REDCOP

2014 Updates
 VISION

TO BE THE LEAD OFFICE IN THE PREVENTION AND CONTROL

OF KIDNEY DISEASES AND END-STAGE RENAL DISEASE

(ESRD) THROUGH A COMPREHENSIVE PUBLIC HEALTH

PROGRAM AND AN INTEGRATED APPROACH TO RENAL

DISEASE MANAGEMENT
 MISSION

TO ABLY REDUCE THE MORBIDITY AND MORTALITY FROM

KIDNEY DISEASES AND END-STAGE RENAL DISEASE

THROUGH A STRONG ADVOCACY CAMPAIGN, EXTENSIVE

INFORMATION DRIVE, TRAINING AND PUBLIC EDUCATION,

RESEARCH, SERVICE AND QUALITY ASSURANCE

 GOAL

HEALTHY AND EMPOWERED FILIPINOS BY THE YEAR 2015,

WITH REDUCED MORBIDITY AND MORTALITY FROM KIDNEY

DISEASES AND END-STAGE RENAL DISEASE, IN A SOCIETY

WITH AN ESTABLISHED AND MODERN HEALTH SYSTEM

THAT CAN EFFICIENTLY AND EFFECTIVELY ADDRESS

CURRENT AND EMERGING PROBLEMS

Components of REDCOP

RESEARCH

TRAINING

POLICY

ADVOCACY

SERVICE

QUALITY ASSURANCE
 Conduct research

Document the incidence and prevalence of kidney diseases and

end-stage renal disease

To determine the leading causes of kidney disease and ESRD

To formulate evidence-based plans and information for public

consumption
 Training

Conduct training for health workers on basic

and essential knowledge on nephrology,
urology and related specialties

To coordinate and cooperate with the

respective sub-specialty societies for
resources on these training programs

To source funds for such training activities

 Guidelines and protocols

To assist public health facilities and health

workers on the timely diagnosis,
management and referral of cases

To formulate guidelines and protocols at

different levels of kidney disease
prevention for use of these health
facilities and workers
 Assist government on renal
health policies

Share knowledge and information on kidney

disease to:

Assist government policy and law-makers

Make appropriate recommendations to the

governments health insurance system
 Advocacy

To educate and increase the awareness of the

public on renal disease prevention

To participate and support other programs and

agencies involved in renal disease
prevention and control

To encourage other programs and agencies to

join REDCOP in its objectives
 Components of REDCOP

QUALITY ASSURANCE
New Facilities: Letter of Intent DOH Central
Office
Certificate of Compliance:
Timely submission and completeness
of the PRDR forms
Collection of PRDR (HD/PD): 1st week of
1st month of quarter (Jan, Apr, Jul, Oct)
PHIC requirement
 Region V 2014 Updates

The following slides will show how

Region V compares with the rest of
the country

This should help health facilities and

workers in the region on how to
prioritize their health plans and
strategies
 2014 Updates
Frequency of New Dialysis Patients according to Region and
Age (years), 2012
AGE
REGION
1-10 11-20 21-30 31-40 41-50 51-60 61-70 71-80 81-90 >90 TOTAL
CAR 3 5 31 40 63 83 64 35 23 3 350
CARAGA - 3 10 14 18 41 41 13 2 - 142
I - 16 47 58 127 165 153 83 29 1 679
II 1 13 29 66 105 117 93 55 11 4 494
III 1 22 115 198 324 511 474 255 71 1 1,972
IV-A 1 24 113 189 332 557 473 225 56 5 1,975
IV-B - 1 4 6 18 17 18 10 - - 74
V 1 7 34 46 86 135 116 61 13 - 499
VI - 10 37 71 126 182 181 116 24 1 748
VII - 7 47 83 143 229 184 94 31 1 819
VIII - 1 9 16 23 36 45 24 5 - 159
IX - 5 5 16 43 75 61 18 4 - 227
X - 2 21 38 90 156 120 61 7 - 495
XI - 8 58 78 154 271 218 99 22 1 909
XII - 7 38 61 95 122 103 33 7 - 466
NCR 30 93 324 471 725 1114 957 477 180 16 4,387
TOTAL 37 224 922 1,451 2,472 3,811 3,301 1,659 485 33 14,395
Frequency of New Hemodialysis Patients according to Primary Renal Disease, 2013
PRIMARY RENAL DISEASE
REGION
DM CGN HPN CPN ADPKD OTH UNK TOTAL
CAR 130 34 122 38 - 19 5 348
CARAG
77 30 29 6 - - - 142
A
I 317 95 205 19 6 33 4 679
II 166 99 171 8 8 40 2 494
III 943 357 466 35 16 121 34 1,972
IV-A 931 285 476 56 14 152 61 1,975
IV-B 50 6 13 2 1 1 1 74
V 162 83 110 16 - 33 1 405
VI 329 129 230 6 1 51 2 748
VII 341 129 238 14 10 78 9 819
VIII 89 19 16 10 1 16 8 159
IX 108 31 59 1 4 22 2 227
X 260 62 87 37 2 19 28 495
XI 393 131 290 16 6 60 10 906
XII 178 116 86 8 20 55 3 466
NCR 1,743 608 1,036 51 42 207 41 3,728
TOTAL 6,217 2,214 3,634 323 131 907 211 13,637
Frequency of New Dialysis Patients according to Gender and Mode of Dialysis per Region, 2013
HEMODIALYSIS PERITONEAL DIALYSIS
REGION
MALE FEMALE TOTAL MALE FEMALE TOTAL
CAR 202 146 348 2 - 2
CARAGA 81 61 142 - - 0
I 375 304 679 - - 0
II 301 193 494 - - 0
III 1,030 942 1,972 - - 0
IV-A 1,147 828 1,975 - - 0
IV-B 41 33 74 - - 0
V 244 161 405 58 36 94
VI 439 309 748 - - 0
VII 459 360 819 - - 0
VIII 83 76 159 - - 0
IX 133 94 227 - - 0
X 273 222 495 - - 0
XI 529 377 906 2 1 3
XII 273 193 466 - - 0
NCR 2,115 1,613 3,728 429 230 659
TOTAL 7,725 5,912 13,637 491 267 758
Frequency of New Hemodialysis Patients according to Co-morbidity per Region, N=13,637, 2013
CO-MORBIDITY *
REGIO
N STROK
DM HPN IHD CHF PTB COPD COL GOUT MAL NONE OTH
E
CAR 140 204 11 6 0 1 3 3 6 11 43 7
CARAG
82 80 6 7 0 0 2 2 4 0 14 6
A
I 348 467 45 26 7 5 12 9 21 6 54 8
II 182 287 2 2 3 4 5 2 15 2 76 8
III 1001 884 59 30 17 12 43 15 63 19 311 20
IV-A 986 934 114 38 17 19 40 10 86 19 276 33
IV-B 57 37 5 8 2 0 3 0 1 0 1 3
V 173 220 8 5 5 2 5 5 16 3 47 8
VI 343 470 55 10 8 3 12 4 21 10 58 19
VII 377 453 13 28 7 7 9 6 22 13 99 30
VIII 98 80 7 2 0 0 3 0 7 2 16 7
IX 113 140 3 11 2 3 5 2 10 1 12 4
X 280 333 52 10 8 7 4 2 23 4 29 8
XI 450 532 48 23 8 13 15 9 41 16 87 30
XII 194 265 30 18 5 10 17 1 39 3 52 6
NCR 1925 2331 184 123 41 21 85 30 91 67 368 146
TOTAL 6749 7717 642 347 130 107 263 100 466 176 1543 343
% 49.49 56.59 4.71 2.54 0.95 0.78 1.93 0.73 3.42 1.29 11.31 2.52
Frequency of New Dialysis Patients according to Gender and Mode of Dialysis per Region, 2013
HEMODIALYSIS PERITONEAL DIALYSIS
REGION
MALE FEMALE TOTAL MALE FEMALE TOTAL
CAR 202 146 348 2 - 2
CARAGA 81 61 142 - - 0
I 375 304 679 - - 0
II 301 193 494 - - 0
III 1,030 942 1,972 - - 0
IV-A 1,147 828 1,975 - - 0
IV-B 41 33 74 - - 0
V 244 161 405 58 36 94
VI 439 309 748 - - 0
VII 459 360 819 - - 0
VIII 83 76 159 - - 0
IX 133 94 227 - - 0
X 273 222 495 - - 0
XI 529 377 906 2 1 3
XII 273 193 466 - - 0
NCR 2,115 1,613 3,728 429 230 659
TOTAL 7,725 5,912 13,637 491 267 758
Frequency of New Peritoneal Dialysis Patients according to Co-morbidity per Region, N=758, 2013

REGIO CO-MORBIDITY *
N
STRO
DM HPN IHD CHF PTB COPD COL GOUT MAL NONE OTH
KE

2 0 1 1 0 0 0 0 0 0 0 2
CAR

35 66 6 8 3 1 2 0 7 0 6 93
V

2 2 0 1 0 0 1 0 0 0 0 3
XI

205 234 16 15 1 4 2 5 12 1 235 659

NCR

244 302 23 25 4 5 5 5 19 1 241 757

TOTAL

32.19 39.84 3.03 3.30 0.53 0.66 0.66 0.66 2.51 0.13 31.79 99.87
%
Frequency of New Hemodialysis Patients according to Primary Renal Disease, 2013
PRIMARY RENAL DISEASE
REGION
DM CGN HPN CPN ADPKD OTH UNK TOTAL
CAR 130 34 122 38 - 19 5 348
CARAGA 77 30 29 6 - - - 142
I 317 95 205 19 6 33 4 679
II 166 99 171 8 8 40 2 494
III 943 357 466 35 16 121 34 1,972
IV-A 931 285 476 56 14 152 61 1,975
IV-B 50 6 13 2 1 1 1 74
V 162 83 110 16 - 33 1 405
VI 329 129 230 6 1 51 2 748
VII 341 129 238 14 10 78 9 819
VIII 89 19 16 10 1 16 8 159
IX 108 31 59 1 4 22 2 227
X 260 62 87 37 2 19 28 495
XI 393 131 290 16 6 60 10 906
XII 178 116 86 8 20 55 3 466
NCR 1,743 608 1,036 51 42 207 41 3,728
TOTAL 6,217 2,214 3,634 323 131 907 211 13,637
Table 13. Frequency of New Dialysis Patients according to Region and Mode of Dialysis, 2012 - 2013
2011 2012 2013
PERITO
REGION HEMODIA NEAL PERITON PERITON
HEMODIALY HEMODIALY
TOTAL EAL TOTAL EAL TOTAL
LYSIS DIALYSI SIS SIS
DIALYSIS DIALYSIS
S
CAR 231 - 231 256 2 258 348 2 350
CARAGA 105 - 105 121 121 142 - 142
I 477 - 477 573 573 679 - 679
II 252 - 252 337 337 494 - 494
III 1375 2 1377 1,757 12 1,769 1972 - 1,972
IV-A 1257 - 1257 1,483 2 1,485 1975 - 1,975
IV-B 68 - 68 86 86 74 - 74
V 290 78 368 320 104 424 405 94 499
VI 590 2 592 616 5 621 748 - 748
VII 584 1 585 719 1 720 819 - 819
VIII 166 - 166 219 219 159 - 159
IX 170 - 170 178 178 227 - 227
X 339 1 340 398 398 495 - 495
XI 642 2 644 746 10 756 906 3 909
XII 295 - 295 367 3 370 466 - 466
NCR 3202 362 3564 3,289 518 3,807 3728 659 4,387
TOTAL 10043 448 10491 11,465 657 12,122 13,637 758 14,395
 Region V 2014 Updates

DIALYSIS CENTER

Bicol Regional Training & Teaching Hospital

Estevez Memorial Hosp. Bicol Hemodialysis Center

Nephrology Center of Bicol Inc.

ALBAY
Tabaco Kidney Care and Dialysis Center

Our Lady of Perpetual Dialysis and Diagnostic Center

Tanchuling Hospital

TOTAL
 Region V 2014 Updates

DIALYSIS CENTER

Bicol Medical Center

Dr. Nilo Roa Memorial Foundation Hospital

CAMARINES SUR Mother Seton Hospital

Naga Hemodialysis Center

NICC

Sta. Maria Josefa Foundation Hospital

 Region V 2014 Updates

DIALYSIS CENTER

Sorsogon MMG Dialysis Unit

SORSOGON Sts. Peter and Paul

Dr. Fernando B. Duran, Sr.

Memorial Hospital
Gubat?
 Region V 2014 Updates

Masbate ?

Catanduanes
Juan M. Alberto District
Hospital
 Region V Summary

Region V is the 9th highest incidence if ESRD outside of the

National Capital Region

Of the provinces in Region V, Camarines Sur has the highest

incidence of ESRD (2012)

The 3 most common causes of kidney failure in Region V are:

1. Diabetic Nephropathy
2. Hypertensive Nephrosclerosis
3. Chronic Glomerulonephritis
 Importance of CKD
as a health concern
Incidence of CKD V (ESRD) is over 120/million or about 12,000 Filipinos
per year for our current 97+ million population

Kidney failure ranks as the 7th leading cause of death

Only 2/3 of patients who develop kidney failure will undergo hemodialysis,
of which only 15% will live beyond 1 year. Patients who do not dialyze
die

In contrast, transplant patients have over 95% 1 year survival

Patients who dialyze spend around P40,000 per month.

Patients who get a transplant spend P800,000 to 1.2 M and need

maintenance meds for a lifetime costing P20-30,000 per month
ORGAN DONATION PROGRAM

ORGAN DONATION ACT OF 1991

Authorizing the legacy or donation of

all or part of a human body after
death for specified purposes.
WHAT ORGANS ARE APPROPRIATE
FOR DONATION?

Organs that can be donated are

Heart
Liver
Kidneys
Lungs
Pancreas
Corneas
intestines
 WHAT ARE THE CRITERIA FOR
BECOMING AN ORGAN DONOR?

Organs can be donated only after a person has

been declared brain dead while his vital
organs are being maintained on a breathing
machine
Organ donors can be anyone including
newborns up to age 75
 HOW DOES ONE BECOME A
CADAVER ORGAN DONOR?

The prospective organ donor should tell his

family his wishes and in the event of his
death, permission must be given by his
family/next of kin
He may also sign a donor card or express his
intentions in his drivers license. Although
these are both considered legal documents,
his familys permission for donation must still
be obtained
 WHO IS CONSIDERED HIS NEXT OF
KIN?
After brain death is determined, his family will be offered the
option of organ donation. His next of kin will grant the
permission for donation
List of next of kin in ascending order (with the top most ranked
highest)
Spouse
Adult son or daughter
Either parent
Adult brother or sister
Grandparent
Legal guardian
Medical examiner
 REDCOP

Let us make kidney disease

one of our top priority health
concerns

Join REDCOP and support its activities and

cushion the impact of this dreaded disease.
 REDCOP

International Kidney Day

April

Kidney Month Celebration

June
Theme (2014): A Healthy Lifestyle
Makes Your Kidneys Smile
. THANK YOU!