TAGBILARAN CITY – The Commission on Audit (COA) has detected flaws in the modernization program, including what it described as “inefficient planning” of the construction/renovation of provincial government-run hospitals and delivery of medical equipment, under the present administration. COA said in its findings as of Dec. 31, 2013 that “deliveries of the equipment were made even if the construction/renovation of the hospitals were not yet completed to the disadvantage of the government.”
The Php150 million modernization program sourced out from loan package of Land Bank of the Philippines (LBP) showed “inefficient planning.” This may result in fast deterioration of the medical equipment purchased and delivered them even if the hospitals’ renovation were not finished yet, COA said. “Our review revealed that the expected delivery dates of the different medical equipment commenced even before the completion of the renovation/construction of the different hospitals’ laboratory rooms which defeats the noble purpose of the loan since the equipment were left uninstalled, untested, placed in the lobby or other areas that exposed the equipment to wear and tear and to external agents which may affect the operational function of the equipment.”
It also said that construction of the hospitals also “encountered delays along the project implementation that contributed to the shortcoming.”
In its inspection conducted on August 1, 2013, X-rays machines were placed at the lobby. Only one X-Ray intended for Cong. Teodoro Galagar District Hospital in Jagna town “was fully installed and operational.” The seven X-ray machines was worth Php12.3 million, COA said.
The six others (X-Ray machines) were not yet installed. “The assurance of its excellentworking condition could not be retained ans these units were not yet tested and the period covering the product warranty has been running starting from the time it was acceped by the provincial government.” Thus, this situation deprived the provincial government of their sales warranty. The uninstalled X-ray machines was amounting to PhP12,330,000, COA said.
Despite findings, provincial health official/hospital coordinator did not agree of the term “inefficient planning” that was used in the audit observation.
The official explained that the hospital modernization program intended to upgrade the ten devolved hospitals services underwent series of “planning conferences and brainstorming” attended by key officials concerned and hospitals’ chiefs.
The hospital coordinator said in response to audit findings that the unsinstalled hospital equipment “would not have happened had there been no negative slippage in the construction of the DOH-funded buildings” where the equipment are to be kept.
But the hospital coordinator admitted there was a lapse on provincial government on the procurement of the X-rays machines.
The official said that “they failed to consider the technical aspects of the equipment such as the power capacity, electric connections and transformers to be used for it to be installed and operational immediately upon delivery. Some also of these X-ray machines will be placed in new buildings of the PGBh which are not yet completed as planned.”
The upgrading fund amounting to Php150 million was divided into PhP100 million for construction and repair of hospitals and Php50 million for acquisition of medical equipment.
The first Php50 million of the Php100 million was granted by the bank on March 15, 2013 and to be matured on March 15, 2023 while the second Php50 million on December 6, 2013 and its maturity on Dec. 6, 2013.
COA identified the hospitals availing the upgrading included Garcia Memorial Provincial Hsopital in Talibon with an allocation for its upgrading of Php3 million; Cong Simeon Toribio Memorial in Carmen, Bohol, PhP10 million; Cong. Teodoro Galagar Memorial in Jana town, PhP23.5 million; Cong. Natalio Castillo Memorial in Loon, PhP8.5 million; Catigbian district in Catigbian town, PhP15.18 million; Francisco Dagohoy Municipal hospital – Inabanga, Bohol, PhP6.4 million; Candijay Community Hospital, Candijay, Bohol, PhP5 million; Maribojoc Community Hsopital, Maribojoc, Bohol, PhP10 million; Clarin Community Hospital, Clarin, Bohol, PhP10.82 million; and Pes. Carlos P. Garcia Memorial, Pres. Carlos P. Garcia, Bohol, Php7.6 million.
The medical equipment needs of these hospitals were: 6 units — major operating tables, 5 units –incubator worth Php22.37 million; 2 units anesthesia vaporizer; 2 units cautery machine, PhP2.674 million; 2 units — electric generator, PhP3.222 million; 5 units — automated blood chemistry and hematology machine, Php3.385 million; one unit — weighing scale, PhP1.033 million; and 7 units — Xray machines; one unit ultrasound machine, PhP17.3 million. (To be continued) (rvo)