 |
Region 10 is composed of
the provinces of Bukidnon, Camiguin, Misamis Occidental, Misamis
Oriental, and Lanao del Norte and the five cities of Cagayan de
Oro, Gingoog, Oroquieta, Ozamiz, Iligan and Tangub. It has a total
land area of 19,279.6 square kilometers. It has a total of 75
municipalities and 2,020 barangays.
Demographic
Profile
Population
Density and Growth
The
region’s total population is placed at 2,738,329 as of 2000 Census
of Population or an increase of 10.64 percent (264,313) compared
to census of 1995. In 2003, with the inclusion of Lanao
del Norte and Iligan City, the region's population is estimated
to be at 3,505,708. Region 10 ranks 12th among the regions
in terms of population, constituting 3.63 percent of the national
total.
The
population growth rate of the region is 2.08, which is higher
than the national growth rate of 2.02.
The provinces, which registered high growth rates, were
Misamis Oriental (2.47) and Bukidnon (2.46).
Among the cities were Gingoog (3.41) and Malaybalay (2.09).
The rest of the provinces and cities registered only at
percent growth annually.
The
population of the provinces accounted for 79 percent of the population
while that of the cities constituted 21 percent.
Bukidnon is the most populous province, constituting 30.24%
(1,060,265) of the total population followed by Misamis Oriental
18.95% (664,338); Misamis Occidental 13.88% (486,723); Lanao del
Norte 13.49% (473,062) and Camiguin, the smallest province with
2.11% (74,232).
The
most populous city is Cagayan de Oro with 13.17% (461,877) followed
by Iligan 8.13% (285,061); Valencia 4.21% (147,924); Malaybalay
3.52% (123,672); Ozamis 3.14% (110,420); Gingoog 2.92% (102,379);
Oroquieta 1.70% (59,843) and Tangub 1.41% (49,695).
With
a higher growth rate in population, crude population density increased
by 13% from 157 persons per square kilometer in 1990 to 177 in
1995 and 194 persons per square kilometer in 2000 an increased
by 9.03% over period of five (5) years.
Being
the region’s capital city, Cagayan de Oro registered the most
number of persons per square kilometer at 1,118.89. This could be attributed to the fast growth of Region 10 as
an industrial center and the development of the Cagayan-Iligan
Corridor (CIC) areas.
Northern
Mindanao has a predominantly young population with 51.27% of the
latest population survey, belonging to 19 years and below age
group while only 3.2% were aged 65 years and over.
Men outnumbered
women by only 3.96% indicating that males comprise 51% of the
total population and females 49%.
The
dependency ratio per 100 workers of 15-64 age group was 76.96%,
an increased by 5.74 compared to 1995, which was 72.78%.
The
great majority of households (HH) are headed by men. There
is only one (1) female-headed household for every eight (8) male-headed
households. Seventy seven (77%) of female-headed households
have a household size of 1-4 while 57% of male-headed households
have a household size of five (5) or more. The data presents
a greater percentage of women in this region who are economically
active and productive at the same time performing their reproductive
and community participation roles.
|
Province/City/ |
Land
Area (Square Kilometer) |
Population |
Population
Density (pop'n. per square km.) |
Household
Population |
Number
of Household |
Growth
Rate |
| Region
10 |
19,279.6 |
3,505,558 |
181.84 |
3,499,301 |
689,346 |
2.19 |
| Provinces |
| Bukidnon
(including Malaybalay & Valencia) |
8,293.78 |
1,060,265 |
129 |
1,060,253 |
201,777 |
2.60 |
| Camiguin |
238.63 |
74,232 |
311.90 |
74,134 |
14,826 |
1.88 |
| Lanao
del Norte (excluding Iligan) |
3,662.5 |
473,062 |
129.2 |
472,646 |
90,091 |
1.53 |
| Misamis
Occidental (including Tangub, Oroquieta & Ozamiz) |
2,041.4 |
486,723 |
238.43 |
485,978 |
99,901 |
1.27 |
| Misamis
Oriental (excluding CDO) |
3,570.10 |
664,338 |
186.08 |
663,705 |
132,042 |
2.67 |
| Cities |
| Cagayan
de Oro |
412.8 |
461,877 |
1,118.89 |
459,824 |
93,525 |
1.63 |
| Gingoog |
404.6 |
102,379 |
253.04 |
102,241 |
20,081 |
3.41 |
| Ozamiz |
164.07 |
110,420 |
673.0 |
110,104 |
22,170 |
1.73 |
| Tangub |
165.70 |
49,695 |
299.9 |
49,658 |
9,480 |
1.67 |
| Oroquieta |
263.94 |
59,843 |
226.73 |
59,566 |
12,417 |
1.43 |
| Iligan |
813.4 |
285,061 |
350.46 |
284,438 |
57,179 |
0.93 |
| Malaybalay |
984.41 |
123,672 |
125.63 |
123,672 |
23,521 |
2.09 |
| Valencia |
607.14 |
147,924 |
243.64 |
147,924 |
28,425 |
3.04 |
| Source:
NSO |
The
great majority of households (HH) are headed by men. There
is only one (1) female-headed household for every eight (8) male-headed
households. Seventy seven (77%) of female-headed households
have a household size of 1-4 while 57% of male-headed households
have a household size of five (5) or more. The data presents
a greater percentage of women in this region who are economically
active and productive at the same time performing their reproductive
and community participation roles.
Families
and Households
|
Household Size
|
Female
Headed |
Male
Headed |
|
Number |
Percent |
Number |
Percent |
|
1 |
8,249 |
14 |
12,106 |
3 |
|
2 |
11,069 |
19 |
36,823 |
8 |
|
3 |
10,448 |
18 |
67,288 |
14 |
|
4 |
8,986 |
15 |
89,384 |
19 |
|
5 |
7,110 |
12 |
84,303 |
17 |
|
6 |
5,014 |
8 |
68,201 |
14 |
|
7 |
3,453 |
6 |
49,191 |
10 |
|
8
and over |
4,969 |
8 |
75,487 |
16 |
|
Total |
59,288 |
100 |
482,783 |
100 |
| Source:
2000 Census of Population and Housing, NSO |
Migration
and Urbanization
The
region grew by an average of only 1.99 percent over the last five
(5) years. There are areas in the region which experienced
rapid growth, and these are the major urban centers.
The lack of livelihood opportunities in the rural areas,
coupled by the pockets of disturbances, pushed the population
towards the city center thereby putting more pressure into already
congested centers of development.
Urban
growth in the region is concentrated along the northwestern coast,
with the two most populous urban centers of Cagayan de Oro and
Iligan forming a potential metropolitan growth area.
The two cities, which are classified as highly urbanized
comprised about 56% of the total population of the eight cities
in 2000.
Along the same major highway linking Iligan and Cagayan
de Oro, and towards eastern portion of the region is the steadily
growing Gingoog City, also considered a primary urban center.
Towards the south in the mountain province of Bukidnon
are two fast growing
cities of Valencia and Malaybalay. (NEDA Regional Physical
Framework Plan 2004)
The
Socio-Economic Situation
Economic
and Employment
Region
10’s
labor force participation
rate
for women showed a slightly increasing trend. It
rose from
42.46% in 2001
to 42.68 percent in 2002
while for men it had gone down from
57.54% in 2001 to 57.37% in 2002.
Women
were more dominant among the officials of government and special
interest organizations, corporate executives, managers, managing
proprietors and supervisors (63.52%);
professionals (70.58%); and clerks (61.70%).
On the other hand, men were mostly laborers and unskilled
workers (48.69%); farmers, forestry workers, and fishermen (78.72%);
and trades and related workers (82.0%).
(LFS October 2002), NSO.
Since
1999 more women than men have been working abroad from
8% to 17% in 2002.
(NSO-10; NEDA 10
Facts and Figures for Women Region 10)
Poverty
Poverty
Incidence in
Region 10
|
Province
|
Rate |
|
1997 |
2000 |
| Camiguin |
39 |
56 |
| Lanao
del Norte |
50 |
55 |
| Misamis
Occidental |
49 |
49 |
| Bukidnon |
48 |
40 |
| Misamis
Oriental |
36 |
32 |
| Region
10 |
43 |
39 |
| Philippines |
- |
34 |
| Source:
Inter-TWG on Income and Poverty Statistics, NSCB 2000 |
Poverty
incidence was estimated at 39% as of 2000, a slight improvement
from the 43% in 1997. Among
the provinces, Camiguin had the highest incidence at 56% followed
by Lanao del Norte
with 55%. Poverty
is more prevalent in the rural areas with around 74% of the 253,782
total poor families classified as living below the poverty line.
Except
for Misamis Oriental, the provinces in Region 10 have poverty
incidences that are higher than the national figure of 34%.
Camiguin, for instance, is number 9 of
the 10 poorest
provinces in the Philippines in the year 2000.
Health
A.
Births
Based
on the 2003 data, there were 79,125 registered births with Crude Birth
Rate (CBR) of 21.05 per 1,000 populations. A decrease
of 4.75 percent was noted compared to 2002, which was 22.10 per
1,000 populations. Among the provinces, Bukidnon, Lanao
del Norte and Camiguin posted the highest Crude Birth Rate of
22.90, 20.88 and 19.32 respectively. A decrease of
12.89 percent for Misamis Oriental for the period of one year
was also noted.
Among
the cities, Valencia has the highest CBR of 35.79 percent followed
by Cagayan de Oro 23.82%. Likewise a slight decrease was
noted in the cities of Gingoog 3.60%, Malaybalay 3.62%, and Tangub
5.02%. However, Ozamiz City revealed a significant decrease
of 41.17percent from 23.34 percent in 2002 to 13.73 percent in
2003.
Of
the registered births, 73.5% (58,159) were delivered at homes;
23.23% (18,382) at government and private health clinics; 1.13%
(897) at other places. Out of the 78,825 registered births,
90.07% (70,997) were attended by trained health personnel including
trained hilots, while 2.41% (1,900) were attended by untrained
hilots and others.
Of
the total livebirths, 52.5% (41,547) were males and 47.1% (37,278)
were females. This shows that there were more males born
in 2003 than females. With regards to weight at births 51,717
(63.36%) were born with a weight of more than 2,500 grams, 18,054
(22.82%) were less than 2,500 grams , while 419 (0.53%) were registered
under unknown.
The
decrease in Crude Birth Rate (CBR) is an indication that family
planning program was fully supported by the Local Government Units
(LGUs), the technical and financial assistance provided by Center
for Health Development - Northern Mindanao (CHD-NM), as well as
the joint efforts of other GOs and NGOs and also the contribution
of foreign donors such as USAID-LPP, Asian Development Bank (ADB),
Institute of Reproductive Health (IRH), Axis to Voluntary Surgical
Contraception (AVSC). The contimuous quality training of
service providers and program coordinators, intensified IEC at
all levels and the increased awareness of mothers on the FP program
in a reproductive health approach also contributed to the reduction
of Crude Birth Rate (CBR) in the region.
B.
Deaths
A
total of 13,564 deaths were registered in 2003 representing a
Crude Death Rate (CDR) of 3.61 per 1,000 populations. A
slight decrease of 11.74 percent was noted for a period of one
year from 4.09 percent in 2002 to 3.61 percent in 2003.
Among
the provinces, Camiguin has the highest CDR of 5.53% followed
by Misamis occidental (4.05%), Misamis Oriental (3.00%), Bukidnon
(2.75%) and Lanao del Norte (1.86%)
Among
the cities, Oroquieta has the highest of 7.11% followed by Ozamiz
(6.97%) and Cagayan de Oro (6.57%). Iligan has the lowest
CDR with only 2.07 percent.
Of
the 13,564 deaths, 5.27 percent (715) were infant deaths, of which
1.07% (145) were caused by Pneumonia, Prematurity 0.64% (87) and
congenital Anomalies 0.44% (60).
A
reduction in the Crude Death Rate (CDR) in the provinces and cities
was noted compared to 2002, except Bukidnon which shows an increased
of 3.77 percent and three (3) cities, Cagayan de Oro (14.06%),
Malaybalay (13.09%) and Valencia (3.70%).
C.
Infant Deaths
There
were 715 registered infant deaths in 2003 representing an Infant
Mortality Rate (IMR) of 9.04 per 1,000 livebirths. Camiguin
posted the highest IMR of 20.56, higher than the regional average
of 9.04 per 1,000 livebirths. This is attributed to teenage
pregnancies and unwed mothers in the locality.
Among
the cities, Ozamiz registered the highest IMR of 18.61 per 1,000
livebirths, followed by Gingoog (17.26), Cagayan de Oro (16.91),
Iligan (13.24), Tangub (12.41) and Oroquieta (9.74).
Malaybalay and Valencia have an IMR below regional average of
7.95% and 1.90%, respectively. A decrease of 14.56 percent
was noted on the IMR of 2003 (9.04%) compared to 2002, with 10.58per
1,000 livebirths.
The
continuous capability building of service providers, increase
awareness of mothers on child care, especially on the integrated
management of childhood illness, the promotion and advocacy/IEC
on the maternal and child care as well as the joint effort of
the LGUs, CDH-NM and donor agencies such as the Management Sciences
for Health (MSH), UNICEF, USAID-LPP and the improvement of two
way referral system among RHUs/BHs and hospitals, contributed
so much on the reduction of the Infant Mortaltiy Rate (IMR) in
the region.
D.
Maternal Deaths
The
total registered Maternal Deaths in 2003 were 58 with Maternal
Mortality Rate (MMR) of 0.73 per 1,000 livebirths. A significant
increase of 5.79 percent was noted for a period of one (1) year
from 0.69% in 2002 to 0.73% in 2003. Bukidnon registered
the highest Maternal Death (20) with an MMR of 1.10 per 1,000
livebirths followed by Lanao del Norte 0.48 and Misamis
Oriental 0.40. The rest of the provinces have zero maternal
deaths.
Among
the cities, Cagayan de Oro has the highest Maternal Mortality
Rate of 1.37% (16) followed by Malaybalay 1.81 (5), Gingoog 1.23
(3), Tangub 0.89 (1) and Valencia 0.52 (3). Three (3) cities,
registered zero (0) MMR, namely: Iligan, Oroquieta and Ozamiz.
BIRTHS, DEATHS, INFANT DEATHS
AND MATERNAL DEATHS, Region 10, 2003
|
PROVINCES/CITIES
|
POPULATION
|
BIRTHS |
DEATHS |
INFANT
DEATHS |
MATERNAL
DEATHS |
|
Number
|
Rate |
Number |
Rate |
Number |
Rate |
Number |
Rate |
| Bukidnon |
793,236 |
18,163 |
22.90 |
2,183 |
2.75 |
126 |
6.94 |
20 |
1.10 |
| Camiguin |
78,074 |
1,508 |
19.32 |
432 |
5.53 |
31 |
20.56 |
0 |
0.00 |
| Lanao
del Norte |
496,801 |
10,373 |
20.88 |
924 |
1.86 |
50 |
4.82 |
5 |
0.48 |
| Misamis
Occidental |
282,660 |
4,461 |
15.78 |
1,145 |
4.05 |
38 |
8.52 |
0 |
0.00 |
| Misamis
Oriental |
678,601 |
12,563 |
18.51 |
2,034 |
3.00 |
70 |
5.57 |
5 |
0.40 |
| TOTAL
PROVINCE |
2,329,372 |
47,068 |
20.21 |
6,718 |
2.88 |
315 |
6.69 |
30 |
0.64 |
| Cagayan
de Oro City |
489,270 |
11,653 |
23.82 |
3,216 |
6.57 |
197 |
16.91 |
16 |
1.37 |
| Gingoog
City |
116,699 |
2,434 |
20.86 |
529 |
4.53 |
42 |
17.26 |
3 |
1.23 |
| Iligan
City |
293,088 |
5,439 |
18.56 |
608 |
2.07 |
72 |
13.24 |
0 |
0.00 |
| Malaybalay
City |
135,045 |
2,766 |
20.48 |
584 |
4.32 |
22 |
7.95 |
5 |
1.81 |
| Oroquieta
City |
62,827 |
1,232 |
19.61 |
446 |
7.10 |
12 |
9.74 |
0 |
0.00 |
| Ozamiz
City |
117,405 |
1,612 |
13.73 |
818 |
6.97 |
30 |
18.61 |
0 |
0.00 |
| Tangub
City |
52,825 |
1,128 |
21.35 |
237 |
4.49 |
14 |
12.41 |
1 |
0.89 |
| Valencia
City |
161,877 |
5,793 |
35.79 |
408 |
2.52 |
11 |
1.90 |
3 |
0.52 |
| TOTAL
CITIES |
1,429,036 |
32,057 |
22.43 |
6,846 |
4.79 |
400 |
12.48 |
28 |
0.87 |
| TOTAL
REGION |
3,758,408 |
79,125 |
21.05 |
13,564 |
3.61 |
715 |
9.04 |
58 |
0.73 |
| Source:
DOH 10 |
E.
Morbidity and Its Leading Causes
communicable
disease except for hypertension, skin diseases and diseases of
the heart continue to be the major health problems in the region.
Acute
Upper Respiratory Infections (4,465.32) leads the ten (10) leading
causes of morbidity. It showed a marked increase
of 59.16 percent compared with 2002 (2,805.32) and 81.15 percent
increase for the past five (5) years. Five diseases rose
their rank in 2003, namely: bronchitis (4th to 2nd), diarrhea
(5th to 3rd), hypertension (6th to 4th), skin diseases/lesions
(10th to 5th) and TB respiratory/TB all forms (9th to 6th).
MORBIDITY, LEADING CAUSES, 5-YEAR
AVERAGE (1998-2002) & 2003, REGION 10
|
CAUSES
|
5-YEAR
AVERAGE (1998-2002) |
2003 |
|
NUMBER
|
RATE |
NUMBER |
RATE |
| Acute
Upper Respiratory Infections |
35,293 |
1,264.55 |
167,825 |
4,465.32 |
| Pneumonia |
36,229 |
1,298.08 |
47,867 |
1,273.60 |
| Diarrheas |
27,247 |
976.25 |
39,358 |
1,047.20 |
| Hypertension |
13,161 |
471.57 |
23,818 |
633.73 |
| Skin
Diseases/Lesions |
3,140 |
112.50 |
6,042 |
160.76 |
| TB
Respiratory/TB All Forms |
5,096 |
182.58 |
4,659 |
123.96 |
| Wounds,
all forms |
- |
- |
8,717 |
231.93 |
| Injuries |
- |
- |
6,962 |
185.24 |
| Disease
of the Kidney |
- |
- |
5,572 |
148.25 |
| Peptic
Ulcer |
- |
- |
4,595 |
122.26 |
| Source:
DOH 10 |
F.
Mortality and Its Leading Causes
The
shift from communicable to degenerative disease as the leading
cause of deaths for the past 5 years was noted compared to the
last ten (10) years wherein most of the causes of deaths were
communicable in nature. Of the leading causes of mortality
in 2003, only two (2) were caused by communicable diseases namely:
Pneumonia and tuberculosis, while the rest are non-communicable
in nature.
Pneumonia
and diseases of the circulatory system presented a marked decrease
of 9.64% and 0.57% compared to 2002 but for the past 5 years,
pneumonia has increased by 1.10%.
Other
causes of mortality such as accidents/violence, kidney diseases
and septicemia exhibited a significant increase of 3.83%, 73.97%
and 13.59% compared to 2002.
Likewise, compared to the 5-year average, six (6) of the
leading causes of mortality exhibited also an increasing trend
namely: pneumonia (1.10%), malignancy (6.17%), kidney (9.69%),
septicemia (1.41%), diabetes mellitus (13.18%) and peptic ulcer
(1.75%). However,
malignancy, tuberculosis, septicemia, peptic ulcer and malnutrition
showed a decreasing trend of 21.17%, 22.50%; 2.69%; 3.67% and
56.62%, respectively, over a one-year period.
MORTALITY,
LEADING CAUSES, 5-YEAR AVERAGE (1998-2002) & 2003, REGION
10
|
CAUSES
|
5-YEAR
AVERAGE (1998-2002) |
2003 |
|
NUMBER
|
RATE |
NUMBER |
RATE |
| Diseases
of the Circulatory System |
2,709 |
97.07 |
3,712 |
98.77 |
| Pneumonia |
1,514 |
54.24 |
1,903 |
50.63 |
| Malignancy |
913 |
32.71 |
1,286 |
34.22 |
| Accidents/Violence |
960 |
34.40 |
1,095 |
29.13 |
| Tuberculosis |
728 |
26.08 |
874 |
23.25 |
| Kidney
Diseases |
215 |
7.70 |
510 |
13.57 |
| Septicemia |
221 |
7.92 |
383 |
10.19 |
| Diabetes
Mellitus |
237 |
8.50 |
308 |
8.19 |
| Peptic
Ulcer |
211 |
7.55 |
235 |
6.25 |
| Chronic
Obstructive Lung Disease |
- |
- |
122 |
3.25 |
| Source:
DOH 10 |
G.
Infant Mortality and Its Leading Causes
The
pattern of diseases that comprised the leading causes of
Infant Deaths presented drastic changes as noted in 2003. Non-communicable
disease dominated the leading cause of Infant Mortality which
was pneumonia.
Six
(6) of the leading causes of Infant Mortality showed a remarkable
downward trends such as pneumonia (8.46%); prematurity (2.65%);
congenital anomalies (25.49%); diarrhea (17.95%); asphyxia neonatorum
(36.17%); and acute respiratory distress syndrome (69.44%) over
a one-year.
While one (1) of the leading cause (Sepsis neonatorum)
of Infant Deaths exhibited an increasing trend of 1.45%.
Pneumonia
still is the number one killer disease by Prematurity.
However, it has recorded a very significant decrease.
This is an indication that the delivery of quality health
services especially the maternal and child care programs are well
implemented at all levels, management by trained service providers
and availability of CARI medicines, and IEC at all levels have
great impact on the reduction of pneumonia cases.
INFANT
MORTALITY, LEADING CAUSES, 5 YEAR AVERAGE (1998-2002) &
2003, REGION 10
|
CAUSES
|
5-YEAR
AVERAGE (1998-2002) |
2003 |
|
NUMBER
|
RATE |
NUMBER |
RATE |
| Pneumonia |
152 |
2.49 |
145 |
1.84 |
| Prematurity |
66 |
1.08 |
87 |
1.10 |
| Congenital
Anomalies |
54 |
0.88 |
60 |
0.76 |
| Sepsis
Neonatorum |
25 |
0.41 |
55 |
0.70 |
| Birth
Injury |
- |
- |
41 |
0.52 |
| Intra-uterine
Fetal Death |
31 |
0.51 |
40 |
0.51 |
| Diarrheal
Disease |
27 |
0.44 |
25 |
0.32 |
| Asphyxia
Neonatorum |
31 |
0.51 |
24 |
0.30 |
| Malnutrition |
12 |
0.20 |
18 |
0.23 |
| Acute
Respiratory Distress Syndrome |
27 |
0.44 |
17 |
0.22 |
| Source:
DOH 10 |
H. Maternal Mortality and Its Leading Causes
The
pattern of the causes of maternal deaths for the past five years
had not changed.
Postpartum Hemorrhage was still the lead with a rate of
0.28 per 1,000 livebirths followed by Hypertension in Pregnancy
(0.10); Placental Retention and Hypovolemic shock due to Placenta
Previa both having the rate of 0.04; and other complication of
pregnancy including abortion and Ruptured Ectopic Pregnancy
with a rate 0.03 per 1,000 livebirths.
MATERNAL
MORTALITY, LEADING CAUSES, 5-YEAR AVERAGE (1998-2002) &
2003, REGION 10
|
CAUSES
|
5-YEAR
AVERAGE (1998-2002) |
2003 |
|
NUMBER
|
RATE |
NUMBER |
RATE |
| Postpartum
Hemorrhage |
18 |
0.29 |
22 |
0.28 |
| Hypertension
in Pregnancy |
7 |
0.11 |
8 |
0.10 |
| Ruptured
Ectopic Pregnancy |
- |
- |
2 |
0.03 |
| Abortions |
0.6 |
0.01 |
2 |
0.03 |
| Placental
Retention |
4 |
0.07 |
3 |
0.04 |
| Hypovolemic
shock due to Placenta Previa |
- |
- |
3 |
0.04 |
| Uterine
Atony |
1.4 |
0.02 |
1 |
0.01 |
| Amniotic
Fluid Embolism |
0.4 |
0.01 |
1 |
0.01 |
| Source:
DOH 10 |
I.
Hospital Statistics
1. Occupancy
Rate
As
of 2001, the two (2) retained hospitals, Northern Mindanao
Medical Center (NMMC) and Mayor Hilario Ramiro Regional Training
and Teaching Hospital (MHARSTTH), registered an occupancy rate
of 94% and 87%, respectively.
Northern Mindanao Medical Center has an authorized bed
capacity of 300, while MHARSTTH had an authorized bed capacity
of 100 beds.
NMMC
and MHARSTTH had a total admission of 19,018 and 9,678, reflecting
a 7.88 and 5.02 deaths out of the total admission excluding newborn,
respectively. Among the district hospitals, Maramag registered
the highest occupancy rate of 140% while Talisayan District Hospital
the lowest with 21.3%.
2. Hospital Consultation
The
ten leading causes of consultations in all hospitals including
districts were as follows:
Traumatic Physical Injuries (25,492); Pre-post Natal Chech-up
(16,149); EENT cases (8,783); Acute Respiratory Infection (6,603);
URTI (6,551); Pneumonia (6,304); Wounds all types (6,143); UTI
(5,991); Bronchitis (5,253) and Acute Gastroenteritis (4,391).
3.
Hospital Discharges and
its Leading Causes
Of
the leading causes of discharges, three (3) were caused by communicable
diseases namely: Acute
Gastroenteritis/Diarrhea (5,047); Pneumonia (3,093) and Pulmonary
Tuberculosis (2,298), the rest were non-communicable in nature.
4.
Hospital Mortality and Its Leading Causes
Cardiovascular
diseases top the leading causes of hospital mortality with a rate
of 14.30 (371) per 100,000 population followed by pneumonia 13.00
(338), Pulmonary Tuberculosis occupies the 3rd rank,
prematurity (124), septicemia (101) and the last is Bacterial
meningitis with a rate of 1.90 (50).
Of
the total leading causes of deaths four (4) were caused by communicable
and six (6) also by non-communicable diseases.
5. Hospital
In-patients, Discharge and Referral System
A
total of 28,696 patients were admitted in two (2) retained hospitals
in 2001. With an
average of 413 in-patients per day and an average length of hospitalization
of 5 days per patients.
Of
the 28,814 patients discharged, 27,046 recovered/improved; 47
did not improved; 77 transferred out; 69 absconded and 1,575 died.
3,963
or 14% of the surgical patients underwent major operations while
84.4% or 21,928 underwent minor operations and 5% or 1,291 were
Caesarian section.
Of
the 233,894 outpatients admitted, 7% or 16,115 underwent minor
operations.
Out
of the total admission (28,696) 3% or 818 were referrals from
Rural Health Units, 1,174 or 4.09% from hospitals/centers and
1,221 or 4% from other health facilities.
Water
Supply
Of
the 680,361 households in the region, 2003 data showed that 86.78%
or 590,451 households were served with safe water supply.
Of these, 19.44% (132,294) were in the Level I type, 25.42%
(172,921) Level II, 41.92% (285,236) Level III and 13.22% (89,910)
households with doubtful source.
Among
the provinces, Misamis Oriental have attained the 95.88% coverage
of household with safe water supply.
Camiguin ranked 2nd with 85.89%, followed by
Bukidnon (84.34%), Misamis Occidental (79.57%) and Lanao del Norte
(50.88%). As noted,
Bukidnon (84.91%) and Misamis Occidental (81.47%) posted
a decrease compared to 2002.
For
the cities, Iligan attained the 100% coverage, followed by Oroquieta
(99.68%), Tangub (97.07%), Ozamiz (96.54%), Cagayan de Oro (96.47%),
Valencia (93.34%), Gingoog (86.67%) and Malaybalay (83.99%).
Sanitary
Toilet
Out
of the 680,361 households, only 71.74% (488,068) have sanitary
toilet facilities. There
was an increase of 30.69% of household with sanitary toilet facilities
compared to 2002. This shows that sanitation or toilet facilities
were taken seriously by the government.
Two
(2) provinces, Camiguin and Lanao del Norte registered high percentage
of households with unsanitary toilet facilities. Among the
cities, Tangub, Oroquieta, Ozamiz and Gingoog reported the highest
with unsanitary toilet facilities.
ENVIRONMENTAL
SANITATION, 2003, REGION 10
|
PROVINCES/CITIES
|
NUMBER OF HOUSEHOLDS
|
HH WITH ACCESS TO SAFE WATER
|
HH WITH SANITARY TOILET
|
Level
I
|
Level
II |
Level
III |
| Bukidnon |
149,776 |
38,438 |
48,279 |
39,610 |
94,,694 |
| Camiguin |
15,615 |
455 |
3,777 |
9,180 |
13,166 |
| Lanao
del Norte |
72,275 |
16,989 |
9,726 |
10,059 |
30,415 |
| Misamis
Occidental |
52,875 |
16,434 |
15,751 |
9,888 |
34,746 |
| Misamis
Oriental |
112,519 |
21,843 |
48,412 |
37,633 |
83,090 |
| TOTAL
PROVINCE |
403,060 |
94,159 |
125,945 |
106,370 |
256,111 |
| Cagayan
de Oro City |
96,967 |
1,446 |
8,001 |
84,098 |
83,672 |
| Gingoog
City |
20,144 |
5,593 |
3,627 |
8,239 |
16,364 |
| Iligan
City |
60,786 |
3,788 |
11,125 |
45,873 |
50,115 |
| Malaybalay
City |
26,318 |
1,579 |
10,526 |
10,000 |
22,369 |
| Oroquieta
City |
12,490 |
3,226 |
2,924 |
6,300 |
12,132 |
| Ozamiz
City |
21,536 |
8,674 |
3,543 |
8,575 |
15,015 |
| Tangub
City |
10,207 |
2,815 |
2,997 |
4,096 |
6,416 |
| Valencia
City |
28,853 |
11,014 |
4,233 |
11,685 |
25,874 |
| TOTAL
CITIES |
277,301 |
38,135 |
46,976 |
178,866 |
231,957 |
| TOTAL
REGION |
680,361 |
132,294 |
172,921 |
285,236 |
488,068 |
| Source:
DOH 10 |
Food
Security and Nutrition
The
distribution of poor
families was highly rural at 73.94%
in 1997 to 74.90% in 2000.
The subsistence incidence (proportion
of families with per capita income less than the per capita food
threshold to the total number of families) in the region slightly
reduced from 20% in 1997 to 18.5%
in 2000. In
terms of magnitude this means that 127,106 families in 2000 cannot
meet the food required to satisfy nutritional requirements which
was placed at an average of
P3,449 per month in a family of six (6) members.
TREND
OF NUTRITIONAL STATUS, 1999-2003, REGION 10
|
YEAR
|
TOTAL NUMBER OF PRE-SCHOOL CHILDREN WEIGHED
|
NUTRITIONAL STATUS
|
|
Normal |
Mild |
Moderate |
Severe |
Overweight |
Moderate+Severe |
|
Number
|
Rate
|
Number
|
Rate
|
Number
|
Rate
|
Number
|
Rate
|
Number
|
Rate
|
Number
|
Rate
|
| 1999 |
426,515 |
292,181 |
68.50 |
97,932 |
22.96 |
20,934 |
4.91 |
2,357 |
0.55 |
13,101 |
3.07 |
23,291 |
5.46 |
| 2000 |
445,953 |
313,651 |
70.33 |
97,270 |
21.81 |
20,471 |
4.59 |
2,016 |
0.45 |
12,545 |
2.81 |
22,487 |
5.04 |
| 2001 |
451,865 |
318,723 |
70.54 |
98,844 |
21.87 |
19,841 |
4.39 |
2,056 |
0.46 |
12,401 |
2.74 |
21,897 |
4.85 |
| 2002 |
461,463 |
331,053 |
71.74 |
95,968 |
20.80 |
19,241 |
4.17 |
2,008 |
0.44 |
13,193 |
2.86 |
21,249 |
4.60 |
| 2003 |
498,634 |
351,778 |
70.55 |
106,771 |
21.41 |
21,166 |
4.24 |
2,293 |
0.46 |
16,626 |
3.33 |
23,549 |
4.70 |
For
the 5-year period 1999-2003,
an increasing trend on the Normal weight children is registered
in the first four (4) years till 2002. There was a slight decrease
in 2003. A declining
trend is shown among the severely malnourished and overweight
children though there is a slight increase in
2003.
Family
Planning Program
Contraceptive
Prevalence Rate (CPR)
in Region 10 was higher in the year 2001 at 59.02 % than in the
year 2003 at 52.07%. Bukidnon
had the highest CPR at
64.73 (2003), among the provinces in Region 10.
This is followed by Misamis Occidental (55.08).
The lowest in CPR is Lanao del Norte at 32%. The most common methods used by the couples are: Pills, IUD,
Injection and LAM.
FAMILY
PLANNING PROGRAM, 2003, REGION 10
|
PROVINCES/CITIES
|
CURRENT USERS
|
CPR
|
|
Condom |
Injection |
IUD |
LAM |
NFP |
Pills |
Male
Sterilization
|
Female
Sterilization |
Total
CU |
| Bukidnon |
5,240 |
9,372 |
17,262 |
6,702 |
2,639 |
29,227 |
190 |
1254 |
71,886 |
64.73 |
| Camiguin |
285 |
665 |
1,289 |
630 |
20 |
1,758 |
- |
372 |
5,019 |
45.92 |
| Lanao
del Norte |
1,682 |
1,964 |
5,625 |
3,182 |
768 |
9,049 |
- |
1197 |
23,467 |
33.74 |
| Misamis
Occidental |
2,222 |
2,003 |
4,479 |
1,372 |
1,058 |
10,182 |
- |
455 |
21,798 |
55.08 |
| Misamis
Oriental |
3,501 |
4,307 |
15,572 |
6,258 |
2,882 |
14,057 |
200 |
1846 |
48,623 |
51.15 |
| TOTAL
PROVINCE |
12,930 |
18,311 |
44,227 |
18,144 |
7,394 |
64,273 |
390 |
5124 |
170,793 |
52.37 |
| Cagayan
de Oro City |
2,294 |
6,100 |
7,364 |
4,380 |
469 |
7,850 |
- |
- |
28,457 |
41.54 |
| Gingoog
City |
1,280 |
420 |
3,158 |
1,496 |
1,801 |
2,015 |
64 |
277 |
10,511 |
64.34 |
| Iligan
City |
4,089 |
2,969 |
2,448 |
1,182 |
82 |
6,134 |
21 |
14 |
16,939 |
41.28 |
| Malaybalay
City |
656 |
1,020 |
1,304 |
1,046 |
140 |
3,748 |
95 |
140 |
8,149 |
43.10 |
| Oroquieta
City |
399 |
474 |
713 |
308 |
242 |
1,865 |
8 |
418 |
4,427 |
50.33 |
| Ozamiz
City |
949 |
1,123 |
730 |
752 |
284 |
2,883 |
26 |
379 |
7,126 |
43.35 |
| Tangub
City |
187 |
321 |
170 |
464 |
46 |
1,187 |
- |
- |
2,375 |
32.11 |
| Valencia
City |
579 |
1,112 |
1,835 |
569 |
662 |
4,845 |
119 |
1197 |
10,918 |
48.18 |
| TOTAL
CITIES |
10,433 |
13,539 |
17,722 |
10,197 |
3,726 |
30,527 |
333 |
2425 |
88,902 |
44.44 |
| NMMC |
806 |
809 |
9,375 |
3,254 |
3 |
1,023 |
- |
977 |
16,247 |
- |
| TOTAL
REGION |
24,169 |
32,659 |
71,324 |
31,595 |
11,123 |
95,823 |
723 |
8526 |
275,942 |
52 |
|
- |
8.76 |
11.84 |
25.85 |
11.45 |
4.03 |
34.73 |
0.26 |
3.09 |
100 |
- |
| Source:
DOH 10 |
|
PROVINCES/CITIES
|
NEW ACCEPTORS
|
|
Condom |
Injection |
IUD |
LAM |
NFP |
Pills |
Male
Sterilization
|
Female
Sterilization |
Total
NA |
| Bukidnon |
1,298 |
2,435 |
2,559 |
6,601 |
1,061 |
4,286 |
146 |
209 |
18,595 |
| Camiguin |
41 |
119 |
140 |
930 |
2 |
222 |
0 |
198 |
1,652 |
| Lanao
del Norte |
1,256 |
1,247 |
659 |
5,115 |
522 |
2,919 |
5 |
31 |
11,754 |
| Misamis
Occidental |
658 |
728 |
800 |
1,409 |
495 |
1,655 |
0 |
425 |
6,170 |
| Misamis
Oriental |
707 |
933 |
1,754 |
5,699 |
551 |
2,024 |
9 |
138 |
11,815 |
| TOTAL
PROVINCE |
3,960 |
5,462 |
5,912 |
19,754 |
2,631 |
11,106 |
160 |
1,001 |
49,986 |
| Cagayan
de Oro City |
72 |
1,921 |
851 |
4,471 |
478 |
1,966 |
0 |
0 |
9,759 |
| Gingoog
City |
207 |
66 |
227 |
579 |
187 |
246 |
6 |
4 |
1,522 |
| Iligan
City |
675 |
387 |
267 |
1,098 |
57 |
351 |
12 |
0 |
2,847 |
| Malaybalay
City |
227 |
321 |
213 |
1,959 |
100 |
714 |
86 |
52 |
3,672 |
| Oroquieta
City |
189 |
289 |
177 |
560 |
92 |
383 |
2 |
113 |
1,805 |
| Ozamiz
City |
275 |
337 |
92 |
1,134 |
188 |
453 |
1 |
22 |
2,502 |
| Tangub
City |
157 |
336 |
104 |
689 |
10 |
842 |
0 |
0 |
2,138 |
| Valencia
City |
171 |
357 |
651 |
693 |
159 |
559 |
50 |
150 |
2,790 |
| TOTAL
CITIES |
1,973 |
4,014 |
2,582 |
11,183 |
1,271 |
5,514 |
157 |
341 |
27,035 |
| NMMC |
67 |
64 |
240 |
4,348 |
15 |
60 |
- |
461 |
5,255 |
| |
1.27 |
1.22 |
4.57 |
82.74 |
0.29 |
1.14 |
- |
8.77 |
100 |
| TOTAL
REGION |
6,000 |
9,540 |
8,734 |
35,285 |
3,917 |
16,680 |
317 |
1,803 |
82,276 |
|
- |
7.29 |
11.60 |
10.62 |
42.89 |
4.76 |
20.27 |
0.39 |
2.19 |
100 |
| Source:
DOH 10 |
Informed
Choice:
Among
the current users of modern contraceptive in Region 10 who adopted
the current method in the 5 years preceding the survey, 40.6%
were informed about the side effects or problems of the methods
they used. Only 36.7%
were informed of what to do if they experienced side effects,
and 50.9% were informed of other methods that could be used.
The
data showed that majority of those using contraceptives were not
informed on what to do if they experienced side effects. Most
likely, the levels of contraceptive acceptance through the provision
of informed choice is not yet fully achieved.
Exposure
to Family Planning Messages:
In
Region 10, 55.1% of all women heard FP messages from the radio,
55.4% from television, 32.8% from newspaper/magazine, 36.3% poster
and 26.2% pamphlet. 28.2% said “none of these media sources”.
(NDHS 2003)
This
has shown us that Television has a wide reach of listeners/viewers
compared to other forms of mass media.
Education
In
2000, the literacy rate of women both simple and functional stood
higher than male at 87.24% and 81.04% respectively while the men
have 87.17% and 79.16%, respectively.
(DepEd 10)
Female
Cohort Survival Rate (CSR) (67.06% - Elementary; 74.20% - Secondary)
is generally
higher than the male Cohort Survival Rate (56.62% - Elementary;
63.45% - Secondary) in
both school levels.
Male
school Leavers (13.92% - Elementary; 15.43% - Secondary)
is higher compared to the females (8.23% - Elementary;
8.57% - Secondary).
College
enrollment rate in SY 2002-2003 showed that females now outnumber
the males in college (55.65%).
Women outnumbered men especially in the following courses:
Education and Teacher
Training (78%)
Business Education
(64%), and
Medical and Allied Programs (72%).
Specifically,
women outnumbered men in Trade, Craft and Industrial (67%), in
service trades (76%) courses and other disciplines (74%)
Ecosystem
Unregulated
economic activities like illegal logging and illegal settlements
in upland/forest ecosystem along boundaries of Misamis Oriental,
Bukidnon and Lanao del Norte continually threaten the
integrity of the area.
Deforestation resulted due to human intrusion in various
national parks and other protected areas such as in Mt. Malindang
(Misamis Ocidental) and Mt. Kalatungan (Bukidnon).
Also, in several instances small scale mining have been
reported in some protected areas and watersheds.
Degradation of forest resources resulted from subsistence
farming practices of upland dwellers, usually nomadic. The introduction of commercial-scale oil palm plantation
in Bukidnon area has raised concerns especially among indigenous
families for it has caused displacement their lands.
Small scale mining in Misamis Oriental and Bukidnon affected
the Iponan River and the Macajalar Bay.
Natural
Resources
The
region’s growing population exerted more pressure on the region’s
natural resources resulting in the depletion of
the forest resources thereby threatening the critical watershed
which are crucial in supplying the water needs of a fast growing
industrial region. Forest denudations greatly reduced the natural water-recharge
capacities of the watershed resulting in the lowering of the water
table. Moreover,
frequent flooding in low-lying areas are mostly traced to the
denudation of the forest cover.
As
to soil erosion, among the provinces Bukidnon in 2003 experienced
severe erosion in its 259,238 hectares (BSWM) followed by Lanao
Norte with its 76,598 hectares.
Bukidnon has also the highest hectarage in terms of moderate
erosion (237,148 has.) followed by Misamis Oriental (119,229 has.).
Logging
and mining activities in the upland areas also threaten precious
water resources in the lowlands especially the fishery resources
of major bays. Panguil Bay and Murceillagos Bay, two of the most productive
bays in terms of fishery catch, are threatened by siltation and
dumping of mine tailings by some operators in the areas of Misamis
Occidental gowing towards the Zamboanga Peninsula which are highly
potent in destroying fishery resources within the bays and also
in surrounding deep sea waters.
Aside
from the negative impact of human activities such as logging,
unsustainable farming practices (e.g. siltation of waterways,
denudation, and soil erosion, and soil degradation), the region
faces the challenge of mitigating naturally occurring environmental
constraints, such as the earthquake faults in most provinces,
riverine flooding in all major rivers; coastal flooding (cities
and towns prone to major flooding include Gingoog, Cagayan de
Oro, Magsaysay, Balingasag, Lagonglong, Tagoloan, Opol, El Salvador,
Alubijid, in Misamis Oriental; Iligan, Kauswagan, Tubod, in Lanao
Norte; Valencia in Bukidnon; and eastern municipalities and cities
in Misamis Occidental); flash floods; an volcanic hazards (four
active volcanoes are Hibok-Hibok in Camiguin, Kalatungan in mid-western
Bukidnon, Makaturing and Ragang in southeastern periphery of Lake
Lanao and 100 km southeast of Cagayan de Oro). – NEDA Regional
Physical Framework Plan 2004
Politics
and Governance
Eighty
five percent (85%) of the elective positions
are occupied by men (857) in Region 10 compared to 15% only for
women (155) in the
2001 elections.
This figure shows that women are still in the periphery
of politics.
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