REGIONAL HEALTH RESEARCH AGENDA FOR

THE CORDILLERA ADMINISTRATIVE REGION (CAR)

ELIZABETH FE-DACANAY, M.D., FCAP, FPSP

Dean, Saint Louis University College of Medicine
Regional Facilitator for CAR
 FOREWORD

The Regional Consultation Workshop for Setting the Regional Health Research
Agenda was held last October 27, 2005 at the Golden Pine Hotel, Legarda Road, Baguio
City, from 8:00 a.m. to 4:00 p.m. The objective of the workshop was to formulate a health
research agenda based on priority areas, which would involve the participation of concerned
stakeholders at the provincial and regional levels.

The workshop was sponsored by the Department of Science and Technology

(DOST) -- Philippine Council for Health Research and Development (PCHRD), and the
Saint Louis University (SLU) College of Medicine. Dr. Elizabeth Fe-Dacanay, Dean of the
SLU College of Medicine was designated by the PCHRD as Regional Facilitator for this
project, as an offshoot of the college’s active involvement in the Research Twinning Project
for the past five years.

The participants in the workshop comprised a multi-sectoral group representing

various government and non-government agencies in the region i.e. Department of Health –
CAR, Baguio Health Department, Provincial Health Offices, DOST, CHED, PhilHealth,
Department of Agriculture, DILG, Population Commission, NEDA, DSWD, DOLE, Cordillera
Coalition Against TB (CORCAT), Community Health Education Services Training in the
Cordillera Region (CHESTCORE), and the Cordillera Women’s Education and Resource
Center.

The program of the said activity is shown on the next two pages, followed by a list of
the participants in the workshop.

2
 ACKNOWLEDGMENT

The Regional Facilitator would like to express her gratitude to the following:

The Department of Science and Technology (DOST) -- Philippine Council for Health
Research And Development (PCHRD) through:

Dr. Jaime C. Montoya, Executive Director;

Dr. Allan Fernail, Chief, Research Management Development Program;

Ms. Teresita O. Laguimun, Officer-in-Charge, Human Resources and Institution
Development Division;

Mrs. Angelina M. Aquino, Administrative Assistant, Office of the Executive Director;

Director Leonardo N. Quitos, Jr., Zonal Convenor; Faculty and Staff of the Saint
Louis University College of Medicine, Baguio City;

Workshop participants from the various government and private sectors;

And to all those who, in one way or another, contributed to the formulation of our
regional research agenda.

3
 Table of Contents

I. Overview of the Health Situation / Current 5

Health Problems

II. Methodology / Process for Arriving at 16

Priorities and Criteria Used

III. Health Research Priorities Following the 17

Standard Matrix

IV. Report on the Focus Group Discussion 19

V. Annexes 23

4
 OVERVIEW OF THE HEALTH SITUATION / CURRENT HEALTH PROBLEMS

At the start of the workshop, Dr. Julius Alcala (Medial Specialist II) and Dr. Elvira
Belingon (Medical Specialist II) of the Department of Health – Cordillera Administrative
Region (DOH-CAR) presented an overview of the Regional Health Situation in terms of the
following:

- Vital Health Indices (based on the FHSIS)

- National Demographic Health Survey Results for 2003

Maternal Health

Child Health
- Health Expenditures and PhilHealth Coverage
-
According to Drs. Alcala and Belingon, the health status of the region is improving,
but at a slower rate than desired. They pointed out the following factors contributing to the
state of the region’s health: double burden of disease, threat from emerging and resurgent
diseases, large variation in health status across population groups, income classes, and
geographic areas, and the decentralized health delivery system. An open forum followed
their presentation where the participants clarified several issues on health such as
immunization of children and antenatal care for women.

The details of the presentation are depicted in the attached PowerPoint slides.
(Please see attachment: “health situation CAR”)

To set the stage for the workshop, Ms. Teresita O. Laguimun, Officer-in-Charge of
the Human Resources and Institution Development Division of the PCHRD, spoke on “The
Philippine National Health System: Creating Synergies.” In her talk, she focused on the task
at hand which was to set regional research priorities with the goal of developing and
strengthening regional research and development capacities.

The details of Ms. Laguimun’s presentation are also attached. (Please see
attachment: “overview of agenda setting”)

Outline of Presentation
• Vital Health Indices
- Based on the FHSIS

• National Demographic Health Survey Results (CY 2003)

- Maternal Health
- Child Health

• Health Expenditures & PhilHealth

State of the Region’s Health

• Health status is improving but at a slower rate than desired
• Double burden of disease
• Threat from emerging and resurgent diseases
• Large variation in health status across population groups, income classes and
geographic areas
• Decentralized health care delivery system

5
 Population Distribution

Cordillera Administrative Region 2004

PROVINCE/ NUMBER PERCENTAGE
CITY DISTRIBUTION
Abra 220,251 15.0
Apayao 107,883 7.4
Benguet 341,768 23.3
Ifugao 167,719 11.4
Kalinga 191,416 13.0
Mt. Province 151,301 10.3
Baguio City 286,942 19.6
CAR 1,467,280 100.0

Annual Growth Rate

Province/City 1990-2000 1995-2000
Abra 1.26 1.44
Apayao 2.66 3.25
Benguet .87 1.09
Ifugao .93 1.67
Kalinga 2.41 2.63
Mountain 1.88 1.54
Baguio City 3.26 2.31
CAR 1.76 1.82

VITAL HEALTH INDICES, CAR, 2000-2004

Indices 2000 2001 2002 2003 2004

CBR* 22.78 21.88 22.80 22.46 22.15
CDR* 3.76 3.91 4.13 4.11 4.11
IMR*** 12.25 11.11 10.25 9.48 10.74
MMR*** 1.09 0.89 0.68 0.68 0.80
** Per 1,000 population ***Per 1,000 livebirths

6
 LEADING CAUSES OF MORTALITY, 2002 TO 2004

2002 2003 2004

1.Cardiovascular Diseases 1.Cardiovascular Diseases 1.Cardiovascular Diseases

2.Pneumonias 2.Pneumonias 2.Pneumonias

3. Cancer, all forms 3. Cancer, all forms 3. Cancer, all forms

4. Accidents 4. Accidents 4. Accidents

5. Peptic Ulcer Disease 5. TB, all forms 5. TB, all forms

LEADING CAUSES OF MORBIDITY, 2002 TO 2004

2002 2003 2004

1. Pneumonias 1. Bronchitis 1. Acute Respiratory

Infection

2. Influenza 2. Acute Respiratory 2. Bronchitis

Infection
3. Bronchitis 3. Pneumonia 3. Pneumonias

4. Other Respiratory 4. Influenza 4. Influenza

Infections
5. Diarrheas 5. Diarrheas 5. Diarrheas

7
LEADING CAUSES OF MORBIDITY
Number and Rate per 100,000 Population
CAR, 2004

5YR AVE. 2004

CAUSES
# RATE # RATE

ACUTE RESP IRATORY INFECTION 23,346 1,671.06 61,152 4,167.71

BRONCHITIS 31,752 2,272.75 34,845 2,374.80

P NEUMONIA 25,909 1,854.52 30,663 2,089.79

INFLUENZA 19,255 1,378.24 22,188 1,512.19

DIARRHEAS 25,172 1,801.77 17,592 1,198.95

HYP ERTENSION 14,284 1,022.42 15,451 1,053.04

ACUTE TONSILLOPHARYNGITIS 4,314 308.79 8,056 549.04

PARASITISM 2,940 210.44 7,257 494.59

ASTHMA 3,179 227.55 6,718 457.85

W OUNDS 2,639 188.89 5,932 404.29

LEADING CAUSES OF MORTALITY

Number and Rate per 100,000 Population
CAR, 5-Year Average (1999-2003) and 2004

5-Year Average 2 004

CAUSES
# rate # rate
CARDIOVASCULAR DISEASES 1,372 99.91 1,562 108.35

PNEUMONIA 896 65.25 896 62.15

CANCER (ALL FORMS) 544 39.60 571 39.61

ACCIDENTS 328 23.86 264 18.31

TB, ALL FORMS 220 16.03 162 11.24

HOMICIDE* 106 7.73 158 10.96

PEPTIC ULCER DISEASE 181 13.17 152 10.54

DIABETES MELLITUS 69 5.00 131 9.09

KIDNEY DISEASE 112 8.17 93 6.45

SENILITY 103 7.49 93 6.45

Source: FHSIS *4-Year Average

8
LEADING CAUSES OF INFANT MORTALITY
Number and Rate per 1,000 Livebirths
CAR, 5-Year Average (1999-2003) and 2004

CAUSES NUMBER RATE

Pneumonias 83 2.55
Prematurity 63 1.94
Sepsis 27 .83
Asphyxia 21 .65
Diseases of the Heart 17 .52
Sudden Infant Death Syndrome 14 .43
Diarrheas 8 .25
Unknown 8 .25
Hydrocephalus 6 .18
Congenital Anomalies 5 .15

Source: FHSIS

CAUSES OF MATERNAL MORTALITY

Number and Rate per 1,000 Livebirths
CAR, 5-Year Average (1999-2003) and 2004

CAUSES NUMBER RATE

Postpartum Hemorrhage 4 .12

Abruptio placenta 3 .09

Unknown 3 .09

Retained placenta 2 .06

Sepsis secondary to postpartum trauma 2 .06

Uterine Atony 2 .06

Dystocia 2 .06

Source: FHSIS

9
MATERNAL MORTALITY BY PROVINCE/ CITY/,
CAR, 2004

Province/ Rate per Province/ Rate per

City/ Number 1,000 City/ Number 1,000
Municipality livebirths Municipality livebirths

ABRA 2 0.54 IFUGAO 1 0.26

Luba 1 Asipulo 1

Manabo 1 KALINGA 6 1.58

APAYAO 3 1.44 Pinukpuk 1

Flora 1 Tabuk 4
Tanudan 1
Kabugao 1
MT. 1 0.33
Luna 1
PROVINCE
BENGUET 7 1.01
Natonin 1
Bakun 1 BAGUIO 2 0.21
Kibungan 1 CITY
La Trinidad 3 Baguio City 1
Tublay 2 Transient 1

FULLY IMMUNIZED CHILDREN, CAR, 2004

No. of Fully
Elig. Pop. Percent
Province/City Immunized
TP x 3% FIC
Children
Abra 6,608 5,333 81
Apayao 3,236 2,423 75
Benguet 10,253 8,024 78
Ifugao 5,032 4,240 84
Kalinga 5,742 4,312 66
Mt. Province 4,539 3,067 65
Baguio City 8,608 7,530 45
CAR 44,018 34,929 79

10
 Three Most Nutritionally Depressed Municipalities in CAR
(Based on combined Severe and Moderate Underweight
Children 0-5 years old)

ABRA (8.5%) IFUGAO (2.3%)

Malibcong 24.7% Asipulo 4.4%
San Juan 18.4% Hungduan 3.9%
Bucloc 16.1% Aguinaldo 2.8%
APAYAO (7.2%) KALINGA (4.6%)
Calanasan 16.4% Tabuk 8.8%
Flora 13.5% Tanudan 6.6%
Santa Marcela 7.16% Pasil 6.4%
BENGUET (1.5%) MT. PROVINCE (2.3%)
Atok 3.2% Paracelis 5.8%
Itogon 3.1% Natonin 3.4%
Bakun 2.8% Barlig 3.2%

BAGUIO CITY (0.4%) Pacdal 0.9% Loakan 0.8% Lucban 0.4%

Source: Operation Timbang Results 2002, National Nutrition Council-CAR

ENVIRONMENTAL HEALTH REPORT, CAR, 2004

% of HHs with % of HHs with

% of HHs with % of
Satisfactory Complete Basic
Province/City Access to Safe HHs with
Garbage Sanitation
Water Sanitary Toilets
Disposal Facilities
Abra 96.0 78.3 59.9 60.6
Apayao 76.2 80.2 67.4 63.2
Benguet 95.0 72.8 53.1 48.9
Ifugao 86.3 61.0 46.5 40.8
Kalinga 88.9 51.2 45.3 29.5
Mt. Province 98.0 70.5 39.4 36.6
Baguio City 98.9 98.3 97.5 97.5
CAR 93.2 75.2 60.9 57.0

11
CAR has the lowest infant mortality among regions

42.7
38.4
36.0
30.0
23.0

14.0

R
R
il

A
B

AR ga
R1
R2
R3

R5
R6
R7
R8
R9

0
1
Ca 12

M
Ph

NC
CA

R1
R1
R4
R4

M
R
ra
Philippines CAR
1993* NDS 1998* NDHS 2003 NDHS

Fully Immunized Children in CAR declined

consistently.
Fully Immunized Children, Philippines vs. CAR 1993-2003
Percent of Children
12-23 months old 85.5
72.8 75.9
71.5 69.8 67.4

Philippines CAR

1993* NDS 1998* NDHS 2003 NDHS

1993, 1998, 2003 P hilippine Na tiona l De mogra phic a nd Hea lth S urvey (NS O, OR C
Ma cro)

12
 Children in CAR were treated more with recommended home
fluids (RHF). Oral Rehydration Salts (ORS) packets were given to
children in the national level.

Among children who had diarrhea in 2 weeks prior to survey, percentage who
received oral rehydration therapy (ORT), Philippines vs. CAR: 2003

Percent 42.2

25.3 26.4
23.5

2.3 1.8

Philippines CAR

ORS Packets RHF Increased Fluids

2003 P hilippine Na tiona l De mog ra phic a nd Hea lth S urvey (NS O, OR C Ma cro)

Less than a percent increase is seen in CAR for children

who received Vitamin A supplements while the national
level increased by five percent.
Percentage of children under 3 who received Vitamin A
supplements prior to survey,
Philippines vs. CAR: 1998-2003
76.0
74.9
74.0

70.6

Philippines CAR

1998 NDHS 2003 NDHS

1998, 2003 P hilippine Na tiona l De mogra phic a nd He a lth S urve y (NS O, OR C Ma cro)

13
 A decrease is seen for women in CAR who consulted a
health professional for antenatal care from 1993 to1998
but increased in 2003.
Percent of women with Antenatal Care
(ANC) from a Health Professional,
Philippines vs. CAR: 1993-2003
Percent 87.7
87.6

85.7 86.0
84.6
83.1

Philippines CAR

1993* NDS 1998* NDHS 2003 NDHS

1998, 2003 P hilippine Na tiona l De mogra phic a nd Hea lth S urvey (NS O, OR C Ma cro)

Over four-fifths of women in CAR consulted a health

professional for antenatal care.

Percent Antenatal Care (ANC)* by Region: 2003

91.3 92.4 93.4
92.1 91.0 91.4 91.1 90.2 90.5
87.6 90.1 85.6
86.0
82.0 82.1
79.1 77.1

49.8
R1
R2
R3

R5
R6
R7
R8
R9

0
1
Ca 2
R
R

M
AR ga
il

A
B
Ph

R1
R1
R1
NC
CA

R4
R4

M
ra

*Health Professionals (Doctors and Nurses)

2003 Philippine National Dem og raphic and Health S urvey (NS O, ORC Macro)

14
 CAR is among the regions with
women who gave birth in a health
facility higher than the national level.
Birth delivered in Health Facility* by Region: 2003
Percent
69.6 *Health Facility (Gov’t
hospital, Gov’t health
center and Private Sector)

49.4
44.8 45.8
39.8 41.0
37.9
33.4
29.1
25.7 28.9 26.1
21.9 23.1
20.7

M
AR a
R

4A
4B
AR
il

10
11

C 12
1

2
3

5
6
7
8
9

ag
Ph

M
R

R
R

R
R
R
R
R
C

R
R

R
R
R
C
N

15.7

ar
15.6
10.7

2003 Philippine National Demographic and Health Surv ey (NS O, ORC Macro)

Delivery assistance from a health professional is more

common in the Cordilleras. Assistance from hilots
decreased in CAR and the national level.
Percent of births with delivery assistance from
health professionals and hilots,
Percent Philippines vs. CAR: 1993-2003

52.8 59.8 59.6

56.4 52.3 48.1
45.3 41.3 37.1
21.8 16.3 14.1

1993 1998 2003 1993 1998 2003

Philippines CAR

Health Professional Hilot

1993, 1998, 2003 Philippine National Demog raphic and Health Survey (NSO, ORC Macro)

15
Sources of Funds for Health 2003

Sources of Funds for Health 2003

Local Others
18% 13%

National
15%
Out-of-
pocket
44%
Social Health
Insurance
10%

PhilHealth Coverage

• 179,749 individuals are currently enrolled with PHIC (translates to 65% coverage if each
individual has an average of 4 dependents)

• Increased enrollees in the individual paying sector and LGU sponsorship of indigents

METHODOLOGY / PROCESS FOR ARRIVING AT PRIORITIES AND CRITERIA USED

The following steps were undertaken during the workshop to arrive at the health
research priorities of the region:

1. The participants were distributed into three groups, as follows:

Group I: Representatives from DOH-CAR, City Health Department,

Provincial Health Offices
Group II: Representatives from PhilHealth, CHED, CORCAT, DOST,
Department of Agriculture, Cordillera Women’s Education and
Resource Center, PopCom
Group III: Representatives from DILG, NEDA, DOLE, DSWD, CHESTCORE

2. Each group elected a group leader and a group secretary.

3. The groups were asked to discuss the region’s priorities for health research based
on two matrices / tables which were recommended by the PCHRD.

Table 1: Matrix for Arriving at Regional Priorities for Health Research and
Development

Column 1: The participants were asked to list down the five issues of concern
which they perceived to be most important in the region. As a guide, a
checklist of Health Concerns and Issues to be Considered, also
recommended by the PCHRD, was distributed.

16
 Column 2: The participants were given the criteria for ranking of the areas i.e.
extent, prevalence, urgency, and burden to the community.
Column 3: The participants were asked to state the reasons for persistence of the
issue or problem e.g. lack of funds, poor utilization, poor knowledge,
etc.
Column 4: The participants were asked to indicate the type of research that can be
conducted to address the issue i.e. biomedical, product development,
operations, communications, etc.
Columns 5 through 8: The participants were asked to evaluate the identified
research areas in terms of the following parameters:
- Feasibility of research based on existing resources in the region
- Impact of research and development on the issue addressed
i.e.impact on the greater number or population, on the cost of
health care
- Lack of funds for the research area
- Priority status (high, medium, or low)

Table 2: Matrix for Priority Research Topics

For Table 2, the participants were asked to cite specific research topics on the
issues that were identified in Table 1.

Copies of the matrices and instructions for accomplishing them were sent to the
participants beforehand, together with the letters of invitation. This was done to facilitate the
conduct of the workshop and to ensure a relevant and fruitful discussion.

The outputs of the groups were presented in a forum during the afternoon session.
The matrices of the groups are shown in the tables that follow. (Please see attachments.)

HEALTH RESEARCH PRIORITIES FOLLOWING THE STANDARD MATRIX

To consolidate the outputs to arrive at a Regional Health Research Agenda, a
ranking system was used. The ranks assigned to the research areas identified by the
groups e.g. 1, 2, 3, etc. were added. If an area was not included in a group’s list, but was
included by another group, this area was assigned an arbitrary low rank. After adding the
ranks, the area with the lowest sum was designated as having the highest priority i.e. the
higher the sum of ranks, the lower the priority.

Thus, using this ranking system, the following are the Regional Health Research
Priority Areas for CAR:

1. LOCAL HEALTH SYSTEM

2. LIFESTYLE-RELATED DISEASES
3. WOMEN, CHILDREN, AND ADOLESCENTS IN DIFFICULT
CIRCUMSTANCES (e.g. STI)
4. HEALTH INFORMATION SYSTEMS
2. HEALTH POLICY
3. ENVIRONMENTAL HEALTH
4. HEALTH PROMOTION
5. INFECTIOUS DISEASES
6. TRADITIONAL MEDICINE
7. OVERSEAS FILIPINO WORKERS (OFW)

17
 Examples of specific research topics identified by the groups are cited below:

Local Health System (Ranked No. 1)

- To determine the factors that affect the functionality of the Inter-Local Health
Zone
- To determine the impact of devolution on the effectiveness and efficiency of
the health care delivery system
- To determine the impact of health programs on intended beneficiaries as a
basis for future health policy implementation

Lifestyle Related Diseases (Ranked No. 2)

- To compare locally grown fruits and vegetables with genetically modified

fruits and vegetables
- To determine the prevalence of cases of lifestyle related diseases

Women, Children, and Adolescents in Difficult Circumstances (Ranked No. 3)

- To determine the factors that subject women and children to difficult

circumstances / situations
- To determine the profile of women in relation to violence against women and
reproductive health

Health Information Systems (Ranked No. 4)

- To develop and establish a system of reporting, referring, and networking

- To generate a unified health database

Health Policy (Ranked No. 4)

- To determine the impact of migration on health care delivery

- To assess and evaluate existing health and education policies

Environmental Health (Ranked No. 4)

- To determine the effects, causes, and levels and extent of pollution

Health Promotion (Ranked No. 5)

- To determine more effective and relevant strategies of health promotion

Infectious Diseases (Ranked No. 5)

- To determine the knowledge, attitudes, and practices of the population in

relation to the prevention and treatment of infectious diseases

Traditional Medicine (Ranked No. 6)

- To identify indigenous flora present in the region that can be used as

alternative measures

Overseas Filipino Workers (Ranked No. 7)

- To determine the health benefits of overseas Filipino workers after the

contract is over
18
REPORT ON THE FOCUS GROUP DISCUSSION (FGD)

Some of the priority areas for research identified by the participants were stated in
very broad terms i.e. “lifestyle related diseases,” “infectious diseases.” Thus, the PCHRD,
through Ms. Laguimun, recommended that the Regional Facilitator conduct an additional
small focus group discussion (FGD) to further refine the outputs of the workshop and to
make the health research prioritization more specific.

The FGD was scheduled on Wednesday, November 16, 2005 at 2:00 p.m. at the
SLU College of Medicine. However, the supposed participants were unavailable due to field
work and previous out-of-town commitments. Thus, the FGD was postponed and reset to
another date.

We conducted the focused group discussion last January 13, 2005 at the SLU
College of Medicine, to refine the outputs of the regional consultation workshop and to make
the health research prioritization more specific.

The following were the participants in the focused group discussion:

1. Dr. Elizabeth Fe-Dacanay Regional Facilitator and

Dean, SLU College of Medicine

2. Dr. John Anthony A. Domantay Chairman, Department of Pathology

SLU College of Medicine

3. Dr. Robert E. Tolentino Executive Director, MOMFI

Saint Louis University

4. Dr. Nelson Hora Faculty, Department of Community

and Preventive Medicine
SLU College of Medicine

5. Dr. Catherine T. Gomez Chairman, Department of Pediatrics

SLU College of Medicine

6. Dr. Julius Alcala Medical Specialist II

Department of Health-CAR

7. Dr. Cybelle Luz Abalos Medical Services Coordinator

CHESTCORE

8. Dr. Wener Paul Irmscher Faculty, Department of Medicine

SLU College of Medicine

9. Dr. Christine Ayochok Faculty, Department of Pathology

SLU College of Medicine

10. Dr. Catalina Toquillo Resident, Department of Pathology

SLU Hospital of the Sacred Heart

19
 We also invited the following to the focused group discussion but they could not
attend due to previous and simultaneous commitments:
1. Dr. Antonio Bautista Infectious Disease Control Cluster
DOH-CAR

2. Dr. Florence Reyes City Health Officer

Baguio Health Department

3. Dr. Celia Brillantes Medical Officer V

Baguio Health Department

4. Dr. Elvira Belingon Medical Specialist II

DOH-CAR

5. Dr. Evelyn Dayot Chairman

Cordillera Coalition Against TB

6. Mr. Joey Lubrica Project Evaluation Officer

PHILHEALTH-CAR

7. Dr. Ana Marie Leung Chairman, Department of

Community and Preventive
Medicine
SLU College of Medicine

8. Dr. Myrna M. Espiritu Chairman, Department of

Microbiology and Parasitology
SLU College of Medicine

9. Dr. Elizabeth E. Gallardo Faculty, Department of Pediatrics

SLU College of Medicine

10. Dr. Roma Anna G. Dumaup Chairman, Department of

Obstetrics and Gynecology
SLU College of Medicine

The group discussed the regional health research priority areas in terms of specific
research projects that could be undertaken. The research projects were conceptualized
and prioritized based on the following criteria:

1. Magnitude of the issue or problem to the community

2. Feasibility of the research based on existing capabilities
3. Impact on research and development on the population in terms of mortality
and morbidity, quality of life, social desirability, cost of health care, and in
anticipating future health problems or issues.
4. Impact of research on the health issues being addressed
5. Neglect of the area of concern by other government agencies

After discussion and deliberation, the group agreed upon five priority research areas
and six specific priority research topics. These are presented in the succeeding table
following the standard matrix.

20
 MATRIX FOR PRIORITY RESEARCH TOPICS
OUTPUT OF FOCUS GROUP DISCUSSION HELD AT THE SLU COLLEGE OF
MEDICINE ON JANUARY 13, 2006
Colum Column 2 Column 3 Column 4 Column 5
n1
Issue Specific Rationale for the General Objective of Agency
of Research Topic Research the Research Study Responsi
Concer ble for
n Implement
ation
Ranked Devolution: Despite devolution of To determine the To be
No. 1: Attitudes of funds for health care, it attitudes towards determined
Local Implementors has been observed devolution of by PCHRD
Health and End-Users of that basic health care implementors and
System the Local Health services remain end-users of the local
Care System in unavailable to many health care system in
Selected people in the selected
Municipalities of Cordilleras. municipalities of the
the Baguio- Baguio-Benguet area.
Benguet Area
Ranked Prevalence and Hypertension and its To determine the To be
No. 2: Risk Factors for associated diseases prevalence and risk determined
Lifestyl Hypertension have overtaken factors for by PCHRD
e Among Residents infectious diseases as hypertension among
Related of Selected leading causes of residents of selected
Disease Municipalities in morbidity and mortality municipalities in the
s the Cordillera in the Cordillera region. Cordillera
Ranked Knowledge, There are beliefs and To determine the To be
No. 3: Attitudes, and practices concerning knowledge, attitudes, determined
Women Practices of reproductive health and practices of by PCHRD
, Cordillera which are unique to the Cordillera women
Childre Women culture of the regarding
n, and Regarding Cordilleras. reproductive health
Adolesc Reproductive
ents in Health
Difficult
Circum
stances
Ranked Levels of Air Baguio City is said to To determine the To be
No. 4: Pollution in have the highest level levels of air pollution determined
Environ Various Areas of of air pollution in the in various areas of by PCHRD
mental Baguio City from country, but there has Baguio City during
Health January to been no study that different times of the
December 200_ measures air pollution year
in different areas of the
city in all months of the
year.

21
Ranked Antibiotic Tuberculosis remains To determine the To be
No. 5: Sensitivity an important cause of antibiotic sensitivity determined
Infectio Patterns of morbidity and mortality patterns of isolates of by PCHRD
us Mycobacterium and is curable, but Mycobacterium
Disease tuberculosis there has been no tuberculosis in
s (1) Isolates in Baguio study of the antibiotic Baguio City
City sensitivity patterns of
Mycobacterium
tuberculosis isolates in
the Cordillera region.
Infectio Knowledge, There are beliefs and To determine the To be
us Attitudes, and practices concerning knowledge, attitudes, determined
Disease Practices Tuberculosis as a and practices of by PCHRD
s (2) Regarding disease which are residents of selected
Tuberculosis unique to the culture of municipalities in the
Among Residents the Cordilleras. Cordillera regarding
of Selected Tuberculosis
Municipalities in
the Cordillera

22
 ANNEXES

ANNEX A

HEALTH RESEARCH AGENDA SETTING

REGIONAL CONSULTATION WORKSHOP
sponsored by:
Department of Science and Technology (DOST)
Philippine Council for Health Research and Development (PCHRD)
and the
Saint Louis University (SLU) College of Medicine

Thursday, October 27, 2005, 8:00 a.m. – 4:00 p.m.

Golden Pine Hotel
Legarda Road, Baguio City

PROGRAM

8:00 – 9:00 a.m. REGISTRATION

9:00 – 10:00 a.m. OPENING CEREMONIES

I. Invocation Dr. Ana Marie R. Leung

Chairman, Department of Preventive
and Community Medicine
SLU College of Medicine
II. The Philippine National Anthem

III. Welcome Address and

Introduction of Participants Dr. Elizabeth Fe-Dacanay
Dean, SLU College of Medicine
Regional Facilitator for CAR

IV. Overview of the Regional

Health Situation Dr. Julius Alcala and
Dr. Elvira Belingon
Medical Specialists II
Department of Health – CAR

V. Setting the Regional and Zonal

Health Research Agenda
Ms. Teresita O. Laguimun
OIC, Human Resources and
Institution Development
Division
PCHRD

10:00 – 10:30 a.m. BREAK

10:30 – 12:00 noon WORKSHOP

12:00 – 1:00 p.m. LUNCH

23
1:00 – 2:00 p.m. Continuation of Workshop

2:00 – 3:00 p.m. Presentation of Workshop Outputs

3:00 – 3:30 p.m. BREAK

3:30 – 4:00 p.m. Synthesis and Recapitulation

4:00 p.m. Closing Remarks

Dr. Allan Feranil
Chief, Research Management Development
Program
PCHRD

Master of Ceremonies:
Dr. John Anthony A. Domantay
SLU College of Medicine

24
 ANNEX B

LIST OF PARTICIPANTS
Regional Consultation Workshop
On the Unified Health Research Agenda
October 27, 2005
Golden Pine Hotel, Baguio City

1. Dept. of Interior and Local Government-CAR Ms. Florinda M. Garcia

Local Gov’t Operations
Officer II

2. Population Commission Ms. Annie D. Calimquim

Information Officer II

3. National Economic Dev’t. Authority-CAR Ms. Florida Faculo

Chief, Social Development
Division

4. Dept. of Social Welfare and Development-CAR Ms. Marcia B. Espinueva

Nutritionist III

5. Dept. of Labor and Employment-CAR Ms. Ma Lourdes Rosal

Aurelio-Bala
Labor Employment Officer III

6. Dept. of Science and Technology-CAR Mr. Menandro B. Buenafe

Sr. Science Research
Specialist

7. CHED-CAR Dr. Ramon Santiago

Supervising Education
Program Specialist

8. Dept. of Health-CAR Dr. Julius Alcala

Medical Specialist II

Dr. Elvira Belingon

Medical Specialist II

9. PHILHEALTH-CAR Mr. Joey V. Lubrica, R.N.

Project Evaluation Officer II

10. Department of Agriculture Ms. Leonora K. Verzola

Sr. Agriculturist
OIC-Cordillera Integration
Agricultural Research
Center

25
11. Baguio Health Department Dr. Florence G. Reyes
City Health officer

Dr. Celia Flor Brillantes

Medical Officer V

12. Provincial Health Office-Benguet Dr. Esteban Piok

Provincial Health Officer-
Benguet

13. Provincial Health Office-Ifugao Dr. Mary Jo Dulnuan

Provincial Health Officer-
Ifugao

14. Cordillera Coalition Against TB Dr. Evelyn Dayot

Chairman-CORCAT

15. Community Health Education Services Training

in the Cordillera Region (CHESTCORE) Dr. Cybelle Luz A. Abalos
Medical Services Coordinator

16. Cordillera Women’s Education and Resource Center Ms. Lucille Lumas-i

Officials from the Philippine Council for Health Research and Development (PCHRD)

DR. ALLAN FERANIL

Chief, Research Management Development Program
PCHRD

MS. TERESITA O. LAGUIMUN

Officer-in-Charge, Human Resources and Institurion Development Division
PCHRD

MRS. ANGELINA M. AQUINO

Administrative Assistant, Office of the Executive Director
PCHRD

Workshop Facilitators

DR. JOHN ANTHONY A. DOMANTAY

Chairman, Department of Pathology and Laboratory Medicine
SLU College of Medicine

DR. MYRNA M. ESPIRITU

Chairman, Department of Microbiology and Parasitology
SLU College of Medicine

DR. ANA MARIE R. LEUNG

Chairman, Department of Preventive and Community Medicine
SLU College of Medicine

26
 Secretariat

MRS. MARIETTA E. CASTRO

Secretary, Office of the Dean
SLU College of Medicine

MR. RUBEN SIA

(Documentation)
Laboratory Custodian
SLU College of Medicine

MR. LEYNARD R. MARRERO

(Student Assistant)
Second Year Mayor
SLU College of Medicine

REGIONAL FACILITATOR FOR CAR

DR. ELIZABETH FE-DACANAY

Dean, SLU College of Medicine

27