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NINETEENTH CONGRESS OF THE) 2 ate aprit 12,2023

REPUBLIC OF THE PHILIPPINES )

" , * TIME 11:25

First Regular Session ) e BY a
HOUSE OF REPRESENTATIVES 6

H. No. 7843 Lo ver

Introduced by Representatives Ferdinand Martin G. Romualdez, Yedda Marie K.
Romualdez, Jude A. Acidre and Raul C. Tupas

AN ACT ESTABLISHING A GENERAL HOSPITAL IN THE MUNICIPALITY OF SAN
DIONISIO, PROVINCE OF ILOILO TO BE KNOWN AS THE NORTHERN ILOILO
GENERAL HOSPITAL, AND APPROPRIATING FUNDS THEREFOR

EXPLANATORY NOTE

Article Il, Section 15 of the 1987 Constitution states that “The State shall protect and
promote the right to health of the people and instill health consciousness among them.”

Furthermore, Article XIII, Section 11 of the same further emphasizes that “The State
shall adopt an integrated and comprehensive approach to health development which shall
endeavor to make essential goods, health and other social services available to all the people
at affordable cost. There shail be priority for the needs of the underprivileged, sick, elderly,
disabled, women and children. The State shall endeavor to provide free medical care fo
paupers.” Pursuant to the provisions of the Constitution, the government must continuously
exert efforts in ensuring quality and accessible health care for its people.

This bill seeks to establish a tertiary hospital under the full and direct control,
supervision and management of the Department of Health to be known as the Northern Iloilo
General Hospital located in San Dionisio, lloilo.

The opening of the Norther lloilo General Hospital will complement and operationalize
Republic Act No. 11223 otherwise known as the Universal Health Care Act as it would serve
as an End Referral Hospital in the Fifth District of lloilo‘ catering to the patients of the Gov.
Niel D. Tupas Sr. District Hospital, Sara District Hospital, and Jesus M. Colmenares District
Hospital, all of which are Level | hospitals.

The bed occupancy rate of Fifth District Hospitals for the period 2019-2021 are
provided as follow (Hospital Management Office, Province of lloilo):

Hospital 2019 2020 2024
Authorized Bed ‘Authorized Bed ‘Authorized Bed

Bed | Occupancy | Bed | Occupancy | Bed | Occupancy
Capacity Rate | Capacity | Rate | Capacity | Rate
50 308 50 140 50 86

‘Sara District Hospital,
Sara

* The Fifth District of lloilo is comprised of eleven municipalities namely, Ajuy, Balasan, Barotac Viejo,
Batad, Carles, Concepcion, Estancia, Lemery, San Dionisio, San Rafael, and Sara.


Jesus M. Colmenares 50
District Hospital,

Balasan

624

27 73 70.71

Gov. NielD. Tupas Sr.
District Hospital,
Barotac Viejo

157.23

74.56 Ey $5.03

For the year 2021, the leading causes of referrals and morbidity for the three district
hospitals are the following (Hospital Management Office, Province of lloilo):

Hospital Leading Causes of Referrals Leading Causes of Morbidity
Gov. Niel D. Tupas Sr. District | Community acquired pneumonia | Community acquired pneumonia
Hospital, Barotac Viejo Leptospirosis Acute gastroenteritis
Pulmonary tuberculosis Acute gastritis
Cardiovascular disease infarct _| Cardiovascular disease
Acute tonsilopharyngilis Pulmonary tuberculosis
Central nervous system infection | Urinary tract infection
Hypoglycemia Benign febrile seizure
Abortion Upper gastrointestinal bleeding
Upper gastrointestinal bleeding | Bronchial asthma
Vulvar hemorrhage Hypertension
Sara District Hospital, Sara Intrauterine pregnancy with | CoVid 19 infection
‘complications Urinary tract infection
Pneumonia Pneumonia
Appendicitis Acute gastroenteritis
Head injury secondary to vehicular | Gastritis
accidental Hypertension
CVAIStroke Hypertensive cardiovascular
Hypertensive cardiovascular | disease
disease Pulmonary tuberculosis
Meningitis Non ulcerative dyspepsis
CoVid 19 infection Diabetes melitus
‘Acute Abdomen
Congestive heart failure
Jesus M. Colmenares District | Covid 19 infection Pneumonia
Hospital, Balasan Cerebrovascular infection Sepsis neonatorum
Pneumonia CoVid 19
Intestinal obstruction Acute gastroenteritis
Acute appendicitis Acute gastritis
Tuberculosis meningitis Cerebrovascular disease
Tetanus stage Dengue fever
Bums Urinary tract infection
Obstruction uropathy Hypertension
Lacerated wound Sepsisisepticemia

The general hospital will serve indigent patients coming from the Province of lloilo and
from the nearby municipalities of Capiz. The hospital will also decongest regional hospitals all
of which are located in the City of Iloilo and bring essential medical health services closer to
patients coming from the Fifth District of lloilo which is the biggest district in the Province of
lloilo in terms of the number of constituents with a population of 472,661 (based on PSA
census of 01 May 2020). At present, referred patients coming from the District will have to
travel some 2 to 3 hours to go to the city hospitals. Patients coming from the island barangays
will have to travel longer since going to the mainland alone will account for half day travel by


boat on good weather. There are occasions when due to high occupancy rate , patients will
not be readily accommodated or even refused admission.

While there are three district hospitals in the district, the need for a general hospital
becomes imperative as we embark on the full operationalization of Republic Act No. 11223
otherwise known as the Universal Health Care Act. The challenges brought by the CoVid 19
pandemic teaches us to invest more on health facilities, The City of lloilo for example with a
population of 456,626 (based on PSA census of 01 May 2020) has 6 private hospitals aside
from the regional and provincial hospitals present in the area. The proposed general hospital
will complement the existing district hospitals, expand medical services, and address
specialized cases.

The general hospital will also complement the promotion of various tourist destinations
in the district. It will be reassuring to tourists, both domestic and foreign, that medical facilities
are available in times of emergencies. Learning from the experiences of the CoVid-19
pandemic, the expansion of medical services is critically important in the reopening of borders
and gradual travel resumption to tourist areas.

The bill will contribute in the expansion of public access to quality and affordable health
care as well as encourage our people to seek hospital treatments especially now that we are
living in the new normal.

In view of the foregoing, the approval of this bill is earnestly sought.

FERDINANI G. ROMUALDEZ Ch K. ROMUALDEZ

JUDE A. ACIDRE RAUL "BOBOY" C. TUPAS


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NINETEENTH CONGRESS OF THE )
REPUBLIC OF THE PHILIPPINES )
First Regular Session )

HOUSE OF REPRESENTATIVES
H. No, 7843

Introduced by Representatives Ferdinand Martin G. Romualdez, Yedda Marie K.
Romualdez, Jude A. Acidre and Raul C. Tupas

AN ACT ESTABLISHING A GENERAL HOSPITAL IN THE MUNICIPALITY OF SAN
DIONISIO, PROVINCE OF ILOILO TO BE KNOWN AS THE NORTHERN ILOILO
GENERAL HOSPITAL, AND APPROPRIATING FUNDS THEREFOR

Be it enacted by the Senate and House of Representatives of the Philippines in
Congress assembled:

SECTION 1. There shall be established a general hospital in the Municipality of San
Dionisio, Province of Iloilo to be known as the Northern lloilo General Hospital, which
shall be under the direct control and supervision of the Department of Health (DOH).

SECTION 2. The DOH shall develop a hospital development plan to define the service
capacity, developmental goals and targets of the hospital. Any future increase in bed
capacity and upgrading of health care facilities, service capability, and human resource
complement shall be based on the hospital development plan.

SECTION 3. The site of the hospital shall be in the Municipality of San Dionisio, Province
of lloilo.

SECTION 4. The Secretary of Health shall immediately include in the Department's
program the implementation of this Act. The amount of Nine Hundred Million Pesos
(Php 900,000,000.00) is hereby appropriated for the implementation of this Act which
shall be included and funded under the General Appropriations Act under the Health
Facilities Enhancement Program (HFEP) of the DOH. Thereafter, such sums as may be
necessary for its continued operation shall be included in the annual General
Appropriations Act.


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SECTION 5. If any provision or part of this Act is declared unconstitutional, the
remaining parts or provisions not affected shall remain in full force and effect.

SECTION 6. All laws, executive orders, issuances, rules and regulations inconsistent
with this Act are hereby repealed or modified accordingly.

SECTION 7. This Act shall take effect fifteen (15) days after its publication in the Official
Gazette or in a newspaper of general circulation.

Approved,