Community Assessment and Health Development Program for

Mulanay

In Partial Fulfillment of Requirements

Community Health 2

Department of Preventive, Family & Community Medicine

Faculty of Medicine & Surgery, University of Santo Tomas

2C - MED Group 2

Group Leader
Napiza, Marian Daenielle

Members
Nalagon, Alyza Jane

Nantin, Kristine Kaye

Nolido, Rachelle Anne

Norte, Karmela

Nuevo, Vianne Abigail

Faculty
Prof. Alejandro V. Pineda, Jr., MD
Prof. Venjilyn S. Villaber, MD
I. CONTENT
A. Short Summary of the Film ‘Mulanay’

The film shows us the astonishing dedication of a newly licensed physician that
volunteered to be a “Doctor to the Barrios” in Mulanay, a far-flung and remote area in
Quezon. Dr. Ria Espinosa, having been raised in Metro Manila, struggled to adjust to
life in the barrios, but with great dedication, she worked hard to provide medical
services and promote public health and safety to the people of Mulanay.

Upon arriving in Mulanay, Dr. Espinosa has immediately been welcomed by the lack
of toilet and plumbing system as she starts to feel the need to relieve herself.
However, aside from this, she was warmly embraced with great hospitality from the
people in the barrio. From where she was initially staying, Dr. Espinosa had to ride a
boat and travel in order to reach the clinic, portraying inconvenience and
inaccessibility of healthcare among the people. Additionally, many people were
skeptical of her proficiency and capacity due to her appearance and age. As the film
goes on, the simplistic life in the barrio has become more apparent to her, including
the lack of healthcare as the people rely on herbal medicines and prayers. She also
initially doubted herself, asking herself if she was doing the right thing.

Dr. Ria encountered challenges in the healthcare system in Mulanay. It was very
poor and their hygiene was not adequately maintained resulting in diseases like flu
and diarrhea infecting the population. All of these were discussed and prioritized. Dr.
Ria and Norma proposed that the people should boil their water before drinking and
construction of several deep-wells for the barrio when there is yet another case of
people vomiting and having diarrhea due to the dirty drinking water as a more
permanent solution Dr. Ria went back to Manila to secure funding for the well when
she was informed that they do not have the funds to build that. Dr. Ria helped by
convincing the villagers to clean up the town and continue boiling their drinking water
before consumption when the mayor insisted that there are only limited funds
available and they cannot solve all of the problems. Despite all of the overwhelming
issues in Mulanay, Dr. Ria stated she will remain dedicated and passionate to serve
as a doctor to the barrio.

B. Description of the Community

Physical and Geographical Data

Mulanay is a coastal municipality in the province of Quezon. The municipality has a

land area of 420.00 square kilometers or 162.16 square miles, which constitutes
4.80% of Quezon's total area. Its population, as determined by the 2020 Census,
was 55,576. This represented 2.85% of the total population of Quezon province, or
0.34% of the overall population of the CALABARZON region. The population density
is computed at 132 inhabitants per square kilometer or 343 inhabitants per square
mile.
 Demographic Data

Mulanay has 28 barangays.

Population by Age Group
● According to the 2015 Census, the
age group with the highest
population in Mulanay is 5 to 9, with
6,840 individuals. Conversely, the
age group with the lowest population
is 80 and over, with 352 individuals.
● Combining age groups together:
○ Those aged 14 and below,
consisting of the young
dependent population which
include infants/babies, children
and young
adolescents/teenagers, make up
an aggregate of 36.70%
(19,497).
○ Those aged 15 up to 64,
roughly, the economically active
population and actual or
potential members of the
workforce, constitute a total of
58.89% (31,282).
○ Finally, the old dependent
population consisting of the
senior citizens, those aged 65
and over, total 4.41% (2,344) in
all.
● The computed Age Dependency
Ratios mean that among the
population of Mulanay, there are 62
youth dependents to every 100 of
the working age population; and
overall, there are 70 dependents
(young and old-age) to every 100 of
the working population.
● The median age of 21 indicates that
half of the entire population of
Mulanay are aged less than 21 and
the other half are over the age of 21.
Historical Population
● The population of Mulanay grew
from 2,149 in 1903 to 55,576 in
2020, an increase of 53,427 people
over the course of 117 years. The
latest census figures in 2020 denote
a positive growth rate of 0.95%, or
an increase of 2,453 people, from
the previous population of 53,123 in
2015.
● The total number of registered voters
or electorate in Mulanay for the year
2019 was 32,243, broken down into
16,101 males and 16,142 females.
Economic Condition
● The annual regular revenue of
Mulanay for the fiscal year of 2016
was ₱154,478,705.85.
● Income class:
○ 1st municipal income class
● Poverty Incidence:
○ 34.28% (2015)
 Mortality & Morbidity Data

In 2012, 2013, and 2014, Acute Myocardial Infarction or heart attack ranked first
among the leading causes of mortality having a percentage of 29.23, 20.41, and
34.29 respectively. In 2011, 26.83% or 33 persons died due to cancer. However,
pneumonia caused the mortality of 18 persons (36.73%) during 2013. There are
more males who died than females.

Acute Respiratory Infection remained as the leading cause of morbidity in the

municipality throughout the past four years followed by skin disease. Other
diseases include headache (cephalgia), hypertension, acute bronchitis, wounds,
iron deficiency anemia, vertigo, urinary tract infection, and acute gastroenteritis.
Number of deaths decreased during the past five years.
 Food Supply & Nutrition

Crop Production
● As of 2014, the actual land area of the municipality is 32,000 hectares; 413.89
are in Urban use, 393.37 are forest protected lands, 11,903.85 are forest land
production and more than half is devoted to agricultural land production
(19,158.43). Among the agricultural land, 75% or 12,230.75 are planted with
coconut, 25% or 4,076.92 are planted with banana intercropped with coconut
and about 7% or 1,423.04 is planted with rice.
● Coconut, banana, rice, corn, watermelon, root crops, and vegetables comprise
the existing major agricultural crops in the municipality. Coconut, Banana, and
rice are the top three major agricultural crops based on production area.
Coconut and banana are the majority crops of each barangays. Rice is planted
to 1,331.21 hectares lowland and 91.83 hectares lowland rice field and the
volume of production in metric tons per hectare were 1,331.21 for both upland
rainfed riceland. This suggests that the volume of rice produced could still be
increased if the irrigation system is expanded to other barangays. Other crops
are sold in their raw state. Data on the market of these crops could have
revealed where these crops are mostly sold and thus LGU could have provided
more targeted support to provide or enhance market linkages and support
facilities.

● Fruits are very seasonal, but abundant. 80% of the production is sold to
markets in Lucena and Metro Manila (Divisoria), because it is more profitable
for the farmers. Arrow root crop is made into a white flour, used for cookies, the
specialty of the region. Mulanay is famous for making the whitest flour. But the
cookies from Catanauan are the most commercialized in the region.
● The Samahan ng Nagkakaisang Magsasaka ng Cambuga Multi-Purpose
Cooperative (SNMC-MPC) operates the processing of Arrowroot into cookies.
They have available equipment and a process plant. Also, the Department of
Science and Technology (DOST) assisted the cooperative in improving the
 packaging of their Arrowroot cookies which is now penetrating not only the
Local market but also nearby towns and cities. The arrowroot production is
continuous, thus processing of arrowroot cookies is also continuous.

● Comparatively, a vast difference is seen in agricultural crop areas and

production during 2001 and 2014. Areas planted with coconut decreased with
2,946 hectares while the volume of production increased by 13,918 metric tons.
Area occupied by bananas decreased by 14,442 and as a result, the production
also decreased by 70,161.

Coconut being the major crop

planted in the municipality
occupied about 11, 458.72
hectares of the total agricultural
land use. In terms of yield, the
average production of nuts per
tree per annum is 34 nuts,
equivalent to 6,770 nuts per
hectare per annum. In 2007, this
crop accounted for 33 nuts per
tree or 6,720 nuts per hectare
that eventually increased by
60.12% (54 nuts) in 2009, but
declared in 2014 with 36 nuts per
tree/year.

Banana is the second major agricultural crop of the municipality which accounts to
about 4, 646. 43 hectares of the total agricultural land area. It has an annual
production of 8, 507. 63 MT and being traded locally. The most common varieties
being grown are Saba and Latundan.

Since the Bondoc Peninsula area is considered as a corn producing district,

Mulanay has been included in the Ginintuang Masaganang Ani (GMA) Corn
Production Program since 2002. Corn planted are classified into traditional
varieties (white and yellow), open-pollinated varieties (yellow and white), and
hybrid varieties (yellow). Among the rural barangays, thirteen (13) are regularly
planting during the dry and wet seasons while eleven (11) barangays are
occasionally planting. In 2004, Mulanay was one of the participating Municipalities
in the Farmer Scientist Training Program (FSTP). It is a collaborative project
funded by the Agricultural Training Institute and technically assisted by UP Los
Banos. There were a total of 22 Farmer Scientists who graduated and were
already replicating the technology in their respective farms.

Livestock and Poultry

● Chicken and piggery comprised the major livestock within each household in
the municipality. Although classified as backyard in terms of volume of
production, these produce cater to the local market and are exported outside
the municipality. For the past 12 months. In terms of production, pig and
carabao meat dominated the market followed by cattle and goats. Carabao and
Hogs production is a great market especially during fiestas and similar
occasions. In the poultry business, chickens were raised by the populace
because of its meat and eggs. In the RCBMS Survey conducted there are
24,561 heads of chickens with a total of 8,191 kilograms of meat consumed
and sold in the market. Poultry production is still one of the target livelihoods of
the populace of the municipality of Mulanay, hence this must be taken into
 consideration for the future market of Mulanay. Native swine is also one of the
potential livelihoods in Mulanay. Barangays of Pakiing and Cambuga are the
top 2 barangays with the highest population of swine.

● Carabao meat has the highest number of kilograms produced which has
187,503 followed by swine meat, 141,812; cattle meat, 55,160; goat meat,
22,919; and chicken meat, 8,191. Carabao milk produced was 2,974 liters;
cattle milk 550 and goat milk 130. While 2,656 pieces of chicken eggs and 20
pieces of duck eggs were produced during the same year.
Fisheries
● Existing fishing grounds and aquaculture production were spotted in all coastal
barangays. All fisherfolks are engaged in marine water fishing rather than
aquaculture and inland fishing. In the RCBMS Survey of 2014 there were 542
households who caught fish on marine waters of Tayabas bay, 29 households
who practiced aquacultured and 45 households caught fish on inland water
along riverbanks of Ajos and Mulanay rivers.

● For the year 2009, the Office of the Municipal Agriculturist reported that the
total fish production within a day was estimated at about 795 kilograms which
equates to 178.88 metric tons per year. Among the ten coastal barangays,
Butanyog contributed the highest fish production, 175 kg (22.01%) per day as
well as 39.38 metric tons per year or 21.92%.
Nutritional Status of Children
● Comparatively, nutritional status of children ages 0-5 improved yearly.
Malnutrition declined from year to year, the 1, 396 (20%) of the total number of
malnourished children ages 0-5 in 2010 incurred a decline of 1% during 2011,
1.19% in 2012, 2.63% in 2013 but there is a noted increase of 1.46% in 2014.
Underweight and overweight continued to decline from 2010 to 2012 but with a
noted increase in 2013 and 2014, while severely underweight continued to
increase during 2010 to 2012 but registered decline in 2013 and 2014.

● Based on the 2014 data of the RHU, out of the 1,909 children weighted during
the year, 1,567 or 82.08% had normal weight whereas the number of females is
higher than males; 202 or 10.58% were underweight; 27 0r 1.41% were
severely underweight; and 113 or 5.92% were overweight.
 Cultural Patterns and Common Cultural Beliefs and Health

Sanitation
● Of the 11,384 households,
6,810 have their own toilet
with flush, while 4, 038 don’t
have any toilet facility, and
167 have an open pit as their
toilet facility. Among the listed
barangay, Brgy. Pakiing (374)
the most households who
don’t have toilet facilities
followed by Brgy. Ibabang
Yuni (283). However, Brgy. 3,
Poblacion had the least
number where zero
households don’t have toilet
facilities.

Health Services and Facilities

The municipality has twenty-three

(23) health facilities consisting of
one (1) Rural Health Unit (RHU),
21 Barangay Health Stations
(BHS), and two (2) private health
facilities. Existing private facilities
are located in the Poblacion areas
while Barangay Health Stations
are located in the rural areas.
Facilities are all operational and
serve the residents of the
community. Cases requiring minor
and major operations and critical
medical assistance are referred to
hospitals in Catanauan, Gumaca,
Lucena, and Manila.

Health service in the municipality is expanded through the lying-in. This expansion
and the Pantawid Pamilyang Pilipino Program of DSWD encourages pregnant
mothers to periodically have their maternal check-up and delivery in the lying-in to
avoid cases of maternal and infant death.

Public health employees in the municipality include one (1) nurse, one (1) doctor,
11 midwives, one (1) dentist, one (1) sanitary inspector, one (1) microscopist, one
(1) nursing attendant, six (6) Nurse Deployment Project from DOH, two (2) Rural
Health Midwife Placement Program, and 250 barangay health workers. Number of
professionals is still in need of addition, based on the standards of RHU Personnel
to population ratio, the municipality must have two (2) doctors, four (4) nurses, four
(4) midwives and three (3) sanitary inspectors. There are also private employees
consisting of 2 doctors.

Although every barangay in the municipality did not have the population of 5, 000
to meet the standard of 1 Barangay Health Station per 5,000 population, there is
still a need for one Barangay Health Facility to cater its populace. For that reason,
there is no need for every barangay to have an additional facility during the next
ten (10) years. On the other hand, barangays without existing facilities must be
provided to accommodate their minor health needs. Barangays are the following;
Bagong Silang, Burgos, F. Nañadiego, Matataja and Sagongon.

Education
Mulanay has 25 public schools located in each barangay and two (2) private
schools located in the Poblacion areas. The facilities of the public schools include
laboratory, library, clinic, comfort room, and playground. While the other facilities
are in good condition, some of these specifically the comfort rooms are in poor
condition which need minor repair. On the other hand, most of the facilities of
private schools are in good condition.
Most of the schools remain untitled and the area occupied by the school does not
obtain the standard size of area and students ratio of 1:35.
To date, there are already 27
elementary schools in the municipality
wherein 25 are considered public which
are located mostly in rural barangays
and one (1) in Poblacion. Two other
schools are considered private which
are located in Barangay Butanyog and
Poblacion III. Of the listed barangays
with established elementary schools,
three barangays in the municipality do
not have elementary schools namely,
Amuguis, Bagong Silang, and
Sagongon.

As of 2010, Mulanay has seven (7)

public schools and two (2) private
schools. Public schools in rural
barangays whereas the two private
schools are in Poblacion III.

Most of the elementary schools in the municipality did not obtain the standard
student-teacher and student-classroom ratio of 1:35 per DepEd. Employment of
additional teachers and building of classrooms must be considered in planning.
While public secondary schools only need additional classrooms.

Student-Teacher and Student-Classroom Ratio

● Among the public elementary schools, Mulanay has a student-teacher ratio of
1:40 which means that there is one (1) teacher for every 40 students. The
student-classroom ratio in the public schools is 1:38 which means that in every
classroom, 38 students are occupying it. This shows a congested student-
classroom and student-teacher ratio where there should be only 35 students in
a classroom handled by a teacher as per DepEd. Public secondary schools
have a student-teacher ratio and student-classroom ratio of 1:28 and 1:36
respectively. On the other hand, private elementary schools have a student-
teacher ratio of 1:15 and a student-classroom ratio of 1:21. Private secondary
schools have a student-teacher ratio of 1:22 and a student-classroom ratio of
1:39.

Area Requirement
● As of 2014, the majority of the public
elementary and secondary schools
need an expansion. The area they
occupy is not suitable for the number
of classes they have. Schools like
Burgos Elementary School, Matataja
Elementary School, Pakiing
Elementary School, and Parang
Elementary School which have lower
numbers of classes are not in need
of expansion.

Tertiary and Vocational/Technical Schools

● Polytechnic University of the Philippines (PUP) has been the only tertiary
school in Mulanay. Female enrollees account for 68% (603) of the total
population and male enrollees cater only the remaining 32% (292). Aceba
Systems Technology Institute remains the sole vocational school provider in the
municipality. It is a private facility consisting of 23 male enrollees and 43 female
enrollees. It means that more females attend tertiary and vocational.
Historical Enrollment
● Enrollment in public elementary level has been decreasing in the four
consecutive years but with a small increment in the last school year. However,
the public secondary level has been gradually increasing over the last five
years. Private elementary level has a decreasing enrollment but with a noted
increase in year three while there is recorded decrease of enrollment in private
secondary level during the year five. Vocational school has its rise and fall
pattern.

Projected Classroom, Teacher Requirement

● A small increment is noted in terms of projected classroom and teacher
requirements for the elementary and secondary levels within the planning
period. Such a number of teachers and classrooms will have to be factored in
the planning for school buildings and employment of teachers.
Historical Enrollment Participation Rate
● There is the continuous decrease of enrollment participation rate on Elementary
level and increase on the Secondary level. There is a 13.63% recorded
decrease from the year 2011 and 2014 in terms of elementary level contrary to
the 6.66% increase in Secondary level.

Educational Attainment and

Attendance
● A large percentage of the people in
the municipality were not able to
finish elementary. Based on the data
gathered from RCBMS 2014, only
13% (5,794) of the total population of
Mulanay graduated from elementary.
About 17% (7,685) of the population
finished secondary school, and only
58 (0.12%) of the population was an
academic degree holder.
● Majority or 87.69% of the 5-17 years
old or elementary and secondary
school population of each barangay
attends school. Brgy. 3, Poblacion
ranked first, where 96.92% or 377
out of 389 population attends school
while Brgy. Bagong Silang ranked
last having a percentage of 70.51
where 55 out of 78 population
attends school. There were also
more females attending school.
● One out of 8 (12.31%) persons in the
municipality is a school dropout.
Barangay Bagong Silang has the
highest number of school dropouts
(29.49%), followed by Ajos (27.87%)
and Ibabang Yuni (24.70%). There
were more male dropouts than
females in most barangays except in
Barangays Anonang, Poblacion I,
Buenavista, Ilayang Yuni, Patabog
and Sta. Rosa. Barangay Poblacion
3 was recorded with the lowest
number of dropouts (3.08%).
Community Leadership and Organization
The Local Government
● The evangelization of Mulanay by
the Franciscan Missionaries was in
1600 while its civil foundation as a
municipality was affected in 1745
through the approval of the King of
Spain. During the Spanish regime,
Mulanay was composed of the
municipal territories of San Narciso,
San Francisco, Catanauan and San
Andres which were as big as the
province of Bataan. In 1755,
Catanauan became a separate
municipality followed by other
remaining municipalities. Mulanay’s
territorial jurisdiction was reduced to
42,000 hectares. The original town of
Mulanay composed of six (6)
barangays was raided by the Moro
pirates that led the town’s executive
together with the barangay heads to
transfer the town site to the so called
Mayordomo, a sitio of Barangay
Latangan. After several years, raids
along coastal areas were lessened.
The people returned to the town site,
however, few barangay heads
disagreed and left for Bantuin,
Marinduque and Mindoro.
● Mulanay is a first class suburban
municipality in the province of
Quezon and Situated at the 3rd
District of Quezon as commonly
known as the Bondoc Peninsula.
The Municipality of Mulanay is now
one of the 39 municipal towns in the
Province of Quezon. The
municipality is made-up of 28
barangays classified as Upland;
Coastal; Urban and Rural
barangays.

Structure of Local Planning

● Contrary to the notion held by many local legislators, planning is not exclusively
a function of the executive. Planning is both proactive policy making and
reactive problem solving. The first character of planning makes it essentially a
political act while the second is the more popularly known character of
planning, that of management and hence, an executive function.
Correspondingly, the local planning structure has two components: political and
 technical.
● The generic local planning structure consists of the political and technical
components. The political component comprises mainly the Local Sanggunian
and the LDC. These two bodies lay down policy guidelines and take decisions
regarding the direction, character, and objectives of local development. They do
these in their capacity as elected representatives of the people. In a very real
sense, they are the true planners of the city, municipality or province. The
technical component on the other hand consists of non-elective officials of the
LGU, heads of national agencies operating in the area, and non-government
sectors. The Local Planning and Development Coordinator (LPDC) serves as
the technical arm and head of the LDC Secretariat. In that capacity the LPDC
“coordinates” the different programs of the LGU departments and the national
agencies operating locally. The LPDC also coordinates the different
sectoral/functional committees that provide detailed inputs to the
comprehensive multi-sectoral development plan and investment program.

● The Municipal Development Council (MDC) is the mother of all local special
bodies. Its principal function is the formulation of the comprehensive multi-
sectoral development plan. The plan is transmitted to the Municipal Sanggunian
for approval. Based from Section 109 of RA 7160, the specific functions of the
MDC are as follows:
○ Formulate long-term, medium-term and annual socio-economic
development plans and policies;
○ Formulate medium-term and annual public investments programs and
projects;
○ Formulate local investment incentives to promote the inflow and direction
of private investment capital;
○ Coordinate, monitor, and evaluate the implementation of development
programs and projects; and
○ Perform such other functions as may be provided by law or competent
authority.
● In the case of Mulanay, the MDC is composed of the following:
○ Chair:
■ The Municipal Mayor
○ Members:
■ All 28 Barangay Captains
■ The SB Chairman, Committee on Appropriations
■ The Congressman or his representative
■ Representatives from the non-government organizations
○ Secretariat:
 ■ The Municipal Planning and Development Coordinator
● As shown above, the MDC has a total membership of 19, including the
chairman and the five (5) NGOs. The number of NGOs in the MDC is more
than the mandated 25% of the total MDC membership. Of the stated NGOs,
one represents the fishermen’s group, a credit cooperative and a socio-civic
organization. The Council meets three times a year, which is more than the
mandated meeting of once in every six months.
● The MDC Executive Committee on the other hand is composed of four officials:
○ Chair:
■ The Municipal Mayor
○ Members:
■ The SB Chairman of the Committee on Appropriations
■ The President of the Liga ng Mga Barangays
■ An NGO representative

Municipal Government Manpower

● The Municipal Mayor is the chief executive of the municipal government as
specified in the Local Government Code of 1991. He/She is responsible for the
general supervision and control over local affairs and enforces laws and
ordinances as well as implements development projects and programs. The
Vice-Mayor presides as officer of the Sangguniang Bayan and exercises the
duties of the mayor in cases of temporary vacancy. The Sangguniang Bayan,
legislative body of the municipality, enacts ordinances, approves resolutions
and appropriate funds for the general welfare of the municipality and its
inhabitants.
● Together with the different concerned offices, through the arm of the Office of
the Municipal Planning and Development Coordinator, the Municipal Mayor, as
the Local Chief Executive, shall spearhead different existing government
boards that shall be responsible in executive planning and budgeting. This
office stands as the control gear of the whole Municipal Government. The
Municipal Vice Mayor shall be the deputy official of the local government. He
shall preside over the Sangguniang Bayan in session and if the situation
permits, replaces the Municipal Mayor as the latter’s legal successor.
● The Sangguniang Bayan, as the legislative body of the Municipality, shall enact
ordinances, approve resolutions and appropriate funds for the general welfare
of the Municipality and its inhabitants. Different hearings concerning different
programs for the Municipality shall be endorsed to the Sangguniang Bayan for
proper legislative actions.

Barangay
● 28 Barangays comprise the Municipality of Mulanay, namely Ajos, Amuguis,
Anonang, Bagong Silang, Bagupaye, Bolo, Buenavista, Burgos, Butanyog,
Cambuga, Canuyep, F. Nanadiego, Ibabang Yuni, Ilayang Yuni, Latangan,
Mabini, Magsaysay, Matataja, Pakiing, Patabog, Pob 1, Pob 2, Pob 3, Pob 4,
Sagongon, San Isidro, San Pedro, and Sta. Rosa. Each was officiated by a
Punong Barangay and Seven Councils.
Local Officials
● The list of appointive municipal
officials is mandated by the LGC.
Besides the mayor, vice- mayor and
the sangguniang bayan, there are
nine (9) positions that are mandatory
not only for the municipal
government but also for provincial
and city governments, while others
are optional only at the municipal
level.
● The organizational structure of the
Municipality of Mulanay implies that
all offices’ heads directly report to
the Office of the Mayor, giving the
local chief executive full control over
municipal operations and programs’
implementation.

Municipal Government Personnel

● As per records of the Human Resource Management Office, the Municipal
Government of Mulanay has 220 employees, wherein 157 of it are Permanent
Plantilla position holders, 15 are coterminous, 11 are Elective and 37 Casual
Employees. All of such enjoy similar benefits and social service insurance.
Moreover, the present administration greatly promotes volunteerism to augment
 manpower, in which 1,698 are hired as volunteers and job order employees.
This is non-plantilla. The latter has no employer-employee relationship and
does not enjoy what the former has.
● Employee typing or leveling may be categorized as Managerial, Supervisorial
and Rank-and-File, depending on the Salary Grade. The Technical Type of
position may be tagged to an employee of any level as presented in the
preceding sentence, in which technical function is required and is presented in
the job title of the position per se. This type may require necessary license
before appointment to the position (i.e. Engineer, Accountant, Doctor of
Medicine, Doctor of Dentistry, Nurse, Midwife, Appraiser, to enumerate some).
● The Managerial Type includes all Department Heads, Assistant Department
Heads and Elected Officials having the Salary grade of 22-24. The
Supervisorial Type includes all Officers, Supervisors and the like having the
Salary grade 11-21. Finally, the Rank-and-File includes all employees within
the bracket of SG 1-10.
● At the present setting, the LGU of Mulanay has 27 Managerial Plantilla
positions, in which 24 of such were filled- in; 33 employees in Supervisorial
level out of 77 vacant supervisorial positions; and 300 rank-and-file positions
where 125 are appointed to these positions. Relatively, 22 Technical positions
in nature are filled-in, out of 45 vacancies.
● Employees may be appointed as Career or Confidential. The former includes
permanent employees that meet the required qualifications and has the security
of tenure of the position. On the other hand, Confidential appointees include all
Coterminous employees having the term of office as of the appointing authority.
This bears the trust and confidence of the appointing authority. In addition,
these employees may not be meeting the required qualifications for the
position. Both enjoy the same benefits, the difference is the term of the position.
Presently, 15 are appointed as coterminous compared to 14 of the previous
administration.
● By the second semester of 2015, the LGU of Mulanay updated and upgraded
its Plantilla of Personnel Allocation. As such, plantilla items were clustered and
re-grouped according to the office functions and needs. Further, the Human
Resource Management Office solicited for the Succession Plan of each office
showing the dire need of new positions for career advancement and promotion.
With this, new positions were created and subsequently concurred by the Local
Sanggunian.
● From the 201 available plantilla positions, it has been increased to 405. At
present, 222 positions are vacant and unfunded, compared to 38 vacancies of
the plantilla allocation of the previous administration.
● Moreover, the present administration also promotes volunteerism, wherein
applicants were hired and assigned to the different offices, sections,
departments, etc. of the Municipality. They were given just compensation based
on the number of hours and schedule given to them. These volunteers augment
the manpower of each office to provide satisfactory service to the public.

Local Special Bodies

● Mulanay has created the local special bodies to comply with the requirements
of the Local Government Code. One common feature of the local special
bodies is the participation of both the executive and legislative branches.
The Local Legislation
● The Sangguniang Bayan, as the
legislative body of the Municipality,
being presided by the Municipal Vice
Mayor, shall enact ordinances,
approve resolutions and appropriate
funds for the general welfare of the
Municipality and its inhabitants. The
composition of the SB of this
Municipality for 2013-2016 is
presented in the Plantilla Positions
and Actual Personnel.
● Moreover, the SB has 24 standing
committees and 2 special
committees. The chairmanship of
each committee has been distributed
among the 9 municipal councilors.

● The number of ordinances and resolutions passed from the year 2015 and
2016 are more or less equivalent numbers.

Development Agencies

● The Department of Science and Technology (DOST) established a medium

scale complimentary food production (CFP) facility inside the Polytechnic
University of the Philippines (PUP) compound. It is now operational in order to
curb the high incidence of malnutrition in the province.
● The Food Nutrition Research Institute (FNRI) of DOST is the lead implementing
agency of the DOST’s Malnutrition Reduction Program (MRP), with its
supervisor, Engr. Rosemarie Garcia.
○ Initial production of the food facility includes the Rice-Mongo
Sesame, a ready–to-cook baby food blend as complementary food
for babies six months old and above, as well as the Rice-Mongo
Crunches for one-year old children up to three years.
○ FNRI also recommends the complementary foods with two sachets of
Rice-Mongo Sesame, for infants aged six months up to three years,
which provides 430 kilo-calories or amount of energy per 100 grams.
○ However, Garcia explained that the program does not cover infants
below six months old as the best food for this age is mother’s milk
through breastfeeding.
○ FNRI Director Mario Capanzana disclosed that according to their
survey, three in every 10 children in the country, aged 0 to 5 years,
suffer from stunting, or are shorter in height than the normal children
 under this age bracket.
○ He also reported that obesity has been found more prevalent to those
20 years of age and above.
○ The FNRI’s mapping operation on malnutrition showed Quezon
province’s high incidence of malnutrition which prompted them to
focus their support here.
○ This nutrient dosage supplies the recommended energy
requirements of 720 kcal per day for infants six to12 months and
1,070 kcal for children one to three years old while the Rice-Mongo
Crunches provides 580 kcal per 100 grams.
● Another program known as the “DOST Pinoy Program” instituted by the
agency, assists LGUs and the private sector engaged in feeding programs to
focus on ages six months to 35 months as the “window of opportunity to
provide their nutritional requirements.” Negative effects could be irreversible
once neglected, said the FNRI head.
○ Dr. Lydia Manguiat, assistant regional director of DOST Calabarzon
(provinces of Cavite, Laguna, Batangas, Rizal and Quezon), also
called for the creation of a sustainability plan to ensure that the
project works for a long period towards the ultimate reduction of
malnutrition in the province.
○ Manguiat’s proposal includes material sourcing, facility upgrading
after wear and tear of continued use, continuous capacity training of
workers and nutritious product development aided by FNRI.
○ She also emphasized developing a marketing plan and financial
sustainability plan to make the project “self-sustaining” and help
reduce malnutrition.
○ DOST officials expressed optimism as the new facility also provides
livelihood opportunities for people who can become suppliers of raw
materials and those who will engage in selling the products to the
LGUs.
○ Mulanay Mayor Joselito Ojeda, whose town is one of the recipients of
DOST’s Community Empowerment through Science and Technology
(CEST) projects, said there are now available products for the LGU
feeding programs rather than the unhealthy ‘junk foods.’
○ DOST- Quezon provincial director Maria Esperanza Jawili expressed
elation now that they have the facility to serve the province’s 3rd and
4th districts.
○ She described the new facility as bigger compared with the two small
scale facilities earlier constructed to serve adequate requirements in
Calauag and Atimonan towns.
○ She also appealed to the mayors to support their respective
Barangay Nutrition Scholars (BNS) during the two-day training to be
conducted by DOST starting September this year in several
locations.

C. Community Problems as determined by group

(Normative Needs Assessment Template)

According to the data gathered regarding the community of Mulanay, proper

nutrition and diet must be carefully assessed. Acute myocardial infarction remains
to be one of the leading causes of mortality in the community. In addition, 18% of
children are still reported underweight. This data highlights the need for more
surveillance in order to come up with developmental programs that may help
improve these factors. Another need that must be addressed is the lack of toilets or
restrooms in more than half of the households in Mulanay. Proper sanitation and
hygiene plays a critical role in maintaining a healthy lifestyle across the population,
especially since this community is composed majorly of children and teenagers.
Another need that must be addressed is the minimal number of healthcare workers
and health facilities in Mulanay. Although the present number of health facilities
may be sufficient, the standards of the RHU still recommends the addition of
medical personnel to properly accommodate the population.

In addition, the livestock population in Mulanay is high because it is one of

the livelihoods where people of Mulanay get their money to pay for their daily costs.
This poses a high risk for their health since livestock can be carriers of certain
diseases such as swine flu. The community must be informed of preventive
measures and risks associated with livestock, especially that most of the farm
animals are in their backyard or near their house.

D. Health Development Program proposed by the Group Based

Prioritized Needs

Personal Hygiene and Handwashing

Objective Content Method Learning Evaluation

s Materials

To list the Definition of Lecture on the Visual aids Written Output

purpose of good personal definition and (PowerPoint
personal hygiene importance of presentation)
hygiene and personal
handwashing Importance of hygiene and Brochure
handwashing handwashing
and good (+ Projector)
personal
hygiene Video
Documentaries
on importance
of
handwashing

To describe the Applications of Lecture on the Visual aids Written Output

practices personal advantages (PowerPoint
needed to hygiene and its and positive presentation)
maintain good effect to effects of
personal personal health personal Brochure
hygiene and community hygiene and
health the (+ Projector)
consequences
 and negative
effects
otherwise

The target will Proper hand Demonstration Video for Oral Output
be able to washing on proper Demonstration
demonstrate techniques hand washing
proper hand techniques
washing after (+Projector)
the video
presentation.

Basic Nutrition and Diet

Objective Content Method Learning Evaluation

s Materials

The target will Definition of Lecture on Visual aids Oral Exam

be able to nutrition nutrition and (PowerPoint
define proper proper vs. presentation)
diet and Examples of improper diet
nutrition proper and Brochure
improper diet
(+ Projector)

The target will Benefits of Lecture on Visual aids Oral Exam

be able to proper diet on effect of (PowerPoint
recognize 5-10 overall health proper diet on presentation)
importance of health
proper diet and Detrimental Brochure
nutrition effects of Small group
improper discussion (+ Projector)
nutrition/diet

Facilitators per
group

To distinguish Serving and Demonstration Video for Oral Exam

proper serving portion sizes - on proper Demonstration
and portion How much portion control
sizes should one and healthy
appropriate for eat? eating (+ Projector)
the target’s age
group after the Portion Control
video and Healthy
presentation Eating

Sanitation
 Objective Content Method Learning Evaluation
s Materials

To be able to Waste Lecture on Visual aids Oral Output

distinguish Management Biodegradable (PowerPoint
proper waste , non- presentation)
disposal for biodegradable,
different types recyclables Brochure
of garbage
(+ Projector)

To list actions Strategies for Lecture on Visual aids Written Output

that can waste importance (PowerPoint
contribute in reduction and and ways to presentation)
reducing and management reduce and
managing manage Brochure
wastes Benefits of wastes
zero waste (+ Projector)

To Recycling of Demonstration Video Oral Output

demonstrate reusable on proper demonstration
proper recycling materials recycling of
of scraps and reusable (+ Projector)
junk materials

III. CLOSING CREDITS

A. Group Reflection on the Assignment

The film reflects the state of our country’s healthcare system, even today. This
is because of the poor leadership of the people that led the community helpless and
marginalized. These small communities represent a community that is not different
from any other community in our country- where poverty, sickness and malnutrition
are prevalent. Despite the circumstances, the film shows hope for the people in
Mulanay, who lacked access to proper healthcare, resorting to quack doctors and
priests in healing their illnesses with the dedication of a doctor who volunteered to
help the community of Mulanay, Quezon.

Although made in 1996, the film is still very much relevant today. It has shown
the uneven distribution of healthcare professionals across the nation. Dr. Espinosa
has become a true aspiration as she has shown the true objective of becoming a
physician. It is not primarily for monetary reasons, but to be able to be of service to
the people of the country, especially those who are underserved.

Dr. Espinosa also demonstrated the characteristics of a 5-star physician. As a

care-provider, she ensures that her patients are being well taken care of. Although
their clinic in Mulanay has limited supply of hospital equipment and medications, as a
decision-maker, she still tries her best to provide efficient health-care and she refers
her patient to a nearby hospital if she rationalizes that the patient is in need of a
health service with a more complete equipment. Dr. Espinosa also reminds her
patients not to go to a magtatawas, ensuring that the treatment that her patients will
receive is of the highest quality. As a physician who is a communicator, community
leader and manager, she prioritized the needs and problems of the whole
community. Dr. Espinosa tried to persuade the members of the community to take
care of their own health and to do preventive measures in order to minimize
hospitalizations. She also made communications with the barangay officials and
even her own mother to fund deep wells for the community to have clean water, in
order to reduce the percentage of hospitalizations. With this, Dr. Espinosa is a
compassionate and committed physician. We have high hopes that we will shape
ourselves as doctors of the future into a 5-star physician, with the compassion,
competency and commitment of a Thomasian physician.

B. References
1. GOVPH. (n.d.). Mulanay. Cities and Municipalities Competitive Index.
Retrieved September 23, 2021 from https://cmci.dti.gov.ph/lgu-profile.php?
lgu=Mulanay.
2. PhilAtlas. (n.d.). Mulanay. PhilAtlas. Retrieved September 23, 2021 from
https://www.philatlas.com/luzon/r04a/quezon/mulanay.html.
3. Provincial Information and Communications Technology. (n.d.). Municipality of
Mulanay. The Official Website of the Province of Quezon. Retrieved
September 23, 2021 from https://quezon.gov.ph/municipality/mulanay.
4. (2017). Mulanay Ecological Profile 2017. Retrieved September 23, 2021 from
https://www.scribd.com/document/427240350/Mulanay-Ecological-Profile-
2017-pdf.