“The project is actually part of PCSO’s gift to the public for its 75th year of existence, thus, it has offered [...]]]> Cagayan de Oro City (4 September) — An estimated 125,000 beneficiaries in region 10 are expected to be served by the “100% Barangays-in-One” Project of the Philippine Charity Sweepstakes Office (PCSO) on Sunday, September 6.

“The project is actually part of PCSO’s gift to the public for its 75th year of existence, thus, it has offered to conduct a nationwide medical, dental and feeding mission to all the country’s 42,000 barangays, simultaneously, in one day,” said Mario S. Pelisco, Chief Lottery Officer of PCSO, Misamis Oriental.

In the case of region 10, all its 433 city and 1,590 municipal barangays or a total of 2,023 barangays from its five (5) provinces and eight (8) cities are expected to be served by about 172 medical doctors, 210 nurses, 21 pharmacists and 15 dentists.

These medical practitioners who have volunteered to take part of the project are expected to serve at least 121,400 medical, 2,100 dental and another 1,500 feeding patients.

Pelisco also said 21 co-referral hospitals (CRH) have been positioned in 23 cluster centers of the region where there are government hospitals to serve the laboratory examinations and diagnostic procedures needed by indigent patients.

Meanwhile, he said, a total of 500 boxes of medicines have already been sent to the following CRH’s, as of August 24, 2009, to make sure that the medical / dental / feeding mission can start at 8:00 in the morning on September 6:

Bukidnon – Bukidnon Provincial Hospital in Manolo Fortich, Bukidnon Provincial Medical Hospital in Malaybalay City and Bukidnon Provincial Hospital in Maramag.

Camiguin – Catarman District Hospital in Catarman and Camiguin General Hospital in Mambajao.

Lanao del Norte – Kolambugan Provincial Hospital in Kolambugan, Lanao Norte Provincial Hospital in Baroy, Kapatagan Provincial Hospital in Kapatagan and G.T. Lluch Memorial Hospital in Iligan City.

Misamis Occidental – Calamba District Hospital in Calamba, Misamis Occidental Provincial Hospital in Oroquieta City, MHARS Regional Teaching & Training Hospital and S.M. Lao Memorial City General Hospital in Ozamiz City and Doña Maria D. Tan Memorial Hospital in Tangub City.

Misamis Oriental – J.R. Borja General Hospital and Northern Mindanao Medical Center (NMMC) in Cagayan de Oro City, Gingoog General Hospital in Gingoog City, Talisayan District Hospital in Talisayan, Medicare Community Hospital in Balingasag and in Manticao, as well as Initao District Hospital in Initao. (PIA 10)

The unfinished three-storey hospital building for over a decade now. Photo by Jessica

Pro-administration Councilor Dante Pajo said [...]]]> A CITY official Monday brushed aside allegations that “politics” was behind the troubles besetting JR Borja General Hospital, even as he denied claims that City Hall has blocked donations made by political rivals to the city-run medical facility.

The unfinished three-storey hospital building for over a decade now. Photo by Jessica

Pro-administration Councilor Dante Pajo said City Hall was eager to receive the 10 dialysis machines earlier pledged by 1st district Rep. Rolando Uy, who belongs to the local political opposition. Councilor Pajo said the donation includes a building that will house the equipment.

“I’ve talked to the Mayor [Constantino Jaraula] and he said he’s okay with the donation,” said Pajo, chairman of the health committee.

Last year, Rep. Uy’s office lamented that City Hall had spurned a similar effort by the lawmaker, who chose to donate the hospital equipment instead to the nationally-run Northern Mindanao Medical Center. The donation was funded from the congressman’s pork barrel.

The city-run hospital is no stranger to being deprived with much-needed diagnostic apparatus and other life-saving equipment simply because these are offered by politicians who don’t play footsies with the incumbents.

Dr. Vincent Tiro, a retired chief of hospital at JR Borja, said the practice became common during the Emano administration.

The physician recalled that at one point during the first term of then Mayor Vicente Emano — now a vice mayor — the latter castigated him for receiving the P2 million worth of medicines from Sen. Aquilino Pimentel, a native of Cagayan de Oro. Starting out as allies, Sen. Pimentel has been Emano’s political nemesis for years now.

“I received it with all gratefulness as then the chief of the hospital as it would mean more service for the sick and needy. I never thought I would be chided for doing what is right,” Dr. Tiro said.

“Politics is very well entrenched at the hospital, from the appointment and removal of personnel, up to the distribution of medicines to barangays,” he said.

Not once did Emano castigate him for handing out medicines to barangay officials deemed outcast to the former mayor’s political circle.

“He [Emano] once told me to ‘Ikaw na lang mag-mayor’ when I reasoned with him on the equitable distribution of medicines,” Tiro said.

During his watch, Tiro said Pimentel also donated a CT scan, which he said was “very much needed” in any hospital to help diagnose various medical conditions. Poor patients, he added, need not go to private hospitals and spend P3,000 for a CT scan.

Tiro said the equipment went to the NMCC instead because Emano would not want it in the city-run hospital.

Weeks later, Tiro said he was fired as chief of the hospital and detailed to another department until he retired in early 2000.

The former JR Borja chief said the P10 million hospital building donated by Pimentel in late 90s suffered the same fate, as the Emano administration had refused to shell out money as counterpart. The building, he said, was left to deteriorate for over a decade now.

However, Pajo said the three-storey building may finally be completed within this year. The after Department of Health (DOH), he said, has offered to finish the project.

“DOH-10 (Northern Mindanao) has already started the bidding phase of the project last June 8. Of the six bidders who signified interest in undertaking the project, five bidders qualified,” the councilor said.

Another view ot the unfinished three-storey hospital building.

The city-run hospital has lately been rocked with controversies, heightened by resignations of several doctors late last month. The physicians–numbering 18 out of the hospital’s 35 doctors–complained of low pay and poor working conditions.

They also lamented the hospital’s inability to give adequate health services to poor patients because the facility lacks even the basic medical equipment.

The hospital management had earlier suspended its weekend consultations.

Pajo said the Saturday and Sunday consultations have been resumed since last week. He said City Hall is already hiring doctors to replace those who resigned. He also denied the resignations had crippling effect on the hospital’s services, describing the doctors’ exodus as a “minor setback.” By Cong B. Corrales Sun.Star Cagayan de Oro

In 2006, the city hospital enjoyed its biggest budget in six years — P123 million — but this amount would dramatically be reduced to around P60 million the following year, [...]]]> THE city-run JR Borja General Hospital hasn’t had a stable budget in recent years, its appropriations rising and falling to resemble that of an erratic curve.

In 2006, the city hospital enjoyed its biggest budget in six years — P123 million — but this amount would dramatically be reduced to around P60 million the following year, or a cut of over P62 million.

On its face, the hospital’s general budget cycle — not counting the exceptional downward spiral in 2007 — has seen a steady growth, rising from over P56 million in 2004 to around P70 million in 2005. From 2007, the funding climbed to over P78 million in 2008, increasing to P83 million this year.

But these increases have largely been driven by inflation and the local government’s administrative obligations to the hospital personnel.

Funds allocated for medicines and life-saving apparatus — lumped under the maintenance, overhead, and operating expense (MOEE) — have remained disproportionate to Cagayan de Oro’s population over the years, and followed the erratic pattern in the general budget.

For example, the MOOE in 2005 saw an increase of over half the amount compared to the previous year — at around P24 million. This amount would only grow by P2 million in 2006, and dropping by a whooping P6.9 million in the succeeding year.

In 2008, the MOEE would again rise to P13 million, or an appropriation of over P32 million.

The additional money for MOEE this year? A meager P215,353.

Specifically, a budget of P4.6 million out of the P32.9 million MOOE for 2009 is allocated for medicines, patient’s subsistence, and medical supplies such as X-ray films, medical oxygen, and nitrogen oxide.

As of August 1, 2007, the National Statistical Coordination Board (NSCB) placed the city’s total population at 553,966.

What that means is that at any one time, the local government only sets aside a miniscule P8.30 on medicines and other life-saving apparatus for any patient admitted to the city-run hospital.

To compare, the P123 million budget in 2006 allocated around P23.4 million for medicines and medical supplies.

Noticeably, however, bulk of that budget went to the construction of an additional building amounting to P50 million. The rest was appropriated to hospital equipment such as one unit of operating room table that cost P1.3 million, five units of fire extinguisher that cost P79,550, a unit of ultrasound machine at P4 million, two computer sets at P120,000, a unit of anesthesia machine at P2.3 million, and two ECG machines at P300,000.

Sun.Star Cagayan de Oro’s analysis of the budget is based on the approved appropriations in the last six years obtained by this paper.

The hospital’s budget has come under scrutiny after several doctors resigned lately, complaining of low pay and poor working conditions. They also lamented the lack of crucial life-saving devices at the hospital, which they said has contributed to its deteriorating services.

Corruption has also tainted the management of the hospital.

In 2007, several employees accused the then hospital chief, Dr. Jerie Calingasan, of graft and corruption. A graft case against Dr. Calingasan is pending at the Ombudsman.

Calingasan, who was stripped of his position at the hospital and reassigned back to the City Health Office, has denied the allegation.

Aided by their lawyer, Manuel Ravanera, the employees alleged that Calingasan made “emergency purchases” that were not actually “emergency” in character. Among the hospital “purchases” was a repair of a Toyota Tamaraw FX and a Kia Besta Ambulance, which amounted to P131,200. Calingasan reimbursed the amount because it supposedly came from his pocket.

There were also purchases of hospital supplies, among others, eight kilos of detergent powder at a price of P11,500.00 or an amount of P1,437.50 per kilo.

In 2006 and 2007, Calingasan was reimbursed the amount P855,939 purportedly due to the “advances” he made to the hospital.

During that period, the complainants alleged that the hospital purchased an overpriced X-ray machine, which cost P6.5 million but supposedly had an actual market price of P3 million. A surgical table that is unbranded and costing P400,000 allegedly purchased at P1.2 million.

These and other irregular transactions were approved by then mayor Vicente Emano, the complaint said.

Last year, a state auditor said in a report that P15 million worth of drugs and medicines at the city-run hospital cannot be accounted.

Emergency Room, J.R. Borja General Hospital

A city hospital physician, who spoke on condition of anonymity, said the doctors resigned as a group as a statement to City Hall [...]]]> LOW pay and poor working conditions have forced most doctors of the government owned JR Borja Memorial City Hospital to tender their resignations, a hospital insider said.

Emergency Room, J.R. Borja General Hospital

A city hospital physician, who spoke on condition of anonymity, said the doctors resigned as a group as a statement to City Hall that they had lost confidence on the way things are going at the hospital.

Already saddled with patient overload, JR Borja doctors have to contend with lack of medicines and adequate facilities.

Doctors are also inadequately paid compared to other public hospitals, the source said, but clarified that this was not the main reason for the exodus.

The last straw came when City Hall itself scuttled the planned annexation of the City Hospital to the Northern Mindanao Medical Center (NMMC).

Had the plan been realized, it would have would have placed the smaller city-run hospital under the national government, increasing its funding along with the salary of the personnel.

“After that nawad-an na sila og gana. Ingon sila wala gyuy mahitabo ini nga ospital(They just lost hope after that. They said nothing good would come out if they stay in the hospital),” the doctor said.

The source said other doctors like him had also planned to quit, but opted to stay hoping “things will change so soon.” Foremost, the physician said he and his colleagues are hoping that City Hall will reconsider its position on the hospital’s conversion into a national medical facility.

A number of City Hall officials confirmed Monday’s resignations of at least 13 doctors. The City Hospital has 31 doctors in its plantilla.

However, officials could not agree what made the doctors quit.

Cagayan de Oro Councilor Dante Pajo, chair of the committee on health and social service, attributed the doctors’ exodus to “conflict of scheduling in their duty hours.”

Most the doctors who resigned had wanted to work for two straight days to cover the mandated 40 or so duty hours and then avail of five days off, Pajo said.

“Nangbalhin ang mga doctors kay nangita’g more lenient working hours siguro. They are all good doctors but we can’t prevent them from transferring,” Pajo said.

But the councilor said the government hospitals can’t bend work schedules to give doctors “lenient schedules.”

“Doctors are obliged to work eight-hour shifts every day. That’s the way government hospitals work because we are in public health service,” he said.

However, City Information Officer Erwin Culanag said most of those who tendered their resignations had said they wanted to “seek greener pastures.”

“Ang sweldo daw ang rason, ubos ra daw para sa ila,” Culanag told Sun.Star, citing his conversation with Dr. Philip Medalle, acting chief of hospital.

Pajo said doctors from the City Health Office (CHO) had been ordered to temporarily cover the night shifts to cover the staff shortage.

Human Resource Department Head Adriano Lumagsao, Jr. said his office had yet to receive copies of the names of the doctors who resigned.

The staff shortage has taken a toll on the services of the hospital, which already has shortened its consultation hours.

City Hall had earlier rejected a bill authored by 2nd district Rep. Rufus Rodriguez seeking the integration of the rundown JR Borja Memorial City Hospital to the better-equipped NMMC.

House Bill 239 provides “for the upgrade and modernization of the J.R. Borja City Memorial Hospital as an extension hospital of the Northern Mindanao Medical Center in Cagayan de Oro and appropriating funds therefore.”

The bill is co-authored by 1st district Rep. Rolando Uy.

“Life is a gift, and what a gift it is! I have learned that the more you give of yourself, the more you have the gift of life; That he who forgets self and gives all that [...]]]> The late Justiniano “Tinieng” R. Borja, the venerable and most decorated Mayor of Cagayan de Oro City, once wrote:

“Life is a gift, and what a gift it is! I have learned that the more you give of yourself, the more you have the gift of life; That he who forgets self and gives all that he is entirely and devotedly to something or somebody and he who lives for justice and truth without caring for the consequences, receives a thousand times more than he gives.”

Among the gifts he left behind is a hospital that he built as a Mayor in the early 60’s. After his demise, the hospital was named after him.

More than forty years have passed and the original building of the hospital has started to crumble down. The services that have been rendered to the Cagayan de Oro’s ailing populace have become too insignificant that the poor has started to rely, when it comes to health services, not on its own local government, but on foreigners, specifically the German Doctors.

The city hospital has virtually become a white elephant, useless yet expensive. To some, it has become a milking cow that enriches their pockets instead of a venue to heal health maladies of Cagayanons. Jokes have circulated comparing the city hospital’s patients to be like dreams that have reached Mona Lisa’s doorsteps: “They just lie there, and they die there!”

Nevertheless, a few employees determined to bring life anew to the ailing, emaciated hospital came out in the open when they saw hope in the initial governance of the new Mayor, the honorable Tinnex Jaraula. They unearthed the manner in which corruption and irregularities were committed by a few people. They decided to file anti-graft and corruption charges against those who have pillaged the coffers of the city through the hospital.

These good souls laid bare the truth through their sworn statements that enumerated anomalies after anomalies in the purchase of medicines, hospital supplies, medical equipment and apparatus.

Consider the following anomalous purchases found in the affidavits of Rhodora Christine B. Patana, Judyflor D. Daculiat, Nicomedes Bactong, Lorna Monterola, Esmeralda Tejada, Artesia Zenaida Latar, Malou Villamor, Quennie Lynn Abrogar, Sharon Rose Damolo, Judith Lim, Chona Pepania and Floramae Ortega:

On Medicines:

In several instances, the city hospital bought from ECE Marketing antibiotics particularly, Tazocin (4.5 gm) that was nearing its expiry date at a price P3,058.00 per vial. The same antibiotic was also bought from Mckline Enterprises at P3,057.00 per vial. But upon inquiry from Mercury Drugs, the drugstore sells the same antibiotic at P2,571.00 per vial. Worse, the hospital pharmacy sells the said antibiotic to poor patients at a price of P3,363.80, almost P800.00 more than the selling price of Mercury Drugs.

The hospital also bought Dopamine HCL at a price of P949.00. Yet, this kind of medicine was bought by the hospital from a different company at only P110.00 per vial. This reveals the overprice of more than 800%.

There were also medicines that were already paid for by the hospital and yet were not delivered after one year.

The purchases of some medicines were also so voluminous that they merely pile up as inventories in the stock room of the hospital.

On Medical Supplies:

There is only one supplier that provides about 80% of purchases for medical supplies. The procurement of medical supplies from February 2006 to July 2007 from Berovan Marketing has reached a staggering amount of P3,472,285.85.

The supplies, comprise among others, alcohol which was bought at P80.00 per bottle but could be bought at about P50.00 per bottle in any drugstore. There was a purchase of forceps in the amount of P3,600.00 per pair which could be bought from the ordinary pharmacy at P1,200.00. Again, this exposes an overprice of 200%.

The hospital also bought from Berovan Marketing a Food Conveyor that could contain only 36 trays at a price of P110,000.00 but the invoice showed that the hospital paid P119,500.00 (about the price of a multicab). The food conveyor easily rusted and did not even command a price of P50,000.00.

Moreover, the purchases were clearly in violation of RA 9184 known as “Government Procurement Reform Act”. There were practically no quotations submitted by at least three (3) various suppliers and did not undergo the required procedure for purchasing.

Yet, all these wasted monies are a pittance compared to the purchase of hospital supplies, equipment and apparatus which have been recorded to have reached an inconceivable and mind-blowing amount of about twenty million pesos. BATIN BANTER’S: By Atty. Manuel Ravanera

Cagayan de Oro City (9 January) — City Mayor Constantino G. Jaraula ordered the reservation of one bed each in medical and surgical wards of the JR Borja General Hospital intended for senior citizens of the city.

This after City Mayor Constantino G. Jaraula issued Executive Order No. 2008CGJ-003 dated [...]]]>

Cagayan de Oro City (9 January) — City Mayor Constantino G. Jaraula ordered the reservation of one bed each in medical and surgical wards of the JR Borja General Hospital intended for senior citizens of the city.

This after City Mayor Constantino G. Jaraula issued Executive Order No. 2008CGJ-003 dated January 7, 2008 reserving one bed each in the female and male medical and surgical wards of the city hospital for elderly citizens who are frequently in need of medical attention and hospitalization.

Mayor Jaraula came out with the bed reservation order for elderly patients upon the request of the Cagayan de Oro Federation of Senior Citizens Associations (CAFESCA) which saw the need for the purpose.

The elderly group sought the assistance of the city mayor after noting that sometimes ailing senior citizens who are in need of immediate confinement can not be accommodated in local public hospitals due to unavailability of vacant beds. (Cagayan de Oro City IO)

(Cagayan de Oro City /PIA-Philippine Information Agency)

B. EMERGENCY ROOM C. OPERATING ROOMS AND POST-ANESTHESIA CARE UNIT

2. ANCILLARY A. LABORATORY Microscopy / Bacteriology / Hematology

B. RADIOLOGY X-ray Ultrasound

C. PHARMACY

D. SPECIAL AREAS Operating Rooms / Labor Rooms / Delivery Room / Minor Operating Room / Central Supply

E. WARDS Obstetrics / Gynecology / Internal [...]]]> SERVICES OFFERED
1. CLINICAL
A. OUTPATIENT CLINIC
Surgery / Internal Medicine / Pediatrics / Obstetrics and Gynecology / Dental Clinic

B. EMERGENCY ROOM
C. OPERATING ROOMS AND POST-ANESTHESIA CARE UNIT

2. ANCILLARY
A. LABORATORY
Microscopy / Bacteriology / Hematology

B. RADIOLOGY
X-ray Ultrasound

C. PHARMACY

D. SPECIAL AREAS
Operating Rooms / Labor Rooms / Delivery Room / Minor Operating Room / Central Supply

E. WARDS
Obstetrics / Gynecology / Internal medicine / Surgical / Pediatrics