September, 2010 Here you can see some pictures of the building during the Disop-visit of september 2010:
August, 2008 Thanks to the financial contribution from Belgium, the renovation works are now started and in progress. The total costs are listed here. Some pictures:
December 5th, 2007
December, 2006 My proposal is to repair the roof of our health center so that the height will be elevated because having a very low roof in a tropical country is very hot, which becomes a problem when we work. Then we need to extend the health center building to have 3 additional rooms for a lying-in or a delivery area in the health center. A lying in health center is a health center that accepts deliveries. In Labason Rural Health Unit since 2004, we started accepting deliveries because we noted that it is better for mothers to deliver here rather than in their home which is the most common practice. This is to prevent maternal mortality due to hemorrhage and eclampsia, problems that can be prevented if assistants know how to detect it. In Labason untrained birth attendants or people who believe they can assist in deliveries without formal training are the common people delivering babies. Our government tried to train some of them but we still face problems that sometimes lead to death, the most common of which is hemorrhage (due to retained placenta and lacerations) and eclampsia. At present, the health system of the country allows rural health midwives do the home deliveries but the government can only afford to pay few midwives. For our 20 sub communities (or barangays) we have 8 midwives who attend to deliveries. This means 1 midwife is in charge of 1 or 3 sub communities having at least 3,500-5,000 population, a very big area of responsibility. Encouraging health center delivery will attract pregnant to go to one area where we, the health workers can come together and help each other. This will also change the picture of deliveries in our community. In 2005 Our Population was 39,418. We had 948 deliveries, 76% or 723 were home deliveries attended by both the trained and untrained birth attendants. 23% or 219 were hospital deliveries, these are the people who can afford to pay a hospital or were forced to go to the hospital because of complications of pregnancy and 1% or 6 were health center deliveries. Health center delivery is much cheaper than hospital delivery, money is among the reasons pregnant mothers prefer to deliver at home rather than in the hospital. Another problem addressed if we do deliveries in the health center is repair of lacerations, problems that are left unsolved in most home deliveries. This is the reason for proposing the construction of a delivery area. There will be 3 proposed rooms, 1 will be used as labor room, 1 delivery room and 1 recovery room or admitting room where mothers can stay to rest for 24 hours after delivery. If complications arise we will refer patients to the nearest hospital, which is Liloy Integrated District Hospital the co-referral hospital of the health center located 20 kilometers away. This system will also help us improve Hepatitis B vaccination coverage, one of the existing millennium goals. We will be waiting for your support and be assured that it will be for the improvement of our service to the people. Till next mail, Sister Claire and family Dear brother Jan, The entire project of extension and repairing the building will cost too much. The estimate is 9,000 USD but I will not allow you to pay for that. What I did was asked the Ministry of Health of our country to help me with the repair in year 2002 - I sent them a project proposal when I transferred to this municipality. I was only given assistance this year in the amount of 1,750 USD to help in the fixing of our roof. But it was not yet used because I am hoping for assistance from the Department of Agrarian reform in the same amount as additional repair of the roof. I also asked our municipality but since it is not their priority they only gave 900 USD. What I will ask you is to handle 3,000 USD if you can extend that. The 3,000 USD will be used to improve a room for normal delivery. The project is to extend the room of the building as you see in the attached picture, construct a toilet for the patients and a lavatory to clean the baby after delivery. I think that is already big for us. I will not ask you to look for funds for the whole project because it is not your duty to do that. Health centers in the Philippines should be funded by the municipality but it is neglected because it is not their priority. If you see my health center the ceiling is already destroyed and the roof is leaking, despite our frequent request. If you help me with the initial amount to build a delivery room it can be an eye opener for them to reconsider my request for support.