PERFORMANCE CHALLENGE FUND

PROJECT PROPOSAL

I. PROJECT PROFILE
Proponent LGU:
Income Class of LGU:
Project Title:
Project Location:
Project Partners:
Total Project Cost
Project Duration
Start Date:
Completion Date:
Possible
Inauguration Date:
Contact Person
Accountable Person with
PCF Subsidy Acceptance
Authority:
Provincial Government of Northern Samar
Second Class Province
Construction/Improvement/Upgrading of Two (2) units Birthing
Facilities in two (2) municipalities
1. Poblacion Silvino Lubos
2. Bgy. Marubay, Laoang
LGUs, and Provincial Engineering Office (PEO)
Php 7,000,000.00
Three (3) months
July 2014
October 2014
November 2014 (within the month)
Engr. Romeo M. Cardenas
Provincial Planning & Development Coordinator (PPDC)
PPDO Center Wing, new Capitol Building, Bgy. Dalakit,
Catarman, Northern Samar
Office Telephone No.: (055)25-18126
E-mailed ad: ermcardenas@yahooo.com
Governor JOSE L. ONG, JR.

II. BACKGROUND/RATIONALE

The preliminary results of the 2013 National Demographic and Health Survey (NDHS)
indicate some improvement in delivery care in the Philippines. In particular, the findings unveil
an increase in facility-based deliveries and in births delivered by health professionals . Among
all births in the 5 years preceding the 2013 NDHS, 60 percent were delivered in a health facility.
This is higher than the figure reported in the 2008 NDHS, which is 44 percent. Moreover, the
percentage of births delivered by a health professional increased from 62 percent in 2008 to 73
percent in 2013. There is still a need to further improve and strengthen the implementation of
the “National Safe Motherhood Program” by Department of Health in order to achieve the
Millennium Development Goal target by 2015 at 100 percent.

Based from the 2010 reports of the Provincial Health Office (PHO), a total of 12,271
registered live births were reported from 24 health facilities in the province indicating a crude
birth rate of 2% per 1,000 population. Male outlive females at 7.06%.

The deliveries by professional health workers (doctors, nurses, and midwives) represent
6,491 or 50.50%, while 49.50% deliveries were from traditional births attendants and others.
This shows that until now deliveries by unskilled health workers and traditional birth attendant’s
trained and untrained Hilot (TBAs) are still common for many mothers especially in far flung
areas and due to the distant location of health centers or hospitals from their residence and also
their services are much cheaper than the professional health workers. About 10,042 or 78% of
total live births were home deliveries, 737 or 5.73% were delivered at BemONC and 2,027 or
16% were delivered at hospitals.

A total of 9 mothers died and 12 municipalities have incidence of maternal mortality

while the remaining 12 municipalities do not have record of maternal mortality incidence. The
leading causes of maternal mortality per 1,000 live births in the province are post partum
hemorrhage, placenta retention, eclampsia and complicated pregnancy. These account for the
great proportion of maternal deaths as a result of delayed referral to the appropriate health
facility especially in hard-to-reach areas wherein deliveries are initially handled by the trained
Hilots
 There were 113 infants who died due to pneumonia, sepsis, severe dehydration, pre-
mortality, heart disease, fetal distress syndrome, acute meningitis and severe malnutrition which
are the top 10 leading causes of infant death in the province. This is due to delayed consultation
brought about by poverty. No available medicine at the BHS level and other health facilities is
also another contributory factor.

The Department of Health (DOH) issued an advisory on the guidelines on the role of
traditional birth attendants (TBA) on the Safe Motherhood and Women’s Health Program which
clearly defines the skilled birth attendants to include the physicians, nurses and midwives only.
The guidelines define the role of the TBA in terms of supportive care during pre-natal, pre-natal
and post-partum of the mother such as: a) assist in the formulation of birth plan for pregnant
mothers; b) guide/identify/locate/report all pregnant mothers to RHU; c) act as a companion in
the birthing clinic/hospital during labor and delivery of the mother; d) assist the midwife during
labor watch; e) assist mothers to initiate breastfeeding 30 minutes to one hour after delivery;
and f) to report to the midwife any untoward post-partum complication.

The World Health Organization (WHO) has strictly referred Trained Birth Attendant as
traditional, independent of health system, non-formally trained and community- based providers
of care. With this development, it is now a general policy of DOH to disallow home-deliveries
and requires all deliveries to be undertaken inside the birthing clinic established in the Rural
Health Units (RHUs).

Construction/improvement/upgrading of the Basic Emergency Obstetric and Newborn

Care (BEmONC) / Birthing Facility and related maternal care facilities would enhance capability
of the Rural Health Unit/Barangay Health Station to admit and provide services to expectant
mothers days or hours prior to their expected date of confinement. It would provide an area
where facility-based deliveries are attended by skilled birth attendants and thereby reduce
maternal and neonatal mortality, included in the targets of the UN Millennium Development
Goals. The construction and enhancement of the facility would also enable women, men, and
adolescents to receive health education in relation to responsible parenthood, maternal care,
family planning, and the prevention of sexually transmitted diseases.

The Birthing Facility projects will provide the local residents with constant convenient
access to safe maternal and child health care that will greatly enhance the general health
condition and well-being of every household in the respective locality. The project will ensure
and contribute to a more effective and efficient delivery of health services to the people specially
by that of woman and children. It will enhance the capabilities of existing health facilities by
bringing its services closer to the people even those that are living in the remote areas in every
barangay and most importantly making available quality maternal and child health services even
in areas where a basic health structure is not available. The project will contribute to the
attainment of the development agenda of the provincial government - Community-Based Eco-
tourism, Health and other Services, Agri-Business Development, Natural Environment
Protection and Management, Transformational Good Governance, Education, Economic
Development and Employment Generation (CHANGE)”.

III. PROJECT DESCRIPTION:

PGNS intends to utilize the P7.0 Million PCF for the Construction/Repair/
Improvement/Upgrading of two (2) Birthing Facilities;
1) a two-storey Birthing Facility in Marubay, Laoang costing P3,000,000.00, and
2) repair/improvement/upgrading of RHU Birthing Facility in Poblacion Silvino Lubos in
the amount of P4,000,000.00

IV. PROJECT COMPONENTS AND IMPLEMENTATION SCHEDULE

Based from the Provincial Engineer’s Office (PEO’s) Design and Program of Work, the
components of a birthing facilities are:

1. Construction of Birthing Facility at Barangay Marubay, Laoang

a. Clearing & Grubbing
 b. Excavation & Backfill
c. Embankment
d. Concrete works
e. Masonry Works
f. Doors & Windows
g. Roofing & Roof Framing
h. Ceiling Works
i. Plumbing & Sanitary works
j. Tile works
k. Septic Vault
l. Placenta Pit & Sharp Vault
m. Railings
n. Electrical Works

2. Construction/Repair/ Improvement/ Upgrading of RHU -Birthing Facility at Silvino Lubos

2.1 Repair/improvement/upgrading
a. Demolition
b. Embankment
c. Carpentry Works
d. Masonry Works
e. Concrete Works
f. Tile Works
g. Doors and windows
h. Electrical Works
i. Painting Works

2.2 Construction of Family Planning Room & Staff House

a. Excavation & Backfill
b. Embankment
c. Concrete Works
d. Masonry Works
e. Cement Plaster Finish
f. Carpentry Works
g. Doors and Windows
h. Plumbing works
i. Septic vault
j. Electrical Works

Below are the summary of the implementation schedule of the project. The project
implementation activities will start in the first week of the month of July 2014 until October
2014. There would be a simultaneous implementation of project in two areas. Project
monitoring will be done every month. The project will ends with the turn-over or inauguration of
the birthing facilities. This will be done by November 2014.

Summary of Project Activities Implementation

a) Construction of Birthing Facility at Bgy. Marubay, Laoang

ACTIVITIES
2014
J F M A M J J A S O N D
1 Project Implementation
CLEARING & GRUBBING
EXCAVATION & BACKFILL
EMBANKMENT
CONCRETE WORKS
 MASONRY WORKS
DOORS AND WINDOWS
ROOFING AND ROOF FRAMING
CEILING WORKS
PLUMBING AND SANITARY
WORKS
TILEWORKS
SEPTIC VAULT
PLACENTA PIT w/SHARP VAULT
RAILINGS
ELECTRICAL WORKS
2 Project Monitoring
3 Project Evaluation
4 Project Inauguration

b) Construction/Repair/Improvement/Upgrading of RHU Birthing Facility at Silvino

ACTIVITIES
2014
J F M A M J J A S O N D
1 Project Implementation
A.REPAIR/IMPROVEMENT OF
RHU(BIRTHING FACILITY)
DEMOLITION
EMBANKMENT
CARPENTRY WORKS
MASONRY WORKS
CONCRETE WORKS
TILE WORKS
DOOR AND WINDOWS
ELECTRICAL WORKS
PAINTING WORKS
B.CONSTRUCTION OF FAMILY
PLANNING ROOM & STAFF
HOUSE
Excavation and Backfill
Embankment
Concrete Works
Masonry Works
Cement Plaster Finish
Carpentry Works
Doors and Windows
Plumbing Works
Septic Vault (1.10m x 3.0m)
Electrical Works
2 Project Monitoring
3 Project Evaluation
4 Project Inauguration
V. WORK AND FINANCIAL PLAN/PROJECT IMPLEMENTATION PLAN

Below are the summary of Program of Work (Please refer to Annex B for the
Program of Work and detailed cost estimates)

a) Construction of Birthing Facility at Barangay Marubay, Laoang

Item Scope of Work Unit Quantity Amount

No.
I. Clearing & Grubbing Sq.m. 247.5 3,684.41
II. Excavation & Backfill Cu.m. 138.06 20,670.14
III. Embankment Cu.m. 20.71 26,904.33
IV. Concrete works Cu.m. 48.24 1,232,529.12
V. Masonry Works Sq.m. 242.05 345,644.52
VI. Doors & Windows Lot 1 499,728.56
VII. Roofing & Roof Framing Sq.m. 141.17 320,384.92
VIII. Ceiling Works Sq.m. 134.85 72,782.89
IX. Plumbing & Sanitary works Lot 1 79,777.06
X. Tile works Sq.m. 151.28 127,126.82
XI. Septic Vault Lot 1 58,390.63
XII. Placenta Pit & Sharp Vault Lot 1 51,390.63
XIII. Railings Lot 1 25,709.51
XIV. Electrical Works Lot 1 113,186.05
TOTAL ESTIMATED SUB-PROJECT 2,978,426.35
CONTRACT COST
SUB-PROJECT MANAGEMENT COST 21,573.65
TOTAL ESTIMATED SUB-PROJECT P 3,000,000.00
COST
b) Const./Repair/ Improvement/ Upgrading of RHU (Birthing Facility) at Silvino Lubos

Item Scope of Work Unit Quantity Amount

No.
Repair/ Improvement/Upgrading of
A. Birthing Facility
I. Demolition Sq.m. 137.14 6,388.09
II. Embankment Cu.m. 5.35 8,497.09
III. Carpentry Works Sq.m. 50.60 97,363.55
IV. Masonry Works Sq.m. 34.64 95,358.41
V. Concrete Works Cu.m. 10.00 158,405.72
VI. Tile Works Sq.m. 130.00 201,861.41
VII. Doors and Windows Sets 21.00 328,444.01
VIII. Electrical Works LS 1 89,730.55
IX. Painting Works Sq.m. 1150 89,289.47
Sub-total Cost 1,075,388.30
B. Construction of Family Planning
room & Staff House
I. Excavation & Backfill Cu.m. 98.43 16,155.01
II. Embankment Cu.m. 3.35 3,632.76
III. Concrete Works Cu.m. 22.73 1,119,499.52
IV. Masonry Works Sq.m. 148.74 540,039.90
V. Cement Plaster Finish Sq.m. 175.34 37,030.83
VI. Carpentry Works Sq.m. 13.25 839,625.56
VII. Doors and Windows Sets 11 152,340.52
VIII. Plumbing Works LS 63,587.30
IX. Septic Vault unit 1 110,631.86
X. Electrical Works LS 41,992.11
SUB-TOTAL COST 2,924,535.37

TOTAL ESTIMATED SUB-PROJECT 3,999,873.66

CONTRACT COST
SUB-PROJECT PROJECT 126.34
MANAGEMENT COST
TOTAL ESTIMATED SUB-PROJECT 4,000,000.00
COST
TOTAL ESTIMATED PROJECT COST P 7,000,000.00
VI. PROJECT MANAGEMENT

The project will be implemented by the Provincial Government of Northern Samar

(PGNS) through the Provincial Engineering Office (PEO). The said project will undergo the
usual public bidding of the local government unit. The winning contractor will deliver the project
output/results i accordance of the detailed engineering plan prepared by the PEO. The
contractor will ensure the implementation of the said project by strictly following the standard
specification, the Individual Program of Work, architectural, engineering and construction lay-
out.
The LGU PCF Project Implementation team will be created to ensure that activities for
the delivery of the expected outputs are efficiently and effectively implemented. The team will
oversee the project implementation and will be composed of the representative coming from the
following departments;
1. Provincial Governor’s Office
2. Provincial Engineering Office
3. Department of Interior and Local Government
4. Provincial Planning and Development Office
5. Provincial Budget Office
6. Provincial Health Office

Other agencies maybe added as member of the said PCF team as needed.
The PCF Team shall be responsible for the reporting of the project’s update and provide
feedback to the Executive Committee (EXECOM) which shall subsequently update and provide
feedback to the Governor. A third party monitoring team from the civil society will be engaged to
conduct M & E at all stages of the project implementation. Any problem or concern encountered
in the course of project implementation will be reported by the said team to the Provincial Health
Board.
The Provincial Government through the Provincial Engineering Office will oversee the
implementation of the project. The Provincial Health Board, with the Governor as the Chairman,
will be the governing and decision-making body of the project.

VII. PROJECT SUSTAINABILITY

The completed project will be turned-over to the Local Government Units (LGUs). The
respective LGUs will be responsible of the maintenance of the said birthing facilities. The said
LGUs shall include in its yearly budget the care and maintenance of the said facilities as well as
provision of complete equipment/instruments and a well-trained health care
providers to efficiently run the facility.

VIII. PROJECT OUTPUT/OUTCOME

Two (2) birthing facilities will be constructed/improved/upgraded in Silvino Lubos Rural

Health Unit (RHUs) and Barangay Marubay Health Stations with recovery room, toilets for men
and women and Person’s with Disabilities (PWDs) and with family planning room and staff
house.

IX. RISK MANAGEMENT

One of the major risk on the implementation of said project is that it may cause some
increase in cost, disruption of schedule, or degradation of performance. Special action and
management attention may be required to control acceptable risk. Attached is the project
management risk plan (Annex A) to respond for this risk.

Another project risk is the unpredictable weather condition that may disrupt the
construction of birthing facilities. To address the said problem, the PGNS-PEO will instruct the
winning contractor to abide strictly to the allotted number of calendar days to complete the
project.
Prepared by: Reviewed by:

LILIA B. VARELA ROMEO M. CARDENAS

Project Development Officer IV Prov. Planning & Dev. Coordinator

Endorsed by:

JOSE L. ONG, JR.

Governor