1. 5-YEAR PROGRAM IN SAN JUAN, BATANGAS May 2, 2009 San Juan-UP Partnership

2. Background Mortality Report, San Juan 2005 Total number of deaths, 2005 = 379

3. Background URTI Morbidity Report, San Juan 2005 Total reported patients seen: 17,398 (13,110 patients or 80% of all patients)

4. Morbidity Report, San Juan 2005 URTI (13,110) Children Less than 5 years 7,087 (54%) Other Ages 6,023 (46%)

5. Morbidity Report, San Juan 2005, Proportion in Children Less than 5 years old (in orange) DIARRHEAPNEUMONIA ALL CASES 74% 65% 51.5%

6. RHU Report, San Juan 2005 EPI coverage (0-12 months): 82% Malnutrition Rate (0-5years): 22%

7. Barangay Assemblies: Identified problems The need for more income opportunities Lack of toilets Unsafe drinking water Lack of knowledge regarding health Others  Family Planning  Hypertension Note: San Juan has approximately 500 BHWs

8. Goal: Jan 2007 To decrease the morbidity in children less than 5 years of age by 50% by the end of 5 years (2010) Indicator: At the end of 5 years there will be a 50% decrease in  Pneumonia  Gastroenteritis  Malnutrition  Clinic consults for URTI among children less than 5 years old.

9. Goal: January 2008 To decrease the morbidity in children 0-12 years old by 50% by the end of 5 years (2012) Indicator: At the end of 5 years there will be a 50% decrease in  (among children 0-5 years old):  Pneumonia  Gastroenteritis  (among elementary school children 6-12 yrs old)  Pediculosis  Impacted Cerument  (among children 0-12 years old)  Malnutrition  Clinic consults for URTI

10. High Morbidity in Children (0-12) due to infectious disease (ie, pneumonia, diarrhea, URTI, dental caries) Malnutrition Poor Environmental SanitationLack in Personal Hygiene Lack of SanitaryToiletsLimited water resource (access & quality) Poor Waste mgt Poor dental health Lack of food access Improper diet & food intake (?) Underdeveloped H20 sys Lack of maintenance of H20 System Lack of H20 source in some areas Lack of knowledge Inaccessibility to healthcare Poor (unhealthy) practices Poor attitude Lack of govt funds Lack of family income Lack of livelihood opportunities Inadequate accessibility to healthcare Lack of medicines, inefficient referral system Poor access to the health care system

11. Improved nutritional statusGood Environmental SanitationImproved Personal Hygiene Access to SanitaryToiletsSufficient water resource (access & quality) Good Waste mgt Improved dental health Better access to food Proper diet & food intake Well developed H20 sys Well maintained H20 System Sufficient H20 source in all areas Increase in knowledge on health Improved Health System Healthy practices Improved attitude Increase in govt funds Increased family income More livelihood opportunities Improved patient management Available medicines, efficient referral system Better access to the health care system 50% decrease in morbidity in Children (0-12years) due to infectious diseases ( pneumonia, diarrhea, URTI, pediculosis), dental caries, impacted cerumen, and malnutrition at the end of 5 years

12. PROGRAM COMPONENTS Health Livelihood Program Environment Administration

13. HEALTH  Community (for children 0-5 years old) Training of barangay health workers in the Integrated Management of Childhood Illnesses (WHO guidelines) Municipal-wide information campaign in the proper care of children’s health (primarily led by the barangay health workers)  Elementary School (for children 6-12 years old) Training of teachers in the physical examination of their students Child to Child Program (Training of Grades 5 and 6 students to become teachers and models of younger children in the school) Dental Program  Municipal Nutrition Program  Municipal Rehabilitation Program for the Disabled  Municipal Herbal Program  Diabetes Study

14. LIVELIHOOD Establishment and / or strengthening of Barangay Cooperatives Development of skills for livelihood Networking with a development bank for financing

15. ENVIRONMENT Study / Documentation of  Natural Resources of San Juan  Environmental threats Public education on the environment Establishment of People’s Organizations for the protection of the environment (Bantay Dagat, Bantay Ilog) Solid waste management

16. General Assembly of Program Implementers Executive Committee Program Implementation Committee Health Committee Livelihood Committee Environment Committee Program Administrative and Field Staff Area AArea BArea C CC 1CC 2CC 3CC 4CC 5CC 6CC 7CC 8CC 9CC 10 CC 11 CC 12 San Juan – UP Program Management Structure