CASE REPORT:

A SWOT ANALYSIS
OF
BALAMBAN HEALTH
DIAGNOSTIC AND
BIRTHING CENTER
Submitted by:
Gerald J. Develos
Gwen G. Aban
Pilotche D.Macua
Submitted to:
Dr. Jonah G. Langga
March 2019
 CASE REPORT TABLE OF CONTENTS

Chapter 1
Introduction
Defining the Central Problem

Chapter 2
Internal Environment: Strengths and Weaknesses
*Core Values
*Vision
*Mission
*Organizational Structure
*Services Offered
External Environment: Threats and Opportunities
*Location
*Catchment Areas
*Future Prospective
Weighing the Options/ Alternatives

Chapter 3
Conclusion
Recommendations

Bibliography

Curriculum Vitae
 CHAPTER 1
INTRODUCTION
During the Hispanic era, the vicinity which is deeply forested except for a small portion meeting the
coastline was settled by people called “Kangmas” linked with a simulation of hands by Spaniards
signifying the seat of the chair called “ Balangbalang” in dialect which was later shortened to
“Bangbang”. Known for its famous stone houses, at present, it is now known as “Balamban”.

Balamban is in the Western part of Cebu characterized by hills, flat lands and mountain ranges with a
total population of 80711 and 13452 households. This town became a Pueblo in 1878 and in 19th
Century became a very progressive town in all aspects of its economy from 1950s to present under its
Local Government Unit. Currently, it is under the Leadership of Mayor Alex S. Binghay.

In terms of digging deeper on Health Facilities and Manpower Complement, aside from the private
sector which has its own share of 1 district hospital and prvate clinics, this province has its own
Balamban Health Diagnostic and Birthing Center (BHDBC) with Dr. Napoleon Macapaz as Municipal
Health Officer. BHDBC has 3 Main Health Centers and 25 Barangay Health Stations. BHDBC Manpower
constitutes: Municipal Health Officer, Dentist, Dental Aide, Medical Technologists, Public health Nurses,
Sanitarian, Barangay Health Workers, Administration Staff, Utility and Driver.

Under the Department of Health’s Universal Health Care (Kalusugang Pangkalahatan -KP) goals which is
directed towards the achievement of the health system goals of financial risk protection, better health
outcomes and responsive health system, Balamban Health Diagnostic and Birthing Center Programs
offered are as follows: Maternal and Child, Communicable and Non-Communicable, KP-CHT,
Reproductive Health, Wash, BnB, Complete Treatment Pack, Healthy Lifestyle, Primary Care and Basic
Life Support, Environmental Sanitation.

As per health service delivery, BHDBC has its pros and cons. The proponents of this Case Report, Mr.
Gerald Develos, Ms. Gwen Aban, and Ms Pilotche Macua has identified through initiating a SWOT
Analysis Review conducted on February 21, 2019 at Balamban Municipal Health Office utilizing firsthand
information from primary data,respondents and references from previous related literature .

Through the SWOT Analysis Review, Strengths, Weaknesses, Opportunities and Threats were identified
and Overall Health Strategies and Specific Interventions are developed to provide solution to the
problems.
 IDENTIFYING THE PROBLEM
A Strength, Weaknesses, Opportunities and Threats ( SWOT) was done by proponents of this Case
Report, Mr. Gerald Develos, Ms. Gwen Aban, and Ms Pilotche Macua conducted on February 21, 2019 at
Balamban Health Diagnostic and Birthing Center utilizing firsthand information from primary data,
respondents and references from previous related literature for Overall Health Strategies and Specific
Interventions Development

Gaps and Problems are identified in health service delivery. Tuberculosis Program Implementation has
poor performance due to lack of personnel and follow-up of clients especially defaulters and sputum
exam, noncompliance to DOH Protocol, inadequacy of equipment and management at the same time
Case finding and Holding.

In terms of Maternal and Child Care, other Birth Center staff are untrained in BEmOnC, presence of
hilots and client’s preferring hilots, religious opposition to program especially on Family Planning (FP),
lack of awareness to importance of prenatal check up, misconception, underreporting and irregular
validation of Family Planning users.

With regards to Environmental Sanitation, misconception on hardship of evacuation of temporary land

occupants who have sanitary toilet facility has been identified and Financial Constraints on sanitary
toilet facility construction.

In terms of Governance, Inter Local Health Zone (ILHZ) was established but not progressed, Meetings are
conducted irregularly and Complete Treatment Packs deliveries are sometimes delayed.

In addition, Regulation on PHIC Accreditation-OPB and TB-DOTS was expired since 2011 and was not
renewed due to temporary location of BHDBC.

For Financing, Maintenance and Other Operating Expenses (MOOE) Allocation for Health, the LGU did
not meet the acceptable computed value and not all NHTS families are enrolled in PHIC.

For Health Information System, eFHSIS was not realize due to failure of internet connection and only
RHU1 has a computer set among 3 RHUs.

Lastly, Health Human Resource for Barangay Health Workers are inadequate to ratio per households.
Also, Capability building should be done for BEmONC staff.

All these problems seem to be of threat and weaknesses identified needed to be remedied.
 Chapter 2
Internal Environment: Strengths and Weaknesses
A. Core Values
a. Patients and each other should be treated in dignity, respect, regardless of age, race,
gender, disability, values, lifestyle or interests.
b. Compassion and empathy of others are crucial to the success of the organization
c. Honesty and integrity in all relationships are paramount.
d. Commitment to highest quality health care and customer service to our patients
e. Teamwork and cooperative working relationship is crucial to the success of Balamban
Municipal Health Office.
B. Vision

Provision of accessible and affordable quality health services for all by efficient health worker.

C. Mission

To provide accessible, affordable quality health services through:

 Continuous updating of the capability of health staff on the different health programs.
 Attendance to meeting, conference, seminars and trainings of health staff to improve their
knowledge, skills and attitude.
 Maintaining the quality standards of service in coordination with the Department of Health.
 Adequate allocation of budget for Health on Maintenance and Other Operating Expenses
(MOOE).
 Availability of Service Delivery Network.
 Enrollment of indigents to Philhealth.
 Continuous upgrading of public health facilities.
 Accreditation of health facilities to Philhealth.
D. Organizational Structure

Category Number of Personnel

MHO 1 (organic)
Dentist 1(organic-province)
Dental Aide 1(organic-province)
Medical Technologist 1(organic-province)
PHN 4(organic); 1(job order)
Sanitarian 1(organic);3(job order)
RHM (BHS) 24(organic); 4 (job order)
RHM ( Birthing Center) 2 (organic); 14 (job order)
Clerk/Utility/ Driver/Office Aide 2 (organic); 4 (job order)
Table 1:Manpower Complement of Balamban Municipal Health Center
 E. Services Offered

Note: Some Health Services are not necessarily to be done by other staff category based on their job
description.

Health Services No. Of Trained Staff as per Category of Employee

Doctors (3) Nurses (5) Midwives(28) Sanitary Inspector
(4)
BEmOnc 2 2 5 0
Micronutrient 0 4 0 0
Supplementation
Child’s Growth 0 3 0 0
Standard
Infant and Young 0 4 10 0
Child Feeding
Newborn 1 3 19 0
Screening
PEN 2 2 0 0
KP-CHT 3 5 28 2
TB-MOP 2 3 28 1
TB in Children 2 4 0 0
TB MDR 2 3 0 0
Rabies 2 4 2 0
Cold Chain 2 4 16 0
Management
EPI REB 2 3 11 0
EPI Basic Skills 0 3 13 0
PBSOS 3 2 0 0
IMCI 1 1 5 0
HIV/AIDS 1 2 8 0
PIDSR 2 2 1 1
Leprosy Program 3 4 13 1
Blood Program 1 1 0 1
FP Basic 1 4 24 0
FP Depo 0 2 12 0
Wash 0 0 0 2
BnB 2 3 7 0
Complete 1 1 0 0
Treatment Pack
Program
Healthy Lifestyle 2 2 3 1
Primary Eye care 1 4 27 0
Basic Life Support 3 5 28 4

Table 2. Health Services Offered and Staff Trained To Implement the programs
STRENGTHS

Strengths are the fairly straightforward part of the analysis. Internal and current attributes are being
considered as well as attributes that are poised to move forward in the future. These include but not
limited to:

1. Specific and well-defined mission, vision and core values integral to be personified by staff as
part of the organization
2. Systematic and simple chain of command based on organizational structure and manpower
complement (refer to table 1)
3. Staff trained as per the 28 health services offered are represented as per relevant category who
are expected to implement the program (refer to table 2 above)
4. All of the 3 or 100% Doctors are Trained in Leprosy Program,KP-CHT and PBSOS.

WEAKNESSES

This list is based on the existing data and observations. What are the existing problems? Like the
strength’s section, these, too, are internal qualities or issues:

1. Tuberculosis Program Implementation has poor performance due to lack of personnel and
follow-up of clients especially defaulters and sputum exam, noncompliance to DOH Protocol,
inadequacy of equipment and management at the same time Case finding and Holding.
2. Other Birth Center staff are untrained in BEmOnC, presence of hilots and client’s preferring
hilots, religious opposition to program especially on Family Planning (FP), lack of awareness to
importance of prenatal check up, misconception, underreporting and irregular validation of
Family Planning users.
3. Environmental Sanitation misconception on hardship of evacuation of temporary land occupants
who have sanitary toilet facility has been identified and Financial Constraints on sanitary toilet
facility construction.
4. In terms of Governance, Inter Local Health Zone (ILHZ) was established but not progressed,
Meetings are conducted irregularly and Complete Treatment Packs delivery are sometimes
delayed.
5. Regulation on PHIC Accreditation-OPB and TB-DOTS was expired since 2011 and was not
renewed due to temporary location of BHDBC.
6. For Financing, MOOE Allocation for Health, the LGU did not meet the acceptable computed
value and not all NHTS families are enrolled in PHIC.
7. For Health Information System, eFHSIS was not realize due to failure of internet connection and
only RHU1 has a computer set among 3 RHUs.
8. Health Human Resource for Barangay Health Workers is inadequate to ratio per households.
Also, Capability building should be done for BEmONC staff.
 External Environment: Threats and
Opportunities
A. Location

Balamban Health Diagnostic and Birthing Center is situated 21 statute miles (31kms) North
40 degrees 30 minutes West of the City of Cebu, squatting on a coastal area facing Tanon
Strait bounded by the town of Asturias on the North, Toledo City on the South, Danao City
and Compostela on the East and Tanon Strait on the West.

With Cebu City as the Take-Off point, Balamban can be reached through four (4) routes
namely: Naga-Uling Route (175kms), North Route via Lugo (132.3kms), Transcentral
Highway Route (49kms) passing Lahug-Busay of Cebu City and the Talisay-Lutopan (Manipis)
Route (63.9kms).

B. Catchment Areas

Balamban Health Diagnostic and Birthing Center has 3 main health facilities and 25 Barangay
Health Stations. These catchments are manpowered by 37 organic or regular employees and
26 job order employees (refer to table 1 for manpower complement)

C. Future Prospective, Weighing the Options/ Alternatives

OPPORTUNITIES- Health Strategies and Specific Interventions are applicable to solve existing problems
and enable to reach the goals of the organization, these are the following but not limited to:

a. Service Delivery
i. TB Program
1. To increase case detection rate from 50-60% trhough the following
interventions:
a. To request DOH/PHO to train newly hired personnel for NTP
b. To advise PHNs to remind health service providers to follow
up defaulters through home visits or sending notification
letters
c. To utilize CHT partners and BHWS in the identification of
presumptive and refer these clients to BHS/ RHU
2. To maintain the high accomplishment of TB success rate of 93%
through the following interventions:
a. To sustain the strong case holding of TB clients under
treatments
b. To implement strictly the DOTS program
c. To maintain supplementary budget for NTP
 d. To monitor TB Clients treatment on their sputum follow-up
exam schedule
e. To maintain good connection with private practitioners.

ii. Maternal and Child Health

1. To maintain the High Coverage of fully immunized (FIC) children
(105%) through the following interventions:
a. To conduct regular immunization rounds
b. To conduct immunization even holidays
c. To provide update to health service providers on
immunization
d. To utilize NDPs and CHT Partners in the dissemination of
information on immunization
2. To increase the percentage of infants exclusively breastfed from 75-
86% through:
a. regular health teachings on importance of breastfeeding
until 6months
b. Incorporate breastfeeding on assembly and health
education class
c. Utilize CHT partners in pregnancy tracking
3. Increase Facility-based deliveries from 85-95% through:
a. Upgrade BEmONC Staff through training
b. Encourage pregnant mothers to undergo facility-based
deliveries
c. Provide benefits to pregnant mothers who will opt to
deliver in facility by free birth registration and maternal and
neonatal services.
4. Increase contraceptive prevalence rate from 34 to 45% through:
a. requesting DOH/PHO to let job order midwives participate
in Family planning trainings
b. FP refresher course every 5 year from DOH/PHO
c. Conducting regular FP validation
d. Intensifying IEC in FP program to minimize misconceptions
on FP
e. Providing adequate FP supply of contraceptives to facilities
providing services.
iii. Environmental Sanitation
1. Increase household with accesds to safe water from 80-90%
through:
a. Regular water sampling to level 1,2, 3 sources
 b. Monitor water refilling station as to their water analysis
result
c. Regular update of no. Of households with safe water
2. Increase no. Of households with safe toilet facilities from 73-83%
through:
a. Regular monitoring of unsanitary toilet facilty households
b. Formulate barangay resolution for procurement of
construction materials for household with unsanitary toilets

B. Governance

Local health Board to conduct regular local health board meeting every 2months

C. Regulation

PHIC Accreditation- to have facility accredited by Philhealth, on MCP, TB DOTS, PCB and NBS
through compliance of Philhealth Accreditation Requirements

D. Financing

MOOE Allocation for Health- increase MOOE allocation from 43-48% through request from LGU
for increase in MOOE allocation thorugh submission of budget proposal before budget hearing

E. Health Information System

eFHSIS- to be implemented in all health facilities through request of internet connection from
LGU and include in M<OOE budget for allocation in internet connection

F. Health Human Resource

1. BHWs to Household Ratio- increase from 33-40% through recruitment of new BHWs and
request for additional budget for honorarium

2. Capability Building-Increase trained staff in BEmONC by requesting LGU to provide budget for
training and request DOH/PHO to conduct training.

THREATS

Although threats may generally be external and environmental but it can also be internal especially as it
may relate to the readiness and capability of new staff and personnel and other regular employees who
needs to undergo specialised training. There are also other external threats such as:

1. Current and potential budget constraint that may threaten opportunities for specialised training for
service delivery and equipment for internet connection and health service delivery

2. Poor Health practices of employees and clients resulting to noncompliance and decline in
performance rate
 CHAPTER 3

CONCLUSION
In conclusion, Balamban Municipal Health Office boost a clearly outlined core values, mission and vision
statement that can be personified by the members of its organization. The hierarchy of command is well
defined in a simple manner with good complement of manpower. Health services offered have been
represented as per category necessary to carry out its delivery. All doctors are well trained in Leprosy
program, KP-CHT, and POBS.

In terms of the organization’s waterloo, service delivery reveals deficiency in Tuberculosis program,
Maternal and Child Care, and Environmental Sanitation due to irregular follow-up, lack of training for
new staff and personnel, non-adherence to protocol, insufficient supply and equipment,
misconceptions, data validation and financial constrains in constructing sanitary toilets. Governance
reveals ILHZ to be non-progressive and meetings are not regularly done. Financing from MOOE
Allocation for health is insufficient and PHIC enrolment of all NHTS household is incomplete. Due to no
internet connection, eFHSIS is not implemented. Also, Health Human Resource reveals insufficient ratio
of BHWS to number of household and capability building for Birthing center for BEmONC has not been
realized.

Strategies to provide improvement deals more on improving detection rate , high accomplish of TB
success rate. For Maternal and child, maintaining high coverage of fully immunized children, increasing
percentage of exclusive breastfeeding and facility based deliveries and contraceptive prevalence rate
are essential to address the current problem. Environmental Sanitation should focus more icreasing
percentage access of households to safe water and sanitary toilet facilities. Local health board should
have 2 monthly regular meeting to have good governance. Organization should comply to PHIC
accreditation requirements and to also secure budget from MOOE for allocation for health. Health
Information System should persevere to secure internet connection for better health service
informatics. For Human Health Resource, new BHWs should be recruited for increase manpower and
propose increase budget allocation for honorarium. Capability building should be done as well by
requesting DOH/PHO to conduct BEmONC Training and LGU to allocate budget for training.

Although strategies are developed, still threats can be present to hinder its realization if budget and
allocation are not approved and given and staff persistence in poor practices which will result to
noncompliance and success/ performance rates.
 RECOMMENDATION
Even if strategic plans are developed to remedy the problems, its realization still boils down to the LGU
to provide budget and allocation for financial support and DOH/PHO to conduct trainings for staff as
these staff may persist in poor practices which will result to noncompliance and success/ performance
rates. The following are strong interventions to address the current problems:

Interventions are developed for health service delivery which focuses more on improving detection rate
, high accomplish of TB success rate revolves to good follow-up of defaulters and proper training of all
staff involved in the NTP program at the same time involving CHT Partners for referral of presumptive TB
clients. Also, implement strong case holding by strictly implementing DOTS program and maintain
supplementary budget for NTP, monitor TB clients treatment and sputum exam schedule and maintain
good relation with private practitioners.

For Maternal and child, maintaining high coverage of fully immunized children by conducting regular
immunization rounds, extending immunization on holidays and provide update to health service
providers and utilize CHT partners to disseminate information on immunization. Increasing percentage
of exclusive breastfeeding and facility based deliveries and contraceptive prevalence rate can be done
by providing health teachings to mothers regarding breastfeeding up to 6 months, incorporation of
Breastfeeding lectures on health classes and assembly, providing free birth registration for newborn and
maternal and neonatal services, encouraging facility-based delivery, FP training for job order midwives
and refresher course every 5 years for regular employees, FP validation and providing adequate supplies
to facilities providing FP services.

In terms of Environmental Sanitation, increasing percentage access of households to safe water and
sanitary toilet facilities must be done by regular conduct sampling of level 1, 2 and 3 water sources,
monitor water analysis results of water refilling stations, monitor households with safe access to safe
water and sanitary toilets. It is also essential that Barangay resolution should be formulated for
procurement of construction materials for household with unsanitary toilets.

For good governance, Local health board should have 2 monthly regular meeting to have good
governance. Organization should comply to PHIC accreditation requirements and also secure budget
from MOOE for allocation for health. Health Information System should persevere to secure internet
connection for better health service informatics. For Human Health Resource, new BHWs should be
recruited for increase manpower and propose increase budget allocation for honorarium. Capability
building should be done as well by requesting DOH/PHO to conduct BEmONC Training and LGU to
allocate budget for training.

If all of these strategies are realised, then strategic plan to solve these problems and glitches can be
evaluated to measure its success rate.
 Bibliography
The following are the references used for the comnpletion of this case report:
Macapaz, N., & Mabuang, G. (2016). Balamban Municipal Investment Plan for Health. Balmban,
Cebu City, Philippines. Balamban Municipal Investment For Health. Pages 23-32.

Ansoff, H.I. (1988). The new corporate strategy (revised.) Hoboken, NJ: John Wiley & Sons.
Baldridge, J.V., & Okimi, P.H. (1982). Strategic planning in higher education: New tool–or new gimmick?
AAHE Bulletin, 35(2), 6, 15-18.

DeSilets, L.D. (2008). SWOT is useful in your tool kit. The Journal of Continuing Education in
Nursing, 39(5), 196-197. Gaba, D.M. (2004). The future vision of simulation in healthcare. Quality and
Safety in Health Care, 13, i2-i10. Gumbus, A., & Lussier, R.N. (2003). Developing and using a balanced
scorecard: A case study with SWOT analysis. Clinical Leadership and Management Review, 17(2), 69-74.

Harlow, K.C., & Sportsman, S. (2007). An economic analysis of patient simulators for clinical
training in nursing education. Nursing Economic$, 25(1), 24-29.

Holder, R.W. (2004). Strategic and business planning for a human patient simulator center. In G.
Loyd, C. Lake, & R. Greenburg (Eds.), Practical healthcare simulations. Philadelphia: Elsevier Mosby.

Jeffries, P.R. (2009). Dreams for the future of clinical simulation. Nursing Education Perspectives,
30(2), 71.

Loyd, G.E. (2004) Issues in starting a simulation center. In Dunn, W. (Ed.), Simulators in critical
care and beyond. Des Plaines, IL: Society of Critical Care Medicine.

Sackett, K., Jones, J., & Erdley, W.S. (2005). Incorporating healthcare informatics into the
strategic planning process in nursing education. Nursing Leadership Forum, 9(3), 98- 104.

Seropian, M.A., Brown, K., Gavilanes, J.S., & Driggers, B. (2004a). Simulation: Not just a manikin.
Journal of Nursing Education, 43(4), 164-169.

Seropian, M. A., Brown, K., Gavilanes, J.S., & Driggers, B. (2004b). An approach to simulation
program development. Journal of Nursing Education, 43(4), 170-174. SWOT Analysis. (2007). Retrieved
from http://commons.wikimedia.org/wiki /File:SWOT_en.svg
 Curriculum Vitae
The following are the proponents’ curriculum vitae and credentials:
Gerald J. Develos
Maharlika Highway, Brgy.92 Apitong, Tacloban City 6500
Contact No: 09776162340
Email: develosgerald@gmail.com

SUMMARY/Profile

IELTS Trainer with relevant experience in delivering IELTS instruction and General English
covering the four macro skills: writing, speaking, listening and reading and to conduct ongoing
diagnostic, formative and summative assessment and provide individual feedback on the
appropriateness of English Language Usage.

Well-rounded and experienced nurse with relevant Aged Care Management and Nursing
administration and Dementia Ward Experience, Community health and clinical experience in
Medical Surgical ward, Out Patient Department, Emergency Department, Pediatric Ward, OB-
Gyne Ward, Acute Care ward Settings and Health and Birthing Unit.

Key Strengths:
 Well-developed interpersonal and managerial communication skills that is able to
develop rapport among culturally diverse clients.
 Effectively manages interdisciplinary relationships with health care team colleagues and
employer.
 Highly organized leadership skills, is systematic in planning and health care
implementations with the ability to adapt according to priorities as per situational
demands.
 Competent in using Health Care Computer Software
 Committed to apply my knowledge for the growth of the organization and nursing
profession
Education
 Diploma in Human Resource-Alison (2016)
 Nurse Manager Certificate Program- Sigma Theta Honours Society of Nursing (2016)
 Australian Registered Nurse Training Program, University of South Australia, 2014
 Bachelor Of Science In Nursing, Father Saturnine Urios University, Philippines, 2010
Overseas Specialised Clinical Experience and Skills

Employer: Clayton Church Homes Inc. Magill, Adelaide, South Australia, Australia
(This Residential Aged Care is a 96-bed capacity nursing home with mostly high care residents and
specialized dementia support unit.)

Position: Registered Nurse In Charge, ACFI Nurse, Clinical Nurse Functions

November 2016-April 2017

 Nurse-in-Charge/ Clinical Nurse Functions- manages and leads clinical staff on the floor
in addressing the health needs, complaints of family, staff conflict resolution, and
continuous implementation of protocols and best practice interventions to provide the
best health outcomes for residents
 ACFI Driver’s- preparing packs, assessments, behavioural conference, care plans for
permanent resident’s appraisals and claims to be ready for submission.
 Comprehensively conducted initial assessments of individual patients, documented
appropriate care plan, and monitored ongoing care.
 Managed a group of patients in relation to:
o Caring for residents with Dementia and providing Non-pharmacologic and
pharmacologic interventions as per care plan
o Monitoring their condition and responding appropriately to changes in their
condition
o Provision of aseptic Wound care as indicated
o Attend to emergency situations efficiently
o Preparation and administration of oral medication according to verified written
orders
o Completion of relevant patient records

Employer: Opal Specialised Aged Care- Denhams Beach, New South Wales, Australia
(This Residential Aged Care is a 130-bed capacity nursing home with mostly high care residents and
specialized dementia support unit.)

Position: Clinical Care Manager/ Director of Nursing

July 2016- November 2016

I am a Leader and a member of a multi-disciplinary team consisting of both medical and allied
health care professionals providing care to variety of resident.
Achievements:
Within scope of practice, independently:
 Frontlines and advocates quality assurance audit, standards for Facility Accreditation
Requirements, Documentation, Mentoring/credentialling for Staff (old and new) and
strict adherence of the Company’s policies and procedures.
 2nd in charge next to Facility Manager and ensures that Clinical Care is within the highest
possible outcomes, monthly audits, evaluations for clinical care, addressing family
complaints,
 Handles staff governance and management through staff recruitment and performance
management, staff conflict resolution, appraisals and education
 Manages and leads all nursing staff on the floor in addressing the health needs,
complaints of family, staff conflict resolution, and continuous implementation of
protocols and best practice interventions to provide the best health outcomes for
residents
 Ensuring ACFI Funding for the Nursing Home is within expected or above budget
 Oversee and leads Clinical related committees such as PAIN, WHS, CONTINENCE, Peer
Enablement Program among others.
 Comprehensively conducted and ensure all RNs complete initial assessments of
individual patients, documented appropriate care plan, and monitored ongoing care.
 Ordering medical supplies as needed as per needed by Facility
 Establishing good relationship with allied health referral system and do referrals as per
needed by resident.
 Managed a group of patients in relation to:
o Caring for residents with Dementia and providing Non-pharmacologic and
pharmacologic interventions as per care plan
o Monitoring their condition and responding appropriately to changes in their
condition
o Provision of aseptic Wound care as indicated
o Attend to emergency situations efficiently
o Preparation and administration of oral medication according to verified written
orders
o Completion of relevant patient records
Employer: Clayton Church Homes Inc. Magill, Adelaide, South Australia, Australia
(This Residential Aged Care is a 96-bed capacity nursing home with mostly high care residents and
specialized dementia support unit.)

Position: Registered Nurse In Charge, ACFI Nurse, Clinical Nurse Functions

October 2015-May 2016

 Nurse-in-Charge/ Clinical Nurse Functions- manages and leads clinical staff on the floor
in addressing the health needs, complaints of family, staff conflict resolution, and
continuous implementation of protocols and best practice interventions to provide the
best health outcomes for residents
 ACFI Driver’s- preparing packs, assessments, behavioural conference, care plans for
permanent resident’s appraisals and claims to be ready for submission.
 Comprehensively conducted initial assessments of individual patients, documented
appropriate care plan, and monitored ongoing care.
 Managed a group of patients in relation to:
o Caring for residents with Dementia and providing Non-pharmacologic and
pharmacologic interventions as per care plan
o Monitoring their condition and responding appropriately to changes in their
condition
o Provision of aseptic Wound care as indicated
o Attend to emergency situations efficiently
o Preparation and administration of oral medication according to verified written
orders
o Completion of relevant patient records

Employer:ESTIA Health Golden Grove, Adelaide, South Australia, Australia

(This Residential Aged care Facility provides care to elderly residents with main focus being on
areas for fall prevention, mobility, continence, activity planning and medication management
and maximising their quality of life.)
Position: Clinical Ambassador, Acting Care Director, Registered Nurse (Health Metrics
Champion, Nurse-In-Charge,Continence Nurse, assist in ACFI Pack preparations, Pain Nurse)

September 2014- Oct 2015

I am a Leader and a member of a multi-disciplinary team consisting of both medical and allied
health care professionals providing care to variety of resident.

Achievements:
Within scope of practice, independently:
 Clinical Ambassador- frontlines and advocates quality assurance audit, standards for
Facility Accreditation Requirements, Documentation, Mentoring/credentialling for Staff
(old and new) and strict adherence of the Company’s policies and procedures and
helping out on newly acquired Nursing Homes in different locations
 Acting Clinical Director- 2nd in charge next to Executive Director and ensures that Clinical
Care is within the highest possible outcomes, monthly audits, evaluations for clinical
care, addressing family complaints, staff conflict resolution, appraisals and education
 Health Metrics Champion- data migration for care plans, developing care plans,
establishing work logs, assessments and providing staff education for new software.
 Nurse-in-Charge- manages and leads staff on the floor in addressing the health needs,
complaints of family, staff conflict resolution, and continuous implementation of
protocols and best practice interventions to provide the best health outcomes for
residents
 ACFI Driver’s Assistant- assist with preparing packs for permanent resident’s appraisals
and claims to be ready for submission.
 Continence Nurse- handles pad allocation, assessment of urinary and faecal continence
for residents, frontliner in maintaining resident’s functional and social continence.
 Pain Nurse- provides pain relieving strategies such as applicable for 4a and 4b
treatments related to ACFI
 Comprehensively conducted initial assessments of individual patients, documented
appropriate care plan, and monitored ongoing care.
 Managed a group of patients in relation to:
o Caring for residents with Dementia and providing Non-pharmacologic and
pharmacologic interventions as per care plan
o Monitoring their condition and responding appropriately to changes in their
condition
o Provision of aseptic Wound care as indicated
o Attend to emergency situations efficiently
o Preparation and administration of oral medication according to verified written
orders
o Completion of relevant patient records
Local Employment History

TACLOBAN CITY HEALTH OFFICE/ DEPARTMENT OF HEALTH- PHILIPPINES

January 2012- Mar 2013

(Tacloban City Health Office, with joint effort of the Department of Health, is Tacloban,
Philippines’ frontline institution that implements provision of health care in community and
clinical settings.)

POSITION: Registered Nurse

Community Health and Birthing Center Duties and Responsibilities:

 Vaccination and Immunization for Infants, Children, Senior Citizen and Pregnant Women
 Pre-natal and Post-natal Check-ups
 Disease Surveillance and Detection
 Mass Treatment and Information Drive for Communicable diseases
 Communicable Cases Handled
 Community Health Team Trainings, Community Research
 Evaluation of Health risk, threats, and foreseeable crisis
 School-to-school Health Campaign
 First Aid and Wound Care Management
 Conduct referrals and health programs with close association with the Department of
Health- Philippines

PROCEDURE DONE AND ASSISTED :

 Vital Signs Taking and Monitoring: Blood Pressure, Respiratory Rate, Pulse Rate,
Oxygen saturation, Temperature
 Catheterization
 Exposed to give basic CPR & DC shock
 Known to do wound dressing & Suture removal using aseptic technique.
  Exposed to take ECG & general procedure like IV infusion, gastric lavage &
gavage, enema ,bladder Wash, Bowel Wash, Suctioning.
 Assisting Physician in intubation,Connecting to Ambu Ventilation .
 Handling the bed ridden patients.
 Respiratory & Circulatory Compromised cases Handled
 Insertion of IV cannula.
 Collection of blood,Urine, Sputum Specimen and blood transfusion.
 Insertion of Nasogastric tube.
 Wound slough removal and dressing
 Administration of Medications.
 Suture removal.
 Assist for Doppler Studies, ECG, and Ultra sonogram.
 Nursing patients on total parental nutrition.
 Nebulization.
 Immunization, pre-natal and other maternal and child services

DEPARTMENT DUTIES

 Assess the patient’s condition

 Documentation of Vital Signs
 Documentation of Different records
 Assist the doctor’s during physical Examination
 Carryout all the instructions
 Checking all the equipments are working before use.
 Arrangements of emergency trolly articles and inventory and placement of
equipment.
 Emergency drugs as per needs.

TACLOBAN CITY HOSPITAL

(Tacloban City Hospital, with joint effort of the Department of Health, is Tacloban, Philippines’
frontline institution that implements provision of health care in community and clinical settings.)

February 2011-January 2012

Position: Registered Nurse

AREA OF ASSIGNMENTS: Emergency Department, Pediatric Ward, Medical-Surgical Ward,

Obstetrical Ward, Out-Patient Department, Delivery Room,Health Center and Birthing Unit,
and Injection Room
Member of a multidisciplinary Team providing comprehensive nursing care for all assigned
patients

Emergency Department:

 Receiving and admitting patients with acute medical conditions like Diabetes Mellitus,
Anemia, Hypertension, COPD, Jaundice, Gastritis, Asthma , UTI, CVA ,MI, CAD
 Implementing wound care, assist in suturing and removal of suture
 Use triage emergency nursing
 Basic life support and advanced life support together with MET team
 Documentation and proper handover done

Medical- Surgical Ward, Out-Patient Department, Injection Room:

I have attended the following medical cases - Diabetes Mellitus, Anemia, Hypertension, COPD,
Jaundice, Gastritis, Asthma , UTI, CVA ,MI, CAD

Pediatric:

 Receiving and Managing Patients with Medical conditions like anemia, typhoid fever,
diarrhea, dengue, primary complex and respiratory disorders etc.,
 Preparation of patients for blood studies, Radiology, Ultrasonography,
Electrocardiography
 Implementing nursing interventions such as repositioning, hygienic measures, Oxygen
Administration, Venoclysis, Medication Administration and Vital Signs Monitoring
Among Others.
 Attending to Children’s immunization program as per Department of Health-Philippines
mandate
Obstetric :

 Receiving and Managing Patients with Obstetrical conditions like postpartum, ovarian
cyst, myoma
 Preparation of patients for blood studies, Radiology, Ultrasonography,
Electrocardiography
 Implementing nursing interventions such as repositioning, hygienic measures, Oxygen
Administration, Venoclysis, Medication Administration and Vital Signs Monitoring
among others.

Delivery Room :

 Receiving and Managing Patients during Intrapartum.

 Preparation of patients for delivery.
 Implementing nursing interventions such as repositioning, hygienic measures, Oxygen
Administration, Venoclysis, Medication Administration and Vital Signs Monitoring
Among Others.

IELTS WORK Background

Employer: Saint Louis Review Center- Butuan Branch

Position: IELTS Trainer

Date of Employment: November 2013- March 2014

 Delivering IELTS instruction and General English covering the four macro skills: writing,
speaking, listening and reading and to conduct ongoing diagnostic, formative and
summative assessment and provide individual feedback on the appropriateness of
English Language Usage.
 Provide knowledge about reading skills and strategies to increase speed and
comprehension of students
 Ensure students are rightfully taught how to develop their writing skills with proper
technique and as well as interpretation of graphical representation, process and charts,
letter making and essay with good content and meaty points of view
  Practice sharp and precise listening skills that will accurately capture the thought and
enable good feedback and thought process.
 Positively enhance students to hasten their speaking skills and enable critical thinking
and substantial answers for questions related to topics asks during IELTS tests and for
day-day communication.

Awards/honours/ Qualification
 Distinction- High Distinction, University of South Australia, 2014
 IELTS Passer, June 2013 Result Passer
 CUM LAUDE, Father SaturninoUrios University, Philippines, 2010

Training and professional development

 Nurse Manager Certificate Program, 2016

 Palliative Care Online Course, 2015
 Psychology and Mental health Course, 2015
 Inside Cancer Course, 2015
 Dysphagia Course, 2015
 Health Metrics Training, 2015
 Bushfire Training, 2014
 Fire Training, 2014
 Continence Management Program, 2014
 Oral Health Training, 2014
 Manual Handling Training, 2014
 Mandatory Reporting in Aged Care, 2014
 CPR Training, 2014
 Training on Growth monitoring and Promotion Guidelines, 2013
 Training of Trainors on Essential Intrapartum Newborn Care (EINC), 2013
 1st Community Health Team Summit, 2012
 Conversations Session- Roll-out Training For Health Care Providers, 2012
 Community Health Team Training, 2012
 Orientation On Rotavirus and Pentavalent Immunization, 2012
 Basic IV Therapy Training Program, 2012
 Advanced Cardiovascular Life Support Provider Training, 2011
 First Aid with Disaster Management and S.T.A.R.T Triage Training, 2011
 EKG Reading and Interpretation Training, 2011
 Basic Life Support, American Heart Association Certified, 2011

Professional Associations
1. AUSTRALIAN HEALTH PRACTITIONER REGULATORY AGENCY (AHPRA)
 REGISTERED NURSE-AUSTRALIA
 CERTIFICATE REGISTRATION NUMBER:
  Validity: June 2016
2. PROFESSIONAL REGULATION COMMISSION (PRC)
 REGISTERED NURSE-PHILIPPINES
 PRC NUMBER: 0673298
 Validity: September 19, 2016

3. ASSOCIATION OF NURSING SERVICE ADMINISTRATORS OF THE PHILIPPINES

 INTRAVENOUS THERAPY NURSE
 ANSAP REGISTRATION NUMBER: 12-005699

Referees

1. Mrs. Wilfreda S. Avila, RN, MAN

a. Former Nurse IV, Tacloban City Hospital, Tacloban City
b. Contact Number: +639177306247
2. Edna Catayong, RM
a. Midwife II, Tacloban City office, Tacloban City, Philippines
b. Contact Number: (+63)915 316 6230
3. Teofila H. Brosas
a. Tacloban City Government Department Head II ( Human Resource Management
Officer), Tacloban City, Philippines
b. Contact no.: (053) 321-4548
4. Marie Wittwer, D0C,MRF
a. Director of Care/Manager Residential Facilities, Clayton Church Homes Inc., SA
b. Contact Number: 0400284017
5. Catherine Klomp, RN, RA ( Former Executive Director Estia Health Taree, NSW)
a. Former Executive Director-Estia Health Taree and Risk Analyst: ESTIA HEALTH
Pty. Ltd. (Head Office)-Melbourne
b. Contact Number:+61427307320
6. Karen Lindsay, RFM
a. Relief Facility Manager: Opal Specialised Aged Care-Denhams Beach, NSW
b. Contact Number:+61475382807
7. Paul Carpenter, CD
a. Care Director: Estia Health Pty. Ltd.-Golden Grove, SA
b. Contact no. +61404311404
The curriculum Vitae is true and correct as at March 2, 2019

Gerald J. Develos, RN

Name
GWEN G. ABAN, RN

ES BINGHAY ST. BALIWAGAN, BALAMBAN, CEBU 6041

TEL. NO. (032)260-7756 / gg_aban@yahoo.com

EDUCATION

Bachelor of Science in Nursing

University of Cebu 1999-2002
Cebu City

Bachelor of Science in Biology

University of the Philippines 1998-1999
Cebu City

Secondary
St. Francis of Assisi 1994-1998
Balamban Cebu

Elementary
Balamban Central Elementary School 1988-1994
Balamban Cebu

EXPERIENCE

Rural Sanitation Inspector

LGU-Balamban 2014-PRESENT
Balamban Cebu
 Prepares environmental sanitation program in assigned area.
 Participates in community meetings.
 Attends to public hearings, complaints and legal matters related to environmental
sanitation.
 Responsible for the provision of safe water and food supply.
 Conducts inspection on food and non-food establishment.

SUBCON Nurse
Subcontractors Tsuneishi Heavy Industries 2009-2013
Balamban Cebu
 Keeps the health records of the workers.
 Does initial assessment and facilitates for possible referral.
 Carries doctor’s order.
 Updates every subcontractors for usage of medicines every month.
 Attends safety meeting.
RTC Nurse
Cebu Doctors University Hospital 2006-2007
Cebu City
 Assists patients in their radiation therapy.
 Orients the patients what is radiation therapy and their side effects.
 Gives due meds for admitted patients.
 Coordinates with the physicist and physician on the overall treatment of the patient.
 Provides health teaching to the patient and their significant others.

ER Nurse
Chong Hua Hospital 2003-2006
Cebu City
 Attends patient’s emergency needs.
 Does initial assessment and informs the resident doctor about the status of the patient.
 Arrange patient’s admission if needs to be admitted.
 Responds to code blue.
 Prepares patient for OR or ICU admission.

Company Nurse
Cebu Asiatic Shipping and Port Services Incorporated 2002-2003
Balamban Cebu
 Provides workers first aid.
 Does health teachings.
 Accompanies workers in accident to the nearest clinic or hospital.
 Keeps workers health records.
 Submits workers for annual physical exam and does follow up with abnormal results.

TRAINING PROGRAMS
 Training on Environmental Sanitation and Health Education Program
May 16-18, 2018
Cebu City
 HIV Counseling and Testing Training
April 18- 20, 2018
Cebu City
 FoodSHAP Basic Food Safety and HACCP Principles and Pratice
April 11-13, 2018
Cebu City
 Nursing Leadership: Enhancing Staff Performance, Promoting Excellence in Service
March 26, 2018
Balamban Cebu
 MCNAP Bohol Chapter Convention- March 2, 2018 Tagbilaran Bohol
REFERENCES

Mr. AnastasioLape
PHN
LGU-Balamban
Balamban Cebu
Tel. No. (032) 333-2190

Dr. Napoleon Macapaz

MHO
LGU-Balamban
Balamban Cebu
Tel. No. (032) 333-2190

Mrs. Phoebe Ann Taboada

RSI I
LGU- Balamban
Balamban Cebu
Tel. No. (032) 333-2190
PILOTCHE DAYANAN MACUA
Ucma Village Apas, Cebu City Philippines 6000
Mobile number: 09505855393
Email: sarahmacua@gmail.com

EDUCATION

BACHELOR DEGREE HISTORY

Southwestern University
Year of no. 2005 - 2012
Urgellio St. Aznar road Cebu City, Philippines 6000

“A conscientious, Philippine Registered Nurse with expertise in the provision of exemplary care
to maintain the health, safety and development of maternal and child health nursing with
complex care needs”.

With extensive knowledge of heath care services, is highly experience in the delivery of
individual care plans whilst working in conjunction with community and local authority teams.
Demonstrates string leadership qualities with the ability to conduct patient assessments
supervise the provision of safe. In addition, compassionate care, and evaluate care
effectiveness. Acts with integrity and in the best interest of patients while ensuring compliance
with trust policies and guideline to promote ward efficiency and the delivery of operational
excellence.

MASTERS DEGREE OF MSA (MASTERS OF SERVICE ADMINISTRATION)

Southwestern University
Year of no. 2018 - 2019
Urgellio St. Aznar road Cebu City, Philippines 6000

“Provided effective care management, knowledge, and competent careers in health

administration, involving the management of hospitals and other health services organization,
knowledgeable about society, law and ethics, and competent in quantitative skills.”

CORE SKILLS

 Adult Nursing Patient Care Maternal Care

 Health Promotion Infection Control Ward Management
 Communication Clinical Leadership Medical Procedures
CAREER SUMMARY

March 2018 – Cebu Puericulture Center and Maternity House ,Inc

Staff Nurse – Maternal Assessment
Outline
Delivery ongoing care within an 85- bedded maternal ward to presented with acute to chronic
health problems.

Key Responsibilities
 Providing care for maternal patient, managing acute to chronic health issues, and
assessing and evaluating individual patient requirements
 Ensuring the timely and accurate completion of administration and documentation
related to patient are and medication management including oral and intravenous
medication such as syringe drivers acting in the best interest of patients while ensuring
compliance with trust policies and guidelines
 Conducting patient assessments, planning and supervising the safe and compassionate
delivery of care, and carrying out evaluations on care effectiveness when required
 Collaborating closely with multidisciplinary teams and promoting effective and empathic
communication with patients and relatives
 Providing highly standards of patients care and focusing specific care requirements for
patients presenting with complex health problems such as Hypertensive, postpartum
depression and postpartum traumatic stress
 Delivering advice to patients concerning diet and lifestyle commitments to complement
the medication required for recovery

August 2018 – Present Active one

Project Base Nurse

Outline
Responsible for organizing and delivering high quality nursing care to patient from their
admission right through to discharge.

Key responsibilities
 Always working to the highest standard of nursing personal and professional care.
 Championing a culture of learning and quality improvement in the clinic area.
 Physically fit and able to lift and carry patients, furniture and heavy medical equipment.
 Responding quickly to emergency and remaining calm when doing so.
 Organizing, prioritizing and delegation nursing work flow throughout the ward.
 Carrying out a cost to benefit analysis of medical care being administered to patients.
 Can work with a team professionals from all discipline to provide clinical leadership to
the nursin