Disease Prevention and Intervention

Infectious Disease Control Program

Part of the Implementation of the infectious disease control program are the following; continuous advocacy on the prevention of STD HIV/AIDS for the 164 senior high school students in public schools and 360 uniformed/PNP staffs, students youth and drivers; Provision of technical assistance to TB-DOTS facilities, TB drugs for adult and children as well as logistics for the TB Laboratories; Provision of TA to ABTC and Anti-Rabies Vaccine to certified ABTC; and provision of leprosy drugs to health facilities with ongoing Leprosy treatment.

Provincial Epidemiology and Surveillance statistics on Infectious Diseases
Data Source: PHO Annual Accomplishment Report 2020

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Nutrition Development Program

Onslaught of Covid-19 pandemic on the onset of 2020, the Provincial Government implemented the strict compliance to the implementation of the Enhanced Community Quarantine (ECQ) to Modified General Community Quarantine (MGCQ) in the entire province of Marinduque. The Provincial Government together with the six municipalities and frontlines courageously fulfilled their mandate to fight against prevalence of the disease in the entire province from March 15, 2020.

Headed by the Provincial Health Officer,  a COVID-19 task force was established. It is composed of the Provincial Epidemiology and Surveillance, Health Education and Promotion and the Environmental Health Cluster to prioritize  and begin the province’s response to COVID-19 in relation to the Executive Order issued by the Governor. A Task Force NCOV was created to prevent and/or minimize the entry of persons from China and its administrative territories of Hongkong and Macau and all suspected persons or confirmed patients with NCoV in Marinduque.

PHO created its Official Facebook Page and COVID-19 Hotline as a means to provide information about COVID-19. DOH-approved IEC materials were also reproduced and distributed to the Municipal Health Offices and health facilities to provide reliable source of information about the 2019 Coronavirus Disease and the activities being done to protect the province against the virus, to address misinformation and miscommunications and to prevent the spread of false news that could cause fear and panic in the communities. The Provincial Health Office also strengthened coordination with media partners and initiated its first tri-media program in our local media channel for the PHO’s  program updates especially on the COVID-19 status of the province for a wider information dissemination and health promotion.  Conduct series of misting operations was also implemented in the entire province throughout the year. The governor initiated the distribution of facemasks pursuant to the Department of Interior and Local Government of Memorandum Circular No. 2020-071 dated 9 April 2020 “Subject: Mandatory Wearing of Face Masks or other Protective Equipment in Public Areas”, in compliance with IATF Resolution No. 18, dated 1 April 2020, enjoining Local Government Units to strictly implement mandatory wearing of face masks by all  residents in public places. 

Immunization Program
A total of 2, 795 children were fully immunized this year. 17,267 received the MR Vaccine which is 99.27% of the eligible population while 19, 793 individuals vaccinated by OPV which is 100% of the eligible population.
Blood Donation Program
Annual Blood Collection data shows a total of 17 Mobile Blood Donation were scheduled for the year and a total of 458 units of blood were collected.
Mental Health Program
924 patients with mental, neurological and substance abuse disorders were reported and recorded as of September 2020, a total of 399 patients; 197 males, 202 females, received mental health medicines.
Oral Health Program
During the 16th National Oral Health month celebration, the Provincial Government thru the PHO in partnership with Philippine Dental Association Marinduque Chapter conducted DENTAL CARE on WHEELS and health services in 7 barangays and public and private schools. Despite the pandemic the health office utilized the Telephone/Web consultations and E-prescriptions. An estimated of 5000 adults, children and senior citizens had availed of the services.

Hospital Management and Health Services

Dr. Damian Reyes Provincial Hospital (DRPH) was reverted to its original name Marinduque Provincial Hospital (MPH) by virtue of Sangguniang Panlalawigan Resolution No. 304 s.2020 and Provincial Ordinance No. 154 dated February 11, 2020.

MPH statistics showed that in Year 2020 the average bed occupancy rate is 64.86% wherein the average in-patient per day is 64 with a 3 days average length of hospitalization per patient. The demands for quality medical health services prompted MPH management to utilize funds other than general fund for the operational needs of the hospital. The PGM provided additional nursing services to comply with the DOH licensing regulation on patient-staff ratio.  MPH goals is to strengthen the Philhealth Point of Service wherein enrollment of 420 families to PhilHealth Point of Service were given the same privileges as PhilHealth member. Medical assistance for indigent patients were also made possible through the assistance of PCSO, DSWD and DOH-MAIP.

In 2020, a total of 6,025 patients claimed PhilHealth benefits and 14 patients had Paid Claims benefits giving a total income of Php 8,802,400.00 which is Php 23 million lower that the income collected in 2019.

MPH Special Health Program
One of the trusts of the Provincial Government is to give utmost importance to the health of the Marinduqueños, the PGM special health programs includes:
• Telemedicine renamed as Marinduque Child Development Center as a means of medical consultation of which diagnosis, treatment/management and better understanding of the child’s disability were made available to the under privilege families of children with disability. Due to recent COVID19 crisis, Telemedicine Consultation was suspended. Thus decline in the number of clients consulted was evident. In preparation for the resumption of telemedicine consultation in 2021, Telemedicine/ Rehabilitation Section prepared the room that would allow to practice the minimum standard health protocol recommended by DOH during telemedicine consultation.

• Adult Physical Therapy

• HIV-HACT

Torrijos Municipal Hospital
Torrijos Municipal Hospital is a licensed INFIRMARY with Authorized Bed Capacity of 10 beds and a Philhealth Accredited health facility. It is located at Rizal Street, Poblacion Torrijos, Marinduque.

The occupancy rate was 34.25% with an average in-patient per day of 3. There were 572 patients admitted excluding newborn. Out of those admissions, 495 improved or recovered. There were 229 newborns and total discharges including death of 574 patients. There were 30 patients transferred to other health facility, 11 patient went home against medical advice and 29 deaths ( 26 deaths – less 48 hours, 3 deaths beyond 48 hours)

According to the statistical data of the hospital, urinary tract infection, hypertension, musculoskeletal disorder, acute respiratory infections, osteoarthritis, community-acquired pneumonia, gastritis, diabetes mellitus, CCD and Bronchitis are ten leading cause of consultation.

The Health Facility was able to purchase medical equipment funded under the 20% CDF CY 2020. There were equipment donated by the Health Facility Enhancement Program of the Department of Health. In addition, it is undergoing renovation funded by the Health Facility Enhancement Program of the Department of Health. In the 1st quarter of 2020, the Administration Office, Laboratory and Pharmacy transferred back to their respective areas. The Office of the Chief of Hospital and Nursing Service, Medical Records and Doctor’s Room transferred to their designated areas as per approved floor plan.

Sta. Cruz Municipal Hospital
Sta. Cruz Hospital is a licensed SECONDARY Hospital with Authorized Bed Capacity of 17 beds and a Philhealth Accredited health facility located at Sta. Cruz, Marinduque

The occupancy rate was 78.35% with an average in-patient per day of 13. There were 2,453 patients admitted including newborn. Out of those admissions, 1,517 improved or recovered. There were 564 newborns and total discharges including death of 1,893 patients. There were 127 patients transferred to other health facility, and 87 deaths under 40 hours from admission

According to the statistical data of the hospital, the first three leading cause of death of patients is due to cerebrovascular Accident Hge/HPN, Pneumonia and Acute Myocardial Infarction. The three leading cause of consultation among patients are: Prenatal, Urinary tract infection and Hypertension.

Pandemic greatly affects the implementation of province’s nutrition programs and activities, yet, the Provincial Government pursue its Good Nutrition programs for strong immune system to fight infectious diseases in line with DOH protocols. The following programs were conducted by the PGM thru PNO

MELLPI-Pro

MELLPI-PRO is the updated Nutrition Monitoring and Evaluation System at the Local Level based on the LGU accomplishment and nutrition workers performance. This year, because of the pandemic, we only monitor each municipality’s performance for a period of January – June 2020. Results were sent to the Mayor’s for their guidance.

Dietary Supplementation to Indigent Pregnant Program

Maternal milk and egg were given to 300 indigent pregnant women for 30 days, a carry-over activity from the remaining supplies of 2019. A nutrition education programs was also conducted to target both the physical and behavioral development of mothers. A monthly monitoring was being done supported with nutrition education for a more positive maternal and infant health outcome. As result, most of the recipients increased in weights for these periods

Dietary Supplementation to Underweights and Severely Underweights Infants and Children

Full cream milk, egg and a complementary foods like marinaya mix, oats, lugao with flavored chocolate, pandan, etc. to 486 underweight and 58 severely underweight pre-school children found malnourished thru the Operation Timbang Result last March 2020 which was timely and advantage to the families with underweight children in the course of lockdown. Likewise, provision of ready to use food (RUSF) from the Department of Health was so helpful for these children.
Monthly monitoring in the weights were done up to the end of
December. Results revealed that there was an increase in weights
and nutritional status of children.

Maternal Nutrition, Infant and Young Child Feeding Program

Feeding advocacy thru Lecture on “Sabayang Pagpapasuso” activity August 10-14, 2020 at the 25 barangays in Gasan 150 lactating mothers.

Barangay Nutrition Scholar Capacity Building

BNS Convention on National Nutrition Survey Result facilitated by DOST-FNRI, refresher course for the 112 BNS, 60 Infant and Young Child Feeding focal persons and 61 MNIYCF.

Nutrition Education/Cooking Demo

Conducted Nutrition Education and cooking demonstration to 150 lactating mothers. It aims to brings nutri-information on the importance of having good nutrition from March 3, 2020 to October 30, 2020

Provision of Nutri-bun to Selected Grade I-V Pupils

The budget was coming from the Provincial Council of Children amounting to ₱ 100,000.00, started on November 23, 2020 to December 4, 2020. BNS of per barangays were tasked to the distribution of Nutri-bun to the 502 malnourished children due to constraints of face to face feeding.

Food Service (Nutribite-Canteen)

The canteen offers nutritious daily menus for a healthy diet for the PGM Employees