COMPREHENSIVE DEVELOPMENT PLAN 2017-2022

1 1 COMPREHENSIVE DEVELOPMENT plan 2017 2022, Municipality of Irosin, Sorsogon COMPREHENSIVE DEVELOPMENT plan 2017 -2022 2 COMPREHENSIVE DEVELOPMENT plan 2017 2022, Municipality of Irosin, Sorsogon 1. VISION OF THE MUNICIPALITY Vision a livable, resilient and progressive center of agro-industry, eco-tourism, commerce and trade in the province, with people who are God-loving, healthy, globally competitive, gender sensitive and participative, nurtured by a just, transparent and accountable governance Desired Role The desired role of Irosin is to be a center of agro-industry, eco-tourism, commerce and trade in the province. Vision Element Descriptors, Success Indicators and Vision-Reality Gap The following success indicators of each vision element descriptors are desired end-state scenarios of DEVELOPMENT of each sector. Each success indicators are rated by stakeholders per current level of attainment with 10 if the indicator is completely attained, 5 if half accomplished and 0 if nothing has yet been done about the indicator.

2 The gap is the measure between the end state and the existing situation. People as Individual and Society Box 1. Vision-Reality Gap, People as Individual and Society Descriptors Success Indicators Current Rating Gap God-loving Low crime incidence 6 4 No armed insurgency activities 8 2 No users/pushers of dangerous drugs 6 4 Properly regulated gaming/amusement activities 7 3 Local culture and heritage promoted 7 3 Globally-competitive Adequate school facilities and personnel 7 3 High participation rate in schools 7 3 Access to tertiary education made available 9 1 Access to technical/vocational trainings available 7 3 High literacy rate 9 1 Public and school libraries well maintained 5 5 Gender-sensitive Gender disparity in schools/employment eliminated 5 5 Decreased cases of violence against women and children 8 2 Participative CSO/PO/NGO participate in planning, implementation, monitoring and evaluation of government programs and projects 7 3 Healthy Low incidence of diseases 6 4 Low incidence of malnutrition 6 4 Adequate health facilities and personnel 6 4 Health insurance coverage for all 6 4 Adequate safe water supply available 6 4 Adequate sanitary facilities 6 4 Physical fitness activities well attended 7 3 Sports promotion and DEVELOPMENT pursued 7 3 Low incidence of mental illness 7 3 3 COMPREHENSIVE DEVELOPMENT plan 2017 2022, Municipality of Irosin, Sorsogon Local Economy Box 2.

3 Vision-Reality Gap, Local Economy Descriptors Success Indicators Current Rating Gap Progressive Optimally utilized farm lands 6 4 High agricultural production 6 4 High income per capita 5 5 Food self-sufficiency attained 6 4 Low poverty and hunger incidence 6 4 High employment rate 6 4 Increased number of small entrepreneurs 5 5 Increased number of agro-industrial establishments 6 4 Increased local and foreign tourist arrival 4 6 Banks and other financial institutions available 8 2 Well distributed farm lands 9 1 Cooperativism widely accepted 8 2 Availability of non-farm jobs 5 5 Support facilities for informal businesses and small enterprises provided 4 6 Opportunities for self-employment assured 4 6 One-stop shops available 7 3 Investment and job placement services available 5 5 Condition of Built and Natural Environment Box 3. Vision-Reality Gap, Condition of Built and Natural Environment Descriptors Success Indicators Current Rating Gap Livable Structural safety standards complied by buildings 6 4 Traffic related accidents decreased 5 5 Adequate irrigation systems 3 7 Adequate farm to market roads 7 3 Adequate post-harvest facilities 6 4 Adequate public markets 5 5 Adequate tourism support facilities 5 5 Complete coverage of electric power 8 2 Information and communication systems in place 4 6 Pedestrian, traffic and transportation facilities provided 5 5 Flood control and drainage structures functional 6 4 Well-lighted streets 7 3 Adequate facilities for police services 5 5 Well-maintained jails and detention cells 4 6 With fire station and fire-fighting equipment 5 5 Adequate court facilities 5 5 Facilities to prevent and rehabilitate drug abuse available 0 10 Rehabilitation centers for vagrants, beggars.

4 Street children and juvenile delinquents in place 0 10 Well provided access facilities for the handicapped and elderly in public places and buildings 0 10 Clean functional public latrines 5 5 Public parks and recreational facilities established 6 4 Historical sites and landmarks preserved and maintained 8 2 Adequate housing 6 4 4 COMPREHENSIVE DEVELOPMENT plan 2017 2022, Municipality of Irosin, Sorsogon Descriptors Success Indicators Current Rating Gap Adequate administrative buildings 7 3 Plenty of greeneries in public and private places 6 4 Protected areas well protected 6 4 Greenhouse gas emission decreased 4 6 Productive agricultural lands delineated and protected 5 5 Urban expansion areas adequate to accommodate future growth 5 5 Solid waste management system in place 6 4 Air and water pollution-free environment 4 6 Watershed management system in place 3 7 Sustainable farming practices adopted 2 8 Resilient Disaster-prepared communities 7 3 Institutional ability to respond to disasters 4 6 Increased capacity to recover after disaster 3 7 Increased adaptive capacity to climate change 2 8 Quality of Local Leadership Box 4.

5 Vision-Reality Gap, Quality of Local Leadership Descriptors Success Indicators Current Rating Gap Just Venue for airing complaints and grievances available 7 3 Adequate social protection services for marginalized sector 7 3 Functional barangay justice system 8 2 Increased capacity to resolve local conflicts 8 2 Accountable Updated land use plan 1 9 Updated DEVELOPMENT plan 3 7 DRR and CCA mainstreamed in local plans 5 5 Annual budget operationalizes local plans 8 2 Balanced budget 7 3 Increased local revenue collection efficiency 5 5 Improved local revenue sourcing 5 5 Financial targets attained within time frame 6 4 Physical targets attained within time frame 3 7 Transparent Public consultation an integrated part of LGU decision-making process 8 2 Transparency in government transactions an established practice 8 2 Feedback mechanism in place 7 3 5 COMPREHENSIVE DEVELOPMENT plan 2017 2022, Municipality of Irosin, Sorsogon 2.

6 SECTORAL DEVELOPMENT PLANS 2017 -2022 SOCIAL DEVELOPMENT plan This component of the CDP aims to improve the state of physical and social well-being of local population by enhancing the quality of social services in health, education, welfare and protective services. Concerns on equity, social justice, gender concerns and those of vulnerable groups, cultural preservation and enrichment are also addressed in this sectoral plan . Health Sector Profile The Municipal Health Office (MHO) directly provides basic health services to the people covering primary health care such as maternal and child care, family planning, nutrition, immunization program, micronutrient supplementation, communicable and non-communicable disease control services, dental care services, environmental sanitation and health education. The Rural Health Units of the municipality are composed of one Main Health Center and nine Barangay Health Stations (BHS).

7 The Main Health Center (MHC) serves the whole municipality and is under administrative and technical supervision of the LGU. The MHC is a Basic Emergency Maternal and Obstetrical New Born Care (BEMONC) facility and complies to PhilHealth accreditation standards for OPB package, maternity care package and TB-DOTS package. The MHC is located in the urban center at San Juan in a two-storey building with a four-bed capacity. Health human resources of the MHO is composed of one medical doctor, two nurses, nine rural health midwives, one medical technologist, one rural sanitary inspector, one dentist and one dental aide. The pool of volunteers composed of 270 Barangay Health Workers (BHWs), 184 Women Health Teams and 54 Barangay Nutrition Scholars assists the LGU medical personnel in the delivery of community health services. 1 The following tables shows the actual number of health personnel vis- -vis WHO standards: Table 1.

8 Health Personnel, 2016 Health Personnel 2015 Number WHO Standards Actual Ratio Doctor 1 1:20,000 1:56,662 Nurse 2 1:20,000 1:28,331 Rural Health Midwife 9 1:5,000 1:6,296 Medical Technologist 1 1:20,000 1:56,662 Rural Sanitary Inspector 1 1:20,000 1:56,662 Dentist 1 1:50,000 1:56,662 Incidence of malnutrition is at among 0-5 years old and among 6-12 years old children in 20152. Among other health DEVELOPMENT indicator is infant mortality rate is in 2014, child mortality rate is in 2013, and 0% maternal mortality rate in the past two years. A total of 99% of births in the municipality are delivered in health facilities in 2015. The following table shows health indicators over the years: Table 2. Health Indicators Indicator3 2010 2011 2012 2013 2014 2015 Households with sanitary toilets Households with access to safe water Malnutrition rate, children 0-5 y/o4 1 Annual Accomplishment Report 2013, MHO 2 Weight for age, underweight and severely underweight 3 MHO and MNAO Annual Accomplishment Reports 4 Weight for age, underweight and severely underweight 6 COMPREHENSIVE DEVELOPMENT plan 2017 2022, Municipality of Irosin, Sorsogon Indicator3 2010 2011 2012 2013 2014 2015 Malnutrition rate.

9 Children 6-12 y/o 13 Child mortality rate Child morbidity rate 76 99 109 585 Infant mortality rate Maternal mortality rate 0 0 0 0 Deliveries in Health Facilities 87 95 99 Fully Immunized Child 86 95 74 99 105 66 Contraceptive Prevalence Rate 44 41 dengue cases 5 0 0 8 3 69 Number of citizens with Philhealth 5,818 10,486 14,329 Eight of the ten leading cause of death in 2013 are non-communicable in etiology. Chronic obstructive pulmonary disease (COPD), cardiovascular diseases, cancer, septicemia and diabetes are the leading non-communicable diseases. The lingering problem on infectious diseases like tuberculosis and pneumonia is still evident as they ranked 7th and 8th in the leading causes of death in 2013 and 1st and 7th in 2012. Deaths from external cause are from accidents which ranked 6th in 2013 and 3rd in 2012. Four of the ten leading cause of morbidity of all ages in 2013 are non-communicable and four are infectious diseases.

10 Hypertension, intestinal parasitism, asthma and urinary tract infection are the leading non-communicable disease. Infectious diseases like acute respiratory infection, acute gastroenteritis, pneumonia and tuberculosis ranked 1st, 6th 7th and 8th respectively. Three of the leading causes of morbidity namely intestinal parasitism, skin problem and acute gastroenteritis can be attributed to sanitary conditions. The rise in non-communicable diseases along with the existing prevalence of infectious diseases indicates that Irosin has a double burden of disease. This disease pattern indicates that even as degenerative diseases and other lifestyle-related illnesses are increasing, communicable diseases are still widely prevalent. Problem-Solution Finding Matrix Box 5. Health Problem-Solution Finding Matrix Observed Condition Causes Implications Policy Options Incidence of maternal deaths Limited access to sexual and reproductive health care services Poor health condition Low life expectancy High morbidity rate Premature mortality Enhanced pre-natal and post-partum care services Intensified campaign for facility-based delivery Full implementation of RH Law High incidence of child morbidity Incidence of child mortality Poor environmental sanitation Provision of access to safe water Provision of access to sanitary toilets Micronutrient deficiency Micronutrient supplementation Insufficient food intake Food assistance Limited access to health care services Expanded immunization program Parent s lack of knowledge on proper health care and nutrition Conduct of health advocacy and IEC Inadequate health personnel Provision of additional health personnel Inadequate health