UN DP- DAP B ohol E cotow n He alth S e ctor Page |4 Provincial Popshop in Tagbilaran City funded by UNFPA with a clinic that provides services to walk-in clients. USAID through its PRISM1 and 2 project continuing with the present Integrated Midwives Association of the Philippines (IMAP) Midwives mentoring project has likewise given technical assistance to the province through as it helped private practising midwives get accreditation from the PHIC to operate their birthing homes, thus significantly contributing to the facility based delivery efforts as well as skilled birth attendant competency and financial sustainability Morbidities According to the Provincial Health Office (PHO), a total of 118,014 or almost 10 percent of Bohol’s population got sick in 2008 mostly from diarrhea and respiratory tract infections. About 52% of them are females and mostly belonging to the age group 14 years and below. From the list of leading causes of illness in Bohol, diarrhea has always been at the top along with respiratory diseases. 58% in 2008, 43 % acute respiratory infections. Water-borne disease outbreaks, such as the Shigella outbreak in Loon last 2007, continue to pop up periodically across the province. Contributory to the incidence of water-borne diseases are the old pipes that sip in debris and bacteria and also unsanitary toilets; about 5% of households in the province have unsanitary toilets while 10% of families have no toilets (2008). Dengue, considered a climate sensitive disease saw 3,725 cases, affecting mostly children, was reported by the PHO to have caused the death of 51 people in Bohol from 2003-2008. DENR records areas with sightings of transient migratory birds suspected to be potential carriers of the disease from confirmed AI infected Asian neighbouring countries. Avian Influenza (AI) was diagnosed in two (2) of our intervention sites out of the identified 12 municipalities in Bohol to be at high risk for this disease, namely, Cortes and Maribojoc. PHO data likewise has it that Bohol has two (2) municipalities endemic to Schistosomiasis namely, Trinidad and Talibon; while these two municipalities are not part of the intervention sites the potential spread to our study areas is there, if climate change persists and the environment becomes favourable for the snail vector (oncomelania quadrasi) to thrive. This is likewise considered a climate sensitive disease. Mortalities Chronic, debilitating non-communicable diseases Lifestyle Diseases where the cause of mortalities. Top three leading causes of mortality accounting for 47% were heart disease, pneumonia and cancer. Pneumonia accounted for about 4% of infant deaths, the leading cause of death among this age group.