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Social Sector

1.  Health

Existing Health Facilities

Lanao del Norte’s health needs is served by five provincial government owned hospitals, 22 rural health units (RHU), four private hospitals, 15 private clinics and 137 barangay health stations (BHS).   Their respective locations are shown in the Health Facilities Map.   The hospitals and private clinics in Iligan City and Ozamis City supports the higher level medical needs Lanao del Norte’s population.

 

The five provincial hospitals, renamed as such by virtue of Sangguniang Panlalawigan (SP) Resolution No.098-2008, have authorized bed capacity ranging from 25 to 100 beds with Baroy Provincial Hospital having the highest number of hospital beds. The five private hospitals on the other hand, have capacities ranging from five to 40 beds.

 

Table 1. Inventory of Hospitals and Corresponding Authorized Bed Capacity and Number of Health Workers, Lanao del Norte, 2007

Name of Hospital

Municipal Location

Level

Authorized Bed Capacity

Number of Doctors

PGLDN Hospitals
Kauswagan  PH Kauswagan

I

10

3

Kolambugan PH Kolambugan

I

75

6

Baroy PH Baroy

II

100

8

Kapatagan PH Kapatagan

I

50

5

SND PH SND

I

25

3

Total

260

25

Private Hospitals
Tubod Community Hospital Tubod

40

2

Bontilao Country Clinic Lala

30

2

Maranding Community Hospital Lala

30

2

Andot’s Medical Clinic Bacolod

II

25

2

Gatchalian Hospital Kapatagan

25

2

Ed Yu Hospital (Delbert Jons Hospital) Kapatagan
Dr. Gozo Community Clinic Kapatagan

25

2

Total

180

14

Grand Total

440

39

Sources:  PHO & PRMC

Hospital Bed -Population Ratio

 

The province is organized into inter-local health zones (ILHZ) to facilitate an efficient health referral system.  The existing hospital bed capacity against population requirements is configured along the four organized local health zones:  (1) MgaBaTangMaiK, (2) LaMBaT, (3) SaNLaKaSS, and (4) MP3.

 

Taking account only provincial government hospital facilities, the over-all  hospital bed-population ratio of the province is estimated to be 1:2067 or one bed for every 2,067 population.  In terms of Inter Local Health Zone, the MP3 ILHZ has the least ratio with 15,833 people competing for one hospital bed.  The LaMBaT ILHZ has the most comfortable ratio at one hospital bed for 778 people.

 

Table 2. Hospital-Bed Population Ratio by Inter Local Health Zone, Provincial Government Hospitals, 2007

Inter Local Health Zone /

Municipality

Referral Hospitals

Bed Capacity

Mid Year Population

2007

Hospital Bed – Population Ratio

MgaBaTangMaiK (5)  

 

Kolambugan Provincial Hospital

Munai

20,533

Bacolod

19,836

Tangkal

75

9,305

Maigo

18,695

Kolambugan

25,293

Sub-Total

75

93,662

1:1,249

LaMBaT (3)  

Baroy Provincial Hospital

Magsaysay

12,285

Baroy

100

21,417

Tubod

44,083

Sub-Total

100

77,785

1:778

SaNLaKaSS (6)

Kapatagan Provincial Hospital

SND Provincial Hospital

Salvador

50

23,138

Nunungan

13,977

Lala

58,372

Kapatagan

49,054

Sapad

25

17,166

SND

45,953

Sub-Total

75

207,660

1:2,769

MP3 (9)  

Gregorio Lluch Memorial Hospital

Kauswagan Provincial Hospital

Matungao

9,975

Poona Piagapo

19,770

Pantar

15,683

Pantao Ragat

20,050

Kauswagan

22,977

Linamon

10

16,323

Baloi

44,293

Tagoloan

9,261

Iligan City
Sub-total

158,332

1:15,833
Grand Total

260

537,439

1:2,067

Source:  PHO

Capacities of Rural Health Units

All the 22 municipalities of Lanao del Norte have Rural Health Units (RHU).  Only 13 out of the 22 RHUs have full time rural health physicians.  These RHUs provide minor surgical services to the local constituents.  Nine RHUs have standard laboratory facilities catering to the following services: routine hematology, routine urinalysis, routine fecalysis, blood typing and sputum microscopy. Ten RHUs have out-patient package while only two have maternal care package. While nine have serviceable ambulances, most of them in the advance state of deterioration and require high maintenance cost.   All RHU buildings are either dilapidated or need major repairs.

 

The low capacities of  RHUs is one of the reasons why  constituents with only primary level medical needs prefer to seek medical attention to higher level health care provided by hospitals. Thus, resources of hospitals are tied to primary cases which could have been utilized to more critical medical cases.

 

 

Table 3. Capabilities and Accomplishments of RHU by ILHZ, Lanao del Norte, 2006

Particulars / Indicators

MP3 Balikatan

Mga Batang Mai K

Lambat

Sanlakas

Total

No. of RHUs

8

5

3

6

22

RHU with fulltime physician

4

4

3

2

13

RHU providing minor surgery

4

4

3

2

13

RHU with standard laboratory

2

3

2

2

9

RHU with ambulance

2

3

3

1

9

Sentrong Sigla-I Accredited

2

3

2

2

9

Sentrong Sigla-II Accredited

0

0

1

0

1

TB DOTS Accredited

0

2

2

2

6

PHIC Accredited:
Out-Patient Package

2

3

3

2

10

Maternal Care Package

0

0

1

1

2

Proportion of infants who are fully immunized

61%

93%

86%

81%

78%

Pregnant women with adequate prenatal care

51%

76%

84%

65%

73%

TB Cure Rate

82%

86%

93%

89%

86%

Family Planning CPR

20%

48%

41%

37%

37%

Source:  PHO

Other Health Facilities

 

Private Clinics. There are a total of 14 private clinics operating in Lanao del Norte but mostly are in the urban centers of the municipalities of Tubod, Baroy,  Lala, Kapatagan and Kolambugan. Majority of these clinics caters to general medicine cases.  The others are OB-GYNE, pediatrics and dental clinics.

 

Table 4.  List of Private Clinics, Lanao del Norte, 2007

Name of Clinic

Location

Type of  Service
1.   Intong’s Clinic Poblacion,Tubod General Medicine
2.   Tubio’s Clinic Poblacion, Tubod OB-GYNE
3.   Chung’s Clinic Poblacion, Tubod Pediatrics
4.   Dr. Loy’s Clinic Baroy General Medicine
5.   Dr. Yu’s Clinic Baroy OB-GYNE
6.   Valencia Clinic Maranding, Lala Pediatrics
7.   Asentista’s Clinic Maranding, Lala Pediatrics/General Medicine
8.   Daraman Clinic Bacolod General Medicine
9.   Gatchalian Clinic Kapatagan General Medicine
10.  Dr. Cruz Clinic Kapatagan General Medicine
11.  Mejorada Clinic Kolambugan General Medicine
12.  Canoy Clinic Linamon Pediatrrics/General Medicine
13.  Dayagbil Clinic Maranding, Lala Dental
14.  Perocho-Opay Dental Clinic Poblacion, Tubod Dental

Source:  PHO

Barangay Health Stations. Out of the 462 barangays in Lanao del Norte municipalities, only  134 have barangay health stations.  These number are yet to be validated and  monitored as to standards of a BHS.

 

Existing Health Workers

Doctor-Population Ratio. There’s a dearth of doctors in Lanao del Norte.  The government hospital-based doctors totals 25 to cater to 537,439 populace.  This translates to a ratio of one doctor for every  21,498 constituents.  The doctor-population ratio taking into account the doctors in all health facilities is 1:664.

 

Each private hospital has one resident General Medicine doctor. They also hire part time physicians for shifting. These three hospitals have their own pharmacy and laboratory operating eight hours a day.

 

 

Table 5.   Doctor-Population Ratio, Lanao del Norte, 2007

Health Facilities

Number of Doctors

Population

Doctor-Population

Ratio

Government Hospitals

25

537,439

1:21,498

Private Hospitals

14

1:38,289

Private Clinics

15

1:35,829

Rural Health Units

28

1:19,194

Total

82

1:664

Source: PPDO Computation Based on PHO Data

 

 

Future Requirements for Health Workers. The province has a total of 5,519 health personnel providing preventive and curative health services of the province’s populace. The number is not equally distributed  across the 22 municipalities as deployment depend on population. The existing number of health personnel is inadequate to effectively serve the whole Lanao del Norte based on standard.   Based on estimates shown in Table 3.102, there is a need to hire additional health personnel in RHUs including nursing attendants, dentists, medical technologists, midwives, and sanitary inspectors. This is to ensure effective delivery of public health services.

 

Table 6. Existing Health Workers and Future Requirements, 2008-2013

Health Personnel

Existing Number

Existing Gap

2007

Future Req. 2008-2013

Total Future Needs

Rural Health
Health Physician

28

29

47

76

Midwife

108

43

186

229

Nursing Attendants

PHN/Nurse

54

55

93

148

Sanitary Inspectors

28

22

93

115

Dentist

28

40

47

87

BHW

5,127

4,039

5,774

9,813

TOTAL

5,373

4,228

6,240

10,468

Hospital Based
Health Physician

33

9

47

56

Midwife

Nursing Attendants

48

121

186

307

PHN/Nurse

56

31

39

70

Sanitary Inspectors

0

42

93

135

Dentist

9

33

48

81

TOTAL

146

236

413

649

GRAND TOTAL

5,519

4,464

6,653

11,117

Source: PPDO Computation Based on PHO Data