Second National Communications § § § § A Dengue fast lane was set up in the hospital in order to facilitate speed of diagnosis and treatment of dengue cases Working with the Regional DOH on suspicious fever and prompt diagnosis with a referral system – community cases were brought to the identified tertiary hospitals – Rosario Community Hospital, Tagbilaran Community Hospital and Celestino Gallares Hospital (200 bed capacity); and Secondary/Primary hospitals - Medical Mission Group (100bed), St Jude Hospital (50 bed), Borja Family Hospital and Inglewood Hospital) Blue Card (government funded) – this was initiated in 2006 by the local government in response to the need for increasing access to health services delivery; and in 2007 free hospitalization was given during the outbreak to confirmed cases – this is a local health fund that has been appropriated Php 4m annually; also donations are solicited. This fund is given to Tagbilaran City residents “Gamot sa katauhan” – a drug dispensary for senior citizens was another response mechanism to avail of medications The Provincial Health Officer Dr. Reymoses Cabagnot, reported some key health indicators for 20062007(see Table ). Out of the over-all provincial budget, 24% is allocated for health, of which 26% is for public health and 73% is for hospitals. The province is maintaining one provincial hospital, 4 inter-local health zone (ILHZ) hospitals and five primary hospitals. Budget for public health is mainly for personnel service and MOOE and capital outlay. Any program based requirement is taken from the 20% development fund allocation each year. All LGUs are IRA dependent. Majority of the LGUs are 4th-5th class municipalities. On the average, 8-10% of the LGU budget is for health. A health adaptation mechanism that looked at the financial coverage for health was the provision of support of the provincial government to municipal LGUs in the indigent health insurance coverage. A P7-8m per year is allocated for payment of the premiums as share with the municipal LGUs. The provincial LGU provided 50% share to the premium and 100% of the capitation goes to the M-LGUs. There are 17 LGUs in Y2007 that started receiving their capitation funds and reimbursements from PhilHealth. The funds were used in the improvement of facilities and procurement of medicines and essential drugs. Table 3: Bohol Key Health Indicators and Provincial Performance in Years 2006-2007 Y2006 Y2007 National Performance Standard/Average 12 cases out of 23,453 LB 12 cases out of 23,541 LB None Deliveries by Skilled Birth Attendants 85.31% 85% 80% Facility Based Deliveries 25.51% 25% 80% 218 cases out of 23,453 LB 192 cases out of 23,541 LB None 73% 66% 95% 88% 95% Key Health Indicators Maternal Deaths Infant Mortality Ratio Infant Deaths Fully Immunized Child Vitamin A coverage (9-11mos) 23