MOPH-MANTICAO
ACCOMPLISHMENT REPORT
MAY 2025
BED OCCUPANCY RATE 70.84%
DEATH RATE
Gross Death Rate 0.53%
Net Death Rate 0.00%
PUBLIC HEALTH UNIT
Total. of Patients Encountered 995
KONSULTA
Registered Konsulta Provider Yes
No. of Members 133
No. of members with first encounter 190
TOTAL NO. OF SERVICES PROVIDED/RENDERED
Emergency Room 839
Out Patient (New patient and Revisit) 2,132
Admission 220
Deliveries (In Facility) 36
Surgeries (Major) 1
Surgeries (Minor) 11
Laboratory 3,390
X-ray 731
Ultrasound 69
Pharmacy 2,009
ABTC 813
Family Planning 26
Dietary 639
Referrals 94
REPORT/ANALYSIS OF REFERRED SERVICES
MAY MAY Remark
MOPH Manticao 2024 2025 s
BED OCCUPANCY RATE 63.09% 70.84% Increased
DEATH RATE
Gross Death Rate 0.50% 0.53% Increased
No
Net Death Rate 0.00%
0.00% Changes
PUBLIC HEALTH UNIT
Total. of Patients Encountered 442 995 Increased
KONSULTA
Registered Konsulta Provider No Yes
No. of Members 0 133 Increased
No. of members with first encounter 0 190 Increased
TOTAL NO. OF SERVICES PROVIDED/RENDERED
Emergency Room 707 839 Increased
Out Patient (New patient and Revisit) 1,987 2,132 Increased
Admission 218 220 Increased
Deliveries (In Facility) 38 36 Decreased
Surgeries (Major) 5 1 Decreased
Surgeries (Minor) 69 11 Decreased
Laboratory 4,090 3,390 Decreased
X-ray 522 731 Increased
Ultrasound 78 69 Decreased
Pharmacy (Filled Prescriptions) 5,401 2,009 Decreased
ABTC 403 813 Increased
Family Planning 0 26 Increased
Dietary 599 639 Increased
Referrals 79 94 Increased
1. Bed Occupancy Rate
May 2025: 70.84%
May 2024: 63.09%
Increase of 7.75%
Higher occupancy indicate improved public confidence in hospital services or an
increase in cases requiring admission (e.g., seasonal illnesses, better referral
systems). It could also reflect operational efficiency in bed management and patient
flow.
2. Death Rate
Gross Death Rate
May 2025: 0.53%
May 2024: 0.50%
Slight Increase of 0.03%
This minor increase is statistically insignificant. The low rate reflects effective clinical
management and timely interventions.
Net Death Rate
Both Years: 0.00%
No change
A net death rate of 0% suggests zero in-hospital deaths within 48 hours of admission,
indicating timely and effective medical response for acute cases.
3. Public Health Unit (PHU)
Total Patients Encountered:
May 2024: 442
May 2025: 995
Change: +125.11% increase
MOPH Manticao’s Public Health Unit (PHU) recorded a significant rise in patient
encounters, increasing from 442 in May 2024 to 995 in May 2025—an impressive
125.11% growth. This surge underscores the PHU’s expanding role in providing
essential primary care services, including preventive health campaigns, patient
counseling, health education, and disease surveillance.
The notable increase can be attributed to the continued expansion and
strengthening of public health programs within the hospital. Key activities such as
regular Ward Classes, focused counseling sessions, active participation in national
health observances, and timely adaptation to new Department of Health (DOH)
policies and program roll-outs have driven greater community engagement and
utilization of services.
Furthermore, the marked improvement in service coverage reflects enhanced data
management systems, enabling more accurate and consistent reporting. The
institutionalization of PHU functions as a core element of the hospital’s integrated
service delivery framework reinforces its commitment to community-centered,
preventive healthcare. This momentum positions the PHU as a front-line driver of
the hospital’s Universal Health Care goals and a vital link between hospital-based
care and grassroots public health efforts.
4. Konsulta Program
Registered Konsulta Provider - 2025: Yes | 2024: No
No. of Members (2025): 133
First Encounters (2025): 190
New implementation
The hospital’s registration as a Konsulta provider in 2025 indicates alignment with
UHC goals, offering essential outpatient services. The figures show active enrolment
and utilization in its initial roll-out.
5. Total Number of Services Provided/Rendered (with % changes and contextual
analysis)
In May 2025, MOPH Manticao's Emergency Room (ER) cases increased significantly
from 707 in May 2024 to 839, marking an 18.67% rise. This notable surge may
indicate several contributing factors. First, it could reflect a higher incidence of acute
and urgent conditions, such as trauma, respiratory distress, and heat-related
illnesses, particularly common during the dry season and vacation period when
outdoor activities and travel increase. Second, the increase may also point to
enhanced community trust and improved access to emergency healthcare services—
possibly influenced by strengthened referral systems, better triaging protocols, and
heightened public awareness. Additionally, the consistent presence of trained ER
personnel and improved availability of diagnostic services may have encouraged
more patients to seek timely care. However, this upward trend also highlights the
need for sufficient staffing, essential supplies, and preparedness planning to meet
growing demand and avoid overcrowding.
Outpatient visits, encompassing both new and returning patients, rose from 1,987 in
May 2024 to 2,132 in May 2025—reflecting a 7.30% increase. This steady growth
may be largely attributed to the roll-out and strengthening of the Konsulta Program
under the Universal Health Care initiative, which emphasizes preventive, promotive,
and routine health services at the primary level. The program’s expanded coverage
and community awareness efforts likely encouraged more individuals to seek timely
consultations, follow-ups, and health screenings. However, this increase also placed
additional demand on outpatient services, which may have been partially
constrained by intermittent shortages in basic medicines, laboratory reagents, and
diagnostic supplies. Despite these challenges, the hospital’s ability to accommodate
rising outpatient volumes reflects its dedication to ensuring accessible and
continuous care for the local population.
Admissions remained relatively consistent, with a marginal increase from 218 in May
2024 to 220 in May 2025, reflecting a 0.92% rise. This stability in inpatient utilization
suggests that despite logistical constraints—such as intermittent shortages of
intravenous fluids, antibiotics, and other essential medical consumables—the
hospital maintained its capacity to admit and manage patients effectively. The slight
increase also indicates that clinical admission criteria remained appropriate and
responsive to patient needs, without overwhelming hospital resources. It further
highlights the hospital’s resilience and its commitment to continuous service
delivery, even in the face of limited supplies and external pressures on procurement
and logistics systems.
Facility-based deliveries experienced a slight decline from 38 in May 2024 to 36 in
May 2025, representing a 5.26% decrease. This modest drop may be influenced by
several factors. On one hand, it could reflect a shift in patient preference toward
community-based birthing facilities, such as barangay health stations or rural health
units, which may offer more convenient or culturally familiar settings for childbirth.
On the other hand, the decrease may also point to systemic issues within the facility,
including intermittent shortages of essential obstetric supplies, sterile delivery sets,
or postnatal newborn kits—factors that can impact both patient confidence and
service readiness. Additionally, external influences such as transportation barriers,
out-of-pocket expenses, or misconceptions about institutional delivery might have
contributed to this trend. While the decline is minimal, it highlights the need to
reinforce maternal health services, ensure supply chain reliability, and strengthen
referral linkages to maintain trust in facility-based deliveries.
A significant decline was observed in both major and minor surgical procedures.
Major surgeries dropped from 5 in May 2024 to just 1 in May 2025—an 80%
decrease—while minor surgeries fell sharply from 69 to 11, marking an 84.06%
reduction. This dramatic drop is likely attributed to critical supply chain challenges,
including shortages of sterile surgical instruments, anesthetic agents, sutures, and
minor operation kits, all of which are essential for safe and effective surgical
interventions. The availability of key operating room personnel, may have also been
a limiting factor. This trend underscores the urgent need for robust logistics support,
contingency planning, and regular maintenance of equipment to sustain surgical
service delivery and avoid disruptions in patient care.
Laboratory services saw a 17.14% decrease, with tests processed dropping from
4,090 in May 2024 to 3,390 in May 2025. This decline is likely linked to intermittent
unavailability of essential laboratory reagents and consumables, which hampered
the facility’s capacity to conduct routine diagnostics and confirmatory tests. The
shortage have affected key services such as complete blood counts, urinalysis, blood
chemistry, and rapid diagnostic tests, thereby reducing the volume of patients
accommodated. Additionally, delayed procurement processes or supplier issues have
contributed to disruptions in laboratory operations. This trend highlights the critical
importance of stable supply chain management and resource forecasting to ensure
uninterrupted diagnostic support for both inpatient and outpatient care.
On the other hand, X-ray usage rose sharply by 40.04%, from 522 to 731. This
increase may reflect expanded use of diagnostics to support ER and outpatient cases,
possibly as an alternative when laboratory testing was constrained by supply
shortages.
Ultrasound procedures slightly dropped by 11.54%, from 78 to 69. This minor
decline may be due to technical limitations, personnel schedules, or unavailability of
gel and printer supplies, temporarily affecting service continuity.
A major concern is the steep 62.81% decline in Pharmacy services, with the number
of prescriptions dispensed falling from 5,401 in May 2024 to only 2,009 in May 2025.
This sharp decrease is directly linked to persistent shortages in medicine stocks,
which significantly impaired the hospital’s ability to provide essential medications for
both inpatient and outpatient care. These stockouts likely disrupted treatment
continuity, undermining patient adherence to prescribed regimens. Furthermore, the
limited availability of medicines have discouraged patients from returning for follow-
up visits or forced them to seek prescriptions from external sources, potentially
increasing out-of-pocket expenses and reducing the hospital’s role as a primary
healthcare provider. This trend underscores the urgent need to strengthen
pharmaceutical supply chains, improve inventory management, and explore
alternative procurement strategies to ensure consistent medicine availability and
maintain patient trust.
MOPH Manticao’s Animal Bite Treatment Center (ABTC) recorded a significant
increase in patient encounters, rising from 403 in May 2024 to 813 in May 2025—
reflecting a 101.74% surge. This sharp rise is largely driven by increased public
awareness, fueled by social media campaigns, local news reports, and intensified
health advisories regarding rabies-related fatalities, particularly those involving
unvaccinated animal bites. As a result, more individuals are seeking timely post-
exposure prophylaxis (PEP), contributing to the rise in ABTC utilization.
May 2024: 403
May 2025: 813
Change: +101.74% increase
Despite the growing demand, anti-rabies vaccines are currently unavailable in the
hospital and must be purchased by patients from outside sources. This presents a
significant barrier to access, particularly for low-income individuals, and underscores
the urgent need for a sustainable in-house supply to ensure timely and equitable
treatment. While rabies immunoglobulin supplies remain sufficient, the allocation of
anti-rabies vaccines from the Department of Health is currently insufficient to meet
demand. Additionally, essential supplies such as Anti-Tetanus Serum (ATS),
analgesics, and antibiotics from the pharmacy also require augmentation to support
optimal patient care and preparedness during peak case periods.
To address this gap and strengthen service delivery, MOPH Manticao applied for
PhilHealth accreditation for its ABTC in 2025. This move aims to provide financial
support for patients and reduce the economic burden associated with rabies
treatment. The hospital’s effort to pursue accreditation also reflects its commitment
to expanding access to essential health services, enhancing public health protection,
and aligning with Universal Health Care goals.
The increasing utilization of ABTC services underscores the need for continued
investment in public awareness, logistics planning, and inter-agency coordination to
ensure that the community remains protected against the deadly but preventable
threat of rabies.
Family Planning services recorded a notable increase, from 0 clients in May 2024 to
26 in May 2025. This positive change reflects the growing awareness and acceptance
of reproductive health services among the community. The increase is attributed to
intensified health education campaigns and strengthened coordination with rural
health units. The reactivation of the Family Planning Program within the hospital also
likely played a role in reaching previously underserved clients.
Dietary services increased from 599 to 639, a 6.68% rise, corresponding with higher
inpatient activity and improved coverage of nutrition services.
Finally, referrals to other health facilities increased by 18.99%, rising from 79 in May
2024 to 94 in May 2025. This upward trend likely reflects the hospital’s need to
transfer patients due to temporary shortages of critical medicines, medical supplies,
or the unavailability of specialized care services within the facility. The increase in
referrals may also indicate proactive efforts to ensure patients receive the
appropriate level of care when the hospital’s resources are constrained. While
referrals are a necessary component of an integrated health system, the rise
highlights gaps in service capacity that should be addressed to reduce patient burden
and improve continuity of care within the local healthcare network.
Prepared by:
ROBERT B. FLORES, RN, MN-NAS
Chief Nurse
Approved by:
VINAFLOR B. REALISTA,MD
Chief of Hospital