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REPUBLIC of the PHILIPPINES

City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P. Rizal Extension, West Rembo Makati City 1215
Telephone No.: (+632) – 881 – 1571

Community Health in
Nursing

PHILIPPINE STATISTICS
(LIVEBIRTHS, DEATHS &
GENDER)

SUBMITTED TO :
PROF. CATANGHAL

SUBMITTED BY :
TEPACE, MAUREIN ANNE B.
2 – AN
REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P. Rizal Extension, West Rembo Makati City 1215
Telephone No.: (+632) – 881 – 1571

Sixteen Births Per Thousand Population


In 2017, a total of 1,700,618 live births was registered which is equivalent to a crude
birth rate (CBR) of 16.2 or 16 births per thousand population.

The number of registered live births showed a decreasing trend, noticeably from
2012 to 2017. The decrease in the last five years was 5.0 percent, from 1,790,367 live births
in 2012 to 1,700,618 recorded births in 2017. (See Figure 1 and Table 1)

Several factors may contribute to the declining births, such as social change or
lifestyle choices associated by economic affluence. Based on the 2017 National
Demographic and Health Survey (NDHS), the total fertility rate declined steadily over
time, from 4.1 children per woman in 1993 to 2.7 children per woman in 2017. Currently,
the average ideal family size is 2.7 children. Resources needed for supporting families
may cause many couple to think twice about having kids. The use of any method of
family planning among married women has increased from 40% in 1993 to 54% in 2017.

More Males Born Than Females

More males (887,972 or 52.2%) were born than females (812,646 or 47.8%) which
resulted in a sex ratio of 109 males per 100 females.

On the average, there were about 4,659 babies born daily or about 194 babies
born per hour or approximately three babies born per minute.
REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P. Rizal Extension, West Rembo Makati City 1215
Telephone No.: (+632) – 881 – 1571

Highest occurrence of births in NCR

Of the total live births, 57.8 percent were born in Luzon, 19.1 percent in Visayas
and 23.1 percent in Mindanao. Among the regions of the country, the National Capital
Region (NCR) recorded the highest number of birth occurrences of about 14.0 percent.
Second in rank was CALABARZON (13.6%) and the third was Central Luzon (11.2%). (See
Figure 3 and Table 2)

The difference between the place of birth by occurrence and place of birth by
usual residence of the mother by region is shown in the last column of Table 2. Five out of
the 17 regions reported positive differentials in the number of births by place of
REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P. Rizal Extension, West Rembo Makati City 1215
Telephone No.: (+632) – 881 – 1571

occurrence. These positive differentials may be indicative of expectant mothers giving


birth outside of their usual place of residence due to better health care facilities and
social services in the receiving region.

POPULATION

DEMOGRAPHY
Projected Population, Philippines

Demographic Data
Projected
Population,
Philippines 2006 2007 2008 2009 2010 2011 2012
(Medium
Assumption)
Male 43,472,100 44,608,300 45,483,100 46,368,900 47,263,600 48,157,560 49,051,520
Female 43,230,400 44,098,000 44,974,100 45,857,700 46,749,600 47,646,060 48,452,520
Both Sexes 86,972,500 88,706,300 90,457,200 92,226,600 94,013,200 95,803,620 97,594,040

Estimated Population
Percentage Distribution, By Age and Sex
Philippines, 2009

Female Male
Age
Number Percent Number Percent
Under 1 yr. 1,089,286 1.2 1,146,343 1.2
1-4 4,430,798 4.8 4,607,915 5.0
5-9 5,198,556 5.6 5,435,417 5.9
10-14 5,105,918 5.5 5,329,786 5.8
15-19 4,762,746 5.2 4,881,312 5.3
20-24 4,299,988 4.7 4,301,908 4.7
25-29 3,837,339 4.2 3,790,618 4.1
30-34 3,267,549 3.5 3,295,545 3.6
35-39 2,963,770 3.2 3,015,303 3.3
40-44 2,563,348 2.8 2,640,675 2.9
45-49 2,175,588 2.4 2,228,529 2.4
50-54 1,722,571 1.9 1,754,647 1.9
55-59 1,358,728 1.5 1,335,041 1.4
REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P. Rizal Extension, West Rembo Makati City 1215
Telephone No.: (+632) – 881 – 1571

60-64 983,089 1.1 927,004 1.0


65-69 829,306 0.9 724,931 0.8
70 & above 1,269,120 1.4 953,926 1.0
Total 45,857,700 49.7 46,368,900 50.3

Registered Deaths in the Philippines

The number of deaths from 2008 to 2016 showed an increasing trend but slightly
declined in 2017. The increase during the ten-year period is about a quarter, or 25.5
percent, from 461,581 in 2008 to 579,237 in 2017. (Figure 1 and Table 1 ).
REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P. Rizal Extension, West Rembo Makati City 1215
Telephone No.: (+632) – 881 – 1571
REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P. Rizal Extension, West Rembo Makati City 1215
Telephone No.: (+632) – 881 – 1571

Most number of deaths in August

The month of August recorded the highest number of deaths with 51,154 or 8.8 percent,
while February had the least number with 44,765 or 7.7 percent share of the total deaths.

More deaths in males than females

In 2017, the number of deaths in males (332,517) was higher than deaths in females
(246,720). This translates to a sex ratio of 135, which means that there are 135 male deaths
for every 100 female deaths (Table 4).

Figure 4 shows the age and sex pattern of death in 2017. It reflects an inverted pyramid,
with fewer deaths at the younger ages, except for children under one, and progressively
increasing as people age. As in most parts of the world, males are more likely to die
before females at all ages. In the Philippines, it is clearly shown that males died at a higher
rate than females before reaching the age of 80 years, with the greatest difference
observed at ages 60 to 64 years (15,362 deaths). Higher proportions of female deaths
were observed in the older age groups, which is indicative of higher survival rate of
females than males.
REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P. Rizal Extension, West Rembo Makati City 1215
Telephone No.: (+632) – 881 – 1571

Six out of ten deaths not attended

Attendant refers to a medical doctor or any other allied health care provider who
provided medical attendance to the deceased.

Out of 579,237 registered deaths, about half or 292,098 were not attended. Seven regions
namely: NCR (63.4%), CALABARZON (55.4%), CAR (51.7%), Western Visayas (51.5%),
Northern Mindanao (51.0%), ARMM (50.7%) and Caraga (50.1%) had more medically
attended deaths than those not attended by any health care provider (Figure 5 and
Table 5).
REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P. Rizal Extension, West Rembo Makati City 1215
Telephone No.: (+632) – 881 – 1571

MORBIDITY
Morbidity: Ten (10) Leading Causes

Morbidity: Ten (10) Leading Causes by Sex


REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P. Rizal Extension, West Rembo Makati City 1215
Telephone No.: (+632) – 881 – 1571

Mortality: All Causes by Age Group


REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P. Rizal Extension, West Rembo Makati City 1215
Telephone No.: (+632) – 881 – 1571

In the Philippines, more than five people die for every one thousand population in
2013. This is equivalent to 531,280 registered deaths from all causes and all ages. Of these
deaths, 57 percent or 304,516 were males and 43 percent or 226,764 were females. For
every 100 female deaths, there correspond 134 male deaths and which constituted to a
death sex ratio of 1.34. It is consistent that numbers of male deaths are greater than
female deaths. Consequently, males always have higher death rate than females.
Reports also showed that the highest occurrences of deaths were among the elderly
persons, 70 years and over. It comprised more than 38 percent of total deaths with
202,564 cases. However, death occurrence was least among age group 10-14 years with
0.9 percent. Deaths among under 1 year old is more than twice (21,992 or 4.1%) the
number of deaths in ages 1-4 years (9,526 or 1.8%) The number of deaths increase as the
people gets older. Statistics show that the risk of dying is directly proportional to age,
starting with age 10 and up.

Mortality: All Causes by Region

Reports showed that the highest incidence of death (by place of occurrence) was in
CALABARZON with 75,743 or 14.3 percent of the total deaths, followed by NCR with 71,050
deaths or 13.4 percent and Central Luzon with 60,409 deaths or 11.4 percent. Deaths from
these three regions comprised to almost 40 percent (39.1%) of the total deaths.

On the other hand, Autonomous Region of Muslim Mindanao (ARMM) reported the least
number of deaths with 1,484 or 0.3 percent only. While, Cordillera Administrative Region
(CAR) and CARAGA followed with a share of 1.4 percent and 2.4 percent respectively.
REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P. Rizal Extension, West Rembo Makati City 1215
Telephone No.: (+632) – 881 – 1571

These three regions were consistently low in terms of the number of deaths registered,
which maybe a result of either effective health intervention or under registration.

Mortality: All Causes by Attendance and Region

Across all regions, only NCR showed a higher proportion of attended deaths by a medical
doctor at the time of death than not. There is a difference of 14.4 percentage points (57.0
against 42.6%). For several years now, statistics show that even in NCR, a highly urbanized
region and where both public and private health facilities are accessible, still, a low
percentage of attended death is recorded. Dying without the attention of a medical
doctor could be somehow an evidence of unaffordable health cost in the country.
REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P. Rizal Extension, West Rembo Makati City 1215
Telephone No.: (+632) – 881 – 1571

Mortality: Ten (10) Leading Causes

Out of 514,745 deaths registered in 2013, more than 81 percent (433,375) were
attributed to the top ten leading causes of death for the year. Deaths from all other
causes comprised less than 20 percent of total deaths or 97,905 cases. More than one in
every five deaths was caused by Diseases of the Heart making it the number one leading
cause of death. Diseases of the Heart remained to be the first with 118,740 deaths. It
recorded a 22.3 percent share from total deaths.

Diseases of the Heart had been consistently the number one cause of death for
several years now. The 2013 number of deaths from this condition is 6,159 deaths (5.4%)
higher than what was reported in 2012 which had 112,581 deaths. This year’s number of
deaths from Diseases of the heart comprised 22.3 percent of total deaths. More males
than females die from this cause. Out of 118,740 cases reported, 66,612 or 56 percent
were males and 52,128 or 44 percent were females. Thus, the death sex ratio for Diseases
of the Heart was 1.28 or 129 males in every 100 females.

The next three diseases in the list which remained in their respective rankings for
the past four years already were, Diseases of the Vascular System (68,325; 12.9%),
Malignant Neoplasm (53,601; 10.1%) and Pneumonia (53,101; 10.0%).
REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P. Rizal Extension, West Rembo Makati City 1215
Telephone No.: (+632) – 881 – 1571

Mortality: Ten (10) Leading Causes by Sex

Eight out of the ten leading causes of deaths were male dominated. Female
deaths were only higher than male deaths in Malignant Neoplasms and Diabetes Mellitus
cases. Furthermore, there was a significant difference in number of fatalities from
Accidents between male and female. From the total 40,071 deaths from Accidents, 77.9
percent or 31,218 cases were male and only 22.1 percent or 8,853 were female. This
means that men were almost four times more likely to die from Accidents than
women. Nonetheless, the same killer diseases were identified as the ten leading causes
of death for separate groups of male and female, which differed only in ranks when
tabulated by sex.
REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P. Rizal Extension, West Rembo Makati City 1215
Telephone No.: (+632) – 881 – 1571

Mortality: Ten (10) Leading Causes by Attendance

More deaths from the leading causes were not medically attended. Majority of
deaths or nine out of the top ten killer diseases were not attended by a medical doctor
or any allied health officer in anytime during their illness or injury. Deaths from Certain
Conditions Originating in the Perinatal Period was the only disease group causing death
that showed higher percentage of cases which had been attended by a medical doctor
or allied health professional.
REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P. Rizal Extension, West Rembo Makati City 1215
Telephone No.: (+632) – 881 – 1571

Infant Mortality: Ten (10) Leading Causes

In 2013, although the infant mortality rate slightly increased, the number of
registered infant deaths slightly decreased by more than one percent, from last year’s
22,254 cases to 21,992 cases. It comprised of 4.1 percent of the total deaths (531,280)
reported during the year. This represented a daily average of 60 infant deaths and was
equivalent to an Infant Mortality Rate (IMR) of 12.5 deaths per thousand live births. The
top three leading causes of infant mortality were Pneumonia (3,146; 14.3%); Bacterial
sepsis of newborn (2,731; 12.4%); and Respiratory distress of newborn (2,347; 10.7%). The
listed top ten leading causes of infant mortality in 2013 were the same with what was
recorded in 2012 which only differ in ranks.
REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P. Rizal Extension, West Rembo Makati City 1215
Telephone No.: (+632) – 881 – 1571

Fetal Deaths: by Attendance

The total numbers of registered fetal deaths were 7,474 which was equivalent to a
fetal death ratio (FDR) of 4.2 per one thousand livebirth. There was a decrease in number
of about 4.9 percent from previous year’s fetal deaths. This was translated to an average
of more than 20 fetal deaths per day for the year 2013. Almost all (99.1%) of fetal deaths
were attended by qualified medical professionals such as physician, nurse and midwife.
The rest or 0.9 percent were attended by hilot or unlicensed midwife.
REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P. Rizal Extension, West Rembo Makati City 1215
Telephone No.: (+632) – 881 – 1571

Fetal Deaths: by Age of Mother

Most number of fetal deaths occurred to mothers in age-group 25-29 years, with
1,702 reported cases or 22.8 percent of total fetal deaths. High number cases of fetal
deaths were also registered to mothers of ages 20-24 years (1,648; 22.0%) and 30-34 years
(1,638; 21.9%). However, statistics show that older mother (40-49 years old) had higher risk
of having fetal deaths than the younger ones. The ratio of fetal deaths to livebirths was
high on mothers belonging to age groups 40-44 (8.2) and 45-49 years (6.3).

REFERENCES:
https://psa.gov.ph/content/births-philippines-2017
http://www.census.gov.ph/data/sectordata/popproj_tab1r.html
http://www.census.gov.ph/data/quickstat/qsgender11q1.pdf
https://www.doh.gov.ph/Statistics/Livebirths-by-Attendance
https://www.doh.gov.ph/mortality

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