PROFILE OF THE DR. JOSE FABELLA MEMORIAL HOSPITAL (FABELLA)

 EXISTING HOSPITAL

•  A 700-bed capacity (authorized -ABC) Level III (specialty and end-referral) teaching and training hospital for Obstetrics, Gynecology, Anesthesiology, Newborn Medicine, and Pediatrics;
• Located at the Old Bilibid Compound (OBC), Sta. Cruz, Manila, adjacent to the Manila City Jail;
• Census:

•  It has an annual budget for CY2019 of P695,191,000.00 for Personnel Services, P80,027,000.00 for MOOE and P7,500,000.00 for Capital Outlay); CY2018 (P692,283,000.00 for Personnel Services, P89,165,000 for MOOE and P77,700,000 for Capital Outlay)
• It generated an income of P190 Million in CY 2016;CY2017- P218 Million; CY2018 P235 Million; CY2019 – P201 Million

• Performance Budget Utilization Rate (PBUR) as of December 2018:

• Utilization as of December 2019:

  Current

  GAA Utilization – 99.99%

  SAA Utilization – 95.25%

  CONAP – 99.02% 

• It has a staff complement of 1,436 at present (300 employees short of the 1,706 required for a General Hospital of 500 bed capacity);

• It has accredited training programs in Ob-Gyn, Pediatrics, and Anesthesia as a well as Fellowship Programs in Newborn Medicine, Perinatology, Ob-Gyn Ultrasound and Family Planning;

• It is a National Center for training in Basic Emergency Obstetrics and Neonatal Care (BEMONC), Essential Intrapartum and Neonatal Care (EINC), Lactation Management including Human Milk Banking, Visual Inspection with Acetic Acid for Cervical Cancers, National Certification Program for Maternal and Neonatal Nursing, and Family Planning;

• Other programs: Voluntary Blood Donation Program, Dental Obturator Program and Infant and Young Child Feeding Program, Mother-Baby Friendly Hospital Initiative and Health Emergency Management;

• It is actively providing services to the entire nation (thru Outreach Missions) in Gynecologic surgeries and Family Planning;

• It operates a School of Midwifery since 1922 and has been offering BS Midwifery since 2012;

 History:

• Nov 9, 1920: Dr Jose F. Fabella, Chairman of the Public Welfare Board, founded a six (6) bed maternity clinic in Isabel St., Sampaloc, Manila, called the “The Maternity House”.
• 1951: Relocated (for the 5^th time) to the Hospital facility of the Old Bilibid (erected in 1898) in Sta. Cruz, Manila and called the “Maternity and Children’s Hospital”.
• 1968: Renamed “Dr. Jose F. Fabella Memorial Hospital” (13 years after his death).
• 2000: Mandated as the “National Maternity Hospital” by virtue of DOH Administrative Order No. 11 series 2000;
• 2000: The OBC was conveyed to the Home Guaranty Corporation (HGC) by the Development Bank of the Philippines (DBP), for disposition. The proposed OBC Urban Renewal and Infrastructure Project did not push through.
• November 6, 2009: The Lung Center of the Philippines (LCP) and Fabella entered into a usufruct agreement of a 121,463 square meter lot for the transfer of Fabella at the LCP compound.
• 2012: The 3-storey Satellite Outpatient Department building costing P 47.2 million was completed at the LCP compound. The building and its equipment, costing P 8.6 million, is presently being utilized by Administrative, Finance, and Training offices as well as the School of Midwifery of Fabella.

RATIONALE FOR THE TRANSFER AND REDEVELOPMENT OF THE DJFMH

• The present area is limited for expansion to cope up with the increasing demand for hospital services, always criticized for being overcrowded, flood prone and with overly rehabilitated electrical and structural fixtures.

• Surrounding informal settlers pose as a fire hazard, and threaten the security of the hospital patients, personnel, and the general public.

• The hospital is to be transformed into an Apex Center for Reproductive Health and Neonatal Health to meet the demand of the region and the entire country;

• DOH is being asked by the HGC to vacate the site immediately due to the planned sale of the lot. Latest demand letter from HCG for Fabella to vacate the OBC was in September 4, 2015.

• Moreover, a structural investigation conducted by ESCA, Inc. (a private construction firm) in January 2016 revealed that the buildings require immediate strengthening to avoid damage to life and property in the event of a major earthquake.

  • Overall, 76% of columns and 80% of beams exceeded the capacity requirements, thus any planned retrofitting will be too costly (around P300 million for 3 buildings as computed by structural engineers), would take time to complete (2-3 years) and would require occupants to vacate areas while being renovated. Retrofitting will be an issue for HGC to tackle in as much as the National Historical Institute calls for the preservation of the buildings as heritage structures.

IMPLEMENTATION ARRANGEMENTS

• The expansion into a Level 3, 6-floor, 800-bed capacity teaching and training hospital includes the construction of a new building inside the DOH Compound, Rizal Ave., Manila, procurement of new equipment, and hiring of new hospital personnel.
• Total Project cost: P 2.00025 billion
  • Infrastructure: P 1.617 billion
  • Medical Equipment: P 383.25 million
• Construction of the new building is in phases

Phase I Total Contract Cost –P 742,888,888.88

Phase II Approved Budget for the Contract – P 742,800,000.00

• Timeline of Phase I implementation:

The awarding of the contract for Phase 1 was delayed due to the preliminary injunction issued by the Makati Regional Trial Court. 

•  Negotiated contract for the Phase II was awarded in December 2015, after clearance from the Government Procurement and Policy Board.
• Construction of Phase I and II was delayed, a first 6-month (until November 11, 2017) and a second 2 month extension (until January 11, 2018) had lapsed. The contractor posted a more than 30% slippage in February 2018 which equates to termination of contract, unless remedies are instituted.

Current Hospital Officials: