DRRM-H San Fernando (Draft)

1
1|| San Fernando, Cebu

Disaster Risk Reduction Management- Health Plan
Republic of the Philippines
Province of Cebu
Municipality of San Fernando
OFFICE OF THE MAYOR
(Tel. 032-266-4540 Email: lgusanfernando.mo@gmail.com)
M ESSAGE FROM THE O FFICE OF THE L OCAL C HIEF E XECUTIVE
The Municipality of San Fernando, Cebu, has strong

reasons for proving itself to be a competitive local
government unit as it has a progressive economy
and environment.
In line with this, this disaster risk reduction
management plan for health 2022-2025 seeks
stability and safety for the people, especially the
entire San Fernandohanon in times of emergencies
caused by the disaster. Also, it serves to sustain,
improve, and retain its fundamental structure and
function by resisting or managing change (Living
Standard).
In these unwavering challenges, everyone must be prepared to overcome them and
accept the reality that challenges will arise from time to time, and the health sector is
the first to take action to save lives.
Let us all work hand in hand, support and conspire with our health sector to find
productive ways to prepare for challenges and keep the resiliency of our community.
As the municipal mayor of this Municipality, I hereby submit and enthusiastically
support this Disaster Risk Reduction Management Plan for Health and invite all
constituents to participate, support, adapt, and lead the purpose and goal of this plan
towards its positive outcomes.
Thank You!
HON. MYTHA ANN B. CANOY

Municipal Mayor

Province of Cebu
Message from the Office of the Municipal Vice-Mayor
The Municipality of San Fernando, Cebu, an

emerging economic gateway center in the south,
has been steadily proving itself as a competitive
Local Government Unit.
With that in mind, this Disaster Risk Reduction

Management Plan for Health that focuses on
health emergencies in times of disaster is a lot of
help for all health providers and stakeholders.
In this new normal, everyone must cope with the

change of time, it is a reality that in the next years
will still be a big challenge to the health sector.
We all need to seek improvement in how we
improve the health aspect of every individual and
must grapple with.
There are many productive ways to meet the challenges of doing more with less for
now.
Let us join hands and start transforming into a resilient community. Help the health
sector – cooperate and lead.
We hereby submit this Disaster Risk Reduction Management Plan for Health with a
positive outlook and passionate zeal in which we invite all constituents in the
Municipality of San Fernando to come and be with us in achieving this goal.
HON. RICCI REGEN G. RELUYA

Municipal Vice-Mayor

Province of Cebu
Message from the Office of the Municipal Health Officer
Preparedness in terms of being able to cope with disasters is one of the most
important aspects of a resilient local government unit of which San Fernando is aiming
for. With disasters and emergencies occurring anytime, it is just but timely that we
need to be ready at all times for us to be able to respond accordingly to prevent a long
term effects and irreversible damage. With this disaster plan for health, I fervently
hope this will be our guide in our future actions to mitigate health emergencies.
ALFREDO MANUGAS VI, M.D.

Municipal Health Officer

ACKNOWLEDMENT

Table of Contents
Message from the Office of the Local Chief Executive ............................................................ 2

Message from the Office of the Municipal Vice-Mayor........................................................... 3
Message from the Office of the Municipal Health Officer....................................................... 4
ACKNOWLEDMENT.................................................................................................................... 5
SAN FERNANDO DISASTER RISK REDUCTION MANAGEMENT PLAN IN HEALTH: ABOUT THE
PLAN......................................................................................................................................... 10
LEGAL AND POLICY FRAMEWORK ...................................................................................... 11
PLAN DEFINITION .................................................................................................................... 11
II. GOALS OF THE HEALTH SECTOR ON EMERGENCIES AND DISASTERS ................................ 13
PLANNING COMMITTEE MEMBERS AND ROLES AND RESPONSIBILITIES. ........................ 13
III. SAN FERNANDO BRIEF HISTORY & BACKGROUND ........................................................... 14
A. GEOGRAPHIC DESCRIPTION ........................................................................................ 15
1. TOPOGRAPHY .................................................................................................................. 15
2. GEO-HAZARD MAPPING .................................................................................................. 16
3. RISKS OR HAZARDS, OUTBREAKS, AND THEIR IMPACTS TO THE MUNICIPALITY OF SAN
FERNANDO .......................................................................................................................... 17
B. DEMOGRAPHIC PROFILE ................................................................................................. 43
LOCATION AND ACCESSIBILITY ....................................................................................... 44
THE ADMINISTRATIVE MAP OF THE MUNICIPALITY OF SAN FERNANDO ..................... 47
DEMOGRAPHIC PROFILE OF BARANGAYS (PROJECTED POPULATION: 2015-2020)...... 48
2022 POPULATION PER BARANGAY ............................................................................... 48
SAN FERNANDO AGE DISTRIBUTION (2022)................................................................... 49
C. HEALTH STATISTICS ......................................................................................................... 50
ACTUAL INFANT DEATH AND IMR TREND (2018-2021) ................................................. 51
UNDER FIVE DEATHS AND UFMR TREND (2016 – 2021) ................................................ 52
MATERNAL DEATH .......................................................................................................... 54
TOP 10 LEADING CAUSES OF MORBIDITY (ALL-AGES) ................................................... 54
TOP 10 LEADING CAUSES OF MORTALITY (ALL-AGES) ................................................... 56
NUTRITIONAL STATUS/ MALNUTRITION RATE .............................................................. 58
OTHER INDICATORS FOR BASIC HEALTH SERVICES AND PREVENTIVE HEALTH PROGRAMS
............................................................................................................................................. 62

ORAL HEALTH CARE AND SERVICES ................................................................................ 67
INFECTIOUS DISEASE PREVENTION AND CONTROL SERVICE ................................................. 71
NATIONAL TUBERCULOSIS PROGRAM (NTP) ................................................................. 71
HIV/AIDS/STI PREVENTION AND CONTROL ................................................................... 72
LEPROSY PREVENTION AND CONTROL ........................................................................... 74
RABIES PREVENTION AND CONTROL .............................................................................. 74
DENGUE PREVENTION AND CONTROL ........................................................................... 74
COVID-19 VACCINATION COVERAGE .............................................................................. 77
NON-COMMUNICABLE DISEASE PREVENTION AND CONTROL SERVICES ......................... 79
HPN/DM PROGRAM ........................................................................................................ 79
CERVICAL CANCER PROGRAM ........................................................................................ 80
SENIOR CITIZEN VACCINATION (FLU AND PNEUMO23) ................................................. 80
ENVIRONMENTAL SANITATION, SOURCES, AND STATUS OF POTABLE WATER ............... 80
HH WITH SANITARY TOILET, REGION 7, CY 2016-2021 .................................................. 81
HH WITH ACCESS TO SAFE WATER, REGION 7, CY 2016-2021 ....................................... 81
HEALTH HUMAN RESOURCE (NUMBER AND CAPACITY FOR HEALTH) ............................. 82
HEALTH FACILITIES .............................................................................................................. 82
HEALTH FACILITIES IN SAN FERNANDO, CEBU (2022) .................................................... 82
FACILITY MAPPING - LOCATION OF COMMUNITIES AND HEALTH FACILITIES VIS-À-VIS
THIS MAP ......................................................................................................................... 84
D. SOCIO-ECONOMIC SITUATION ........................................................................................... 85
1. MAJOR ECONOMIC ACTIVITIES ....................................................................................... 85
OPERATING INDUSTRIES ................................................................................................. 88
MAJOR MANUFACTURING INDUSTRIES ......................................................................... 88
PRODUCER ....................................................................................................................... 88
SERVICES / RECREATION / LEISURE ................................................................................ 88
LIVESTOCK AND POULTRY ............................................................................................... 89
2. PEOPLE’S SOURCES OF INCOME ..................................................................................... 90
3. POVERTY INCIDENCE AND AREAS OF CONCENTRATION ............................................... 90
4. EDUCATION ..................................................................................................................... 90
4. PEACE AND ORDER; CRIME RATE.................................................................................... 92
CRIME STATISTICS AND CRIME RATE FROM 2017-2021 .................................................... 94
5. SOURCE(S) OF FOOD SUCH AS AGRICULTURAL OR FISHING INDUSTRY ........................ 98

A. AGRICULTURAL CROPS................................................................................................ 98
B. FISHERIES ..................................................................................................................... 98
C. SUPPORT FACILITIES SUCH AS TRANSPORTATION, COMMUNICATION, ACCESS TO
INFORMATION ................................................................................................................. 98
COMMUNICATION PLAN ......................................................................................................... 99
ACCESS TO INFORMATION ................................................................................................ 100
E. HAZARD, VULNERABILITY, AND RISK ASSESSMENT ......................................................... 101
TABLE 1.E PUBLIC HEALTH - PREVIOUS DISASTERS AND LESSONS LEARNED .................. 101
1. HAZARD IDENTIFICATION AND PRIORITIZATION ..................................................... 106
2. HAZARD MAPPING .................................................................................................... 107
3. VULNERABILITY ASSESSMENT....................................................................................... 114
4. PUBLIC HEALTH- HEALTH RISK ASSESSMENT MATRIX ................................................. 119
TABLE INVENTORY OF RESOURCE NETWORKS ............................................................. 122
INTERNAL DRRM-H INSTITUTIONALIZATION MATRIX ................................................. 123
EMERGENCY RESPONSE TEAMS ........................................................................................ 128
EXTERNAL DRRM-H INSTITUTIONALIZATION MATRIX ..................................................... 130
PLAN PER THEMATIC AREA: .............................................................................................. 132
PREVENTION AND MITIGATION.................................................................................... 132
PUBLIC HEALTH - PREPAREDNESS PLAN MATRIX 2: MINIMUM REQUIREMENTS OF
DRRM-H INSTITUTIONALIZATION ................................................................................. 140
PUBLIC HEALTH - PREPAREDNESS PLAN MATRIX 1: RISK REDUCTION ............................ 142
PUBLIC HEALTH- RESPONSE PLAN ................................................................................ 144
PUBLIC HEALTH - RECOVERY AND REHABILITATION PLAN: STANDARD OPERATING
PROCEDURES ................................................................................................................. 147
DRRM-H OPERATIONAL PLAN MATRIX ........................................................................ 148
TARGET SETTING FOR BARANGAY DRRM-H INSTITUTIONALIZATION ........................ 153
ROLL-OUT PLAN FOR DRRMH PLANNING ..................................................................... 153
MONITORING AND EVALUATION PLAN............................................................................ 154
VI. APPENDICES ............................................................................................................... 158
ANNEX A. GLOSSARY OF TERMS ...................................................................................... 158
ANNEX B. REFERENCES ...................................................................................................... 164
ANNEX C. - ICS STRUCTURE ............................................................................................... 165
ANNEX D. LEGAL BASES ..................................................................................................... 166

ANNEX E. BEST PRACTICES ................................................................................................ 167
ANNEX F: STANDARD OPERATING PROCEDURES per CLUSTER ....................................... 168
2 ......................................................................................................................................... 172
3 ......................................................................................................................................... 172
2 ......................................................................................................................................... 172

SAN FERNANDO DISASTER RISK REDUCTION
MANAGEMENT PLAN IN HEALTH: ABOUT THE PLAN
The Disaster Risk Reduction Management Plan for Health of the Municipality of San
Fernando, Cebu fulfills the requirement of the Philippine Disaster Risk Reduction and
Management Act of 2010 otherwise referred as Republic Act No. 10121. The
formulation of this plan is in accordance with Republic Act No. 10121 stating, “An Act
strengthening the Philippines Disaster Risk Reduction and Management System,
providing for the National Disaster Risk Reduction and Management Framework and
Institutionalizing the National Disaster Risk Reduction and Management Plan,
appropriating funds and therefore and for other purposes.”
The purpose of the plan is to continue strengthening disaster risk reduction to prevent
deaths, diseases, disabilities, and the psychosocial impact of emergencies and
disasters through people-centered actions and cross-cutting approaches. The plan
aims to improve the safety of integrated health services networks through the
application of public health safety and approaches to climate change in the planning,
design, construction, and operation of such services.
The DRRM-H plan of San Fernando, Cebu fully recognizes the principles, thrust and
vision articulated in the National Disaster Risk Reduction Strategy Framework and in
the National Disaster Risk Reduction and Management Plan (NDRRMP) 2011-2028
which serves as the national guide for achieving sustainable development by building
the adaptive capacities of communities, increasing the resilience of vulnerable sectors,
and optimizing disaster mitigation opportunities. The Local Government of San
Fernando adheres to the concept of growth, development and risk reduction that
should be inclusive, rights-based and gender responsive as enshrined in the national
framework.
The DRRM-H plan of San Fernando, Cebu also encourages pragmatic contingency
measures characterized by community self-reliance through partnership among public
officials, their constituents, and the private sector. The plan is functional and action
oriented. The effectiveness of the Municipality of San Fernando climate change
adaptation and mitigation actions and disaster preparedness largely depends on the
skills of the locales, local resources and the nature and extent of involvement of the
private sector and the public. Assistance from the provincial, regional, and national
level authorities may be sought when the need arises.

LEGAL AND POLICY FRAMEWORK
The major references in the preparation of the Plan include the following:
• National DRRM Plan based on Republic Act 10121 of 2010 that provides a legal basis
for policies, plans and programs to deal with disasters.
• Implementing Rules and Regulations of Republic Act 11223 or the Universal
Healthcare Act - stressed the need to adopt an integrated disaster risk reduction and
management (DRRM) and climate change mitigation and adaptation approach and to
develop province-wide and city-wide health systems (P/CWHS) with timely, effective,
and efficient preparedness and response to public health emergencies and disasters;
thus, ensuring delivery of essential population-based health services
• The Philippine Disaster Management System from the Office of Civil Defense –
National Disaster Coordinating Council (OCD-NDCC)
The legal provisions of DRRM-H Planning is RA 101211 Section 2, which states, “it is the policy
of the state to mainstream disaster risk reduction and climate change in development
processes such as policy formulation, socio-economic development planning, budgeting and
governance particularly in the areas of environment, water, energy, health, education,
poverty reduction, land-use and urban planning and public infrastructure and housing among
others.”
In accordance with the NDRRMP, the country aims to have a “safer, adaptive and
disaster resilient Filipino communities.” This will be achieved through the four distinct
yet mutually reinforcing areas, namely:
➢ Disaster Prevention and Mitigation

➢ Disaster Preparedness
➢ Disaster Response
➢ Disaster Recovery and Rehabilitation
PLAN DEFINITION
The San Fernando DRRM-H Plan defines the direction of the municipality in preparing
for an efficient and effective response in any event of emergency or disaster. This
embodies a set of strategies and activities based on the hazards and vulnerabilities
and risk analysis of the municipality.
The Municipality of San Fernando DRRM-H has three (3) components
Preparedness Plan contains strategies and activities that the municipality will
carry out to build, enhance and capacity to respond to emergency or disaster.

Response Plan includes strategies and activities for effective and efficient
response during emergency or disaster. Likewise, this Response Plan includes policies,
protocols, guidelines, and procedures pertaining to various emergency management
systems for more efficient response.
Municipal Recovery or Rehabilitation Plan has strategies and activities aimed

in the return of the Municipality of San Fernando to its normal operation at the earliest
possible time. This involves restoration of the lifelines and support services.
The Municipality of San Fernando DRRM-H has also four (4) health clusters:
➢ Medical and Public Health

- Component Services:
• Maternal and Child Health
• Prevention and Control of Communicable Diseases
• Minimum Initial Service Package – Sexual and Reproductive
Health (MISP-SRH)
• Management of Injuries
• Control of Non-Communicable Diseases
➢ Nutrition
• Nutritional Assessment
• Maternal, Infant and Young Child Feeding
• Food Assistance
• Management of Acute Malnutrition
• Micronutrient Supplementation
➢ Water, Sanitation and Hygiene (WASH)

• Hygiene Promotion
• Water Quality and Supply
• Excreta Disposal
• Vector Control
• Solid Waste Management
• Drainage
➢ Mental Health and Psychosocial Support (MHPSS)

• Ensure social considerations in all relief effort
• Psychological First Aid
• Gradated Mental Health and Psychosocial Interventions

II. GOALS OF THE HEALTH SECTOR ON EMERGENCIES AND
DISASTERS
The following are the goals of the Health Sector on Emergencies and Disasters:
a) to guarantee uninterrupted health service delivery during

emergencies and disasters.
b) to avert preventable morbidities, mortalities, and other health effects

secondary to emergencies and disasters.
c) to ensure that no outbreaks secondary to emergencies and disasters occur.
PLANNING COMMITTEE MEMBERS AND ROLES AND RESPONSIBILITIES.
The following are members of the Planning Committee:
Committee Roles and Responsibilities

Municipal Mayor Lead the formulation of hazard and community in the
context of Health Emergency Management.
Facilitate the acquisition of medical equipment and
facilities.
Municipal Health Officer Responsible for the organization and dispatching of health
teams to respond to emergencies and disasters as
embodied in the Health Emergency Plan.
Mobilize all medical resources.
Chair, Committee on Health Formulate policies that will protect life through health and
medical care of the populace.
Municipal Disaster Risk and Conduct risk assessment and coordinate network with the
Reduction Management members of the Health Sector responding to emergencies
Officer and disasters.
Municipal Planning and Assist Health response through the existing plans.
Development Coordinator

III. SAN FERNANDO BRIEF HISTORY & BACKGROUND
Between year 1854 and 1858, the

Barangays of Magsico, Cabatbatan,
Balungag, Sangat, Panadtaran, and
Pitalo bonded together in a decided
move to separate from Naga for two
reasons: first, Naga was too far. Second,
the combined population of these
villages had grown to almost 3,000
people. The parent municipality of Naga
strongly objected to such separation
because the people thrived on
agriculture and the soil of the petitioning
barangays was poor, thus, they could not
exist as a separate municipality.
Persistence with good reasons on the
part of the strong leader Juan Diyong,
who ordered all the members of his
delegation to go to Cebu City and brought with them soil samples and samples of
agricultural products, finally helped to convince the civil and religious government in
Cebu to recommend the separation of the barangays concerned and its surrounding
areas to create a separate municipality.
By Royal Decree of 1858, the new Parish – a town with a Parish Priest of its own was
created. It was named San Isidro Labrador. Later, however, the name was changed to
San Fernando in honor of its well-liked
priest, Father Fernando Sanchez and the
saint after whom he was named. The
first church was constructed at Barangay
Pitalo. After repeated repairs, itwas
agreed that a new and much better
church be constructed on a land
donated by Doña Clara Najarro at
Taboan Market, not far from the present
town cemetery. The construction
started in 1875 and was finished in 1888.
Then, because the church had always
been the favorite place, especially that it
is constructed near a marketplace, the
surrounding areas eventually grew to
become the Poblacion, where the seat of
the government is located.

A. GEOGRAPHIC DESCRIPTION
1. TOPOGRAPHY
The geophysical feature of San Fernando, Cebu is generally hilly with high mountains
in the western part (upland) of the municipality covering fourteen (14) barangays and
with a coastal area covering seven (7) barangays comprising the total land area of
7,707.83 hectares.
Typically, throughout the year it has an average precipitation of at least 60 millimeters

(2.4 in) rainfall per month. Seasons are not very pronounced, relatively dry from
November to April, and wet during the rest of the year. The town is visited by typhoon
every year causing occurrence of other threats like landslides, flooding, and land
subsidence.
The municipality has a number of springs and rivers, and these are considered the
water sources that usually flow in valleys in between high hills and mountains. It has
also waterfalls that require further protection of its watershed areas. High mountains
and slopes with less forest cover, its rivers as subject to flood during rainy seasons and
typhoons. Heavy rainfall even without any declared typhoon signals causes the rivers
to swell and slides along highways and roads, thereby making some areas subject to
flood resulting rescue and evacuation difficult.
1.a Topography and Slope

The Municipality has rugged terrain of mountains and hills. The highest mountain peak
is 440 meters above mean sea level at Bandilaan, Cabatbatan, San Fernando, Cebu.
As almost one-half of San Fernando’s land area has a slope of 25% & above. Sloping
areas are found along the coastal barangay, 2 – 3 from the coastline the landform
changes to hilly and mountainous.
Slope Categories
Slope Ranges Description Area (hectares) Total %
0-5% Level to nearly level 704.31 9.52%

5– 8% Gently sloping to undulating 713.74 9.65%
8 – 18% Moderately sloping to rolling 721.07 9.74%
18 - 25% Mountainous 1,571.01 21.23%
Moderately to steeply
25% & above 3,689.48 49.86%
mountainous
TOTAL 7,399.61 100.00%
Source: CLUP 1994-2003

2. GEO-HAZARD MAPPING
The Mines and Geosciences Bureau, Region VII (MGB-7) conducted a field assessment
of landslide and flood prone barangays in the municipality of San Fernando, Cebu.
The rapid field assessment focused on the municipality’s twenty-one (21) barangays
situated on foot slopes, mid slopes, and mountain ridges and those that are
located near rivers. Each barangay was given a rating of low, moderate, or high
landslide susceptibility, where applicable.
Landslide and Flood Susceptibility Map || Source: San Fernando CDP 2022-2025

3. RISKS OR HAZARDS, OUTBREAKS, AND THEIR IMPACTS TO THE MUNICIPALITY OF
SAN FERNANDO
Disaster History
There is no recorded major disaster in the historical timeline of the Municipality of San
Fernando.
Hazards and Exposure

San Fernando is exposed to various geological and climate-related hazards. These
natural hazards will have an impact in the people, economy, infrastructure, and
natural resources in varying degrees.
Typhoon
There are two types of monsoon winds in the Philippines, the southwest monsoon
(May-October) or known as the “Habagat”, and the dry winds of the northeast
monsoon (November-April) called the “Amihan”. The Habagat season is characterized
by cold and hot humid weather, frequent heavy rainfall, and typhoons with a
prevailing wind from the west. The Amihan season is characterized by hot
temperatures, little or no rainfall, and a prevailing wind from the east.
San Fernando is susceptible to typhoons where strong winds will expect to damage
houses and infrastructures, business utilities, agriculture farms and other possible
source of livelihood of the populace.
All 21 barangays of San Fernando are susceptible to typhoon.
Storm Surge
A storm surge is the temporary rise of sea level above that of the predicted tide. It is
caused by strong winds and low atmospheric pressure associated with the passage of
a typhoon. The period of a storm surge varies from a few minutes to a few hours
depending on the speed of the typhoon. Storm surges can have negative impacts on
the fishery, corals, seagrasses, mangroves, and sanctuary. Storm surge can exert
adverse impacts on San Fernando particularly when coinciding with typhoons. The
strong and rushing water current can cause erosion and siltation along water channels
in the south of the island (including the sanctuary) and shoreline.
Barangays Pitalo, San Isidro, North Poblacion, Sangat and Balud have high vulnerability
to storm surge. Moderate to high vulnerability is noted in Barangays South Poblacion,
Panadtaran, Magsico, Tubod, Balungag, Tabionan, Liburon, Lantawan and South
Poblacion.
Flooding
A flood is an overflow of an expanse of water that submerges land not normally
covered with water. Flooding may result from the volume of water within a body of

water, such as, a river or lake, which overflows or breaks levels. Floods often cause
damage to homes and businesses if they are placed in natural flood plains of rivers.
Flooding is activated by typhoons and heavy rainfall. Clogged drainage aggravated the
situation.
While all barangays are vulnerable to flooding, Barangays Magsico, Tubod, Balungag,
Tabionan, Liburon, Lantawan, South Poblacion, Sangat and Pitalo are noted to have
moderate to high vulnerability.
Rain-induced Landslide
Landslides may occur due to limestone elements in some areas and high slopes
conditions. Upland barangays are exposed to this hazard. Continued heavy rainfall
will trigger both flooding and landslides. The Geo-hazard map depicted an exposed
3,374,305 hectares under high and 2,866.84 hectares’ moderately susceptibility to
landslides. The indiscriminate cutting of trees and the continued mining activities are
among the man-made causes that contributed to the landslide’s risks.
In the Municipality of San Fernando, all barangays are susceptible to landslides. In July
2019, a landslide occurred at the boundary of Barangays Tabionan and Tinubdan in
San Fernando which caused inconvenience to motorists since they were advised to
take alternate routes as the road is still obstructed with the eroded mass of soil.
All barangays are vulnerable to landslide, while Barangays Ilaya, Tañanas, Tinubdan,
Basak, Tonggo, Lantawan and Greenhills have high vulnerability.
Liquefaction
Liquefaction is a phenomenon associated with earthquakes. It is the transformation
of stable soil into a fluid due to intense ground shaking. Liquefaction renders the
ground incapable of supporting structures.
Some barangays have strong potential for liquefaction. The soil in these areas is
characterized as poorly consolidated overlays. Seven (7) Barangays are susceptible to
liquefaction. These are Barangays Balud, Panadtaran, Pitalo, Poblacion North,
Poblacion South, San Isidro and Sangat.
Sea-level rise and coastal erosion

The seven (7) coastal barangays are vulnerable to sea level rise, but the degree of
exposure and susceptibility decreases in Barangays San Isidro, Panadtaran, and Balud
due to the presence of mangroves.
Temperature Increase
The Climate Change Vulnerability Assessment (CCVA) signaled that increases in
temperatures are expected to affect the coastal and marine ecosystems, upland areas,
urban and ecological conditions. For the coastal ecosystem, warmer ocean
temperature results in degradation of marine and aquatic resources including coral

reefs and other marine habitats that further leads to decline in fish production and
economic loss for fisher folks. For the upland ecosystem, projected temperature
increases, and its intensity will lead to damage and destruction of subsistence and
crops, forest fires, and may lead to reduction in water volume on streams, rivers and
springs. This disturbance can have an impact in widespread loss to agricultural loss
and decrease in household income.
Drought
Drought is a prolonged period of abnormally low rainfall, leading to a shortage of
water. There was a prolonged El Niño in 2015-2016, the wells in the cities and province
of Cebu were drying up and seawater has been seeping into the deep wells. The
persistent shortage has led government officials to propose buying water from nearby
Bohol Island but was opposed by local officials of Bohol.
Droughts are observed in seven (7) Barangays in San Fernando, namely Balud,
Panadtaran, Pitalo, Poblacion North, Poblacion South, San Isidro and Sangat.
Heavy Rainfall
Heavy rainfall increases the risk to surface run-off resulting to soil erosion and river
siltation and this is also being aggravated by bad farming practices.
Vulnerability per Hazard

The Municipality of San Fernando has updated Hazards maps obtained through the
help of the Provincial Government through the Provincial Disaster Risk Reduction
Management Office (PDRRMO). The hazard maps are summarized in Table 5, showing
the types and level of hazards and the affected barangays at risk.
Types and Level of Hazards per Barangay
Type Hazard Level Affected Barangays

High to
Typhoon All 21 barangays
moderate
High Pitalo, San Isidro, North Poblacion, Sangat, Balud
Storm Surge /
High to
Sea Level Rise South Poblacion, Panadtaran
moderate
High to Magsico, Tubod, Balungag, Tabionan, Liburon,
moderate Lantawan, South Poblacion, Sangat, Pitalo
Flood Moderate to Bugho, Ilaya, Balud, Greenhills, Tinubdan, North
Natural
low Poblacion, Tananas, Panadtaran
Low Tonggo, Basak
Ilaya, Tananas, Tinubdan, Basak, Tonggo, Lantawan,
High
Greenhills
Rain-induced Cabatbatan, Bugho, Magsico, Tubod, Balungag,
Moderate
Landslide Liburon
Balud, Pitalo, San Isidro, North Poblacion, South
Low
Poblacion

Earthquake
induced high Tubod
landslide
LOCAL CLIMATE CHANGE SCENARIO OF THE MUNICIPALITY OF SAN FERNANDO,

CEBU:
Climate change is happening now. Evidence being seen support the fact that the
change cannot simply be explained by natural variation. The most recent scientific
assessments have confirmed that this warming of the climate system since the mid-
20th century is most likely to be due to human activities; and thus, is due to the
observed increase in greenhouse gas concentrations from human activities, such as
the burning of fossil fuels and land use change. Current warming has increasingly
posed quite considerable challenges to man and the environment and will continue to
do so in the future. Presently, some autonomous adaptation is taking place, but we
need to consider a more pro-active adaptation planning to ensure sustainable
development.
What does it take to ensure that adaptation planning has a scientific basis? Firstly, we
need to be able to investigate the potential consequences of anthropogenic or human
induced climate change and to do this, a plausible future climate based on a reliable
and accurate baseline (or present) climate must be constructed. This is what climate
scientists call a climate change scenario. It is a projection of the response of the
climate system to future emissions or concentrations of greenhouse gases and
aerosols and is simulated using climate models. Essentially, it describes possible future
changes in climate variables (such as temperatures, rainfall, storminess, winds, etc.)
based on baseline climatic conditions.
German Development Cooperation-Global Initiative on Disaster Risk Management

(GIZ-GIDRM) develop a method on how to downscale global climate model into local
climate projection. The climate change scenarios outputs (projections) are an
important step forward in improving our understanding of our complex climate,
particularly in the future. These show how our local climate could change dramatically
should the global community fail to act towards effectively reducing greenhouse gas
emissions. This will also help the local government unit to have a better programs and
services in their local climate actions and disaster risk reduction and management
plans.
Many municipalities and cities in the Philippines are interested in having a climate
change data customized to their locality. This applies especially if these Local
Government Unit (LGUs) have diverse topography (e.g., lowlands and mountains) like
the case of the Municipality of San Fernando, Cebu.
The Climate Change Vulnerability Assessment (CCVA) signal that increases in

temperatures are expected to affect the coastal and marine ecosystems, upland areas,
urban and ecological conditions. For the coastal ecosystem, warmer ocean

temperature results in degradation of marine and aquatic resources including coral
reefs and other marine habitats that further leads to decline in fish production and
economic loss for fisher folks. For the upland ecosystem, projected temperature
increases, and its intensity will lead to damage and destruction of subsistence and
crops, forest fires, and may lead to reduction in water volume on streams, rivers, and
springs. This disturbance can have an impact in widespread loss to agricultural loss
and decrease in household income.
Below are the results of local climate change projection of the Municipality of San
Fernando, Cebu with the following scenarios:
Precipitation Changes –The graph below, downscaled global climate model disagree
to some extent about the future trends for rain in San Fernando, Cebu. Low confidence
in prediction. No increase in annual rain until the middle of the century (~2,500mm).
trends for extreme rain events cannot be deducted from the models.
Precipitation Changes from Climate Change Scenarios in % for year 2020 and 2050
respectively for San Fernando.
Mean Temperature –Mean temperature increase of more or less 0.5 degree Celsius
until 2020s are very likely and about 1.0 degree Celsius until 2050s in San Fernando,
Cebu. Little direct relevance for natural disasters, but probably for other aspects
(water supply, agriculture, health).
Mea n temp era ture fro m Cl imat e Cha nge Sc enar io s i n de gree s Ce ls iu s f or year
2020 an d 2 050 re spe ct iv el y f or Sa n Fer nan do, C ebu .

Maximum Temperature – Maximum temperature scenario for 2020 and 2050 has
unnoticeable difference to mean temperature scenario presented above for the
Municipality of San Fernando. Once again the scenario provides little direct relevance
for natural disasters, but the probability for a long term effect to sector of water,
agriculture, and health.
M A X I M U M T E M P E R A T U R E F R O M C L I M A T E C H A N G E S C E N A R I O S I N D E G R E E S C E L S I U S F O R Y E A R 2020
A N D 2050 R E S P E C T I V E L Y F O R S A N F E R N A N D O , C E B U
Sea level Rise – According to the IPCC it is very likely that mean sea level rise will
contribute to upward trend in extreme coastal high water levels I the future. There is
high confidence that locations currently experiencing adverse impacts such as coastal
erosion and inundation will continue to do so in the future due to increasing sea levels,
all other contributing factors being equal.
Philippines Average Observed Sea level Rise

For the Province of Cebu up to 0.80 centimeters sea level rise per year may be
possible, but it is most likely less. This may increase tsunami and storm surge heights
and inundation area. The increase in sea level has also a correlation to the level water
in the riverine and bay areas like San Fernando.
The seven (7) coastal barangays are vulnerable to sea level rise, but the degree of
exposure and susceptibility decreases in Barangays San Isidro, Panadtaran, and Balud
due to the presence of mangroves.
Satellite based Sea Level Trend by National Oceanic and Atmospheric Administration (NOAA)
These climatic variabilities may lead public health diseases outbreak, pest infestation
to agricultural crops and some environmental problem. In the Municipality of San
Fernando in Cebu, the scenarios below are most likely to happen:
Disease Outbreak:
A disease outbreak is the occurrence of cases of disease more than what would
normally be expected in a defined community, geographical area, or season. An
outbreak may occur in a restricted geographical area or may extend over across
provinces. It may last for a few days or weeks, or for several years.
A single case of a communicable disease long absents from a population, or caused by

an agent (e.g., bacterium or virus) not previously recognized in that community or
area, or the emergence of a previously unknown disease, may also constitute an
outbreak and should be reported and investigated.
The most possible outbreaks that may occur in the municipality of San Fernando are
dengue fever, diarrhea, and typhoid. Dengue fever is an infectious tropical disease
caused by the dengue virus. Symptoms include fever, headache, muscle and joint

pains, and a characteristic skin rash that is like measles. In a small proportion of cases
the disease develops into the life-threatening dengue hemorrhagic fever, resulting in
bleeding, low levels of blood platelets and blood plasma leakage, or into dengue shock
syndrome, where dangerously low blood pressure occurs. Dengue is transmitted by
several species of mosquito within the genus Aedes, principally A. aegypti. The virus
has four different types; infection with one type usually gives lifelong immunity to that
type, but only short-term immunity to the others.
In 2015, there was a 200 percent increase in dengue fever cases in the Province of
Cebu which prompted the Cebu Provincial Board to declare a dengue outbreak in the
whole province. The Municipality of San Fernando was among the top ten areas in the
province of Cebu that reported the greatest number of dengue cases with 238 cases
and 1 death.
In 2016, San Fernando registered 238 cases, with one death. In 2018, the municipality
was still among the top ten areas in Cebu Province that reported the greatest number
of dengue cases in 2018. In the same year, the LGU firmed up the following major
components in dengue surveillance: vector surveillance and monitoring of
environmental and social risks.
Diarrhea is the condition of having three or more loose or liquid bowel movements
per day. It is a common cause of death in developing countries and the second most
common cause of infant deaths worldwide. The loss of fluids through diarrhea can
cause dehydration and electrolyte disturbances such as potassium deficiency or other
salt imbalances.
Typhoid is a common worldwide bacterial disease, transmitted by the ingestion of

food or water contaminated with the feces of an infected person, which contain the
bacterium Salmonella enteric, serovar Typhi. The bacteria then perforate through the
intestinal wall and are phagocytosed by macrophages. The organism is a Gram-
negative short bacillus that is motile due to its peritrichous flagella. The bacterium
grows best at 37°C / 98.6°F – human body temperature
Urban informal Settlements Fire:

The ability to make fire is one of society’s earliest and most essential innovations, but
fire poses a significant threat when it gets out of control (Alam and Baroi, 2003, p.35).
The impact of fire is frequently severe and has a devastating impact on its victims.
Fires which affect the poorest of the poor are especially damaging; those people who
are most vulnerable to the impact of fires yet least well equipped to deal with them
(Ibem, 2011, p.27). Informal settlements (or slums) are widespread in the urban areas
of many developing countries. Slums are particularly vulnerable to the risks posed by
many disasters and are often home to impoverished communities who are frequently
the poorest and most marginalized urban population (Pharoah, 2009, p.105)

The issue of fires in informal settlements is global, with large numbers of fire
incidences reported in countries throughout the world. However, 95% of the 300,000
or more deaths attributed to fire related burns per year, are from low and middle-
income countries (World health Organization, 2011, p.iv). Existing literature has
succinctly depicted the threats developing countries face in the forms of disasters such
as floods. However, urban fires (particularly in informal settlements) are often
disregarded or only mentioned in passing. The extent to which fires pose a threat to
the poorest demographic of society is inadequately documented and therefore poorly
understood, particularly in Asia which is home to the largest number of the world’s
slum dwellers (UN-Habitat, 2003, p.246).
Fire disasters in the Philippines are estimated to have affected 94,875 people in 2010.
The Philippines Disasters report (2010) indicates that fires were the second highest
cause of casualties from a disaster with 43 deaths (CDRC, 2010). What the report fails
to show is any explanation of what constitutes a disaster and distinctions between
different types of fires such as urban or wildfires. Figure 11 shows the distribution of
fatalities from disasters in 2010 in the Philippines. Fires cause nearly twice as many
deaths as flooding.
Figure 10:
Top Four Disasters in the Philippines in 2010 According to Casualties (CDRC, 2010)
24 deaths
32 deaths
137 deaths
43 deaths 137
deaths
Grass Fire:
Grass/Forest Fire become a disaster when combustion of carbon-based materials and
oxygen goes out of control and spread fast, threatening human life, homes and other
structures. Fires also affect agricultural crops, forest vegetation, and livestock during
dry seasons. Forest fire can be ignited by lightning during a sudden storm. It could also
be caused by burning agricultural wastes in adjoining farms or grazing areas without
fire breaks.

EMISSION AND CURRENT EMISSION REDUCTION EFFORTS:
GLOBAL AND PHILIPPINES GHG EMISSIONS

Global GHG emissions have grown markedly from 1990 to 2010. From its value of
38,258 MtCO23 in 1990, it has grown by 11,844 MtCO2 or 31% to 49,329 MtCO2 in
2010 largely attributed to the energy and industry sectors. Based on the 2010 figures,
the energy sector accounted for 35% of the total global emissions trailed by the
industry sector with 18% contribution and the agriculture and forestry sectors with
the same contribution of 11%. Other sources were transport (13%), buildings (8%) and
waste (4%).
The top emitter in the world is China, with an average GHG emissions of 7,666 MtCO2
and a global share of 17.15%. It is followed by the United States of America with GHG
emissions of 6,668 MtCO2 and a global share of 14.91%. Other countries in the top 5
emitters are Russia, India, and Indonesia with average GHG emissions of 2,721 MtCO2,
2,103 MtCO2 and 1,912 MtCO2, respectively.
In Southeast Asia, Myanmar comes second to Indonesia with 562 MtCO2 and with a
global share of 1.26% while the rest of the countries only account for 1% of the world
total.
The Philippines, which is considered as a net emitter of GHGs, ranked 6th in the region
with a share of only 0.31% of the world total. From 1990 to 2010, the Philippines’ GHG
emissions were still below the 200 MtCO2 level growing annually by 3.25% on the
average for the past 20 years.
GHG EMISSION REDUCTION EFFORTS:

There is no specific study or literature found by the Municipality of San Fernando
related to its contribution when it comes to GHG emission of the Philippines. However,
the LGU’s Executive Legislative Agenda (ELA) 2020-2022 contains initiatives that are
geared towards systemic and efficient environmental governance.
San Fernando’s ELA states that air pollution, particularly in the Poblacion, are mainly
due to build-up of pollutants from large vehicular population and the presence of two
cement plants. Significant contributory factors to urban air pollution are activities
which arise from uncontrolled burning of waste and improper incineration. The
principal sources of water pollution in urban areas are sewage, domestic, industrial
wastes, garbage, refuse pesticides and other chemicals.
Among the municipal goals to address the above issues are to: Increase pocket forest
areas in Alien and Disposable (A&D) lands, forest lands and mangrove areas, and
effectively implement their approved Forest Land Use Plan (FLUP). To achieve and
maintain clean and healthy air, the municipality intends to ensure the protection of

public health by practicing proper segregation, collection, transport, storage,
treatment and disposal of solid waste.
These are the contributions of San Fernando in the GHG reduction effort of Central
Visayas Region.
ELEMENTS, SECTORS, AND INSTITUTIONS EXPOSED TO CLIMATE CHANGE IMPACTS:
• Human Assets Exposed to Climate Change Impacts:

• People living in hazard prone areas
• Coastal areas are densely populated
• Low literacy rates on understanding disaster preparedness climate change
impact
• Lack of educational or skills training opportunities
• Prevalence of illnesses such as dengue, typhoid, diarrhea etc.
• Schooling of children hampered
• Lack of able-bodied men or women to do other livelihood activities
• Social Assets Exposed to Climate Change Impacts:
• Reluctant barangay officials: Some barangay officials are not responsive
• IEC campaign has not reached the households.
• “Bahalana” Attitude of some people
• Limited specialize equipment and facilities for the vulnerable sectors or people
with special needs
• Adverse psycho-social condition of certain segments of the population
especially the elderly, the very young, infirm and persons with disabilities
• Community has few or no other social groups
• Government service do not reach members of the community especially in the
mountain barangays
Economic Assets Exposed to Climate Change Impacts:
• High poverty incidence in some barangays

• Dependency on service-related jobs such as tourist guide, tourist boat
operators, pedicab driver, kargador and sidewalk vendors
• No easily saleable assets or savings
• Very few job or work opportunities available
• Market closed during disasters
• Lack of means to buy food, medicine, and shelter material
Physical Assets Exposed to Climate Change Impacts:
• Limited flood control system

• Poor drainage conditions

• Dwellings and other structures are built along coastal areas thereby expose to
high impact on storm surge and sea level rise
• Poor road conditions in some barangays located in the mountain areas.
• Limited evacuation centers
• House design and structure not strong enough to resist common hazards
• Roads and bridges not usable by motor vehicles for some month of the year
• Water transmission and distribution lines destroyed by flashfloods
• Electric posts and distribution lines destroyed by storm and flash flood
• Shortage of tools needed to maintain livelihoods or lack of protection from
hazards
Natural Assets Exposed to Climate Change Impacts:
• Denuded forests aggravate flood risks

• Absence of trees, due to human activity or climatic factors
• Upland areas are susceptibility to erosion& landslide, some areas remain flood
prone
• Absence of waste management system – contaminated water resources &
clogs waterways
• Surface water not consistently available throughout the year
• Fish stocks reduced through over-fishing, siltation, or pollution
• Soil impoverished due to mono-cropping and erosion
Productivity Assets Exposed to Climate Change Impacts:

• Limited insurance coverage for crops, structures & facilities.
• Destruction of productive agricultural areas (crops, livestock) and farm
machineries unserviceable
• Destruction of tourism-related establishments (resort, spas, restaurants, and
café)
• Loss of vegetation cover and wildlife
• Sources of livelihood affected
• Destruction of agricultural lands
• Siltation of rivers
• Destruction of commercial and industrial infrastructures
• Low productivity
• Loss of marketable products

A. SUMMARY AND FINDINGS OF VULNERABILITY ASSESSMENT (Exposure, sensitivity and adaptive capacity)
Summary Table for Assessing Vulnerability, Climate and Disaster Risk Reduction Options
VULNERABILITY Program,
Program, plans
plans or Program, plans or
or actions to
Sector Exposure Sensitivity Adaptive Capacity IMPACTS actions to actions to Increase
Reduce
Variabl Reduce Coping Capacity
Indicator Source Variable Indicator Source Variable Indicator Source Exposure
e Sensitivity
Physic Roads Concrete - MEO Flooded Concrete - MEO and Road Roads that are MEO and Heavy traffics, Road Road signage, Fast track road
al 3.7km., and roads 3.7km., Rough Brgy Officials rehabilitation, affected by flood Brgy. prone to rehabilitation, traffic rehabilitation
Rough Brgy. road – 1.9km. road Officials accidents road clearings enforcers in
road – Officials concreting, unpassable to all and traffic severely
1.9km. types of vehicles enforcers affected
brgys.
Drainag Absence of MEO Part of Portion of roads MEO and Intensive All roads during MEO and Overflowing of Clearing and Require all Fast track on the
e and drainage and National, in urban areas. Brgy. Officials warning to the the overflow of Brgy. populated water dredging/deepe affected rehabilitation
Canals plan in the Brgy. Provincial, community not drainage/canals officials ning of households to /construction of
LGU; Officials Municipal to cross on the drainage/canal comply the drainage system
Inadequat and flooded area SWM law
e Barangay especially on
drainage/c roads proper
anals – garbage
1.2km. disposal

Social Health Airborne RHU/ All 21 Children, PWDs, RHU/BHW Medical Community base RHU/BH Cause death and Thorough Early Massive IEC in all
and diseases BHW barangays pregnant management of mobilization of W escalate sickness community detection of brgys on community
Well- may arise, women, senior diseases, IEC, health workers to health symptomatic health awareness
being urti, citizens, people, flyers, & health monitor the assessment and disease program
various farmers, street monitoring Children, PWDs, monitoring
skin cleaners having pregnant women,
diseases, chronic disease senior citizens,
injury (HPN, DM, people, farmers,
&diarrhea, ASTHMATIC, street cleaners
Malnourished) having chronic
disease (HPN, DM,
ASTHMATIC,
Malnourished)
Social Safety Barangays MDRR Riverbank Barangays along MDRRMO/BD Early warnings Communication MDRRM Cause death, Relocation of Deepening & Full implementation
and along MO/ s, riverbanks, RRMC system through O/BDRR damage of affected Riprapping of of riprapping, soil
security riverbanks, BDRRM Landslide landslide prone handheld radios, MC properties & households riverbanks; conservation
to landslide C prone areas megaphone, trauma through contour
Natural prone areas cellphones, Riprapping, farming with check
Hazard area, landlines tree growing, dams
soil
conservation
through
contour
farming with
check dams
Peace Populated PNP/Br Juvenile Intelligence PNP/Brgy Police visibility Intelligence PNP/ Presence of Brgy tanod/ Arrest of Improve mobility,
and town gy. delinquen Report Officials/Civili in crime prone Report Brgy. crimes PNP patrol, criminals peace, and order,
Order prone to Officials cy, ans/Voluntee areas, IEC Officials visibility additional PNP
commissio proliferati rs personnel
n of crime on of
but illegal
manageabl substance
e

Econo Income Access to PESO/B Unemploy Job Fairs PESO/Brgy TESDA Training, Jobless PESO/Brg Job opportunities Encourage Less Reduce the
mic Opport Livelihood rgy ment & Officials Livelihood &unemployed y Officials more employment, employment level
unity of and job Officials Poverty Training persons establishments upliftment of and more job
the opportunit specially through DOLE and institutions poverty opportunities
People ies the for job problem
marginaliz opportunities
ed sectors and invite more
investors
Enviro Prone Conduct MENRO 21 Daily monitoring MENRO/Brgy Issued Notice Nangka, Jugan, MENRO/ Lessen the Relocation of Identification of
n- to survey / Brgy Barangays MENRO Officials to warnings to Tugbongan, Brgy number of illegal affected HHs Housing Project
mental illegal Officials personnel affected HHs Tayud, Officials settlers area
settlers Cansaga&Pitogo
B. HAZARD ASSESSMENT, VULNERABILITY AND CROSS SECTORAL ANALYSIS:
All 21 barangays of San Fernando, Cebu are vulnerable to typhoons. It affects 100% of the total land area of the municipality. It also affects
the 100% of the total population of the 21 barangays covering 13,256 households. See table below for the details and coverage of the flood.
HEV Human and Social Capital for TYPHOON

21 out of 21 Barangays of the Municipality of San Fernando, Cebu are Affected by Typhoon
Natural
Natural Capital
HAZARD Social/ Human EXPOSURE Social/ Human VULNERABILITIES Physical VULNERABILITIES Capital
Exposure
Vulnerabilities
NAME OF BARANGAY % OF AREA TOTAL AFFECTED
TOTAL AFFECTED % AFFECTED TOTAL
LAND AREA AFFECTED NUMBER OF AFFECTED % AFFECTED COLLAPSED DAMAGED AFFECTED AGRI
POPULATION NUMBER OF NUMBER OF AGRICULTURAL
(HA) BY HOUSEHOLD POPULATION POPULATION BUILDINGS ROADS LIFELINES CULTURAL
(2015) HOUSEHOLDS HOUSEHOLDS AREAS
TYPHOON (5.0) AREAS
1 Balud 300.19 100.00% 4,135 827 4,135 827 100.00% 100.00% 8.91 85
2 Balungag 548.91 100.00% 2,116 423 2,116 423 100.00% 100.00% 8.87 320
3 Basak 205.74 100.00% 1,017 203 1,017 203 100.00% 100.00% 4.84 59
4 Bugho 587.79 100.00% 1,317 263 1,317 263 100.00% 100.00% 7.26 315

5 Cabatbatan 452.14 100.00% 1,933 387 1,933 387 100.00% 100.00% 9.2 152
6 Greenhills 197.98 100.00% 2,508 502 2,508 502 100.00% 100.00% 6.09 60
7 Ilaya 531.72 100.00% 1,975 395 1,975 395 100.00% 100.00% 9.14 112
8 Lantawan 585.46 100.00% 2,054 411 2,054 411 100.00% 100.00% 18.3 204
9 Liburon 217.22 100.00% 995 199 995 199 100.00% 100.00% 5.02 93
10 Magsico 691.01 100.00% 2,188 438 2,188 438 100.00% 100.00% 15.28 359
11 Panadtaran 178.45 100.00% 5,400 1,080 5,400 1,080 100.00% 100.00% 4.6 45
12 Pitalo 237.2 100.00% 7,962 1,592 7,962 1,592 100.00% 100.00% 5.97 94
Poblacion
13 119.46 100.00% 4,444 889 4,444 889 100.00% 100.00% 8.03 25
North
Poblacion
14 150.3 100.00% 8,294 1,659 8,294 1,659 100.00% 100.00% 15.29 30
South
15 San Isidro 165.39 100.00% 4,128 826 4,128 826 100.00% 100.00% 11.3 30
16 Sangat 321.84 100.00% 5,910 1,182 5,910 1,182 100.00% 100.00% 11.09 65
17 Tabionan 620.86 100.00% 2,147 429 2,147 429 100.00% 100.00% 8.35 319
18 Tananas 427.57 100.00% 1,706 341 1,706 341 100.00% 100.00% 11.06 156
19 Tinubdan 330.07 100.00% 2,215 443 2,215 443 100.00% 100.00% 9.86 96
20 Tonggo 390.62 100.00% 2,110 422 2,110 422 100.00% 100.00% 9.8 152
21 Tubod 474.67 100.00% 1,726 345 1,726 345 100.00% 100.00% 7.56 253
TOTAL 7,735 100.00% 66,280 13,256 66,280 13,256 100.00% 100.00% 195.81 3,024.00
Risk to Landslide is high in the Municipality of San Fernando, 21 out of the 21 barangays are possibly affected, and can create damage similar to
areas badly hit by super typhoon Haiyan. See table below for the details and coverage of the flood.

HEV Human and Social Capital for LANDSLIDE
21 out of 21 Barangays of San Fernando, Cebu Affected by Rain-Induced Landslide
Social/ Human
HAZARD Social/ Human VULNERABILITIES Physical VULNERABILITIES
EXPOSURE
TOTAL CRITICAL
% OF AREA % AFFECTED
NAME OF BARANGAY LAND TOTAL NUMBER AFFECTED FACILITIES
AFFECTED AFFECTED % AFFECTED NUMBER OF DAMAGED AFFECTED
AREA POPULATI OF NUMBER OF (School/ Chapels/
BY POPULATION POPULATION HOUSEHOL ROADS LIFELINES
(HA) ON HOUSEHO HOUSEHOLDS Basketball courts
TYPHOON D
LD Gov't Building)
1 Balud 300.19 100% 4,135 827 3,255 829 79% 100% 8 8.91 8.91
2 Balungag 548.91 100% 2,116 423 2,270 589 107% 139% 4 8.87 11.21
3 Basak 205.74 100% 1,017 203 910 231 89% 114% 3 4.84 4.96
4 Bugho 587.79 100% 1,317 263 1,056 257 80% 98% 3 7.26 7.26
5 Cabatbatan 452.14 100% 1,933 387 3,253 785 168% 203% 5 9.20 12.16
6 Greenhills 197.98 100% 2,508 502 2,274 566 91% 113% 7 6.09 6.09
7 Ilaya 531.72 100% 1,975 395 2,300 595 116% 151% 4 9.14 10.35
8 Lantawan 585.46 100% 2,054 411 1,894 456 92% 111% 5 18.30 18.30
9 Liburon 217.22 100% 995 199 994 255 100% 128% 4 5.02 4.09
10 Magsico 691.01 100% 2,188 438 2,056 513 94% 117% 9 15.28 15.37
11 Panadtaran 178.45 100% 5,400 1,080 3,874 1,013 72% 94% 6 4.60 4.60
12 Pitalo 237.20 100% 7,962 1,592 6,418 1,691 81% 106% 6 5.97 5.97
13 Poblacion North 119.46 100% 4,444 889 3,243 884 73% 99% 2 8.03 7.98
14 Poblacion South 150.30 100% 8,294 1,659 5,575 1,469 67% 89% 16 15.29 14.70
15 San Isidro 165.39 100% 4,128 826 3,173 888 77% 108% 8 11.30 8.82
16 Sangat 321.84 100% 5,910 1,182 3,459 865 59% 73% 8 11.09 11.08
17 Tabionan 620.86 100% 2,147 429 2,070 553 96% 129% 3 8.35 10.19
18 Tananas 427.57 100% 1,706 341 1,500 305 88% 89% 3 11.06 11.47
19 Tinubdan 330.07 100% 2,215 443 2,148 511 97% 115% 3 9.86 9.90
20 Tonggo 390.62 100% 2,110 422 1,712 438 81% 104% 3 9.80 9.77
21 Tubod 474.67 100% 1,726 345 2,331 591 135% 171% 4 7.56 12.01
TOTAL 7,735 100% 66,280 13,256 55,765 14,284 93% 108% 114 195.81 205.21

For Flood, 21out of 21 barangays in the Municipality of San Fernando are also affected, it affects 27.6% of the total land area of the
municipality. It also affects the 14% of the total population of the 21 barangays covering 13,256 households. See table below for the details
and coverage of the flooding.
HEV Human and Social Capital for FLOOD

21 out of 21 Barangays of San Fernando, Cebu are Affected by Flood
HAZARD Social/ Human EXPOSURE Social/ Human VULNERABILITIES
NAME OF BARANGAY % OF AREA TOTAL AFFECTED % AFFECTED

LAND TOTAL AFFECTED % AFFECTED
AFFECTED NUMBER OF NUMBER OF NUMBER OF
AREA (HA) POPULATION POPULATION POPULATION
BY FLOOD HOUSEHOLD HOUSEHOLDS HOUSEHOLD
1 Balud 300.19 20 4,135 827 661 171 16% 21%

2 Balungag 548.91 30 2,116 423 138 36 7% 9%
3 Basak 205.74 20 1,017 203 30 7 3% 3%
4 Bugho 587.79 30 1,317 263 47 12 4% 5%
5 Cabatbatan 452.14 20 1,933 387 116 29 6% 8%
6 Greenhills 197.98 40 2,508 502 36 7 1% 1%
7 Ilaya 531.72 20 1,975 395 284 79 14% 20%
8 Lantawan 585.46 30 2,054 411 103 29 5% 7%
9 Liburon 217.22 40 995 199 63 18 6% 9%
10 Magsico 691.01 30 2,188 438 192 48 9% 11%
11 Panadtaran 178.45 40 5,400 1,080 743 193 14% 18%
12 Pitalo 237.2 45 7,962 1,592 1,453 362 18% 23%
13 Poblacion North 119.46 20 4,444 889 1,567 406 35% 46%
14 Poblacion South 150.3 50 8,294 1,659 1,130 316 14% 19%

15 San Isidro 165.39 25 4,128 826 1,129 319 27% 39%
16 Sangat 321.84 35 5,910 1,182 787 186 13% 16%
17 Tabionan 620.86 20 2,147 429 106 45 5% 10%
18 Tananas 427.57 15 1,706 341 60 17 4% 5%
19 Tinubdan 330.07 10 2,215 443 297 23 13% 5%
20 Tonggo 390.62 10 2,110 422 47 11 2% 3%
21 Tubod 474.67 20 1,726 345 95 27 6% 8%
TOTAL 7,735 27.6 66,280 13,256 9.084 2,341 14% 14%
HEV Human and Social Capital for STORM SURGE

7 out of 21 Barangays of San Fernando, Cebu are Affected by Storm Surge
Natural
Social/ Human Natural Capital
HAZARD Social/ Human VULNERABILITIES Capital Physical VULNERABILITIES
EXPOSURE Vulnerabilities
Exposure
% AREA
HEIGHT TOTAL AFFECTED AFFECTE
NAME OF BARANGAY LAN AFFECTE TOTAL AFFECT % of Affected
OF NUMBER NUMBER % AFFECTED % AFFECTED Total D Damaged
D D BY POPULAT ED Affected Beach Commercial
STORM OF OF POPULATIO NUMBER OF Mangrove Mangrov Fishing
AREA STORM ION POPUL Mangrov Infrastruc Ports
SURGE HOUSEHOL HOUSEHOL N HOUSEHOLD Area (Has) e Areas Boats
(HA) SURGE (2015) ATION e Areas ture
(M) D DS (Has.)
(HA)
1 Balud 118.5 5 4,135 827 458 128 11% 15% 5.75 2.96 51% 54 1
2 Balungag 2,116 423 0% 15
3 Basak 1,017 203 0%
4 Bugho 1,317 263 0% 15
5 Cabatbatan 1,933 387 0%
6 Greenhills 2,508 502 0%
7 Ilaya 1,975 395 0% 3
8 Lantawan 2,054 411 0%
9 Liburon 995 199 0%

10 Magsico 2,188 438 0%
11 Panadtaran 83.3 5 5,400 1,080 313 76 6% 7% 4.01 2.43 60.62% 40 0
12 Pitalo 354.2 5 7,962 1,592 1200 318 15% 20% 74 0
13 Poblacion North 37 5 4,444 889 280 76 6% 9% 85 1 0
14 Poblacion South 219.1 5 8,294 1,659 901 247 11% 15% 307 1 1
15 San Isidro 150.2 5 4,128 826 192 50 5% 6% 8 5.86 73.26% 47 1 0
16 Sangat 213.7 5 5,910 1,182 169 44 3% 4% 2.24 0.81 36.12% 20 0
17 Tabionan 2,147 429 0%
18 Tananas 1,706 341 0%
19 Tinubdan 2,215 443 0%
20 Tonggo 2,110 422 0%
21 Tubod 1,726 345 0% 15
7,73
TOTAL 1,176.00 66,280 13,256 3,513 939 5% 7% 20 12.06 60% 675
5
HEV Human and Social Capital for LIQUEFACTION

7 out of 21 Barangays of San Fernando, Cebu are Affected by Liquefaction
HAZARD Social/ Human EXPOSURE Social/ Human VULNERABILITIES Physical VULNERABILITIES
AREA AFFECTED TOTAL
NAME OF BARANGAY TOTAL TOTAL NUMBER TOTAL % AFFECTED DAMAGED
LAND BY NUMBER OF % AFFECTED AFFECTED BEACH
POPULATION OF POPULATION NUMBER OF FISHING COMMERCIAL PORTS
AREA (HA) LIQUEFACTION HOUSEHOLDS POPULATION INFRASTRUCTURE
(2015) HOUSEHOLDS AFFECTED HOUSEHOLDS BOATS
(HA) AFFECTED
1 Balud 300.19 4,135 827 1,162 294 28% 36% 54 1
2 Balungag 548.91 2,116 423 0% 0% 15
3 Basak 205.74 1,017 203 0% 0%
4 Bugho 587.79 1,317 263 0% 0% 15
5 Cabatbatan 452.14 1,933 387 0% 0%
6 Greenhills 197.98 2,508 502 0% 0%
7 Ilaya 531.72 1,975 395 0% 0% 3
8 Lantawan 585.46 2,054 411 0% 0%
9 Liburon 217.22 995 199 0% 0%
10 Magsico 691.01 2,188 438 0% 0%

11 Panadtaran 178.45 5,400 1,080 1,357 348 25% 32% 40 0
12 Pitalo 237.20 7,962 1,592 2,746 762 34% 48% 74 0
13 Poblacion North 119.46 4,444 889 1,649 466 37% 52% 85 1 0
14 Poblacion South 150.30 8,294 1,659 4,393 1,182 53% 71% 307 1 1
15 San Isidro 165.39 4,128 826 1,810 514 44% 62% 47 1 0
16 Sangat 321.84 5,910 1,182 1,139 273 19% 23% 20 0
17 Tabionan 620.86 2,147 429 0% 0%
18 Tananas 427.57 1,706 341 0% 0%
19 Tinubdan 330.07 2,215 443 0% 0%
20 Tonggo 390.62 2,110 422 0% 0%
21 Tubod 474.67 1,726 345 0% 0% 15
TOTAL 7,735 66,280 13,256 14,256 3,839 22% 29% 675
HEV Human and Social Capital for Drought

7 out of 21 Barangays of San Fernando, Cebu Affected by Drought
Natural Capital
HAZARD Social/ Human EXPOSURE Social/ Human VULNERABILITIES Natural Capital Vulnerabilities
Exposure
NAME OF BARANGAY % OF AREA

TOTAL AFFECTED % AFFECTED TOTAL
LAND AFFECTED TOTAL AFFECTED % AFFECTED
NUMBER OF NUMBER OF NUMBER OF AGRICULTURAL AFFECTED AGRICULTURAL AREAS
AREA (HA) BY POPULATION POPULATION POPULATION
HOUSEHOLD HOUSEHOLDS HOUSEHOLD AREAS
DROUGHT
1 Balud 300.19 85 4,135 827 4,135 827 100% 100% 85 85
2 Balungag 548.91 320 2,116 423 2,116 423 100% 100% 320 320
3 Basak 205.74 59 1,017 203 1,017 203 100% 100% 59 59
4 Bugho 587.79 315 1,317 263 1,317 263 100% 100% 315 315
5 Cabatbatan 452.14 152 1,933 387 1,933 387 100% 100% 152 152
6 Greenhills 197.98 60 2,508 502 2,508 502 100% 100% 60 60

7 Ilaya 531.72 112 1,975 395 1,975 395 100% 100% 112 112
8 Lantawan 585.46 204 2,054 411 2,054 411 100% 100% 204 204
9 Liburon 217.22 93 995 199 995 199 100% 100% 93 93
10 Magsico 691.01 359 2,188 438 2,188 438 100% 100% 359 359
11 Panadtaran 178.45 45 5,400 1,080 5,400 1,080 100% 100% 45 45
12 Pitalo 237.2 94 7,962 1,592 7,962 1,592 100% 100% 94 94
13 Poblacion North 119.46 25 4,444 889 4,444 889 100% 100% 25 25
14 Poblacion South 150.3 30 8,294 1,659 8,294 1,659 100% 100% 30 30
15 San Isidro 165.39 30 4,128 826 4,128 826 100% 100% 30 30

16 Sangat 321.84 65 5,910 1,182 5,910 1,182 100% 100% 65 65
17 Tabionan 620.86 319 2,147 429 2,147 429 100% 100% 319 319
18 Tananas 427.57 156 1,706 341 1,706 341 100% 100% 156 156
19 Tinubdan 330.07 96 2,215 443 2,215 443 100% 100% 96 96
20 Tonggo 390.62 152 2,110 422 2,110 422 100% 100% 152 152
21 Tubod 474.67 253 1,726 345 1,726 345 100% 100% 253 253
TOTAL 7,735 66,280 13,256 66,280 13,256 100% 100% 3,024.00 3,024.00
HOUSEHOLD BASED HAZARD SPECIFIC EVACUATION CENTER:
Household based hazard specific evacuation centers was considered as important information in CDRA to identify gaps in terms of available
evacuation centers in the Municipality of San Fernando. And it is important to note that it should be hazard specific to consider the lesson of
super typhoon Haiyan that people evacuated in an evacuation center that they think that are sturdy and can withstand strong winds from
typhoon, but unfortunately it was not safe for storm surge that cause the tremendous casualties in Tacloban City.

Household based Hazard Specific Evacuation Center
GAPS/
Total Total Total Number of Vulnerable Households to Specific Hazards Hazard Specific Evacuation Center
NEEDS
Name of Barangays Number of Number of RAIN RAIN
STORM STORM
Household Population FLOOD INDUCED DROUGHT LIQUEFACTION TYPHOON FLOOD INDUCED DROUGHT LIQUEFACTION TYPHOON
SURGE SURGE
LANDSLIDE LANDSLIDE
1 Balud 827 4,135 171 829 827 294 128 827
2 Balungag 423 2,116 36 589 423 423
3 Basak 203 1,017 7 231 203 203
4 Bugho 263 1,317 12 257 263 263
5 Cabatbatan 387 1,933 29 785 387 387
6 Greenhills 502 2,508 7 566 502 502
7 Ilaya 395 1,975 79 595 395 395
8 Lantawan 411 2,054 29 456 411 411
9 Liburon 199 995 18 255 199 199
10 Magsico 438 2,188 48 513 438 438
11 Panadtaran 1,080 5,400 193 1,013 1,080 348 76 1,080
12 Pitalo 1,592 7,962 362 1,691 1,592 762 318 1,592
Poblacion
13 889 4,444 406 884 889 466 76 889
North
Poblacion
14 1,659 8,294 316 1,469 1,659 1,182 257 1,659
South
15 San Isidro 826 4,128 319 888 826 514 50 826
16 Sangat 1,182 5,910 186 865 1,182 273 44 1,182
17 Tabionan 429 2,147 45 553 429 429
18 Tananas 341 1,706 17 305 341 341
19 Tinubdan 443 2,215 23 511 443 443
20 Tonggo 422 2,110 11 438 422 422
21 Tubod 345 1,726 27 591 345 345
TOTAL 13,256 66,280 2,341 14,284 13,256 3,839 939 13,256

EXPOSURE TO CLIMATIC VARIABILITY:
In the table below, shows the exposures of vulnerable sectors to certain climatic variability scenarios. This is a very good information for the
LGUs in formulating and effective and efficient climate change adaptation and mitigation plan that will benefit to human and social capital of
the municipality.
San Fernando Exposure to Climatic Variability
CLIMATE HAZARD
Stronger winds
Total Population
Increasing Temperature compared to the past Strong Typhoons More rains Compared to the past More Floods More frequent Flooding due to rainfall Rainfall induced landslide
NAME OF years
BARANGAYS
PWD
Children
Children
Children
Children
Children
Children
Children
Elderly
Elderly
Elderly
Elderly
Elderly
Elderly
Elderly
PWD
PWD
PWD
PWD
PWD
PWD
1 Balud 4,135 34 33 933 34 33 933 34 33 933 34 33 933 34 33 933 34 33 933 34 33 933
2 Balungag 2,116 8 0 477 8 0 477 8 0 477 8 0 477 8 0 477 8 0 477 8 0 477
3 Basak 1,017 8 0 229 8 0 229 8 0 229 8 0 229 8 0 229 8 0 229 8 0 229
4 Bugho 1,317 15 0 297 15 0 297 15 0 297 15 0 297 15 0 297 15 0 297 15 0 297
5 Cabatbatan 1,933 48 0 436 48 0 436 48 0 436 48 0 436 48 0 436 48 0 436 48 0 436
6 Greenhills 2,508 24 0 566 24 0 566 24 0 566 24 0 566 24 0 566 24 0 566 24 0 566
7 Ilaya 1,975 12 0 224 12 0 224 12 0 224 12 0 224 12 0 224 12 0 224 12 0 224
8 Lantawan 2,054 15 0 463 15 0 463 15 0 463 15 0 463 15 0 463 15 0 463 15 0 463
9 Liburon 995 12 0 224 12 0 224 12 0 224 12 0 224 12 0 224 12 0 224 12 0 224
10 Magsico 2,188 20 0 494 20 0 494 20 0 494 20 0 494 20 0 494 20 0 494 20 0 494
11 Panadtaran 5,400 64 32 1218 64 32 1218 64 32 1218 64 32 1218 64 32 1218 64 32 1218 64 32 1218
12 Pitalo 7,962 68 105 1796 68 105 1796 68 105 1796 68 105 1796 68 105 1796 68 105 1796 68 105 1796
13 Poblacion North 4,444 45 75 1003 45 75 1003 45 75 1003 45 75 1003 45 75 1003 45 75 1003 45 75 1003

14 Poblacion South 8,294 75 128 1871 75 128 1871 75 128 1871 75 128 1871 75 128 1871 75 128 1871 75 128 1871
15 San Isidro 4,128 36 76 931 36 76 931 36 76 931 36 76 931 36 76 931 36 76 931 36 76 931
16 Sangat 5,910 29 47 1333 29 47 1333 29 47 1333 29 47 1333 29 47 1333 29 47 1333 29 47 1333
17 Tabionan 2,147 12 0 484 12 0 484 12 0 484 12 0 484 12 0 484 12 0 484 12 0 484
18 Tananas 1,706 11 0 385 11 0 385 11 0 385 11 0 385 11 0 385 11 0 385 11 0 385
19 Tinubdan 2,215 10 0 500 10 0 500 10 0 500 10 0 500 10 0 500 10 0 500 10 0 500
20 Tonggo 2,110 19 0 476 19 0 476 19 0 476 19 0 476 19 0 476 19 0 476 19 0 476
21 Tubod 1,726 16 0 389 16 0 389 16 0 389 16 0 389 16 0 389 16 0 389 16 0 389
TOTAL 66,280 581 496 14,951 581 496 14,951 581 496 14,951 581 496 14,951 581 496 14,951 581 496 14,951 581 496 14,951
RECORDS OF DISASTERS:
This tool has been used in CDRA to recall the severity of impact of every disaster that happens in the municipality for the past 20-30 years. This
is very important for the community to undergo such activity to establish the worst-case scenarios based on their actual experience in the past,
so that they can now foresee the possible damages and the important things they need to do to prepare or to adapt future scenarios. Below are
the results of record of disasters happen in the Municipality of San Fernando in Cebu.
Record of Disasters
TYPE OF DISASTERS Flood in Highway Pitalo
DATE OF OCCURRENCES November 3, 2016

Height: .5 meters
IMPACT AND STRENGTH
Area: Covers 20% of the total land areas

LOSS OF LIVES/ INJURED None
More or less 326 houses submerged to .5 meters of flooding with an estimated pf Php 500K damaged of
DAMAGE TO PROPERTIES
properties
DAMAGE TO INFRASTRUCTURES (PRIVATE/

None
GOVERNMENT)
DAMAGE TO AGRICULTURE None

DAMAGE TO ENVIRONMENT
ESTIMATED AMOUNT OF DAMAGE 1.5 Million

B. DEMOGRAPHIC PROFILE
The Municipality of San Fernando, Cebu

is a second-class municipality located at
the south part of Metro Cebu. It is about
29.3 kilometers from its capital Cebu
City. It has a population of about 74,957
inhabitants per 2022 national census.
Majority of the people are employees
and entrepreneurs, with some who
traditionally rely on its land assets for
farming and livestock raising, and the
water or sea for fishing. At present San
Fernando is a home to magnificent
resorts that are one of the tourist
attractions in Cebu. However, there is
still much potential for the municipality
for tourism with its undeveloped natural
resources such as natural springs,
waterfalls, and caves.
San Fernando is located along Bohol Strait on

its East and just across Bohol Island. It is
composed of twenty-one (21) barangays where
seven (7) of which are coastal barangays. The
other fourteen (14) barangays are considered
upland barangays. The municipality is bounded
politically as a local government with the City
of Naga in the North, Carcar City in the South,
and Municipality of Pinamungajan in the West.
The total land area of the Municipality of

San Fernando is about 7,707.83 hectares with
7,687.83 hectares of Alienable and Disposable
lands equivalent to about 99.74% percent of
the total land area and 20 hectares of
forestland covering 0.26% percent of the total
land area. San Fernando at present is an
emerging municipality where industries and
investors increase, it is for this primary reason
that a well-structured plan should be in place
to maintain balance between nature and development.

Total population 74,957 (year 2022)
Annual population growth rate 2.04%
Population density 281 per hectare
Number of households 17,430
Average household size 4.3 members
CRUDE BIRTH RATE

YEAR Rate
2017 11.03%
2018 9.30%
2019 8%
2020 9.33%
2021 7.18%
CRUDE DEATH RATE
YEAR Rate
2017 3.15%
2018 3.20%
2019 5.53%
2020 3.90%
2021 5.79%
12 11.03
9.3 9.33
10
8
8 7.18
5.53 5.79
6
3.9
4 3.15 3.2
0
2017 2018 2019 2020 2021
CRUDE BIRTH RATE CRUDE DEATH RATE
Persons
Infant with Senior Citizen
Vulnerable Disability
populations pls. see Age
810 as per
Distribution 6200 as per MSWDO
MSWDO
Table
LOCATION AND ACCESSIBILITY

The municipality of San Fernando is located 29.3 kilometers south of Cebu City. Its
boundaries are the following: North – the City of Naga; South – the City of Carcar;

North -the municipality of Pinamungahan; South - the City of Carcar and on the East
– the Bohol strait. It has 7,707.83 hectares or 77.083 square kilometers in land
area. Its coastline stretches approximately 8.6 kilometers.
San Fernando
ECOLOGICAL AND BIOLOGICAL PROFILE:
The Municipality of San Fernando comprises a total area of 7,707.83 hectares covering
twenty-one (21) barangays. It has an equivalent area for forestland of 20 hectares
comprising .26% of its total land area. A vast majority of the actual forestland use of
San Fernando covers natural forest category at 41%. Next to natural forest category is
the mud plot category at only 24%. The rest are distributed to minimal categories as
barren land (23%) and built up which is (13%). As an observation San Fernando has a
minimal coverage at only 41% of natural forest which gives us an idea to organize more
greening projects in our municipality through tree planting and nurturing.
The 20 hectares Forestland with mangroves and mud plot is located at four coastal
barangays: San Isidro, Panadtaran, Balud and Sangat. The rest of the coastal barangay
have mangrove in their foreshore area. It has the coastal stretch is approximately 8.3
kilometers covering 1454.9 hectares or 19% of the total land area of the municipality.

In the natural forests lives some wild animals such as bitin, tibas, yoho, haw,
bayawak, lumod, kokok, sayawkuga-kuga, tokmol, milok, manatad, goryon,
tambubukag, siloy, tikarol, tangkig, tabon, bangkiyod, tibas, gansiyang,
mayangbungol, taguso. They also found some wild plants such as Boyok fern,
batilis, kamo-kamo, cadena de amor, simsim, turokbanwa, otot-otot,
damadenoche. There are 5 caves, 26 springs, and 1 waterfall identified by the
residents of the area.
Coastal Areas
San Fernando’s mangroves cover a total of twenty-nine (29) hectares and were
generally in good condition. Seagrass and seaweeds were found in some
barangays. The marine ecosystem serves as a source of livelihood for coastal
communities. The mangroves serve as excellent spawning grounds and
nursery for many species and should be protected as coastal conservation
areas. They also play an important role in storm protection for low lying land
and natural protection against shoreline erosion.
There are the endemic species in the area but many of those species live in
what has now been characterize as disturbed habitats due to rapid
urbanization. Identified likewise as common threats to biodiversity include
hunting, habitat alteration, illegal settlements, land conversion, deforestation.
Forest and marine habitats are becoming increasingly exposed to landslides
and storms. Climate change poses a big threat to the survival of vulnerable
changes and increasingly acidity of the soil and the sea. Mangroves serve as
excellent spawning grounds and nursery for numerous species hence should
be protected as coastal conservation areas. Mangroves also play an important
role in storm protection for low lying land and natural protection against
shoreline erosion.
Biodiversity
Noted are the endemic species in the area but many of those species live in
what has now been characterize as disturbed habitats due to rapid
urbanization. Identified likewise as common threats to biodiversity include
hunting, habitat alteration, illegal settlements, land conversion, deforestation.
Forest and marine habitats are becoming increasingly exposed to landslides
and storms. Climate change poses a big threat to the survival of vulnerable
changes and increasingly acidity of the soil and the sea. Mangroves serve as
excellent spawning grounds and nursery for numerous species hence should
be protected as coastal conservation areas. Mangroves also play an important
role in storm protection for low lying land and natural protection against
shoreline erosion.

THE ADMINISTRATIVE MAP OF THE MUNICIPALITY OF SAN FERNANDO

DEMOGRAPHIC PROFILE OF BARANGAYS (PROJECTED POPULATION:
2015-2020)
Annual
Populatio
Population Populati Populati Change n
Barangay percentage (20 on on (2015-202 Growth Ra
20) (2020) (2015) 0) te
(2015-202
0)
Balud 6.85% 4,950 4,135 19.71% 3.86%
Balungag 3.22% 2,324 2,116 9.83% 1.99%
Basak 1.31% 948 1,017 -6.78% -1.47%
Bugho 1.97% 1,422 1,317 7.97% 1.63%
Cabatbatan 2.87% 2,075 1,933 7.35% 1.50%
Greenhills 4.47% 3,229 2,508 28.75% 5.46%
Ilaya 3.54% 2,558 1,975 29.52% 5.60%
Lantawan 2.99% 2,157 2,054 5.01% 1.04%
Liburon 1.59% 1,145 995 15.08% 3.00%
Magsico 3.36% 2,430 2,188 11.06% 2.23%
Panadtaran 8.61% 6,219 5,400 15.17% 3.02%
Pitalo 10.92% 7,886 7,962 -0.95% -0.20%
Poblacion North 6.38% 4,606 4,444 3.65% 0.76%
Poblacion South 12.39% 8,948 8,294 7.89% 1.61%
San Isidro 6.28% 4,538 4,128 9.93% 2.01%
Sangat 9.18% 6,633 5,910 12.23% 2.46%
Tabionan 3.16% 2,285 2,147 6.43% 1.32%
Tananas 2.58% 1,861 1,706 9.09% 1.85%
Tinubdan 2.44% 1,764 2,215 -20.36% -4.68%
Tonggo 3.43% 2,479 2,110 17.49% 3.45%
Tubod 2.45% 1,767 1,726 2.38% 0.50%
San Fernando
72,224 66,280 8.97% 1.82%
Total
Source: Philippine Statistics Authority (PSA)
2022 POPULATION PER BARANGAY

Barangay 2022 Projected Population Number of Households
Balud 4676 1087
Balungag 2393 556
Basak 1150 267
Bugho 1489 346
Cabatbatan 2186 508
Greenhills 2836 659

Ilaya 2234 520
Lantawan 2323 540
Liburon 1125 262
Magsico 2474 575
Panadtaran 6107 1420
Pitalo 9005 2094
Poblacion
North 5026 1169
Poblacion
South 9380 2181
San Isidro 4669 1086
Sangat 6684 1554
Tabionan 2428 565
Tananas 1929 449
Tinubdan 2505 583
Tonggo 2386 555
Tubod 1952 454
TOTAL 74957 17430
Source: Philippine Statistics Authority (PSA)
SAN FERNANDO AGE DISTRIBUTION (2022)

Age Distribution Group
AGE Group Male Female Total
Under 1 year old 774 727 1501
0-6 mos 450 423 873
9-11 mos 192 183 375
0-59 mos 3780 3560 7340
6 mos 64 62 126
6-11 mos 386 364 750
12-23 mos 741 707 1448
15-59 mos 3007 2832 5839
0-1 yr. old 1512 1432 2944
0-14 yrs old 11271 10641 21912
1 year 741 707 1448
2 years old 759 712 1471
2 years old and above 36309 35702 72011
3 years old 766 720 1486
4 years old 743 691 1434
1-4 years old 3007 2832 5839
5-9 years old 3795 3579 7374
5-65 years old 32305 31268 63573
6 years old 761 720 1481

9-14 years old 1491 1409 2900
9-10 years old 2949 2798 5747
11-14 years old 4441 4206 8647
10-14 years old 3698 3498 7196
10-19 years old 7207 6850 14057
10-49 years old 23934 22975 46909
12 years old 738 705 1443
15-19 years old 3511 3354 6865
15-49 years old 20240 19478 39718
20-49 years old 16732 16124 32856
20-59 years old 19922 19336 39258
25 years and above 19593 19858 39451
60-65 years old 1390 1498 2888
60 years old 272 283 555
Source: FHSIS- San Fernando
C. HEALTH STATISTICS
For the past years, the progress in the health sector was evident. Mortality and
morbidity table shows that the cardiovascular diseases, cancer, diabetes (mostly
lifestyle diseases) are the leading causes of death. Communicable diseases still prevail,
while malnutrition rate has reduced.
During the past three years, only one maternal mortality was recorded. This is so
because of the establishment and operation of facility- based deliveries in every
barangay.
Environmental sanitation, personal hygiene, and proper health habits still need more
attention.
Responsible Parenthood and Christian Values need to be inculcated and emphasized.

Strengthening family foundation of every Filipino is necessary. Rural communities are
penetrated by the public health delivery system with the Barangay Health Stations
(BHSs) as satellite stations under a Rural Health Unit (RHU) located in the center of the
town. A midwife and NDP operates the BHS, while the RHU is manned by a physician,
sanitary inspectors, dentist, medical technologist, health nurses, driver, and utility
workers. Both units perform primary care activities, such as the prevention of diseases
and rendering curative activities on an “out-patient basis” which require limited
medical facility and equipment. These primary care units are complemented by the
public hospital network which responds to primary, secondary, and tertiary cases.

Demographic factors hamper the ability of the government to supplement household
investments in health. Given the rapid growth of the population, the government
should increase appropriation yearly to maintain public expenditures for efficient
health services. It is therefore vital to control the population growth rate by
intensifying family planning services to acceptors and to inculcate responsible
parenthood, particularly among the poor whose family size exceeds the desired
number of household members.
ACTUAL INFANT DEATH AND IMR TREND (2018-2021)

Infant mortality is the death of an infant before his or her first birthday. The infant
mortality rate is the number of infant deaths for every 1,000 live births. In addition to
giving us key information about maternal and infant health, the infant mortality rate
is an important marker of the overall health of a society.
(https://www.cdc.gov/reproductivehealth/maternalinfanthealth/infantmortality.htm)
Over the past years, the number of infant deaths in the municipality of San Fernando
is decreasing based on the FHSIS report. Here are the causes of the infant death
reported in the municipality.
Actual Infant Death and Infant Mortality Rate

2017
Cause of Death
2018
Cause of Death
Pneumonia
Sudden Infant Death Syndrome
Bronchopneumonia
Severe Pneumonia
2019
Cause of Death
Sepsis Neonatorum
Aspiration Pneumonia
Pediatric Community Acquired Pneumonia- Severe
Acute Respiratory Distress Syndrome
Congenital Heart Defect
2020
Cause of Death
Acute Gastroenteritis with Severe Dehydration
2021

Cause of Death
Probable Septic Shock
Source: FHSIS-SAN FERNANDO
6
5 5
4 4 4
3 3
2 2
1
0
2017 2018 2019 2020 2021
UNDER FIVE DEATHS AND UFMR TREND (2016 – 2021)

One million children under five years old die each year in less developed countries.
Just five diseases (pneumonia, diarrhea, malaria, measles and dengue hemorrhagic
fever) account for nearly half of these deaths and malnutrition is often the underlying
condition. Effective and affordable interventions to address these common conditions
exist but they do not yet reach the populations most in need, the young and
impoverish.
The Integrated Management of Childhood Illness strategy has been introduced in an
increasing number of countries in the region since 1995. IMCI is a major strategy for
child survival, healthy growth and development and is based on the combined delivery
of essential interventions at community, health facility and health systems levels. IMCI
includes elements of prevention as well as curative and addresses the most common
conditions that affect young children. The strategy was developed by the World Health
Organization (WHO) and United Nations Children’s Fund (UNICEF).
In the Philippines, IMCI was started on a pilot basis in 1996, thereafter more health
workers and hospital staff were capacitated to implement the strategy at the frontline
level.

Below is the actual number of reported cases of death under 5 years old in the
Municipality of San Fernando from 2017 to 2021 and its causes.
9
8 8
7
6 6
5
4 4 4 4
3
2
1
0
2017 2018 2019 2020 2021
Causes of Under Five Deaths
Cause Total No. of Case

ACUTE GASTROENTERITIS 1
2018
PNEUMONIA 4
SUDDEN INFANT DEATH 1

ASPHYXIA 3
CONGENITAL HEART DEFFECTS 1
2019 ACUTE RESPIRATORY DISTRESS SYNDROME 1
PCAP SEVERE 1
ASPIRATION PNEUMONIA 1
NEONATAL SEPSIS 1

ACUTE GASTROENTERITIS 1
2020 LEUKEMIA 1
SUDDEN INFANT DEATH 1
BRONCHOPNEUMONIA 1

ACUTE GASTRITIS W/ SEVERE DEHYDRATION 1
CONGENITAL ANOMALY 1
2021 SUDDEN INFANT DEATH 1
PROBABLE SEPTIC SHOCK 1
ASPIRATION PNEUMONIA 1
NEONATAL SEPSIS 1

MATERNAL DEATH
Maternal health refers to the health of women during pregnancy, childhood and
postpartum period. While motherhood is often a positive and fulfilling experience, for
too many women it is associated with suffering, ill-health and even death (WHO). On
the other hand, maternal mortality is a mirror of a woman’s health and nutritional
status during pregnancy, at childbirth, or in the period after childbirth. It also
highlights her access to professional medical services before, during and even after
childbirth.
Maternal death is the death of a woman while pregnant or within 42 days of
termination of pregnancy, irrespective of the duration and site of the pregnancy, from
any cause related to or aggravated by the pregnancy or its management but not from
accidental or incidental causes.
Statistics for this vital event are based on information obtained from the Death
Certificates (Municipal Form No. 103) transmitted by the City/Municipal Civil
Registrars to the Philippine Statistics Authority for processing and archiving. Included
in this report are registered maternal deaths that occurred in 2020. No adjustments
for under registration were done in the presentation.
1.2
1 1
0.8
0.6
0.4
0.2
0 0 0 0 0
2017 2018 2019 2020 2021
TOP 10 LEADING CAUSES OF MORBIDITY (ALL -AGES)

Over the past 3 three years from 2018 to 2020 the most common illness/morbidity in
all ages reported in the municipality of San Fernando is the Upper Respiratory Rate
Infection.

Top 10 Morbidity 2018
10. Dog bite 1.38%
9. Infected Wound 1.46%
8. Fever 1.94%
7. Abscess 1.98%
6. Urinary Tract Infection 2.01%
5. ALLERGY 2.54%
4. Pediatric Community Acquired Pneumonia - A 2.71%
3. Punctured Wounds 4.86%
2. Hypertension 6.14%
1. Upper Respiratory Rate Infection 39.39%
0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% 40.00% 45.00%

10. Impetigo 1.73%
9. Lacerated Wound 1.76%
8. Rhinitis 2.09%
7. Animal Bite 2.23%
6. Urinary Tract Infection 2.37%
5. Systemic Viral Infection 3.07%
4. Pediatric Community Acquired Pneumonia - A 4.09%
3. Punctured Wounds 5.23%
0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00%


10. Cat bite 0.95%
9. Infected Wound 1.11%
8. Abrasion 1.17%
7. Pneumonia Unspecified 1.25%
6. COVID-19 CONFIRMED 2.03%
5. Dog bite 2.49%
4. COVID-19 PROBABLE 5.18%
3.Wounds 5.59%
0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 14.00%

Ratbite 23
Catbite 24
Abscess 44
Abrasion 52
Dogbite 81
Hypertension 170
Lacarated Wound 330
CoviD-19; probable 338
Upper Respiratory Tract Infection 377
COVID-19; confirmed 430
0 50 100 150 200 250 300 350 400 450 500

TOP 10 LEADING CAUSES OF MORTALITY (ALL -AGES)

Mortality data are fundamental source of demographic, geographic, and cause-of
death information. Although mortality data reflect just the opposite of the state of
health of a population, specific age and sex mortality rates are important indicators of
the health status of a population. It plays a vital role in understanding the health status
of the population. It provides a basis for studying the occurrence of disease, its severity
and how it affects the quality of life before death. Mortality statistics such as deaths
by leading causes could already reveal the most prevalent life-threatening diseases. It
helps detect the population’s vulnerability to certain illnesses. Measuring and
comparing mortality rates across populations also helps to highlight health differences
among different groups of people. Mortality statistics provide a baseline indicator that
could define government priorities in terms of health policy formulation and service
provision. It supplies basic information for planning appropriate preventive measures,
stimulating medical research and highlighting topics of relevance in health education
of the public. Further, examining trends of mortality over time assists in the evaluation
of the health system.
Top 10 Mortality 2018
10. Myocardial Infarction 0.08%
9. Congestive Heart Failure 0.10%
8. Asphyxia 0.11%
7. Pulmonary Tuberculosis 0.11%
6. Non-Insulin Dependent Diabetes Mellitus 0.11%
5. Acute Myocardial Infarction 0.15%
4. Cerebrovascular Accident 0.25%
3. Cancer ( All Types) 0.35%
2. Stroke 0.39%
1. Pneumonia 0.49%
Source: FHSIS-SAN FERNANDO 0.00% 0.10% 0.20% 0.30% 0.40% 0.50% 0.60%

10. Head Trauma 0.06%
9. Asphyxia 0.07%
8. Aspiration Pneumonia 0.07%
6. Pulmonary Tuberculosis 0.10%
5. Gunshot Wounds 0.15%
3. Cerebrovascular Accident 0.47%
2. Pneumonia 0.52%
0.00% 0.10% 0.20% 0.30% 0.40% 0.50% 0.60%

10. Pulmonary Tuberculosis and Gunshot Wound 0.05%
9. Acute Coronary Syndrome 0.07%
8. Asphyxia by Strangulation 0.08%
7. Congestive Heart Failure 0.08%
5. Chronic Acute Pulmonary Disease 0.14%
2. Pneumonia 0.69%
1. Stroke 0.80%
0.00% 0.10% 0.20% 0.30% 0.40% 0.50% 0.60% 0.70% 0.80% 0.90%
Chronic Heart Failure 6

9. Congestive Heart Failure 6
8. Gunshot Wound 9
7. No known Cause of Death 16
6. Non-Insulin Dependent Diabetes Mellites 17
5. Myocardial Infarction 18
4. Cancer All Types 21
3. COVID-19 Suspect 30
2. Pneumonia 92
1. Stroke 118
0 20 40 60 80 100 120 140

NUTRITIONAL STATUS/ MALNUTRITION RATE
Malnutrition Rate 2018
OPERATION TIMBANG PLUS

NUTRITIONAL STATUS OF CHILDREN 0-59 AND 0-71 MONTHS OLD
Summary Tables Developed with Technical Assistance from the Food and Agriculture Organization of
the United Nations in Partnership with the National Nutirition Council and UNICEF
WEIGHT FOR AGE

0-59 Months 0 - 71 Months
Total Prev Total Prev
Normal 7607 96.3% 9273 96.3%
Overweight 148 1.9% 149 1.5%
Underweight 120 1.5% 175 1.8%
Severely Underweight 25 0.3% 36 0.4%
HEIGHT FOR AGE
Normal 7077 89.6% 8678 90.1%

Tall 396 5.0% 397 4.1%
Stunted 358 4.5% 473 4.9%
Severely Stunted 69 0.9% 85 0.9%
WEIGHT FOR LENGTH/HEIGHT
Normal 7515 95.1% 9198 95.5%

Overweight 140 1.8% 156 1.6%
Obese 74 0.9% 77 0.8%
Wasted 137 1.7% 163 1.7%
Severely Wasted 34 0.4% 39 0.4%
SUMMARY
Weight for Age - N + OW 7755 98.2% 9422 97.8%
Weight for Age - UW +SUW 145 1.8% 211 2.2%

Height for Age - N + T 7473 94.6% 9075 94.2%
Height for Age - S + SS 427 5.4% 558 5.8%
Height/Length for Weight - N + OW + Ob 7729 97.8% 9431 97.9%
Height/Length for Weight - W + SW 171 2.2% 202 2.1%


Province of Cebu
OPERATION TIMBANG PLUS
Summary Tables Developed with Technical Assistance from the Food and Agriculture
Organization of the United Nations in Partnership with the National Nutrition Council and UNICEF
WEIGHT FOR AGE
Normal 6678 91.1% 8188 91.6%
Overweight 289 3.9% 296 3.3%
Underweight 299 4.1% 370 4.1%
Severely Underweight 67 0.9% 81 0.9%
HEIGHT FOR AGE
Normal 6006 81.9% 7418 83.0%

Tall 494 6.7% 494 5.5%
Stunted 593 8.1% 739 8.3%
Severely Stunted 240 3.3% 284 3.2%
Normal 6562 89.5% 8081 90.4%

Overweight 220 3.0% 231 2.6%
Obese 129 1.8% 142 1.6%
Wasted 329 4.5% 376 4.2%
Severely Wasted 93 1.3% 105 1.2%
SUMMARY
Weight for Age - N + OW 6967 95.0% 8484 95.0%
Weight for Age - UW +SUW 366 5.0% 451 5.0%
Height for Age - N + T 6500 88.6% 7912 88.6%
Height for Age - S + SS 833 11.4% 1023 11.4%
Height/Length for Weight - N + OW + Ob 6911 94.2% 8454 94.6%
Height/Length for Weight - W + SW 422 5.8% 481 5.4%

Province of Cebu
OPERATION TIMBANG PLUS 2020
SEX-DISAGGREGATED SUMMARY TABLES FOR PRESENTATIONS
Developed with Technical Assistance from the Food and Agriculture Organization of the United
Nations in Partnership with the National Nutrition Council and UNICEF
WEIGHT FOR AGE
0-59 Months
Boys Girls Total Prev
Normal 2,838 2,573 5,411 96.60%
Overweight 46 32 78 1.40%
Underweight 49 48 97 1.70%
Severely Underweight 9 7 16 0.30%
HEIGHT FOR AGE
0-59 Months
Normal 2,665 2,455 5,120 91.40%
Tall 115 105 220 3.90%
Stunted 146 91 237 4.20%
Severely Stunted 16 9 25 0.40%
0-59 Months
Normal 2,823 2,537 5,360 95.70%
Overweight 33 36 69 1.20%
Obese 25 27 52 0.90%

Province of Cebu
OPERATION TIMBANG PLUS 2021
NUTRITIONAL STATUS OF CHILDREN 0-59 and 0-23 MONTHS OLD
WEIGHT FOR AGE
0-23 Months (F1K) 0-59 Months
Girl Tot Girl Tot
Boys Prev Boys Prev
s al s al
1,1 2,4 99.3 3,2 6,6 99.6
Normal 1,250 3,428
88 38 9% 40 68 0%
0.37 0.24
Overweight 7 2 9 11 5 16
% %
0.20 0.15
Underweight 4 1 5 4 3 10
% %
Severely 0.04 0.01
0 1 1 2,126 1 1
Underweight % %
HEIGHT FOR AGE
0-23 Months 0-59
(F1K) Months
Girl Tot Girl Tot
Boys Prev Boys Prev
s al s al
1,0 2,1 88.1 3,0 6,2 94.0
Normal 1,116 3,242
46 62 4% 53 95 3%
11.4 5.39
Tall 140 141 281 182 179 361
6% %
0.41 0.58
Stunted 5 5 10 22 17 39
% %
0.00 0.00
Severely Stunted 0 0 0 0 0 0
% %
WEIGHT FOR
LENGTH/HEIGHT
0-23 Months 0-59
(F1K) Months
Girl Tot Girl Tot
Boys Prev Boys Prev
s al s al
1,1 2,4 99.7 3,2 6,6 99.6
Normal 1,258 3,435
88 46 1% 39 74 9%
0.04 0.07
Overweight 1 0 1 4 1 5
% %
0.12 0.13
Obese 2 1 3 4 5 9
% %

Moderately 0.08 0.09
0 2 2 3 3 6
Wasted % %
0.04 0.01
Severely Wasted 0 1 1 0 1 1
% %
TOTAL NUMBER
OF
MOTHERS/CARE
GIVERS OF
CHILDREN (0-59 53
MOS OLD)
AFFECTED BY
UNDERNUTRITIO
N
TOTAL NUMBER
OF
MOTHERS/CARE
GIVERS OF
CHILDREN (0-23 18
MOS OLD)
AFFECTED BY
UNDERNUTRITIO
N
OTHER INDICATORS FOR BASIC HEALTH SERVICES AND

PREVENTIVE HEALTH PROGRAMS
NATIONAL VOLUNTARY BLOOD SERVICES PROGRAM

Republic Act No. 7719, also known as the National Blood Services Act of 1994,
promotes voluntary blood donation to provide sufficient supply of safe blood and to
regulate blood banks. This act aims to inculcate public awareness that blood donation
is a humanitarian act.
The National Voluntary Blood Services Program (NVBSP) of the Department of Health
is targeting the youth as volunteers in its blood donation program this year. In
accordance with RA No. 7719, it aims to create public consciousness on the
importance of blood donation in saving the lives of millions of Filipinos.

Based from the data from the National Voluntary Blood Services Program, a total of
654,763 blood units were collected in 2009. Fifty-eight percent of which was from
voluntary blood donation and the remaining from replacement donation. This year,
particular provinces have already achieved 100% voluntary blood donation. The DOH
is hoping that many individuals will become regular voluntary unpaid donors to
guarantee sufficient supply of safe blood and to meet national blood necessities.
The graph below showed the five-year successfully collected blood donors in the
municipality of San Fernando.
250
200 193
150 157
129
100
50
0
2017 2018 2019 2020 2021
AXIS TITLE
Source: FHSIS-SAN FERNAND
CONTRACEPTIVE PREVALENCE RATE REG. 7, CY 2016-2021

Maternal mortality, unplanned pregnancies, and unsafe abortions are among the
effects of poor family planning. Moreover, modern families are failing to sustain the
adequate needs of their growing number of children, which is also an outcome of poor
family planning and low use of contraception. Hence, the National Family Planning
Program aims to ensure every Filipino has a universal access to correct information,
medically safe, legal, non-abortifacient, effective, and culturally acceptable modern
family planning (FP) methods.
The graph illustrated below showed the actual accomplishment of the municipality of
San Fernando from 2017 to 2021. From 50% on 2017, we were able to increase our
accomplishment on 2018 with 62% CPR and it went down 32% after 2 years. However,
from 32% in 2020 we were able to increase slightly our accomplishment to 35% in the
year 2021. Here are the reasons for increase

➢ Advocate and educate on different forms of family planning method.
➢ Additional trained FP-CBT II health care providers.
➢ Engage with private pharmacies and birthing facilities within the municipality
in master listing FP commodity users.
➢ Ensure Availability of Family planning commodities in RHUs / BHS.
70%
60% 62%
50% 50%
40%
35%
30% 31% 32%
20%
10%
0%
2017 2018 2019 2020 2021
PREGNANT WOMEN WITH ≥ 4 PRENATAL VISITS CY 2016-2021

The National Safe Motherhood Program primarily focuses on the health and welfare
of women throughout their pregnancy. It also includes the adolescent pregnant and
meeting the unmet needs for family planning contraceptives of women into its priority
agenda until 2030. This program aims to provide Filipino women access to quality
healthcare for a safer pregnancy and delivery. It aims to promote the health and well-
being of mothers of a Filipino family.
120%
114%
100%
94%
89%
80%
67%
60%
51%
40%
20%
0%
2017 2018 2019 2020 2021

POSTPARTUM WOMEN WITH 2 POSTPARTUM VISITS CY 2016-2021
70%
65%
62% 61%
60%
52%
50%
48%
40% 41%
30%
20%
10%
0%
2016 2017 2018 2019 2020 2021
FIC AND CIC REGION 7, CY 2016-2021

The Expanded Program on Immunization (EPI) was established in 1976 to ensure that
infants/children and mothers have access to routinely recommended
infant/childhood vaccines. Six vaccine-preventable diseases were initially included in
the EPI: tuberculosis, poliomyelitis, diphtheria, tetanus, pertussis and measles. In
1986, 21.3% “fully immunized” children less than fourteen months of age based on
the EPI Comprehensive Program review.
Base on the graph presented below, the highest percentage rate that the municipal
health office accomplished was on the year 2016, and it decreased by 60% on 2017.
One of the reasons was due to unavailability of the measles vaccines during this time.
However, in 2017, the municipal health office was able to increase to 70%. Some of
the reasons were a. Actively participate in the regular barangay health sessions and
activities for health b. Mobilized barangay leaders to fund and support immunization
activities and c. conducted Effective MOP – UP activities for missed children through
Purok and home visits.
Despite of the COVID-19 threat, health protocols and other COVID-19 restrictions, in
the year 2020 up to the present the municipality was able continue to deliver basic
health services to the San Fernandohanons especially in the implementation of the
National Immunization Program.

90%
80%
80%
70% 70% 69%

60% 64%
60% 56%
50%
40%
30%
21% 21%
20%
10% 9%
4% 3% 3%
0%
2016 2017 2018 2019 2020 2021
INFANT EXCLUSIVELY BREASTFED UNTIL 6 MONTHS REGION 7, CY 2016-2021

Breastfeeding is an unequalled way of providing ideal food for the healthy growth and
development of infants; it is also an integral part of the reproductive process with
important implications for the health of mothers. Review of evidence has shown that,
on a population basis, exclusive breastfeeding for 6 months is the optimal way of
feeding infants. Thereafter infants should receive complementary foods with
continued breastfeeding up to 2 years of age or beyond.
To enable mothers to establish and sustain exclusive breastfeeding for 6 months,
WHO and UNICEF recommend:
➢ Initiation of breastfeeding within the first hour of life
➢ Exclusive breastfeeding – that is the infant only receives breast milk without
any additional food or drink, not even water
➢ Breastfeeding on demand – that is as often as the child wants, day and night
➢ No use of bottles, teats or pacifiers
As you can see on the graph below, there is an increasing trend from 2017 to 2021.
Here are some reasons for increase; Continuously support breast feeding group
meetings through BF1KD session being conducted at the Purok and barangay level,
strengthen support for lactating mothers by advocating other means of expression of
breastmilk to include its proper storage.
This shows that municipality of San Fernando strongly advocates and supported the
EO51 also known as the Philippine Milk Code.

140%
125% 126%
120%
100%
80%
69%
60% 60%
40% 42%
20%
0%
2017 2018 2019 2020 2021
ORAL HEALTH CARE AND SERVICES
Oral disease continues to be a serious public health problem in the Philippines. The
prevalence of dental caries on permanent teeth has generally remained above 90%
throughout the years. About 92.4% of Filipinos have tooth decay (dental caries) and
78% have gum diseases (periodontal diseases) (DOH, NMEDS 1998). Although
preventable, these diseases affect almost every Filipino at one point or another in his
or her lifetime.
Filipinos bear the burden of gum diseases early in their childhood. According to
NOHS, 74% of twelve-year-old children suffer from gingivitis. If not treated early, these
children become susceptible to irreversible periodontal disease as they enter
adolescence and approach adulthood.
In general, tooth decay and gum diseases do not directly cause disability or death.
However, these conditions can weaken bodily defenses and serve as portals of entry
to other more serious and potentially dangerous systemic diseases and infections.
Serious conditions include arthritis, heart disease, endocarditis, gastro-intestinal
diseases, and ocular-skin-renal diseases. Aside from physical deformity, these two oral
diseases may also cause disturbance of speech significant enough to affect work
performance, nutrition, social interactions, income, and self-esteem. Poor oral health
poses detrimental effects on school performance and mars success in later life. In fact,
children who suffer from poor oral health are 12 times more likely to have restricted-
activity days (USGAO 2000). In the Philippines, toothache is a common ailment among
schoolchildren, and is the primary cause of absenteeism from school (Araojo 2003,
103-110). Indeed, dental and oral diseases create a silent epidemic, placing a heavy
burden on Filipino schoolchildren.

The national government is primarily tasked to develop policies and guideline for local
government units. In 2007, the Department of Health formulated the Guidelines in the
Implementation of Oral Health Program for Public Health Services (AO 2007-0007).
The program aims to reduce the prevalence rate of dental caries to 85% and
periodontal disease by to 60% by the end of 2016. The program seeks to achieve these
objectives by providing preventive, curative, and promotive dental health care to
Filipinos through a lifecycle approach. This approach provides a continuum of quality
care by establishing a package of essential basic oral health care (BOHC) for every
lifecycle stage, starting from infancy to old age.
The following are the basic package of essential oral health services/care for every
lifecycle group to be provided either in health facilities, schools or at home.
TYPES OF SERVICE
LIFECYCLE
(Basic Oral Health Care Package)
• Oral Examination
• Oral Prophylaxis (scaling)
Mother (Pregnant
• Permanent fillings
Women) **
• Gum treatment
• Health instruction
• Dental check-up as soon as the first tooth
Neonatal and
erupts
Infants under 1 year
• Health instructions on infant oral health care
old**
and advise on exclusive breastfeeding
• Dental check-up as soon as the first tooth
appears and every 6 months thereafter
• Supervised tooth brushing drills
• Oral Urgent Treatment (OUT)
- removal of unsavable teeth

Children 12-71
- referral of complicated cases
months old **
- treatment of post extraction complications
- drainage of localized oral abscess
• Application of Atraumatic Restorative

Treatment (ART)

• Supervising tooth brushing drills
School Children (6- • Topical fluoride theraphy
12 years old) • Pits and Fissure Sealant Application
• Oral Prophylaxis
• Permanent Fillings
Adolescent and • Health promotion and education on oral
Youth (10-24 years hygiene, and adverse effect on consumption
old)** of sweets and sugary beverages, tobacco
and alcohol
Other Adults (25-59 • Emergency dental treatment
years old) • Health instruction and advice
• Referrals
Older Person (60 • Extraction of unsavable tooth
years old and • Gum treatment
above)** • Relief of Pain
• Health instruction and advice
Infants 0-11 months who received Basic Oral Healthcare

28%
0
0
0-11 months who received Basic Oral Healthcare

2018 0
2019 0
2020 28%
2021 0

Orally Fit Children 12-15 months
30.00%
25.00%
20.00%
15.00%
10.00%
5.00%
0.00%
Orally Fit Child 12-59 months
2018 10.22%
2019 24.60%
2020 1.70%
2021 0
- Children 1-4 years old and 5-9 years’ old who received Basic Oral Healthcare
250.00%
200.00%
150.00%
100.00%
50.00%
0.00%
1-5 years old 5-9 years old
2018 74.86% 48.50%
2019 106.60% 221.80%
2020 4.20% 4.90%
2021 3.20% 4.42%

-10-19 years old, 20-59 years old and Senior Citizens 60 years old and above who
received Basic Oral Healthcare
35.00%
30.00%
25.00%
20.00%
15.00%
10.00%
5.00%
0.00%
10-19 years old 20-59 years old 60 years old and above
2018 32.12% 4.30% 4.74%
2019 18% 5.30% 5.60%
2020 2.20% 2.60% 1.70%
2021 3.10% 2.60% 3.30%
INFECTIOUS DISEASE PREVENTION AND CONTROL SERVICE
NATIONAL TUBERCULOSIS PROGRAM (NTP)

The National Tuberculosis Control Program (NTP) works closely with all stakeholders -
national government agencies, public and private sectors, nongovernmental
organizations, professional societies, academe, patient groups, civil societies, and
development partners - in the Philippines' fight against tuberculosis, especially at this
time of the COVID-19 pandemic.
Over the past six years, the municipality of San Fernando strongly supports the
National Tuberculosis Program of the Department of Health’s long-term of goal which
is to reduce TB burden by decreasing TB mortality by 95% and TB incidence by 90%.
San Fernando’s TB case detection rate and success rate decreased from 95% to 91%
especially during the COVID-19 pandemic. Some of the reasons why it declined.
➢ Hesitation to seek consult due to quarantine restrictions brought about by
COVID -19 pandemic.

➢ Interrupted laboratory /diagnostic center services due to community
quarantine.
➢ Reluctance to undergo RT – PCR swab test prior to GeneXpert specimen
submission and treatment process.
TB Case Detection Rate & Success Rate, region 7, CY 2016-2021

160%
95% 91%
140% 95% 90% 91%
120% 91%
100%
80%
60%
45%
36% 42%
40% 36%
32% 31%
20%
0%
2016 2017 2018 2019 2020 2021
CDR TSR
HIV/AIDS/STI PREVENTION AND CONTROL

Human Immunodeficiency Virus or HIV is the virus that causes AIDS is on the most
serious health challenges that had already claimed millions of lives worldwide. It still
does not have a cure and thousands of newly diagnosed cases here in Cebu alone were
being reported every year.
In response to this, the municipal health office of San Fernando has intensified the
advocacy by providing health education and early detection on HIV including other
sexually transmitted diseases to the LGBTQ members, pregnant women, and high
school students.
Every month the assigned nurse of each barangay together with the rural health
midwife and the MedTech deployed conducts HIV/STI awareness to pregnant women
during their regular prenatal consultation. They were also tested for HIV and Syphillis
test voluntarily. These activities are not only limited to pregnant women but also to

other high-risk individuals. MHO also provide the same service to the drug
surrenderees who enrolled under the Community Based Rehab Program (CBRP) of
each barangay here in San Fernando.
San Fernando, Cebu HIV Cases by Sex

8 7
7
6 5 5
5 4 4
4
3 2
2 1
1 0 0 0 0 0
0
2017 2018 2019 2020 2021 Jan to Jul 2022
Male Female
Source: DOH-CV CHD RESU
San Fernando, Cebu HIV case by age group

7
6
6
3 3 3
3
2 2 2 2
2
1 1 1 1 1
1
0 0 0 0 0 0 0 0 0 0
0
15 to 24 years old 25-34 years old 35-49 years old 50 and older
2017 2018 2019 2020 2021 Jan to Jul 2022
Source: DOH-CV CHD RESU

LEPROSY PREVENTION AND CONTROL
No case detected in San Fernando for the past five years.
RABIES PREVENTION AND CONTROL

The municipal health office of San Fernando is currently working on the licensing of
the animal bite center. Last August of 2022, a resolution has been lobbied already to
the Sanggunian Bayan for the opening of the San Fernando Animal Bite Center.
Currently, all animal bite patients are referred to Cebu Provincial Hospital-Carcar City
(Animal Bite Center).
ANIMAL BITE PATIENTS

2018 2019 2020 2020
1.38 % 2.23% 1.72% 105

DENGUE PREVENTION AND CONTROL

The most possible outbreaks that may occur in the municipality of San Fernando are
dengue fever, diarrhea, and typhoid. Dengue fever is an infectious tropical disease
caused by the dengue virus. Symptoms include fever, headache, muscle and joint
pains, and a characteristic skin rash that is like measles. In a small proportion of cases
the disease develops into the life-threatening dengue hemorrhagic fever, resulting in
bleeding, low levels of blood platelets and blood plasma leakage, or into dengue shock
syndrome, where dangerously low blood pressure occurs. Dengue is transmitted by
several species of mosquito within the genus Aedes, principally A. aegypti. The virus
has four different types; infection with one type usually gives lifelong immunity to that
type, but only short-term immunity to the others.
In 2015, there was a 200 percent increase in dengue fever cases in the Province of
Cebu which prompted the Cebu Provincial Board to declare a dengue outbreak in the
whole province. The Municipality of San Fernando was among the top ten areas in the
province of Cebu that reported the greatest number of dengue cases with 238 cases
and 1 death.
In 2016, San Fernando registered 238 cases, with one death. In 2018, the municipality
was still among the top ten areas in Cebu Province that reported the greatest number
of dengue cases in 2018. In 2019, there was an increasing number of cases reported
that reached up to 193 cases as per report given by DOH-CV CHD RESU, it went down
to 50 cases in the year 2020 and 2021 reported only 23 cases. In year 2022 from

January 1 to October 1, 2022, DOH-CV CHD reported total of 203 dengue cases, in the
same year, the LGU firmed up the following major components in dengue surveillance:
vector surveillance and monitoring of environmental and social risks.
Dengue Cases
250
200 193 203
150 141
131
100
50 50
23
0
2017 2018 2019 2020 2021 Jan 1 to October
1, 2022
Dengue Cases
Source: DOH-CV CHD- RESU
San Fernando, Cebu Dengue Case by Outcome

250
193 201
200
150 140
129
100
50
50
23
2 1 0 0 0 2
0
2017 2018 2019 2020 2021 Jan to Oct 1,
2022201
Alive Died

San Fernando, Cebu Dengue Case 2017 to Oct 2022 by
Barangay
35
30
25
20
15
10
0
Pobl Pobl
Cab Pan
Balu Gre Lant Ma acio acio San Tabi Tan Tinu
Balu Bas Bug atb Ilay Libu adt Pital San Ton Tub
nga enhi awa gsic n n Isidr ona ana bda
d ak ho ata a ron ara o gat ggo od
g lls n o Nor Sou o n s n
n n
th th
2017 11 6 3 0 2 5 0 8 0 4 10 21 10 13 6 22 3 1 0 3 2
2018 12 2 1 3 5 9 6 15 3 0 3 15 12 15 11 14 2 3 1 6 3
2019 10 3 1 4 9 16 6 2 2 1 9 21 32 33 10 18 6 2 4 4 0
2020 6 0 1 2 0 1 0 2 0 0 6 5 3 13 3 4 0 1 1 1 0
2021 2 1 0 0 1 1 1 1 1 1 4 2 1 2 1 4 0 0 0 0 0
2017 2018 2019 2020 2021
San Fernando, Cebu Dengue Cases by Barangay from 2017 to October 2022
2017 2018 2019 2020 2021 Jan to Oct 2022
Balud 11 12 10 6 2 33
Balungag 6 2 3 0 1 0
Basak 3 1 1 1 0 7
Bugho 0 3 4 2 0 0
Cabatbatan 2 5 9 0 1 7
Greenhills 5 9 16 1 1 5
Ilaya 0 6 6 0 1 3
Lantawan 8 15 2 2 1 4
Liburon 0 3 2 0 1 0
Magsico 4 0 1 0 1 2
Panadtaran 10 3 9 6 4 24
Pitalo 21 15 21 5 2 19

Poblacion North 10 12 32 3 1 11
Poblacion South 13 15 33 13 2 37
San Isidro 6 11 10 3 1 12
Sangat 22 14 18 4 4 26
Tabionan 3 2 6 0 0 4
Tananas 1 3 2 1 0 1
Tinubdan 0 1 4 1 0 0
Tonggo 3 6 4 1 0 8
Tubod 2 3 0 0 0 0
COVID-19 VACCINATION COVERAGE
Conducted into four phases or stages of administering the vaccines in dosages/shots

namely 1st dose, 2nd dose, 1st booster, and 2nd booster, the vaccination program is
designed to target a total population of 52,469.
The first dose covered 56% of the total target population translated to be 29,421 total
number of individuals. This is broken down into categories of vaccine receivers.
Common categories include: A1 with 748 individuals, A2 with 1319 individuals, A3 with
1969 individuals, A4 with 8863 individuals and A5 with 1669 individuals. There are also
1402 individuals aged 5-11 years old and 5445 individuals aged 12-17 years old who
got the same dose. Lastly, the rest of the adult population with 8006 individuals
received the first dose of the vaccine.
The second dose relatively completed with a close percentile of 59% or 31064
individuals, 3% higher than the first dose. In this total, common categories translates
to the following: A1 with 789 individuals, A2 with 949 individuals, A3 with 2691
individuals, A4 with 9611 individuals and A5 with 1270 individuals. With nearly 300
less individuals, 1190 individuals aged 5-11 and of the same close gap, 5415 individuals
aged 12-17, which is 30 individuals lower, received the second dose of the vaccine.
This leaves the total adult population with 9149 individuals as having been successfully
administered with shots for the second dose.
As conducted just recently, the first booster only completed 5.30% of the target
population, covering only 2814 individuals. To discuss further, the following of the
common categories corresponded to the number of individuals given with the booster
shots. For A1, there were only 146; for A2 there were only 309; for A3 there were only
382; for A4 there 1209; and, for A5 there were only 22. Unfortunately, no date is
available for individuals aged 5-11 basically translating to none being administered

with. However, at least 65 individuals aged 12-17 have been given of the booster shot.
This gives a remaining 681 individuals of the total adult population receiving the first
booster shot.
Presently, as being intensively conducted, the second booster is partially covering a
still unidentified percentile. As of this discussion, an apparently small figure can only
be presented. As with common categories, the second booster has already been
received by the following: for A1, 55 individuals; for A2, 99 individuals; for A3, 54
individuals; for A4, only 2 individuals and for A5, 0 individuals or none. The data is not
yet available for individuals aged 5-11 while there are none from aged 12-17 to receive
the booster yet. As for the total adult population, there are also 0 individuals or none
who were administered with the shot as of this moment.
COVID-19 VACCINATION COVERAGE Target Population: 52, 469
Catergory 1st dose 2nd dose Booster 1 Booster 2

A1 748 789 146 35
A2 1319 949 309 99
A3 1969 2691 382 54
A4 8863 9611 1209 2
A5 1669 1270 22 0
Rest of Adult Population 8006 9149 681 0
12-17 years old 5445 5415 65 0

5-11 years old 1402 1190 NA NA
TOTAL NO. of Vaccinated
29421 31064 2814 190
Individuals
TOTAL PERCENTAGE 56% 59% 5.30%

35000
30000
25000
20000
15000
10000
5000
0
1st dose 2nd dose Booster 1 Booster 2
A1 748 789 146 35
A2 1319 949 309 99
A3 1969 2691 382 54
A4 8863 9611 1209 2
A5 1669 1270 22 0
Rest of Adult Population 8006 9149 681 0
12-17 years old 5445 5415 65 0
5-11 years old 1402 1190 0 0
TOTAL NO. of Vaccinated Individuals 29421 31064 2814 190
NON-COMMUNICABLE DISEASE PREVENTION AND CONTROL SERVICES
HPN/DM PROGRAM
The municipal health unit of San Fernando supports the program of the Department
of Health on Non-Communicable Diseases. MHO San Fernando launched its SWEET-
LOVE Club or the Hypertension-Diabetes Club last February 2016. This project intends
to address the need of every San Fernandohanon afflicted with this NCD to avail of
free maintenance medicines.
For the year 2021, there were 327 individuals enrolled on the sweet-love club using
the the Risk-assessment Tool of Philpen.

Proportion of Adults ages 20 y.o and above who are current smokers, binge
drinkers and overweight or Obese
0.14%
0.28%
0.13%
CURRENT SMOKER BINGE DRINKER OBESE
120 114 114
100
80 73
60
40
20
0
2019 2020 2021
CERVICAL CANCER PROGRAM

The municipal health office in partnership with DepEd-San Fernando conducts annual
school-based immunization of Human-Papillomavirus Vaccine to female school-aged
children from 9 years old to 14 years old to the different schools in San Fernando.
SENIOR CITIZEN VACCINATION (FLU AND PNEUMO23)

For senior citizens of San Fernando, the MHO provides free flu vaccination and
pneumococcal vaccination. For this year 2021, there are 108 senior citizens received
their flu shots and 91 senior citizens received the pneumococcal vaccine.
ENVIRONMENTAL SANITATION, SOURCES, AND STATUS OF POTABLE WATER

Sanitary Toilet- To increase the percentage of household with sanitary toilet, the

municipality allocated annual budget to purchase toilet bowls.
HH WITH SANITARY TOILET, REGION 7, CY 2016-2021

90%
80% 82% 82%
78%
70%
65%
60%
50%
40%
30%
20%
10%
0%
2018 2019 2020 2021
Water sanitation- constant monitoring of water potability is done by our sanitation

inspector through regular collection of water samples for examination and analysis
and provide chlorination when necessary.
HH WITH ACCESS TO SAFE WATER, REGION 7, CY 2016-2021
100%
90%
86% 87% 85%
80%
70%
60% 61%
50%
40%
30%
20%
10%
0%
2018 2019 2020 2021

HEALTH HUMAN RESOURCE (NUMBER AND CAPACITY FOR HEALTH)
The table below shows the current ratio of healthcare workers of the municipal health
office for the year 2022.
2022 Current
Number of Number of
Ratio with
Ideal LGU Actual DOH
Manpower
Population 74,957 Ratio Employed Ratio Deployed
Augmentation
Health Manpower
Personnel
Doctors 1:20,000 1 2:37,479 0 0
Nurses 1:20,000 8 1:3,596 13 1:3,596
Midwives 1:5,000 5 1:8,328 4 1:8,328
Dentists 1:50,000 1 1:74, 957 0 0
Medical Technologists 1:50,000 1 1:37,438 1 1:37,438
Sanitary Inspector 1:20,000 2 1:37,438 0 0
Barangay Health Workers 1: 20 HH 370 1:43 0 0
HEALTH FACILITIES
HEALTH FACILITIES IN SAN FERNANDO, CEBU (2022)
Private-
Government-
Private-owned Government Total
owned
Partnership
Barangay Health Center 21 none none 21
Hospitals none none none none
Hospitals with special none none none none

areas and services
Birthing Facilities 1 1 none 2
Stand Alone none none none none

Laboratories
Blood Banks none none none none
Private Clinics 1 2 none 3

Rural Health Unit 2 none none 2
Health Facility Address Contact Number

South Poblacion, San
San Fernando Birthing Center 488-9703
Fernando, Cebu
Rural Health Unit 1 488-9703
Fernando, Cebu
Magsico, San Fernando,
Rural Health Unit 2 Cebu None; via RDO
Bayalas Birthing Center
Fernando, Cebu
The municipality of San Fernando consists of 21 barangays. Each barangay has 1

barangay health station. San Fernando has 2 rural health Units; Rural Health Unit 1 is
located at the back of the municipal hall in South Poblacion, San Fernando, Cebu and
Rural Health Unit 2 is in the mountain barangay of Barangay Magsico, San Fernando
Cebu. Both RHU 1 and RHU 2 are fully operational and are providing medical services
to the San Fernandohanons.
San Fernando has 1 government-owned birthing facility and 1 private birthing facility
which operates both 24/7.
In response to the COVID-19 pandemic, San Fernando created 2 Temporary

Treatment and Monitoring Facilities located at the back of RHU 2 in Magsico and the
one is the TESDA building near the public market. These treatment facilities are for
COVID-19 confirmed positive patients and first-generation close contacts and are both
licensed by the Department of Health-Central Visayas.

FACILITY MAPPING - LOCATION OF COMMUNITIES AND HEALTH FACILITIES VIS-À-VIS THIS MAP

D. SOCIO-ECONOMIC SITUATION
Since the Municipality of San Fernando, Cebu is located in between progressive cities
- the City of Naga and Carcar City, and is also a member of the Metro Cebu, it is
perceived to project growth potentials of economic activities and drives to benefit a
steady economic growth and people’s affluence level.
1. MAJOR ECONOMIC ACTIVITIES

The industrial and commercial activity in San Fernando is becoming more dynamic
as the number of new investors is also increasing. Development in commerce and
trade in the municipality is progressing and it is projected to rapidly increase with
the construction of the seaport at South Poblacion.
The municipal public market is in the South Poblacion with an approximate land
area of 1.49 hectares. It caters to the basic needs of which ranges from rice, fish,
meat, fruits, vegetables, sweets, and canned goods. Within the market influence
areas are textile stores, carenderias and eateries, beauty parlors, drugstores, bakeries,
and dress shops.
In the span of three years, gasoline stations are sprouting along the National
Road. There are eight (8) gas stations scattered along the national highway and one
gas station with an on-going building permit application to be constructed at Pitalo,
San Fernando, Cebu.
San Fernando is considered as one of the fast-growing industrial towns of the

south. The two cement companies, Taiheiyo Cement Philippines Inc. and Mabuhay
FilCement Inc. are currently expanding their clinker production and their mining and
quarry production.
The Universal Robina Corporation started their construction as a Food Manufacturing

Plant last 2016. It is now operating to produce snackers and bottled mineral water.
One of the key triggers for economic and commercial development in the municipality
is the dynamism of industrial activities in the municipality, as most businesses that are
being established cater to the industries in the municipality. One example is the
growth of the services industry sector such as manpower recruitment / contractual
firms and trucking and hauling services.
In 1993, the total number of commercial and industrial establishments was 126 (CLUP
1994-2003); by 2005-2006 the number of establishments increases to 152 and 153,
respectively (data Source: Municipal Treasury Office). Currently, there are 261

registered businesses. While some of the commercial and industrial firms closed
(ceased operations), a number of investors puts-up establishments in the municipality
as the types of businesses are more varied compared to previous years.
As per the PSA Survey data, there are 41,221 labour force and a total of 23,992 gainful
workers ages 15 years old and above, composed of 16,900 males and 7,092 females
in the municipality. The boost in local economy gives job opportunities to the
residents.
Gainful Workers 15 Years Old and Over by Major Occupation Group, Age Group and
Sex
Total Gainful Age Group
Workers 15
Sex and Major Occupation Years Old
Group and Over
65
15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 50 - 55 - 59 60 – and
54 64 over
Both Sexes 23,992 1,322 3,525 3,514 3,038 2,756 2,387 2,183 1,778 1,425 891 1,173
Male 16,900 839 2,313 2,450 2,223 2,029 1,755 1,626 1,283 1,012 623 747
Managers 485 4 17 35 45 65 63 67 60 54 37 38
Professionals 439 3 65 102 63 55 36 42 33 23 9 8
Technicians and Associate

Professionals 964 9 113 166 151 117 115 114 84 53 29 13
Clerical Support Workers 477 13 111 116 90 45 29 29 21 17 5 1
Service and Sales Workers 1,586 94 305 268 225 189 133 125 95 82 36 34
Skilled Agricultural
Forestry and Fishery 2,523 86 131 153 190 202 230 247 249 308 263 464
Workers
Craft and Related Trades

Workers 4,180 90 492 630 597 593 540 440 345 230 121 102
Plant and Machine

Operators and 2,561 59 259 392 387 386 330 289 220 141 61 37
Assemblers
Elementary Occupations 3,673 478 818 587 475 377 278 272 175 103 60 50

Armed Forces Occupations 2 - - - - - 1 - - 1 - -
Other Occupation Not

Elsewhere Classified - - - - - - - - - - - -
Not Reported 10 3 2 1 - - - 1 1 - 2 -
Female 7,092 483 1,212 1,064 815 727 632 557 495 413 268 426
Managers 591 6 36 42 58 62 76 77 72 73 40 49
Professionals 853 2 168 185 164 108 85 56 47 20 10 8
Technicians and Associate

Professionals 439 15 70 80 75 49 39 38 25 23 10 15
Clerical Support Workers 661 27 188 165 94 70 36 27 26 18 8 2
Service and Sales Workers 1,998 208 336 272 198 212 192 160 143 124 78 75
Skilled Agricultural
Forestry and Fishery 523 2 12 14 18 29 40 37 48 58 58 207
Workers
Craft and Related Trades

Workers 456 23 85 65 47 44 29 43 32 34 26 28
Plant and Machine

Operators and 294 35 100 67 37 27 15 4 5 3 1 -
Assemblers
Elementary Occupations 1,271 160 217 174 124 126 120 115 97 60 36 42
Armed Forces Occupations - - - - - - - - - - - -
Other Occupation Not

Elsewhere Classified - - - - - - - - - - - -
Not Reported 6 5 - - - - - - - - 1 -
Source: Philippine Statistics Authority, 2015 Census of Population

OPERATING INDUSTRIES
TYPE TOTAL
Manufacturer 20
Construction 23
Mining and Quarrying 2
Electricity, Gas and Water 25
Financial Institutions 19
Wholesale and Retail Trade 23
Transportation and Communications 20
Personal Services 8
Resorts/Leisure/ Entertainments 14
MAJOR MANUFACTURING INDUSTRIES

Taiheiyo Cement Philippines Inc,
Mabuhay FilCement
Universal Rubina Corporation
Linde Philippines
Cebu Grand Industries
Solid Earth Development Corporation
Triple 8 Resources Development Corporation
URC
PRODUCER
Oversea Feeds
EEJ Farms
Twin Tower Farms
Multi Farms Agro Industrial Development Corporation
Tabionan San Fernando Farm Country
SERVICES / RECREATION / LEISURE

SAFISCOR
MCRI
Shara Builders General Services
Phil Trigon Shipyard
P&I
DKNS Maestro’s Pool Garden
Singli Mountain Resort
Hidden Paradise Mountain Village Resort
El Kargador Music and Restobar
Pulchra Resort
South Park

Agro-Industry is one of the major contributors in the economic activity. Most
operations are poultry and piggery production.
LIVESTOCK AND POULTRY
Livestock farming is the rearing of animals for food and for other human uses. The
word 'livestock' applies primarily to cattle or dairy cows, chickens, goats, pigs, horses
and sheep. Livestock farming is a double-benefiting system - it helps the farmers both
economically and supplies them with food throughout the year.
Livestock and poultry play a vital role in agriculture, not only do they produce food
directly, but for many smallholder farmers, these can be a ready source of cash to buy
the inputs (seeds, fertilizers, and pesticides) they need to increase their crop
production.
Inventory of Agri-Industry
Name of Farm Location Area Hazard Susceptibility (H, M,

(has) L)
Fl Lq Ss Ls Ts
1 Multi-farms Agro- Sangat 8-10 H H H M -
Industrial
2 M. Co Broiler Farm Liburon 4 H - - H -
3 M. Co Broiler Farm Lantawan 2 H - - H -
4 Robina Farms (Breeder) Balud 5 H H H M -
5 Ong’s Broiler Farm Panadtaran 5 H H H M -
6 Wong’s Farm Broiler Balud 3 H H H M -
7 EEJ Farms (Eggs) Panadtaran 6 H H H M -
8 Simms Farms (Broiler) Panadtaran 4 H H H M -
9 Gama Farm (hatchery) Panadtaran 1 H H H M -
10 Chicumi Dressing plant Greenhills 1 H - - H -
Total 39
Aside from the above large-scale commercial producers, individual farmers

(household-level) are also into backyard and small-scale livestock and poultry
productions. The municipal government, as well as provincial/national line agencies,
are very much active in developing these small-scale producers through its various
programs and projects.
TYPE TOTAL
Cattle 1,245

Carabao 723
Goat 2,426
Swine 2,661
Chicken 5,594
Duck 25
Turkey 60
Geese 49
2. PEOPLE’S SOURCES OF INCOME
Employment in companies and industries Farming and agricultural production
Self-employment, MSMEs Fishing
OFW remittances Public service employment
Consultancy services Engagement in manpower services
Talents and skills
3. POVERTY INCIDENCE AND AREAS OF CONCENTRATION
In a study, poverty rate in the Philippines will decline to 19.8 percent in 2020 and 18.7
percent in 2021.
4. EDUCATION
The total enrollment for elementary is: 10, 917 and 5, 958 for the secondary, a total
of 16, 875 enrollees with 676 elementary/secondary teachers including nonteaching
staff. For the school year 2019-2020, San Fernando District 1 has the enrollment of 6,
107 pupils for elementary and 2, 754 students for the secondary, a total of 8, 861
students/pupils of the District 1. San Fernando District 2 has the enrollment of 4, 695
pupils for the elementary, and 3, 854 students for the secondary, a total of 8, 549
students/pupils for the District 2.
The entire municipality has the total enrolment of 17, 410 pupils/students, an increase
of 535 students for this school year (an increase of around 3%). Teacher-pupil ratio is
at 1:30 for elementary (on the average), and 1:35 for the secondary. Classroom-
pupil/student ratio is at 1:40 for the elementary and 1:45 for the secondary (on the
average). Ninety percent of the classrooms/buildings in the elementary schools were

constructed or built more than 30 years already which need major repairs or
replacement of new buildings. Secondary schools are in dire need of classrooms due
to the increasing number of enrollees.
Literacy Rate
San Fernando Elementary Literacy Rate

Year Literacy Rate
2017 94%
2018 93.2%
2019 94.5%
2020 97.73%
2021 95.52%
San Fernando, Cebu Literacy Rate

500%
4.4
450%
400%
350%
2.8
300%
2.4
250%
1.8
200%
150% 94% 93.20% 94.50% 97.73% 95.52%
100%
50%
0%
2017 2018 2019 2020 2021
Axis Title
ELEMENTARY SECONDARY
Source: DepEd San Fernando, Cebu
Two (2) Districts SF Central School: Sangat Central School
Elementary Schools 14
Integrated Schools 8
Secondary Schools 9 Stand-alone; Math and Science HS
Special Education Center 5 SPED Schools
University 1 CTU
Community College 1 in progress

4. PEACE AND ORDER; CRIME RATE
To prevent the commission of crimes the police are continuously implementing their
police visibility program in crime-prone areas and in the commercial and industrial
places in the locality. Crime solving is done by intelligence operations with the help of
tanods, informers and informants, etc.
Based on first table below, the future requirements of policemen, there is a need to
hire additional policemen to meet standard requirements (HLURB guidelines
recommended a ratio of 1 policeman per 1,000 population); the current backlog of 31
policemen; there is a future need of 74 policemen by year 2022.
Based on Table 2, the future requirements of fireman, there is a need to hire additional
fireman to meet standard requirements (HLURB guidelines recommended a ratio of 1
policeman per 2,000 population); the current backlog of 10 firemen; there is a future
need of 38 policemen by year 2022.
There is a need to establish separate stations (buildings) for the PNP with safer prison
cells for the BJMP and satellite fire department at Magsico, San Fernando, Cebu.
Modern communication facilities must be provided for the PNP and BFP (e.g. hand-
held radios or cellular phones).
Table Backlog and Future Requirements for Policemen
No. of Policemen
Projected Standard
Year
Population Existing Requirement Backlog
(1:1,000)
2019 70,820 40 71 31
2020 72,002 33 72 39
2021 73,205 33 73 40
2022 74,427 74
Source: PNP, MPDO
Table Backlog and Future Requirements for Firefighters

No. of Firefighters
Projected Standard
Year
Population Existing Requirement Backlog
(1:2,000)
2019 70,820 25 35 10
2020 72,002 25 36 11
2021 73,205 25 37 12
2022 74,427 38
Source: BFP, MPDO

Location, Area, Size of Force, Force-Pop. Ratio, Facilities and Equipment: Source: PNP/
Protective Area Existing Size of Force Force-Pop. Facilities/Equipment

Services Location (sq.m) Ratio
Police Headquarter 1 Mahindra Scorpio, 1 Mahindra

(PNP) enforcer, 1 Toyota Innova, 1 Kawasaki
rouser, 30 handheld radio (Hytera)-PNP
San Fernando, 40- PNP
96.5 1:1,647
Cebu 3-NUP
1 military jeep, 1 titan(bongo),2
handheld radio-LGU
Sub-station
Station
Outposts
Traffic Outposts
Fire Headquarters 11th St., San
Anos Fire Engine 1, Jiangte PTO
Protection Fernando, 300 25 1:2,832
Serviceable, ISUZU Water Tanker 1
Cebu
Sub-station
Stations

CRIME STATISTICS AND CRIME RATE FROM 2017-2021
Philippine National Police
San Fernando Police Station, Cebu PPO, PRO7
Crime Statistics
January 01, 2017 - December 31, 2017
Crimes Total Total Crimes (reported TOTAL CRIMES (Committed on
Total Crimes Total Crimes
Nature of Crime Committed on Crimes Crimes on this period but this period + reported on this
Cleared Solved
this period Cleared Solved committed earlier) period but committed earlier)
AGAINST PERSON 21 20 19 0 0 0 21
AGAINST PROPERTY 69 62 60 0 0 0 69
NON-INDEX CRIMES 18 18 18 0 0 0 18
TRAFFIC INCIDENTS 419 419 419 0 0 0 419
SPECIAL LAWS 137 137 136 0 0 0 137
TOTAL 664 656 652 0 0 0 664
SPECIAL LAWS 126 126 125 0 0 0 126
TOTAL 566 564 560 0 0 0 566
SPECIAL LAWS 120 120 114 0 0 0 120
TOTAL 475 467 459 1 1 1 476

SPECIAL LAWS 94 94 94 0 0 0 94
TOTAL 318 318 315 1 1 1 319
SPECIAL LAWS 84 84 84 0 0 0 84
TOTAL 410 410 408 4 4 4 413
Crime Rate by Nature ( 2017-2021)

70
59.24
60
51.65
50
40.44
40 35.05
30
22.95
19.3717.93
20 16.73
12.9211.37
9.76
10 6.55
2.97 1.99 2.65 3.71 2.57 4.6 3.65
1.51 2.54 2.42 1.95 2.75 3.25
0
AGAINST PERSON AGAINST PROPERTY NON-INDEX CRIMES TRAFFIC INCIDENTS SPECIAL LAWS
2017 2018 2019 2020 2021

CRIME RATE BY ALL NATURE ( 2017-2021)
100.00%
93.87%
90.00%
80.00% 80%
70.00%
66.37%
60.00%
55.89%
50.00%
43.84%
40.00%
30.00%
20.00%
10.00%
0.00%
2017 2018 2019 2020 2021
Series 1 93.87% 80% 66.37% 43.84% 55.89%
Crime Rate Against Property Crime Rate Against Person

12 4 3.71
9.76 3.5
10 2.97
3 2.65 2.57
8 2.5
6.55 1.99
2
6
4.6
1.5
3.65
4
1
2 1.51 0.5
0
0
2017 2018 2019 2020 2021
2017 2018 2019 2020 2021
Crime Rate Index : Against Property Crime Against Person

Non-Index Crimes
3.5 3.25
3 2.75
2.54 2.42
2.5
1.95
2
1.5
1
0.5
0
2017 2018 2019 2020 2021
Non-Index Crimes
TRAFFIC INCIDENTS SPECIAL LAWS

70 25
59.24 59.24
60 19.37
51.65 20 17.93
50 16.73
40.44
40 15 12.92
11.37
30 10
22.95
20
5
10
0 0
2017 2018 2019 2020 2021 2017 2018 2019 2020 2021
TRAFFIC INCIDENTS SPECIAL LAWS

5. SOURCE(S) OF FOOD SUCH AS AGRICULTURAL OR FISHING INDUSTRY
A. AGRICULTURAL CROPS
TYPE TOTAL
Agricultural Crops (as of 2017) Coconut, Corn, Banana
Area by dominant crop (hectares) 3,024
Areas with irrigation coverage 10
Areas with water impoundment 3
B. FISHERIES
TYPE TOTAL
No. of Fisherfolks 379
Fishing boats (Motorboat) 82
Fishing boats (non-motor) 33
Fishing Gears: 31
Hook & Line
B. Set Gill net 51
Drift Gill net 6
FADS 3
C. SUPPORT FACILITIES SUCH AS TRANSPORTATION, COMMUNICATION, ACCESS TO

INFORMATION
VEHICLE QUANTITY OFFICE

(3) Ambulance (1) pick-up 3, 1 RHU
Rescue Van 1 MDRRMO
Motorcycle 3 MDRRMO
Rescue Vehicle (Pick up) 2 MDRRMO
Boom Truck 1 MDRRMO
Bucket Truck 1 MDRRMO
Water Tanker 1 MDRRMO
Patrol Cars 3 PNP
Mobile Patrol (motorcycle) 1 PNP
Fire Truck (Fire Engine) 3 BFP
Mobile Patrol 1 BFP
Service Vehicle 1 BFP

COMMUNICATION PLAN
Communication is another vital support system for a functional health information
system, medium for wider reach in health promotion and communication and in
ensuring a functional referral system. There are three major telecommunication
companies namely SMART, GLOBE and DITO operating in the Province of Cebu and
Municipality of San Fernando.
Note:
- Emergency Hotline numbers were given to all stakeholders.
- Radios were also issued to all 21 Barangays
- Implemented since March 2017
- Formally adopted on April 15, 2021

ACCESS TO INFORMATION

E. HAZARD, VULNERABILITY, AND RISK ASSESSMENT
TABLE 1.E PUBLIC HEALTH - PREVIOUS DISASTERS AND LESSONS LEARNED
Effects Actions and Interventions

Disaster Key Issues and
Year Affected Damage in
s Effects Before During After Players Challenges
Population Peso
101 || San Fernando, Cebu

1. Covid Jan All Loss of 30,000,000.0 ILI - -Continue the All
19 202 constituent lives, 0 Surveillance Implementatio implementatio Agencies
0 s, restriction n of n of Minimum
of human Quarantine Public Health
activities Protocols Standards
and - -Continue with
mobility Implementatio Information
hence the n of Public Dissemination
decline of Health (IEC Campaign)
economy Minimum
Standards
-Coordination
with necessary
agencies
-Disinfection
of public
places
-Provision of
all necessary
support to all
constituents
(Food, Hygiene
kits, alcohol)
-Information
Dissemination
(IEC Campaign)

2. Dec Central and -Loss of 50,000,000.0 - DRRM -Conduct of -Conduct of MDRRMO, Telecommunicatio
Typhoon 202 Southern lives 0 Council Rescue Clearing RHU, ns are down
Odette 1 Cebu -Damage -Activation Operations operations, MAO, -Critical Facilities
to of ICS -Conduct of Search and MEO, BFP, are down
property, -Monitoring evacuation Rescue, PNP, -No Electricity
livelihood and warning -Monitoring of -Continue Water resulting to no or
-Water- based on weather both Evacuation service lack of supply to
borne available from PAGASA -Continue providers water
diseases data from and on the giving of
-Loss of PAGASA ground provision to
water -Issue Pre- -Giving of idps
supply emptive and water, food -Distribution
Force and hygiene of safe
Evacuation kits to idps drinking water,
-Open Hygiene kits,
Displacemen water
t Camps for containers
IDP -Medical
checkup at
displacement
camps
-Monitoring of
diseases
-Distribution
of treated
mosquito nets,

3. El 201 Entire -Loss of 800,000.00 -Information -Delivery of -Improvement - Availability of
Niňo 9 Municipalit livestock, Disseminatio water to of Water MDRRMO, water tankers
y (esp damaged n (IEC affected services. MPDC,
Upland crops Campaign) community -Construction MEO,
Barangays) -Shortage -Constant -Distribution of of new water DILG,
of water monitoring hoses pumping MAO, BFP
supply and station and
coordination reservoirs
with the
Barangays
4. 201 Pitalo and Damaged Flooding No storm Responders Provision of DRRM Good drainage
Flooding 6 Ilaya on crops drainage deployed at temporary Responder system is needed
Residents and the area storm s
properties Tree planting and
affected drainage
growing in the
Unpassabl mountain area are
e National needed specially in
Road - mined out areas
Traffic

5. Fire 201 Pitalo Damaged Narrow road BFP personnel BLGU-Pitalo BFP Office of the
6 Residents on and initiates in Personnel Building official
properties neighboring planning to shall conduct
Barangay inspection specially
Illegal BFP personnel widen the
Tanods the old structures.
settlements / deployed alternate road
Illegal Strict
Structures implementation of
the Fire Code of
the Philippines and
National Building
Code
6. Motor 201 Residents Damaged Narrow road MDRRMO Installed MDRRMO -Improved road
Vehicula 8 from san to responders warning signs responder signs and symbols
r Crash Fernando properties and RHU s and RHU
personnel -strong
No warning personnel and
Mild to implementation of
signs managed the
severe laws regarding the
physical injured use of helmets and
injuries persons. seatbelts
-increased public
awareness about
road traffic rules
and regulations

1. HAZARD IDENTIFICATION AND PRIORITIZATION
HAZARD PRIORITIZATION MATRIX

Hazard Severity Frequency Extent Duration Manageability Total Rank
(A) (B) (C) (D) (E) (F) (G) = (B+C+D+E)-F (H)
1. Natural
Hazard
Typhoon 5 2 2 2 3 8 2
Rain-Induced
2 1 1 2 4 2 4
Landslide
2. Biological
Hazard
Vector Borne
3 2 2 2 4 5 3
(Dengue)
Water Borne
1 1 1 1 4 0 5
(Cholera)
COVID-19 3 2 4 5 3 11 1
3.
Technological
Hazard
Fire 2 2 1 1 4 2 4
MVA 2 1 2 1 4 2 4
4. Societal
Hazard

2. HAZARD MAPPING
A. LANDSLIDE AND FLOOD HAZARD MAP

A. LIQUEFACTION MAP

C. FLOOD HAZARD MAP

D. STORM SURGE MAP

E. LANDSLIDE MAP

F. DENGUE BIOLOGICAL HAZARD MAP

G. COVID-19 BIOLOGICAL HAZARD MAP

3. VULNERABILITY ASSESSMENT
Ascertain the area’s most at risk for the top hazards and determine characteristics of the people, environment, property, services and livelihood
that make the area more vulnerable to the hazard. Refer to the matrix below for the vulnerability assessment.
Vulnerabilities
Hazard Vulnerable Areas
People Properties Services Environment Livelihood
Typhoon 21 Barangays • 21 Barangays • Lifelines • Insufficient water • Limited access to • Fishing
especially the 7 (Roads, supply potable water • Farming
Coastal Bridges, • Limited Access to • Deforestation • Severe
barangays Electrical post basic commodities • Destruction of economic loss
• People living in & wires, and • No electricity wildlife habitat • Loss of life
coastal and water pipes) resulting to no/ • Destruction of • Increase
storm surge • Infrastructure lack of water natural water Morbidity or
prone areas • Fishponds, supply and sources medical cases
• People living in Poultry, telecommunication • Damaged to
slopes and Piggery, and • Insufficient food agricultural crops
landslide prone Farms supply • Non-survival of
areas. • Disruption of the Hogs and swine
delivery of health during typhoon
services • Damage to
• Insufficient poultry.
medicines to cope • -Damage to
up with the infrastructures
demand (Houses,
Government and

private facilities)
Rain • 21 • People living in • Lifelines • Insufficient supply • Limited access to In land fishery
Induced Barangays the upland (Roads, of basic health safely managed (fishponds)
Landslide especially barangays Bridges, needs drinking water
the 14 Electrical post • Insufficient food • Erosion Farming
Upland & wires, and supply • Deforestation
Barangays water pipes) • No power water and destruction Transportation
• Houses and and of wildlife habitat
other communication
infrastructures
Vector • Children • Lack of • Low Economic • Inadequate • Presence of • Absence from
Borne • People knowledge and status supplies of breeding sites work due to
(Dengue) living in awareness • Household chemicals • Improve 4S sickness or sick
areas with • Poor health with water • Lack of capacity to Campaign family member
stagnant seeking reservoir manage severe • Unsanitary • Loss of life
water, behavior “barrel” which case of DHF condition
rivers, • People living in are improperly • Lack of laboratory • Flood prone area
streams unsanitary or not covered services
condition. at all • Lack of disease
• Malnourished • Stagnant surveillance
children water
• Delayed access temporary
to medical excavation
consultation • Unused tires
• People living in

coastal and
storm surge
prone areas
• People living in
slopes and
landslide prone
areas.
Water • People • Lack of • Low economic • Availability of • Fencing of • Absence from

Borne with no knowledge and status water sanitation natural water work due to
(Cholera) access to awareness treatments sources sickness or sick
safely • Poor hygiene • Treatment of family member
managed practices water
drinking • Cannot process
water food as means
of business
COVID-19 • 21 • People with low • Absence of • Inadequate supply • Poor access to • Non-essential
Barangays immune system hospital of PPE health facilities services are
• Unvaccinated • Limited bed • Lack of doctor and • Absence of affected
individuals capacity of other health care hospital
• non-compliant Temporary providers in the
to minimum Isolation LGU
public health Facility
standards
• Poor hygiene
practices

Fire • 21 • Low economic • Makeshift • Poor condition of • High density of • Unattended
barangays status houses or access roads or no population children
and areas • Poor waste houses with access roads to • Informal settlers
with dry disposal using light vulnerable areas • Destruction of
grass practices materials • Lack of fire environment
• Low parental • Unattended hydrants from burning
supervision appliances
• Burning of
solid waste
• Using of
substandard
canisters or
refilled
canisters

MVA • 21 • Uneducated/ • Uneven roads • Putting up if • Weather as • Means of
barangays Undisciplined • Poor lighting adequate street factor transportation
especially riders of roads lighting along the • Poor road • Means of
along the • Driving under • Poorly roads condition income (habal2,
National the influence of maintained • Road Safety signs & multicab, bus,
highway alcohol or drugs vehicles signages tricycle)
• Lack of speed • Creation of Traffic
limit policy and code and Speed
enforcement limit ordinance

4. PUBLIC HEALTH- HEALTH RISK ASSESSMENT MATRIX
Institutional Arrangements
Hazard Vulnerabilities Health Risk
Strength Weaknesses
COVID- 19 • Tourists and people • Presence of MDRRMO • Limited number of • COVID-19 related death
frequently traveling and DRRM-H Plans and ESU Officers • Maternal and infant concerns
• Persons with co- teams • Limited bed capacity • Mental health issues and concerns
morbidities • Presence of ESU of Temporary
• Unvaccinated • Presence of Temporary Isolation Facility
individuals Isolation facility
Typhoon • People living in low • Multiple water service • Limited number of • Water-borne, vector-borne and
lying areas, providers MDRRMO Personnel water-washed diseases
riverbanks, seashore • Trained and equipped • Limited number of • Maternal and infant concers
• Capacity to relocate responders from BFO, staff trained as ESU • Food and water safety concerns
• Poor structural PNP, MDRRMO • Changing of trained • Mental health issues and concerns
integrity of personnel personnel during • Risk of maternal and child
establishments • Availability of non-food change of malnutrition at displacement
• Lack of safely items thru MOA with administration camps
managed drinking suppliers resulting to poor
water • Availability of medicines continuity of good
and vitamins in our services
Botika ng Bayan • Lack of Designated
• Presence of RHU Evacuation Centers/
personnel in charge of Displacement Camps
Nutrition in Emergencies and bed capacity
and Sanitation
Inspectors
• Availability of DRRM

Disaster Risk Reduction Management – Health Plan
Plan, DRRM-H Plan and
Contingency Plan
Vector Borne • Children • Presence Misting • Limited number of • Dengue cases and admittance
(Dengue) • People living in areas Machines and chemicals surveillance officers • dengue related death
with stagnant water, • Good IEC campaign (4S)
rivers, streams
Water Borne • People with no • Active BHW • poor handling of • Diarrhea
(Cholera) access to safely • presence of proliferation water • Nausea and vomiting
managed drinking of refilling stations • drinking unsafe • Dehydration
water • Presence of ESU drinking water
• contaminated
surface water
Rain Induced • Infrastructures and • Multiple water service • Limited number of • Water-borne, vector-borne and
Landslide people living near providers responders water-washed diseases
and along slopes of • Trained and equipped • Limited heavy • Maternal and infant concerns
hills, valleys, and responders from BFP, equipment • Food and water safety concerns
mountains PNP, MDRRMO • Reactive community • Mental health issues and concerns
personnel • low economic status • Risk of maternal and child
• Availability of non-food thus living informally malnutrition at displacement
items thru MOA with and no capacity to camps
suppliers relocate
• Availability of medicines
and vitamins in our
Botika ng Bayan
• Presence of RHU
personnel in charge of
Nutrition in Emergencies
and Sanitation

Inspectors
• Availability of localized
hazard maps
• Assistance from the
business sector (e.g.
heavy equipment)
• Availability of heavy
equipment
• Availability of DRRM
Contingency Plan
Fire • People situate in • Presence of Fire Officers • Reactive community • Burns
urban areas and Fire engine in the • Suffocation
• informal settlers municipality • Water-borne, vector-borne and
• limited access to • Presence of barangay water-washed diseases at
community due to responders trained in displacement camps
narrow roads fire brigade • Maternal and infant concerns
• Trained and equipped • Food and water safety concerns
responders from BFP, • Mental health issues and concerns
PNP, MDRRMO • Risk of maternal and child
personnel malnutrition at displacement
• Availability of DRRM camps
Contingency Plan
MVA • Drivers and • Police visibility • Lack of traffic related • Injuries, wounds
pedestrian • Presence of Traffic policies • Mental and physical trauma
Enforcers • Fatality
• Trained and equipped
Responders

TABLE INVENTORY OF RESOURCE NETWORKS
Government Agencies/ Non-

Services/products that may be utilized in
government Organizations/Civil Contact person/s Contact details Focal person
times of disasters/emergencies
Society Organizations
Technical Assistance, Manpower, and Enric John G.

DOH-HEMS Dr. Shelbay Blanco 09771426462
Logistics Navoa
Municipal Disaster Risk Reduction
Manpower and Logistics Mr. Romel Pinatil
Office
Cebu Provincial Disaster Risk
Reduction and Management Technical assistance and Manpower
Office
Municipal Engineering Office
Engr. Kent Lauronal
Motor pool Logistics: vehicles and heavy equipment
Mr. Felipe Parino
Repairs and Maintenance
Municipal Traffic Management
Manpower c/o MDRRMO
Office
Bureau of Fire Protection Technical Assistance and Manpower
Philippine National Police Manpower Timothy Jon Romanillos
Municipal Social Welfare and Prepositioning of relief goods and master
Mrs. Alice Brobo
Development listing of the evacuees
Association of Barangay Captains
Hon Flores Guanzon
President and SK Federation Manpower and mobilization of resources
Hon. Riyadh Oacan
President
Department of Education San Provision of rooms that will act as evacuation Dr. Joel Umbay
Fernando Division Office centers Dr. Victor Ybanez
Cebu Provincial Hospital -Carcar Next level Referral Facility Prudencio Manubag, M.D.
Private Sector/Companies Technical Assistance TCP- Ms. Mitzie Nina Carin

Additional Logistics SEDC- Mr. Genes Boltron
INTERNAL DRRM-H INSTITUTIONALIZATION MATRIX

Categories Bases
□ □ □ □
Updated Approved by the authority Disseminated Tested quarterly

DRRM-H Plan
of the organization
□ □ □
Trained on BLS Trained on SFA

Health Emergency Response Team Organized to provide initial basic services
□ □
Health Emergency Commodities Available Health Emergency Medicines* Accessible within 24 hrs
□ □ □
Functional Emergency Operations

Command and Control Communication Coordination
Center

*Health Emergency Medicine may pertain to anti-infectives, analgesics, antipyretics, fluid/electrolytes, respiratory drugs, dietary/nutritional
products essential for emergencies/disasters (e.g. cotrimoxazole, amoxicilin, mefenamic acid, paracetamol, ORESOL, Lagundi, vitamin A and skin
ointment.
Approval By the Local Chief Executive

<place a check mark on the applicable items>
❑ Prevention and Mitigation Plan
Updating ❑ Preparedness Plan

❑ Response Plan
❑ Recovery and Rehabilitation Plan
<describe how plan is being disseminated, i.e, through forum,
Dissemination
meetings, assemblies, health boards>
<describe how plan is being tested, i.e, through drills, SIMEX,
Testing of the plan
Tabletops, etc.>
<the kind of available HERT with Personnel Order (i.e., Public Health,
Order / Issuance
WASH, Responders, etc.)>
❑ Basic Life Support (BLS) training
HERT Trainings ❑ Standard First Aid (SFA) training

<provide/compile profile data sheet per member of team including
the updated trainings>
□ Licensed Ambulance
Ambulance
□ Patient Transport Vehicle

❑ Maternal and Child Health
❑ Prevention and Control of Communicable Diseases
Medical and ❑ Minimum Initial Service Package – Sexual and Reproductive

Public Health Health
❑ Management of Injuries
❑ Control of Non-communicable Diseases
<list other available services on Medical and Public Health>
❑ Hygiene Promotion
❑ Water Supply
❑ Excreta Disposal
Water, Sanitation
and Hygiene (WASH) ❑ Vector Control
❑ Solid Waste Management
❑ Drainage
<list other available services on WASH>

❑ Nutritional Assessment
❑ Infant and Young Child Feeding
Nutrition
❑ Management of Acute Malnutrition
❑ Micronutrient Supplementation
<list other available services on Nutrition>
❑ Ensure social considerations in all relief efforts
Mental Health and Psychosocial Support (MHPSS) ❑ Psychological First Aid
❑ Gradated Psychological Interventions
<list other available services on MHPSS>
<list the available essential commodities in stock/ for augmentation/
replenishment. Identify sources (e.g., IRA, regional augmentation,
Availability of Essential Health Emergency Commodities
donors)>
<list the essential commodities for prepositioning/mobilization>
<describe the mechanism for accessing commodities. note the
Accessibility
average time (i.e., within 24 hours, etc.)>
❑ Independent OpCen
Work Area and HR Complement
❑ Uses the OpCen of LDRRMO
<describe the HR complement for OpCen specific for health>

Command
and Control
<describe the flow of reporting during emergencies and disasters
and the conduct of coordination meetings with LDRRMO and other
Coordination
partners. Provide list of health partners providing health cluster
services.>
<determine available communication equipment and SOPs/protocols
Communication
on the use of these devices>

EMERGENCY RESPONSE TEAMS
Information/Data Gathering, Communication and Media Releases
• Operates communication technology in
the implementation and in the response
efforts.
• Disseminate information.
• Timely dispersal of information may lead to
saving lives and property.
• Identification of means of contacts
between levels of operations and
interventions.
• Liaison within organizations.
• Conduct of robust information
management on damage and disaster
assessment:
• Information on victims (impact of hazard):
• Number of casualties
• Dead, missing, injured, sick, disabled by
age, sex, location, and probable cause of
death
• Number of affected
• Total, severe, critical
• Number of displaced
• Documentation purposes
• Media Relations
Logistics
• Organize and direct operations to maintain
the physical environment.
• Maintain adequate levels of food, shelter
and supplies supporting the medical
objective.
• Ensure availability of potable drinking
water.
Transportation
• Mobility of people, ingress and egress,
rescue, and operation activities.
• Mobilizes and coordinates necessary
means of transportation, meet special
needs of other services, restore
communication routes.

Emergency Medical Services
• Contact and coordinate with all health
service providers.
• Assist and assign available medical staff.
• Organize and coordinate medical services.
• Provide health care services.
• Ensure availability of medicines, medical
supplies, and equipment.
• Health Emergency Response.
• Mental Health and Psychosocial Support
(MHPSS)
Health and Sanitation

• Maintain cleanliness and other health
related services.
• Implement ESWM as regards
medical/hazard waste.
• Hazardous Materials Handling
• WASH in Emergencies.
• Nutrition in Emergencies.
Relief Operations
• Establish an immediate response
operation – quick response for a
destructive disaster.
• Provide water, food, shelter, clothing,
energy fuel, hygiene kits
Security, Law and Order

• Law Enforcement.
• Coordinate all security and control
operations in support of the emergency
and disaster situation.
• Serve as liaison in terms of security
services.
• Secure all entrance and exit of clinics,
medical units, and health offices.
• Control traffic flow in and adjacent to
emergency / disaster location.

EXTERNAL DRRM-H INSTITUTIONALIZATION MATRIX
Region Province Head of Head of the Health Office Available DRRM-H Health Health Emergency Emergency
City Institution of the Institution DRRM Plan Emergency Commodities Operations
Municipality Plan Response Center
Barangay Team
San Fernando Hon. Mytha Alfredo P. Manugas VI, ✔︎ ✔︎ ✔︎ ✔︎ ✔︎

Ann B. Canoy M.D.
Balungag Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.
Balud Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.
Basak Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.
Bugho Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.
Cabatbatan Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.
Greenhills Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.
Ilaya Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.
Lantawan Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.
Liburon Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎

Barangay M.D.
Magsico Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.
North Pob Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.
Panadtaran Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.
Pitalo Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.
San Isidro Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.
Sangat Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.
South Pob Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.
Tabionan Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.
Tananas Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.
Tinubdan Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.
Tonggo Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.
Tubod Punong Alfredo P. Manugas VI, X X ✔︎ Limited ✔︎
Barangay M.D.

PLAN PER THEMATIC AREA:
PREVENTION AND MITIGATION
Resource
Vulnerabilit Agency/ Office/
Hazard Strategies and Activities Time Frame Indicator
y Person in charge
Required Source*
Strategy 1: Enhance in-house capacity with complete equipping
Hiring of Additional 2023-2025 Personnel Services Personnel Mayor’s Office, Presence of Newly
Healthcare workers Services HRMO Hired Staff
assigned as contact tracers,
vaccinators
Hazard Barangay Health 2023-2025 Honorarium Honorarium Barangay Captain Presence of Barangay
#1 Emergency Response Team (Barangay) Health Emergency
Emerging Response Team
and Re- Capacity building of health 2023-2025 Personnel Services Personnel Mayor’s Office, No. of health workers
emerging workers ondisease Services MHO trained
Infectious outbreak
Disease
(SARS-COV2) Strategy 2: Creation of Municipal Emergency Health Response Team
- Advocacy andpromotions 2023-2025 For IEC materials Mayor’s Office, Municipal Health Number of Barangays
COVID-19 on COVID-19 Municipal Office reached
Health Office
Creation of Municipal 2023-2025 Executive Order, SB MO, MHO, SB Local Chief Created Executive
Emergency Health Resolutions, Council Executive, MHO Order from MO,
Response Team Ordinance and SB Legislators Resolution and
Ordinance from SB
Council

Strategy 3: Improved Supplies, Logistics, and Infrastructure
Procurement of Necessary 2023-2025 Office equipment RHU Funds, MHO, MDRRMO Procurement of items
Logistical and Operational supplies: DRRM Funds, listed
needs such as PPEs, swab DOH and other
kits and other sources
paraphernalia PPEs, alcohols,
sterile and clean
gloves and other
paraphernalia:
100,000.00
Procurement of various 2022-2025 1,000,000.00 DRRM Funds, MSWDO, LDRRMO, Procurement of listed
commodities: MSWD Funds PHO items
PPE
Hygiene Kits
IEC materials 2022-2025 50,000.00 RHU Funds, MHO, LDRRMO Availability of IEC
DRRM Funds materials
MOA with suppliers (food 2023-2025 MHO, LDRRMO, Presence of MOA
and non-food items) MSWDO between LGU and
Suppliers
Hazard Hazard prevention strategy 2: Disaster-resilient Health Facilities – including water systems, Evac Centers/Displacement Camps
#2
Typhoon Infrastructure Audit and 2023-2025 Assessment of Capital Outlay, MEO Number of Facilities
Retrofitting of Health- Health Facilities BUB checked
Related Facilities in the
LGU with safely managed 50,000.00
water sources and drainage
systems
Enough water supply in 2023-2025 Construction or Capital Outlay MEO, Water Works Number of
Displacement Camps, Enhancement of the Displacement Camps
Health Facilities water system and BUB with sufficient water
supply

purchase of DRRM Fund
materials
Other Sources
20,000,000.00
Tree planting activities 2023-2025 Volunteers, DA Funds DA Greenified community
Agricultural products MDRRMO Funds MDRRMO
Strategy 3: Improved Supplies, Logistics and Infrastructure

Stockpiling of Foods & Non- 2023-2025 Manpower, Food & MDRRMO MDRRMO Available Food & Non-
food Items Non-food Items Funds, MHO food Items
Mayor, MSWDO MSWDO
MAYOR
Maintenance of Emergency 2023-2025 Vehicle, Fuel, Gen. Funds MEO Functional Vehicles
Rescue Vehicles Maintenance MAYOR
(Lubricant & Spare
Parts)
Encourage to construct 2023-2025 Financial Stability, LGU Funds MAYOR Safe and secure
concrete properties Manpower, National Funds MEO household
(household/ infrastructure) Equipment
MOA with suppliers (food 2023-2025 MHO, LDRRMO, Presence of MOA
and non-food items) MSWDO between LGU and
Suppliers
Hazard 3 Strategy 1: Enhance in-house capacity with complete equipping
Dengue
Capacity development of 2023-2025 Manpower, MDRRMO MDRRMO, MHO Prepared community
health workers Materials, Funds, MSWDO, MAYOR
Vehicle, Mayor, MSWDO
Creation of municipal / 2023-2025 SB Resolution/ MDRRMO MDRRMO Municipal Dengue
barangay dengue task force ordinance Funds, MHO Task Force Created
Mayor, MSWDO MSWDO
MAYOR

Strategy 2: Policy Advocacy
Advocacy andpromotions 2023-2025 Manpower, MDRRMO MDRRMO Prepared community
on dengue prevention and Materials, Funds, MHO
control Vehicle, Mayor, MSWDO MSWDO
MAYOR
Strict implementation of Solid 2023-2025 Household, LGU Funds MHO Implemented
Waste Management Purok Levels Materials SWMO Solid Waste
MAYOR Management
MEO
Hazard 4 Hazard prevention strategy 2: Disaster-resilient Health Facilities – including water systems, Evac Centers/Displacement Camps
Rain-induced Infrastructure Audit and 2022 Assessment of Capital MEO Number of
Landslide Retrofitting of Health-Related Health Facilities Outlay, BUB Facilities checked
Facilities in the LGU with safely 50,000.00
managed water sources and
drainage systems
Enough water supply in 2022-2025 Construction or Capital MEO, Water Number of
Displacement Camps, Health Enhancement of Outlay, BUB Works Displacement
Facilities the water system DRRM Fund, Camps with
and purchase of Other sufficient water
materials Sources supply
20,000,000.00
Vulnerability reduction strategy 1: Ensure safe and secure rural and urban communities against adverse impacts of hazards
Inventory of all water resources 2023-2025 50,000 MPDC GIS Mappers Creation of Water
within the LGU Sources Map
Improve the services of the 2023-2025 20,000,00.00 Capital MEO, MPDC Increased number
existing LGU and barangay Outlay of households
operated water system with Lvl II water
DRRM Fund system

Other
Sources
Hazard 4 People Information Education Campaign 2023-2025 BFP, Response LGU Funds BFP, Response Awareness
Fire on Fire hazard Team, Household MDRRMO Team, MDRRMO
Funds
Service 1.1 Maintenance on Emergency 2023-2025 Vehicle, Fuel, GEN. Fund BFP, MDRRMO, Functional
Rescue Vehicle Lubricant & spare MHO, PNP vehicles
parts
Property Encourage community to meet 2023-2025 Design Standard LGU Funds MEO, MPDC Safe and secured
the standards in constructing Plan DENR(ECC/CNC) properties
infrastructures (fire wall)
Environment Fire Inspection in every 2023-2025 BFP, MEO, LGU Funds MEO, MPDC, Environmental
Establishment and Houses and Response Team, DENR(ECC/CNC), Protection and
educate people about Grassfire Household BFP absence of Fire
(HH,
Establishment,
Grassfire)
Livelihood Conduct skills training on any 2023-2025 Manpower, LGU Funds MAO, MSWDO, Trained
alternative livelihood programs Materials, MEO Community
Vehicle, Budget People
Hazard 4 Hazard prevention strategy 1
MVA Activity 1.1 Construction and 2023-2025 Manpower, Local MEO Installed safety
installation of safety road Equipment, Government road signage
signages Financial Funds
People Activity 1.2 2023-2025 Logistics, LGU Funds MDRRMO, MHO No. of
Conduct of Information Manpower Information
Dissemination of safety measures dissemination of
safety measures
Police Traffic conducted
Activity 1.3 Division

Regular Monitoring of Minor Barangay Tanods Indicator 1.2
Drivers Number of
Manpower minors
reprimanded
Service Activity 1.1 2023-2025 Manpower, MDRRMO MDRRMO Functional
Provision of emergency rescue Vehicle, Fuel Funds MEO emergency
vehicle and trained health rescue vehicle
personnel on Basic Life Support
and Mass Casualty
Property Activity 1.1 2023-2025 Manpower, DPWH, CPO, LCE, MPDO, MEO Improved and
Improve road conditions and road Equipment, LGU Funds widened national,
safety signages Financial provincial,
municipal and
barangay roads
Activity 1.2
Widening of roads LCE, MPDO, MEO
DPWH, CPO,
Manpower, LGU Funds
Equipment,
Financial
Environment Activity 1.1 2023-2025 Manpower, LGU Funds, MEO, Mayor Improved roads
Rehabilitation and improvement Equipment, DPWH, CPO
of roads Materials, Labor

2023-2025
Livelihood Activity 1.1 Manpower, LGU Funds , LCE, MSWDO All survivors and
Provide alternative livelihood Training Materials MSWDO casualties have
program to casualties and been trained and
survivors provided with
work
Hazard prevention strategy 1: Policy advocacy
Creation of EO and ordinance for 2022 LHB Meeting, ABC N/A MHO Presence of
the creation of WaSH committee Meeting, SB DRRM-H, EO and
and team for the LGU and committee on ordinance
barangays health meeting
Adoption of the WaSH Manual to 2022 LHB Meeting, copy DOH, HEMS MHO Adoption of the
the LGU of the WaSHiE WaSHiE Manual
Manual
Hazard #5 Hazard prevention strategy 2: Disaster-resilient Health Facilities – including water systems, Evac Centers/Displacement Camps
Water Borne Infrastructure Audit and 2022 Assessment of Capital MEO Number of
(Cholera) Retrofitting of Health-Related Health Facilities Outlay, BUB Facilities checked
Facilities in the LGU with safely
managed water sources and 50,000.00
drainage systems
Enough water supply in 2022-2025 Construction or Capital MEO, Water Number of
Displacement Camps, Health Enhancement of Outlay, BUB Works Displacement
Facilities the water system DRRM Fund, Camps with
and purchase of Other sufficient water
materials Sources supply
20,000,000.00
Vulnerability reduction strategy 1: Ensure safe and secure rural and urban communities against adverse impacts of hazards

Inventory of all water resources 2022 50,000 MPDC GIS Mappers Creation of Water
within the LGU Sources Map
Improve the services of the 2022-2025 20,000,00.00 Capital MEO, MPDC Increased number
existing LGU and barangay Outlay of households
operated water system with Lvl II water
DRRM Fund system
Other
Sources
Purchase & Installation of 2022-2025 20,000,000.00 Capital MEO, MPDC Increased number
chlorinators in every water Outlay of houses with
system (LGU, Brgy & Private) safely managed
DRRM Fund drinking water
Other
Sources
Enhance Surveillance of areas 2022-2025 Assigning or Hiring MOOE, PS Financial Hired staff to
with possible water-related of WaSH and ESU Limitations Committee, work on WaSH
diseases in collaboration with Appropriations and ESU
ESUs Committee
Reduction of
water borne
diseases

PUBLIC HEALTH - PREPAREDNESS PLAN MATRIX 2: MINIMUM REQUIREMENTS OF DRRM-H INSTITUTIONALIZATION
DRRM-H Resource
Time Person in
Institutionalization Strategies and Activities Required Source Indicator
frame charge
Priorities
Strategy 1: Enhance in-house capacity with complete equipping
Hiring of WaSH 2022-2025 Personnel Personnel Mayor’s Office, Presence of Newly Hired Staff
Coordinator and ESU Services Services HRMO
Officers (Plantilla
Positions) 2,000,000.00
Barangay Sanitation 2022-2025 Honorarium Honorarium Barangay Presence of Barangay Sanitation
Increased cases for Inspectors (Brgy) Captain Inspectors
vector-borne,
water-borne, and 2022-2025 Training DRRM Fund, MHO Increased number of Trained
water-washed Conduct Trainings: Expenses RHU Fund, personnel
diseases DSWD Fund,
-WaSH, Food Safety, 1,000,000.00 DOH, HEMS
Integrated Vector
Monitoring, ESU,
Entomology, PIDSR/ESR,
Water Sampling, CCCM,
Sphere Standards, PD
856
Strategy 2: Policy Advocacy
Approved and Adopted 2022-2023 Draft of MHO Approved and adopted policies
Food Poisoning
WaSH, ESU and DRRM-H pertinent
documents, policies, Eos, documents,

Resolutions and meetings, and
Ordinances discussions
Procurement of 2022-2025 Office RHU Funds, MHO, LDRRMO Procurement of items listed
Necessary Logistical and equipment DRRM Funds,
Operational needs such supplies: DOH and
as, Vehicle, Computer, 150,000.00 other sources
Printer, PPEs chemicals Vehicle:
and other paraphernalia 1,500,00.00
PPEs,
chemicals, and
other
paraphernalia:
100,000.00
Procurement of various 2022-2025 1,000,000.00 DRRM Funds, MSWDO, Procurement of listed items
commodities: MSWD Funds LDRRMO, PHO
Dignity Kits
Hygiene Kits

PUBLIC HEALTH - PREPAREDNESS PLAN MATRIX 1: RISK REDUCTION
Resource
Risks Strategies and Activities Time Frame Person in Charge Indicator
Required Source
Increased cases for Strategy 1: Enhance in-house capacity with complete equipping
vector-borne, Hiring of WaSH 2022-2025 Personnel Personnel Mayor’s Office, HRMO Presence of Newly Hired Staff
water-borne, and Coordinator and ESU Services Services
water-washed Officers (Plantilla
diseases Positions) 2,000,000.00
Barangay Sanitation 2022-2025 Honorarium Honorarium Barangay Captain Presence of Barangay
Inspectors (Brgy) Sanitation Inspectors
2022-2025 Training DRRM Fund, MHO Increased number of Trained

Conduct Trainings: Expenses RHU Fund, personnel
DSWD Fund,
-WaSH, Food Safety, 1,000,000.00 DOH, HEMS
Integrated Vector
Monitoring, ESU,
Entomology, PIDSR/ESR,
Water Sampling, CCCM,
Sphere Standards, PD 856
Food Poisoning Strategy 2: Policy Advocacy
Approved and Adopted 2022-2023 Draft of MHO Approved and adopted policies
WaSH, ESU and DRRM-H pertinent
documents, policies, Eos, documents,
Resolutions and meetings, and
Ordinances discussions

Procurement of Necessary 2022-2025 Office RHU Funds, MHO, LDRRMO Procurement of items listed
Logistical and Operational equipment DRRM Funds,
needs such as, Vehicle, supplies: DOH and other
Computer, Printer, PPEs 150,000.00 sources
chemicals and other
paraphernalia Vehicle:
1,500,00.00
PPEs, chemicals,
and other
paraphernalia:
100,000.00
Procurement of various 2022-2025 1,000,000.00 DRRM Funds, MSWDO, LDRRMO, Procurement of listed items
commodities: MSWD Funds PHO
Dignity Kits
Hygiene Kits
IEC materials 2022-2025 50,000.00 RHU Funds, MHO, LDRRMO Availability of IEC materials
DRRM Funds
MOA with suppliers (food 2022-2023 MHO, LDRRMO, Presence of MOA between LGU
and non-food items) MSWDO and Suppliers

PUBLIC HEALTH- RESPONSE PLAN
Steps to be Undertaken Responsible
Activity Person/
Pre-Impact (0 day) Impact (0-48 Hrs) Post-Impact (>48 Hrs)
Institution/ Agency
Management of the Event/ Incident
Convene DRRM Prepare necessary Gather information on what is experienced Conduct Rapid Assessment and MDRRMO
Council and activate Logistical needs for EOC and, on the ground, while safety precaution is Rapid Health Assessment
OpCen and ICS being observed
Raise Appropriate Provide instructions to all Change alert level according if necessary Assess situation, change alert level Incident
Alert Level RHU personnel according as needed Commander
to alert level
Inform higher level of Prepare all lines of Send Necessary reports and updates to Assess communication line are Incident
OpCen, (DOH or communication PDRRMO and DOH online Commander,
Province) of the Logistics Section
incident Chief
Coordinate with Prepare directory of all Implement the agreed discussions in relation Implement the agreed discussions Planning Section
respective WaSH stakeholders including to the operation including WaSH in relation to the operation Chief, Operation
Coordinators with WaSH including WaSH Section Chief
partner agencies
Management of Information System
Gather information Utilize the gathered information and data to Conduct Post-Disaster Needs MDRRMC, OpCen
regarding the Event/ Conduct Pre-Disaster produce necessary actions towards the Analysis
Incident Needs Analysis incident
-Coordinate with ICP Re-Assess situation on the ground
and conduct Rapid Prepare all lines of Make SitReps as needed
Assessment and Rapid communication
Health Assessment Assess situation on the ground
-Activation of Prepare all necessary

Responders including equipment for data
BHERT, WaSH and ESU gathering, management
coordinators and documentation
-Submit RHA result (computer, camera,
printer, internet)
Continuous Communication lines are Communication lines are always open Communication lines are always Public Information
monitoring and always open open Officer
dissemination of
information and
updates
Submission of daily All communication line Submit Necessary report to concerned offices Assess communication lines Incident
situation reports ready and agencies Commander,
(SitRep) or HEARS Submission of reports to Planning Section
report to the concerned agencies Chief
concerned agencies
and offices
Management of Service Providers
Check the status of Health service providers Assess condition of health service providers
Re-Assess condition of health Planning Section
health service are ready and on standby service providers Chief and
providers in affected with good health and Operations Section
areas mental condition Chief
Mobilize and Issue Memo Order for the Activated Team and its respective members Conduct assessment and perform Operation Section
Demobilize personnel activation of each team are on standby at designated areas necessary interventions with the Chief, Planning
WASH Team, MHPSS and its members approval of Operation Section Section Chief, MHO
Team, Nutrition Chief and Incident Commander
Team, RESU Team Check status and
availability of members
Management of Non-human Resources
Update/ check Inventory of resources, Checking of resources Check inventory Logistic Section

availability or procurement of Chief
resources, inventory necessary resources Replace or repair if necessary Replace, repair, restock and refill if
of logistics necessary
Preposition of Resources and other Secure resources from damages Check resources and other Logistic Section
logistics logistical needs should be logistical needs Chief
in the designated staging Record the In and Out of resources
area Reporting of damages
Collection of used resources

Management of the Victims
Conduct Prehospital Create a Medical Plan Utilizing resources and procedure based on Assess effectivity of Medical Plan, Medical Unit Leader
care at Triage before (Medical Ais Stations, the Medical Plan (conduct of medica check- change if necessary
moving to the nearest Hospital, Emergency up, transport services, hospitals)
hospital and medical Transport Vehicles, and Utilizing resources and procedure
check ups medical emergency based on the Medical Plan
procedures (conduct of medica check-up,
transport services, hospitals)
Provide quad cluster Prepare RHU personnel Facilitate the conduct of quad cluster health Facilitate the conduct of quad Medical Unit Leader
health services and resources and facility services cluster health services
(general consultation for possible health risks
and treatment, and surge of patients Apply what is in the Medical Plan Apply what is in the Medical Plan
vaccinations, wash
reproductive health
services, health
education, hygiene
promotion, health
promotion nutrition
and psychosocial
support)

PUBLIC HEALTH - RECOVERY AND REHABILITATION PLAN: STANDARD OPERATING
PROCEDURES
Responsible Person/ Institution/
Activity Steps to be Undertaken
Agency
Post Disaster Assessment and Needs DRRM-H Team to join the conduct of PDANA and RHA and for other necessary MDRRMC
Analysis deployment
Post Incident Evaluation and DRRM-H Team to join the Post Response Assessment and demobilization MDRRMC
documentation of lessons learned
Review and updating of DRRM-H Plan Review and Updating of DRRM-H Plan with the DRRM-H Manager, Assistant DRRM-H Planning Committee
DRRM-H Manager and focal person including the coordinators of WASH, ESU,
Nutrition, MPHSS based on the lessons learned from the recent incident
Repair of Health-Related Facilities Reconstruct health related facilities and other critical facilities based on the MEO
Recovery and Rehabilitation Plan
Create Emergency Project Proposal for the immediate rehabilitation of

damaged facilities
Psychosocial Interventions Conduct stress debriefing to all health service provider deployed during the MHO, MSWDO
response phase of incident
Replenishment of Utilized Resources Assess the inventory after the response phase and before the termination of Logistic Section Chief
the operation.
Repair, Restock, Refill and procurement of resources if necessary

Compensation and Recognition of Coordination with the MDRRMC and Admin/ Finance Section Chief for the Admin/ Finance Section Chief
Responders compensation of responders and recognition
Reconstruction of Houses and Creation Ensure that the relocation sites are not vulnerable to hazards and with safely MSWD, MEO, MPDC
of Relocation Sites managed drinking water and proper waste disposal

DRRM-H OPERATIONAL PLAN MATRIX
Agency/ Office: SAN FERNANDO MUNICIPAL HEALTH OFFICE Financial Year: 2023
Priority activities Time Performance Physical targets Frequ Unit Total Source Responsible Agency/
frame Indicators Q1 Q2 Q3 Q4 Total ency Cost Cost of Fund Office/Person
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
Prevention and Mitigation Plan
Creation of EO and
ordinance for the 2022
Presence of
creation of WaSH Once OFFICE OF THE
DRRM-H, EO and 1 EO SB, MHO
committee and team a year MAYOR, SB, MHO
ordinance
for the LGU and
barangays
Adoption of the 1
Adoption of the WaSH DOH-
2022 WaSHiE Manual Resol MHO
Manual to the LGU HEMS
ution
Infrastructure Audit and
Retrofitting of Health-
Number of CAPITAL
Related Facilities in the 2022-2025
Facilities OUTLAY, MEO
LGU with safely
checked BUB
managed water sources
and drainage systems
2022-2025 Number of CAPITAL
Construction or
Displacement OUTLAY
Enhancement of the MEO, WATERWORKS
Camps with BUB
water system and
sufficient water DRRM
purchase of materials
supply FUNDS

OTHER
SOURCES
Inventory of all water 2022 Creation of

resources within the Water Sources
LGU Map
Improve the services of 2022-2025 Increased
the existing LGU and number of
barangay operated households with
water system Level II water
system
Purchase & Installation 2022-2025 Increased
of chlorinators in every number of
water system (LGU, houses with
Brgy & Private) safely managed
drinking water
Enhance Surveillance of 2022-2025 -Hired staff to
areas with possible work on Wash
water-related diseases and ESU
in collaboration with
ESUs -Reduction of
water borne
diseases
Continue IEC campaign 2022-2025 Printed IEC
(Minimum public health materials and
standards and talks
vaccination)

Vaccination against 2022-2025 Increased
Covid 19 number of
vaccinated
individuals
Preparedness Plan
BUB,
DRRM-
Number of FUND
BLS and First Aid Attendance per 10 mont 25,0 300,0 (RHU), DOH-HEMS, MHO,
2022 100 100 100 400
Training Activities/Traini 0 hly 00 00 GAD LDRRMO, GAD FOCAL
ngs FUNDS,
DOH-
HEMS
BUB,
DRRM-
Number of FUND
Attendance per Twice 150, 300,0 (RHU), DOH-HEMS MHO,
SUB-PHEMAP 2023 50 50 100
Activities/Traini a year 000 00 GAD LDRRMO, GAD FOCAL
ngs FUNDS,
DOH-
HEMS
DOH-
HEMS,
DRRM-
Number of ICS annua 200, 200,0 RHU, DOH-HEMS, LDRRMO,
ICS 1, 2023 30 30
practitioner lly 000 00 GAD MHO, GAD FOCAL
FUNDS,
POPS
PLAN

DRRM-
RHU,
Number of
SIMEX (Mass Casualty, GAD
Attendance per quart 50,0 200,0 MHO, LDRRMO,
Multi-incident, 2023 50 50 50 50 200 FUNDS,
Activities/Traini erly 00 00 MAYOR’S OFFICE
Earthquake Drill) MOOE,
ngs
POPS
PLAN
BUB,
Number of DRRM-
Attendance per Once 150, 150,0 RHU,
WASH 2023 50 50 MHO, DOH-HEMS
Activities/Traini a year 000 00 GAD
ngs FUNDS,
MOOE
Response Plan
Convene DRRM Council
and activate OpCen and 2023-2025
ICS
Raise Appropriate Alert 2023-2025
Level
Inform higher level of
OpCen, (DOH or 2023-2025
Province) of the
incident
Coordinate with
respective WaSH 2023-2025
Coordinators with
partner agencies
Recovery and Rehabilitation Plan

DRRM-H Team to join
the conduct of PDANA
and RHA and for other LDRRM,
necessary deployment As needed DRRM-
DRRM-H Team to join RHU
the Post Response
Assessment and
demobilization
Mental Health 500 MHO, MHO, DOH-MHSSP
Intervention per MSWDO CLUSTER
As needed
Psychosocial indiv MDRRM MSWDO
Interventions idual O MDRRMO
GAD
MHO- DRRRM-H
Funds
NUTRITION CLUSTER
Nutrition Monitoring As needed DRRM
MSWDO
Funds
MDRRM
GAD
MHO, DRRRM-H
Funds
Implementation of WASH CLUSTER
As needed DRRM
WASH Programs MSWDO
Funds
MDRRM
MLGU /
PLGU
Management of Funds MHO
As needed
Diseases and Referral DRRM MDRRMO
Funds

TARGET SETTING FOR BARANGAY DRRM-H INSTITUTIONALIZATION
Target
Indicator
2022 2023 2024 2025 2026
_________ No: 7 No.: 7 No.: 7 ________

Outcome:
Number of
Local ➢ South
Government Poblacion ➢ Tonggo ➢ Liburon
Health Facilities ➢ North ➢ Tabionan ➢ Bugho
Poblacion ➢ Tañañas ➢ Tubod
(MHO, CHO,
➢ Sangat ➢ Tinubdan ➢ Balungag
hospitals) with
➢ Balud ➢ Cabatbatan ➢ Bugho
institutionalized
➢ Panadtaran ➢ Magsico ➢ Basak
DRRM-H
➢ Pitalo ➢ Greenhills ➢ Ilaya
➢ San Isidro
ROLL-OUT PLAN FOR DRRMH PLANNING
Facilitating Team
Province/ Projected Fund
Batch Venue Date Resource Support
Hospital Cost Source
Person Staff
1 - Basic Life MHO nurses,

MHO
Support Ambulance Hotel November HEMS
staff and 57, 600 BUB
Training Drivers, Asia 3-4, 2022 staff/trainers
NDP
with CPR Birthing HCW
MHO, NDPs,
2 - Basic Life MTDP, PHNS, BFP- DOH
MHO
Support RSI, Hotel November HEMS
staff and 57, 600 BUB
Training Ambulance Asia 10-11, 2022 accredited
NDP
with CPR Drivers, and Trainers
Crew

MONITORING AND EVALUATION PLAN
Time Resource Person in

Strategies and Activities Indicator
Frame Required Source charge
PREPAREDNESS
Barangay
Creation/Institutionalization of MDRRMO,
2023- Personnel Personnel Ordinance on
DRRM-H Teams from different Mayor’s
2025 Services Services DRRM-H
Sectors Office
institutionalization
100% organized,
Conduct of various capacity building LDRRM LDRRM
2023- Partner trained, and
activities – training, organizing, and Fund, Fund,
2025 Agencies equipped medical
equipping medical responders MHO MHO
responders
Presence of
printed
LDRRM LDRRM
Develop IEC materials on RA 10121, 2023- MHO, pamphlets,
Fund, Fund,
DRRM-H, DRRM and CCA 2025 MDRRMO posters, and
MHO MHO
guidelines per
identified hazards
2023- LDRRM LDRRM Easy access
Develop database of Information MDRRMO
2025 Fund fund database
System procedure on disaster Manual of
communication- communication 2023- LDRRM LDRRM MDRRMO Protocols – system
and information protocol before, 2025 fund FUND procedure per
during and after disasters identified hazard
Utilization of the Emergency Center for learning
Command Center and the 2023- LDRRM LDRRM MDRRMO and education is
Operational Headquarters as the 2025 FUND, FUND, established.
MDRRM training institutes ABC ABC Accredited
Accreditation of Stakeholders stakeholders and
including volunteer group volunteer group -
100% utilized and
operational
accredited groups
from different
sectors
Review, amend, revise 2023- SB, SSB, SB and Reviewed,
environmental policies to integrate 2025 MDRRMO MDRRMO MDRRMO amended, and
DRRM and CCA revised
environmental
policies

Stock-pile emergency supplies, 2023- MPDC, MPDC, MPDC, Available and
materials and equipment 2025 MHO, LFC MHO, LFC MHO, LFC accessible
LDC LDC LDC emergency
supplies,
materials, and
equipment
Available stock-
pile emergency
supplies to 21
barangays.
Contingency Planning 2023- SB, SB, SB, Proactive leaders
2025 MDRRMO, MDRRMO, MDRRMO and citizenry,
MHO, BDP MHO, BDP contingency plan
per identified
hazard per
barangay
Conduct of DRR research 2023- MDRRMO, Knowledge
2025 LDRRM LDRRM EDUCATION management,
FUND FUND SECTOR basis of decision
making
PREVENTION and MITIGATION
Conduct vulnerability analysis and 2023- LDRRM LDRRM MDRRMO, Conduct pre-
risk assessment for critical facilities 2025 FUND FUND MPDC, disaster risk
and infrastructure, identify hazards OME assessment and
and conduct municipal wide risk needs analysis
assessment (PDRA) to at least
4 barangays per
month
Determine community’s capability 2023- LDRRM LDRRM MDRRMO Resilient
to mitigate against, prepare for, 2025 FUND FUND BFFFP Community
respond to and recover from major
emergencies
Increase involvement of 2023- LDRRM LDRRM MDRRMO Empowered
communities in disaster 2025 FUND FUND BFP Community
management
Develop and establish early warning 2023- LDRRM LDRRM MDRRMO Visible Early
system 2025 FUND FUND Warning System,
EWS installed in 21
barangays
DRRM-H institutionalization 2023- MHO, MHO, SB Adopted and
2025 LDRRM LDRRM Approved plan -
FUND FUND resolution and
ordinance

Resource Allocation 2023- LDRRM LDRRM MDRRMO, PPA implemented
2025 FUND, FUND, MHO with at least 5%
MHO MHO allocation
Establishing mitigation measures: 2023- LDRRM LDRRM MPDC, Mitigating
building codes, zoning, ordinances, 2025 FUND FUND OME, LDC measures are
CLUP, CDP incorporated in
Building codes,
zoning,
ordinances, CLUP
and CDP
Tree growing activities, mangrove 2023- LDRRM LDRRM MENRO, People’s
reforestation 2025 FUND FUND ABC, commitment to
DepEd, All protect and
Sectors preserve the
environment
River embankment stabilization 2023- LDRRM LDRRM MENRO, Protection and
2025 FUND FUND ABC, safety of the
DepEd, All people
Sectors
RESPONSE
Design program and coordinate 2023- LDRRM LDRRM SB, ABC, Coordinated
response activities consistent with 2025 FUND FUND DILG, OM response of all
the NDRRMC standard guidelines stakeholders
Program for
adoption to 21
barangays
Activate response plan and rescue 2023- LDRRM LDRRM MDRRMO, Disaster Resilient
operations 2025 FUND FUND MHO, BFP Community, 21
barangays and all
sectors are fully
aware
Maintain a database of human 2023- LDRRM LDRRM MDRRMO, Fully informed
resource, equipment, directions, 2025 FUND FUND MPDC, BFP community,
and locations, of critical and PIO disaster resilient
infrastructure and their capacities society – all
such as evacuation centers barangays down
to the Purok level
Ensure that shelter and medical 2023- LDRRM LDRRM MHO, Health and
assistance are always available 2025 FUND FUND MPDC, security safety,
MSWDO, decent shelter
BFP available anytime
Improve skills in research, rescue, 2023- LDRRM LDRRM MHO, Skilled and
and retrieval operations 2025 FUND FUND MDRRMO, equipped

BFP, OME, responders,
CSO, PE volunteer of
partner agencies
Management of evacuation centers 2023- LDRRM LDRRM ABC Evacuation
2025 FUND FUND centers are
properly managed
Provide psychosocial interventions 2023- LDRRM LDRRM MSWDO, Recognized at
2025 FUND FUND MHO, CSO least 15
and PO psychosocial
providers per year
Coordinate with other groups to 2023- LDRRM LDRRM MSWDO, Support from local
strengthen linkage and synergy 2025 FUND FUND OM, CSO, and international
PO partners
Conduct continuous disaster 2023- LDRRM LDRRM BAU, Empowered
monitoring and mobilize entities 2025 FUND FUND MDRRMO, citizenry and
and organize volunteer to utilize MHO, ABC, resilient
their facilities and resources for the Purok community
protection and preservation of life Leaders
and property during emergencies in
accordance with existing policies
and procedures
REHABILITATION AND RECOVERY
Design program and coordinate 2023- LDRRM LDRRM MDRRMO, Coordinated
DRRM rehabilitation activities 2025 FUND FUND ABC efforts and
consistent with the NDRRMC rehabilitation
standard and guidelines activities
consistent with
standards and
guidelines –
rehabilitation and
recovery program
for adoption by 21
barangays
Identify and implement cost- 2023- LDRRM LDRRM MDRRMO, Cost-effective
effective measures/ strategies 2025 FUND FUND OME and measures and
specifically in rehabilitation MPDC strategies in
activities rehabilitation
activities to all 21
barangays
Conduct of inventory and status of 2023- LDRRM LDRRM MDRRMO, Database of
roads, streets and bridges and other 2025 FUND FUND MPDC information that is
infrastructure in municipality readily available

VI. APPENDICES
ANNEX A. GLOSSARY OF TERMS

1. Adaptation- the adjustments in natural or human systems in response to actual
or expected climatic stimuli or their effect, which moderates harm or exploits
beneficial opportunities.
2. Capacity - is a combination of all strengths and resources available within a
community, society or organization that can reduce the level of risk, or effects
of a disaster. Capacity may include infrastructure and physical means,
institutions, societal coping abilities, as well as human knowledge, skills, and
collective attributes such as social relationships, leadership, and management.
Capacity may also be described as capability.
3. Climate – refers to average weather over long periods of time, typically at a 30
- year average
4. Climate Change – refers to a statistically significant variation in the average
condition of climate or in its variability that persists for decades, or longer,
caused by both natural processes and human impacts, such as greenhouse gas
emission (World Bank 2010).
5. Climate Change Adaptation – refers to policies, actions, and other initiatives
designed to limit the potential adverse impacts arising from climate variability
and change (including extreme events) and exploit any positive consequences”
(ADB 2005). Adaptation is geared towards reducing climate change adverse
impacts and risks to reduce vulnerability.
6. Climate Change Impact – refers to a change in natural and human systems,
whether harmful or beneficial resulting from climate change (IPCC 2007).
Climate change can impact on the agricultural system by introducing new
stressors into the system, and/ or exacerbating existing stressors. To illustrate,
it has been projected that up to 30% of plant and animal species could go
extinct if the global temperature increase exceeds 1.5-2.5 °C, and crop yields
in tropical zones could significantly decrease with even a modest temperature
increase of 1-2 °C (IUCN).
7. Climate Change Mitigation – refers to policies, actions and other initiatives
that reduce the net emissions of greenhouse gases, such as CO2, CH4, N20,
and ozone that cause climate change through global warming. Examples of
activities that mitigate or prevent greenhouse gases emission are a) use of
renewable energy; b) clean fuel; c) reduction of emission through avoided
deforestation and forest degradation; d) sustainable forest management; and
e) conservation and enhancement of carbon stocks. Examples of activities that
remove greenhouse gases from the atmosphere are reforestation and geo-
engineering (ADB 2005).
8. Climate Extremes – refers to climate and weather events that occur rarely at

a particular place and time of the year, with peaks and lows outside the range
of expected distribution, such as extremely hot temperature or unseasonal
rainfall.
9. Climate Hazard – refers to potentially damaging physical manifestations of
climatic variability or change, such as droughts, floods, storms, episodes of
heavy rainfall, long-term changes in the mean values of climatic variables, and
potential future shifts in climatic regimes, among others (Brooks 2003).
10. Climate Proofing – this involves: a) identifying risks to a development project,
natural or human asset, as a consequence of current and future climate
variability and change; b) ensuring that identified risks are reduced to
acceptable levels through long-lasting and environmentally sound,
economically viable, and socially acceptable changes; c) implementing changes
at one or more of the following stages in the project cycle: planning, design,
construction, operation, and decommissioning (ADB 2005).
11. Climate Resilience – refers to the ability of a system, community or society
exposed to hazards to resist, absorb, accommodate, and recover from the
effects of a hazard in a timely and efficient manner, including the preservation
and restoration of its essential basic structures and functions (UNISDR 2009).
Improved adaptation can help develop resiliency.
12. Climate Risk – refers to the product of climate and related hazards working
over the vulnerability of human and natural ecosystems.
13. Climate Variability – refers to variations in climatic conditions (average,
extreme events, among others) on time and space scales beyond individual
weather events, but not persisting for extended periods (shorter term than
climate change) (ADB 2005).
14. Community-Based Disaster Risk Reduction and Management or “CBDRRM” –
a process of disaster risk reduction and management in which at risk
communities are actively engaged in the identification, analysis, treatment,
monitoring and evaluation of disaster risk to reduce their vulnerabilities and
enhance their capacities, and where the people are at the heart of decision-
making and implementation of disaster risk reduction and management
activities.
15. Complex Emergency- a form of human-induced emergency in which the cause
of the emergency as well as the assistance to the afflicted is complicated by
intense level of political considerations.
16. Contingency Planning- This is a management process that analyses specific
potential events or emerging situations that might threaten society or the
environment and establishes arrangements in advance to enable timely,
effective, and appropriate responses to such events and situations.
17. Disaster -This refers to a serious disruption of the functioning of a community
or a society involving widespread human, material, economic or
environmental losses and impacts, which exceeds the ability of the affected

community or society to cope using its own resources. Disasters are often
described because of the combination of the exposure to a hazard; the
conditions of vulnerability that are present; and insufficient capacity or
measures to reduce or cope with the potential negative consequences.
Disaster impacts may include loss of life, injury, disease and other negative
effects on human, physical, mental, and social well-being, together with
damage to property, destruction of assets, loss of services, social and
economic disruption, and environmental degradation.
18. Disaster Mitigation- the lessening or limitation of the adverse impacts of
hazards and related disasters. Mitigation measures encompass engineering
techniques and hazard- resistant construction as well as improved
environmental policies and public awareness. It includes structural and non-
structural measures undertaken to limit the adverse impact of natural hazards,
environmental degradation, and technological hazards and to ensure the
ability of at-risk communities to address, vulnerabilities aimed at minimizing
the impact of disasters. Such measure includes, but are not limited to, hazard
resistant construction and engineering works, the formulation and
implementation of plans, programs, projects and activities, awareness raising,
knowledge management, policies on land-use and resource management, as
well as the enforcement of comprehensive land-use planning, planning and
safety standards and legislation.
19. Disaster Preparedness –The knowledge and capacities developed by
governments, professional response and recovery organizations,
communities, and individuals to effectively anticipate, respond to, and recover
from, the impacts of likely, imminent, or current hazard events or conditions.
Preparedness action is carried out within the context of disaster risk reduction
and management with the aim of averting disaster. At the same time,
preparedness aims to build the capacities needed to efficiently manage all
types of emergencies and achieve orderly transitions from response to
sustained recovery. Preparedness is based on a sound analysis of disaster risk
and good linkages with early warning systems, and includes such activities as
contingency planning, stockpiling of equipment and supplies, the development
of arrangements for coordination, evacuation and public information, and
associated training and field exercises. Formal institutional, legal, and
budgetary capacities should support these.
20. 23.. Disaster Prevention- the outright avoidance of adverse impacts of hazards
and related disasters. It expresses the concept and intention to completely
avoid potential adverse impacts through action taken in advance such as
construction of dams or embankments the eliminate flood risks, land-use
regulations that do not permit any settlement in high-risk zones, and seismic
engineering designs that ensure the survival and function of a critical building
in any likely earthquake.
21. Disaster Resilience- refers to ability of a system, community or society
exposed to hazards to resist, absorb, accommodate, and recover from the
effects of a hazard in a timely and efficient manner, including the preservation

and restoration of its essential basic structures and functions (UNISDR 2009).
Improved adaptation can help develop resiliency.
22. Disaster Response- the provision of emergency services and public assistance
during or immediately after a disaster to save lives reduces health impacts,
ensure public safety, and meet the basic subsistence needs of the people
affected. Disaster response is predominantly focused on immediate and short-
term needs and is sometimes called “disaster relief”.
23. Disaster Risk- the potential disaster losses in lives, health status, livelihood,
assets, and services, which could occur to a particular community or a society
over some specified future period.
24. Disaster Risk Reduction- the concept and practice of reducing disaster risk
through systematic efforts to analyze and manage the casual factors of
disasters, including through reduced exposures to hazards, lessened
vulnerability of people and poverty, wise management of land and the
environment, and improved preparedness for adverse events.
25. Disaster Risk Reduction Management –The systematic process of using
administrative directives, organizations, and operational skills and capacities
to implement strategies, policies, and improved coping capacities to lessen the
adverse impacts of hazards and the possibility of disaster.
26. Disaster Risk Reduction and Management Information System- a specialized
database which contains, among other, information on disaster and their
human material, economic and environmental impact, risk assessment and
mapping and vulnerable groups.
27. Disaster Risk Reduction and Management in Health (DRRM-H)
Institutionalization – is the establishment of a functional DRRM-H system
which includes the following key indicators: updated, approved, disseminated,
and tested DRRM-H plan with necessary budget allocation, organized and
trained health emergency response teams, minimum health emergency
commodities, and functional hub or an emergency operations center for
command and control,communication, and coordination4
28. Disaster Risk Reduction and Management in Health (DRRM-H) Plan – is a
three-year strategic plan containing disaster risk reduction and management
measures in four thematic areas: Prevention and Mitigation, Preparedness,
Response, and Recovery and Rehabilitation4
29. Early Warning System –The set of capacities needed to generate and
disseminate timely and meaning full warning information to enable
individuals, communities and organizations threatened by a hazard to prepare
and to act appropriately and in sufficient time to reduce the possibility of harm
or loss.
30. Emergency- unforeseen or sudden occurrence especially danger, demanding
immediate action.
31. Emergency Management- the organization and management of resources and
responsibilities for addressing all aspects of emergencies, in particular
preparedness, response, and initial recovery steps.

32. Exposure- the degree to which the element at risk is likely to experience hazard
and events of different magnitudes. It refers to the nature and degree to which
a system is exposed to significant climatic variations (IPCC). It depends on
frequency, magnitude, intensity, and duration of climate stressor, such as El
Niño, La Niña, temperature rise, sea level rise, tropical cyclone and other
extreme events. For example, an intensifying cyclone may lead to the
increased risks of climate-induced hazards such as floods and landslides, and
their impacts.
33. Geographic Information System- a database which contains, among others,
geo-hazards assessments, information on climate change, and climate risk
reduction and management.
34. Hazard –A dangerous phenomenon, substance, human activity, or condition
that may cause loss of life, injury or other health impacts, property damage,
loss of livelihood and services, social and economic disruption, or
environmental damage.
35. Incident Command System- a systematic tool used for the command, control,
and coordination of emergency response. It is a set of personnel, policies,
procedures, facilities, and equipment, integrated into a common
organizational structure design to improve emergency response operations of
all types of complexities. It is based upon a flexible, scalable response
organization providing a common framework within which people can work
together effectively. ICS has been summarized as a “first-on-scene” structure,
where the first responder of a scene has a charge of the scene until the incident
has been declared resolved, a superior-ranking responder arrive command or
the Incident Commander appoints another individual Incident Commander.
36. Land-Use Planning- the process undertaken by public authorities to identify,
evaluate and decide on different options for the use of land including
considerations of long-term economic, social and environmental objectives
and the implications for different communities and interest groups, and the
subsequent formulation and promulgation of plans that described the
permitted or acceptable uses.
37. National Disaster Risk Reduction and Management Framework (NDRRMF)-
provides for comprehensive, all hazards, multi-sectoral, inter-agency and
community-based approach to disaster risk reduction and management.
38. National Disaster Risk Reduction and Management Plan (NDRRMP)- this
document to be formulated and implemented by the Office of Civil Defense
(OCD) that sets out goals and specific objectives for reducing disaster risk
together with related actions to accomplish.
39. Risk- The combination of the probability of an event and its negative
consequences (ISDR). It refers to a measure of the likelihood of exposure to a
hazard and the consequence/ impact of that hazard such as the probability of
being stuck by flood and the magnitude of the impact of the flood measured
in terms of cost of crop damage, the higher the probability of the occurrence
of a hazard and the higher its impact, the higher the risk.

40. Risk Assessment –This refers to a methodology to determine the nature and
extent of risk by analyzing potential hazards and evaluating existing conditions
of vulnerability that together could potentially harm exposed people,
property, services, livelihood, and the environment on which they depend. Risk
assessments with associated risk mapping include: a review of the technical
characteristics of hazards such as their location, intensity, frequency, and
probability; the analysis of exposure and vulnerability including the physical,
social, health, economic and environmental dimensions; and the evaluation of
the effectiveness of prevailing and alternative coping capacities in respect to
likely risk scenarios.
41. Risk Management- the systematic approach and practice of managing
uncertainty to minimize potential harm and loss. It compromises risk
assessment and analysis, and the implementation of strategies and specific
actions to control, reduce and transfer risks. It is widely practiced by
organizations to minimize risk in investment decisions and to address
operations risk such as those of business disruption, production failure,
environment damage, social impacts and damage from fire and natural
hazards.
42. Risk Transfer- the process of formally or informally shifting the financial
consequences of risks from one party to another whereby a household,
community, enterprise, or state authority will obtain resources from the other
party after a disaster occurs, in exchange for ongoing compensatory social or
financial benefits provided to that the other party.
43. Sensitivity- refers to the degree to which a system is affected, either adversely
or beneficially, by climate-induced hazards such as landslides, flashfloods, or
drought. More sensitive areas are likely to sustain more serious damage or
impact.
44. Vulnerability –These are the characteristics and circumstances of a
community, system, or asset thatmake it susceptible to the damaging effects
of a hazard. Vulnerability may arise from various physical, social, economic,
and environmental factors such as poor design and construction of buildings,
inadequate protection of assets, lack of public information and awareness,
limited official recognition of risks and preparedness measures, and disregard
for wise environmental management.
45. Weather- is the specific condition of the atmosphere at a particular place and
time. It is measured in terms of such things as wind, temperature, humidity,
atmospheric pressure, cloudiness, and precipitation. In most places, weather
can change from hour-to-hour, day-to-day, and season-to-season. (Weather
Channel)

ANNEX B. REFERENCES
• Borbon, Cebu, Disaster Risk Reduction and Management Plan in Health, 2021-2024
• Department of Health, Central Visayas, Center for Health Development, Regional
Epidemiological Surveillance Unit
• NDRRMC, National Disaster Risk Reduction and Management Plan, 2011-2028
• NDRRMC and NSC, 2016, Contingency Planning Guidebook
• NDRRMC-OCD, 2013, LDRRMP Formulation Training Manual
• Province of Iloilo, Disaster Risk Reduction and Management Plan in Health, 2020-2025
• San Fernando, Cebu, Department of Education, Division of San Fernando
• San Fernando, Cebu, Philippine National Police Station
• San Fernando, Cebu, Comprehensive Disaster Risk Reduction and Management Plan,
2018-2022
• San Fernando, Cebu, Comprehensive Development Plan, 2020-2025
• San Fernando, Cebu, Comprehensive Land Use Plan, 2003
• San Fernando, Cebu, Comprehensive Local Resilience Plan, 2020-2025
• San Fernando, Cebu, Police Station
• Toledo City, Local Disaster Risk Reduction and Management Plan and Local Climate
Change Action Plan, 2016-2024
• Tudela, Cebu, Comprehensive Disaster Risk Reduction and Management Plan 2017-
2021
• https://www.cdc.gov/reproductivehealth/maternalinfanthealth/infantmortality.htm
• https://doh.gov.ph/health-programs/safe-motherhood-program
• https://doh.gov.ph/Statistics/Infant-Mortality-Ten-Leading-Causes
• https://doh.gov.ph/dental-health-program
• https://www.who.int/data/gho/indicator-metadata-registry/imr-details/3142

ANNEX C. - ICS STRUCTURE

ANNEX D. LEGAL BASES

ANNEX E. BEST PRACTICES

ANNEX F: STANDARD OPERATING PROCEDURES per CLUSTER
Health Cluster Operations Protocol
Internally Displaced Persons Total Number of Families Total Number of Persons
Inside evacuation centers (ICs) 2,000 10,000
Outside evacuation centers (OECs) 13,435 67,984
Sixteen (16) evacuation centers occupied by internally displaced individuals composed of

infants, elderly, sick and persons with disability (PWD).
Cluster Objective:
➢ To ensure that evacuees needing medication are given timely medical assistance/care.
➢ medical supplies be made available on time.
➢ Maintain environmental sanitation
➢ Nutritious basic foods and gender sensitivity concerns are properly addressed at all
evacuation areas
Lead and Support Agencies:

Lead: Municipal Health Office
Support: Barangay Nutrition Scholars, Barangay Health Workers, Provincial Health Office
Municipal Social Welfare Development Officer, Private Sector, GSO, NGOs/ INGOs
Cluster Task:
1. To provide the needed medical assistance /care and medical supplies to
displaces families on time
2. To continuously monitor sanitation and hygiene at the evacuation centers and
environment to avoid subsequent illnesses to disaster victims
3. To administer medical treatment to injured persons and/or provide referrals
for advance treatment
4. To conduct Psychosocial and Social interventions such as Critical Incident
Stress Debriefing (CISD) to affected families.

Concept of Operation:
Municipal Health Office – Lead Agency
1. Municipal Health Officer convenes members (Rural Health Nurses, DOH-Nurses, Rural
Health Midwives, DOH-Midwives, Rural Sanitary Inspectors, MDRRMO, Nutritionist)
for briefing logistics preparation and advisories monitoring.
2. MHO/RHNs/NDPs/RHMs/RHMPPs and Nutritionist to alert likely the BHWs, BNS for
possible support
3. Prepares schedule of staff/personnel on duty 24/7 and readies kits for the team
4. Alerts concerned partners from the referring facilities
5. Ensure availability and adequacy of medical supplies/tools and equipment
6. Revisit/review/update existing SOPs for Activation if the situation warrants
7. Inform EOC on the status of preparedness.
Medical Team A – to be deployed at the Impacted Area

➢ Checks-in/ reports to the IC for deployment
➢ Establishes the medical post at the impacted area in coordination with the IC
➢ Conducts clinical assessment and triaging
➢ Administers treatment and/or referral
➢ Manages dead bodies following DOH Standard Operating Procedures (SOPs)
➢ Establishes temporary morgue for dead victims
➢ Provides updates to HEMS (Health Emergency Management Services) Coordinator
Medical Team B- to be deployed at the Evacuation Centres

➢ At the evacuation centers, conducts clinical assessment
➢ Administers treatment and/or referral if needed
➢ Provides report/updates to HEMS Coordinator, copy furnish the camp
manager/school DRR Officer
Water And Sanitation Hygiene Team- to be deployed at the Evacuation Centres

➢ At the evacuation centers, checks availability, adequacy and potability of drinking
water
➢ Demonstrates water disinfection procedures to evacuees through the designated
room in-charge
➢ Checks proper solid waste management, proper use of defecation facilities, and
wastewater disposal
➢ As needed- carries-out vermin control measures
➢ Conducts IEC on WASH to evacuees

➢ Provides updates to camp manager, school DRR coordinator and HEMS coordinator
Nutrition Team – at Evacuation Centers

➢ Carries out Nutrition protocols at the evacuation centers in coordination with the
Ayuda Program staff assigned in the evacuation centers
➢ Provide updates to camp managers, school DRR Coordinator and HEMS coordinator
Psychosocial Team at the Evacuation Centers

➢ Conducts psychosocial counselling to flood victims if necessary
➢ Refers victims if necessary
SURVELLAINCE in POST EXTREME EMERGENCIES and DISASTERS (SPEED) – 48 hours after the
onset of the disaster
➢ Conducts survey in all evacuation centers using the standard forms from DOH
➢ Administers treatment and/or referral if needed
➢ Prepares/submits report copy furnish HEMS coordinator and EOC
HEMS Coordinator (Post Operation)

➢ Prepares/submit documentation of actions taken by the Medical Health Sector to EOC
➢ Revisit the Medical Health Sector Contingency Plan/SOPs and make necessary
recommendations for its adjustment
➢ Continue to monitor the health status of the community
CONCEPT of SUSTAINMENT
1. The Municipal Health Office as Cluster Lead will coordinate all support and
requirements of the Health Clusters in their activities to augment the requirements at
the affected areas during disasters
2. Concerned support agencies shall utilize their respective internal personnel.
Additional personnel requirements shall be coordinated with the LDRRMC through the
LDRRMO
Command and Control

Command Relationship- all local actors and key players will refer and based their actions as
prescribed in IRR of R.A. 11021, LDRRMP and this Plan.
Command Center- Emergency Operation Center, Floor number, Bldg. Name, Brgy/
Municipality

Succession of Command:
1. Chairperson, LDRRMC (Local Chief Executive)
2. Vice-chairperson for Disaster Response and Designated Officers (LDRRMO
head)
3. Health Head Cluster Lead
4. Health Cluster Members
Inter-Agency Communication System Support – for the entire duration of the operations, the
existing means of communications shall be utilized whatever is applicable as coordinated by
the LDRRMO through its EOC. However, the Emergency Telecommunications and Cluster will
be activated once communication is cut-off from the affected areas.

ANNEX F: STANDARD OPERATING PROCEDURES
Below is the flowchart for the activation and deactivation of the Emergency Operation Center of the
Municipality of San Fernando specifically for Typhoon.
Start
PAG-AS forecasts Typhoon
DRRMC conducts PDRA
EOC on RED Alert ACTIVATE

EOC on BLUE Alert status
Status EOC?
Responders conducts normal

RO convenes the Clusters at operations using ICS
the EOC
Clusters provide continuous support

to responders
RO mobilizes and deploys IMT
Clusters and IMT operate NO

Situation
based on Contingency Plan 3
Normalize
d?
NO
Situation IC recommends remobilization
Improved? 1
RO approves recommendation
YES for demobilization
IMT recommends deactivation of EOC
Responders and clusters demobilize
RO directs deactivation of EOC

OpCen on White Alert Status
2
END


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1

1|| San Fernando, Cebu

M ESSAGE FROM THE O FFICE OF THE L OCAL C HIEF E XECUTIVE

The Municipality of San Fernando, Cebu, has strong

HON. MYTHA ANN B. CANOY

2|| San Fernando, Cebu

Message from the Office of the Municipal Vice-Mayor

The Municipality of San Fernando, Cebu, an

With that in mind, this Disaster Risk Reduction

In this new normal, everyone must cope with the

HON. RICCI REGEN G. RELUYA

3|| San Fernando, Cebu

Message from the Office of the Municipal Health Officer

ALFREDO MANUGAS VI, M.D.

4|| San Fernando, Cebu

5|| San Fernando, Cebu

Message from the Office of the Local Chief Executive ............................................................ 2

6|| San Fernando, Cebu

7|| San Fernando, Cebu

8|| San Fernando, Cebu

9|| San Fernando, Cebu

10|| San Fernando, Cebu

➢ Disaster Prevention and Mitigation

The Municipality of San Fernando DRRM-H has three (3) components

11|| San Fernando, Cebu

Municipal Recovery or Rehabilitation Plan has strategies and activities aimed

➢ Medical and Public Health

➢ Water, Sanitation and Hygiene (WASH)

➢ Mental Health and Psychosocial Support (MHPSS)

12|| San Fernando, Cebu

a) to guarantee uninterrupted health service delivery during

b) to avert preventable morbidities, mortalities, and other health effects

c) to ensure that no outbreaks secondary to emergencies and disasters occur.

PLANNING COMMITTEE MEMBERS AND ROLES AND RESPONSIBILITIES.

The following are members of the Planning Committee:

Committee Roles and Responsibilities

13|| San Fernando, Cebu

Between year 1854 and 1858, the

14|| San Fernando, Cebu

Typically, throughout the year it has an average precipitation of at least 60 millimeters

1.a Topography and Slope

Slope Ranges Description Area (hectares) Total %

0-5% Level to nearly level 704.31 9.52%

15|| San Fernando, Cebu

16|| San Fernando, Cebu

Hazards and Exposure

All 21 barangays of San Fernando are susceptible to typhoon.

17|| San Fernando, Cebu

Sea-level rise and coastal erosion

18|| San Fernando, Cebu

Vulnerability per Hazard

Types and Level of Hazards per Barangay

Type Hazard Level Affected Barangays

19|| San Fernando, Cebu

LOCAL CLIMATE CHANGE SCENARIO OF THE MUNICIPALITY OF SAN FERNANDO,

German Development Cooperation-Global Initiative on Disaster Risk Management

The Climate Change Vulnerability Assessment (CCVA) signal that increases in

20|| San Fernando, Cebu

21|| San Fernando, Cebu