“BOHOL IS BLESSED with a governor like Gov. Edgar Chatto who is an expert in governance. His experience developed his acumen for public service. He is a master in governance and a master of this not so perfect political system.”
These words came straight from Dr. Jaime Bernadas, Department of Health (DOH-7) Regional Director, at the executive session of the Health Leadership and Governance Program, this city.
Gov. Chatto and Vice-Gov. Dionisio Balite led heads of offices, chiefs of hospitals and health care workers during Thursday’s activity of the two-day workshop cum dialogue with all health stakeholders in the Province of Bohol.
Bernadas said every player is critical in health service delivery for every action, every reaction, and every decision plays a very critical role in its efficiency and effectiveness.
These, he added, determine the type of outcome of every case.
However, program implementation, collaboration and convergence, inter-agency cooperation and many other programs could not resolve issues that affect health service delivery, the DOH-7 Director said.
The missing link, he pointed out, is leadership and governance as a strategy.
This is why, Dr. Berandas said, Bohol’s Provincial Leadership spearheaded by its workaholic and multi-awarded governor, plays a very important, hence, a very critical role, in strategy implementation and program execution.
The two-day session aims to delve deeper into the root causes of health problems, increasing maternal and new-born deaths, and the types and specific kinds of hindrances that greatly affect effective health care in rural health units (RHUs) and district hospitals in the region.
To be able to do this, Gov. Chatto, together with the regional DOH Team, did the Deep Dive Activity and visited Barangay Abucay Norte, Sikatuna, the Maribojoc Community Hospital and the Gov. Celestino Gallares Memorial Hospital as part of the workshop to gather relevant information on certain pre-identified critical cases to clarify what went wrong, if there indeed was any, that led to deaths and casualties.
They compared notes with the RHU staff and the residents of the communities themselves so they could fully understand what transpired along the way, how those cases were handled, and what, specifically, if could be identified, were the factors that led to certain outcomes and casualties.
Comparing notes with, and getting the pulse of, the people directly related to the patients and those who personally handled these cases, they hope, could clarify muddy details and issues that could, and might even prevent, similar failures in the future.
They believe this strategy could help handle health-related cases, from the simplest to the most complicated and difficult ones.
They also talked about daily operations, discussed common cases and tried to find out and resolve issues regarding the most uncommon and rarest ones.
As part of the workshop, days earlier, affected families and RHUs were interviewed to get the consensus on what might have been the direct causes of the casualties, so to be able to probe deeper into its root causes.
The leadership and governance strategy of the DOH sees local governance itself as a catalyst in health reforms being an important factor in the devolution of health services.
Friday morning session at the Governor’s Mansion, they talked about blood loss in critical cases and blood availability in the system, the concerns and problems involved in fast and easy procurement and transfusion, and of course, how patients could readily acquire the same with the least possible cost to their families.
Understanding the roots causes of problems, the plight of the people involved, and the factors revolving in their specific environs would require local chief executives leaving their hats at the seats of government and at their respective offices and going down and meeting with, and getting to know their constituents, if possible, more personally.
DOH is now trying-out and testing this strategy for it believes communicating with, and understanding your patients, are prime factors that could prevent unwarranted deaths.
Through all these meetings and sessions, with them were Provincial Health Consultant Dr. Yul Lopez, Provincial Health Officer Dr. Reymoses Cabagnot, and pertinent DOH and PHO personnel and staff.
Wrapping things up Friday afternoon at the mansion, a summary evaluation was conducted and relevant observations, suggestions and proposals were jotted down either for possible future studies or implementation.
For faster resolution of issues in the Provincial Government, Gov. Chatto proposed the inclusion of other health providers in all the future meetings of the Provincial Health Board. (JANETV/PGBh/EDCom)