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Message of  the
NEDA Director-General

Foreword
NEDA Deputy
Director-General

Preface

Part I : 
Development Vision

Introduction

Strengthening Human Resources

Improving Infrastructure Facilities

Promoting Global Competitiveness

Ensuring Economic Growth

Providing Basic Services

Promoting Good Governance

Managing Disaster Risks

Summary

Part 2 : 
Technical Notes

Strengthening Human Resources

Improving Infrastructure Facilities

Promoting Global Competitiveness

Ensuring Economic Growth

Providing Basic Services

Promoting Good Governance

Managing Disaster Risks


 

 

Providing Basic Services

Current Situation

 

   In the 2007 Census of Population, the Bicol region registered a population of 5,109,798. There were 104 males for every 100 females. The region’s population is young. Half of the population is below 19 years old. About 45.5 percent of Bicolanos were within the dependent age brackets of 0-14 and 65 years up and about 54.6 percent comprised the economically active population. For every 100 Bicolanos in the working age group, there were 83 dependents. 

 

   The official poverty data for 2006 showed that Bicol registered a 41.8 percent poverty incidence which translates to 422,278 poor families. That showed 38,653 more families falling into the poor category than in 2003. Poverty threshold or the minimum income required or the minimum expenditure necessary to meet the food requirements and other non-food basic needs rose to P15,015. This means that a family of five would need at least P6,256.25 a month in order to be considered as not poor. 

 

   Masbate remained the poorest having one poor family for every two families in 2006. Masbate and Camarines Norte however, were the only provinces that exhibited decreases in poverty incidence in 2006. Masbate, which ranked third poorest province in 2003, ranked eighth poorest in 2006. Among provinces with largest decrease in poverty incidence, Camarines Norte and Masbate ranked fourth and tenth respectively with the former having a 7.7 percent decrease in poverty incidence between 2003-2006 and the latter, a 4.9 percent decrease in poverty incidence during the same period.

 

   Bicol Region accounted for 9.0 percent of the total number of poor families in 2006 in the country, 0.5 percentage point lower than the region’s share in 2003. Despite the slight decrease in its share, the Bicol Region still had the second highest number of poor families. The region remained the fourth poorest in the country and the second poorest region in the Luzon Island group.

 

   Crude death rate decreased from 4.59 deaths per 1,000 population in 2007 to 4.46 deaths in 2008. Infant deaths per 1,000 live births were 8.1 deaths while maternal deaths per 1,000 live births were 0.82 deaths. A decreasing incidence of mortality from communicable diseases was noted. There was a decline in the percentage of households with access to safe water and sanitary toilets. The ratio of hospital to population was 1:43,839. Health services were still inaccessible to many Bicolanos. 

 

   Despite the increase in immunization coverage for children for immunizable diseases from 78 percent in 2007 to 82.59 percent in 2008, increases were still noted in the incidence of measles and neo natal tetanus. The low immunization coverage of pregnant women and the preference of mothers to seek untrained hilot during delivery caused neo-natal tetanus cases.

 

   There was little improvement in the nutritional status of schoolchildren from 30.6 percent malnourished in SY 2007-2008 to 30.3 percent in SY 2008-2009. It was highest among the pre elementary level students with boys being more malnourished than the girls. Stunting was high, majority in the pre-elementary level, at 27.8 percent in SY 2007-2008 and 26.6 percent in SY 2008-2009. 

 

   The percentage of households with access to safe water declined from 83.8 percent in 2007 to 79.95 percent in 2008.  Access to sanitary toilets also decreased from 66.3 percent to 64.33 percent.

 

   The lingering effects of Typhoon Reming in 2006, coupled with high commodity prices are expected to aggravate the poverty situation. This pressures the government to provide basic social services for health, nutrition, fertility regulation, education, water and sanitation to more than half of the population. Other mitigating measures were also implemented, such as cash subsidies for senior citizens and drivers, tax relief for minimum wage earners, additional tax exemption, and expansion of health insurance coverage. But these were not enough to support the basic needs of the poor.

 

   Health facilities in the region are operated by the government, private sector and non- government organizations. The region has 116 hospitals, 50 government and 66 private, yielding a ratio of 1 hospital to 43, 839 population. Meanwhile, there are 125 rural health units and 1,090 barangay health stations in the region. Other facilities include birthing homes, dialysis clinics, psychiatric care facility and ambulatory surgical clinics. But these are mostly in urban centers. Government and private hospitals have been upgrading their facilities and equipment prompted by the shifting trends in the incidence of diseases that need modern diagnostic and therapeutic technology. This, however, resulted in the escalation of the cost of health care which further compromised the access of marginalized sectors to specialized health care. Government hospital services were expanded to include promotion of wellness and preventive services. Hospitals are already being promoted as centers of wellness. 

 

   Among the factors identified that denied access to health services in the region were: lack of information on available health care  services; lack of accessible and affordable transport facilities that would allow better access to health care facilities;    unavailability of public health facilities in remote areas; persistence of socio-cultural values and belief systems preventing acceptance of appropriate and effective health services; and  high cost of health care especially those requiring  hospitalization and advanced diagnostic examinations. 

 

   The National Nutrition Council (NNC) and the local government units jointly implement programs for nutrition under the Philippine Plan of Action for Nutrition. The PPAN underscores the involvement of health, agriculture, food production, food processing and manufacturing sectors to ensure adequate supply of safe, nutritious and quality food products to the people. The programs for nutrition are: home, school, and community food production; livelihood assistance; micronutrient supplementation; food fortification; nutrition education; food assistance; nutrition in maternal and child health services; and enabling mechanism.

Popcom, DOH, and other concerned agencies implemented aggressive strategies to promote birth spacing, breastfeeding and natural family planning. They undertook responsible parenthood campaign by mobilizing parents. Responsible parenting became a component of the accelerated hunger mitigation program. 

 

   The housing sector delivered only 23,084 units of housing in 2008 under the Bicol Rehabilitation Plan. Priority was given to the development of new resettlement sites, expansion of existing sites, and providing housing materials to families who were victims of super typhoons in 2006. The resettlement program funded by the Bicol Calamity Assistance Rehabilitation Effort delivered only 5,652 units. The housing materials assistance program assisted 12,750 families. The core shelter assistance program of DSWD provided core shelter units to 2,284 families.

 

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Desired Situation

 

   Local government unit health systems are at the forefront in providing health services. All barangays and villages have primary health care centers. Every municipality has a well equipped hospital capable of handling emergencies. District hospitals are operational. All provinces shall have specialized tertiary hospitals. Health insurance is provided to all.

 

   The health of the population, especially women and children, is improved. There are no cases of preventable diseases. Infant and maternal deaths are greatly reduced.

 

   Life expectancy levels are at par with developed countries.

 

   There are no malnourished children.

 

   The needs of special groups (abused women and children, the disabled, the elderly, and the insane) are met.

 

   Family planning is fully supported. Adolescents are well informed on population issues and reproductive health.

 

   Every family has a decent house safe from hazards arising from calamities and natural disasters.

 

   Safe water and sanitation services shall be made available to all households.

 

   Squatters and homeless individuals shall be provided decent housing. Slum areas and poor communities shall be upgraded and shall be made fit for human settlement.  

 

 

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Strategic Interventions

 

  1. Local government units shall be more aggressive in providing basic social services. Local health systems shall be provided with full staff and fund support to its health facilities. A provincial integrated health plan shall be prepared by every province. A health care program that will provide health benefits like free or socialized medical care that would be beneficial to the poor, elderly and marginalized shall be pursued. The private sector will be tapped to adequately address the health delivery service backlog. 

  2. The region shall be prepared for the occurrence of new diseases that result from lifestyle and climate change. Advocacy on healthy lifestyle shall be continued. Acquisition of state of the art equipment like MRI and CT Scan by private and government hospitals shall be promoted. Specialized hospitals for sports-related ailments shall be established. 

  3. Medical tourism that will offer traditional and alternative medicines to both local and international patients shall be promoted. The traditional “hilot, and “bintosa” can be harnessed. Other areas for medical tourism shall be identified.                

  4. Specialized centers shall be established for the disabled, elderly, the insane, abused women, and children. The centers shall provide a holistic approach in dealing with the needs of these people. Basic social services as well as counseling, livelihood projects, and other amenities will be offered. 

  5. To improve the nutritional status of school children, feeding program shall be embedded in the budget of the DepEd to ensure continuous year-round feeding of school children. A new set of menu shall be developed using indigenous and organic materials to accelerate improvement in nutritional levels. This program should be implemented from pre-school to primary grade levels. Free or reduced priced breakfast and lunch shall be offered to qualified schoolchildren. Food shall be served during summer since children still need food even when not in school. 

  6. The population program will ensure that the rights of couples to determine the number and spacing of their children according to their life's aspirations will be observed. It will also remind couples that planning size of their families have a direct bearing on the quality of their children's and their own lives.  Parents will be able to raise their children into upright, productive and civic minded individuals. The adolescents shall be provided appropriate information, knowledge, education and counseling services on population and reproductive health. 

  7. Housing loans shall be offered to disaster victims for the rehabilitation of their houses. A 100% financing shall be offered to purchase new homes in safe location or rebuild their destroyed homes. Assistance to disaster victims shall be provided by issuing foreclosure moratoriums and requiring lenders to employ flexible loss mitigation tools.  

  8. Relocation of families in high disaster risk areas to safe areas shall be pursued by local government units. Rental housing for the poor and homeless shall be offered. A special fund shall be earmarked on the construction and maintenance of this facility. The affordability of this facility shall be the utmost consideration. The objective of the program is to convert renters into homeowners. The government should fast track the regularization of tenure of those occupying public lands that are safe and not classified as protected area. LGUs shall address the housing needs of the poor. 

  9. Production of standardized housing components will be promoted. The government and the private sector shall adopt standard specifications for the common components of houses designed to withstand typhoons, floods, and earthquakes. Mass production of housing components will bring down the cost of labor and materials in the construction of houses. Moreover, it will contribute to the regional economy and provide employment. 

  10. The provision of water and sanitation facilities in all communities shall be the primary responsibility of the Barangay. All households shall have access to these facilities.

 

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