Municipality of Mabini

Province of Batangas

Hon. Atty. Nilo M.

Villanueva
Municipal Mayor
Melanio Ramir P. Beloso, MD,
MHA
Municipal Health Officer

3 MAJOR CHALLENGES

1. No birthing facility
2. Low facility-based deliveries
3. Limited BHW incentives

STRATEGIES
1. Re-establishment of birthing
facilities in Rural Health Unit
2. Increase number of facility-based
deliveries and decrease homebased deliveries
3. Provision for BHW incentives

IMPLEMENTATION OF STRATEGIES AND

ACCOMPLISHMENTS
Facility enhancement of the Rural Health
Unit
Expansion to operationalize birthing facility
Renovation to upgrade and conform to DOH
standards

IMPLEMENTATION OF STRATEGIES AND

ACCOMPLISHMENTS
Capacity-building
Training of Basic and Emergency Maternal,
Obstetric and Neonatal Care (BEMONC) team

IMPLEMENTATION OF STRATEGIES AND

ACCOMPLISHMENTS
Strong advocacy for facility-based deliveries
Passage of ordinance prohibiting home-based
deliveries
Conduct of information campaign on benefits of
facility-based deliveries and hazards of home-based
deliveries

IMPLEMENTATION OF STRATEGIES AND

ACCOMPLISHMENTS
Strengthen support system
Obtaining additional ambulance
Hosting of first Mabini Health Summit

IMPLEMENTATION OF STRATEGIES AND

ACCOMPLISHMENTS
Allocation of 5% of PhilHealth
reimbursements to BHW incentives
Adoption of incentive scheme for referrals

IMPLEMENTATION OF STRATEGIES AND

ACCOMPLISHMENTS
Formation of Local Health Board and
Barangay Health Board
Promulgation of Executive Order creating the LHB
and BHB
Conduct of organizational meetings

SUCCESS INDICATORS
1. Zero maternal and neo-natal deaths in
2015
2. Increase financial security through
increased PhilHealth reimbursements
3. Attainment of MCP in PhilHealth
Accreditation

Health Indicators
Baseline
(2013)

2014

2015 Q1

2015 Q2

2015 Q3

660

662

119 / 9%

137 / 12%

166 / 13%

Facility Based Delivery

79%

93%

97%

20 / 15%

38 / 23%

Skilled Birth Attendant

100%

100%

100%

100%

100%

Contraceptive Prevalence
Rate

15%

15%

19%

18%

19%

Teenage Pregnancy Rate

34 / 5%

125 / 14%

48%

50%

Maternal Health
Live Birth
Maternal Death

Complete (4) Antenatal

Care Visits

99 / 17%
80%

89 / 7%

156 / 12%

Complete (2) Postpartum

Visits

HHII55

Health Indicators
Infant Health
Infant Death
Fully Immunized Child

Baseline

2013

2014

2015

660 / 52%

660 / 52%

680 / 53%

289 / 22%

HHII55
Under Five Health

Baseline

2013

2014

2015

Under Five Death

Malnutrition Rate

71 / 1%

71 / 1%

105 / 1.4%

98 / 1.3%

HHII55

Roadmap

Baseline Roadmap

Current Roadmap

LEADERSHIP LESSONS
1. Teamwork with LCE, MHO and stakeholders is
essential in reforms through leadership and
governance
2. Better health outcomes can be achieved if healthseeking behavior and attitudes are improved
3. Increase in PhilHealth enrolment, compliance to
its accreditation and availment of benefit
packages are essential to secure financing
4. Follow-up and monitoring the status of
implementation to ensure completion of programs

Remaining Challenges of
Municipality
1. Lack of blood supply donors
2. Lacking diagnostic services to pre-natal care
3. Improving the reporting and recording
system
4. Increase in budget allocation for PhilHealth
renewal
5. Creation of plantilla for human resource
6. Sustainability of the programs at the
barangay level

NEXT STEPS
1. Creation of inter-local health zones
2. Creation of barangay health station
birthing facility
3. Monthly dialog with LHB and BHB
4. Strengthen blood supply donor program

Thank you!