Commission on Population     
 Regional Population Office No. 10

       J.V. Seriña St., Carmen, Cagayan de Oro City

"Tatlumpu't limang taong paglilingkod tungo sa matatag na Pilipinong pamilya"
 
   

NORTHERN MINDANAO
   
   

 

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.

 

Environmental Indices

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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