Rural Health Units I,II,III

RURAL HEALTH UNIT DEMOGRAPHIC PROFILE

Total Population 144,136(Projected 2017)
Total No. of Barangays 20
Total No. of Rural Health Unit 2
Total No, of Barangay Health Stations 12
Total No. of Rural Health Unit Philhealth Accredited 1
Total No, of Birthing Facility 3
Total No. of Birthing Facility Philhealth Accredited 1
Total No. of Rural Health Doctor 1
Total No. of Rural Health Dentist 2
Total No. of Rural Health Medtech 1
Total No. of Rural Health Nurses 5
Total No. of Rural Health Midwife 16
Total No. of Sanitary Inspector 3
Total No. of Ambulance Driver 3

MISSION

  • To ensure the implementation of responsive health programs for Capaseños through concerted efforts of the Local Government Unit, Non-Government Organizations and the community.

VISION

  • To attain a healthy community through quality health care delivery system.

DIRECTORY

RURAL HEALTH UNIT I (045-3240075-Globe)
Name Designation Area of Assignment
Dr. Carlos G. Balmores Municipal Health Officer RHU I, II, III
Dr. Benjamelito De Leon Jr. Dentist RHU I
Karen Joy M. Galvez Med Tech RHU I, II, III
Merlita B.Besana Public Health Nurse RHU I
Maria Lea Q. Dizon Public Health Nurse RHU I
Nelia N. Baluyut Public Health Nurse RHU I
Divina D. Saquido Rural Health Midwife Aranguren, Manlapig
Edna G. Pabustan Rural Health Midwife Cub-cub, Cut-cut 2nd
Wilma G. Tolentino Rural Health Midwife Cut-cut 1st, Lawy
Maria Dolorosa D. Catap Rural Health Midwife Dolores, Manga
Alma P. Yumul Rural Health Midwife Sto. Domingo 1st& 2nd
Eloisa T. Quizon Rural Health Midwife Sto. Rosario, Kalangitan
Clarita M. Payumo Rural Health Midwife Talaga, Sta. Rita, Estrada
Elaine L. Ong Sanitary Inspector RHU I
Tristan Jay Selmo Sanitary Inspector RHU II
Allen Jasper Dizon Sanitary Inspector RHU 1
Ramiro Devero Casual Employee RHU 1
Joseph Andrew Catacutan Casual Employee RHU 1
Alfredo Dula Casual Employee RHU 1
Elvira Sampang Casual Employee RHU 1
Melvin Pasamonte Casual Employee RHU 1
Susan Quilala Casual Employee RHU 1 (Birthing Staff)
Thelma Canlas Casual Employee RHU 1 (Birthing Staff)
Rosalie Patio Casual Employee RHU 1 (Birthing Staff)
Michelle Atoy Casual Employee RHU 1 (Birthing Staff)
Sonia Pili Casual Employee RHU 1 (Birthing Staff)
Snooky Dizon Casual Employee RHU 1 (Birthing Staff)

RURAL HEALTH UNIT II

Name Designation Area of Assignment
Dr. Angel Ann Ong Dentist RHU II
Nikhola Grace F. Gamboa Public Health Nurse RHU II
Crisel M. Isidro Rural Health Midwife RHU II
Catherine L. Joya Rural Health Midwife O’Donnell
Frida V. Manaloto Rural Health Midwife Sta. Lucia
Emilyn V. Laxamana Rural Health Midwife Sta. Juliana
Maribel M. Sarmiento Admin Aide I RHU II
Joseph F. Limiac Admin Aide III RHU II

RURAL HEALTH UNIT III

Name Designation Area of Assignment
Maribel Damasco Public Health Nurse RHU III
Ma. Theresa Lavarias Rural Health Midwife RHU III
Michelle Dizon Rural Health Midwife RHU III
Arlene Pamintuan Rural Health Midwife RHU III
Jayson Casurao Driver RHU III
Jay Ar Isidro Driver RHU III

PROGRAMS AND ACTIVITIES

 
PROGRAMS ACTIVITIES
  Tuberculosis Program
  • Sputum Microscopy – Tuberculosis suspect patients undergo sputum examination
  • Initiation of Treatment of patient found positive and chest x-ray positive
        Maternal Care Program
  • Pre-natal care – pregnant women were given four pre-natal care
  • Pregnant women were given iron with folic acid supplementation
  • Pregnant women tested for syphilis
  • Attend deliveries for normal pregnancies and mothers who are at risk are referred to hospitals for further care
  • Post-natal check-up given 2 times within 2 months after delivery.
  • Post-partum mothers were given iron supplementation
  • New born screening test for infants
Child Care Program
  • Children are registered in the Under Five Clinic (UFC) and are seen regularly for weighing and examination
  • Control of Acute Respiratory Infection
Expanded Program in Immunization
  • Children 0-1 y.o are immunized with BCG, Hepa B, PENTA, OPV, IPV, MCV, ROTA, PCV, MMR
Control of Diarrheal Diseases
  • Diarrheal cases are given oral rehydrating solution to prevent and treat dehydration
Family Planning Program
  • Clients are given contraceptive of their choice after
counseling and are examined regularly
Dental Care Program
  • Oral Examination
  • Preventive Dental Care
  • Curative Dental Care
    Nutrition Program
  • Operation Timbang – All children age -0-5 y.o. are weighed in the first quarter and classified as to their nutritional status. Malnourished children, 2nd and 3rd degree are enrolled in feeding programs
Micronutrient Supplementation Program
  • Vitamin A and iron supplementation – Araw ng
sangkap Pinoy is held once a year wherein vitamin capsules are given to children age 1-5 y.o. iron to pregnant and lactating mothers.
Environmental Sanitation Program
  • Water Supply Disinfection – Water sources are examined and disinfected if found to be contaminated
  • Toilet Construction – Toilet bowls are provided to household with no toilet facility
  • Food establishment Inspection – Food establishments are inspected regularly
Leprosy Control Program
  • Case finding and Treatment – Leprosy suspect patient undergo slit smear examination and treated if found positive
Medical Care Program
  • Consultation Program – Patients are examined and treated and referred if further medical care is needed
Animal Bite Program
  • Dog and Cat Bite – All animal bite cases seen referred to Tarlac Provincial Hospital for prophylaxis treatment
Dengue Program
  • Dengue suspect patient undergo dengue rapid test and referred to hospital if found positive
Malaria Program
  • Malaria suspect patient undergo blood examination and treated if found positive
Operation Tuli Program
  • School children submit themselves for circumcision for hygienic purposes and to prevent possible  urinary tract infection
Mass Blood Donation Program
  • Blood Letting Activity

SCHEDULES

Monday

Consultation
Tuesday Consultation, Pre-natal Check up
Wednesday Consultation, Immunization
Thursday Consultation, Barangay visit/ Monitoring by the MHO/PHN, Pre-marriage counselling by the midwife
Friday

Consultation, Regular Staff Meeting


ANNOUNCEMENTS

January
  • Organize Barangay Health Team (Jan 10 -15)
  • National Cancer Consciousness Week
  • Goiter Awareness Week(Jan 24 – 30)
February
  • Heart Month
  • Operation Timbang by the BHW(Feb 1-28
  • Oral Health Month
  • Medical/Surgical/Dental Mission(Feb 25, 2011)
March
  • Continuation of Operation Timbang(Mar 1-15)
  • Health Events in cooperation with the TRIDEV (Mar 25)
April
  • Garantisadang Pambata (deworming, Vit A & Iron supplement – micronutrients)(Apr 12-30)
  • World Malaria Day (Apr 25)
  • Feeding moderate/severe malnourished children
May
  • Cervical Cancer Awareness Month
  • Natural Family Planning Month
  • Fumigation of private/public schools (May 23-31)
June
  • Dengue Awareness Month
  • National Kidney Month
  • No Smoking Month
  • Prostate Cancer Awareness Month (Rectal Exam)
  • World Environment Day
July
  • National Blood Donors Month
  • Nutrition Month
  • National Diabetes Awareness Week (Jul 12-17
  • National Disaster Consciousness Month
  • Food Safety Awareness Week (Jul 25-29)
August
  • Family Planning Month
  • Lung Cancer Awareness Month
  • National Tuberculosis Awareness Month (Aug 1-30)
  • World Breastfeeding Week (Aug 1-7)
  • National Tuberculosis Day (Aug 19)
September
  • World Rabies Month
October
  • Breast Cancer Awareness Month
  • Garantisadong Pambata (Oct 11-15
November
  • Cancer Pain Awareness Month
  • Malaria Awareness Month
  • Chronic Obstructive Pulmonary Disease Awareness Week(Nov 1-5)
  • World Diabetes Day (Nov 14)
December
  • Firecracker Injury Prevention Month
  • World AIDS Day (Dec. 01)
  • National Health Emergency Preparedness Day (Dec 9)

DUTIES & RESPONSIBILITIES

Municipal Health Officer
  1. Attends to the administration of the Rural Health Unit.
    • Formulate the Annual Health Plan and submits same to the LCE.
    • Implements health programs in accordance with the guidelines set by the Dept. of Health and under the technical supervision of the Provincial Health Officer.
    • Develops the capabilities of his staff.
    • Supervises all aspects of the health workers.
  2. Provides epidemiological and environmental health services in the community.
    • Studies weekly notifiable disease reports conducts investigations in times of epidemics or disease outbreaks and institute measures
    • Supervises over the hygienic and sanitary conditions of the municipality, public and private premises:
      • Enforce all sanitary laws and regulations applicable to the municipality and shall cause all violations to be duly penalized.
      • Conducts inspection of food establishments and industrial establishments and issue health certificates and sanitary permits.
      • Determine the cause of death of persons dying without medical attendance and issue the necessary death certificate.
  3. Serves as the clinician of the Rural Health Unit:
    • Holds regular consultations in the main health center and barangay health stations.
    • Conducts physical examination of government employees, school children and applicants for permits, licenses, and tests, and issues medical certificates.
  4. Acts as the Medico-legal officer in the municipality:
    • Attends to medico-legal cases and issues medico-legal reports to the chief of police, fiscal or judge.
    • Performs autopsies upon the request of the above-mentioned officials.
  5. Conducts Information Education Campaign on matters of health to the public.
Rural Health Dentist
  • Diagnosis and treats problems with the teeth, gums and other parts of the mouth.
  • Lecture pregnant women about their oral hygiene and proper nutrition during pregnancy.
  • Remove unsavable tooth.
  • Provide dental check-up and lecture about oral hygiene
Medical Technologist
  • Perform routine urine examination.
  • Perform hemoglobin and hematocrit determination
  • Perform sputum examination
  • Perform routine stool examination
  • Perform Blood typing
  • Perform Blood test for malaria microscopy
  • Perform HIV screening
  • Perform Syphilis test
  • Perform Extraction for measles patients
  • Perform Gram’s staining
  • Encoding of results
  • Submission of report quarterly
Rural Health Nurse
  • Technical supervision over the midwives on the implementation of Department of Health Programs.
  • Help, prepare and formulate health plans.
  • Attend medical consultations and refer cases needing further diagnostic skilled care by a physician and other agencies
  • Analyse and consolidate health programs reports.
  • Submit accurate and timely reports.
  • Monitor and evaluate various health programs quarterly, semi-annual and annual.
  • Participate in development programs of other midwifery personnel and students and other community workers.
  • Participate in an educational outreach studies and research.
  • Establishes a good working relationship with the different community organizations, non-government organizations specially the barangays and involve them in the implementation of health programs.
  • Assist in the conduct of disease surveillance.
  • Conduct health education and training.
  • Coordinate with the public associates and to ensure timely data collection and reporting
  • Participate in the data gathering and response during health emergencies and disasters
Rural Health Midwife
  1. Work with the Public Health Nurse in planning and evaluating health services at the barrio level.
    • Participates in determining health needs of individuals, families and the community.
    • Assists in planning and organizing clinic in the barangay
    • Prepares monthly schedule of activities in coordination with the physician, nurse, sanitary inspector or other health workers
    • Plans for activities in the clinic, follow up in homes and field visits the community.
  2. Provides midwifery services in the barangay.
    • Gives direct care to normal, childbearing women during pregnancy till the end of puerperium as well as to normal newborn infants.
    • Refers to the physician an or nurse and appropriate agencies for pregnant post-partum women and newborn babies with suspected abnormalities and problems.
    • Identifies individuals and groups in the barangay who can contribute to care of mothers and infants
    • Arranges for or seeks help in the organization of individuals and groups to support activities in relation to mothers and infants.
    • Arranges for or seeks help in the organization of individuals and groups to support activities in relation to mothers and infants.
  3. Carries out medical and nursing functions as specified in the operational manual for nursing personnel
    • Conducts clinic which includes:
      • Obtaining clinical history.
      • Performing simple routines, physical and laboratory exams.
      • Administering agency and therapeutic measures.
    • Refers cases needing further diagnostic and more skilled care by a physician and other agencies.
    • Keep accurate records of medical and nursing care rendered in the clinic, homes, and community.
  4. Participates in development programs for herself, or other midwifery personnel, students and other community workers
  5. Guides volunteers or clerks assigned to the clinic and other health activities.
  6. Accomplishes and submits reports of activities and needs for supplies including vaccines, health education and repairs of equipment to public health nurse.
Sanitation Inspector
  1. Administration
    • Plans programs for environmental sanitation together with the Municipal Health Officer (MHO) and request the necessary budget from the authorities concerned.
    • Participates in the total health program and planning of the community, staff meetings, community meetings, conferences, and training, etc
    • Prepared sanitation reports and maintains proper filing system and updates sanitation records.
    • Establishes good working relationship with the different community organization, especially the barangay, and involves them in the planning and implementation of the sanitation activities.
    • Attends to complaints and legal matters in relation to his work.
    • Prepares death certificates.
  2. Environmental Sanitation
    • Water Sanitation – Assist in the provision and maintenance of safe and adequate water supply to the community.
    • Excreta and sewage disposal – Assists in the provision and maintenance of sanitary disposal facilities for human excretement and sewage.
    • Food Sanitation – Assists in the provision of safe and wholesome food consumers through proper enforcement of sanitary rules and regulations and training of food operators and food handlers.
    • Solid waste management – Helps and promotes in the provision sanitary storage facilities, and proper collection and disposal of solid waste either by individual, group or municipal system.
    • Insect and vermin control – Assists in the elimination of breeding and harbourage places and conducts or guides organized control programme.
    • Public place sanitation – Assists in the provision of sanitary facilities and maintenance of the sanitary condition in public places such as schools, public buildings, parks, playgrounds, public transports, air and sea ports, swimming pools, bars, hotels, amusement and recreational centers, etc.
    • Environmental protection – Establishes close working relationship with the environmental protection agencies.
    • Routine inspection – Carries out a routine inspection in accordance with the standard frequency for the different fields of environmental sanitation, using the prescribed form and is required to conduct non-routine inspection from time to time as the need arises.
    • Health education – Assist in the implementation of health education activities especially those activities related to environmental sanitation.
    Referral – Give technical advice and guidance on environmental health to midwives/public health nurse in their assignment  areas, when needed
  3. School Health
    • Take part in the inspection and supervision of sanitary facilities in the school buildings.
  4. Control of communicable diseases
    • Help conduct epidemiological investigation under the supervision and authority of the Municipal Health Officer.
    • Institute control measures under the guidance of the health officer and/or sanitary engineer.
  5. Other duties that may be assigned by superior officers.
Administrative Assistant
  • Performs general clerical duties but not limited to: photocopying, faxing, organizing and filing of data records
  • Coordinates and maintain records for staff
  • Assisting in daily office needs
  • Answer incoming calls and assume other receptionist duties when needed.
Ambulance Drivers
  • Conduct/transport patients to the hospital of choice-twice a week.
  • Maintenance of ambulance monthly.
Birthing Station Staff
  • Attend normal deliveries.
  • Provide Post-partum care.
  • Initiates breastfeeding.
  • Conduct counselling on Family Planning.
  • Render New-born Care.
  • Provide needed immunization within 24 hours.
  • New-born screening within 48 hours to 1 week .

STATISTICAL POLICIES Health Indices (2016)

Health Indicators

Crude Birth Rate 18%
Crude Death Rate 3.5%
Infant Mortality Rate 3%
Maternal Mortality Rate 0%
Percent of Malnutrition 0.06%
 

Top Ten Leading Causes of Morbidity

1. Acute Upper Respiratory Infection 8,200
2. Hypertension 2,559
3. Acute Gastro Enteritis 795
4. Diabetes Mellitus 617
5. Urinary Tract Infection 594
6. Infected Wound 578
7. Pulmonary Tuberculosis 477
8. Acute Gastritis 406
9. Skin Diseases 182
10. Bronchial Asthma 181
 

Top Ten Leading Causes of Mortality

1. Cerebro Vascular Disease 233
2. Cancer All Form 68
3. Diabetes Mellitus 48
4. Vehicular Accident 28
5. COPD 23
6. Renal Failure 21
7. Pulmonary Tuberculosis 20
8. Gunshot Wound 10
9. Bronchial Asthma 9
10. Pneumonia 6
 

Top Five Leading Causes of Infant Mortality

1. Pneumonia 1
2. Electrocution 1
3. Prematurity 4
4. Severe Dehydration 1
5. Acute Gastro Enteritis 1
 

Annual Performance Capas Year 2016

Programs Target Accomplishment % Accomplished
Tuberculosis Program
  • Sputum Microscopy
  • No. of Found Positive
  • Positive Sputum Initiated Treatment
  • Cured
Actual Actual   Actual   Actual 684 107   107   127 100% 100%   100%   100%
Maternal and Child Health Care
  • Prenatal Care (Pregnant Women with 4 or more prenatal visit)
  • Pregnant women given complete iron with folic acid supplement
  • Deliveries
  • Post-natal check-up
  • Post-partum given complete iron supplementation
  • Pregnant women tested syphilis
  • No. of women positive for syphilis
  • Child Care Under 5 clinic Respiratory infection
    4,020       4,020       4,020 4,020 4,020     Actual   Actual     Actual Actual     3,306       2,850       2,694 2,534 2,632 973   1 for confirmatory 2,485 8,200     82%       70%       67% 63% 65%     100%   100%   100% 100%
Expanded Program on Immunization
  • BCG
  • OPV 3rd dose
  • Pentavalent 3rd dose
  • Measles
  • Fully Immunized Child
  • Fully Immunized Child 12-23 months
  • Newborn Screening test for infants (done)
  • Women given tetanus toxoid (TT2 Plus)
4,020 4,020 4,020 4,0204,0204,020Actual4,020 2,485 3,557 3,887 3,4543,0252,827772,827     62% 88% 97% 86%   75%   70%   100%     70%
Control of Diarrheal Diseases
  • Diarrheal cases given Oresol
    5,398     795     15%
Family Planning 1. New Acceptors 2. Current Users   3,648 10,423 3,593 8,511 98%82%
Dental Health Care
  • Oral Examination
  • Preventive Dental Care
  • Curative Dental Care
  2,148 2,148     2,148 452 298 161   21% 14%     7%
Nutrition Program
  • 1. OPT
  • 2. Micronutrient    Supplementation
    • a. Vit. A Cap
    • b. Iron
  • 3. Deworming
  26,801     18,091 1,429 20,101 20,12717,229 67815,003 75%95% 47% 75%
Environmental Sanitation
  • ·       Water Supply Disinfection
  • ·       Toilet Construction
  • ·       Food Establishment Inspection
354 190 420 213 121 386 60.16% 63.68% 91.91%
Leprosy Control Program
  • ·       Case Finding
  • ·       Treatment
Monotherapy Multi-drug Therapy
  0 0 0 0   0 0 0 0   0 0 0 0
Sexually Transmisable Infection
  • ·       Case Finding(Screened)
  • ·       Treatment
  • ·       HIV Screening Test
  • ·       Syphilis Test
ActualActualActual Actual       837 180 2 973 100%100%100% 100%
Medical Care
  • ·     Consultation/Treatment
  Actual   11,210   100%
Animal Bite Program
  • ·       Dog Bite
  • ·       Cat Bite
  Actual Actual   323 120   100% 100%
Operation Tule Actual 1,274 100%
Blood Letting Activity Actual 482 100%
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