SECTORAL PLANNING

A. Assessment of Existing Situation

A.1 Data Requirements

Data Requirements Source

a. Demographic Data NSO/Demographic Sector

1. Population by barangay Demographic Sector
2. Projected population of the planning
period

b. Health Status
1. Livebirths by sex and by barangay Local Civil Register
2. Fertility, Mortality, and Morbidity Rates To be computed
3. Deaths in age group 50 years and over in Municipal Health Office/ Local Civil
calendar year. Registrar/ Primary Survey

4. Number of deaths, all causes in calendar -do-

year

5. Number of deaths, less than one year of -do-

age in calendar year; number of live births
in the same year.

6. Deaths all causes, 1-4 years of age in -do-

calendar year; population.

7. Deaths in a calendar year among in Deaths in a calendar year among women in

pregnancy, labor and puerperium. pregnancy, labor

8. ten leading causes of mortality and Local Civil Register

morbidity (as reflected by the recorded
consultation and hospitalization)over the
past three (3) years to five (5) years.

9. Epidemic Occurance the last five (5) Deaths in a calendar year among women in
years. pregnancy, labor
Local Civil Register
10. Number of Malnourished children by -do-
barangay and by degree of
malnourishment.
c. Health Resources

1. Number and location, areas served, Municipal Health Office/ Primary Survey
personnel composition and services offered
in all medical/health facilities in the
municipality including Rural Health Units,
Puericulture Center and Hospital.

2. Number of hospital beds in calendar year -do-

3. Number of physicians, nurses, midwives, Interview with an authority e.g. Municipal
sanitary inspector, dentist, vaccinators in Health Officer
the municipality.

4. Health Programs (National Government, LGU’s/ Primary survey/NSO

Local Government People’s Organization,
Non-Government Organizations.)

4.1 Type of Programs, Frequency,

beneficiaries
4.2 Financial Resources

e. Solid Waste Disposal

1. GarbageDisposal System in the

city/municipality

a. Management personnel
b. Disposal Equipment/Facilities
- Number and capacity of trucks
- frequency of collection
- general condition of trucks
- location of motorpool
c. existing garbage disposal practices
within the city/municipality
d. description of the existing solid waste
disposal method, dite and operations.
LGU’s/ Primary survey
f. Industrial Waste Disposal

1. Number and Types of industrial

establishments by industry
classification according to degree of
hazards and pollution.
2. methods of waste disposal
3. disposal sites
g. Sanitary toilet Facilities LGU’s/NSO

h. Hospital Waste Disposal LGU’s/Primary Survey

1. Kind of Hospital
2. Methods of waste disposal

i. Cemeteries and Burial Grounds LGU’s/DOH

1. crude death rate of the

city/municipality
2. number, location, and area
cemeteries
3. slope or elevation of lands where
the cemeteries are located
4. distance from any dwelling unit
5. distance from any source of water
supply
6. susceptibility of the are to flooding
and other problems

A.2 Data Gathering

1. Field Surveys/ Questionnaires/Direct Interview

2. Complied/Published Document/Report

A.3 General Health Indicators

a. Fertility Indicacies

A.1 Crude Birth Rate (CBR)

Crude Birth Rate is the ratio between numbers of live births and number of
individuals in a specified population and period of time often expressed as number
of live births per (1) thousand population in a given year.

CBR = Number of Live Births x 1000

Total Population
 b. Morbidity Indicators

General medical consultations rates and hospitalization rates are employed to reflect
the morbidity situation.

b.1 GMCR- general medical consultation rte is the number of general consultation
in a calendar year per 1,000 populations.

GMCR= nos. of general medical consultation in a calendar year x 1000

Population in a calendar year

b.2 Hospitalization Rate

Hospitalization rate is the number of hospitalization in a calendar year per 1,000

populations.

HR.= Nos. of hospitalization in a calendar year x 1000

Population in a calendar year
c. Mortality Indicators

Mortality indicators will include the crude death rate and the proportional
mortality ratio of age fifty (50) years and over, current infant mortality, young child
mortality (1-4 years) and maternal mortality.

c.1 Swarrop-Uemura index or proportional Mortality Ratio (PMR) Age fifty

and over.

This is the death in age fifty (50) years and over in a calendar year per one
thousand (1,000) death all causes, all ages in the same year.

PMR= Death in age group 50 years and over calendar year x 1000
Death all causes, all ages same year

c.2 Crude Death

It is the number of deaths per one thousand (1,000) mid-year population of

a given area. Data on the number of deaths are generated through the vital
registration system although this is adjusted under registration.

CDR= Number of death all causes in a calendar year x 1000

Population in a calendar year
 c.3 Infant Mortality Rate (IMR)

Infant mortality ration is the number of deaths to infant under one year (1)
of age one thousand live births in a given year or it is the risk of a child dying before his
first birth or during infancy.

IMR= Number of death less than one year of age in a calendar year x 1000
Number of Live Births in Same Year

c.4 Young Child Mortality (YCM)

This is the number of death all causes aged one (1) to four (4) in a
calendar year per one thousand (1,000) population

YCM= Death all causes 1-4 years of age in a calendar year x 1000
Population of age group 1-4

c.5 Maternal Mortality Rate (MMR)

This is the number of woman who dies as a result of child bearing in a given year
per one thousand (1,000) births in that year. Maternal deaths are those caused by
complications of pregnancy and child birth.

MMR= Deaths in calendar Year among Women in pregnancy labor & puerperium x1000
Number of Live Births in Same Year

A.3.2 Cause of Malnutrition

State the 10 causes of morbidity and mortality of the year for the last 5 years.

A.3.3 Epidemic Occurrences for the last 5 years

A.3.4 Rate of Malnutrition

A.3.5 Health Resources, Facilities, and Services

A.3.6 Waste Disposal

• Solid Waste Disposal

o Pick-up Garbage Trucks
o Dumping in individual Pit
o Burning
o Compositing
o Burying
o Feeding to Animals
o Others (Thrown in esteros, vacant Lot, Rivers, Etc)

• Industrial Wastes
o Determine Which of the existing industries are hazardous and
pollutive (Based on Inventory Conducted)
o Determine if anti-pollution devices are used by these industries.
o From DENR-Reports the degree of pollution problem created by
these industries.

• Sanitary Toilet Facilities

o Water Sealed, Sewer/Septic Tank- House Hold
o Water Sealed, Sewer/Septic Tank- Share With other House Hold
o Water Sealed, Other Depository- House Hold
o Water Sealed, Other Depository- Share With other House Hold
o Close Pit- without a water-sealed bowl and the depository is
constructed with a large circular tubes made of concrete or clay.
o Open Pit – Same as Closed pit without coverings.
o Others (pail System, etc.)
o None- House hold without toilet facilities.

• Hospital Wastes
o Determine the methods used by the hospitals in disposing their
wastes.
o Determine which the hospitals do not practice proper sanitary
waste disposal.

• Cemeteries and Burial Grounds

o Existing Condition of these cemeteries or burial grounds through
(Location (Barangay), Number, Area (hectares), Number of
burials, Type (Gov’t/Private))
o Evaluate if they conform to the existing rules and regulations, such
as the sanitation code, water code, and guide lines covering
memorial parks.
o Determine the capacity of each burial ground
 o Reflect these existing burial grounds/cemeteries on the municipal
map.
B. Determination of problems and development needs

b.1 Man Power Requirements (MPR)

MPR correlate with the adequacy of health service rendered based on health
status. Assess manpower requirement vis-a’-vis Rural Health Unit (RHU) personnel.

b.1.1 Man power Determination

o For out patient care

No. of Man power = no. of man-hours required

Available professional time in hours

Man-hour required for = (no. of cases) x (Frequency of visit ) x (duration in min.)

Out patient 60 minutes/hour

Professional time available = (272 days) x (no. of available professional time)

Professional Time available for:

Municipal Health officer = 4 hours for direct patient care and 4 hours
for administrative/auxiliary time

Public Health Nurse (PHN) = 5 hours for direct patient care and 3 hours
for administrative/auxiliary

Rural Health Midwife (RHM) = 6 hours for direct patient care and 2
hours for administrative/auxiliary

Rural Sanitary Inspector (RSI)= 6 hours for direct patient care and 2
hours for administrative/auxiliary

Vaccinator = 7 hours for direct patient care and 1 hours for

administrative/auxiliary

Dentist = 5 hours for direct patient care and 3 hours for

administrative/auxiliary
b.1.2 For Rural Health Units (RHU’s)

This is computed based on staffing pattern of rural health units as required by law.
There are 8 RHU categories considered depending on the population bracket. 1.
Municipal Health Officer (MHO) – later designated as a rural health physician, 2. Public
health Nurse (PHN), 3. Rural Health Midwife (RHM), 4. Rural Sanitary Inspector (RSI),
Etc.

o One Municipal Health Officer (MHO) per 20,000 population

o One health Nurse (PHN) per 20,000 population
o One Rural Health Midwife (RHM) per 20,000 population
o One. Rural Sanitary Inspector (RSI) per 5,000 population

C. Services/facilities Requirement

c.1 the required bed days are converted into bed requirements. 1. Assumption that
patients suffering from acute communicable disease would need an average of 7 days. 2.
with chronic degenerative diseases would need an average of 15 days.

c.2 a bed population ration of one is to two thousand (1:2000)

Suggested Bed Requirements by facility type

o Municipal Hospital = 6 -24 beds

o Provincial Hospital = 100-199 beds
o Regional Hospital = 200- 299 beds
o Medical Centers = 300 and over.