unsustained program implementation
Ever supportive MHO
Unstable Financial risk Protection
Continous Technical Support from the DOH
Regional Office 02

SWOT
Analysis
OPPORTUNITIES
New and Supportive Local Government Leaders THREATS
Additional HRH from DOH to help facilitate Typhoon and Drougnt
health programs
Geographically Isolated and Disadvantaged Area
Emerging partnerships with different
organizations
Manual to easy access computer reports

Plan Management

Planning is the start of a goal towards achieving the battle cry of the current
administration, “all for health towards health for all, ACHIEVE!”. The Municipal Health
Office will initiate the things that are included in the planned activities. It will be an inter-
agency amongst the different departments of the LGU headed by the Municipal Mayor
Lynn M. Zuniega and of course with the Department of Health Regional Office 02.
Proposed strategies shall be presented at the Local Health Board together with the
different department heads. It won’t be a guarantee to have these activities done or
achieved within the span of 3 years, but step by step, piece by piece it will be
accomplished.

Monitoring and Evaluation

The proposed health plans will be monitored, evaluated and recorded. The focus
group of the local planning will set a specific planning, recording, presentation of data
accomplishment and feedback system. This will serve as a diary that will serve as an eye
opener for more improvements for the future tasks and endeavor.

OUTPUT
•Budget
•Monthlly Accomplishment Reports
•focus group •Quarterly Accomplishment Reports •Better Health Outcomes
•technical support •Annual Program Implementation •Responsive Health System
•department collaboration Review •Equittable Health
•Documented Health Activities Financing
•conduction •Continuous coordination with the
•data gathering different dapartment heads
•reporting •Continous technical support from
the Departent of Health
•feedbacking •Continous support of the LGU
public officals headed by the
IMPACT
Municipal Mayor.
INPUT/PROCESS