kaban galing - front cover - galing pook

community based structures such as the following:
a. Barangay Health Workers’ Federation
b. Community Based Rehabilitative Workers
c. Communicable Disease Surveillance System
d. Community Based Monitoring and Information System
e. District Hospital Health Board
f. Board of Management with Non-Government Organizations
The formation of six Inter-Local Health Zones further decentralized
local management of health service delivery at the district level. The
institutionalization of the District Health System enabled the sharing of
resources by the different local governments through a common trust
fund.
Fiscal Health
All these resulted in increased hospital income, which resulted in
improved hospital facilities and equipment, manpower augmentation,
improved services and quality of patient care.
In due time, the health status of the population of Negros Oriental
also improved. Mortality, morbidity and malnutrition declined. Infant
deaths went down from 11.92/100 live births in 1995 to 8.36/100 live
births in 2002. Maternal deaths decreased to 68.28/100,000 live births
in 2002, which is much lower than the 1995 figure of 83/100,000 live
births. Protein energy malnutrition also decreased from 6.5% in 1995 to
5.9% in 2002. The cure rate under the National TB Program became
consistently above 85% in the last 3 years.
By harmonizing its governance structure and instituting reforms,
Negros Oriental was able to streamline its bureaucracy and reverse the
deterioration of its health care services. By tapping the private sector it
was able to pursue the development of a health financing scheme which
eventually benefited the indigent and marginalized segments of the
population, and by encouraging the active participation of whole
communities, the provincial government was able to ensure the
sustainability of its health services.
Coda
The success of the partnership program in health care delivery adopted
by Negros Oriental has encouraged other provinces, such as Bohol and
Siquijor, to implement similar reforms and programs. The provinces of
Healing the Health Care System 61