ELDERLY HEALTH

CARE IN ILIGAN CITY

INTRODUCTION

The Philippine population aged 60 years

old and above made up 6.8 percent of the
92.1 million household population of the
country.

55.8% were females

44.2% were males.
1.3% of which are indigents

INTRODUCTION
Leading Causes of Morbidity
Visual impairment, difficulty in walking, chewing, hearing,
arthritis, osteoporosis and incontinence

Leading Causes of Mortality

cardiovascular (66%),
pneumonia (65%),
peptic ulcer and gastro-intestinal disorders
(56%),
diabetes mellitus (52%); and
tuberculosis (51%)

INTRODUCTION

Iligan City
Population aged 60 years old and above
was 14,888 which constituted 4.6% of the
total population of Iligan City which was
322,821 people.

52.03% were females

47.97% were males

INTRODUCTION
Laws and Provisions mandated for Elderly

Republic Act No. 9994 or the Expanded Senior Citizens Act of

2010

Republic Act No. 9336 or the General Appropriations Act of 2006

Republic Act No. 9994 Section 5

Republic Act No. 10351

The General Appropriations Act FY 2006 (RA9336)

Aquino Health Agenda (AHA), through Administrative Order No.

2010-0036

STATEMENT OF THE PROBLEM

Given the large population of the elderly in
Iligan City, this paper seeks to find out if the
health condition of the elderly of Iligan City
follow the national trend in the leading causes
of morbidity and mortality and also, if the
mandated benefits and privileges for the
improvement of the welfare of the elderly are
available locally.

OBJECTIVES OF THE STUDY

1.
2.

3.

4.

To know the elderly population in Iligan City for both

sexes for the years 2010-2015
To identify the following:
a) Top 10 causes of morbidity among the elderly for
the years 2009-2013
b) Top 10 causes of mortality among the elderly for the
years 2009-2013
To determine the number of beneficiaries of free
pneumococcal vaccine among the elderly for the year
2014
To know the other elderly health care benefits that are
locally available.

OBJECTIVES OF THE STUDY

1.
2.
3.

To determine the elderly health care benefits occurring in the

Geographically Isolated and Disadvantaged Areas (GIDA)
To know the difficulties encountered locally in the
implementation of elderly health care
To determine policy implications for elderly health care in
Iligan City

METHODS

Figure 1. Map of Iligan City

METHODS
MIXED METHOD:

Quantitative Approach
- Secondary Data from the different offices

Qualitative Approach
- Primary Data from Key Informants

CONCEPTUAL FRAMEWORK

RESULTS AND DISCUSSIONS

Table 1.1 Elderly Population in Iligan City against Total
Population (continued)
2010*

2011

2012

2013

2014

2015

322,821

326,856

330,942

335,079

339,267

343,508

Elderly Popn
(60 & above)

14,887

15,073

15,262

15,452

15,646

15,843

Percentage

4.61%

4.61%

4.61%

4.61%

4.61%

4.61%

Total Popn

RESULTS AND DISCUSSIONS

Table 1.2 Elderly Population in Iligan City for
Both Sexes
2010*

Age
Group.
M

2011
Total

2012
Total

Total

60 - 64

2,949

3,016

5,965

2,986

3,053

6,039

3,023

3,091

6,114

65 - 69

1,918

1,906

3,824

1,942

1,930

3,872

1,967

1,954

3,921

70 - 74

1,067

1,337

2,404

1,080

1,354

2,434

1,094

1,371

2,465

75 - 79

634

705

1,339

642

714

1,356

650

723

1,373

80 & up

573

782

1,355

580

792

1,372

587

802

1,389

7,141

7,746

14,887

7,230

7,843

15,073

7,321

7,941

15,262

Total

RESULTS AND DISCUSSIONS

Table 1.2 Elderly Population in Iligan City for
Both Sexes (continued)
2013

Age
Group.
M

2014
Total

2015
Total

Total

60 - 64

3,061

3,130

6,191

3,099

3,169

6,268

3,138

3,209

6,347

65 - 69

1,991

1,978

3,969

2,016

2,003

4,019

2,041

2,028

4,069

70 - 74

1,107

1,388

2,495

1,121

1,406

2,527

1,135

1,423

2,558

75 - 79

658

732

1,390

667

741

1,408

675

751

1,426

80 & up

595

812

1,407

602

822

1,424

610

833

1,442

7,413

8,041

15,452

7,505

8,141

15,646

7,599

8,243

15,843

Total

RESULTS AND DISCUSSIONS

Table 1.3 Top Causes of Morbidity for 60 years old and above,
Iligan City, 2009-2013
2009

Causes
Hypertension
Acute Respiratory
Infection
Urinary Tract Infection
Acute
Gastroenteritis
/Gastritis

No.of
Cases

2010

Rank

559

253

330

59

15

18

Surgery/Injuries
Asthma

Pulmonary TB
Diarrhea
Skin Diseases
Fever

Rank
1

No. of
Cases
168

Rank
1

110

46

16

25

26

14

31

21

Pneumonia
Diabetes Mellitus

2012
No. of
Cases

2013
No. of
Cases
616

Rank
1

390

12

56

84

48

15

28

11

10

Rank

10

Anemia
Dengue

No. of
Cases

2011

3
12

RESULTS AND DISCUSSIONS

Table 1.4 Philippines 10 Leading Causes of Morbidity, 2010
Diseases
1. Acute Respiratory Infection
2. Acute Lower Respiratory Tract Infection and
Pneumonia

6. Influenza

7. Urinary Tract Infection

3. Bronchitis/Bronchiolitis

8. TB Respiratory

4. Hypertension

9. Injuries

5. Acute Watery Diarrhea

10. Disease of the Heart

RESULTS AND DISCUSSIONS

Table 1.5 Top Causes of Mortality for 60 years old and above,
Iligan City, 2009-2013
2009

3
1

No.of
Cases
165
219

21

81

COPD/Asthma

19

Renal
Disease/Failure
Cancer (all forms)
Pulmonary TB
Asphyxia

23

37

30
32
12

5
4
10

55
37
43

202

Causes
Pneumonia
Myocardial
Infarction
Sepsis/ Septicemia

Cerebrovascular
Accident/ Failure
Liver Disease/
Cirrhosis
Diabetes Mellitus

No. of
Cases
191
244

2010

17

Rank

2
1

No. of
Cases
181
247

2012

2013

2
1

No. of
Cases
221
275

73

62

13

10

5
8
6

66
35
66

5
8
5

82
41
23

4
7
8

64
31

5
8

162

160

190

282

42

25

14

10

22

63

54

18

45

16

10

Rank

Rank

Chronic Kidney
Disease
Senility /Debility
Multiple Brain
Failure
Gastric/Peptic Ulcer
Disease

2011

54

23
30

Rank
2
1

No. of
Cases
232
304

Rank
3
1

RESULTS AND DISCUSSIONS

Table 1.6 Philippines 10 Leading Causes of Mortality, 2010
Diseases
1. Diseases of the heart

6. Tuberculosis, all forms

2. Diseases of the vascular system

7. Chronic lower respiratory diseases

3. Malignant neoplasms

8. Diabetes mellitus

4. Pneumonia

9. Nephritis, nephrotic syndrome and nephrosis

5. Accidents

10. Certain conditions originating in the perinatal

period

RESULTS AND DISCUSSIONS

Geographically Isolated and Disadvantage Areas (GIDA)
-communities that are physically and socio-economically
separated from the mainstream society
- 40.91% of the barangays
Specific programs implemented:
maternal health care

child health care

TB control program
environmental health and sanitation

disease surveillance
control of lifestyle related diseases

RESULTS AND DISCUSSIONS

Table 1.7 Elderly Population in the GIDA Barangays, 2014
GIDA Barangays

Total Popn

Elderly Popn

Percentage against Total Popn

Abuno

4,943

272

5.50%

Bonbonon

1,565

80

5.11%

Bunawan

2,293

97

4.23%

Digkilaan

4,454

267

5.99%

Dulag

1,124

30

2.67%

Hindang

1,182

18

1.52%

Kabacsanan

2,046

129

6.30%

Kalilangan

1,218

47

3.86%

Lanipao

2,468

87

3.53%

Mainit

2,606

136

5.22%

Mandulog

3,261

236

7.24%

Puga-an

7,775

347

4.46%

Rogongon

5,118

280

5.47%

Sta. Elena

5,380

266

4.94%

Tambacan

17,553

866

4.93%

Tipanoy

13,562

717

5.29%

Upper Tominobo

1,708

115

6.73%

Panoroganan

4,241

179

4.22%

78,256

3,990

87.21%

4347.556

221.6667

5.10%

Total
Average

RESULTS AND DISCUSSIONS

Table 1.8 Pneumococcal Immunization for Indigent Senior Citizen, 2014
Barangays

60-69 yrs. 70-79 yrs. 80-89 yrs. 90-99 yrs.

Old
Old
Old
Old
M

Abuno
Acmac
Bagong Silang
Bonbonon
Bunawan
Buru-un
Dalipuga
Del Carmen
Digkilaan
Ditucalan
Dulag
Hinaplanon
Hindang
Kabacsanan
Kalilangan

8
16
6
9
2
9
17
18
6
5
5
4
10
8

7
14
9
9
8
16
18
22
9
10
5
6
15
12

15
30
15
18
10
25
35
40
15
15
10
10
25
20

Allotment
15
30
15
18
10
25
35
40
15
15
10
10
25
20

10

10

10

10

10

10

3
5
3
10
8

6
6
6
10
14

9
7
4
14
17

6
4

8
13
8
20
21

12
12
7
30
29

10
25
15
50
50

10
25
15
50
50

10
25
15
50
50

7
4

5
15

9
18

9
20

16
28

25
48

25
48

25
48

2
2
1
4
2

8
10
4
7
2
6
15
13
4
5
5
2
6
3

7
12
6
6
8
9
12
14
5
8
3
5
8
8

Kiwalan

Lanipao

2
2
7
2
8
3
4
3

Mahayahay
Mainit
Mandulog
Maria Cristina
Pala-o
Panoroganan
Poblacion
Puga-an

6
2
1

2
3
2

2
2
5

5
6
8

1
4
2

1
3

2
4

3
2

Number of
Vaccines

Total
M

Used
15
30
15
18
10
25
35
40
15
15
10
10
25
20

RESULTS AND DISCUSSIONS

Table 1.8 Pneumococcal Immunization for Indigent Senior Citizen, 2014 (continued)
Barangays

60-69 yrs.
Old

70-79 yrs.
Old

80-89
yrs. Old

90-99
yrs.
Old

Number of
Vaccines

Total

2
8

2
1
1
5

9
7
9
2

8
11
8
9

10
10
11
11

10
15
9
14

20
25
20
25

Allotment
20
25
20
25

10

19

12

23

35

35

35

16

16

24

40

40

40

10

10

10

Saray
Suarez
Tambacan
Tibanga
Tipanoy
Tom. Prop.

5
6
8

2
7

7
5
13

3
8

7
10
10
2
11
9

11
14
16
7
8
8

3
3
1
9
3
3

2
2
2
12
3
4

15
19
19
13
16
20

20
21
31
22
14
20

35
40
50
35
30
40

35
40
50
35
30
40

35
40
50
35
30
40

Tom. Upper

10

10

10

Tubod

21

28

29

36

65

65

65

Ubaldo Laya

10

13

17

30

30

30

3
14

4
11

8
18

4
21

11
33

15
54

15
54

15
54

53

39

36

33

11

16

100

88

188

200

188

175

209

337

441

58

76

577

726

1303

1315

1303

M
Rogongon
San Miguel
San Roque
Sta. Elena
Sta. Filomena
Santiago
Sto. Rosario

Upper
Hinaplanon
Villa Verde
OPD
c/o Coun.
Abragan
TOTAL

Both

Used
20
25
20
25

RESULTS AND DISCUSSIONS

Difficulties Encountered during Program

Implementation:

The low level of willingness

of the elderly to participate

Shortage of workforce
Topography
Distance to main health offices
Threat to security, peace and order

CONCLUSION

The number of elderly population in Iligan city is expected

to increase.

Benefits and Privileges:

Free medical and dental services

Free influenza virus and pneumococcal immunization

Elderly Filipino Week Celebration

1st week of October

CONCLUSION

Morbidity

The number of cases on the top causes of morbidity from 2009

2012 declined

Mortality

There are no declines in the number of reported cases of the top

causes of mortality

The local top causes of morbidity and mortality showed

similarity to the nations top causes of morbidity and
mortalityThe programs implemented were not effective as to
decreasing the number of cases per ailment.

RECOMMENDATIONS

The ICHO and OSCA must focus on campaigns and seminars

that will educate people on various health concerns of the
elderly and also for the health provisions available for the
elderly.
The local government must address this inadequacy and must
act on it immediately.

The government must also increase its budget for the various
programs for the elderly especially for the immunizations in
order to cater the majority of the elderly population.

Workers should continually improve their data recording and

data keeping practices.

RECOMMENDATIONS

The data should also be readily available especially to students

conducting research.

Government personnel must also be research friendly, accommodating

and cooperative to everyone who is willing to explore the knowledge
about the elderly health care.

Future researchers must determine the budget allocation for the

elderly to check if there is a correlation between the budget and
program effectiveness.

Future researchers are also encouraged to visit barangay health

centers for the evaluation of health programs. They must interview
health care beneficiaries of different barangays to come up with a
report in health care efficiency.