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THE NATIONAL HEALTH SITUATION
THE NATIONAL HEALTH SITUATION
Demographic profile - Philippine is one of the populous countries in the world in 2000. - 75.3 million (NCSB, 2001) - projected to increase to 82,636,689 in 2004 (Natioanl Health Objectives, 1999)
THE NATIONAL HEALTH SITUATION - 1999, average life expectancy at birth was 68.6 years * 71.28 for females * 66.03 for males - 249 people for every square kilometer of Philippine territory.
THE NATIONAL HEALTH SITUATION - Metro manila has the highest population density (16,051) - CAR has the lowest (75) (National Health Objectives). - from the 37% of the total population in 1984 (unicef, 1986) the figure increased to 44% ten years later. - annual population growth rate for the whole country is 2.3%; urban areas is 3.4 per year.
THE NATIONAL HEALTH SITUATION - High population density transmission of infectious and communicable diseases. - Greater need for social services such as: decent housing education transportation health services communication
THE NATIONAL HEALTH SITUATION -
High level of stress in congested areas leads to: disintegration of moral values and social institutions and contributes to the incidence of a number of health problems, including mental health problems.
THE NATIONAL HEALTH SITUATION Health profile Birth and deaths Crude Birth Rate (CBR) in 1997 was 28.4 per 1000 population Crude Death Rate (CDR) 6.1 per 1000 population. The rate of natural increase in the country’s population for the same year was 22.3 (28.4 minus 6.1) for every 1000 population
THE NATIONAL HELATH SITUATION -
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Rural women have more children than urban women. Uneducated women also have more children than those who are with college education. Those in the 25-29 age group have the highest fertility rate (national demographic and health survey, 1999)
THE NATIONAL HEALTH SITUATION -
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In 1995, infant mortality rate (IMR) was 48.9 per 1000 live births, which is within the WHO global goal for IMR of less than 50/1000 live births. Under-five mortality rate or deaths of children below five years old in the same year was 67/1000 live births.
THE NATIONAL HEALTH SITUAION -
Maternal mortality rate (MMR) was 1.8/1000 live births (DOH), 1995) or 18 maternal deaths for every 10,000 live births.
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Death rate among males is higher than females – referred as the “feminization” of old age.
THE NATIONAL HEALTH SITUATION Causes of morbidity and mortality Mortality (2000) 1. Diseases of the Heart 2. Diseases of the Vascular System 3. Malignant Neoplasm 4. Pneumonia 5. Accidents
THE NATIONAL HEALTH SITUATION 6. Tuberculosis, all forms 7. Chronic Obstructive Pulmonary Disease and Allied Conditions 8. Certain conditions originating in the Perinatal period 9. Diabetes Mellitus 10. Nephritis, Nephrotic Syndrome and Nephrosis
INFANT MORTALITY RATE
Infant mortality rate (IMR) is the number of newborns dying under a year of age divided by the number of live births during the year times 1000. The infant mortality rate is also called the infant death rate. It is the number of deaths that occur in the first year of life for 1000 live births.
INFANT MORTALITY RATE -
Infant mortality rate is one of the most sensitive indicators of health status of a country or community. Results from: 1. poor maternal conditions 2. unhealthy environment 3. inadequate health care delivery system
Ten (10) Leading Causes Number & Rate/1000 Livebirths & Percentage Distribution Philippines, 2005 were:
Child Mortality rate
The child mortality rate (CMR) per 1,000 live births is also declining in the country. CMR was estimated at 19 deaths per 1,000 live births between 1988 and 1992 and went down to 12 per 1,000 live births between 1993 and 1997 and remained at that level between 1999 and 2003. Regional data also show a wide variation among the different regions in the country.
Child mortality rate is lowest in Central Luzon and CALABARZON at six per 1,000 live births, followed by Cagayan Valley and NCR at eight per 1,000 live births. It is highest in ARMM at 33 per 1,000 live births, followed by MIMAROPA at 25 per 1,000 live births (NDHS 2003). The most common causes of child deaths are pneumonia at 37.8 deaths per 100,000 population, accidents at 17.6 per 100,000 population, and diarrheas at 16.1 per 100,000 population (PHS 2000). Source: National Demographic and Health Survey, 2003
Ten (10) Leading Causes of Child Mortality By Age-Group (1-4, 5-9, 10-14) & Sex No. & Rate/100,000 population Philippines, 2000 Cause 1-4 Years Male
1. Pneumonia
Female
Both Sexes
Rate*
1,540
1,341
2,881
37.76
2. Accidents
839
506
1,345
17.63
3. Diarrheas and gastroenteritis of presumed infectious origin
685
546
1,231
16.14
4. Measles
452
425
877
11.50
5. Congenital anomalies
350
337
687
9.01
6. Malignant Neoplasm
219
153
372
4.88
7. Meningitis
201
155
356
4.67
8. Septicemia
173
173
346
4.54
9. Chronic obstructive pulmonary disease and allied conditions
174
164
338
4.43
10. Other protein-calorie malnutrition
175
159
334
4.38
•rate per 100,000 population of corresponding age-group Source: Philippine Health Statistics 2000, DOH
Cause
5-9 Years Male
1. Accidents
Female
Both Sexes
Rate*
1,044
618
1,662
17.82
2. Pneumonia
368
288
656
7.03
3. Malignant Neoplasm
201
169
370
3.97
4. Congenital Anomalies
135
131
266
2.85
5. Diarrheas and gastroenteritis of presumed infectious origin
112
92
204
2.19
6. Other diseases of the nervous system
118
83
201
2.15
7. Meningitis
105
95
200
2.14
8. Diseases of the heart
99
75
174
1.87
9. Tuberculosis, all forms
83
62
145
1.55
10. Septicemia
79
53
132
1.41
* rate per 100,000 population of corresponding age-group Source: Philippine Health Statistics 2000, DOH
Cause
10-14 Years Male
Female
Both Sexes
Rate*
1. Accidents
938
440
1,378
15.88
2. Malignant neoplasm
223
174
397
4.58
3. Diseases of the heart
189
187
376
4.33
4. Pneumonia
188
171
359
4.14
5. Congenital Anomalies
85
96
181
2.09
6. Tuberculosis, All Forms
97
77
174
2.01
7. Other diseases of the nervous system
101
60
167
1.92
8. Meningitis
107
60
167
1.92
9. Nephritis, nephritic syndrome and nephrosis
63
75
138
1.59
10. Septicemia
77
34
111
1.28
rate per 100,000 population of corresponding age-group Source: Philippine Health Statistics 2000, DOH
INFANT MORBIDITY
Infant illness or infant sickness is often called "infant morbidity." Infant morbidity refers to the babies that are born with health problems and live.