Medical Assistance and Nutrition Improvement Program for Indigenous People & Indigent Clients of General Santos City

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Republic of the Philippines

CITY SOCIAL WELFARE & DEVELOPMENT OFFICE

General Santos City

PROJECT DESIGN

1. Project Profile:

1.1 Project Title: Medical Assistance and Nutrition Improvement Program  for Indigenous People & Indigent Clients of General Santos City

1.1.1 Type of Project by Sustainability Principles

1.2.1 LIVABILITY

Health & Nutrition

1.2 Project Description

Medical Assistance and Nutrition Improvement Program for Indigenous People & Indigent Clients is a whole year program that will serve primarily health requirements of CSWDO focused needy families specially the indigents and tribal families of General Santos City. It aims to provide effective, efficient and equitable health services in the community. It also helps improve the nutritional status of under weight children in identified areas. The project will require purchase of essential medicines, laboratory reagents, vaccines to be used in special immunization for protection against infectious deceases and feeding supplies for malnourished children.

1.3 Project Location: 26 Barangays of General Santos City

1.4 Project Beneficiaries: 3,465 Indigent and Tribal families of General Santos City.

  1. Medical Consultation and laboratory examination

w Adult                        – 1,400

w Children                    – 1,200

w Infants                      -   400

  1. Maternal Care Services with prenatal check – up

w Pregnant Women      – 200

  1. Immunization of Children to 2-5 years old against infectious decease (City-wide)

w Identified Children    -65

  1. Supplemental Feeding

w Malnourished Children          – 100

w Malnourished Children          – 50

w Malnourished Children          – 50

1.5 Project Proponent/Implementing Agency;

The City Social welfare& Development Office as a welfare arm of the city is the lead agency for the implementation of the project. It has to ensure eligibility of the partner NGO’s as DSWD accredited. The project will be implemented in coordination with the city Health Office and other health providers considering health and nutrition components of the project.

1.6 Project Cost:

The cost of the project will consist of the eighty percent (80%) LGU funds intended for purchased of medicines, laboratory reagents, vaccines (influenza, MMR, Typhoid and Pneumonia) and feeding supplies. NGO proponent is required to counterpart twenty percent (20%) as their equity for a total 100% project cost.

1.7 Project Implementation Period:

Project starts Calendar year 2010 ((Upon approval of the Resolution of the Special Committee for the NGO/PO Partnership. Project-related expenses incurred by the NGO/PO should already be considered part of the project budget)

2. Project Background:

General Santos City is a fast growing city with the highest growth rate in population due to migration in Region XII thus, the demand for basic health services is high. Despite existing brgy health centers in the 26 brgys, there are barangays that are thickly populated which number of doctors and nurses are not adequate to reach out disadvantaged families. Therefore, in line with City Development Strategies (CDS) anchored in the millennium development goals, the LGU has considered focus target based on several indicators. Health & Nutrition issue is one of the area of concerns to be addressed thru the Livability Cluster who is responsible to carry out projects / programs to respond this particular issue.

The challenge in improving the quality of life of the populace of the city in health & nutrition is great. To cope with this, the primary of human development should be made on integral parts of the socio-economic initiations in synchronization with other LGU clusters. Hence, urging government to expand health services in partnership with the NGOs, Pos and private organizations that engaged in line with the above requirement. It is part of the project package to meet the people’s needs & the government’s commitment to serve.

3. Project Rationale:

A lot of medical cases cannot avail /access free or low cost medical consultation, laboratory examination and essential medicines due to inadequacy of Barangay Health Units & other health care services/facilities to provide due to limited resources. These are medical cases which can be prevented for hospital admission such as; common cold, insect bite, stomach ache & the like which can be easily detected through consultation and laboratory examination which can be treated at early stage.

To make LGU more responsive to the need of the community, collaboration with the non-government organization can be initiated. Basic health services can be expanded thru Primary Health Care Delivery Program or other approaches that can provide essential health care that is community based participatory, accessible and acceptable to target beneficiaries.

It is community – based structure which can sustain the primary health care needs of the low income groups and tribal families covering the 26 Barangays. It should undertake trainings of brgy health volunteers, community organizing, and delivery of preventive service, community education and emergency assistance are among the major undertakings to be employed.

4. Project Objective:

4.1 General:

  1. To provide effective, efficient and equitable health services to the needy especially the indigents and the tribal families giving priority to target focused families/ communities already mentioned.
  2. To make medical care affordable and accessible to families who can afford to pay but have limited resources than others.
  3. Partnership between LGU of General Santos City & Non-Gov’t organizations would be sustained.

4.2 Specific:

At the end of December 2010:

  • 3,000 indigents and tribal families would receive medical care with appropriate medicines and laboratory examinations for their ailments.
  • 65 identified children 2-5 years old will be given special immunization against infectious disease.
  • 200 pregnant women would be given maternal care to help reduce maternal morbidity.
  • 200 identified malnourished children have gained normal weight.
  1. Physical Target by Implementation Phase
PROJECT ACTIVITIES PERFORMANCE

INDICATOR

A. Input

B. Output/outcome

 PHYSICAL TARGET LOCATION
1st Qtr 2nd Qtr 3rd Qtr 4th Qtr TOTAL
1. Medical Consultation and provision of essential medicines

2. Laboratory Examinations of Indigent Patients

 a. No. of Indigent patients given medical and appropriate medicines

b. No. of Indigent patients treated from their illness

a. No. of Indigent patients examined in the laboratory

b. No. of indigent patients properly diagnosed base on their laboratory results

 1,000

1,000

 1,000

1,000

 1,000

1,000

 3,000

3,000

City Coverage
3. Maternal Care services a. No. of pregnant women provided with maternal care services

b. No. of pregnant women with 4 prenatal visits

No. of pregnant women given TT2 plus

 65 65 70 200

City Coverage
4. Immunizations of children ages 2-5 years old a. No. of children provided with special immunization program (MMR< Influenza, Pneumonia and Typhoid)

b. No. of children fully immunized against infections diseases

 65 65 65 65

City Coverage
5. Supplemental Feeding a.1. No. of identified malnourished children enrolled in the feeding program.

a.2.. No. of identified malnourished children given wet feedings (3x a week)

a.3. No. of malnourished children weighed and dewormed

a.4. No. of malnourished children provided with micro nutrients (Vit.A and Iron supplement)

b. No. of malnourished children gained normal weight.

 200 200 200 200 City Coverage

6. Technical Aspect:

The City Social Welfare & Development Office shall provide technical assistance to NGO operating as Social Welfare Development Agency in terms of licensing and accreditation. This is to ensure that services rendered to client beneficiaries are desirable and in accordance to the standard set by the Standards Bureau. NGO partner is required to submit reports to the City Mayor thru CSWDO. City Health Office provides technical assistance for health and nutrition related aspect of the project.

7. Financial Aspect:

Project Activities BUDGETARY REQUIREMENTS OBJECT OF EXPENDETURES
1st Qtr 2nd Qtr 3rd Qtr 4th Qtr Total LGU Funds
1. Medical Consultation and Provision of Essential Medicines 300,000 P300,000 MOOE – Supplies and materials
2. Laboratory Examination of indigent patients 200,000 P200,000 MOOE
3. Maternal Care Services 150,000

250,000

 P150,000

P250,000

 MOOE

MOOE
4. Special immunization of children 2-5 years old 300,000 P300,000 MOOE
5. Supplemental Feeding for malnourished children
TOTAL: 1,200,000 P1,200,000

8. Economic Benefit:

Networking strategy is economically beneficial to government. The LGU will be free from setting additional health facilities because these are NGOs doing and rendering the same work/services where operations are in placed hence, partnership is viable. LGU will instead augment funds for service delivery being channeled to NGOs. This will enable LGU to meet its City Development Strategies target anchored in the millennium development goals. This is assuring health safety of our marginalized families/communities by then, LGU is sincere in its vision/mission to have healthy people and make city livable for all the generals regardless of status.

9. Operational Scheme:

NGO facility is an outpatient clinic manned by a coordinator who oversees the smooth operation of the center. There should be a full time physician who examines the patients, nurses who assist the doctors, license social worker who establishes eligibility of patients for indigency, pharmacist who takes charge of the pharmacy and dispensing of medicines, medical technologist who performs laboratory procedures and other auxiliary staff to perform daily requirement of the center.

Some of the activities to be undertaken:

  • Assessment of indigents through means testing
  • Case finding and case holding of indigent clients
  • Plans and programs for indigent and tribal families
  • Research and dissemination of gathered information
  • Free medical case and allied services to indigent (Laboratory, consultation, medicines)
  • Referrals to specialist/ hospital for other cases not covered by OPD service
  • Other service such as pre-natal, immunization, mother class, BHW training, case holding of tuberculosis Patients, ENT case management.
  • Coordination with GOs & NGOs.

10. Environment Aspect:

Proper Health & Nutrition and Sanitation are among the major components in the Integrated Primary Health Care Service Delivery employed in any Health Centers operating for that matter. Waste segregation and management should be integrated in group sessions in community organizing.

Beneficiaries are provided appropriate guidance and case being managed thus, health safety of the sector are ensured and they are not detrimental to health epidemic/hazards.

11. Monitoring Scheme:

The NGO partner shall prepare and submit periodic accomplishment, financial & other required reports to the City Social Welfare & Development Office.

The NGO – Desk of the aforesaid LGU department shall conduct regular monitoring of cases of NGO being served. The City Planning & Development Office shall conduct an annual evaluation of the project. To review of the annual financial report of the NGO, the City Internal Audit Service is deemed necessary and appropriate.

Prepared / Submitted:

PERLA D. AMPARADO

City Govt. Asst. Dept. Head/NGO Desk

Recommending Approval:

REBECCA V. MAGANTE, RSW

CGDH II, CSWDO

Approved:

PEDRO B. ACHARON, JR.

City Mayor

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