1. L GU Initiatives
on Maternal Health
C ity of Pasig
GEORGIANA S. GALUTERA,MD
City Health Officer
NILDA DEL ROSARIO,MD
MCH Medical Coordinator

2. INTRODUCTION
 Pasig City is one of the most fast developing cities in
Metro Manila, however, with the different problems
of this city like potential flooding, various reforms
were made especially more on infrastructure
focusing on the drainage system, education, health,
roads and barangay projects.
• Since the beginning of the City Mayor Robert C.
Eusebio’s term, health was one of his priority projects.
The City Mayor clustered barangay health centers into 4
clusters called “Super Health Center”. Each Super
Health Center is equipped with ultrasound machines,
ecg machines, complete dental equipments, nebulizers
and defibrillation machines, including availability of
generic and branded medicine including free flu
vaccinations among all senior citizens.

3. MISSION
Towards Pasig City’s sustainable
development through an efficient, pro-
active progressive Primary Health Care
Delivery System responsive to the needs of
Pasigueños through the provision of highly
accessible, cost efficient and effective
preventive and managed health services
enhanced by continuing professional
education, update with the current trends
and proficient technical training.

4. VISION
Pasig as a City of wellness anchored
on health service excellence of the Pasig
City Health Office. Health for all Pasig City
constituents regardless of age, race, color,
socio-economic status, religious and other
affiliations.

5. OBJECTIVE
The Pasig City Health Office is an office with a health system of
programs and services that upholds efficient and quality services. It has the
component of health promotion, disease control and prevention and health
care provision. It also has the component of treatment and rehabilitation,
primary home care and auxiliary services. These services include
vaccinations, consultations, laboratory work-ups like; ultrasound and
reflexology, sanitation, nutrition, family planning and maternal & child
health. Our health program also includes education dissemination and
advocacy. We would like to be effective, efficient and empowered through
the support of our local government, national government and other
services-foreign funding. Our office has the role of the following:
• Access to diagnostic test – ultrasound, x-ray, blood test and ECG and test
for determination of infectious and non- infectious diseases.

6. 2. Availability of drugs and medicines for both government and
non-government organizations/people’s organization.
3. Addressing the nutritional problem of our children through
actual feeding programs especially among school children.
4. Addressing our goal of providing primary health care through
vaccination of infants and children, senior citizens,
government employees and high risk patients. This is because
we believe that prevention is better than cure.
5. Expansion of coverage and benefits of Philhealth and our local
system for provision of free hospitalization and services
through our blue and white card.
6. Strengthening health education and advocacy through our
Kalusugan Patrol.

7. 2.Implementation of computerization in health facilities for data
processing and development
•Providing special medicines at 50% discount from drugstore
prices through our Pharmacia ng Pasigueños which addresses
debilitating diseases like diabetes and coronary heart diseases and
other degenerative and lifestyle diseases.
•Improving and upgrading health facilities and health system.
•Addresses core public health programs – safe motherhood, Family
Planning & Child Care.
11. Conducts regular blood program activities as life saving program
for our patients needing blood.
12. Compliments programs and the regulatory function as embodied
in the Sanitation Code of the Philippines and our local sanitation
ordinances and by-laws.

8. NUTRITION PROGRAM:
•Best in Barangay Nutrition Program Implementation given by the
National Nutrition Council (NNC) held at EDSA Shangrila on August
18, 2011.
•2ndrunner-up as Most Outstanding Barangay Nutrition Scholar
given To MS. Nilda Aguila, BNS of Napico given by NNC.
CITY EPIDEMILOGY & SURVEILLANCE UNIT ( CESU )
•Performance of Excellence awarded by Department of Health-
Center for Health & Development (DOH-CHD,MM) to Pasig CESU for
their exemplary performance and commitment to vaccine
preventable diseases held at the Sunrise Mansion Holiday in Cavite
City on December 3, 2011.
SMOKING CESSATION PROGRAM
•Pink Orchid Award for having garnered a total score within the
range of 65-84% based on the DOH’s criteria & following the
WHO’s “MPOWER” Framework given on May 31, 2011 at Crowne
Plaza Galleria Manila Ortigas Avenue, Pasig City.

9. PROFILE OF PASIG
1.One of the seventeen (17) towns and cities comprising Metropolitan Manila and used to be the
capital of the then premier Province of Rizal before the creation of Metropolitan governance in
November 7, 1975 under Presidential Decree # 824.
2.A highly urbanized city through Republic Act 7829, An Act. converting the Municipality of Pasig into
a Highly Urbanized City
passed by Congress on July 26, 1993
signed into Law by the President of the Philippines on December 8, 1993
ratified through a plebiscite on January 21, 1994.
3.A city with a land area of 31 sq. km., the 10th largest among Metro Manila towns and cities.
4.The 4th biggest city in the National Capital Region in terms of population.
5.Ranks 4th among the highest income earning cities of Metro Manila.
6.Previously an industrial city transforming into a business, financial and trade canter.
7.The seat of unified Philippine Stock Exchange.

10. City of PASIG
Location :
Geographically, Pasig lies approximately
12 kms. East of Manila sprawled along the
banks of Marikina and Pasig Rivers, on the
southeastern end of the Pasig River,
bounded by:
North : Quezon City and Marikina
City
West : Mandaluyong City
South : Makati City, Pateros and
Tagig
East : Cainta and Taytay
(Province of Rizal)

11. ECONOMIC CHARACTERISTICS
From an industrial town during the period it served as the capital Rizal
Province in the sixties and seventies, Pasig has evolved into one of the highly
urbanized cities of the country attaining cityhood in 1994. It has maintained its
4th ranking position among Metro Manila cities in the terms of income for several
years and again this year earning total revenues of Php 4.2B in 2008 from Php
184M in 1991 before the passage of the Local Government Code.
Pasig’s income is mostly derived from Services sector which accounted for
96.55% of the 22,000 business establishments all over the city, mostly in banks
and other financial lending institutions, big and small scale wholesalers,
restaurants, fast food chains supermarkets and shopping malls. Trade, financial
transactions and other commercial activities abound and are expanding while
agriculture, fishery and forestry are practically non-existent. Much of the lands
that existed in the 60’s and 70’s had been developed into residential subdivisions
and influence by the industry dispersal policy of the government, a number of
large industries have relocated outside Metro Manila. At present Pasig has a total
of 771 small, medium and large industries.
The seat of business and commerce is the Ortigas Business Center
approximately 50 hectares high intensity commercial development located at the
western side of Pasig. The site of the United Philippine Stock Exchange, Meralco
building and The New Medical City , the Ortigas Center is host to about 90 high
rise condominiums housing different offices, banks, hotels, restaurants,
residences and shopping stalls.

12. Facility No.
Health Centers
District 1 22
District 2 16
Super Health Centers 4
Public Health Laboratory 1
Social Hygiene Clinic 1
Drug Abuse Clinic 1
Animal Bite Clinic 1
Smoking Cessation Clinic 1
Lying-In Clinic 0
Healthy Lifestyle Clinic 1
LGU Hospital
PhilHealth Accred. 1
DOH Retained Hospital
PhilHealth Accred. 1

13. NAME OF PUBLIC LOCATION NO. OF BEDS
HOSPITALS
1. Pasig City General F. Legaspi St. 200
Hospital Maybunga
2. Rizal Medical Center Shaw Blvd., Pineda 300
NAME OF PRIVATE HOSPITAL LOCATION NO.OF BEDS
1. Javillonar laboratory & Sagad, Pasig City
Hospital
2. Mary Immaculate Hospital E.Rodriguez Ave.,Bagong Ilog 25
3. Mission Hospital E.Rodriguez Ave.,Bagong Ilog 30
4.Mother Regina Hospital #2 Ruby St. Dona Juana Subd. 2
#101 London St Pasig 6
Greenpark Village
Manggahan

14. NAME OF PRIVATE LOCATION NO.OF BEDS
HOSPITAL
6.Pasig Medical & Maternal
Hospital & Foundation
7. Rosario Specialist Rosario
Hospital
8. Sabater General Market Ave. Sto.Tomas 15
Hospital
9. Salve Regina General Marcos Highway, Dela 50
Hospital Paz
10. St. Therese Hospital C. Raymundo Ave., 25
Maybunga
11. The Medical City

15. LIST OF SUPER HEALTH CENTERS
NAME OF HEALTH CENTER ESTIMATED PDP ESTIMATED NO. OF
HOUSEHOLD
Bagong Ilog PC 7,944 1,589
Bagong Lipunan 11,190 2,238
Bambang 19,798 3,960
Buting 9,327 1,866
Dela Paz 13,413 2,683
Kalawaan 14,460 2,892
Manggahan 14,093 2,819
Maybunga HC 14,650 2,930
Oranbo 4,518 904
Palatiw PC 17,404 3,481
Kapasigan HC 6,753 1,351
Sta. Rosa 1,557 312
Pinagbuhatan HC 21,678 4,336
Pineda 15,434 3,807
Rosario HC 26,056 5,212
Rosario PC 26,056 5.212
Sagad 11,993 1,416

16. NAME OF HEALTH CENTER ESTIMATED PDP ESTIMATED NO. OF
HOUSEHOLD
San Antonio 11,993 2,399
San Joaquin HC 12,848 2,570
San Miguel HC 15,456 3,092
San Nicolas 1,585 317
Santolan HC 35,600 7,120
Sta. Lucia HC 20,845 4,169
Sto.Tomas 6,554 1,311
Sumilang HC 5,543 1,109
Ugong HC 22,890 4,578
Caniogan PC 11,189 2,238
Bagong Ilog HC 7,943 1,589
Dona Betang 8,900 1,780
Malinao 6,124 1,225
Kapitolyo 10,744 2,149
San Jose 2,413 483
Karangalan HC 21,138 4,228
Katipunan HC 1,218 244
Napico 41,095 8,219

17. NAME OF HEALTH CENTER ESTIMATED PDP ESTIMATED NO. OF
HOUSEHOLD
Pinagbuhatan 21,678 4,336
Sta. Cruz 4,489 898
Floodway 21,976 4,396
Ismar 9,639 1,928
Sta. Lucia Mini 20,845 4,169
Nagpayong 48,777 9,756
E.Santos 16,529 3,252

18. LIST OF SUPER HEALTH CENTERS
NAME LOCATION
District I
1. Sumilang Super Health Center Dr. Garcia St., Sumilang
District II
1. Nagpayong Super Health Centennial 2, Nagpayong,
Center Pinagbuhatan
2. Rosario Super Health Center
3. Santolan Super Health Center
LIST OF PUERICULTURE CENTERS
Name of Puericulture Center Location
1. Bagong Ilog Pook Maligaya,Bagong-Ilog District
2.Pinagbuhatan M.H. Del Pilar Street II
I

19. Health
Office
Category Permanent Casual Center Total
Based
Based
RHP 39 2 36 5 41
Nurses 33 40 25 48 73
Midwives 72 8 64 16 80
Dentists 25 10 34 1 35
Med Techs 7 17 7 10 24
RSI 19 1 11 8 20
Nutritionists 6 4 8 2 10
Pathologists 1 0 0 1 1
Radiologists 2 0 0 2 2

20. Total Population 2012: 602,800
Personnel Pasig City DOH Standard
Doctors 1:16,744 1:20,000
Nurses 1:24,112 1:10,000
Midwives 1:9,418 1:5,000
Dentists 1:17,729 1:20,000
Med Techs 1:86,114 1:50,000
RSI 1:54,800 1:20,000
Nutritionists 1:75,300 1:50,000
BNS 1:17,729 1:5,000

22. INDICES 2006 2007 2008
Cases Rate Cases Rate Cases Rate
CRUDE BIRTH 7,937 14.42 7,991 14.33 4,855 7.65
RATE
Crude Death 2,837 5.15 2,652 4.75 2,846 4.48
Rate
Infant Mortality 179 22.55 144 18.0 184 37.90
Rate
Maternal 10 1.26 12 1.5 42 0.44
Mortality Rate
Child Mortality 230 2.78 38 0.45 18 3.71
Rate
INDICES 2009 2010 2011
Cases Rate Cases Rate Cases Rate
CRUDE BIRTH 5,503 9.46 11,639 19.76 8,141 13.45
RATE
Crude Death 3,114 5.36 2,945 500.01 2,807 4.64
Rate
Infant Mortality 183 33.25 134 11.51 184 22.60
Rate
Maternal 12 2.18 31 2.66 15 1.84
Mortality Rate
Child Mortality 67 0.77 57 0.64 45 0.50
Rate

23. 2006 2007 2008
NATALITY
No. of Rate No. of No. of
Cases Rate Case
Cases Rate
1.Total Number of Livebirths 7,937 = 7,991 = 4,855 =
Male 4,102 = 516.8 4,092 = 512.07 2,530 = 3.99
Female 3,835 = 483.2 3,899 = 487.92 2,325 = 3.66
2.Livebirths by Weight
< 2,500grams 772 = 97.3 7,493 = 937.67 4,604 = 7.25
> 2,500grams 7,131 = 898.4 456 = 57.06 247 =0.39
Unknown 34 = 4.3 42 = 5.25 4 =0.01
3.Livebirth by Medical Attendance
Doctors 3,372 = 424.8 3,387 = 423.85 1,971 = 405.97
Nurses 12 = 1.5 3 =0.3754 6 =1.24
Midwife 3,719 = 468.5 3,797 =475.15 2,225 = 458.29
Trained Hilots 490 = 61.7 369 =46.176 233 = 47.99
Untrained Hilots • = 40.3 423 =52.934 418 = 86.10
Others 24 = 3.0 3 =0.3754 1 = .21
Unknown 1 = .21
4.Livebirths by Place of Delivery
Homes 3,491 = 424.8 3,556 = 445.0 2,231 = 459.53
Lyingn- In 189 =23.65
Gov’t.Hospital 2,597 = 1.5 2,491 =311.72 1,517 = 312.46
Private Hospital / Clinic 1,815 = 228.6 1,638 =204.98 1,104 = 227.39
Others 34 = 4.28 108 =13.51 3 = 0.62
5.Numbers of Maternal Deaths 10 = 1.26 12 = 1.50 18 = 3.71
6.Number of Infant Deaths< 1yr.old 179 = 22.55 184 = 37.90 184 = 37.90
7.Number of Still Birth (late fetal) 33 = 4.16 31 = 3.89 35 = 7.0

24. 2009 POPULATION: 2011 POPULATION: 605,473
LCR DATA : 581,395 Total Live Births : 15,851
Total Live Births : 15,564 Rate: 26.18
2009 Rate: 26.77 2010 2011
NATALITY No. of No. of No. of
Cases Rate Cases Rate Cases Rate
1.Total Number of Livebirths 5,503 11,639 8,141
Male 2,867 = 520.99 6,090 = 523.24 4,165 = 511.61
Female 2,636 = 479.01 5,549 = 476.76 3,976 = 488.39
2.Livebirths by Weight
< 2,500grams 5,201 = 945.12 10,873 = 934.19 7,588 = 932.07
> 2,500grams 284 = 51.61 753 = 64.69 547 = 67.19
Unknown 18 = 3.27 13 = 1.12 6 = 0.74
3.Livebirth by Medical Attendance
Doctors 2,563 = 465.74 7,674 = 659.33 4,902 = 602.14
Nurses 4 = 0.73 52 = 4.47 • = 1.60
Midwife 2,431 = 441.76 3,288 = 282.50 2,693 = 330.79
Hilots 239 = 43.43 352 = 30.24 283 = 34.76
Others 266 = 48.34 273 = 23.46 • = 30.22
4 = 0.49
4.Livebirths by Place of Delivery
Homes 2,647 = 3,429 = 294.61 2,403 = 295.17
Hospital 481.01 7,516 = 645.76 4,687 = 575.73
Others 2,304 = 694 = 59.63 1,051 = 129.10
418.68
552 = 100.31
5.Numbers of Maternal Deaths 12 = 2.18 31 = 2.66 15 = 1.84
6.Number of Infant Deaths< 183 = 33.25 134 = 11.51 184 = 22.60
1yr.old

25. National Baseline: 33% in 2006
National Target: 70% by 2010

26. National baseline: 54% in 2006
National target: 70% by 2010

27. MDG Goal: 52/100,000 Live Births

28. National Baseline: 39% in 2006
National Target: 70% by 2010

30. Int.
National Ext.
Baseline Pasig Pasig Bench
Indicator Target Bench
2006 2009 2010 mark
2010 mark
Prenatal 80 80 64.6% 60.82%
TT2
Immuniza 80 80 45% 48%
tion
Given Iron
with FA
80 80 44.3% 69.97%
Post
partum
80 80 61% 63%
FBD 33% 70% 51.9% 70.54
SBA 54% 70% 90.8 94.63
CPR 39% 85% 15.54 7.79

31. National Int. Ext.
Baseline Pasig Pasig
Indicator Target Bench Bench
2006 2009 2010
2010 mark mark
IMR 25 17 33.25% 11.51%
UFMR 34 32 0.77% 0.64%
MMR 162 90 220 266

32. National Int. Ext.
Baseline Pasig Pasig
Indicator Target Bench Bench
2006 2009 2010
2010 mark mark
Average
Hospital
Gross
Death
Rate from
1% 1% 1.5% 2.1%
Maternal
causes
BEMOC to
Pop ratio
1:511,767 1:125,000 0% 0%

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50. KALUSUGAN PATROL
promoting
SAFE MOTHERHOOD
in the community

53. Regulation of Private Lying In Clinics

54. Meeting with Private Lying In
Owners regarding facility
regulation, PhilHealth
Accreditation,
Incentive system to TBAs

55. Dialogue with TBAs (Traditional Birth
Attendant) on Maternal Health updates
and DOH policies their role in tracking
down and properly referring pregnant
women

56. Conduct of Gandang
Buntis, Simultaneous
Breastfeeding and Buntis
Exercise

57. Issuance of Revised Mother and
Baby Booklets
Safe Motherhood Flipcharts

58.  Conduct of regular program implementation
review
 Maternal death monitoring and review
 Partnerships with CEmONC facility
 Strengthening blood donation activities

60.  Facility enhancement/ upgrading of HC
equipment
 Capability building of public health midwives
(Basic Emergency Obstetric and Newborn
Care / NBS)
 Deployment of Community Health Teams to
4Ps areas to identify unmet needs and
facilitate health plans and referrals

61. • Provision of Free Hepatitis B
Immunoglobulins to newborns of Hepa B (+)
mothers
• Provision of initial doses of Methyldopa for
hypertensive cases
• Intensify activities for adolescent health
• Monitoring and intervention of teen
pregnancies
• Improve access to and utilization of modern
Family Planning Methods
• Strengthen Public Private partnership (PPMs)

62.  Conduct special activities for pregnant
mothers
 PhilHealth accreditation of several health
centers
 PhilHealth sponsorship of indigent families
( quintile 2)

64.  Creation of a City Ordinance regulating all
birthing facilities to ensure quality service
delivery
 Involvement of Barangay Officials and other
sectors in promoting safe motherhood and
facility delivery

65. ANNUAL OPERATIONAL
PLAN FOR 2012

66. 1. Promotion of Women’s Health Team
a. Advocacy of proper birth spacing.
b. At least 4 pre-natal visits
c. Basic oral health services
2. Setting up of a BEMONC/CMONC facility
3. Contraceptive prevalence rate program
a. Information and access to natural and
modern family planning.
b. Contraceptive Self Reliance
1. Conduct Responsible Parenthood
2. Provision of FP commodities and services.
3. CSR Plan
4. Strengthen Private/Public Partnership
a. Training of private midwife
b. Establish/strengthen referral system ( annual
meetings with MD )
c. Institutionalization of MNCHN

67. 1. Provide optimum pre-natal care.
a. Reproduction of Mother and baby Booklet
b. Patient’s record/chart
c. Pregnancy test Kit
d. BH s Ag screening
e. Provision of Methyldopa 250 mg tablet
f. Immuno globulins for newborns of Hepa B
positive mother
g. Purchase of fetal Doppler monitor
h. Tetanus toxoid
2. Promotion of safe motherhood
a. Conduct Buntis Bingo
b. Conduct of bench classes/group discussion
promoting safe motherhood
c. Provide oral contracptive pills for lactating mothers

68. 3. MCH Program Implementation
a. Semi annual program review
b. For documentation of MCH Activities
c. Consolidation and submission of reports for MCH
4. Establishment of a BEMONC facility
5. Capability building
a. Proper technique on visual inspection using acetic acid
technique.
b. NEMONC/CEMONC Training of Health Personnel
c. Training of CHTs
d. Training of Private Midwife on Maternal and Child Health
e. Training of Basic Family Planning for new health
personnel
f. Family Planning Updates
6. Promote Adolescent Reproductive Health
a. Create youth health teams
b. Conduct youth health symposia
c. Monitoring of Teenage pregnancies

69. 7. Pre-marriage counseling
8. Conduct of FDS classes to the community.
9. Conduct of FDS classes to 4P’s members.
10. Advocacy meeting with Private lying in clinic
11. Mid year annual PIR
12. Conduct Blood Donations.

70. THANK YOU
FOR LISTEN ING