Health

 

HEALTH, NUTRITION, and SANITATION PROFILE

Health Personnel and Facilities

 

Health Personnel

The City Health Office (CHO) in Santa Rosa is divided into Health Office I and Health Office II. Each health office is equally attending the 18 barangays in the city.

The Health Office 1 covers the barangays of Tagapo, Market Area, Kanluran, Ibaba, Malusak, Labas, and bayshore barangays of Caingin, Sinalhan, and Aplaya. On the other hand, CHO 2 covers the barangays of Macabling, Balibago, Pooc, Dila, Dita, Malitlit, Pulong Sta.Cruz, Don Jose, and Santo Domingo.

Table 14 shows the number of health personnel in the City of Santa Rosa. It was observed that the numbers of health personnel under CHO 1 are many compared to CHO 2 because population is dense in these barangays.

 

City Health Personnel, City of Santa Rosa, 2011-2012

 

Source: City Health Offices 1 & 2, City of Santa Rosa, Laguna.
Legend: Inc= Increase; Dec= Decrease; and NC= No Change

 

Table 15 shows that actual ratio of health personnel to the local residents of Santa Rosa. Actual data revealed that the recommended number of public doctors, nurses, midwives, dentists, sanitary inspectors, and barangay health workers to the total population in the City of Santa Rosa did not meet the standards.

Though there are slight improvements in the number of nurses and midwives under CHO 1, it is highly recommended to hire more doctors, nurses, and other medical personnel to fill the demands of the growing population.

 

Actual Ratio of Health Personnel to Population, City of Santa Rosa, Laguna, 2012

 

Source: City Health Offices 1 & 2, City of Santa Rosa, Laguna.

 

Health Facilities, Public and Private

Health Care Facilities (HCFs) comprised of hospitals, lying-ins, medical and dental clinics, optical, medical laboratory, and pharmacy. In the City of Santa Rosa, majority of HCFs are privately owned (83%) and a few owned by the government (17%).

In 2012, these HCFs in the city employed an estimated 2,603 employees. The estimated total employment generated by HCFs did not account the 20 dental clinics and all pharmacy who failed to provide the number of personnel they hired (Table 16).

 

Summary of Health Care Facilities, City of Santa Rosa, 2012

 

Source: City Health Offices 1 & 2, City of Santa Rosa, Laguna.
Note: a No. of Doctors; b Only 33 out of 53 Dental Clinics have data on number of personnel; and c No. of Pharmacists

 

Santa Rosa has a total of seven hospitals with hospital bed-population ratio of 2 beds for every 1,000 population (Table 17). These hospitals generate 1,573 employees both medical and non-medical staff as shown in Table 4. Majority of these hospitals are categorized as Level III (57%) which means a departmentalized hospital. These hospitals rendered services such as general medicine, pediatrics, surgery, anesthesia, obstetrics and gynecology, first and second level radiology, second and tertiary clinical laboratory, pharmacy, specialty clinical care, and nursing care for patients needing intermediate supervised, total, and intensive care.

The remaining hospitals (43%) are categorized as Level II which means a non-departmentalized hospital. These hospitals render all services of Level III hospitals except for specialty clinical care, secondary level radiology, tertiary clinical laboratory, and total & intensive nursing care for patients.

 

List of Hospitals, City of Santa Rosa, 2012

 

 

There are also lying-ins of the same number as the hospitals in the city. In 2012, the total registered lying-ins in Santa Rosa are eight (8). These are all privately-owned lying-ins with 21 total bed capacities. This facility had a total of 18 personnel of which thirteen (13) are midwives and five (5) are nurses (Table 18).

 

Source: City Health Offices 1 & 2, City of Santa Rosa, Laguna

 

Family Planning and Maternal Care Services

 

Maternal Care Services (MCS) are also offered in the health units of the city. It was observed that there are more pregnant women from barangays under City Health Office (CHO) 2. Among the maternal care services are delivery of tetanus toxoid, iron supplementation, vitamin A supplementation, breastfeeding, and maternal consultations (Table 20).

 

Source: City Health Offices 1 & 2, City of Santa Rosa, Laguna

 

Maternal Care Services (MCS) are also offered in the health units of the city. It was observed that there are more pregnant women from barangays under City Health Office (CHO) 2. Among the maternal care services are delivery of tetanus toxoid, iron supplementation, vitamin A supplementation, breastfeeding, and maternal consultations (Table 20).

 

Source: City Health Offices 1 & 2, City of Santa Rosa, Laguna

 

Health Statistical Data

 

Natality

Natality is the scientific term for birth rate. In 2012, the city recorded a total of 6,570 new babies born or 16.76 percent higher than the 2011 total number of live births of 5,627 babies (Table 21). The Crude Birth Rate (CBR) in 2011 of CHO 1 and CHO 2 was recorded at 22 and 14 live births for every 1,000 population, respectively.

Out of the 6,570 new babies born in 2012 in the City of Santa Rosa, the deliveries of the majority of the babies were attended by skilled health personnel (96%) and the remaining were attended by traditional health personnel (4%).

Majority of the mother had normal pregnancy (70%), gave birth normally (91%) in the hospital (46%). Some pregnant mother had risky pregnancy (30%), goes Caesareans Operation (9%), and delivered birth at home (30%) or lying-ins (24%).

 

Source: City Health Offices 1 & 2, City of Santa Rosa, Laguna

 

Mortality

Mortality is simply being subject to death. The Death Rate in the City of Santa Rosa was increased by 12 percent from 2011 to 2012. Table 22 shows that the Crude Death Rate (CDR) in 2011 under the two health office is the same at 4 deaths per 1,000 populations. But in 2012, CDR of barangays under CHO1 is not as good as CDR of barangays under CHO2. The CDR of CHO2 improved by 1death per 1,000 populations compared to the CDR of CHO1 of additional 1 death per 1,000 populations from 2011.

 

Source: City Health Offices 1 & 2, City of Santa Rosa, Laguna

 

Ten (10) Leading Causes of Morbidity

Morbidity is the frequency of disease and illness, injuries, and disabilities in a population. In the City of Santa Rosa, the top leading cause of morbidity is the Acute Upper Respiratory Tract Infection (AURTI) with 40,763 cases. The recorded cases of AURTI in 2012 are 20.81 percent lower than the 51,474 cases in 2011 (Table 23).

 This simply means that the frequency of disease and illness in the City of Santa Rosa are improving. Among the top leading causes of morbidity are acute viral infection, iron deficiency, urinary tract infection, hypertension, tonsillitis, asthma, gastroenteritis, and bronchitis.

 


Source: City Health Offices 1 & 2, City of Santa Rosa, Laguna

 

Ten (10) Leading Causes of Mortality

The same as morbidity, the mortality incident in the city has improved by from 613 to 545 cases in 2012 or 11 percent lower than in 2011 (Table 24). The top causes of mortality in Santa Rosa are Pneumonia. Others remain to be the main causes of mortality to all ages such as multiple organ failure, ischemic heart disease, type II diabetes, septicemia, hypertensive heart disease, among others.

 

 

Nutrition

The City Nutrition Office vision is to be a nutritionally improve city whose people are well nourished, healthy, intelligent, socially, and economically productive with high sense of human dignity. Its mission is to uphold the value of human life by improving the nutritional status of the populace by promoting household food security and reducing the prevalence of malnutrition.

The City Nutrition Office rendered many basic services like Operating Timbang (OPT) in every barangay, Supplementary Feeding Program (SFP) for the malnourished children aged 12-71 months, Nutrition Education Program like PABASA SA NUTRISYON, and Milk Feeding for the malnourished children.

The City Nutrition Committee as well as the Barangay Nutrition Committee is implementing programs and activities aligned with the seven (7) impact programs of the Philippine Plan of Action for Nutrition. These seven (7) impact programs are the Home, School, and Community Food Production; Micronutrient Supplementation; Food Fortification; Nutrition Education Program; Food Assistance Program; Nutrition in Essential Maternal and Child Health Services; and Livelihood Assistance.

 

Nutritional Status

In the City of Santa Rosa, Supplementary Feeding Program (SFP) is done separately by the City Social Welfare and Development (CSWD) Office and the City Nutrition Office (CNO).

In terms of funding, the SFP Program of the CSWD is subsidized by the National Government which caters all day care students in 32 Day Care Centers (DCCs) and those in the evacuation centers affected by typhoons. The Supplemental Feeding Program of the City Nutrition Office is solely funded by the City Government. It caters to all children ages 12-71 months.

In 2012, the city received a total amount of PhP 5.817 Million from the DSWD IV-A for the supplementary feeding program of hot meals and rice for 120 days which covered 3,011 day care students and 718 children in the evacuation which was caused by Habagat. The city government allotted budget for the cooking gas expenses amounting to PhP 600,000 as counter-part.

Table 25 shows the nutritional status of day care students in all DCCs in Santa Rosa. Majority of children have normal nutritional status (86%). Underweight children accounted for 13 percent of the total 3,017 pre-school children being served by SFP. However, there are still 25 children who were severely underweight while 16 children were obese or overweight.

 

Source: City Nutrition Office, City of Santa Rosa, Laguna

 

Based on the mass weighing program shown in Table 26, the number of malnourished children is decreasing annually. In 2010, there were 1,157 classified as underweight, severely underweight, and overweight. In 2012, majority of children have normal nutritional status (98%). Underweight children accounted for almost 2 percent of the total children ages 0-71 months old.

 

Source: City Nutrition Office, City of Santa Rosa, Laguna

 

Sanitation

Environmental Health

In the City of Santa Rosa, there a total of 65,807 households with access to safer water or an average shares of 94 percent from the total number of households. Among the total households, majority have Level I access to water (65%) followed by Level III access to water (35%). There are no households with access to Level II access to water (Table 27).

It was also recorded in 2012 that there are 64,775 households with sanitary toilets and complete basic sanitation facilities, and 68,100 households with satisfactory garbage disposal. The city also recorded a total of 1,376 food establishments mainly concentrated in the central business districts.

Source: City Health Offices 1 & 2, City of Santa Rosa

 

Solid Waste

The top waste materials being produced and collected by the people of Santa Rosa are the organic waste or biodegradable waste materials (40%). These waste materials include food waste, human waste, manure, sewage, slaughterhouse waste, among others (Figure 2).

Papers and plastics waste had a combined of 44 percent that comprised the total waste being collected in the City of Santa Rosa. Waste from industries such as glass (2%) and hazardous elements (1%) is a few.

Figure 3 also shows where the waste is coming from. Majority of the wastes being generated in the city came from commercial-small (12%) and institutional offices (11%). The rest of the waste shared the same percentage share to the total waste being generated by the large commercial, medium to high income residential, markets, low income residential, institutional-school, and industries.

There are a total of 41 companies in Santa Rosa that has wastewater facilities (WTF) (Table 28). Among these are the Food and Beverages Companies located in the city such as the Coca-Cola Bottlers, Asia Brewery, Emperador Distillers, and Monde Nissin. These companies use the city’s groundwater as main raw materials for their products.

 

 

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