Misamis Oriental, Philippines

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2012 State of the Province Address
By Oscar Moreno, Governor of Misamis Oriental, Philippines



The Upgrading Of The Misamis Oriental Provincial Hospitals And Augmenting the Indigent Households Capacity to Access Hospital Services Through the Philhealth Sponsored Program Have Many Positive Gains. In the years preceding 2004, the servicing capacity of our seven (7) provincial hospitals were below standards. Structures were dilapidated and there was a stark inadequacy in personnel, equipment, supplies and medicines. The ones located in Manticao, Initao, Claveria, Balingasag, Talisayan and Magsaysay back then were only classified as primary hospitals by the Philhealth in accordance with the Republic Act 4226 and the Department of Health or the DOH accreditation. Only the MisOrPH-Gingoog reached the secondary level recognition by said national government entities. Performance wise, the said hospitals had a total earnings of only PhP4.3M in 2004. The bed occupancy rate back then posted at 58 percent only and the services available were limited to medical, nursing, radiology, primary laboratory and OPD (except for MisOrPH-Gingoog, which was equipped with secondary laboratory services and surgery).


We started our rehabilitation works in 2005 with the construction of extension building in MisOrPH-Gingoog. Year after year until 2010, renovation of buildings in Balingasag, Initao, Manticao, Talisayan, Claveria and Magsaysay was undertaken. All the physical works implemented amounted to PhP103.15M. Starting in 2010, the 50-bed capacity provincial hospital in Alubijid in partnership with the Overseas Worker Welfare Administration or the OWWA started construction. We are now 50 percent complete in this project.

We also upgraded the hospital facilities and equipments using our own funds and through the donations we received from organizations local and abroad (the Philippine Charity Sweepstakes Office or the PCSO, PAGCOR, the Church of Christ of Latter Day Saints, Saint Joseph Medical Center of Baltimore, Maryland, U.S.A., Rotary Australia World Community Service Limited, People Helping People Foundation, Cagayanons Misamisnons and Friends Southern California, Alpha Phi Omega Phils. District of Columbia Alumni Association, and many more).

We also established the Misamis Oriental Pharmacy Enterprise to remedy the need for cheaper but quality medicines with our partnership with United Laboratories (UniLab). Similarly, we fostered agreement with the Biomed Medical Distributors for the Automated Hematology and Chemistry Analyzers in the seven (7) hospitals for the accurate and precise processing and conduct of diagnostic tests.

New services like secondary laboratory are catered in Balingasag and Claveria. Surgeries and telehealth----an online consultation for pre-operative and post-operative monitoring of surgical patients---are already accessible in Balingasag and Gingoog. The same telehealth service is also available in Initao, Manticao and Talisayan with the assistance of Smart Communications.

With our limited plantilla positions for doctors, specialized physicians were deployed in the provincial hospitals under a Memorandum of Agreement with the Mindanao Consortium on Surgical Residency Training Program, whereby we took advantage of the expertise of multi-specialist staff from hospitals in Cagayan de Oro City for the Mobile Surgery Services Program.

With this transformation, only the hospitals of Claveria and Magsaysay are yet to be upgraded from the primary level. From only 140 beds previously, 195 beds were available starting 2009. Most recent report of our Hospital Operations Unit of the Provincial Health Office showed that the average bed occupancy rate of all the seven (7) provincial hospitals now reached 107 percent. The most remarkable trend was seen in Claveria which, back in 2004, only had 25 percent occupancy (to 134 percent in 2011), Gingoog at 52 percent (to 146 percent) and Magsaysay at 36 percent (to 86 percent). Still using the 2004-2011 comparison, total hospital admissions increased by 269 percent (9,025 in 2004 and more than 24,264 in 2011). For the total Out Patient Department consultations, increase was at 292 percent (23,328 in 2004 and 68,233 in 2011).

As we upgraded our hospitals capacity, we also augmented our indigent constituent’s access to health services by insuring them with the Philhealth Sponsored Program or the PSP. From only about 10,000 households in 2004, indigent households covered numbered to more than 191,000 last year, though said figure decreased to 171,000 households as the 4Ps Program of the Department of Social Welfare and Development enlisted our other previous enrollees. Total Philhealth enrollment for this year has however, increased to 217,000. A Universal Coverage for Misamis Oriental was pronounced by the Philhealth starting 2009. For eight years now, our investment for the PSP amounted to PhP437.62M which in turn gave us a capitation fund of PhP338.22M. Of the capitation fund, about PhP270.48M went to hospitals renovation, and procurement of drugs and equipment. Our investments for hospital upgrading and the PSP brought in a total hospital income of PhP 72.82M in 2011. For the first five months of 2012, the MisOrPH hospitals have more than PhP42M income according to our Provincial Treasury.

Our health system innovations were even acknowledged on a national scale, thus we were recognized along with the elite row of local government units with the best and replicable practices on governance on March 17, 2011 with the Galing Pook Awards.

Improvements Were Also Experienced in the Public Health Sector. We succeeded in curbing the malnutrition rate which was at 23.06 percent in 2004 and now significantly lower at 7.15 percent. Our support to the DOH in stabilizing the Botika ng Barangay which only numbered to 62 back then, allowed its proliferation today in around 259 barangays. Last year, the occurrence of malaria case was at zero, an indication that the Global Malaria Fund Component Project of the Tropical Diseases Foundation succeeded in Misamis Oriental.

Relatedly, the aggregate number of Barangay Health Centers we rehabilitated now reached 118 units as of June 2012. The initiative started in 2005 with the assistance of CWC for 39 units. This number is still increasing!

The Tabang Medico, which started during my days as Representative of the First District of Misamis Oriental, was able to serve thousands of our constituents in all due to the assistance of our collaborators: the PCSO and the PAGCOR for the medicines and supplies, and the various medical and support services provided by personnel from the Community of German Doctors, the Northern Mindanao Medical Center, the Maria Reyna Hospital, the Capitol University Medical Center, the Sabal Hospital, the Polymedic General Hospital, the Philippine National Police, the Armed Forces of the Philippines, the Philippine National Red Cross, the Philippine Service of Mercy and other medical and volunteer organizations.

Misamis Oriental was the first Province in the country to implement the Essential Health Care Package which focused on the oral fitness and the observance of hand washing among pre-school and elementary school pupils. [Next: Agricultural Productivity]

Introduction | Poverty Alleviation | Revenue Generation | Investment in Infrastructure | MISORTEL Resuscitation | Education | Environmental Protection and Management | Hospital and Health Systems | Agricultural Productivity | Teamwork and Streamlined Bureaucracy | Conclusion