INTRODUCTION

I. Background

This annual report reflects the health services and health statistics reported by the 8
barangays in the Municipality, which are consolidated, and analyzed by the Health Staff. This
document is also a compilation of the activities conducted by the Municipal Health Office.

II. MUNICIPAL HEALTH OFFICE

A. VISION-MISSION

VISION:

A healthy and productive municipality by the year 2020.

MISSION:

To promote a healthy individual physically, emotionally, mentally, and spiritually who could

be more productive contributing to the progress and development of the community of

Sadanga.

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 ANNUAL HEALTH PROFILE

SADANGA MOUNTAIN PROVINCE PROFILE

I. Legal Basis:
Resolution no. 592, dated October 14, 1949 of the Provincial Board of old Mountain
Province added Anabel and Betwagan to the original five barangays to constitute the
municipal district of Sadanga
Executive Order No. 235, dated February 13, 1957 of then President Ramon
Magsaysay recognize Sadanga Municipal District as second class Municipal District as
classified in July 1, 1956,
Executive Order No. 42 dated June 25, 1963 converted Sadanga Municipal District as a
regular Municipality.

II. Physical Characteristics

The municipality is landlocked and ruggedly mountainous, occupying an area of 32,
581 hectares of mountainous slopes, mostly above 50⁰ with, the lowest elevation point
found along the exit point of the Chico River at 500 meters above sea level and highest
elevation was in Belwang at 2, 618 meters above sea level.
It is bounded on the north by province of Kalinga, on the south and east by Barlig and
Bontoc, Mountain Province, and west by Tubo and Boliney, Abra. It lies 28 kilometers north-
east of Bontoc.
The municipality occupies a total land area of 32,581 hectares according to CAD 1143
Sadanga Cadastre approved by DENR on Dec. 13, 2007

III. Physical framework

Two vital infrastructures in the municipal physical integration are transportation
networks and communication accessibility. The municipality was connected to other
provinces via the Bontoc-Tabuk National road that dissected the municipality from the
capital town of Bontoc towards the province of Kalinga in the northern parts of the country.
Sadanga section of the national road was 100% paved. Improvement however of the
provincial road that connects the municipality with the national road thus to other
municipalities in the province is a long way to go with only 50% paved road surface and few
meters of lateral drainage. Out of the eight barangays, only Sacasacan was linked to the
municipal town by road. Road leading to three barangays could only reach half way to the
residential area while three more barangays namely Belwang, Bekigan & Demang has no
road connection at all.
There is no access to cable telephone lines but the presence of two communication
facility (Smart and Globe Telecom) provides access to mobile phones. Connectivity to the
outside world is attained through the Cellular Mobile Telephone Service (CMTS) at 35%
supplemented by a limited extent of broadband wireless internet at .01% provided by Smart
broadband and Globe Tattoo
While there is a significant gain in the improvement of the provincial road with
implementation of road concreting, there is a need to improve the whole stretch of the road
and to construct more roads to the barangays to realize the full potential of physical
integration and improved people’s access to development opportunities.
There’s a real need to expand access to communications to cover the whole
municipality. While it is understandable that the mountainous terrain and sparse population
density contribute to the higher cost of establishing, operating and maintaining

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telecommunication facilities, improving communication technology like the launching of
“Diwata” Satellite in the outer space could be utilize by the government to provide services
to especially difficult areas in the countryside like the municipality of Sadanga.
To accelerate delivery of basic goods and services to the barangays and boost
establishment of commerce, industry and tourism, there’s a real need to enhance inter-
barangay access and mobility through construction of reliable transportation network and
communication infrastructure. There’s a need to increase paved roads in the provincial road
that connects the municipality to the national road, construct more reliable roads that leads
to the eight barangays, expand telecommunication barangay service coverage and
municipal internet connectivity to 100% with at least 25% household broadband connections.

IV. Demographic and Socio-Economic data

With ancestral bloodline from hard working astute agriculturist, the municipality is
predominantly agricultural classified as 5th income class municipality due to its low financial
capacity;
Economic activities are predominantly agricultural. An estimated 2,600 hectares of rice
fields irrigated by an aggregated 200km of small earthen communal irrigation system
produce an annual average of 2,900 metric ton of organic heirloom rice. It is the Province’s
producer of multi-variety organic dried beans and heirloom rice called gomike including an
exotic tasting inland spirit locally brewed called fvayash. These products find their outlet in
the provincial capital town of Bontoc, the young city of Tabuk and the city of Baguio. An
estimated 17,593 hectares of forest lands with mossy forest that serves as an effective
carbon sink and contribute in part to the mitigation of climate change and delivers free fresh
oxygen to the carbon polluted airwaves in big cities. The place is also part of the water
cradle of northern Philippines having been located at the hinterland of the Gran Cordillera
ranges.
With farming as the only major source of livelihood, households have an average
monthly income of PhP5, 000.00 - 6,000.00. Thus, per capita income is about 12,000.00
pesos which is below the poverty threshold.
Labor population (15-64 years old) of the municipality is 5,804 or 65%. The rest, 17% (15-22
years old) are enrolled in school, engaged in farming, masonry, and other odd seasonal jobs
in between planting and harvesting seasons.
Other economic activities include small sari-sari store. About 70 individuals were given
mayor’s permit to engage on this buy & sell. There are no industries operating in the place
except a traditional brewing of an exotic local spirit called fvayash. However, this was not
yet developed for bigger and wider markets.
Tourism as an industry is not yet developed though the place is ideal for nature lovers,
backpack trekkers, caving and sightseeing.
Day care and elementary schools were established in all barangays while there are 4
secondary schools established particularly in Poblacion, Betwagan, Belwang and Saclit.
People here came from a long bloodline of a pure native breed. They are healthy &
sturdy with 8 health stations and 1 municipal clinic were established to cater to their health
care along with 12 professional healthcare providers under the municipal payroll.
Disadvantage sectors were taken cared by 2 social welfare officers. National welfare
programs such as CCT-4Ps and social pensions for senior citizen are being implemented
in partnership with the LGU.

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 Table 1: Distribution of Population by Barangay, Sex, Household and Families, Sadanga,
Mountain Province, 2021
Area NSO Actual Population Barangay Facility
Population Male Female Total No. No.
Sadanga 9613 4516 4366 8882 8 7BHS/1RHU
Anabel 914 465 463 928 1 1 BHS
Bekigan 611 309 285 594 1 1 BHS
Belwang 1267 466 451 917 1 1 BHS
Betwagan 2406 1147 1126 2273 1 1 BHS
Demang 947 452 403 855 1 1 BHS
Poblacion 1620 798 823 1621 1 1 RHU
Sacasacan 782 378 361 739 1 1 BHS
Saclit 1066 501 454 955 1 1 BHS
(Source: Municipal Annual Health Profile, FHSIS and Households- EVS reports)

Number of households and families, Sadanga, Mountain Province, 2019-2021

Area 2019 2020 2021
Households Families Households Families Households Families
Sadanga 1746 1822 1759 1830 1764 1930
Anabel 170 190 172 188 170 188
Bekigan 104 116 104 120 103 124
Belwang 186 186 179 188 178 189
Betwagan 457 460 461 471 455 497
Demang 174 181 175 177 184 190
Poblacion 330 333 333 336 337 392
Sacasacan 147 162 151 166 157 158
Saclit 178 194 184 184 180 192
(Source: EVS reports)

Figure 1: Crude birth rate, Mountain Province, 2017-2021

Vital Indices
Table 2: Vital Indices, Sadanga, Mt. Province, 2017- 2021
CY 2017 2018 2019 2020 2021
NSO PROJECTED POPULATION
10189 8812 8816 8816 9613
INDICATOR No. Rate No. Rate No. Rate No. Rate No. Rate

Crude Birth Rate (CBR) 106 10 93 11 84 10 104 12 96 10

Crude Death Rate (CDR) 37 3.60 35 3.97 37 4 43 5 80 8

Infant Mortality Rate (IMR) - - - - 1 11.9 1 9.6 3 31

Maternal Mortality Rate (MMR) - - - - 3 35.71 - - 0 0

Neonatal Death Rate (0-28 days old) - - - - - - - - 3 31

Fetal Death/Stillbirth - - - - 3 35.7 2 19 1 10

Child Death (1-4 years old) - - - - 1 .11 1 .11 0 0

Life Expectancy - - - - - - - -

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Babies w/ less than 2500 g - - 8 8
Birthweight 2 2 - - - -
Abortions/Miscarriages 2 - 2 1 1 4 5

Malnutrition Rate 30 3.89 12 1.70 24 4.02 22 4.40 28 5.44%

The Municipal Health Status

Table 3: Outcome of Pregnancy by barangay and Sex, Sadanga, Mountain Province, 2021

Municipality 2021 Total Deliveries Outcome of Pregnancy Remarks

Projected
Population Livebirths Stillbirths Abortion
M F Total CBR M F Total
Sadanga 9613 97 40 56 96 10 0 1 1 5
Anabel 914 7 3 4 7 8
0 0 0 0
Bekigan 611 3 1 2 3 5
0 0 0 0
Belwang 1267 3 0 2 2
0 1 1
1
1 F SB @
2 LHRMH
Betwagan 2406 33 14 19 33 14
0 0 0 0
Demang 947 9 2 7 9 10
0 0 0 3
Poblacion 1620 18 11 7 18 11
0 0 0 0
Sacasacan 782 12 7 5 12 15
0 0 0 0
Saclit 1066 12 2 10 12 11
0 0 0 1

The following tables show the leading causes of mortality in the municipality in the past 5 years:

Leading Causes of Mortality, Sadanga, Mountain Province, 2015-2021

CAUSES OF MORTALITY, SADANGA, MOUNTAIN PROVINCE, 2015

DISEASE Male Female Total Mortality Rate/

100,000 pop

1. Pneumonia 10 6 16 170
2. CVA/CVD 4 4 8 85
3. Fall 2 1 3 32
4. Severe abdominal pain 1 1 2 21
5. Hemorrhage 2 0 2 21
6. Aplastic anemia 0 1 1 11
7. PTB/asthma-ulceration 0 1 1
11
unspecified
8. Hepatic abscess 1 0 1 11
9. Post op infection 0 1 1 11
10. CHF 0 1 1 11
11. Asphyxia 1 0 1 11

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 12. Pulmonary collapse 0 1 1 11
13. Renal failure 1 0 1 11
14. Other acute gastritis 0 1 1 11
TOTAL 22 18 40 425
CAUSES OF MORTALITY, SADANGA, Mountain Province, 2016

DISEASE Male Female T Mortality Rate/

100,000 pop
1. Pneumonia 7 11 18 191
2. CVA 5 4 9 95
3. Accident- Fall 1 1 2 21
4. Hemorrhage 2 0 2 21
5. Hemorrhagic pancreatitis 1 0 1 11
6. Congestive heart failure 0 1 1 11
7. COPD 1 0 1 11
8. Asphyxia 1 0 1 11
9. Gunshot wound 1 0 1 11
Total 19 17 36 381

LEADING CAUSES OF MORTALITY, SADANGA, MOUNTAIN PROVINCE, 2017

DISEASE TOTAL Mortality

M F T rate/
100,000
population
1. Pneumonia 9 7 16 157
2. CVA 3 3 6 59
3. Accident- Fall 3 0 3 29
4. Asphyxia secondary to strangulation 2 0 2 20
5. Hemorrhage 1 1 2 20
6. Renal failure 1 0 1 10
7. Neoplasm of the pancreas 1 0 1 10
8. Unknown 1 0 1 10
9. Prostate cancer 1 0 1 10
10. Dehydration 0 1 1 10
11. Senility 1 0 1 10
12. Septic shock 1 0 1 10
13. Drowning 1 0 1 10
Total 25 12 3
363
7

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Leading Causes of Mortality, SADANGA, MOUNTAIN PROVINCE, 2018

TOTAL
Mortality Rate per
DISEASE TOTAL
M F 100,000

1. Pneumonia 7 6 13 148
2. CVA 3 2 5 57
3. Accident- Fall 4 0 4 45
4. Renal/Kidney failure 3 0 3 34
5. Dehydration 0 3 3 34
6. Congestive Heart Failure 2 0 2 23
7. Wound myiasis 2 0 2 23
8. Asphyxia 0 1 1 11
9. Gastric carcinoma 1 0 1 11
10. Nutritional Deficiency 0 1 1 11
Total 22 13 35 397

Leading Causes of Mortality, MOUNTAIN PROVINCE, 2019

TOTAL
Mortality Rate per
DISEASE TOTAL
M F 100,000

1. Pneumonia 9 4 13 147
2. Cardiac arrest 3 3 6 68
3. Asphyxiation 3 0 3 34
4. Pulmonale edema 1 1 2 23
5. Accident- Fall 1 0 1 11
6. Dehydration 1 0 1 11
7. Acute amoebic dysentery 1 0 1 11
8. Carcinoma in situ of cervix 0 1 1 11
9. Carcinoma in situ of skin 1 0 1 11
10. Eclampsia in labor 0 1 1 11
11. Gunshot wounds 1 0 1 11
12. Internal hemorrhage 1 0 1 11
13. Multiple head injury 1 0 1 11
14. Senility 1 0 1 11
15. sepsis 0 1 1 11
16. Subdural hematoma 0 1 1 11
17. unknown 1 0 1 11
Total 25 12 37 420

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Leading Causes of Mortality, MOUNTAIN PROVINCE, 2020
TOTAL Mortali
TO
ty Rate
DISEASE TA
M F per
L
100,000
1. Pneumonia 9 5 14 159
2. Cardiac Arrest 7 3 10 113
3. Hemorrhage, not elsewhere unspecified 2 0 2 23
4. Unknown 2 0 2 23
5. Bronchopneumonia, unspecified 1 1 2 23
6. Gastrointestinal hemorrhage 1 1 2 23
7. Abdominal Pain 0 1 1 11
8. Carcinoma in Situ 0 1 1 11
9. Drowning and submersion 0 1 1 11
10. Heart Failure 0 1 1 11
11. Malignant neoplasm of nasopharynx 1 0 1 11
12. Multiple Lymphadenopathies 0 1 1 11
13. Peptic Ulcer site unspecified 1 0 1 11
14. Respiratory failure unspecified 0 1 1 11
15. Respiratory arrest 1 0 1 11
16. Sequelae of injuries not specified by
1 0 1 11
body region
17. Stomach hemorrhage 0 1 1 11
Total 26 17 43 487

Leading Causes of Mortality, MOUNTAIN PROVINCE, 2021

TOTAL Mortality
DISEASE TOTAL Rate per
M F
100,000
1. Pneumonia 6 13 19
2. Cardiac Arrest 8 6 14
3. Bronchopneumonia, unspecified 2 1 3
4. Acute Respiratory Failure 1 2 3
5. Respiratory Arrest 2 0 2
6. Unknown 0 2 2
7. Volume depletion 0 2 2
8. Cardio Vascular Disease 1 0 1
9. Chronic Kidney Disease 1 0 1
10. Epilepsy 1 0 1
11. Heart Failure 0 1 1
12. Hypothermia 1 0 1
13. Hypovolemic Shock 0 1 1

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 14. Liver carcinoma 1 0 1
15. Malnutrition nos. 0 1 1
16. Septic shock 0 1 1
17. Traumatic shock 0 1 1
Total 24 31 55

The causes of Consultation/ Morbidity

The tables below show the causes of consultation/ morbidity from 2015 to 2021.

LEADING CAUSES OF MORBIDITY

SADANGA MOUNTAIN PROVINC, 2015
DISEASE TOTAL T Morbidity rate/ 100T
M F
1. ARI 647 783 1430 15195
2. Wound 570 354 924 9818
3. Fever 242 287 529 5621
4. Headache 143 290 433 4601
5. LBM 208 173 381 4048
6. Skin problem 105 134 239 2540
7. Muscular problem 65 112 177 1881
8. Tonsillitis 56 77 133 1413
9. Dental problem 44 50 94 999
10. Influenza 31 55 86 914
11. Gastritis or Hyperacidity 15 50 65 691
12. Hypertension 21 39 60 638
13. Dizziness 4 41 45 478
14. Ear problem 21 17 38 404
15. Skeletal problem 12 22 34 361
16. UTI 13 18 31 329
17. Pneumonia 17 14 31 329
18. Amoebiasis 14 11 25 266
19. Oral thrush 8 15 23 244
20. Eye problem 5 16 21 223
LEADING CAUSES OF MORBIDITY
SADANGA, MOUNTAIN PROVINCE, 2016

DISEASE TOTAL Total Morbidity

Rate/
100,000
M F
1. ARI 597 765 1362 14416
2. Wound 511 343 854 9039
3. Headache 153 252 405 4287
4. Fever 172 192 364 3853
5. LBM 135 166 301 3186
6. Skin problem 80 131 211 2233
7. Muscular problem 60 99 159 1683

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 8. Tonsillitis 47 52 99 1048
9. Dental problem 40 45 85 900
10. Gastritis/hyperacidity 21 48 69 730
11. Hypertension 27 41 68 720
12. Skeletal problem 23 33 56 593
13. Ear problem 18 30 48 508
14. Influenza 22 24 46 487
15. UTI 4 32 36 381
16. Oral thrush 12 18 30 318
17. Dizziness 9 20 29 307
18. Boil 9 19 28 296
19. Eye problem 6 19 25 265
20. Dog bite 12 8 20 212
Total 250 389 639 45459

LEADING CAUSES OF CONSULTATION

SADANGA, MOUNTAIN PROVINCE, 2017

DISEASE TOTAL MORBIDITY RATE/

100,000
POPULATION
M F T
1. ARI 472 612 1084 10639
2. Wound 454 290 744 7302
3. Headache 111 174 285 2797
4. Fever 113 155 268 2630
5. LBM 100 105 205 2012
6. Eye problem 137 48 185 1816
7. Skin problem 50 72 122 1197
8. Tonsillitis 41 57 98 962
9. Muscular problem 42 46 88 864
10. Dizziness 19 31 50 491
11. Dental problem 24 24 48 471
12. Gastritis/hyper acidity 17 27 44 432
13. UTI 8 31 39 383
14. Oral thrush 14 25 39 383
15. Influenza 18 18 36 353
16. Skeletal problem 9 24 33 324
17. Hypertension 10 23 33 324
18. Ear problem 14 18 32 314
19. Pneumonia 8 13 21 206
20.Tuberculosis 12 9 21 206

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21. Boil 11 7 18 177
22. Dog bite 9 6 15 147
23.Burn 5 5 10 98
24.Amoebiasis 4 2 6 59
25.Chicken pox 3 2 5 49
26.Dysentery 3 0 3 29
27. parasitism 0 2 2 20
28.asthma 2 0 2 20
29.conjunctivitis 1 1 2 20
30. mumps 0 1 1 10
31 .centipede bite 1 0 1 10
TOTAL 1712 1828 3540 34743

Causes of Morbidity
SADANGA MOUNTAIN PROVINCE, 2018

TOTAL Morbidity
DISEASE TOTAL Rate/
M F 100,000

1. ARI 555 675 1230 13958

2. Wound 457 283 740 8398
3. Headache 126 261 387 4392
4. Fever 180 189 369 4187
5. LBM 137 123 260 2951
6. Skin problem (lesions, rashes, etc.) 65 82 147 1668
7. Muscular problem(body pain) 37 75 112 1271
8. Tonsillitis 41 60 101 1146
9. Dental problem (toothache, abscess etc.) 37 35 72 817
10. Influenza 31 32 63 715
11. Gastritis/hyperacidity 14 30 44 499
12. Ear problem (ear pain, ear discharge etc.) 20 21 41 465
13. Skeletal problem (sprain, joint pain etc.) 9 28 37 420
14. HPN 12 22 34 386
15. Dizziness 6 20 26 295
16. Boil 9 15 24 272
17. Oral thrush 5 16 21 238
18. Chicken pox 11 9 20 227
19. Burn 11 7 18 204
20.Tuberculosis 10 6 16 182
21. Dog bite 6 8 14 159
22. Mumps 4 5 9 102
23.Diabetes 6 3 9 102
24.Pneumonia 4 2 6 68

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25.Dysentery 3 3 6 68
26.Asthma 2 4 6 68
27. Amoebiasis 2 0 2 23
28.Conjunctivitis 1 1 2 23
29.Cyst 0 1 1 11
30.Ringworm 0 1 1 11
TOTAL 1801 2017 3818 43327

Causes of Morbidity
SADANGA, MOUNTAIN PROVINCE, 2019

TOTAL Morbidity Rate/

DISEASE TOTAL
100,000
M F
1. ARI 574 696 1270 14406
2. Wound 409 320 729 8269
3. Fever 185 225 410 4651
4. Headache 103 252 355 4027
5. LBM 136 135 271 3074
6. Tonsillitis 78 93 171 1940
7. Skin problem 85 56 141 1599
8. Muscular problem 39 67 106 1202
9. Influenza 35 50 85 964
10. Dental problem 37 42 79 896
11. Ear problem 18 25 43 488
12. Skeletal problem 15 28 43 488
13. Gastritis 12 24 36 408
14. Hypertension 16 10 26 295
15. UTI 9 19 28 318
16. Boil 11 11 22 250
17. Pneumonia 9 12 21 238
18. Eye problem 7 7 14 159
19. Dog bite 7 2 9 102
20.Burn 4 4 8 91
21. Dizziness 0 6 6 68
22. Oral thrush 3 5 8 91
23.Amoebiasis 1 2 3 34
24.Centipede bite 2 0 2 23
25.Mumps 0 2 2 23
26.Dysentery 0 1 1 11
27. Diabetes 1 0 1 11
TOTAL 1796 2094 3890 44124

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Leading Causes of Morbidity, SADANGA, MOUNTAIN PROVINCE, 2020

TOTAL Morbidity
TOTA
DISEASE Rate/
M F L
100,000
1. ARI (Aute Respiratory
314 387 701 7947
Infection)
2. Wound 240 299 539 6110
3. Fever 104 111 215 2437
4. Skin Disease 129 70 199 2256
5. Headache 113 84 197 2233
6. Dental Problem 28 90 118 1338
7. Skeletal Problem 48 61 109 1236
8. Tonsillitis 12 35 47 533
9. Dizziness 11 49 60 680
10. Gastritis 39 17 56 635
11. Hypertension 18 34 52 590
12. UTI 3 16 19 215
13. Tuberculosis 5 1 6 68
Total 1064 1254 2318 26278

Leading Causes of Morbidity, SADANGA, MOUNTAIN PROVINCE, 2021

TOTAL Morbidity
TOTA
DISEASE Rate/
M F L
100,000
1. ARI (Aute Respiratory
471 645 1116
Infection)
2. Wound 284 170 454
3. Headache 131 128 259
4. Covid19 virus 80 128 208
5. Flu like illness 80 70 150
6. Fever 60 74 134
7. Tonsillitis 45 71 116
8. Skin Disease 48 65 113
9. Skeletal Problem 43 57 100
10. Diarrhea 43 50 93
11. Gastritis 34 59 93
12. Muscular problem 45 30 75
13. Acute bloody diarrhea 30 23 53
14. Ear problem 20 17 37
15. Hypertension 17 19 36
16. Dental problem 16 17 33
17. UTI 6 25 31

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18. Animal bite 20 6 26
19. Tuberculosis 4 4 8
Total 1477 1658 3135

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A. SERVICE DELIVERY
1. MATERNAL, NEWBORN AND CHILD HEALTH AND NUTRITION (MNCHN) PROGRAM

DOH Administrative Order 2008- 0029, otherwise known as “Implementing Health Reforms for Rapid
Reduction of Maternal and Neonatal Mortality”, stipulates that in order to reduce maternal and neonatal
mortality the provision of integrated maternal, newborn, child health and nutrition (MNCHN) services
appropriate to the locality and specific population group is necessary. With the technical assistance of JICA
experts, a localized Manual of Operations was prepared by Department of Health- Center for Health
Development. This is a result of the series of consultation among health staff in all six provinces of the
region by the Family Health Cluster of CHD- CAR. The manual harmonizes with Republic Act No. 8371 or
the “Indigenous Peoples’ Rights Act of 1997” to protect the cultural integrity of indigenous community. The
said manual also defines the standard package of services that should be delivered for each life event as
well as the standards for each type of facility.

The following graphs and tables show the MNCHN situation in Mountain Province in 2018 based on the
MNCHN Health indicators in the Field Health Services Information System (FHSIS):

a. MATERNAL CARE
i. PRENATAL

Pregnant women should have atleast 4 prenatal visits during their pregnancy with a standard frequency of atleast 1
visit each on the 1st and 2nd trimester and atleast 2 visits on the 3 rd trimester. Services provided on the said visits
include the following: Iron and folate supplementation, iodine supplementation and 2 tetanus toxoid immunization,
counseling on healthy lifestyle and breastfeeding, prevention and management of infection, as well as oral health
services. Prenatal visits also serve as venues for birth planning and promotion of facility- based deliveries.

The table below shows that a total of 107 new pregnant women were seen in the different health facilities in the
municipality. Out of the 107 pregnant women seen, 6 or 6% are 10-19 years old.
No. of New
No. of Pregnant Women Seen
Pregnant
Area Pop. (10- 19 years old)
Women
Seen Ages 10 - 14 Ages 15 - 19 Total %
SADANGA 9613 107 0 6 6 6%

Anabel 914 9 0 0 0 0
Bekigan 611 8 0 0 0 0
Belwang 1267 4 0 0 0 0
Betwagan 2406 28 0 1 1 4
Demang 947 8 0 0 0 0
Poblacion 1620 26 0 4 4 15
Sacasacan 782 9 0 1 1 11
Saclit 1066 15 0 0 0 0

There is a 1% decrease in teenage pregnancies registered in 2020 compared to the number of teenage pregnancies in 2021.
Barangay Belwang, Betwagan and Demang have decrease number of teenage pregnancies in 2021. Poblacion had the highest
increase in teenage pregnancies in 2021 compared to 2020. Other barangay with increase teenage pregnancy is Sacasacan.

NUMBER OF TEENAGE PREGNANCY BY BARANGAY,SADANGA, MOUNTAIN PROVINCE, 2016-2021

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 BARANGAY 2016 2017 2018 2019 2020 2021
Anabel 0 0 0 0 0 0
Bekigan 1 1 1 0 0 0
Belwang 1 1 0 3 1 0
Betwagan 0 1 3 3 6 1
Demang 0 1 0 0 1 0
Poblacion 0 3 0 1 1 4
Sacasacan 1 0 0 0 0 1
Saclit 1 2 0 1 0 0
TOTAL 4 9 4 8 9 6

In 2021, there were 56 pregnant women with 4 or more prenatal visits. Out of the 56 pregnant women with 4 or more
prenatal visits, 6 or 6% are 10-19 years old. There were 57 pregnant women who were given complete dose of Iron
with Folic Acid.

Area Pregnant Women w/ 4 or Pregnant Women w/ 4 or Pregnant Women Given

more prenatal visits (All more prenatal visits (10-19 Folic Acid
Ages) yrs. old)
No. % No. % No. %
SADANGA 56 52% 6 6% 57 53%
Anabel 6 67 0 0 2 22
Bekigan 3 38 0 0 3 38
Belwang 2 50 0 0 3 75
Betwagan 12 43 1 4 19 68
Demang 5 63 0 0 5 63
Poblacion 14 54 4 15 14 54
Sacasacan 7 78 1 11 7 78
Saclit 7 47 0 0 4 27

58 pregnant women were given 2 doses of Tetanus Diphtheria vaccination during their pregnancy. Infants of these
pregnant mothers are considered Children Protected at Birth (CPAB) from possible tetanus infection.

Area Pregnant Women given 2 doses of TD Pregnant Women Given TT2 plus

No. % No. %
SADANGA 23 21 35 33
Anabel 3 33 2 22
Bekigan 0 0 1 13
Belwang 1 25 0 0
Betwagan 7 25 9 32
Demang 0 0 4 50
Poblacion 8 31 8 31
Sacasacan 1 11 5 56
Saclit 3 20 6 40

16
EXPANDED PROGRAM ON IMMUNIZATION (EPI)

Immunization is one of the critical public health intervention and the most cost effective strategy in reducing
illnesses and mortality among children and mothers. Expanded Program on Immunization (EPI) was first carried out
in the Philippines in the 1980s; it covered six vaccine preventable diseases that include tuberculosis, diphtheria,
pertussis, tetanus, poliomyelitis and measles. Hepatitis B immunization was later incorporated into the program
likewise with pneumococcal immunization. To ensure that all children under eight year of age will be protected
against death, disease and disability through an integrated and comprehensive basic immunization President
Ferdinand E. Marcos issued Presidential Decree No. 996 on September 16, 1976 entitled “PROVIDING
COMPULSORY BASIC IMMUNIZATION FOR INFANTS AND CHILDREN BELOW EIGHT YEARS OF AGE”. The
following is the Philippine Expanded Program on Immunization Milestone:
1975 Official launching of the Expanded Program on Immunization BCG immunization initially given to
school
Entrants
1976 PD # 966 – Providing compulsory immunization for infants and children below eight year of age
1977 BCG and DPT for infants 3-14 months in priority areas
1978 BCG and DPT expanded nationwide
OPV3 in selected areas reporting outbreaks
TT2 for pregnant women at 5 months’ gestation in areas reporting high neonatal tetanus rates
1st Expanded Program on Immunization (EPI) review
1979 OPV3 and TT2 given nationwide
1982 Measles vaccine for 35% population
1983 Measles vaccination given nationwide
1984 DPT3 added
Child vaccines prioritized for infants 0-12 months’ old
TT given anytime during pregnancy
1985 2nd Comprehensive Program Review
1986 Proclamation No.6 committing the Philippines to Universal Child Immunization Goal by year 1990
as adopted by the United Nations General Assembly in 1985 which signalled the start of a five-year
acceleration phase
of EPI
1987 Computerization of EPI Reports
1988 Institutionalization of annual coverage surveys
1989 TT3, TT4, TT5 added
Adoption of Wednesday as immunization Day
1990 Hepa B Control Plan approved
City-based EPI Review (Cebu City)
1991 National Plan of action for Polio Eradication approved
Creation of the Polio Eradication Unit
1992 Start of Hepatitis B immunization targeting 40% of infant population
Presidential Proclamation No. 46 reaffirmed the commitment to the Universal Child and Mother
Immunization Goal by launching the Polio Eradication Project
1993 1st National Immunization Days (2 rounds) for Polio Eradication (multiple antigen used)
National Plan of Action to Measles Control approved
Start of Vaccine Independence Initiative (VII)
Child Survival Project – USAID
Cold Chain Equipment Distribution – Multi Agency
1994 2nd National immunization Days (2 rounds)
1995 3rd National Immunization Days (2 rounds)
Tetanus Toxoid Controversy
1996 1st Knock Out Polio (KOP) National Immunization Days (2 rounds)
1997 2ndKnock Out Polio (KOP) national Immunization Days (2 rounds)
1998 1st Sub- national Immunization Days (2 rounds) – OPV vaccine
Launching of the Philippine Measles Elimination Campaign (PMEC)
Issuance of Presidential Proclamation # 4 declaring the period from September 16,1998 to October
14,1998 wherein 9 months old up below 15 years old will be vaccinated with the anti - measles vaccine
regardless ofstatus of measles immunization and history of measles infection
1999 Measles Surveillance with IgM for confirmation
2nd Subnational Immunization Days (2 rounds)

17
 2000 Laboratory containment of Wild Poliovirus

Infants (boys and girls) must receive their complete immunization before they reach the age of one year to
be considered as Fully Immunized Child (FIC). These are, one dose of BCG (Bacillus Chalmette Guerin), three doses
each of DPT (Diphtheria, Pertussis and Tetanus), Oral Polio Vaccine (OPV) and Hepatitis B (Hep B) vaccine and one
dose of anti-measles vaccine (AMV) before the infant reaches one month of age. The recommended interval is at
least 4 weeks apart. These vaccines are used to combat the seven immunizable diseases namely; Tuberculosis,
Diphtheria, Pertussis, Tetanus, Polio, Hepatitis B and Measles. A follow up vaccine is given at 12-15 months which is
the Measles, Mumps and Rubella (MMR).
In May 31, 2012 Department memorandum No. 2012 – 0157 was issued on the administration of rotavirus
vaccines for infants. In the Philippines, it has been seen that 30% of the diarrhoea related hospitalization are caused
by rotavirus. This translates to 3,698 deaths of Filipino children each year. Rotavirus is a virus that infects the bowels.
It is the most common cause of severe form of diarrhoea in infants and children. This rotavirus immunization is given
orally to 6-15 weeks’ infants which is a two dose schedule vaccination. We started giving rotavirus immunization in
the month of July 2012 to NHTS beneficiaries first before giving to other targets. We received an initial allocation of
500 pieces of rotavirus vaccines in 2012. However, on the 4 th quarter of the same year there was no ROTA vaccine
so the ROTA immunization was discontinued.
Pentavalent immunization is the new added vaccine in 2014.The pentavalent vaccine is the combination of
5 vaccines namely diphtheria, pertussis, tetanus toxoid, Hepa B and Haemophilus influenza B. It was also in the
second quarter of 2014 that the municipalities gave the last dose of DPT for those who started their first dose and
pentavalent immunization was started.It was in 2015 that Pentavalent Immunization was fully implemented in all
municipalities.
On May 21, 2015 the Department of Health issued Department Memorandum No.2015-0164 on the
Administration of Inactivated Poliomyelitis Vaccine (IPV). The Philippines was certified Polio free in the year 2000.
The Polio Eradication and Endgame Strategic Plan, 2013-2018 endorsed by the World Health Assembly calls on the
countries to strengthen their immunization program. It introduced at least one dose of Inactivated Polio Vaccine in the
routine immunization schedule by 2015 and shift from using trivalent oral polio vaccine (tOPV) to bivalent oral polio
vaccine (bOPV) by 2016. In Mountain Province it was in April 2016 that the switch from trivalent OPV to bivalent OPV
was implemented. The tOPV vaccines were all utilized in the month of March. However, in the months of June -
September and November - December 2016 there was no bOPV vaccine. It was in January 2017 that there was
bOPV. It was also in April 2016 that Inactivated Polio Vaccine (IPV) was started together with bOPV but in October to
December like bOPV there was no supply.
Another guideline issued on February 20, 2017 is Department Memorandum # 2017 -0093, Guidelines on
the Shift of Tetanus Toxoid (TT) to Tetanus Diphtheria (Td) Toxoid vaccine at pregnancy. Replacing Tetanus Toxoid
vaccine with Tetanus Diphtheria Toxoid vaccine will ensure long term protection against tetanus as well as
diphtheria. Ensuring optimal protection by providing booster doses of tetanus diphtheria to adolescents and pregnant
women is one of the strategies to sustain the elimination of tetanus and to curb the burden of diphtheria in the
country. In the Province, we started giving Td immunization in April 2017.
June I, 2017, Department Memorandum No. 2017 – 0247 of the Department of Health was released the
Guidelines on the Administration of Two (2) doses of Measles, Mumps and Rubella at (MMR) at 9 months and
12months. The National Immunization Program (NIP) introduced Measles Vaccination to all infants in 1983. In July 1,
2010, the NIP introduced the administration of Measles, Mumps and Rubella (MMR) as the second dose of measles
containing vaccines (MCV2) into the routine schedule to all infants 12-15 months old. This shall provide as the
"second opportunity" to ensure protection against measles to infants and children who failed to be protected with the
first dose of measles.The Philippines is one of the World Health Organization (WHO) nine (9) member states with two
(2) doses of Measles Containing Vaccine (MCV) in the routine immunization schedule. On April 2017 WHO
recommended that the same formulation be used for the routine doses of MCV. The administration of two (2)-dose
MMR has clear programmatic advantages: 1) less complexity in vaccine procurement, recording and reporting; 2)
lower vaccine wastage especially with smaller immunization session sizes; 3) higher coverage for Rubella Containing
vaccine (RCV); and 4) lower operational cost. On August 2017 the province started giving MMR vaccine as the first
dose of the measles containing vaccine as the first dose in all municipalities except Paracelis. They started giving
MMR for nine months old infants in September 2017 when they used all their anti-measles vaccines.
Table 1 shows that there are 260 (2.7 % of the total population) targeted infants to be fully immunized. A
fully immunized child (FIC) receives one dose of BCG, three doses of Pentavalent vaccine, 3 doses of oral polio
vaccine and one dose of measles containing vaccine before age one. FIC indicator is one parameter in assessing the
success of our immunization program and no outbreak of the six immunizable diseases. The FIC accomplishment
this 2021 is 43% with a total of 110 infants who are fully immunized. Sacasacan has the highest FIC accomplishment
of 68% followed by Betwagan (53 %) and Saclit (50 %) respectively as shown in figure 2. However, based on the
birth cohort of the municipality in 2020, the children fully immunized for 2020 is 106% as shown in Table 1.

18
Figure 1: Trend of Fully Immunized Children and Crude Birth Rate, Mountain Province, 2015-2021

47.5
42.5
37.5
32.5
27.5
22.5
%

17.5
12.5
7.5
2.5
2015 2016 2017 2018 2019 2020 2021
CBR 11 14 10 11 10 12 10
FIC 42 38 35 39 34 33 43

Figure 1 illustrates that the fully immunized coverage of the municipality increased based on PSA target from 2020 to 2021.
There are 6 children who came and reside from other places who were vaccinated with in the municipality hence the increase of
FIC.

Table 1: Birth Cohort vis a vis Fully Immunized Child (FIC) PER Barangay, Mountain Province 2020 & 2021

%
MUNICIPALITY ACTUAL LIVE BIRTHS 2020 2021 FIC
ACCOMPLISHMENT
Anabel 8 8 100
Bekigan 4 4 100
Belwang 13 12 92
Betwagan 28 30 107
Demang 7 9 129
Poblacion 15 17 113
Sacasacan 13 14 108
Saclit 16 16 100
TOTAL 104 110 106

Out of the 110 children who were vaccinated last year 4 children are trans-in from other Baguio, 1 from tabuk, and 1
from Banaue who visited their grandparents. One (1) live birth from Belwang was vaccinated at barangay Betwagan.

19
Figure 2: Comparison of FIC Accomplishment based on PSA Target by Barangay, Sadanga,Mountain Province, 2020-2021

Comparison of FIC by Barangay , Mountain Province, 2020-2021

75
65
55
45
35
25
%

15
5
Anabel Bekigan Belwang Betwagan Demang Poblacion Sacasacan Saclit Sadanga

2020 37 36 10 31 31 42 61 25 33
2021 29.17578 21.82214 39.46329 52.64616 31.67898 34.97942 68.20119 50.03126 42.65057
40991977 9481724 91318074 23718482 62724393 38683128 35208866 95434647 73431811

Fully Immunized Children by Barangay, Sadanga, Mountain Province, 2021

Area Pop. E.Pop 2021 FIC

Male Female Total %
SADANGA 9613 288 64 59 123 43

Anabel 914 27 5 3 8 29
Bekigan 611 18 3 1 4 22
Belwang 1267 38 7 8 15 39
Betwagan 2406 72 16 22 38 53
Demang 947 28 3 6 9 32
Poblacion 1620 49 9 8 17 35
Sacasacan 782 23 11 5 16 68
Saclit 1066 32 10 6 16 50
Source: FHSIS Report

20
Table 3: Fully and Completely Immunized Child by baraaangay, Sadanga, Mountain Province, 2021

Area Pop. E.Pop 2020 FIC CIC

Male Female Total % Male Female Total %
Sadanga 9613 288 64 59 123 43 - - - -

Anabel 914 27 5 3 8 29
Bekigan 611 18 3 1 4 22
Belwang 1267 38 7 8 15 39
Betwagan 2406 72 16 22 38 53
Demang 947 28 3 6 9 32
Poblacion 1620 49 9 8 17 35
Sacasacan 782 23 11 5 16 68
Saclit 1066 32 10 6 16 50

INTENSIFIED DISEASE PREVENTION AND CONTROL

a. NATIONAL TUBERCULOSIS PROGRAM
TB case Detection Rate and Success Rate, 2020-2021
120%

100% 100%
100%

80%

60% Case Detection rate

Success Rate

40%

21%
20% 16%

0%
2020 2021

The figure above shows the TB case detection rate and TB success rates in Sadanga for 2020 to 2021.The TB case detection
rate (CDR)of the municipality in 2021 is still very low compared to the national target of 90%.

The Treatment success rate in 2019 and 2020 is 100%. These meet the national target of 90%.

TB Case Detection Rate by barangay, Sadanga,Mountain Province, 2021

21
 40 38

35

30
30

25 23
21
20 19
20
CDR

15 14
11
10

5
0
0
Anabel Bekigan Belwang Betwagan Demang PoblacionSacasacan Saclit Sadanga

Treatment Success Rate per barangay, Sadanga, Mountain Province, 2021

Treatment Success Rate by barangay

Sadanga, Mtn. Province, 2020 (N= 8)
120%
100% 100% 100% 100% 100%
100%

80%
tsr
60%

40%

20%
0% 0% 0% 0%
0%
Anabel Bekigan Belwang Betwagan Demang Poblacion Sacasacan Saclit Sadanga
The cases evaluated for the current year for successful treatment are cases initiated treatment in the previous year. In 2020, a
total of 8 all forms of TB were registered. The treatment outcomes were: 7- cured, 1- completed treatment in 2021 with in the
municipality.

All barangays who had TB cases with in the municipality has 100% success rate.

COVID19 CASES / VACCINATION STATUS OF THE MUNICIPALITY 2021

Covid19 cases per Barangay 2021

BARANGAY ACTIVE RECOVERIES DEATH TOTAL CASE

Anabel 0 29 0 29
Bekigan 0 2 0 2

22
 Belwang 1 15 0 16
Betwagan 0 17 0 17
Demang 0 17 1 18
Poblacion 0 78 4 82
Sacasacan 0 34 1 35
Saclit 0 9 0 9
Sadanga 1 201 6 208

One active case from Belwang is asymptomatic and In home isolation. Deaths due to Covid19 cases
were diagnosed and confirmed at Bontoc General Hospital and LHRMH. Most of the cases were
fully recovered from the Virus.

COMPARISON OF COVID19 CASES VS RECOVERIES AND DEATHS

PER BARANGAY
250

200

150

100

50

0
Anabel Bekigan Belwang Betwagan Demang Poblacion Sacasacan Saclit Sadanga

CASES RECOVERIES DEATH

Covid-19 Vaccination Report per Barangay 2021

TOTAL PARTIAL TOTAL VACCINATED

TARGET %
VACCINATED W/IN WITHIN THE
(NSO)
BARANGAY THE MUNICIPALITY MUNICIPALITY
(NSO)
70% IST DOSE 2ND DOSE IST DOSE

ANABEL 649 291 251 45%

BEKIGAN 397 222 210 60%

BELWANG 680 383 363 56%

BETWAGAN 1656 535 421 32%

23
 DEMANG 608 400 378 66%

POBLACION 1138 713 663 63%

SACASACAN 470 348 309 74%

SACLIT 673 468 336 70%

TOTAL 6271 3360 2931 54%

COMPARISON OF 70% POPULATION VACCINATED PER

BARANGAY
80%

70%

60%

50%

40%

30%

20%

10%

0%
ANABEL BEKIGAN BELWANG BETWAGAN DEMANG POBLACION SACASACAN SACLIT SADANGA

70% VACCINATED

Barangay Sacasacan and Saclit reach the 70% of population vaccinated with Covid19 vaccines and
Barangay Betwagan has the lowest percentage of individuals who were vaccinated with Covid19
vaccine.

MALNUTRITION STATUS OF O-59 MONTHS OLD

Malnutrition Rate from 2017 to 2021.

2017 208 2019 2020 2021

3.89% 2.6% 4.35% 4.40% 5.44%

24
 Comparison/trend of Malnutrition Rate from 2017 to 2021
6.00%

5.00%

4.00%

3.00%

2.00%

1.00%

0.00%
2017 2018 2019 2020 2021

Malnutrition Rate
Malnutrition rate of the municipality is increasing from 2018 to 2021.

MALNUTRITION STATUS OF 0-59 MONTHS OLD 2021

BARANGAY Malnutrition Rate
ANABEL 5.26%
BEKIGAN 10%
BELWANG 12.5%
BETWAGAN 9.01%
DEMANG 0%
POBLACION 3.06%
SACASACAN 1.69%
SACLIT 5.26%
SADANGA 5.44%
Barangay Belwang has the highest malnutrition rate this 2021 followed by Bekigan and betwagan. Demang has
the only barangay who has no malnourished children this 2021.

25
 COMPARISON OF MALNUTRITION RATE PER BARANGAY 2021
14.00%

12.00%

10.00%

8.00%

6.00%

4.00%

2.00%

0.00%
ANABEL BEKIGAN BELWANG BETWAGAN DEMANG POBLACION SACASACAN SACLIT SADANGA

MALNUTRITION RATE

ENVIRONMENTAL SANITATION-2021

Barangay With sanitary toilet Without sanitary toilet

ANABEL 145 26
BEKIGAN 84 18
BELWANG 158 20
BETWAGAN 367 100
DEMANG 144 39
POBLACION 283 54
SACASACAN 146 3
SACLIT 156 31
SADANGA 1483 291

Comparison of barangay with and without sanitary toilet 2021

1600

1400

1200

1000

800

600

400

200

0
ANABEL BEKIGAN BELWANG BETWAGAN DEMANG POBLACION SACASACAN SACLIT SADANGA

With sanitary toilet With out Sanitary toilet

There are 291 households who do not have sanitary toilet in the municipality. Betwagan has the highest
household without sanitary toilet (100) followed by barangay Poblacion (54),Demang (39), Saclit (31), Anabel
(26), Belwang (20), Bekigan (18) and Sacasacan (3).

26
FAMILY PLANNING
Trend or Number of Family Planning Users from 2017 to 2021 in Sadanga
2016 2017 2018 2019 2020 2021
47% 55% 43% 47% 43% 37%

CONTRACEPTIVE PREVALENCE RATE

60%

50%

40%

30%

20%

10%

0%
2016 2017 2018 2019 2020 2021

CONTRACEPTIVE PREVALENCE RATE

The contraceptive prevalence rate (CPR) for Sadanga decreased from 43% in 2020 t0 37% in 2021. The
municipality did not reached the national target for CPR which is 65%. Some reasons for the
decreased were the following: the mother want to get pregnant, some mothers were dropped out
because they went to other places.

27